Surgical instrument with multi-phase trigger bias

• US 9,089,327 B2
• Filed: 09/19/2012
• Issued: 07/28/2015
• Est. Priority Date: 09/24/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Worrell, Barry C., Lesko, Jason R., Wang, Bingshi, Draginoff, Carl J. Jr.
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US13/622,729
• Publication Number:
  US 20130030428A1
• Time in Patent Office: 1,042 Days
• Field of Search: 606/51, 606/52
• US Class Current: 1/1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/0038 Simultaneous actuation of two tools by pushing one button or the like
• CPC Class Codes: A61B 2017/2908 Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00755 Resistance or impedance
• CPC Class Codes: A61B 2018/00767 Voltage
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition

Abstract

An apparatus comprises an end effector, an elongate shaft, and a handle assembly. The end effector is operable to grasp tissue. The elongate shaft extends between the end effector and the handle assembly. The handle assembly comprises a body portion, a trigger, and a trigger return lever. The trigger is movable relative to the body portion from a home position to an actuated position, and is thereby operable to control the end effector to selectively grasp tissue. The trigger includes a cam feature. The trigger return lever is positioned to engage the cam feature of the trigger. The trigger return lever is configured to bias the trigger toward the home position during at least part of a range of motion of the trigger from the home position to the actuated position.

Claims

1. An apparatus, comprising:

(a) an end effector, wherein the end effector is operable to grasp tissue;

(b) an elongate shaft having a distal end and a proximal end, wherein the end effector is positioned at the distal end of the shaft;

(c) a handle assembly associated with the proximal end of the shaft, wherein the handle assembly comprises;

(i) a body portion,

(ii) a trigger movable relative to the body portion, wherein the trigger is operable to control the end effector to selectively grasp tissue, wherein the trigger is movable from a home position to an actuated position, wherein the trigger includes a cam feature,

(iii) a trigger return lever positioned to engage the cam feature of the trigger,

(iv) a first biasing member coupled with the trigger and the body portion, wherein the first biasing member is configured to bias the trigger toward the home position during at least part of a range of motion of the trigger from the home position to the actuated position, and

(v) a second biasing member coupled with the trigger return lever and the body portion, wherein the second biasing member is configured to bias the trigger return lever toward the trigger.

2. The apparatus of claim 1, wherein the body portion comprises a grip, wherein the trigger is pivotable toward the grip to move from the home position to the actuated position.

3. The apparatus of claim 2, wherein the grip comprises a pistol grip.

4. The apparatus of claim 1, wherein the cam feature comprises a proximally extending cam arm.

5. The apparatus of claim 4, wherein the cam arm includes a tip and an underside, wherein the trigger return lever comprises a free end and a bearing surface, wherein the free end of the return lever is configured to engage at least the tip of the cam arm, wherein the bearing surface of the return lever is configured to engage the underside of the cam arm.

6. The apparatus of claim 5, wherein the trigger is movable from the home position to an intermediate position between the home position and the actuated position, wherein the free end of the trigger return lever is configured to engage the tip and the underside of the cam arm during travel of the trigger from the home position to the intermediate position.

7. The apparatus of claim 6, wherein the bearing surface of the trigger return lever is configured to engage the underside of the cam arm during travel of the trigger from the intermediate position to the actuated position.

8. The apparatus of claim 7, wherein the free end of the trigger return lever is configured to disengage the cam arm during travel of the trigger from the intermediate position to the actuated position.

9. The apparatus of claim 5, wherein the underside of the cam arm includes a first underside surface and a second underside surface, wherein the first and second underside surfaces are offset relative to each other.

10. The apparatus of claim 1, wherein the first biasing member comprises a coil spring.

11. The apparatus of claim 10, wherein the second biasing member comprises a torsion spring.

12. The apparatus of claim 1, wherein the end effector comprises a pair of jaws, wherein at least one of the jaws is pivotable toward the other jaw, wherein the trigger is operable to control the jaws.

13. The apparatus of claim 1, wherein the end effector comprises at least one electrode operable to deliver RF energy to tissue.

14. The apparatus of claim 1, wherein the end effector comprises a translating cutting member, wherein the trigger is further operable to translate the cutting member.

15. The apparatus of claim 1, wherein the shaft defines a longitudinal axis, wherein the shaft includes an articulation section, wherein the articulation section is operable to selectively deflect the end effector away from the longitudinal axis of the shaft.

16. The apparatus of claim 15, further comprising a translatable member extending from the handle assembly to the end effector and through the shaft, wherein the trigger is operable to translate the translatable member relative to the shaft.

17. The apparatus of claim 16, wherein the translatable member includes a stop feature operable to engage a distal portion of the articulation section of the shaft, wherein the stop feature is operable to restrict proximal positioning of the translatable member relative to the articulation section.

18. An apparatus, comprising:

(a) an end effector, wherein the end effector is operable to operate on tissue;

(b) an elongate shaft having a distal end and a proximal end, wherein the end effector is positioned at the distal end of the shaft;

(c) a handle assembly associated with the proximal end of the shaft, wherein the handle assembly comprises;

(i) a body portion,

(ii) a trigger movable relative to the body portion, wherein the trigger is operable to control the end effector, wherein the trigger is movable through a first range of motion from a home position to an intermediate position, wherein the trigger is further movable through a second range of motion from the intermediate position to an actuated position, and

(iii) a trigger return lever positioned to engage a portion of the trigger,

(iv) a first biasing member coupled with the trigger and the body portion, wherein the first biasing member is configured to bias the trigger toward the home position during the first range of motion,

(v) a second biasing member coupled with the trigger return lever and the body portion, wherein the second biasing member is configured to bias the trigger return lever toward the trigger.

19. The apparatus of claim 18, wherein the trigger is pivotable along an arc defined by a radius, wherein the trigger return lever is configured to bear against the trigger with a force oriented generally tangentially relative to the arc during the first range of motion, wherein the trigger return lever is configured to bear against the trigger with a force oriented generally parallel to the radius during the second range of motion.

20. An apparatus, comprising:

(a) a body;

(b) an end effector comprising;

(i) a first jaw, and

(ii) a second jaw,

wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second jaw,

wherein at least one of the jaws comprises at least one electrode,

wherein the at least one electrode is operable to deliver RF energy to tissue clamped between the first and second jaw;

(c) a cutting member operable to cut tissue clamped between the first jaw and the second jaw;

(d) a shaft extending between the body and the end effector;

(e) a trigger operable to actuate the cutting member, wherein the trigger includes a cam arm;

(f) a first biasing member coupled with the trigger and the body;

(g) a trigger return lever engaged with the cam arm, wherein the first biasing member is configured to bias the trigger to a home position; and

(h) a second biasing member coupled with the trigger return lever and the body, wherein the second biasing member is configured to bias the trigger return lever toward the trigger.