Surgical instruments

• US 9,220,527 B2
• Filed: 07/28/2014
• Issued: 12/29/2015
• Est. Priority Date: 07/27/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Houser, Kevin L., Muir, Stephanie J., DeLuca, Louis T., Price, Daniel W., Boyd, William D., Robertson, Galen C., O'Neil, Michael J.
• Primary Examiner(s): FISHBACK, ASHLEY LAUREN
• Application Number:
  US14/444,335
• Publication Number:
  US 20140336686A1
• Time in Patent Office: 519 Days
• Field of Search: 604/22, 606169-171, 606/184
• US Class Current: 1/1
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/2944 Translation of jaw members
• CPC Class Codes: A61B 2017/320008 Scrapers
• CPC Class Codes: A61B 2017/32004 having a laterally movable cutting member at its most distal end which remains within the contours of said end
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2017/320075 single edge blade, e.g. for cutting
• CPC Class Codes: A61B 2017/320078 Tissue manipulating surface
• CPC Class Codes: A61B 2017/32008 preventing clogging of suction channel
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/1452 : including means for cutting A61B2018/146 takes precedence
• CPC Class Codes: A61B 2217/005 : with suction drainage system
• CPC Class Codes: A61B 2560/02 : Operational features
• CPC Class Codes: A61L 2/07 : Steam
• CPC Class Codes: A61L 2/081 : Gamma radiation
• CPC Class Codes: A61L 2/082 : X-rays
• CPC Class Codes: A61L 2/087 : Particle radiation, e.g. electron-beam, alpha or beta radiation
• CPC Class Codes: A61L 2/206 : Ethylene oxide
• CPC Class Codes: A61N 7/00 : Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092
• CPC Class Codes: Y10T 29/49716 : Converting

Abstract

A surgical device. The surgical device may comprise a transducer configured to provide vibrations along a longitudinal axis and an end effector coupled to the transducer and extending from the transducer along the longitudinal axis. The surgical device also may comprise a lower jaw extending parallel to the end effector. The lower jaw may comprise a clamp face extending toward the longitudinal axis. Also, the lower jaw may be slidable relative to the end effector to bring the clamp face toward a distal end of the end effector.

Claims

1. A surgical device comprising:

a transducer configured to provide vibrations along a longitudinal axis;

an end effector coupled to the transducer and extending from the transducer along the longitudinal axis, wherein the end effector comprises;

a central lumen;

a first member; and

a second member, wherein the first member and the second member are extended across at least a portion of the central lumen at about a distal end of the end effector, and wherein the first member intersects the second member at a right angle; and

a lower jaw extending parallel to the end effector, the lower jaw comprising a clamp face extending toward the longitudinal axis, wherein the lower jaw is slidable relative to the end effector to bring the clamp face toward the distal end of the end effector.

2. The surgical device of claim 1, further comprising a clamp pad positioned between the clamp face and the end effector.

3. The surgical device of claim 1, further comprising a sheath positioned around at least a portion of the end effector.

4. The surgical device of claim 1, wherein the end effector comprises a waveguide.

5. The surgical device of claim 1, wherein the first member comprises a wire.

6. The surgical device of claim 1, wherein the first member extends proximally through the central lumen.

7. The surgical device of claim 6, wherein the first member extends proximally through the central lumen in a direction that is not parallel to the longitudinal axis.

8. The surgical device of claim 6, wherein the first member comprises a first section and a second section, wherein the first section is positioned at a first angle relative to the longitudinal axis, and wherein the second section is positioned at a second angle relative to the longitudinal axis.

9. The surgical device of claim 8, wherein the first angle is larger than the second angle.

10. The surgical device of claim 1, wherein the clamp face comprises a plug feature extending toward the distal end of the end effector, wherein the plug feature is at least partially received into the central lumen when the clamp face is brought toward the distal end of the end effector.

11. The surgical device of claim 10, wherein the plug feature has a cross-sectional area smaller than the cross-sectional area of the lumen.

12. The surgical device of claim 1, wherein the end effector comprises a distal portion and a proximal portion, and wherein the distal portion and the proximal portion are coupled.

13. The surgical device of claim 12, wherein the distal portion and the proximal portion are coupled by at least one method selected from the group consisting of press fitting, welding, brazing, adhesive bonding, and threading.

14. The surgical device of claim 1, wherein the lower jaw defines a lumen having an opening at a distal portion of the lower jaw.

15. The surgical device of claim 14, wherein the end effector defines a cavity configured to at least partially cover the opening when the clamp face is brought toward the distal end of the end effector.

16. The surgical device of claim 15, wherein the end effector comprises at least one cutting member positioned within the cavity.

17. The surgical device of claim 14, wherein the opening is positioned within a well, defined by the lower jaw, and wherein the end effector is configured to at least partially cover the well when the clamp face is brought toward the distal end of the end effector.

18. A surgical device comprising:

a transducer configured to provide vibrations along a longitudinal axis;

an end effector coupled to the transducer and extending from the transducer along the longitudinal axis, wherein the end effector comprises;

a central lumen; and

at least one member extended across at least a portion of the central lumen at about a distal end of the end effector, wherein the at least one member comprises a wire; and

a lower jaw extending parallel to the end effector, the lower jaw comprising a clamp face extending toward the longitudinal axis, wherein the lower jaw is slidable relative to the end effector to bring the clamp face toward the distal end of the end effector.

19. The surgical device of claim 18, wherein the at least one member comprises two members and wherein the two members intersect one another at a right angle.

20. The surgical device of claim 18, wherein the at least one member comprises a first member and a second member, and wherein the first member intersects the second member.

21. A surgical device comprising:

a transducer configured to provide vibrations along a longitudinal axis;

an end effector coupled to the transducer and extending from the transducer along the longitudinal axis, wherein the end effector comprises;

a central lumen; and

at least one member extended across at least a portion of the central lumen at about a distal end of the end effector, wherein the at least one member extends proximally through the central lumen in a direction that is not parallel to the longitudinal axis; and

a lower jaw extending parallel to the end effector, the lower jaw comprising a clamp face extending toward the longitudinal axis, wherein the lower jaw is slidable relative to the end effector to bring the clamp face toward the distal end of the end effector.

22. The surgical device of claim 21, wherein the at least one member comprises a first member and a second member, and wherein the first member intersects the second member.

23. A surgical device comprising:

a transducer configured to provide vibrations along a longitudinal axis;

an end effector coupled to the transducer and extending from the transducer along the longitudinal axis, wherein the end effector comprises;

a central lumen; and

at least one member extended across at least a portion of the central lumen at about a distal end of the end effector, wherein the at least one member extends proximally through the central lumen, wherein the at least one member comprises a first section and a second section, wherein the first section is positioned at a first angle relative to the longitudinal axis, and wherein the second section is positioned at a second angle relative to the longitudinal axis; and

a lower jaw extending parallel to the end effector, the lower jaw comprising a clamp face extending toward the longitudinal axis, wherein the lower jaw is slidable relative to the end effector to bring the clamp face toward the distal end of the end effector.

24. The surgical device of claim 23, wherein the first angle is larger than the second angle.

25. The surgical device of claim 23, wherein the at least one member comprises a first member and a second member, and wherein the first member intersects the second member.