Surgical instrument with multiple clamping mechanisms

• US 9,241,728 B2
• Filed: 03/15/2013
• Issued: 01/26/2016
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Price, Daniel W., Messerly, Jeffrey D., Malaviya, Prasanna, Beetel, Robert J. III, Dietz, Timothy G., Witt, David A., Turner, Douglas J., Norvell, David K., Weed, John A. III, Felder, Kevin D., Houser, Kevin L., Franer, Paul T., Faller, Craig N., Davis, Craig T.
• Primary Examiner(s): Stigell, Theodore
• Assistant Examiner(s): CAREY, MICHAEL JAMES
• Application Number:
  US13/833,706
• Publication Number:
  US 20140276738A1
• Time in Patent Office: 1,047 Days
• Field of Search: 606/49, 606/51, 606/52
• US Class Current: 1/1
• CPC Class Codes: A61B 17/2909 Handles
• 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 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 2017/2913 cams or guiding means
• CPC Class Codes: A61B 2017/2916 pins in guiding slots
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• 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 2017/320097 with stapling means
• CPC Class Codes: A61B 2018/00202 rotating
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.

Claims

1. A surgical instrument, comprising:

a shaft comprising a proximal end and a distal end;

an end effector extending from the distal end of the shaft, wherein the end effector is operable to grasp tissue;

a handle extending from the proximal end, wherein the handle comprises a gripping portion; and

a trigger assembly extending from the handle, wherein the trigger assembly comprises a trigger movable relative to the gripping portion between an unactuated position and a first actuated position and a second actuated position, wherein the trigger is operable to control the end effector to selectively grasp tissue at a first compressive force when the trigger is in the first actuated position and a second compressive force when the trigger is in the second actuated position;

wherein the trigger assembly comprises;

a yoke longitudinally slideable relative to the handle and longitudinally engaging the trigger;

a link arm comprising a slot; and

a trigger pin disposed in the slot, wherein the trigger pin links the trigger and link arm;

wherein the trigger pin engages a first portion of the slot when the trigger is in the first actuated position and a second portion of the slot when the trigger is in the second actuated position.

2. The surgical instrument of claim 1, wherein the first compressive force is greater than the second compressive force.

3. The surgical instrument of claim 1, wherein the first compressive force and second compressive force are independently selected from 1 psi to 10 psi.

4. The surgical instrument of claim 1, wherein the trigger assembly comprises:

a lever arm extending distally from the trigger, wherein the lever arm comprises a slot; and

a leaf spring comprising a free end disposed in the slot of the lever arm;

wherein the free end of the leaf spring engages a first portion of the slot of the lever arm when the trigger is in the first actuated position and a second portion of the slot of the lever arm when the trigger is in the second actuated position.

11. The surgical instrument of claim 1, wherein the end effector comprises:

a first jaw;

a second jaw, wherein at least one of the first jaw and second jaw is movable relative to the other of the first jaw and second jaw between an open position and a closed position; and

at least one electrode to apply electrosurgical energy to weld tissue.

12. The surgical instrument of claim 11, wherein the at least one electrode is coupled to a radiofrequency (Rf) energy source.

13. The surgical instrument of claim 12 comprising a lockout mechanism to prevent current from flowing from the energy source to the at least one electrode unless the trigger is in the second actuated position.

14. The surgical instrument of claim 11, wherein one of the first jaw and second jaw is longitudinally movable between a first position and a second position relative to the other of the first jaw and second jaw, wherein the one of the first jaw and second jaw is in the first position when the trigger is in the unactuated position and the second position when the trigger is in the first actuated position.

15. The surgical instrument of claim 1, wherein the end effector comprises a firing beam longitudinally movable along at least a portion of the end effector, wherein the firing beam comprises:

a distal blade to sever tissue, wherein the distal blade comprises opposing surfaces each comprising at least one roller bearing to compress tissue.

5. A surgical instrument, comprising:

a shaft comprising a proximal end and a distal end;

an end effector extending from the distal end of the shaft, wherein the end effector is operable to grasp tissue;

a handle extending from the proximal end, wherein the handle comprises a gripping portion; and

a trigger assembly extending from the handle, wherein the trigger assembly comprises a trigger movable relative to the gripping portion between an unactuated position and a first actuated position and a second actuated position, wherein the trigger is operable to control the end effector to selectively grasp tissue at a first compressive force when the trigger is in the first actuated position and a second compressive force when the trigger is in the second actuated position;

wherein the trigger assembly comprises;

a yoke longitudinally slideable relative to the handle and longitudinally engaging the trigger, wherein the trigger comprises a cam feature; and

a link arm pivotally attached to a yoke, wherein the link arm comprises a cam follower to engage the cam feature;

wherein the cam follower engages a first portion of the cam feature when the trigger is in the first actuated position and a second portion of the cam feature when the trigger is in the second actuated position.

16. The surgical instrument of claim 5, wherein the first compressive force is greater than the second compressive force.

17. The surgical instrument of claim 5, wherein the first compressive force and second compressive force are independently selected from 1 psi to 10 psi.

18. The surgical instrument of claim 5, wherein the trigger assembly comprises:

a lever arm extending distally from the trigger, wherein the lever arm comprises a slot; and

a leaf spring comprising a free end disposed in the slot;

wherein the free end of the leaf spring engages a first portion of the slot when the trigger is in the first actuated position and a second portion of the slot when the trigger is in the second actuated position.

19. The surgical instrument of claim 5, wherein the end effector comprises:

a first jaw;

a second jaw, wherein at least one of the first jaw and second jaw is movable relative to the other of the first jaw and second jaw between an open position and a closed position; and

at least one electrode to apply electrosurgical energy to weld tissue.

20. The surgical instrument of claim 5, wherein the end effector comprises a firing beam longitudinally movable along at least a portion of the end effector, wherein the firing beam comprises:

a distal blade to sever tissue, wherein the distal blade comprises opposing surfaces each comprising at least one roller bearing to compress tissue.

6. A surgical instrument, comprising:

a shaft comprising a proximal end and a distal end;

an end effector extending from the distal end of the shaft, wherein the end effector is operable to grasp tissue;

a handle extending from the proximal end, wherein the handle comprises a gripping portion; and

a trigger assembly extending from the handle, wherein the trigger assembly comprises a trigger movable relative to the gripping portion between an unactuated position and a first actuated position and a second actuated position, wherein the trigger is operable to control the end effector to selectively grasp tissue at a first compressive force when the trigger is in the first actuated position and a second compressive force when the trigger is in the second actuated position;

wherein the trigger assembly comprises;

the trigger comprising a trigger slot and a cam feature comprising a trigger notch;

a link arm pivotally attached to a yoke, wherein the link arm comprises a cam follower to engage the cam feature; and

a trigger pin disposed in the slot, wherein the trigger pin links the trigger and link arm;

wherein the cam follower engages a first portion of the notch when the trigger is in the first actuated position and a second portion of the notch when the trigger is in the second actuated position; and

wherein the trigger pin engages a first portion of the trigger slot when the trigger is in the first actuated position and a second portion of the trigger slot when the trigger is in the second actuated position.

21. The surgical instrument of claim 6, wherein the first compressive force is greater than the second compressive force.

22. The surgical instrument of claim 6, wherein the first compressive force and second compressive force are independently selected from 1 psi to 10 psi.

23. The surgical instrument of claim 6, wherein the trigger assembly comprises:

a lever arm extending distally from the trigger, wherein the lever arm comprises a slot; and

a leaf spring comprising a free end disposed in the slot of the lever arm;

wherein the free end of the leaf spring engages a first portion of the slot of the lever arm when the trigger is in the first actuated position and a second portion of the slot of the lever arm when the trigger is in the second actuated position.

24. The surgical instrument of claim 6, wherein the end effector comprises:

a first jaw;

a second jaw, wherein at least one of the first jaw and second jaw is movable relative to the other of the first jaw and second jaw between an open position and a closed position; and

at least one electrode to apply electrosurgical energy to weld tissue.

25. The surgical instrument of claim 6, wherein the end effector comprises a firing beam longitudinally movable along at least a portion of the end effector, wherein the firing beam comprises:

a distal blade to sever tissue, wherein the distal blade comprises opposing surfaces each comprising at least one roller bearing to compress tissue.

7. A surgical instrument, comprising:

a shaft comprising a proximal end and a distal end;

an end effector extending from the distal end of the shaft, wherein the end effector is operable to grasp tissue;

a handle extending from the proximal end, wherein the handle comprises a gripping portion; and

a trigger assembly extending from the handle, wherein the trigger assembly comprises a trigger movable relative to the gripping portion between an unactuated position and a first actuated position and a second actuated position, wherein the trigger is operable to control the end effector to selectively grasp tissue at a first compressive force when the trigger is in the first actuated position and a second compressive force when the trigger is in the second actuated position;

wherein the trigger assembly comprises;

a handle comprising a cam feature comprising a cam slot; and

a link arm pivotally attached to a yoke, wherein the link arm comprises a linkage pin disposed in the cam slot;

a trigger comprising a trigger slot;

a trigger pin disposed in the trigger slot, wherein the trigger pin links the trigger and link arm;

wherein the linkage pin engages a first portion of the cam slot when the trigger is in the first actuated position and a second portion of the cam slot when the trigger is in the second actuated position; and

wherein the trigger pin engages a first portion of the trigger slot when the trigger is in the first actuated position and a second portion of the trigger slot when the trigger is in the second actuated position.

26. The surgical instrument of claim 7, wherein the first compressive force is greater than the second compressive force.

27. The surgical instrument of claim 7, wherein the first compressive force and second compressive force are independently selected from 1 psi to 10 psi.

28. The surgical instrument of claim 7, wherein the trigger assembly comprises:

a lever arm extending distally from the trigger, wherein the lever arm comprises a slot; and

a leaf spring comprising a free end disposed in the slot of the lever arm;

wherein the free end of the leaf spring engages a first portion of the slot of the lever arm when the trigger is in the first actuated position and a second portion of the slot of the lever arm when the trigger is in the second actuated position.

29. The surgical instrument of claim 7, wherein the end effector comprises:

a first jaw;

a second jaw, wherein at least one of the first jaw and second jaw is movable relative to the other of the first jaw and second jaw between an open position and a closed position; and

at least one electrode to apply electrosurgical energy to weld tissue.

30. The surgical instrument of claim 7, wherein the end effector comprises a firing beam longitudinally movable along at least a portion of the end effector, wherein the firing beam comprises:

a distal blade to sever tissue, wherein the distal blade comprises opposing surfaces each comprising at least one roller bearing to compress tissue.

8. A surgical instrument, comprising:

a shaft comprising a proximal end and a distal end;

an end effector extending from the distal end of the shaft, wherein the end effector is operable to grasp tissue;

a handle extending from the proximal end, wherein the handle comprises a gripping portion; and

a trigger assembly extending from the handle, wherein the trigger assembly comprises a trigger movable relative to the gripping portion between an unactuated position and a first actuated position and a second actuated position, wherein the trigger is operable to control the end effector to selectively grasp tissue at a first compressive force when the trigger is in the first actuated position and a second compressive force when the trigger is in the second actuated position;

wherein the handle comprises a cam feature comprising a slot; and

wherein the trigger assembly comprises;

a link arm pivotally attached to the trigger; and

a yoke longitudinally slideable relative to the handle and longitudinally engaging the trigger, wherein the yoke comprises a cam feature comprising a notch, and

a yoke pin comprising a first end disposed in the slot and a second end disposed in the notch;

wherein the first end of the yoke pin engages a first portion of the slot and the second end of the yoke pin engages a first portion of the notch when the trigger is in the first actuated position and the first end of the yoke pin engages a second portion of the slot and the second end of the yoke pin engages a second portion of the notch when the trigger is in the second actuated position.

9. The surgical instrument of claim 8, wherein the trigger assembly provides an audible and/or tactile signal when the link pin engages at least one of the second portion of the slot and second portion of the notch.

31. The surgical instrument of claim 8, wherein the first compressive force is greater than the second compressive force.

32. The surgical instrument of claim 8, wherein the first compressive force and second compressive force are independently selected from 1 psi to 10 psi.

33. The surgical instrument of claim 8, wherein the trigger assembly comprises:

a lever arm extending distally from the trigger, wherein the lever arm comprises a slot; and

a leaf spring comprising a free end disposed in the slot of the lever arm;

wherein the free end of the leaf spring engages a first portion of the slot of the lever arm when the trigger is in the first actuated position and a second portion of the slot of the lever arm when the trigger is in the second actuated position.

34. The surgical instrument of claim 8, wherein the end effector comprises:

a first jaw;

a second jaw, wherein at least one of the first jaw and second jaw is movable relative to the other of the first jaw and second jaw between an open position and a closed position; and

at least one electrode to apply electrosurgical energy to weld tissue.

35. The surgical instrument of claim 8, wherein the end effector comprises a firing beam longitudinally movable along at least a portion of the end effector, wherein the firing beam comprises:

a distal blade to sever tissue, wherein the distal blade comprises opposing surfaces each comprising at least one roller bearing to compress tissue.

10. A surgical instrument, comprising:

a shaft comprising a proximal end and a distal end;

an end effector extending from the distal end of the shaft, wherein the end effector is operable to grasp tissue;

a handle extending from the proximal end, wherein the handle comprises a gripping portion; and

a trigger assembly extending from the handle, wherein the trigger assembly comprises a trigger movable relative to the gripping portion between an unactuated position and a first actuated position and a second actuated position, wherein the trigger is operable to control the end effector to selectively grasp tissue at a first compressive force when the trigger is in the first actuated position and a second compressive force when the trigger is in the second actuated position;

wherein the trigger assembly comprises;

a yoke longitudinally slideable relative to the handle;

a link arm pivotally attached to the yoke and slidingly attached to the trigger, wherein the link arm comprises a cam feature comprising a cam slot;

a trigger pin linking the trigger and link arm, wherein the trigger pin is disposed in the cam slot;

wherein the trigger pin engages a first portion of the cam slot when the trigger is in the first actuated position and a second portion of the cam slot when the trigger is in the second actuated position.

36. The surgical instrument of claim 10, wherein the first compressive force is greater than the second compressive force.

37. The surgical instrument of claim 10, wherein the first compressive force and second compressive force are independently selected from 1 psi to 10 psi.

38. The surgical instrument of claim 10, wherein the trigger assembly comprises:

a lever arm extending distally from the trigger, wherein the lever arm comprises a slot; and

a leaf spring comprising a free end disposed in the slot of the lever arm;

wherein the free end of the leaf spring engages a first portion of the slot of the lever arm when the trigger is in the first actuated position and a second portion of the slot of the lever arm when the trigger is in the second actuated position.

39. The surgical instrument of claim 10, wherein the end effector comprises:

a first jaw;

a second jaw, wherein at least one of the first jaw and second jaw is movable relative to the other of the first jaw and second jaw between an open position and a closed position; and

at least one electrode to apply electrosurgical energy to weld tissue.

40. The surgical instrument of claim 10, wherein the end effector comprises a firing beam longitudinally movable along at least a portion of the end effector, wherein the firing beam comprises:

a distal blade to sever tissue, wherein the distal blade comprises opposing surfaces each comprising at least one roller bearing to compress tissue.