Electrosurgical devices

• US 9,265,926 B2
• Filed: 11/08/2013
• Issued: 02/23/2016
• Est. Priority Date: 11/08/2013
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Strobl, Geoffrey S., Boudreaux, Chad P.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GIULIANI, THOMAS ANTHONY
• Application Number:
  US14/075,839
• Publication Number:
  US 20150133921A1
• Time in Patent Office: 837 Days
• Field of Search: 606/51, 606/52
• US Class Current: 1/1
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 18/1206 Generators therefor
• 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 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61N 1/00 Electrotherapy; Circuits therefor A61N2/00 takes precedence; irradiation apparatus A61N5/00
• 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

Abstract

In one embodiment, a surgical instrument comprises a handle assembly. The handle assembly comprises a closure trigger defining an energy button hole, an energy button located within the energy button hole, and a firing trigger. A shaft assembly is coupled to the handle assembly and comprises an outer tube, a closure actuator coupled to the closure trigger, and a firing actuator operatively coupled to the firing trigger. An end effector is coupled to a distal end of the shaft assembly. The end effector comprises a jaw assembly having a proximal end and a distal end. The jaw assembly comprises a first and a second jaw member. The first and second jaw members define a longitudinal slot. The closure actuator is coupled to the first jaw member to pivotally move the first jaw member from an open position to a closed position. A cutting member is deployable within the longitudinal slot.

Claims

1. A surgical instrument comprising:

a handle assembly comprising;

a first handle housing located on a first side of the handle assembly and a second handle housing located on a second and opposing side of the handle assembly;

a closure trigger defining an energy button hole;

an energy button comprising a first end and a second end located within the energy button hole and extending through the handle assembly, wherein the first energy button end is accessible from the first handle housing and the second energy button end is accessible from the second handle housing; and

a firing trigger;

a shaft assembly coupled to the handle assembly, the shaft assembly comprising;

an outer tube;

a closure actuator operatively coupled to the closure trigger; and

a firing actuator operatively coupled to the firing trigger; and

an end effector coupled to a distal end of the shaft assembly, the end effector comprising;

a jaw assembly having a proximal end and a distal end, the jaw assembly comprising;

a first jaw member; and

a second jaw member, wherein the first and second jaw members define a longitudinal slot, wherein the closure actuator is coupled to the first jaw member to pivotally move the first jaw member from an open position to a closed position relative to the second jaw member; and

a cutting member deployable within the longitudinal slot, wherein the cutting member is coupled to the firing actuator to advance the cutting member distally within the longitudinal slot.

2. The surgical instrument of claim 1, wherein the handle assembly comprises:

a compound gear coupled to the firing trigger, the compound gear comprising a high pivot; and

a rack coupled to the firing actuator and operably coupled to the compound gear, wherein the compound gear is configured to rotate upon actuation of the firing trigger to advance the rack and firing actuator distally to deploy the cutting member distally within the end effector.

3. The surgical instrument of claim 2, wherein the firing actuator comprises a pull tube.

4. The surgical instrument of claim 2, wherein the handle assembly comprises a firing lock configured to prevent actuation of the firing trigger prior to closure of the jaw assembly, wherein the closure trigger is configured to release the firing lock when the closure trigger is in a predetermined closure position, and wherein release of the firing lock allows actuation of the firing trigger.

5. The surgical instrument of claim 4, wherein the handle assembly comprises a cutting member return spring stop comprising a crimp and a washer.

6. The surgical instrument of claim 1, wherein the closure trigger comprises a yoke interfaced with a closure spring, wherein the closure spring is coupled to the closure actuator, wherein actuation of the closure trigger slides the yoke proximally to compress the closure spring, and wherein compression of the closure spring moves the closure actuator proximally to rotate the first jaw member into a closed position.

7. The surgical instrument of claim 6, wherein the j-aw closure spring comprises a pre-compressed spring.

8. The surgical instrument of claim 1, wherein the closure actuator comprises a lever arm asymmetrically coupled to the first jaw member, and wherein the jaw assembly comprises an offset pivot.

9. The surgical instrument of claim 1, wherein the shaft assembly comprises an electrical contact disposed on the outer tube and the end effector comprises an electrode, wherein the electrical contact is configured to electrically couple the electrode to an energy source when the jaw assembly is in a closed position.

10. The surgical instrument of claim 1, wherein in the closed position, the jaw assembly defines a radius of curvature and a smooth taper from the proximal end to the distal end.

11. A surgical instrument comprising:

a handle assembly comprising;

a first handle housing located on a first side of the handle assembly and a second handle housing located on a second and opposing side of the handle assembly;

a closure trigger defining an energy button hole;

an energy button comprising a first end and a second end located within the energy button hole and extending through the handle assembly, wherein the first energy button end is accessible from the first handle housing and the second energy button end is accessible from the second handle housing; and

a firing trigger;

a shaft assembly coupled to the handle assembly, the shaft assembly comprising;

an outer tube;

a closure actuator operatively coupled to the closure trigger; and

a firing actuator operatively coupled to the firing trigger; and

an end effector coupled to a distal end of the shaft assembly, the end effector comprising;

a jaw assembly having a proximal end and a distal end, the jaw assembly comprising;

a moveable jaw member; and

a fixed jaw member, wherein the moveable jaw member is pivotably moveable between an open position and a closed position with respect to the fixed jaw member, and wherein in the closed position, the jaw assembly defines a radius of curvature; and

a cutting member deployable within a curved slot, wherein the cutting member is coupled to the firing actuator to advance the cutting member distally within the curved slot.

12. The surgical instrument of claim 11, wherein the handle assembly comprises:

a compound gear coupled to the firing trigger, the compound gear comprising a high pivot; and

a rack coupled to the firing actuator and operably coupled to the compound gear, wherein the compound gear is configured to rotate upon actuation of the firing trigger to advance the rack and firing actuator distally to deploy the cutting member distally within the end effector.

13. The surgical instrument of claim 11, wherein the firing actuator comprises a pull tube.

14. The surgical instrument of claim 13, wherein the handle assembly comprises a firing lock configured to prevent actuation of the firing trigger prior to closure of the jaw assembly, wherein the closure trigger is configured to release the firing lock when the closure trigger is in a predetermined closure position, and wherein release of the firing lock allows actuation of the firing trigger.

15. The surgical instrument of claim 12, wherein the handle assembly comprises a cutting member return spring stop comprising a crimp and a washer.

16. The surgical instrument of claim 11, wherein the closure trigger comprises a yoke interfaced with a closure spring, wherein the closure spring is coupled to the closure actuator, wherein actuation of the closure trigger slides the yoke proximally to compress the closure spring, and wherein compression of the closure spring moves the closure actuator proximally to rotate the first jaw member into a closed position.

17. The surgical instrument of claim 16, wherein the closure spring comprises a pre-compressed spring.

18. The surgical instrument of claim 11, wherein the shaft assembly comprises an electrical contact disposed on the outer tube and the end effector comprises an electrode, wherein the electrical contact is configured to electrically couple to the end effector when the jaw assembly is in a closed position.

19. The surgical instrument of claim 11, wherein in the closed position the jaw assembly comprises smooth taper from the proximal end to the distal end.

20. A surgical instrument comprising:

a handle assembly comprising;

a first handle housing located on a first side of the handle assembly and a second handle housing located on a second and opposing side of the handle assembly;

a closure trigger defining an energy button hole;

an energy button comprising a first end and a second end located within the energy button hole and extending through the handle assembly, wherein the first energy button end is accessible from the first handle housing and the second energy button end is accessible from the second handle housing; and

a firing trigger;

a shaft assembly coupled to the handle assembly, the shaft assembly comprising;

an outer tube;

a closure actuator operatively coupled to the closure trigger; and

a firing actuator operatively coupled to the firing trigger; and

an end effector coupled to a distal end of the shaft assembly, the end effector comprising;

a jaw assembly having a proximal end and a distal end, the jaw assembly comprising;

a moveable jaw member; and

a fixed jaw member, wherein the moveable jaw member is pivotably moveable between an open position and a closed position with respect to the fixed jaw member, wherein the closure actuator is asymmetrically coupled to the moveable jaw member on a first side of a central axis of the shaft assembly, and wherein a pivot connection between the moveable jaw member and the fixed jaw member is offset to the first side of the central axis of the shaft assembly;

wherein in the closed position, the jaw assembly defines a radius of curvature and a smooth taper from the proximal end to the distal end.