Ultrasonic surgical instruments with distally positioned jaw assemblies

• US 9,351,754 B2
• Filed: 06/29/2012
• Issued: 05/31/2016
• Est. Priority Date: 06/29/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Vakharia, Omar J., Messerly, Jeffrey D., Stefanchik, David, Smolik, Steven P.
• Primary Examiner(s): McDermott, Corrine
• Assistant Examiner(s): SIMPSON, SARAH A
• Application Number:
  US13/538,711
• Publication Number:
  US 20140005704A1
• Time in Patent Office: 1,432 Days
• Field of Search: 606/169, 606/205, 606/207, 606/208, 606/51, 606/52
• US Class Current: 1/1
• CPC Class Codes: A61B 17/295 combined with cutting implements
• 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 2017/320071 with articulating means for working tip
• 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 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1452 including means for cutting A61B2018/146 takes precedence
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2034/302 specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms

Abstract

Various embodiments are directed to surgical instruments comprising an end effector, a shaft and a jaw assembly. The end effector may comprise an ultrasonic blade extending distally substantially parallel to a longitudinal axis. The shaft may extend proximally from the end effector along the longitudinal axis. The jaw assembly may comprise first and second jaw members. The jaw assembly may be pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position. Additionally, the first and second jaw members may be pivotable about a second axis substantially perpendicular to the first axis.

Claims

1. A surgical instrument comprising:

an ultrasonic blade positioned at a distal end of an ultrasonic waveguide, the ultrasonic waveguide extending distally substantially parallel to a longitudinal axis;

a shaft extending proximally from the ultrasonic blade along the longitudinal axis; and

a jaw assembly, wherein the jaw assembly comprises;

a wrist member pivotable about a wrist pivot axis substantially perpendicular to the longitudinal axis from a first position where the wrist member is substantially parallel to the ultrasonic blade to a second position where the wrist member is pivoted away from the ultrasonic blade, wherein the wrist pivot axis is offset from the ultrasonic blade in an offset direction, wherein the offset direction is perpendicular to the longitudinal axis;

a first jaw member extending distally from and pivotably coupled to the wrist member, wherein the first jaw member is pivotable about a jaw pivot axis substantially perpendicular to the wrist pivot axis; and

a second jaw member extending distally from and pivotably coupled to the wrist member, wherein the second jaw member is pivotable about the jaw pivot axis, and wherein the first and second jaw members are further pivotable about the jaw pivot axis relative to one another from an open position where the first and second jaw members are pivoted away from one another to a closed position where the first and second jaw members are pivoted towards one another.

2. The instrument of claim 1, further comprising:

a first jaw control line extending proximally from the first jaw member through the shaft;

a second jaw control line extending proximally from the first jaw member through the shaft, wherein differential translation of the first jaw control line and the second jaw control line causes the first jaw member to pivot about the jaw pivot axis;

a third jaw control line extending proximally from the second jaw member through the shaft; and

a fourth jaw control line extending proximally from the second jaw member through the shaft, wherein differential translation of the third jaw control line and the fourth jaw control line causes the second jaw member to pivot about the jaw pivot axis.

3. The instrument of claim 2, wherein the first jaw member comprises a pulley positioned about the jaw pivot axis and wherein the first jaw control line and the second jaw control line extend around the pulley.

4. The instrument of claim 3, wherein the first and second jaw control lines are ends of a single control line positioned around the pulley.

5. The instrument of claim 1, wherein the first and second jaw members are pivotable about the jaw pivot axis individually and collectively.

6. The instrument of claim 1, further comprising a first wrist member control line coupled to the wrist member and extending proximally through the shaft, wherein proximal translation of the first wrist member control line pivots the wrist member proximally about the wrist pivot axis.

7. The instrument of claim 1, wherein the ultrasonic blade is translatable in a direction parallel to the longitudinal axis from an extended position to a retracted position.

8. The instrument of claim 7, wherein a range of motion of the wrist member about the wrist pivot axis is increased when the ultrasonic blade is in the retracted position.

9. The instrument of claim 1, wherein at least one of the wrist member, the first jaw member, and the second jaw member define a face directed towards the ultrasonic blade, and further comprising a clamp pad material coupled to the face.

10. A surgical instrument comprising:

an ultrasonic blade positioned at a distal end of an ultrasonic waveguide, the ultrasonic waveguide extending distally substantially parallel to a longitudinal axis;

a shaft extending proximally from the ultrasonic blade along the longitudinal axis; and

a jaw assembly comprising first and second jaw members, wherein the jaw assembly is pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position, wherein the first and second jaw members are pivotable about a second axis substantially perpendicular to the first axis, and wherein the first axis is offset from the ultrasonic blade in an offset direction, wherein the offset direction is perpendicular to the longitudinal axis.

11. The surgical instrument of claim 10, wherein the first and second jaw members are pivotable relative to each other about the second axis from a closed position where the first and second jaw members are substantially parallel to each other to an open position.

12. The surgical instrument of claim 10, wherein the jaw assembly further comprises a wrist member pivotable about the first axis, wherein the first and second jaw members are pivotably coupled to the wrist member about the second axis.

13. The instrument of claim 10, further comprising:

a first jaw control line extending proximally from the first jaw member through the shaft;

a second jaw control line extending proximally from the first jaw member through the shaft, wherein differential translation of the first jaw control line and the second jaw control line causes the first jaw member to pivot about the second axis;

a third jaw control line extending proximally from the second jaw member through the shaft; and

a fourth jaw control line extending proximally from the second jaw member through the shaft, wherein differential translation of the third jaw control line and the fourth jaw control line causes the second jaw member to pivot about the second axis.

14. The instrument of claim 13, wherein the first jaw member comprises a pulley positioned about the second axis and wherein the first jaw control line and the second jaw control line extend around the pulley.

15. The instrument of claim 10, wherein the first and second jaw members are pivotable about the second axis individually and together.

16. The instrument of claim 10, further comprising a first axis control line coupled to the jaw assembly and extending proximally through the shaft, wherein proximal translation of the first axis control line pivots the jaw assembly proximally about the first axis.

17. The instrument of claim 10, wherein the ultrasonic blade is translatable in a direction parallel to the longitudinal axis from an extended position to a retracted position.

18. The instrument of claim 17, wherein a range of motion of the jaw assembly about the first axis is increased when the ultrasonic blade is in the retracted position.

19. The instrument of claim 10, wherein the jaw assembly defines a face directed towards the ultrasonic blade, and further comprising a clamp pad material coupled to the face.