Surgical cutting and sealing instrument with reduced firing force

• US 9,375,232 B2
• Filed: 03/10/2014
• Issued: 06/28/2016
• Est. Priority Date: 03/26/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Hunt, John V., Laird, Robert J., Vakharia, Omar J., Timm, Richard W., Monson, Gavin M., Thompson, Suzanne E.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US14/202,690
• Publication Number:
  US 20140194914A1
• Time in Patent Office: 841 Days
• Field of Search: 606 50- 52, 606205-207
• US Class Current: 1/1
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2937 with flexible part

Abstract

A surgical instrument includes a first jaw, a second jaw, a cutting member, and at least one compression element. The cutting member includes a cutting edge and is configured to translate with respect to the first jaw between a retracted position and a fully advanced position. The at least one compression element extends distally from the cutting member, wherein the at least one compression element is configured to contact the first jaw such that the first jaw rotates with respect to the second jaw between an open configuration and a closed configuration when the cutting member translates with respect to the first jaw, wherein the at least one compression element comprises a rotatable member, and wherein the rotatable member is configured to be advanced ahead of the cutting edge as the cutting member translates to the fully advanced position.

Claims

1. A surgical end effector, comprising:

a first jaw;

a second jaw operably coupled to the first jaw;

a cutting member configured to translate with respect to the first jaw between a retracted position and a fully advanced position, the cutting member including a cutting edge; and

at least one compression element extending distally from the cutting member, wherein the at least one compression element is configured to contact the first jaw such that the first jaw rotates with respect to the second jaw between an open configuration and a closed configuration when the cutting member translates with respect to the first jaw, wherein the at least one compression element comprises a rotatable member, and wherein the rotatable member is configured to be advanced ahead of the cutting edge as the cutting member translates to the fully advanced position.

2. The surgical end effector of claim 1, wherein the first jaw is mounted to a floating hinge.

3. The surgical end effector of claim 1, wherein the first jaw is configured to flex when gripping tissue between the first jaw and the second jaw.

4. The surgical end effector of claim 3, wherein the first jaw is mounted to a fixed pivot hinge.

5. The surgical end effector of claim 1, wherein the first jaw is precurved.

6. A surgical instrument, comprising:

a drive shaft defining a longitudinal axis;

a first jaw;

a second jaw operably coupled to the first jaw; and

a closure assembly motivated by the drive shaft, wherein the closure assembly is translatable relative to the first jaw between a proximal position and a distal position to move the first jaw between an open configuration and a closed configuration with respect to the second jaw, the closure assembly comprising;

a body portion;

at least one rollable camming member extending laterally from the body portion; and

a cutting member comprising a cutting edge extending distally from the body portion, wherein the cutting edge is translatable distally along the longitudinal axis to cut tissue captured between the first jaw and the second jaw, and wherein the at least one rollable camming member is translatable distally with the cutting edge along the longitudinal axis to move the first jaw to the closed configuration.

7. The surgical instrument of claim 6, wherein the at least one rollable camming member comprises a first rollable camming member and a second rollable camming member, wherein the first rollable camming member and the second rollable camming member cooperate to move the first jaw member to the closed configuration by translating distally relative to the first jaw member along the longitudinal axis.

8. The surgical instrument of claim 7, wherein the cutting edge extends between the first rollable camming member and the second rollable camming member.