Electrosurgical devices

• US 9,526,565 B2
• Filed: 11/08/2013
• Issued: 12/27/2016
• 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.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GIULIANI, THOMAS ANTHONY
• Application Number:
  US14/075,863
• Publication Number:
  US 20150133915A1
• Time in Patent Office: 1,145 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 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 2018/1432 curved
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

In various embodiments, a surgical instrument is disclosed. In one embodiment, the surgical instrument comprises a handle, a shaft assembly extending distally from the handle; and an end effector 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 moveable jaw member and a fixed jaw member. The moveable jaw member is pivotably moveable between an open position and a closed position with respect to the fixed jaw member. In the closed position, the jaw assembly defines a radius of curvature and a smooth taper from the proximal end to the distal end.

Claims

1. A surgical instrument comprising:

a handle;

a shaft assembly extending distally from the handle, wherein the shaft assembly defines a central axis, and wherein the shaft assembly defines an outer circumference; and

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

a jaw assembly, comprising;

a proximal end;

a distal end; and

a curved body extending from the proximal end to the distal end of the jaw assembly, the curved body comprising;

a moveable jaw member extending from the proximal end to the distal end of the jaw assembly; and

a fixed jaw member extending from the proximal end to the distal end of the jaw assembly, wherein the moveable jaw member is pivotably moveable between an open position and a closed position with respect to the fixed jaw member;

wherein, in the closed position, the curved body defines a radius of curvature and a smooth taper along the curved body from the proximal end to the distal end of the jaw assembly, wherein the curved body is contained within a cylindrical volume defined by the outer circumference of the shaft assembly and extending distally from the shaft assembly along the central axis, and wherein the central axis of the shaft assembly comprises a first side and a second side; and

a cutting member longitudinally deployable within a longitudinal curved slot defined by the jaw assembly, wherein the longitudinal curved slot comprises a proximal portion substantially in-line with the central axis of the shaft assembly, and wherein the longitudinal curved slot substantially follows the radius of curvature of the curved body.

2. The surgical instrument of claim 1, wherein the distal end of the jaw assembly defines a width of between about 25% to about 50% of a width of the proximal end of the jaw assembly.

3. The surgical instrument of claim 2, wherein the smooth taper is configured to provide nearly constant pressure from the proximal end to the distal end of the jaw assembly.

4. The surgical instrument of claim 1, wherein the radius of curvature is about 1.000″

to about 4.000″

.

5. The surgical instrument of claim 1, wherein a central portion of the longitudinal curved slot is offset on the first side of the central axis of the shaft assembly by a distance of greater than 0.000″

to about 0.065″

, and wherein the central portion is defined between a first central-portion wall on the first side of the central axis and a second central-portion wall on the first side of the central axis.

6. The surgical instrument of claim 5, wherein a distal portion of the longitudinal curved slot is offset on the second side of the central axis of the shaft assembly by a distance of greater than 0.000″

to about 0.065″

, and wherein the distal portion is defined between a first distal-portion wall on the second side of the central axis and a second distal-portion wall on the second side of the central axis.

7. The surgical instrument of claim 6, wherein the radius of curvature varies from about 2.000″

to about 4.000″

.

8. The surgical instrument of claim 1, comprising a lever arm asymmetrically coupled to the moveable jaw member on the second side of the central axis of the shaft assembly, wherein the lever arm is configured to pivot the moveable jaw member from the open position to the closed position.

9. The surgical instrument of claim 8, wherein a pivot connection between the moveable jaw member and the fixed jaw member is offset to the second side of the central axis of the shaft assembly.

10. The surgical instrument of claim 9, wherein the pivot connection comprises a pinned link-slider.

11. The surgical instrument of claim 8, wherein the lever arm extends longitudinally through the shaft assembly, and wherein a lubricous bushing is located between an outer diameter of the lever arm and an inner diameter of the shaft assembly.

12. The surgical instrument of claim 11, wherein the lubricous bushing comprises a plastic material.

13. The surgical instrument of claim 11, wherein the lubricous bushing comprises a dissimilar metal material.

14. The surgical instrument of claim 1, comprising an electrode disposed on the fixed jaw member, wherein the electrode is configured to deliver an electrosurgical radiofrequency (RF) signal.

15. The surgical instrument of claim 14, comprising a ceramic coating disposed on the electrode to electrically isolate the electrode from the fixed jaw member.

16. The surgical instrument of claim 15, wherein the ceramic coating comprises one of aluminum oxide or zirconium oxide.

17. The surgical instrument of claim 14, wherein the electrode is coupled to the fixed jaw member by an adhesive.

18. The surgical instrument of claim 17, wherein a thermal conductivity of the adhesive is approximately .5 W/(mK) to 2.0 W/(mK).

19. A surgical end effector extending distally from a shaft defining a central axis, the surgical end effector comprising:

a jaw assembly, comprising;

a proximal end;

a distal end;

a longitudinal slot, comprising a length extending between the proximal end and the distal end of the jaw assembly, wherein the longitudinal slot comprises;

a proximal portion defined between a first proximal-portion wall and a second proximal-portion wall, wherein the central axis extends between the first proximal-portion wall and the second proximal-portion wall;

an intermediate portion extending distally from the proximal portion, wherein the intermediate portion is defined between a first intermediate-portion wall and a second intermediate-portion wall, and wherein the first intermediate-portion wall and the second intermediate-portion wall extend on a first side of the central axis; and

a distal portion extending distally from the intermediate portion, wherein the distal portion is defined between a first distal-portion wall and a second distal-portion wall, and wherein the first distal-portion wall and the second distal-portion wall extend on a second side of the central axis;

a moveable jaw member;

a fixed jaw member; and

a pivot connection coupling the moveable jaw member and the 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 comprises a curvature along the length of the longitudinal slot, and wherein the jaw assembly is gradually tapered along the length of the longitudinal slot; and

wherein the surgical end effector comprises a lever arm asymmetrically coupled to the movable jaw member on the second side of the central axis, wherein the lever arm is configured to pivot the moveable jaw member from the open position to the closed position.

20. The surgical end effector of claim 19, wherein the pivot connection between the moveable jaw member and the fixed jaw member is offset to the second side of the central axis.

21. The surgical end effector of claim 20, wherein the pivot connection comprises a pinned link-slider.

22. The surgical end effector of claim 19, comprising a lubricous bushing, wherein the lubricous bushing is configured to be located between an outer diameter of the lever arm and an inner diameter of an outer shaft when the end effector is coupled to a surgical instrument.

23. The surgical end effector of claim 22, wherein the lubricous bushing comprises a plastic material.

24. The surgical end effector of claim 22, wherein the lubricous bushing comprises a dissimilar metal material.

25. A surgical instrument, comprising:

a shaft assembly defining an outer perimeter and a central axis extending therethrough; and

an end effector extending distally from the shaft assembly, wherein the end effector comprises;

an arcuate jaw assembly confined by a volume defined along the central axis and bound by the outer perimeter defined by the shaft assembly, wherein the arcuate jaw assembly comprises;

an arcuate body;

a slot extending through the arcuate body, wherein the slot is configured to receive a cutting member, and wherein the slot comprises;

a proximal portion defined between a first proximal-portion wall and a second proximal-portion wall, wherein the central axis extends between the first proximal-portion wall and the second proximal-portion wall;

an intermediate portion extending distally from the proximal portion, wherein the intermediate portion is defined between a first intermediate-portion wall and a second intermediate-portion wall, and wherein the first intermediate-portion wall and the second intermediate-portion wall extend on a first side of the central axis; and

a distal portion extending distally from the intermediate portion, wherein the distal portion is defined between a first distal-portion wall and a second distal-portion wall, and wherein the first distal-portion wall and the second distal-portion wall extend on a second side of the central axis;

a moveable jaw member; and

a fixed jaw member, wherein the moveable jaw member is moveable between an open position and a closed position with respect to the fixed jaw member; and

a lever arm asymmetrically coupled to the moveable jaw member on the second side of the central axis of the shaft assembly, wherein the lever arm is configured to pivot the moveable jaw member from the open position to the closed position.

26. A surgical instrument comprising:

a handle;

a shaft assembly extending distally from the handle, the shaft assembly comprising a lever arm, and wherein the shaft assembly defines a central axis extending therethrough, and wherein the shaft assembly defines an outer circumference; and

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

a jaw assembly, comprising;

a proximal end;

a distal end;

an arcuate portion between the proximal end and the distal end;

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 lever arm is asymmetrically coupled to the moveable jaw member on a first side of the 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 is uninterruptedly tapered along the arcuate portion, and wherein the arcuate portion is confined by a cylindrical volume comprising a circumference substantially equal to the outer circumference of the shaft assembly and extending distally from the shaft assembly along the central axis; and

wherein the jaw assembly defines a longitudinal curved slot, wherein a cutting member is longitudinally deployable within the longitudinal curved slot, wherein the longitudinal curved slot comprises a proximal portion substantially in-line with the central axis of the shaft assembly, and wherein the longitudinal curved slot substantially follows a radius of curvature of the arcuate portion.