Surgical instrument with variable tissue compression

• US 9,700,333 B2
• Filed: 06/30/2014
• Issued: 07/11/2017
• Est. Priority Date: 06/30/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Strobl, Geoffrey S., Davison, Mark A.
• Primary Examiner(s): Ram, Jocelyn D
• Application Number:
  US14/319,915
• Publication Number:
  US 20150374396A1
• Time in Patent Office: 1,107 Days
• Field of Search: 606 51, 606 52, 606 37, 606207
• CPC Class Codes: A61B 17/282 Jaws
• CPC Class Codes: A61B 17/285 combined with cutting implements
• 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 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

Surgical instruments and methods for applying variable compression to tissue are described herein and can have particular utility when cutting and sealing tissue. In one embodiment, a surgical instrument end effector is described that includes first and second jaw members movable relative to one another between an open position and a closed position to clamp tissue therebetween. The end effector can include a compression member configured to translate along the end effector to move the first and second jaw members and apply a variable compression force to the tissue. The variable compression force can have different profiles along the length of the end effector, including, for example, a continuously increasing profile or a profile that alternates between different values. The provided variable compression can reduce the force required to actuate the surgical instrument and increase the quality of a tissue seal formed thereby.

Claims

1. A surgical end effector, comprising:

first and second jaw members movable relative to one another between an open position and a closed position to clamp tissue therebetween;

a first closure track formed in the first jaw member and extending along a length thereof;

a second closure track formed in the second jaw member and extending along a length thereof; and

a compression member configured such that a first portion of the compression member contacts the first closure track at a proximal-most end of the first closure track when the compression member is at a proximal-most position and a second portion of the compression member contacts the second closure track, the compression member being further configured to translate longitudinally along a length of the end effector to move the first jaw member and the second jaw member so as to apply compression to tissue disposed between the first and second jaw members as the compression member advances from the proximal-most position towards a distal end of the end effector;

wherein, when the first and second jaw members are in the closed position, a distance between the first closure track and the second closure track increases continuously from the proximal-most end of the first closure track to a location adjacent to a distal end of the first closure track.

2. The end effector of claim 1, wherein the distance between the first closure track and the second closure track remains constant from the distal end of the first closure track to the location adjacent to the distal end of the first closure track.

3. The end effector of claim 1, wherein at least one of the first and second jaw members includes at least one electrode disposed on a surface thereof that is configured to contact tissue clamped between the first and second jaw members.

4. The end effector of claim 1, wherein the distance between the first closure track and the second closure track increases linearly from the proximal-most end of the first closure track to the location adjacent to the distal end of the first closure track.

5. The end effector of claim 1, wherein a profile of the distance between the first closure track and the second closure track from the proximal-most end of the first closure track to the location adjacent to the distal end of the first closure track is curved.

6. The end effector of claim 1, wherein a distance between the second closure track and a surface of the second jaw member that faces the first jaw member remains constant from a proximal-most end of the second closure track to a distal end of the second closure track.

7. The end effector of claim 1, wherein a distance between the second closure track and a surface of the second jaw member that faces the first jaw member varies from a proximal-most end of the second closure track to a distal end of the second closure track.

8. The end effector of claim 7, wherein a profile of the distance between the second closure track and the surface of the second jaw member includes at least one sloped or curved portion.

9. A surgical end effector, comprising:

first and second jaw members movable relative to one another between an open position and a closed position to clamp tissue therebetween;

a first closure track formed in the first jaw member and extending along a length thereof;

a second closure track formed in the second jaw member and extending along a length thereof; and

a compression member configured to translate longitudinally along a length of the end effector such that a first portion of the compression member contacts the first closure track and a second portion of the compression member contacts the second closure track;

wherein a profile of at least one of the first closure track and the second closure track is a wave function to vary an amount of compression applied to the tissue clamped between the first and second jaw members;

wherein the wave function includes a plurality of full alternation cycles wherein a distance between the first closure track and the second closure track alternates between at least a first distance and a second distance.

10. The end effector of claim 9, wherein the profile of at least one of the first closure track and the second closure track is a wave function having constant amplitude and frequency.

11. The end effector of claim 9, wherein the profile of at least one of the first closure track and the second closure track is a wave function having at least one of variable amplitude and variable frequency.

12. The end effector of claim 11, wherein the profile of at least one of the first closure track and the second closure track is a wave function having both variable amplitude and variable frequency.

13. The end effector of claim 9, wherein the distance between the first closure track and the second closure track remains constant from a distal end of the first closure track to a location adjacent to the distal end the first closure track.

14. The end effector of claim 9, wherein the distance between the first closure track and the second closure track alternates regularly between the first distance and the second distance.

15. The end effector of claim 9, wherein the distance between the first closure track and the second closure track repeatedly alternates between the first distance, the second distance, and a third distance along the length of the end effector, wherein the third distance is greater than the second distance and the first distance.

16. A method for actuating a surgical instrument, comprising:

positioning an end effector having first and second jaw members such that tissue is disposed within a gap between the first and second jaw members;

advancing a compression member from a proximal-most position toward a distal end of the end effector, wherein, at the proximal-most position, the compression member contacts a proximal-most end of a first closure track formed in the first jaw member and a second closure track formed in the second jaw member;

wherein a distance between the first closure track and the second closure track increases continuously from the proximal-most end of the first closure track to a location adjacent to a distal end of the first closure track such that advancing the compression member from the proximal-most position toward the distal end of the end effector applies a continuously variable compression force to the tissue.

17. The method of claim 16, further comprising advancing the compression member distally from the location adjacent to a distal end of the first closure track toward the distal end thereof;

wherein a distance between the first closure track and the second closure track remains constant from the location adjacent to the distal end of the first closure track to the distal end thereof such that advancing the compression member applies a constant compression force to the tissue.

18. The method of claim 16, further comprising delivering energy into the tissue from at least one electrode coupled to the end effector to seal the tissue.