Electrosurgical cutting and sealing instruments with cam-actuated jaws

• US 9,808,308 B2
• Filed: 08/04/2014
• Issued: 11/07/2017
• Est. Priority Date: 04/12/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Faller, Craig N., Miller, Matthew C., Vakharia, Omar J., Laird, Robert J., Monson, Gavin M., Hunt, John V., Timm, Richard W., Witt, David A., Huang, Zhifan F., Dietz, Timothy G., Aldridge, Jeffrey L., Mootoo, Mary E., Banks, Raymond M., Shelton, IV, Frederick E.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US14/450,922
• Publication Number:
  US 20140343550A1
• Time in Patent Office: 1,191 Days
• 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 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.

Claims

1. A surgical instrument comprising:

an end effector comprising;

a first jaw member defining a first longitudinal slot;

a second jaw member defining a second longitudinal slot, the second jaw member pivotable towards the first jaw member about a pivot point; and

a cam pin coupled to the second jaw member and positioned offset from the pivot point; and

a reciprocating member translatable distally and proximally through the first longitudinal slot and the second longitudinal slot, wherein a distal portion of the reciprocating member defines a blade, wherein the reciprocating member defines a cam slot for receiving the cam pin, wherein distal motion of the reciprocating member exerts a force on the cam pin to pivot the second jaw member towards the first jaw member, and wherein proximal motion of the reciprocating member exerts a force on the cam pin to pivot the second jaw member away from the first jaw member;

wherein the cam slot comprises a distal portion, a proximal portion vertically offset from the distal portion, and a transition portion connecting the distal portion of the cam slot and the proximal portion, the transition portion angled relative to a longitudinal axis along which the reciprocating member is translatable.

2. The surgical instrument of claim 1, further comprising a shaft extending along a longitudinal axis, wherein the end effector is coupled to a distal portion of the shaft.

3. The surgical instrument of claim 2, wherein the first jaw member is stationary and coupled to the shaft.

4. The surgical instrument of claim 1, wherein the first jaw member is pivotable towards the second jaw member about the pivot point and comprises a first jaw member cam pin, wherein the reciprocating member also defines a second cam slot for receiving the first jaw member cam pin, wherein the distal motion of the reciprocating member exerts a force on the first jaw member cam pin to pivot the first jaw member towards the second jaw member, and wherein the proximal motion of the reciprocating member exerts a force on the first jaw member to pivot the first jaw member away from the second jaw member.

5. The surgical instrument of claim 1, wherein the pivot point is a rolling pivot point.

6. The surgical instrument of claim 1, wherein the distal portion of the cam slot is positioned near a bottom of the reciprocating member, and wherein the transition portion is positioned between the distal portion of the cam slot and the proximal portion.

7. The surgical instrument of claim 1, wherein the reciprocating member comprises a pair of flanges positioned to ride above the first and second longitudinal slots when the reciprocating member is extended distally through the first and second longitudinal slots.

8. The surgical instrument of claim 1, wherein the first jaw member further comprises a first electrode and the second jaw member further comprises a second electrode.

9. The surgical instrument of claim 8, wherein at least one of the first electrode and the second electrode comprises a first electrically conductive portion and a positive temperature coefficient (PTC) portion.

10. The surgical instrument of claim 9, wherein the PTC portion comprises a PTC material with a temperature dependent electrical resistance such that the electrical resistance of the PTC material increases to substantially eliminate current flowing through the PTC material at a predetermined temperature.

11. The surgical instrument of claim 1, wherein the first jaw member comprises a tissue engagement surface comprising a positive electrode and a negative electrode separated by an insulator.