Simultaneous I-beam and spring driven cam jaw closure mechanism

• US 9,877,776 B2
• Filed: 08/25/2014
• Issued: 01/30/2018
• Est. Priority Date: 08/25/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Boudreaux, Chad P.
• Primary Examiner(s): Hupczey, Jr., Ronald
• Assistant Examiner(s): DEMIE, TIGIST S
• Application Number:
  US14/467,883
• Publication Number:
  US 20160051315A1
• Time in Patent Office: 1,254 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 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/0094 Types of switches or controllers
• CPC Class Codes: A61B 2018/00946 slidable
• CPC Class Codes: A61B 2018/00958 for switching between different working modes of the main function
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A surgical instrument includes an end effector and a handle assembly. The end effector includes a movable jaw and a cutting element slidably movable within the end effector. The handle assembly includes an energy button configured to deliver energy to at least one electrode located in the end effector, a trigger plate operably coupled to a jaw closure mechanism, the trigger plate configured to close the movable jaw, a firing plate operably coupled to a cutting element drive mechanism. The firing plate is configured to drive the cutting element independently of the jaw closure mechanism. The cutting element drive mechanism is configured to close the movable jaw when the cutting element is driven. The handle assembly further includes a trigger operatively coupled to the trigger plate and the firing plate. The jaw closure mechanism and the cutting element drive mechanism are configured to simultaneously close the movable jaw.

Claims

1. A surgical instrument, comprising:

an end effector comprising;

a movable jaw comprising a first jaw member and a second jaw member, the first jaw member comprising a first track configured to slidably receive a first pin, the first jaw member comprising a ramp at a proximal end of the first track, the second jaw member comprising a second track configured to slidably receive a second pin; and

a cutting element slidably movable within the end effector, wherein the first and second pins are fixed to the cutting element, wherein the cutting element and the first and second pins define an I-beam member; and

a handle assembly comprising;

an energy button configured to deliver energy to at least one electrode located in the end effector;

a trigger plate operably coupled to a spring, the spring configured to move the first jaw member a first predetermined distance relative to the second jaw member independently of the I-beam member based on the spring generating a predetermined force;

a firing plate operably coupled to the I-beam member, the firing plate configured to drive the I-beam member based on a firing bar independently of the spring, wherein the I-beam member is configured to move the first jaw member relative to the second jaw member a second predetermined distance based on moving the I-beam member along the ramp and the first and second tracks from an initial position at a base of the ramp; and

a trigger operatively coupled to the trigger plate and the firing plate; and

wherein;

the spring and the I-beam member are configured to simultaneously move the first jaw member relative to the second jaw member, and

the predetermined force is less than a predetermined threshold.

2. The surgical instrument of claim 1, wherein the spring is further configured to provide a rising mechanical advantage.

3. The surgical instrument of claim 2, wherein the spring is pre-compressed to increase a starting load.

4. The surgical instrument of claim 2, further comprising:

a motion bar coupled to the spring; and

a pivoting link having a proximal end and a distal end, the proximal end coupled to the motion bar and the distal end coupled to the movable jaw.

5. The surgical instrument of claim 4, further comprising a closure actuator coupled to the spring and coupled to the trigger plate via a toggle clamp, wherein the closure actuator is configured to compress the spring.

6. The surgical instrument of claim 1, further comprising:

the firing bar having a proximal end and a distal end, wherein the cutting element is coupled to the distal end of the firing bar; and

a rack coupled to the proximal end of the firing bar, wherein the rack is operatively coupled to the firing plate.

7. The surgical instrument of claim 1, further comprising a lockout disabling mechanism comprising a lock arm operatively coupled to a lever arm and a lockout element, wherein the lockout element is configured to prevent driving the cutting element.

19. The surgical instrument of claim 1, wherein the trigger is configured to actuate for a first stroke and for a second stroke, wherein the first stroke defines a rotation of the trigger from a first position to a second position, wherein the second stroke defines a rotation of the trigger from a third position to a fourth position.

20. The surgical instrument of claim 19, wherein the first stroke causes the spring to apply a first clamping force, wherein the second stroke causes the I-beam member to apply a second clamping force to move the first jaw member relative to the second jaw member.

8. A surgical instrument, comprising:

an end effector comprising;

a movable jaw comprising a first jaw member and a second jaw member, the first jaw member comprising a first track configured to slidably receive a first pin, the first jaw member comprising a ramp at a proximal end of the first track, the second jaw member comprising a second track configured to slidably receive a second pin; and

a cutting element slidably movable within the end effector, wherein the first and second pins are fixed to the cutting element, wherein the cutting element and the first and second pins define an I-beam member; and

a spring configured to move the first jaw member a first predetermined distance relative to the second jaw member independently of the I-beam member; and

wherein;

the I-beam member is configured to independently move the first jaw member a second predetermined distance relative to the second jaw member based on moving the I-beam member along the ramp and the first and second tracks from an initial position at a base of the ramp,

the spring and the I-beam member are configured to simultaneously move the first jaw member relative to the second jaw member,

the first predetermined distance is less than a predetermined threshold distance.

9. The surgical instrument of claim 8, wherein the spring is pre-compressed to increase a starting load.

10. The surgical instrument of claim 8, further comprising:

a motion bar coupled to the spring; and

a pivoting link having a proximal end and a distal end, the proximal end coupled to the motion bar and the distal end coupled to the movable jaw.

11. The surgical instrument of claim 8, further comprising a closure actuator having a proximal end and a distal end, the distal end coupled to the spring and the proximal end coupled to a toggle clamp configured to drive the closure actuator, wherein the closure actuator is configured to compress the spring when the closure actuator moves in a distal direction.

12. The surgical instrument of claim 8, further comprising:

a firing bar having a proximal end and a distal end, wherein the cutting element is coupled to the distal end of the firing bar; and

a rack coupled to the proximal end of the firing bar, wherein the rack is operatively coupled to a firing plate.

13. The surgical instrument of claim 8, further comprising a lockout disabling mechanism comprising a lock arm operatively coupled to a lever arm and a lockout element, wherein the lockout element is configured to prevent driving the cutting element.

14. A surgical instrument, comprising:

a handle assembly comprising;

a trigger operatively coupled to a trigger plate and a firing plate;

an energy button configured to deliver energy to at least one electrode;

a lockout element operatively coupled to the energy button, the lockout element configured to prevent operation of the firing plate; and

a lockout disabling mechanism configured to disable the lockout element, the lockout disabling mechanism operable between a first position and a second position, wherein when the lockout disabling mechanism is located in the first position, the lockout element is enabled and can be unlocked by the energy button, and wherein when the lockout disabling mechanism is in the second position, the lockout element is disabled;

a shaft assembly comprising a proximal end and a distal end, wherein the shaft assembly is coupled to the handle assembly at the proximal end; and

an end effector coupled to the distal end of the shaft assembly, the end effector comprising;

a jaw assembly, comprising;

a first jaw member, the first jaw member comprising a first track configured to slidably receive a first pin, the first jaw member comprising a ramp at a proximal end of the first track; and

a second jaw member, the second jaw member comprising a second track configured to slidably receive a second pin, wherein rotation of the trigger plate transitions the jaw assembly between an open configuration and an approximated configuration by moving at least one of the first jaw member and the second jaw member relative to the other one of the first jaw member and the second jaw member;

a cutting element deployable in response to rotation of the firing plate wherein the first and second pins are fixed to the cutting element, wherein the cutting element and the first and second pins define an I-beam member;

a spring configured to move the first jaw member a first predetermined distance relative to the second jaw member independently of the I-beam member; and

wherein;

the I-beam member is configured to independently move the first jaw member a second predetermined distance relative to the second jaw member based on moving the I-beam member along the ramp and the first and second tracks from an initial position at a base of the ramp,

the spring and the I-beam member are configured to simultaneously move the first jaw member relative to the second jaw member; and

the first predetermined distance is less than a predetermined threshold distance.

15. The surgical instrument of claim 14, wherein the spring is pre-compressed to increase a starting load.

16. The surgical instrument of claim 14, further comprising:

a motion bar coupled to the spring; and

a pivoting link having a proximal end and a distal end, the proximal end coupled to the motion bar and the distal end coupled to the at least one of the first jaw member and the second jaw member.

17. The surgical instrument of claim 14, further comprising a closure actuator having a proximal end and a distal end, the distal end coupled to the spring and the proximal end coupled to a toggle clamp configured to drive the closure actuator, wherein the closure actuator is configured to compress the spring when the closure actuator moves in a distal direction.

18. The surgical instrument of claim 14, further comprising:

a firing bar having a proximal end and a distal end, wherein the cutting element is coupled to the distal end of the firing bar; and

a rack coupled to the proximal end of the firing bar, wherein the rack is operatively coupled to the firing plate.