Articulating radio frequency (RF) tissue seal with articulating state sensing

• US 10,314,638 B2
• Filed: 04/07/2015
• Issued: 06/11/2019
• Est. Priority Date: 04/07/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Gee, Jacob S., Groene, David C., Molitor, Nicholas G., Monroe, Emily H.
• Primary Examiner(s): Giuliani, Thomas A
• Assistant Examiner(s): Demie, Tigist S
• Application Number:
  US14/680,765
• Publication Number:
  US 20160296268A1
• Time in Patent Office: 1,526 Days
• CPC Class Codes: A61B 18/085 Forceps, scissors
• 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 2017/00389 Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece

Abstract

A surgical instrument is presented that may include a handle assembly, a shaft assembly, an end effector and an articulation joint coupled to the shaft assembly and the end effector. The surgical instrument also may include an articulation control mechanism configured to: control movement of the articulation joint between a first and second maximum articulation angle; determine that the articulation joint has articulated to the first maximum articulation angle; provide a first indication that the articulation joint has articulated to the first maximum articulation angle; determine that the articulation joint has articulated to the second maximum articulation angle; and provide a second indication that the articulation joint has articulated to the second maximum articulation angle.

Claims

1. A surgical instrument, comprising:

a handle assembly;

a shaft assembly coupled to a distal end of the handle assembly and comprising a guiding mechanism operatively coupled to an articulation joint and configured to manipulate the articulation joint;

an end effector comprising a surgical tool configured to interface with tissue of a patient;

the articulation joint coupled to the shaft assembly and the end effector and configured to articulate the end effector such that the end effector can be oriented at a different angle relative to the shaft assembly, the articulation joint comprising a first maximum articulation angle in a first direction such that the end effector is prevented from articulating beyond the first maximum articulation angle in the first direction, and a second maximum articulation angle in a second direction such that the end effector is prevented from articulating beyond the second maximum articulation angle in the second direction; and

an articulation control mechanism operatively coupled to the articulation joint through the shaft assembly, comprising;

a latch coupled to the guiding mechanism, the latch comprising a rigid bar configured to uniformly move the guiding mechanism equal in distance as the latch is moved;

a motor operatively coupled to the latch and configured to drive the latch along a longitudinal axis parallel to the shaft assembly; and

a switch coupled to the motor comprising a first and second button and both configured to operate the motor;

and the articulation control mechanism configured to;

control movement of the articulation joint between the first maximum articulation angle and the second maximum articulation angle;

determine that the articulation joint has articulated to the first maximum articulation angle;

provide a first indication that the articulation joint has articulated to the first maximum articulation angle;

determine that the articulation joint has articulated to the second maximum articulation angle; and

provide a second indication that the articulation joint has articulated to the second maximum articulation angle.

2. The surgical instrument of claim 1, wherein:

the first button is configured to direct the motor to drive the latch in a first direction along the longitudinal axis distally away from the handle assembly; and

the second button is configured to direct the motor to drive the latch in a second direction along the longitudinal axis proximally toward the handle assembly.

3. The surgical instrument of claim 2, wherein:

the latch comprises a raised end positioned toward the switch; and

the switch comprises;

a first prominent end positioned at a first edge of the switch near the first button and facing toward the latch; and

a second prominent end positioned at a second edge of the switch near the second button and facing toward the latch.

4. The surgical instrument of claim 3, wherein:

the articulation joint reaches the first maximum articulation angle when the raised end of the latch touches the first prominent end of the switch; and

the articulation joint reaches the second maximum articulation angle when the raised end of the latch touches the second prominent end of the switch.

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

a first home position switch coupled to the shaft assembly and positioned distal to the handle assembly, the first home position switch disposed to be pressed into the shaft assembly; and

a second home position switch coupled to the shaft assembly and positioned distal to the handle assembly, the second home position switch disposed to be pressed into the shaft assembly;

wherein the articulation joint is positioned distal to both the first home position switch and the second home position switch.

6. The surgical instrument of claim 5, wherein the first home position switch pressed into the shaft assembly simultaneously with the second home position switch pressed into the shaft assembly causes the articulation joint to be articulated to an angle parallel to the shaft assembly.

7. The surgical instrument of claim 1, wherein the articulation joint comprises:

a first link and a second link, the first and second links coupled together by way of a hinge;

a first sensor coupled to a first edge of the first link; and

a second sensor coupled to a second edge of the first link, the second edge located opposite of the hinge.

8. The surgical instrument of claim 7, wherein articulation of the articulation joint in the first direction causes the first sensor to touch the second link, and articulation of the articulation joint in the second direction causes the second sensor to touch the second link.

9. The surgical instrument of claim 1, further comprising a rotation knob coupled to the shaft assembly and configured to rotate the shaft assembly, wherein rotation of the shaft assembly causes rotation of the articulation joint.

10. The surgical instrument of claim 9, wherein the shaft assembly comprises an orientation mechanism configured to maintain orientation of the articulation joint by the articulation control mechanism such that the articulation control mechanism causes the articulation joint to articulate, wherein relative to a first rotation reference point of 0-180 degrees, pressing a first button provides an articulation in a first direction and pressing a second button provides an articulation in a second direction, and wherein relative to a second reference point of 181-360 degrees pressing the first button provides an articulation in the second direction and pressing the second button provides articulation in the first direction.

11. The surgical instrument of claim 10, wherein the orientation mechanism comprises a commutator ring coupled to the shaft assembly and operatively coupled to the articulation control mechanism, such that relative to the first rotation reference point of 0-180 degrees, pressing the first button provides an articulation in the first direction and pressing the second button provides an articulation in the second direction, and wherein relative to the second reference point of 181-360 degrees pressing the first button provides an articulation in the second direction and pressing the second button provides articulation in the first direction.

12. A surgical instrument comprising:

a handle assembly;

a shaft assembly coupled to a distal end of the handle assembly;

an end effector comprising a surgical tool configured to interface with tissue of a patient;

an articulation joint coupled to the shaft assembly and the end effector and configured to articulate the end effector such that the end effector can be oriented at a different angle relative to the shaft assembly, the articulation joint comprising;

a first link and a second link, the first and second links coupled together by way of a hinge;

a first sensor coupled to a first edge of the first link; and

a second sensor coupled to a second edge of the first link, the second edge located opposite of the hinge;

a first home position switch coupled to the shaft assembly and positioned distal to the handle assembly, the first home position switch disposed to be pressed into the shaft assembly;

a second home position switch coupled to the shaft assembly and positioned distal to the handle assembly, the second home position switch disposed to be pressed into the shaft assembly; and

a sensor processor configured to determine when the articulation joint is articulated;

wherein the articulation joint is positioned distal to both the first home position switch and the second home position switch;

wherein articulation of the articulation joint in the first direction causes the first sensor to touch the second link, and articulation of the articulation joint in the second direction causes the second sensor to touch the second link;

wherein when the first sensor touches the second link, the first sensor is configured to transmit a first signal to the sensor processor indicating that the articulation joint is fully articulated in the first direction; and

wherein when the second sensor touches the second link, the second sensor is configured to transmit a second signal to the sensor processor indicating that the articulation joint is fully articulated in the second direction.

13. The surgical instrument of claim 12, wherein the first home position switch pressed into the shaft assembly simultaneously with the second home position switch pressed into the shaft assembly causes the articulation joint to be articulated to an angle parallel to the shaft assembly.

14. The surgical instrument of claim 12, wherein the end effector comprises a trocar.

15. The surgical instrument of claim 12, wherein the end effector comprises a pair of electrosurgical jaws configured to seal tissue using electrosurgical energy.