Surgical instrument with modular shaft and end effector

• US 10,376,304 B2
• Filed: 11/03/2016
• Issued: 08/13/2019
• Est. Priority Date: 11/05/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Houser, Kevin L., Kimball, Cory G., Monson, Gavin M., Timm, Richard W.
• Primary Examiner(s): Bockelman, Mark
• Application Number:
  US15/342,218
• Publication Number:
  US 20170042569A1
• Time in Patent Office: 1,013 Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• CPC Class Codes: A61B 17/285 combined with cutting implements
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00482 : with a code
• CPC Class Codes: A61B 2017/00734 : battery operated
• CPC Class Codes: A61B 2017/0084 : low friction A61B2017/00853 takes precedence
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 : with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/293 : with means preventing relative rotation between the shaft and the actuating rod
• CPC Class Codes: A61B 2017/2931 : with releasable head
• CPC Class Codes: A61B 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/294 : Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 2017/320069 : for ablating tissue
• CPC Class Codes: A61B 2017/320071 : with articulating means for working tip
• CPC Class Codes: A61B 2017/320094 : additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 : with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00172 : Connectors and adapters therefor
• CPC Class Codes: A61B 2018/00178 : Electrical connectors
• CPC Class Codes: A61B 2018/0019 : vibrating
• CPC Class Codes: A61B 2018/00589 : Coagulation
• CPC Class Codes: A61B 2018/00595 : Cauterization
• CPC Class Codes: A61B 2018/00601 : Cutting
• CPC Class Codes: A61B 2018/00607 : Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 : Sealing
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00988 : Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/00994 : combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
• CPC Class Codes: A61B 2018/1226 : powered by a battery
• 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 2090/0803 : Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0813 : Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 2090/0814 : Preventing re-use
• CPC Class Codes: A61B 34/25 : User interfaces for surgical systems
• CPC Class Codes: A61B 46/10 : specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 90/08 : Accessories or related features not otherwise provided for
• CPC Class Codes: A61B 90/40 : Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61B 90/90 : Identification means for patients or instruments, e.g. tags
• CPC Class Codes: A61B 90/98 : using electromagnetic means, e.g. transponders
• CPC Class Codes: A61N 7/00 : Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092
• CPC Class Codes: G16H 20/40 : relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: H01M 10/46 : Accumulators structurally combined with charging apparatus circuits for charging H02J7/00
• CPC Class Codes: H01M 10/48 : Accumulators combined with arrangements for measuring, testing or indicating the condition of cells, e.g. the level or density of the electrolyte constructional details of current conducting connections for detecting conditions inside cells or batteries, e.g. details of voltage sensing terminals, H01M50/569
• CPC Class Codes: H01M 2220/30 : Batteries in portable systems, e.g. mobile phone, laptop
• CPC Class Codes: H02J 2310/23 : The load being a medical device, a medical implant, or a life supporting device
• CPC Class Codes: H02J 50/10 : using inductive coupling
• CPC Class Codes: H02J 7/0044 : specially adapted for holding portable devices containing batteries H02J7/0045 takes precedence
• CPC Class Codes: H02J 7/0045 : concerning the insertion or the connection of the batteries
• CPC Class Codes: H02J 7/0048 : Detection of remaining charge capacity or state of charge [SOC]
• CPC Class Codes: Y02E 60/10 : Energy storage using batteries
• CPC Class Codes: Y10T 29/49005 : Acoustic transducer
• CPC Class Codes: Y10T 29/49895 : Associating parts by use of aligning means [e.g., use of a drift pin or a "fixture"]
• CPC Class Codes: Y10T 29/53913 : Aligner or center

Abstract

A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly, an end effector, and a rotational knob operable to rotate the transmission assembly and the end effector. The body assembly includes a trigger and a casing having a distal aperture configured to receive a portion of the end effector assembly. First and second coupling mechanism portions cooperatively couple the end effector assembly to the body assembly for use. The coupling may mechanically and/or electrically couple the end effector assembly to the body assembly via various coupling mechanisms. For instance, a threaded slip nut may couple to threads within the body assembly. In one configuration, the end effector assembly may have locking tabs that rotate into rotational recesses in the body assembly. The locking tabs may include electrical contacts and/or optically perceivable indicators.

Claims

1. A surgical instrument comprising:

(a) a body assembly comprising;

(i) a casing having a distal aperture formed in a distal end of the casing,

(ii) at least one resilient element housed within the casing proximally of the distal opening, and

(iii) a trigger; and

(b) an end effector assembly comprising;

(i) a proximal end configured to releasably couple to the body assembly,

(ii) a distal end having an end effector, wherein the end effector is configured to clamp tissue in response to actuation of the trigger, and

(iii) at least one shaft extending distally from the proximal end and including a proximal shaft portion configured to be inserted through the distal aperture, wherein the at least one shaft is operatively coupled with the end effector;

wherein the proximal shaft portion is configured to engage and deflect the at least one resilient element when the proximal shaft portion is inserted through the distal opening, and the at least one resilient element is configured to engage the proximal shaft portion to releasably couple the end effector assembly to the body assembly;

wherein the releasable coupling is configured to inhibit longitudinal translation between at least a portion of the end effector assembly and the body assembly while permitting rotation of the at least one shaft relative to the body assembly.

2. The surgical instrument of claim 1, wherein the at least one resilient element includes a deflectable tab that extends radially inwardly toward a longitudinal axis defined by the distal aperture.

3. The surgical instrument of claim 2, wherein the at least one resilient element includes a pair of deflectable tabs coupled to and extending radially inwardly from the casing.

4. The surgical instrument of claim 1, wherein the proximal shaft portion includes a radially extending flange that is configured to engage and deflect the at least one resilient element.

5. The surgical instrument of claim 4, wherein the radially extending flange defines a T-shaped insertable connector.

6. The surgical instrument of claim 1, wherein the body assembly includes a first electrical contact and the end effector assembly includes a complementary second electrical contact, wherein the second electrical contact is configured to electrically couple to the first electrical contact and transfer electrical power to the end effector when the end effector assembly is coupled to the body assembly.

7. The surgical instrument of claim 6, wherein the first and second electrical contacts are configured to form a slip ring electrical connection with each other.

8. The surgical instrument of claim 1, wherein the body assembly further comprises at least one actuation mechanism, wherein the at least one shaft includes:

(A) a first shaft having a first proximal shaft portion, and

(B) a second shaft arranged concentrically within the first shaft and having a second proximal shaft portion, wherein the first shaft and the second shaft are operatively coupled with the end effector;

wherein the first proximal shaft portion is configured to engage and deflect the at least one resilient element and the second proximal shaft portion is configured to releasably couple with the at least one actuation mechanism when the end effector assembly is coupled to the body assembly, wherein the at least one actuation mechanism is operable to actuate at least one of the first shaft or the second shaft in response to actuation of the trigger.

9. The surgical instrument of claim 8, wherein the at least one shaft further includes a third shaft operatively coupled with the end effector, wherein the third shaft is arranged concentrically within the second shaft and has a third proximal shaft portion configured to releasably couple with the at least one actuation mechanism when the end effector assembly is coupled to the body assembly, wherein the at least one actuation mechanism is operable to actuate the third shaft.

10. The surgical instrument of claim 9, wherein the at least one actuation mechanism includes:

(A) a first actuation mechanism configured to releasably couple with and actuate the second shaft, and

(B) a second actuation mechanism configured to releasably couple with and actuate the third shaft.

11. The surgical instrument of claim 9, wherein the second proximal shaft portion extends distally of the first proximal shaft portion, and the third proximal shaft portion extends distally of the second proximal shaft portion.

12. The surgical instrument of claim 9, wherein the first proximal shaft portion includes a first radially extending flange defining a first T-shaped insertable connector, wherein the second proximal shaft portion includes a second radially extending flange defining a second T-shaped insertable connector, and wherein the third proximal shaft portion includes a third radially extending flange defining a third T-shaped insertable connector.

13. The surgical instrument of claim 9, wherein the body assembly includes a first electrical contact and the third shaft includes a complementary second electrical contact, wherein the second electrical contact is configured to electrically couple to the first electrical contact and transfer electrical power to the end effector when the end effector assembly is coupled to the body assembly.

14. The surgical instrument of claim 9, wherein the body assembly further comprises a release mechanism, wherein the release mechanism is operable to facilitate decoupling of the at least one actuation mechanism from at least one of the first proximal shaft portion and the second proximal shaft portion.

15. The surgical instrument of claim 1, wherein the end effector comprises one of an ultrasonic end effector or an RF electrosurgical end effector.

16. The surgical instrument of claim 1, wherein the at least one shaft is operable to translate longitudinally in response to actuation of the trigger.

17. A surgical instrument, comprising:

(a) a body assembly, wherein the body assembly comprises;

(i) a body,

(ii) a resilient element housed within the body, and

(iii) an actuator housed within the body; and

(b) an end effector assembly configured to releasably couple with the body assembly, wherein the end effector assembly comprises;

(i) an end effector operable to clamp tissue, and

(ii) a shaft assembly extending proximally from the end effector, wherein the shaft assembly comprises;

(A) a first shaft, wherein the first shaft is configured to remain longitudinally fixed relative to the body, and

(B) a second shaft translatably disposed relative to the first shaft, wherein a proximal end of the second shaft is configured to couple with the actuator such that the second shaft is operable to actuate a portion of the end effector in response to movement of the actuator, and

(iii) a proximal coupling feature disposed at a proximal end of the end effector assembly,

wherein the resilient element is configured to resiliently engage the proximal coupling feature and thereby fix the first shaft longitudinally relative to the body while permitting rotation of the first shaft relative to the body and permitting translation of the second shaft relative to the first shaft and the body.

18. The surgical instrument of claim 17, wherein the resilient element comprises a deflectable tab, wherein the proximal coupling feature comprises a flange disposed at a proximal end of the first shaft.

19. A surgical instrument, comprising:

(a) a body assembly, wherein the body assembly comprises;

(i) a body,

(ii) a trigger movably coupled to the body,

(iii) a resilient element housed within the body, and

(iv) an actuator housed within the body, wherein the actuator is operatively coupled with the trigger; and

(b) an end effector assembly configured to releasably couple with the body assembly, wherein the end effector assembly comprises;

(i) an end effector, wherein the end effector includes a pair of jaws operable to clamp tissue therebetween,

(ii) an elongate member extending proximally relative to the end effector, wherein a distal end of the elongate member is operatively coupled with the end effector, wherein a proximal end of the elongate member is configured to couple with the actuator such that the elongate member is operable to actuate the jaws relative one another in response to actuation of the trigger, and

(iii) a proximal coupling feature disposed at a proximal end of the end effector assembly,

wherein the resilient element is configured to resiliently engage the proximal coupling feature and thereby fix the end effector longitudinally relative to the body while permitting translation and rotation of the elongate member relative to the body.

20. The surgical instrument of claim 19, wherein the resilient element comprises a deflectable tab, wherein the proximal coupling feature comprises a flange.