Surgical instruments for tensioning tissue

• US 10,433,900 B2
• Filed: 01/20/2016
• Issued: 10/08/2019
• Est. Priority Date: 07/22/2011
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Harris, Jason L., Swayze, Jeffrey S., Stulen, Foster B., Johnson, Gregory W., Malaviya, Prasanna, Guerra, Paul
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Vahdat, Khadijeh A
• Application Number:
  US15/001,597
• Publication Number:
  US 20160128762A1
• Time in Patent Office: 1,357 Days
• Field of Search: 606 51- 52, 606169, 606205-207
• 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 2018/00184 Moving parts
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

An end effector including a first jaw, a second jaw, a longitudinal slot, and a cutting member is disclosed. The first jaw includes a first lateral side and a second lateral side. At least one of the first jaw and the second jaw is moveable through a range of positions to move the end effector between an open configuration and a fully clamped configuration. The longitudinal slot extends intermediate a proximal portion and a distal portion. The longitudinal slot transects the first jaw between the first lateral side and the second lateral side and extends distally beyond a portion of the second jaw. The cutting member is movable along the longitudinal slot. The first jaw is expandable laterally relative to the longitudinal slot to apply a tensile force to tissue clamped between the first jaw and the second jaw when the end effector is in the fully clamped configuration.

Claims

1. An end effector, comprising:

a first jaw comprising a first lateral side and a second lateral side;

a second jaw, wherein at least one of said first jaw and said second jaw is moveable through a range of positions to move the end effector between an open configuration and a fully clamped configuration;

a proximal portion;

a distal portion;

a longitudinal slot extending intermediate said proximal portion and said distal portion, wherein said longitudinal slot transects said first jaw between said first lateral side and said second lateral side and extends distally beyond a portion of said second jaw; and

a cutting member movable along said longitudinal slot;

wherein said first jaw is expandable laterally relative to said longitudinal slot to apply a tensile force to tissue clamped between said first jaw and said second jaw when the end effector is in the fully clamped configuration.

2. The end effector of claim 1, further comprising an electrode positioned to contact the clamped tissue.

3. The end effector of claim 2, wherein said first jaw comprises a first tissue-gripping portion, wherein said second jaw comprises a second tissue-gripping portion, and wherein said first tissue-gripping portion and said second tissue-gripping portion are movable laterally relative to said electrode.

4. The end effector of claim 3, wherein said first jaw and said second jaw are configured to clamp tissue between said first tissue-gripping portion and said second tissue-gripping portion.

5. The end effector of claim 3, wherein said first jaw comprises a first slider member comprising said first tissue-gripping portion, and wherein said second jaw comprises a second slider member comprising said second tissue-gripping portion.

6. The end effector of claim 5, further comprising a biasing member configured to bias said first slider member and said second slider member toward said longitudinal slot.

7. An end effector, comprising:

a first jaw comprising a first lateral side, a second lateral side, and a first width defined intermediate said first lateral side and said second lateral side;

a second jaw comprising a second width, wherein at least one of said first jaw and said second jaw is moveable through a range of positions to move the end effector between an open configuration and a fully clamped configuration;

a longitudinal slot, wherein said longitudinal slot transects said first jaw between said first lateral side and said second lateral side and extends distally beyond a portion of said second jaw; and

a cutting member movable along said longitudinal slot;

wherein said first width of said first jaw and said second width of said second jaw are adaptable to adjust a force applied to tissue clamped between said first jaw and said second jaw when the end effector is in the fully clamped configuration.

8. The end effector of claim 7, further comprising an electrode positioned to contact the clamped tissue.

9. The end effector of claim 8, wherein said first jaw comprises a first tissue-gripping portion, wherein said second jaw comprises a second tissue-gripping portion, and wherein said first tissue-gripping portion and said second tissue-gripping portion are movable laterally relative to said electrode.

10. The end effector of claim 9, wherein said first jaw and said second jaw are configured to clamp tissue between said first tissue-gripping portion and said second tissue-gripping portion.

11. The end effector of claim 9, wherein said first jaw comprises a first slider member comprising said first tissue-gripping portion, and wherein said second jaw comprises a second slider member comprising said second tissue-gripping portion.

12. The end effector of claim 11, further comprising a biasing member configured to bias said first slider member and said second slider member toward said longitudinal slot.

13. An end effector, comprising:

a first jaw comprising a width, a first lateral side, and a second lateral side;

a second jaw, wherein at least one of said first jaw and said second jaw is moveable through a range of positions to move the end effector between an open configuration and a fully clamped configuration;

a longitudinal slot, wherein said longitudinal slot transects said first jaw between said first lateral side and said second lateral side and extends distally beyond a portion of said second jaw; and

a cutting member movable along said longitudinal slot;

wherein said width of said first jaw is configured to change to adjust a pressure in tissue clamped between said first jaw and said second jaw when the end effector is in the fully clamped configuration.

14. The end effector of claim 13, wherein said second jaw comprises a second width, and wherein said second width is configured to change to adjust the pressure in tissue clamped between said first jaw and said second jaw.

15. The end effector of claim 14, further comprising an electrode positioned to contact the clamped tissue.

16. The end effector of claim 15, wherein said first jaw comprises a first tissue-gripping portion, wherein said second jaw comprises a second tissue-gripping portion, and wherein said first tissue-gripping portion and said second tissue-gripping portion are movable laterally relative to said electrode.

17. The end effector of claim 16, wherein said first jaw and said second jaw are configured to clamp tissue between said first tissue-gripping portion and said second tissue-gripping portion.

18. The end effector of claim 16, wherein said first jaw comprises a first slider member comprising said first tissue-gripping portion, and wherein said second jaw comprises a second slider member comprising said second tissue-gripping portion.

19. The end effector of claim 18, further comprising a biasing member configured to bias said first slider member and said second slider member toward said longitudinal slot.