Two stage trigger, clamp and cut bipolar vessel sealer

• US 10,463,421 B2
• Filed: 06/20/2014
• Issued: 11/05/2019
• Est. Priority Date: 03/27/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Sarley, John M., Trees, Gregory A., Corbett, Catherine A.
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Good, Samantha
• Application Number:
  US14/310,420
• Publication Number:
  US 20150272660A1
• Time in Patent Office: 1,964 Days
• 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 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• 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 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A surgical instrument includes a handle assembly and an end effector. The handle assembly includes a trigger, a push plate coupled to the trigger, wherein actuation of the trigger rotates the push plate, a clamp plate operably coupled to the push plate, wherein actuation of the trigger to a first rotation rotates the clamp plate, and a firing plate operably coupled to the push plate, wherein actuation of the trigger between the first rotation and a second rotation rotates the firing plate. The end effector includes a jaw assembly which includes a first jaw member and a second jaw member, wherein rotation of the clamp 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.

Claims

1. A surgical instrument, comprising:

a handle assembly comprising;

a trigger actuatable to a first position and a second position following the first position;

a push plate coupled to the trigger, wherein the actuation of the trigger rotates the push plate;

a clamp plate operably coupled to the push plate, wherein the actuation of the trigger to the first position rotates the clamp plate; and

a firing plate operably coupled to the push plate, wherein the actuation of the trigger between the first position and the second position rotates the firing plate;

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; and

a second jaw member, wherein the rotation of the clamp 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; and

a cutting member deployable in response to the rotation of the firing plate.

2. The surgical instrument of claim 1, further comprising a floating pin operably coupled to the clamp plate, wherein the floating pin is configured to move within a floating pin path comprising a bypass section.

3. The surgical instrument of claim 2, wherein the actuation of the trigger causes the push plate to move the floating pin within the floating pin path, wherein the push plate comprises a groove, and wherein the floating pin is disengaged from the groove of the push plate by entering the bypass section.

4. The surgical instrument of claim 3, wherein the floating pin is maintained in the bypass section during the rotation of the trigger from the first position to the second position.

5. The surgical instrument of claim 4, wherein the clamp plate is movably coupled to a toggle member.

6. The surgical instrument of claim 5, further comprising a yoke movably coupled to the toggle member, wherein the toggle member is configured to drive the yoke proximally, and wherein the jaw assembly is transitioned to the approximated configuration in response to the proximal movement of the yoke.

7. The surgical instrument of claim 1, further comprising a trigger pin coupled to the push plate, wherein the trigger pin is configured to move within a trigger pin path defined by the firing plate, and wherein the actuation of the trigger slideably moves the trigger pin within the trigger pin path.

8. The surgical instrument of claim 7, wherein the trigger pin path comprises:

a first section; and

a second section, wherein the firing plate remains stationary as the trigger pin is slidably moved through the first section, and wherein the rotation of the firing plate occurs as the trigger pin slidably moves through the second section.

9. The surgical instrument of claim 7, wherein a mechanical advantage of the trigger changes as the trigger pin is slidably moved through the trigger pin path.

10. The surgical instrument of claim 1, wherein at least one of the push plate, the clamp plate, and the firing plate comprises a low-friction material.

11. The surgical instrument of claim 1, further comprising a rack and pinion assembly operably coupled to the firing plate.

12. The surgical instrument of claim 11, wherein the rack and pinion assembly is configured to deploy the cutting member in response to the rotation of the firing plate.