ELECTROSURGICAL CUTTING AND SEALING INSTRUMENTS WITH JAWS HAVING A PARALLEL CLOSURE MOTION

• US 20110251609A1
• Filed: 04/12/2010
• Published: 10/13/2011
• Est. Priority Date: 04/12/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Stulen, Foster B., Swayze, Jeffrey S., Harris, Jason L., Johnson, Gregory W.
• Granted Patent: US 8,709,035 B2
• Time in Patent Office: Days
• US Class Current: 606/46
• CPC Class Codes: A61B 17/2804 with two or more pivotal connections A61B17/29 takes precedence
• CPC Class Codes: A61B 17/3205 Excision instruments
• 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 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/145 wherein the effectors remain parallel during closing and opening
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The end effector may additionally comprise a first push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to the shaft at a first pivot point as well as a first linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to a second pivot point. In this way, distal motion of the reciprocating member may exert a force on the first and second jaw members causing the first and second jaw members to translate towards one another in a substantially parallel motion.

Claims

1. A surgical instrument comprising:

a handle;

a shaft coupled to the handle and extending distally along a longitudinal axis;

an end effector positioned at a distal end of the shaft, wherein the end effector comprises;

a first jaw member defining a first longitudinal slot;

a second jaw member defining a second longitudinal slot;

a first push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to the shaft at a first pivot point;

a second push rod member having a distally directed end pivotably coupled to the second jaw member and a proximally directed end pivotably coupled to the shaft at the first pivot point;

a first linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to a second pivot point;

a second linkage member having a distally directed end pivotably coupled to the second jaw member and a proximally directed end pivotably coupled to the second pivot point; and

a reciprocating member translatable distally and proximally parallel to the longitudinal axis through the first longitudinal slot and the second longitudinal slot, wherein a distal portion of the reciprocating member defines a blade, wherein distal motion of the reciprocating member exerts a force on the first and second jaw members causing the first and second jaw members to translate towards one another in a substantially parallel motion.

2. The surgical instrument of claim 1, wherein the second pivot point is coupled to the shaft.

3. The surgical instrument of claim 1, wherein the second pivot point is coupled to a clevis, and wherein the clevis is coupled to the shaft.

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

a third push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to the shaft at a third pivot point opposite the first pivot point;

a fourth push rod member having a distally directed end pivotably coupled to the second jaw member and a proximally directed end pivotably coupled to the shaft at the third pivot point.

5. The surgical instrument of claim 4, wherein the first and the third pivot points are implemented by a single pivotable fastening device.

6. The surgical instrument of claim 5, wherein the pivotable fastening device is a pivot pin.

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

a third linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to a fourth pivot point opposite the second pivot point;

a fourth linkage member having a distally directed end pivotably coupled to the second jaw member and a proximally directed end pivotably coupled to the fourth pivot point.

8. The surgical instrument of claim 1, wherein the first and the second push rod members are positioned between the first jaw member and an interior wall of the shaft.

9. The surgical instrument of claim 1, wherein at least one of the first and second push rod members are positioned between the other of the push rod members and an interior wall of the shaft.

10. The surgical instrument of claim 1, wherein the first and second push rod members are positioned substantially proximal from the first and second jaw members.

11. The surgical instrument of claim 1, wherein the reciprocating member defines a longitudinal slot and wherein the slot receives at least a portion of a pivotable fastening device implementing the first pivot point.

12. A surgical instrument comprising:

a handle;

a shaft coupled to the handle and extending distally along a longitudinal axis;

an end effector positioned at a distal end of the shaft, wherein the end effector comprises;

a first jaw member defining a first longitudinal slot;

a second jaw member defining a second longitudinal slot, wherein the second jaw member is coupled to the shaft;

a first push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to at least one of the shaft and the second jaw at a first pivot point;

a first linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to at least one of the shaft and the second jaw at a second pivot point; and

a reciprocating member translatable distally and proximally parallel to the longitudinal axis through the first longitudinal slot and the second longitudinal slot, wherein a distal portion of the reciprocating member defines a blade, wherein distal motion of the reciprocating member exerts a force on the first and second jaw members causing the first jaw member to translate towards the second jaw member in a substantially parallel motion.

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

a second push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to at least one of the shaft and the second jaw member at a third pivot point opposite the first pivot point.

14. The surgical instrument of claim 13, wherein the first and the third pivot points are implemented by a single pivotable fastening device.

15. The surgical instrument of claim 14, wherein the pivotable fastening device is a pivot pin.

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

a second linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to at least one of the shaft and the second jaw at a second pivot point.

17. The surgical instrument of claim 12, wherein the first push rod members is positioned between the first jaw member and an interior wall of the shaft.

18. The surgical instrument of claim 12, wherein the first push rod member is positioned substantially proximal from the first and second jaw members.

19. The surgical instrument of claim 12, wherein the reciprocating member defines a longitudinal slot and wherein the slot receives at least a portion of the first pivot point.