Surgical end effectors having angled tissue-contacting surfaces

• US 9,907,620 B2
• Filed: 03/03/2016
• Issued: 03/06/2018
• Est. Priority Date: 06/28/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Baxter, III, Chester O., Yates, David C.
• Primary Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US15/060,062
• Publication Number:
  US 20160184039A1
• Time in Patent Office: 733 Days
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00212 using remote controls
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery

Abstract

Surgical end effectors are disclosed having angled tissue-contacting surfaces. The end effectors may have a first jaw member that is movable relative to a second jaw member between an open position and a closed position. The first jaw member may have a first positively-angled tissue-contacting surface. The second jaw member may have a second positively-angled tissue-contacting surface. At least one of the jaw members may have at least one active electrode configured to deliver RF energy to tissue located between the first jaw member and the second jaw member when in the closed position.

Claims

1. A robotic system, comprising:

a robotic manipulator;

a generator;

an electrosurgical tool configured to electrically communicate with the generator, the electrosurgical tool comprising;

a tool mounting portion;

an elongate shaft assembly that is operably couplable to the robotic manipulator by the tool mounting portion;

an articulation joint extending distally from the elongate shaft assembly, wherein the articulation joint comprises;

a proximal joint portion coupled to the elongate shaft assembly; and

a distal joint portion movably coupled to the proximal joint portion, wherein the distal joint portion is movable in a plurality of planes relative to the proximal joint portion; and

a distal interface portion extending from the distal joint portion; and

an interchangeable end effector releasably couplable to the electrosurgical tool, comprising;

a proximal interface portion releasably couplable to the distal interface portion of the electrosurgical tool to couple the interchangeable end effector to the electrosurgical tool;

a first curved jaw member, comprising;

a first jaw body extending longitudinally along a length of the first jaw member, the first jaw body comprising;

a first planar tissue gripping surface;

a first positively-angled tissue-contacting surface extending from the first planar tissue gripping surface away from the first jaw body; and

a first negatively-angled tissue-contacting surface extending from the first planar tissue gripping surface toward the first jaw body;

a second curved jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other one of the first jaw member and the second jaw member between an open position and a closed position to capture tissue therebetween, and wherein the end effector is configured to deliver RF energy generated by the generator to the tissue captured between the first jaw member and the second jaw member, and wherein the second jaw member comprises;

a second jaw body extending longitudinally along a length of the second jaw member, the second jaw body comprising;

a second planar tissue gripping surface; and

a second positively-angled tissue-contacting surface extending from the second planar tissue gripping surface away from the second jaw body and toward the first jaw body.

2. The robotic system of claim 1, wherein the first planar tissue gripping surface intersects the first positively-angled tissue-contacting surface at an angle greater than 15°

.

3. The robotic system of claim 2, wherein the second planar tissue gripping surface intersects the second positively-angled tissue-contacting surface at an angle greater than 15°

.

4. The robotic system of claim 1, wherein the first planar tissue gripping surface intersects the first negatively-angled tissue-contacting surface at an angle greater than 15°

.

5. The robotic system of claim 1, the first negatively-angled tissue-contacting surface is configured to oppose the second positively-angled tissue-contacting surface in the closed position.

6. The robotic system of claim 5, wherein the second jaw body further comprises a second negatively-angled tissue-contacting surface extending from the second planar tissue gripping surface away from the first jaw body.

7. The robotic system of claim 6, the second negatively-angled tissue-contacting surface is configured to oppose the first positively-angled tissue-contacting surface in the closed position.

8. The robotic system of claim 7, wherein the first positively-angled tissue-contacting surface is parallel to the first negatively-angled tissue-contacting surface, and wherein the second positively-angled tissue-contacting surface is parallel to the second negatively-angled tissue-contacting surface.

9. The robotic system of claim 6, wherein the second planar tissue gripping surface intersects the second negatively-angled tissue-contacting surface at an angle greater than 15°

.

10. The robotic system of claim 1, wherein the tool mounting portion includes a tool mounting plate that operably supports a plurality of rotatable body portions.

11. A surgical assembly operable with a robotic system that includes a robotic manipulator and a generator, the surgical assembly, comprising:

an electrosurgical tool configured to electrically communicate with the generator, the electrosurgical tool comprising;

a tool mounting portion;

an elongate shaft assembly that is operably couplable to the robotic manipulator by the tool mounting portion;

an articulation joint extending distally from the elongate shaft assembly, wherein the articulation joint comprises;

a proximal joint portion coupled to the elongate shaft assembly; and

a distal joint portion movably coupled to the proximal joint portion, wherein the distal joint portion is movable in a plurality of planes relative to the proximal joint portion; and

a distal interface portion extending from the distal joint portion; and

an interchangeable end effector releasably couplable to the electrosurgical tool, comprising;

a proximal interface portion releasably couplable to the distal interface portion of the electrosurgical tool to couple the interchangeable end effector to the electrosurgical tool;

a first curved jaw member, comprising;

a first jaw body extending longitudinally along a length of the first jaw member, the first jaw body comprising;

a first planar tissue gripping surface;

a first positively-angled tissue-contacting surface extending from the first planar tissue gripping surface away from the first jaw body; and

a first negatively-angled tissue-contacting surface extending from the first planar tissue gripping surface toward the first jaw body;

a second curved jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other one of the first jaw member and the second jaw member between an open position and a closed position to capture tissue therebetween, and wherein the end effector is configured to deliver RF energy generated by the generator to the tissue captured between the first jaw member and the second jaw member, and wherein the second jaw member comprises;

a second jaw body extending longitudinally along a length of the second jaw member, the second jaw body comprising;

a second planar tissue gripping surface; and

a second positively-angled tissue-contacting surface extending from the second planar tissue gripping surface away from the second jaw body and toward the first jaw body.

12. The surgical assembly of claim 11, wherein the first planar tissue gripping surface intersects the first positively-angled tissue-contacting surface at an angle greater than 15°

.

13. The surgical assembly of claim 12, wherein the second planar tissue gripping surface intersects the second positively-angled tissue-contacting surface at an angle greater than 15°

.

14. The surgical assembly of claim 11, wherein the first planar tissue gripping surface intersects the first negatively-angled tissue-contacting surface at an angle greater than 15°

.

15. The surgical assembly of claim 11, the first negatively-angled tissue-contacting surface is configured to oppose the second positively-angled tissue-contacting surface in the closed position.

16. The surgical assembly of claim 15, wherein the second jaw body further comprises a second negatively-angled tissue-contacting surface extending from the second planar tissue gripping surface away from the first jaw body.

17. The surgical assembly of claim 16, the second negatively-angled tissue-contacting surface is configured to oppose the first positively-angled tissue-contacting surface in the closed position.

18. The surgical assembly of claim 17, wherein the first positively-angled tissue-contacting surface is parallel to the first negatively-angled tissue-contacting surface, and wherein the second positively-angled tissue-contacting surface is parallel to the second negatively-angled tissue-contacting surface.

19. The surgical assembly of claim 16, wherein the second planar tissue gripping surface intersects the second negatively-angled tissue-contacting surface at an angle greater than 15°

.

20. A robotic system, comprising:

a robotic manipulator;

a generator; and

an electrosurgical tool configured to electrically communicate with the generator, the electrosurgical tool comprising;

a tool mounting portion;

an elongate shaft assembly that is operably couplable to the robotic manipulator by the tool mounting portion;

an articulation joint extending distally from the elongate shaft assembly, wherein the articulation joint comprises;

a proximal joint portion coupled to the elongate shaft assembly; and

a distal joint portion movably coupled to the proximal joint portion, wherein the distal joint portion is movable relative to the proximal joint portion; and

a distal interface portion extending from the distal joint portion; and

an end effector releasably coupled to the electrosurgical tool, the end effector comprising;

a proximal interface portion coupled to the distal interface portion of the electrosurgical tool;

a first jaw member, comprising;

a first jaw body extending longitudinally along a length of the first jaw member, the first jaw body comprising;

a first planar tissue gripping surface;

a first positively-angled tissue-contacting surface extending from the first planar tissue gripping surface away from the first jaw body; and

a first negatively-angled tissue-contacting surface extending from the first planar tissue gripping surface toward the first jaw body;

a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other one of the first jaw member and the second jaw member between an open position and a closed position to grasp tissue, and wherein the end effector is configured to deliver RF energy generated by the generator to the tissue grasped between the first jaw member and the second jaw member, and wherein the second jaw member comprises;

a second jaw body extending longitudinally along a length of the second jaw member, the second jaw body comprising;

a second planar tissue gripping surface; and

a second positively-angled tissue-contacting surface extending from the second planar tissue gripping surface away from the second jaw body and toward the first jaw body.

21. A surgical assembly operable with a robotic system that includes a robotic manipulator and a generator, the surgical assembly, comprising:

an electrosurgical tool configured to electrically communicate with the generator, the electrosurgical tool comprising;

a tool mounting portion;

an elongate shaft assembly that is operably couplable to the robotic manipulator by the tool mounting portion;

an articulation joint extending distally from the elongate shaft assembly, wherein the articulation joint comprises;

a proximal joint portion coupled to the elongate shaft assembly; and

a distal joint portion movably coupled to the proximal joint portion, wherein the distal joint portion is movable relative to the proximal joint portion; and

a distal interface portion extending from the distal joint portion; and

an end effector coupled to the electrosurgical tool, the end effector comprising;

a proximal interface portion coupled to the distal interface portion of the electrosurgical tool;

a first jaw member, comprising;

a first jaw body extending longitudinally along a length of the first jaw member, the first jaw body comprising;

a first planar tissue gripping surface;

a first positively-angled tissue-contacting surface extending from the first planar tissue gripping surface away from the first jaw body; and

a first negatively-angled tissue-contacting surface extending from the first planar tissue gripping surface toward the first jaw body;

a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other one of the first jaw member and the second jaw member between an open position and a closed position to grasp tissue, and wherein the end effector is configured to deliver RF energy generated by the generator to the tissue grasped captured between the first jaw member and the second jaw member, and wherein the second jaw member comprises;

a second jaw body extending longitudinally along a length of the second jaw member, the second jaw body comprising;

a second planar tissue gripping surface; and

a second positively-angled tissue-contacting surface extending from the second planar tissue gripping surface away from the second jaw body and toward the first jaw body.