Surgical instrument with dual mode end effector and side-loaded clamp arm assembly

Patent metadata

Field	Value
Publication number	US-11045275-B2
Application number	US-201615284819-A
Country	US
Kind code	B2
Filing date	Oct 4, 2016
Priority date	Oct 19, 2015
Publication date	Jun 29, 2021
Grant date	Jun 29, 2021

Abstract

A surgical instrument includes a body, an ultrasonic blade, a clamp arm, and a resilient member. The body includes an electrical conductor and defines a longitudinal axis. The clamp arm is pivotably coupled with the body at a pivot assembly. The clamp arm is operable to compress tissue against the ultrasonic blade. The clamp arm includes an electrode operable to apply RF energy to tissue, wherein the clamp arm is configured to be loaded onto and removed from the body at the pivot assembly along a path that is transverse to the longitudinal axis defined by the body. The resilient member is located within the pivot assembly. The resilient member is configured to provide electrical continuity between the electrode of the clamp arm and the electrical conductor of the body.

First claim

We claim:

1. A surgical instrument, comprising:
(a) a body, wherein the body includes an electrical conductor, wherein the body defines a longitudinal axis;
(b) an ultrasonic blade extending distally from the body, wherein the ultrasonic blade is operable to apply ultrasonic energy to tissue;
(c) a clamp arm pivotably coupled with the body at a pivot assembly, wherein the clamp arm is operable to compress tissue against the ultrasonic blade, wherein the clamp arm comprises an electrode operable to apply RF energy to tissue, wherein the clamp arm is configured to be loaded onto and removed from the body at the pivot assembly along a path that is entirely transverse to the longitudinal axis defined by the body; and
(d) a resilient member located within the pivot assembly, wherein the resilient member is configured to provide electrical continuity between the electrode of the clamp arm and the electrical conductor of the body, wherein the resilient member is configured to be resiliently biased and elastically deformable,
wherein the pivot assembly is configured to provide pivotal movement of the clamp arm relative to the body about a pivot axis, wherein the path is parallel to the pivot axis.

2. The surgical instrument of claim 1 , wherein the ultrasonic blade is configured to cooperate with the electrode to apply bipolar RF energy to tissue captured between the clamp arm and the ultrasonic blade.

3. The surgical instrument of claim 1 , wherein the clamp arm further comprises a tissue clamping surface, wherein the tissue clamping surface protrudes beyond the electrode such that the electrode is recessed relative to the tissue clamping surface.

4. The surgical instrument of claim 1 , further comprising a heat shield, wherein the heat shield is movable toward and away from the ultrasonic blade to thereby selectively shield a portion of the ultrasonic blade, wherein the heat shield is configured to approach a first lateral side of the ultrasonic blade, wherein the clamp arm is configured to approach a second lateral side of the ultrasonic blade.

5. The surgical instrument of claim 1 , wherein the body comprises a plurality of discrete electrical contacts, wherein the clamp arm comprises a plurality of discrete electrical contacts, wherein the discrete electrical contacts of the clamp arm are configured to maintain electrical continuity with the discrete electrical contacts of the body as the clamp arm pivots relative to the body.

6. The surgical instrument of claim 5 , wherein the clamp arm further comprises a data feature in communication with the discrete electrical contacts of the clamp arm, wherein the discrete electrical contacts of the body are configured to receive data from the data feature via the discrete electrical contacts of the clamp arm, wherein the data feature comprises an EEPROM.

7. The surgical instrument of claim 1 , further comprising a control module, wherein the body includes a closure sensor in communication with the control module, wherein the clamp arm is configured to actuate the closure sensor in response to the clamp arm reaching a predetermined closure angle relative to the body, wherein the control module is operable to select a mode of operation in response to actuation or non-actuation of the closure sensor.

8. The surgical instrument of claim 7 , further comprising an activation button, wherein the activation button is positioned to be actuated by an operator, wherein the control module is configured to apply RF energy at a first voltage through the electrode in a first mode of operation in response to simultaneous actuation of the closure sensor and the activation button.

9. The surgical instrument of claim 8 , wherein the control module is configured to apply RF energy through the electrode in a second mode of operation in response to actuation of the activation button without the closure sensor being actuated.

10. The surgical instrument of claim 8 , wherein the control module is configured to provide an error indication to an operator, without applying RF energy through the electrode, in response to actuation of the activation button without the closure sensor being actuated.

11. The surgical instrument of claim 8 , wherein the control module is configured to apply RF energy at a second voltage through the electrode in a second mode of operation in response to actuation of the activation button without the closure sensor being actuated, wherein the second voltage is higher than the first voltage.

12. The surgical instrument of claim 7 , wherein the control module is further configured to provide a user notification after a sealing algorithm is completed.

13. The surgical instrument of claim 12 , wherein the control module is further configured to provide an error notification to an operator in response to RF energy being applied for a certain duration prior to notification that the sealing algorithm is complete.

14. The surgical instrument of claim 1 , wherein the pivot assembly is configured to provide pivotal movement of the clamp arm relative to the body about a fixed axis as the clamp arm pivots toward the ultrasonic blade through a first range of motion, wherein the pivot assembly is configured to provide a combination of pivotal movement of the clamp arm relative to the body and translational movement of the clamp arm relative to the body as the clamp arm pivots toward the ultrasonic blade through a second range of motion.

15. The surgical instrument of claim 14 , wherein the pivot assembly comprises a cam surface having a first cam profile and a second cam profile, wherein the first cam profile is configured to provide pivotal movement of the clamp arm relative to the body about the fixed axis as the clamp arm pivots toward the ultrasonic blade through the first range of motion, wherein the second cam profile is configured to provide a combination of pivotal movement of the clamp arm relative to the body and translational movement of the clamp arm relative to the body as the clamp arm pivots toward the ultrasonic blade through the second range of motion.

16. A surgical instrument, comprising:
(a) a body, wherein the body defines a first longitudinal axis, wherein the body includes an electrical conductor, wherein the electrical conductor comprises a coupling post, wherein the coupling post defines a second longitudinal axis, wherein the second longitudinal axis is transverse to the first longitudinal axis;
(b) an ultrasonic blade extending distally from the body, wherein the ultrasonic blade is operable to apply ultrasonic energy to tissue; and
(c) a clamp arm pivotably coupled with the coupling post, wherein the clamp arm is operable to compress tissue against the ultrasonic blade, wherein the clamp arm comprises an electrode operable to apply RF energy to tissue, wherein the electrode is configured to receive electrical energy through the coupling post, wherein the clamp arm is configured to pivot about the second longitudinal axis, wherein the clamp arm is further configured to translate along the second longitudinal axis while remaining continuously electrically coupled to the coupling post.

17. The surgical instrument of claim 16 , wherein the coupling post has a T-shape, wherein the T-shape is configured to enable the clamp arm to be removed from the coupling post when the clamp arm is oriented at a removal angle relative to the body, wherein the T-shape is configured to pivotably secure the clamp arm to the body when the clamp arm is not oriented at the removal angle.

18. The surgical instrument of claim 16 , wherein the c

Assignees

• Ethicon Endo Surgery Llc
• Cilag Gmbh Int

Inventors

• Boudreaux Chad P
• Clauda Phillip H
• Schulte John B
• Weisenburgh Ii William B
• Holland Timothy S
• Asher Ryan M
• Muhlenkamp Tylor C
• Black Brian D
• Denzinger Kristen G
• Benchek Amy L

Classifications

• A61B17/2841

  Handles · CPC title

• A61B18/1442

  Probes having pivoting end effectors, e.g. forceps · CPC title

• A61B2018/00589

  Coagulation · CPC title

• A61B2018/00958

  for switching between different working modes of the main function · CPC title

• A61B2018/0063

  Sealing · CPC title