Ultrasonic surgical shears and method for sealing a blood vessel using same
US-10874418-B2 · Dec 29, 2020 · US
US11617599B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-11617599-B2 |
| Application number | US-202017071263-A |
| Country | US |
| Kind code | B2 |
| Filing date | Oct 15, 2020 |
| Priority date | Oct 15, 2020 |
| Publication date | Apr 4, 2023 |
| Grant date | Apr 4, 2023 |
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A surgical instrument includes a housing, an end effector including a clamp jaw, a drive member extending distally from the housing, and a clamp lever pivotably coupled to the housing. The drive member is operably coupled to the clamp jaw such that translation of the drive member pivots the clamp jaw from an open position towards a clamping position. The clamp lever is operably coupled to the drive member via a rigid slider. The clamp jaw is configured to provide a jaw force to clamped tissue, measured at about 0.192 inches from a distal end of the clamp jaw, of from about 1 lbf to about 8 lbf in response to a full actuation of the clamp lever.
Opening claim text (preview).
What is claimed is: 1. A surgical instrument, comprising: a housing; an end effector including a clamp jaw pivotable from an open position towards a clamping position; a drive member extending distally from the housing, the drive member operably coupled to the clamp jaw such that translation of the drive member pivots the clamp jaw from the open position towards the clamping position; and a clamp lever pivotably coupled to the housing and operably coupled to the drive member via at least one rigid component such that a force input by the clamp lever is substantially equal to a force output to the drive member, wherein the at least one rigid component includes a rigid slider configured to translate longitudinally, and wherein actuation of the clamp lever translates the rigid slider proximally to thereby move the drive member proximally to pivot the clamp jaw towards the clamping position, and wherein the clamp jaw is configured to provide a jaw force to tissue clamped between the clamp jaw and an opposing structure, measured at about 0.192 inches from a distal end of the clamp jaw, of from about 1 lbf to about 8 lbf in response to a full actuation of the clamp lever. 2. The surgical instrument according to claim 1 , wherein a lever force, measured at a midpoint of the clamp lever, of from about 1 lbf to about 10 lbf is required to fully actuate the clamp lever. 3. The surgical instrument according to claim 1 , further comprising a waveguide extending distally from the housing and having a blade at a distal end thereof, the blade defining the opposing structure, the waveguide configured to transmit ultrasonic energy to the blade, wherein the clamp jaw is configured to oppose the blade in the clamping position thereof. 4. The surgical instrument according to claim 3 , further comprising an ultrasonic transducer mounted on the housing, the ultrasonic transducer coupled to the waveguide and configured to generate ultrasonic energy for transmission along the waveguide to the blade. 5. The surgical instrument according to claim 1 , wherein the clamp lever is pivotably coupled to the housing on a first side of a longitudinal axis of the drive member, wherein the clamp lever is actuatable via a grasping portion disposed on a second, opposite side of the longitudinal axis, and wherein the rigid slider is substantially aligned on the longitudinal axis. 6. The surgical instrument according to claim 1 , wherein the clamp lever includes a proximal contact surface configured to urge the rigid slider proximally in response to actuation of the clamp lever. 7. The surgical instrument according to claim 1 , wherein the at least one rigid component further includes a linkage coupled between the rigid slider and the clamp lever, wherein actuation of the clamp lever urges the linkage proximally to thereby urge the rigid slider proximally. 8. The surgical instrument according to claim 1 , wherein the full actuation of the clamp lever includes moving the clamp lever from an initial position to a hard stop. 9. The surgical instrument according to claim 8 , wherein the hard stop is defined by contact of a portion of the clamp lever with a portion of the housing. 10. A surgical instrument, comprising: a housing; a waveguide extending distally from the housing and having a blade at a distal end thereof; a drive member and a support member, both the drive member and the support member extending distally from the housing; a clamp jaw pivotably supported at a distal end portion of the support member and operably coupled to a distal end portion of the drive member such that translation of the drive member relative to the support member pivots the clamp jaw relative to the blade from an open position towards a clamping position, the clamp jaw including a tissue-contacting surface configured to oppose the blade in the clamping position of the clamp jaw, the tissue-contacting surface defining a tissue-contacting surface area; a clamp lever pivotably coupled to the housing; a drive assembly operably coupling the clamp lever with the drive member such that a force input by the clamp lever is substantially equal to a force output to the drive member, the drive assembly including a rigid slider configured to translate longitudinally, wherein actuation of the clamp lever translates the rigid slider proximally to thereby move the drive member proximally to pivot the clamp jaw towards the clamping position, and wherein the clamp jaw, in response to a full actuation of the clamp lever, imparts an average jaw pressure of from about 35 psi to about 285 psi to tissue clamped between the tissue-contacting surface of the clamp jaw and the blade. 11. The surgical instrument according to claim 10 , wherein a lever force, measured at a midpoint of the clamp lever, of from about 1 lbf to about 10 lbf is required to fully actuate the clamp lever. 12. The surgical instrument according to claim 10 , further comprising an ultrasonic transducer mounted on the housing, the ultrasonic transducer coupled to the waveguide and configured to generate ultrasonic energy for transmission along the waveguide to the blade. 13. The surgical instrument according to claim 10 , wherein the clamp lever is pivotably coupled to the housing on a first side of a longitudinal axis of the drive member, wherein the clamp lever is actuatable via a grasping portion disposed on a second, opposite side of the longitudinal axis, and wherein the rigid slider of the drive assembly is substantially aligned on the longitudinal axis. 14. The surgical instrument according to claim 10 , wherein the clamp lever includes a proximal contact surface configured to urge the rigid slider proximally in response to actuation of the clamp lever. 15. The surgical instrument according to claim 10 , wherein the drive assembly further includes a linkage coupled between the rigid slider and the clamp lever, wherein actuation of the clamp lever urges the linkage proximally to thereby urge the rigid slider proximally. 16. The surgical instrument according to claim 10 , wherein the full actuation of the clamp lever includes moving the clamp lever from an initial position to a hard stop. 17. The surgical instrument according to claim 16 , wherein the hard stop is defined by contact of a portion of the clamp lever with a portion of the housing. 18. The surgical instrument according to claim 10 , wherein the clamp lever is pivotably coupled to the housing on a first side of a longitudinal axis of the drive member, wherein the clamp lever is actuatable via a grasping portion disposed on the first side of the longitudinal axis, and wherein a rigid slider of the drive assembly is substantially aligned on the longitudinal axis.
additional movable means performing clamping operation · CPC title
Transmission of forces to jaw members · CPC title
blade · CPC title
pressure limiting, e.g. hydrostatic · CPC title
for measuring contact or contact pressure · CPC title
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