Control features for articulating surgical device

Patent metadata

Field	Value
Publication number	US-9877720-B2
Application number	US-201113235623-A
Country	US
Kind code	B2
Filing date	Sep 19, 2011
Priority date	Sep 24, 2010
Publication date	Jan 30, 2018
Grant date	Jan 30, 2018

Abstract

An electrosurgical device includes a body, an end effector, a cutting member, and a shaft. The end effector comprises a pair of jaws and at least one electrode that is operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. The body includes a controller operable to selectively actuate the articulation section. The controller may include a rotary knob, a pivoting knob, or a pivoting fin, among other things. An electrical coupling may contact a conductive moving member along at least two axes. A resiliently biased lever may assist a trigger in returning from an actuated position to a home position.

First claim

We claim:

1. An electrosurgical device, comprising:
(a) a body comprising:
(i) a housing comprising:
(A) a proximal end, and
(B) a distal end, and

(ii) a controller positioned between the proximal end and the distal end of the housing, wherein the controller comprises:
(A) an articulation knob configured to rotate relative to the housing,
(B) a first translating member comprising a first proximally facing surface, wherein the first translating member is housed within the articulation knob, and
(C) a second translating member comprising a second proximally facing surface, wherein the second translating member is housed within the articulation knob proximal to the first translating member, wherein the first translating member and the second translating member are configured to translate relative to the housing in opposing directions in response to rotation of the articulation knob relative to the housing;

(b) an end effector comprising:
(i) a first jaw, and
(ii) a second jaw,
wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second jaw,
wherein at least one of the jaws comprises at least one electrode,
wherein the at least one electrode is operable to deliver RF energy to tissue clamped between the first and second jaw;

(c) a cutting member operable to cut tissue clamped between the first jaw and the second jaw;
(d) a shaft extending between the body and the end effector, wherein the shaft defines a longitudinal axis, wherein the shaft comprises an articulation section, wherein the articulation section is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft, wherein the controller is operable to selectively actuate the articulation section,
(e) a first articulation band configured to translate relative to the housing in response to translation of the first translating member, wherein the first articulation band comprises:
(A) a first elongated member extending longitudinally through the shaft and the first translating member, and
(B) a first drive member unitarily connected to the first elongated member, wherein the first drive member is configured to abut against the first proximally facing surface of the first translating member in order to proximally drive the first articulation band in response to proximal translation of the first translating member; and

(f) a second articulation band configured to translate relative to the housing in response to translation of the second translating member , wherein the second articulation band comprises:
(A) a second elongated member extending longitudinally through the shaft, the first translating member, and the second translating member, and
(B) a second drive member unitarily connect to the second elongated member. wherein the second drive member is configured to abut against the second proximally facing surface of the second translating member in order to proximally drive the second articulation band in response to proximal translation of the second translating member,

wherein first and second articulation bands are further coupled with the articulation section or the end effector to selectively bend or pivot the articulation section.

2. The electrosurgical device of claim 1 , wherein the articulation knob is rotatable along a plane that is perpendicular to the longitudinal axis of the shaft.

3. The electrosurgical device of claim 1 , wherein the articulation knob is rotatable about the longitudinal axis of the shaft along a plane that is oblique to the longitudinal axis of the shaft.

4. The electrosurgical device of claim 3 , wherein the controller further comprises a ball drive, wherein the articulation knob is disposed about the ball drive.

5. The electrosurgical device of claim 1 , wherein the articulation knob includes a first thread region and a second thread region, wherein the first thread region includes threading having a first orientation, wherein the second thread region includes threading having a second orientation, wherein the second orientation is opposite to the first orientation, wherein the articulation knob is operable to rotate the first and second thread regions in a common rotational direction simultaneously.

6. The electrosurgical device of claim 5 , wherein the first translating member further comprises a first lead screw engaged with the first thread region, where the second translating member comprises a second lead screw engaged with the second thread region, wherein the first lead screw and the second lead screw are configured to translate in opposite longitudinal directions in response to the first and second thread regions being rotated in the common rotational direction.

7. The electrosurgical device of claim 1 , wherein the first translating member further comprises a first tension member configured to adjust a first longitudinal location of the first proximally facing surface relative to the rest of the first translating member.

8. The electrosurgical device of claim 1 , wherein the controller comprises a pivoting member, wherein the pivoting member is operable to bend or pivot the articulation section based on a pivot angle of the pivoting member relative to the body.

9. The electrosurgical device of claim 8 , wherein the controller further comprises a pair of opposing racks, wherein the pivoting member includes a post and a pinion engaged with the racks, wherein the pinion is operable to simultaneously translate the racks in opposite directions in response to pivoting of the pivoting member, wherein the racks are operable to bend or pivot the articulation section based on opposing longitudinal motion of the racks.

10. The electrosurgical device of claim 8 , wherein the pivoting member is pivotable along a pivot plane, wherein the articulation section is configured to bend or pivot along an articulation plane corresponding to the pivot plane, wherein the shaft and the controller are rotatable relative to the body and about the longitudinal axis of the shaft such that the pivot plane and the articulation plane are rotatable about the longitudinal axis of the shaft.

11. The electrosurgical device of claim 8 , wherein the pivoting member comprises a fin engageable by a user's thumb.

12. The electrosurgical device of claim 8 , wherein the controller further comprises a pair of linkage arms operable to transfer pivotal motion of the pivoting member into opposing translational motion of two translating members, wherein the translating members are operable to bend or pivot the articulation section in response to opposing translation of the translating members.

13. The electrosurgical device of claim 1 , further comprising an elongate member extending through the shaft, wherein the elongate member is configured to conduct electrical power through the shaft or provide an electrical ground return through the shaft, wherein the elongate member is movable relative to the body, wherein the body includes a conductive coupling, wherein the conductive coupling is configured to contact the elongate member and maintain electrical continuity with the elongate member while the elongate member moves relative to the body.

14. The electrosurgical device of claim 13 , wherein the conductive coupling is configured to contact the elongate member along at least two axes.

15. The electrosurgical device of claim 1 , further comprising:
(a) a trigger operable to actuate the cutting member, wherein the trigger includes a cam am; and
(b) a trigger return lever engaged with the cam arm, wherein the trigger return lever is configured to

Assignees

• Worrell Barry C
• Huang Zhifan F
• Lesko Jason R
• Miller Matthew C
• Strobl Geoffrey S
• Trees Gregory A
• Black Charles S
• Clem William E
• Henry Emron
• Montgomery Kevin M
• Ethicon Llc

Inventors

• Worrell Barry C
• Huang Zhifan F
• Lesko Jason R
• Miller Matthew C
• Strobl Geoffrey S
• Trees Gregory A
• Black Charles S
• Clem William E
• Henry Emron
• Montgomery Kevin M

Classifications

• A61B2017/2908

  Multiple segments connected by articulations · CPC title

• A61B17/07207 Primary

  the staples being applied sequentially · CPC title

• A61B2017/0038

  Simultaneous actuation of two tools by pushing one button or the like · CPC title

• A61B2017/2927

  the angular position of the head being adjustable with respect to the shaft · CPC title

• A61B2017/2946

  Locking means · CPC title