# US 10,478,164 B2 · Jaw for a surgical tubular shaft instrument > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,478,164 B2 - Document ID: US10478164B2 - Status: Granted - Kind: B2 - Application number: 15/306,277 - Filed: 2015-04-24 - Published: 2017-12-28 - Granted: 2019-11-19 - Earliest claimed: 2014-04-28 - Assignees: Aesculap AG - Applicants: Aesculap AG - Inventors: Thomas Scholten; Gunnar Wanke - Web page: https://patentgrep.com/patent/US10478164B2 ## CPC - A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)} - A61B 17/1285: {for minimally invasive surgery} - A61B 17/062: Needle manipulators - A61B 17/29: Forceps for use in minimally invasive surgery - A61B 17/3201: Scissors (for biopsy A61B10/02) - A61B 2017/00862: {elastic or resilient} - A61B 2017/2808: {Clamp, e.g. towel clamp} - A61B 2017/2933: {camming or guiding means} - A61B 2017/2937: {with flexible part} - A61B 2017/2939: {Details of linkages or pivot points} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A jaw assembly for a surgical tubular shaft instrument includes a supporting component, a first arm and a second arm, the first arm and/or the second arm each having one link element. The arms are held by the supporting component in the axial direction. A cam carrier element is axially movable relative to the supporting component and carries at least two cams. Each link element is designed to be in contact with at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, the cams being provided on the cam carrier element. Each link element is further designed to slide off of the cams to effect an opening or closing of the jaw assembly. ## Claims ### Claim 1 A jaw assembly for a surgical tubular shaft instrument, the jaw assembly comprising: a supporting component, a first arm including a first active area, and a second arm having a second active area, each of the first arm and/or the second arm having one link element, the first arm and the second arm being held by the supporting component in an axial direction, the jaw assembly further comprising a cam carrier element which is axially movable relative to the supporting component and carries at least two cams, said one link element designed to be in contact with the at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, said cams being provided on the cam carrier element, said one link element designed to slide off the at least two cams to effect an opening or closing of the jaw assembly by a movement of the first arm and the second arm directed toward each other or away from each other. ### Claim 2 (depends on 1) The jaw assembly for a surgical tubular shaft instrument according to claim 1, wherein the supporting component is formed integrally with a shaft component of the surgical tubular shaft instrument or is fastened thereto and the cam carrier element is a slide which is axially movable relative to the surgical tubular shaft instrument. ### Claim 3 (depends on 1) The jaw assembly for a surgical tubular shaft instrument according to claim 1, wherein the first arm and the second arm are elastically coupled. ### Claim 4 (depends on 1) The jaw assembly for a tubular shaft instrument according to claim 1, wherein at least two link paths are formed on at least onesaid one link element. ### Claim 5 (depends on 1) The jaw assembly for a surgical tubular shaft instrument according to claim 1, wherein the jaw assembly is of a design exhibiting no swivel axis. ### Claim 6 A jaw assembly for a surgical tubular shaft instrument, the jaw assembly comprising: a supporting component, a first arm including a first active area, and a second arm having a second active area, each of the first arm and/or the second arm having one link element, the first arm and the second arm being held by the supporting component in an axial direction, the jaw assembly further comprising a cam carrier element which is axially movable relative to the supporting component and carries at least two cams, said one link element designed to be in contact with the at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, said cams being provided on the cam carrier element, said one link element designed to slide off the at least two cams to effect an opening or closing of the jaw assembly by a movement of the first arm and the second arm directed toward each other or away from each other, wherein the first arm and/or the second arm has/have at least one projection which engages in an area of the supporting component and in this way restricts or prevents an axial movement of the first arm and/or the second arm relative to the supporting component. ### Claim 7 (depends on 6) The jaw assembly for a surgical tubular shaft instrument according to claim 6, wherein the at least one projection is provided on a resiliently flexible extension of said one link element and the extension urges the at least one projection toward the supporting component and in this way secures engagement of the at least one projection in the supporting component, with flexibility of the extension being adjusted so that mobility and movements of said one link element and of the first active area and/or the second active area are not influenced by the extension. ### Claim 8 (depends on 1) The jaw assembly for a surgical tubular shaft instrument according to claim 1, wherein said one link element is planar and the cam carrier element is planar, and said one link element is adjacent to a flat side of the cam carrier element so that a sandwich-type structure is formed. ### Claim 9 A jaw assembly for a surgical tubular shaft instrument, the jaw assembly comprising: a supporting component, a first arm including a first active area, and a second arm having a second active area, each of the first arm and/or the second arm having one link element, the first arm and the second arm being held by the supporting component in an axial direction, the jaw assembly further comprising a cam carrier element which is axially movable relative to the supporting component and carries at least two cams, said one link element designed to be in contact with the at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, said cams being provided on the cam carrier element, said one link element designed to slide off the at least two cams to effect an opening or closing of the jaw assembly by a movement of the first arm and the second arm directed toward each other or away from each other, wherein said one link element is planar and the cam carrier element is planar, and said one link element is adjacent to a flat side of the cam carrier element so that a sandwich-type structure is formed, wherein the cam carrier element and said one link element form at least one area in which a link path and the pertaining cam of the cam carrier element form an undercut so that said one link element is prevented from lifting off the cam carrier element, and wherein at least one area of an undercut is provided over an entire range of movement of said one link element to the cam carrier element from a completely opened position to a completely closed position of the jaw assembly. ### Claim 10 (depends on 1) The jaw assembly for a surgical tubular shaft instrument according to claim 1, wherein the surgical instrument is a surgical clip applier and the first arm and the second arm are adapted to hold and apply a surgical clip by closing the jaw assembly, wherein the surgical clip is a double-webbed clip which includes two clip halves being connected to each other at their two distal ends only. ### Claim 11 (depends on 10) The jaw assembly for a surgical tubular shaft instrument according to claim 10, wherein the first active area and the second active area are designed to be displaced to a completely opened position of the jaw assembly by a clip arranged in the jaw assembly. ### Claim 12 A jaw assembly for a surgical tubular shaft instrument, the jaw assembly comprising: a supporting component, a first arm including a first active area, and a second arm having a second active area, each of the first arm and/or the second arm having one link element, the first arm and the second arm being held by the supporting component in an axial direction, the jaw assembly further comprising a cam carrier element which is axially movable relative to the supporting component and carries at least two cams, said one link element designed to be in contact with the at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, said cams being provided on the cam carrier element, said one link element designed to slide off the at least two cams to effect an opening or closing of the jaw assembly by a movement of the first arm and the second arm directed toward each other or away from each other, wherein said one link element is planar and the cam carrier element is planar, and said one link element is adjacent to a flat side of the cam carrier element so that a sandwich-type structure is formed, and wherein at least three link paths are configured on said one link element of the first arm and/or the second arm, wherein at any given time during an opening and closing operation of the jaw assembly, at least two of the at least three link paths each are adjacent to one. ### Claim 13 (depends on 12) The jaw assembly for a surgical tubular shaft instrument according to claim 12, wherein the jaw assembly includes an exchangeably mountable clip reservoir in which a plurality of clips are provided, the clip reservoir being arranged at least partly in a plane that is in parallel to the sandwich-type structure of the at least one link element and the cam carrier element, wherein the clips can be supplied at least partly in the clip reservoir past the sandwich-type layered structure to the distal arcus of the arms. ### Claim 14 A jaw assembly for a surgical tubular shaft instrument, the jaw assembly comprising: a supporting component, a first arm including a first active area, and a second arm having a second active area, each of the first arm and/or the second arm having one link element, the first arm and the second arm being held by the supporting component in an axial direction, the jaw assembly further comprising a cam carrier element which is axially movable relative to the supporting component and carries at least two cams, said one link element designed to be in contact with the at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, said cams being provided on the cam carrier element, said one link element designed to slide off the at least two cams to effect an opening or closing of the jaw assembly by a movement of the first arm and the second arm directed toward each other or away from each other, wherein the first active area of the first arm and the second active area of the second arm exhibit a kinematics curve symmetrical to a central axis of the jaw assembly. ### Claim 15 A jaw assembly for a surgical tubular shaft instrument, the jaw assembly comprising: a supporting component, a first arm including a first active area, and a second arm having a second active area, each of the first arm and/or the second arm having one link element, the first arm and the second arm being held by the supporting component in an axial direction, the jaw assembly further comprising a cam carrier element which is axially movable relative to the supporting component and carries at least two cams, said one link element designed to be in contact with the at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, said cams being provided on the cam carrier element, said one link element designed to slide off the at least two cams to effect an opening or closing of the jaw assembly by a movement of the first arm and the second arm directed toward each other or away from each other, wherein the surgical tubular shaft instrument is a pair of scissors, a needle holder, a clamp or any other surgical instrument in which two arms are movable toward each other and/or past each other.