# US 10,499,912 B2 · Apparatus for hydraulic assisted fracture of liver parenchyma > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,499,912 B2 - Document ID: US10499912B2 - Status: Granted - Kind: B2 - Application number: 15/208,863 - Filed: 2016-07-13 - Published: 2018-01-18 - Granted: 2019-12-10 - Earliest claimed: 2016-07-13 - Assignees: Ethicon, Inc. - Applicants: Ethicon Endo-Surgery, LLC - Inventors: Charles J. Scheib; Mark S. Zeiner; Michael J. Vendely - Web page: https://patentgrep.com/patent/US10499912B2 ## CPC - A61B 17/0686: {having a forming anvil staying below the tissue during stapling} - A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)} - A61B 17/07207: {the staples being applied sequentially} - A61B 17/295: combined with cutting implements - A61B 2017/00353: {one mechanical instrument performing multiple functions, e.g. cutting and grasping} - A61B 2017/00424: {ergonomic, e.g. fitting in fist} - A61B 2017/00539: {hydraulically} - A61B 2017/00544: {pneumatically} - A61B 2017/00557: {inflatable (A61B2017/22051 takes precedence)} - A61B 2017/07214: {Stapler heads} - A61B 2017/07221: {curved} - A61B 2017/07271: {characterised by its cartridge} - A61B 2017/07285: {characterised by its cutter} - A61B 2017/320048: {Balloon dissectors} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A surgical instrument and method of operating on a tissue includes a shaft assembly and an end effector. The end effector extends in a longitudinal direction from the shaft assembly and has a first jaw, a second jaw, and a deformable hydraulic member. The second jaw is movably mounted relative to the first jaw and is configured to transition between an open configuration and a closed configuration. The first and second jaws are thus configured to have the tissue positioned therebetween in the closed configuration. The deformable hydraulic is configured to contain a fluid. With the fluid contained in the deformable hydraulic member, the deformable hydraulic member is configured to sever the tissue positioned between the first and second jaws in the closed configuration. ## Claims ### Claim 1 A surgical instrument, comprising: (a) a shaft assembly; and (b) an end effector extending in a longitudinal direction from the shaft assembly, the end effector comprising: (i) a first jaw, (ii) a second jaw movably mounted relative to the first jaw and configured to transition in a transverse direction from an open configuration toward a closed configuration such that the first and second jaws are configured to have tissue positioned transversely therebetween in the closed configuration, and (iii) a first deformable hydraulic member extending longitudinally and configured to expand to an expanded state, wherein at least a portion of the first deformable hydraulic member transversely aligns with at least one of the first and second jaws to extend transversely over the at least one of the first and second jaws in the expanded state, wherein the first deformable hydraulic member is configured to contain a fluid, wherein the first deformable hydraulic member with the fluid contained therein is configured to fracture the tissue positioned between the first and second jaws in the closed configuration. ### Claim 2 (depends on 1) The surgical instrument of claim 1, wherein the first deformable hydraulic member extends longitudinally between the first and second jaws in the closed configuration. ### Claim 3 (depends on 1) The surgical instrument of claim 1, wherein the first deformable hydraulic member contains the fluid. ### Claim 4 (depends on 3) The surgical instrument of claim 3, wherein the first deformable hydraulic member extends along the first jaw. ### Claim 5 (depends on 4) The surgical instrument of claim 4, wherein the end effector further includes a second deformable hydraulic member extending longitudinally along the second jaw, wherein the second deformable hydraulic member contains the fluid, and wherein the first and second deformable members are configured to fracture the tissue therebetween in the closed configuration. ### Claim 6 (depends on 3) The surgical instrument of claim 3, further comprising a staple cartridge received within the first jaw, the staple cartridge comprising: (i) a deck facing the second jaw, (ii) a plurality of staple openings formed through the deck, and (iii) a plurality of staples positioned respectively within the plurality of staple openings, wherein the first deformable hydraulic member extends longitudinally along the deck. ### Claim 7 (depends on 1) The surgical instrument of claim 1, wherein the first deformable hydraulic member is configured to expand from a contracted state to the expanded state, and wherein the first deformable hydraulic member is configured to fracture the tissue positioned between the first and second jaws as the expandable member expands from the contracted state to the expanded state. ### Claim 8 (depends on 7) The surgical instrument of claim 7, wherein the first deformable hydraulic member extends along the first jaw. ### Claim 9 (depends on 8) The surgical instrument of claim 8, wherein the end effector further includes a second deformable hydraulic member extending longitudinally along the second jaw, wherein the second deformable hydraulic member is configured to contain the fluid, and wherein the first and second deformable members are configured to fracture the tissue therebetween in the closed configuration as the first deformable hydraulic member expands from the contracted state to the expanded state. ### Claim 10 (depends on 9) The surgical instrument of claim 9, wherein the second deformable member is configured to expand from the contracted state to the expanded state, and wherein the first and second deformable members are configured to fracture the tissue therebetween in the closed configuration as the first and second deformable hydraulic members expand from the contracted state to the expanded state. ### Claim 11 (depends on 8) The surgical instrument of claim 8, wherein the first jaw includes a longitudinally extending edge, and wherein the first deformable hydraulic member is positioned along at least a portion of the edge. ### Claim 12 (depends on 7) The surgical instrument of claim 7, further comprising a staple cartridge received within the first jaw, the staple cartridge comprising: (i) a deck facing the second jaw, (ii) a plurality of staple openings formed through the deck, and (iii) a plurality of staples positioned respectively within the plurality of staple openings, wherein the first deformable hydraulic member extends longitudinally along the deck. ### Claim 13 (depends on 7) The surgical instrument of claim 7, further comprising a pressure control system comprising: (i) a fluid actuator configured to direct the fluid into the first deformable member in order to expand the first deformable member from the contracted state to the expanded state, (ii) a pressure sensor operatively connected to the first deformable member and configured to sense a measured pressure within the first deformable member, and (iii) a controller operatively connected to the fluid actuator and the pressure sensor, wherein the controller is configured to monitor the measured pressure within the first deformable member via the pressure sensor and cease direction of the fluid into the first deformable member via the fluid actuator when the measure pressure increases to a maximum predetermined pressure. ### Claim 14 (depends on 1) The surgical instrument of claim 1, wherein the end effector further includes a pressure relief reservoir fluidly connected to the first deformable member, wherein the first deformable member is configured to contain the fluid up to a maximum predetermined pressure, and wherein an excess pressure greater than the maximum predetermined pressure is configured to direct the fluid from the first deformable member to the pressure relief reservoir such that the deformable member and the pressure relief reservoir are configured to maintain the pressure within the first deformable member to be equal to or less than the maximum predetermined pressure. ### Claim 15 (depends on 1) The surgical instrument of claim 1, wherein the end effector defines a lateral width and a central longitudinal axis bisecting the lateral width, and wherein the at least the portion of the deformable hydraulic member transversely aligns with the central longitudinal axis of the end effector in the expanded state. ### Claim 16 A staple cartridge, comprising: (a) a deck extending in a longitudinal direction; (b) a plurality of staple openings formed through the deck in a transverse direction; (c) a plurality of staples positioned respectively within the plurality of staple openings and configured to be transversely driven through the plurality of staple openings, respectively; and (d) a deformable hydraulic member positioned along the deck and configured to contain a fluid therein to expand to an expanded state, wherein at least a portion of the deformable hydraulic member transversely aligns with the deck to extend transversely over the deck in the expanded state, wherein the first deformable hydraulic member with the fluid contained therein is configured to fracture tissue. ### Claim 17 (depends on 16) The surgical instrument of claim 16, wherein the first deformable hydraulic member is configured to expand from a contracted state to the expanded state upon receiving the fluid therein. ### Claim 18 A method of operating on a tissue with a deformable hydraulic member configured to contain a fluid, the method comprising directing the deformable hydraulic member against a portion of the tissue thereby fracturing the portion of the tissue for severing the tissue. ### Claim 19 (depends on 18) The method of claim 18, further comprising expanding the deformable hydraulic member from a contracted state to an expanded state. ### Claim 20 (depends on 19) The method of claim 19, wherein the tissue is a liver parenchyma tissue, and the method further includes inserting the deformable hydraulic member into the liver parenchyma tissue.