# US 11,076,878 B2 · Surgical device with anti-binding features > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,076,878 B2 - Document ID: US11076878B2 - Status: Granted - Kind: B2 - Application number: 16/197,941 - Filed: 2018-11-21 - Published: 2019-03-28 - Granted: 2021-08-03 - Earliest claimed: 2015-11-24 - Assignees: Ethicon, Inc. - Applicants: Ethicon LLC - Inventors: Chad P. Boudreaux - Web page: https://patentgrep.com/patent/US11076878B2 ## CPC - A61B 17/295: combined with cutting implements - A61B 17/29: Forceps for use in minimally invasive surgery - A61B 17/320016: {Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes (A61B10/0233, A61B17/29, A61B17/3207 take precedence)} - A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)} - A61B 2017/2902: {characterized by features of the actuating rod} - A61B 2017/2923: {Toothed members, e.g. rack and pinion} - A61B 2017/320028: {with reciprocating movements} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract Methods and devices are provided for preventing binding between components of a drive assembly of a surgical device. In an exemplary embodiment, a surgical device is provided having a ball-and-socket joint that allows bending of various drive shafts relative to the handle without causing movement of a drive rack disposed within the handle. Since the drive rack does not move in response to bending of the shaft, the drive gear and rack will remain aligned thus preventing jamming of the device. ## Claims ### Claim 1 A surgical device, comprising: a handle having an elongate shaft extending distally therefrom; an end effector at a distal end of the elongate shaft having first and second jaws that are movable between an open configuration for receiving tissue therebetween, and a closed configuration in which the first and second jaws are configured to engage tissue therebetween; a closure shaft extending through the elongate shaft and configured to translate proximally to move the first and second jaws form the open configuration to the closed configuration; a cutting shaft extending through the elongate shaft and a cutting element disposed in the end effector, the cutting shaft being distally movable to drive the cutting element distally through the end effector; and a cutting actuation assembly disposed in the handle and configured to distally advance the cutting shaft through the elongate shaft, the cutting actuation assembly and the cutting shaft being configured to remain in operable engagement when a load is applied to the cutting shaft that causes the cutting shaft to bend relative to a longitudinal axis thereof. ### Claim 2 (depends on 1) The device of claim 1, further comprising a gear and rack disposed within the handle and engaged with the cutting actuation assembly for distally advancing the cutting shaft. ### Claim 3 (depends on 1) The device of claim 1, wherein the cutting actuation assembly includes an elongate housing that operably engages the cutting shaft and has teeth formed therealong. ### Claim 4 (depends on 1) The device of claim 1, further comprising a joint disposed between the cutting actuation assembly and the cutting shaft. ### Claim 5 (depends on 4) The device of claim 4, wherein the joint is a ball-and-socket joint having a spherical cavity formed in a distal end of the cutting actuation assembly and a spherical ball formed on a proximal end of the cutting shaft, the spherical ball seated in and being configured to pivot relative to the spherical cavity. ### Claim 6 (depends on 1) The device of claim 1, wherein the handle comprises a stationary handle and a movable handle that is configured to pivot toward the stationary handle to move the first and second jaws from the open configuration to the closed configuration. ### Claim 7 (depends on 1) The device of claim 1, wherein the cutting actuation assembly includes a firing trigger configured to cause distal advancement of the cutting shaft through the elongate shaft upon actuation thereof. ### Claim 8 A surgical device, comprising: a handle having an elongate shaft extending distally therefrom and an end effector located on a distal end of the elongate shaft, the end effector having first and second jaws that are movable between an open configuration for receiving tissue therebetween, and a closed configuration for engaging tissue therebetween, a closure tube extending between the handle and the end effector, the closure tube being configured to move proximally toward the hand to move the first and second jaws form the open configuration to the close configuration; and a cutting assembly having an actuation mechanism in the handle and a cutting shaft extending through the handle and the elongate shaft and configured to distally drive a cutting element through the first and second jaws to cut tissue engaged therebetween upon actuation of the actuation mechanism, the cutting assembly include a joint that allows the cutting shaft to bend relative to a longitudinal axis thereof while remaining in operable engagement with the actuation mechanism. ### Claim 9 (depends on 8) The device of claim 8, further comprising a gear and rack disposed within the handle and engaged with the actuation mechanism for distally advancing the cutting shaft. ### Claim 10 (depends on 8) The device of claim 8, wherein the actuation mechanism includes an elongate housing that operably engages the cutting shaft and has teeth formed therealong. ### Claim 11 (depends on 8) The device of claim 8, wherein the actuation mechanism includes a firing trigger configured to cause distal advancement of the cutting shaft through the elongate shaft upon actuation thereof. ### Claim 12 (depends on 8) The device of claim 8, wherein the joint is disposed between the cutting shaft and the actuation mechanism. ### Claim 13 (depends on 8) The device of claim 8, wherein the joint is a ball-and-socket joint having a spherical cavity formed in a distal end of the actuation mechanism and a spherical ball formed on a proximal end of the cutting shaft, the spherical ball seated in and being configured to pivot relative to the spherical cavity. ### Claim 14 (depends on 8) The device of claim 8, wherein the handle comprises a stationary handle and a movable handle that is configured to pivot toward the stationary handle to move the first and second jaws from the open configuration to the closed configuration. ### Claim 15 A method for treating tissue, comprising: grasping tissue between first and second jaws of an end effector on a distal end of an elongate shaft of a surgical device by actuating a closure mechanism on the surgical device to move a jaw closure shaft proximally, the proximal movement of the jaw closure shaft causing the first and second jaws to approximate to engage the tissue; and manipulating the surgical device to move the tissue, wherein a force applied to the elongate shaft causes a knife pusher shaft extending therethrough to bend relative to a longitudinal axis thereof while remaining in operable engagement with an actuation mechanism in a handle of the surgical device. ### Claim 16 (depends on 15) The method of claim 15, wherein a joint is disposed between the knife pusher shaft and the actuation mechanism. ### Claim 17 (depends on 15) The method of claim 15, further comprising activating the surgical device to drive the knife pusher shaft distally through tissue after the knife pusher shaft has bent relative to the longitudinal axis of the elongate shaft. ### Claim 18 (depends on 15) The method of claim 15, further comprising activating the actuation mechanism to rotate a gear within the surgical device, the gear driving a rack housing and the knife pusher shaft coupled thereto to move a cutting element through the first and second jaws and thereby cut tissue engaged therebetween. ### Claim 19 (depends on 15) The method of claim 15, wherein actuating the closure mechanism comprises moving a movable handle toward a stationary handle. ### Claim 20 (depends on 19) The method of claim 19, wherein the jaw closure shaft moves proximally through the knife pusher shaft when the movable handle is moved toward the stationary handle.