# US 11,439,427 B2 · Ultrasonic surgical instrument with clamp arm deflection feature > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,439,427 B2 - Document ID: US11439427B2 - Status: Granted - Kind: B2 - Application number: 16/696,315 - Filed: 2019-11-26 - Published: 2020-06-11 - Granted: 2022-09-13 - Earliest claimed: 2016-07-01 - Assignees: Cilag GmbH International - Applicants: Ethicon LLC - Inventors: John A. Hibner - Web page: https://patentgrep.com/patent/US11439427B2 ## CPC - A61B 17/320092: {with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw} - A61B 2017/2902: {characterized by features of the actuating rod} - A61B 2017/2937: {with flexible part} - A61B 2017/2939: {Details of linkages or pivot points} - A61B 2017/2945: {Curved jaws} - A61B 2017/320094: {additional movable means performing clamping operation} - A61B 2017/320095: {with sealing or cauterizing means} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An apparatus includes a shaft assembly and an end effector. The shaft assembly includes a first tube, a second tube, and a distally projecting tongue. The second tube is coaxially disposed within the first tube. One of the first tube or the second tube is configured to translate relative to the other of the first tube or the second tube. The tongue is fixed to either the first tube or the second tube. The end effector includes an ultrasonic blade and a clamp arm. The clamp arm is pivotally coupled to the tongue. The clamp arm is configured to pivot toward and away from the ultrasonic blade in response to relative translation between the first and second tubes. The tongue is configured to flex relative to the first tube and the second tube in response to the clamp arm grasping tissue. ## Claims ### Claim 1 An apparatus, comprising: (a) an end effector, wherein the end effector comprises: (i) an ultrasonic blade, and (ii) a clamp arm configured to pivot toward and away from the ultrasonic blade; and (b) a shaft assembly extending proximally from the end effector, wherein the shaft assembly comprises: (i) a first tube, wherein the clamp arm is pivotable relative to the first tube, (ii) a second tube coaxially aligned with the first tube, wherein the first tube or the second tube is configured to translate relative to the other of the first tube or the second tube, wherein the clamp arm is configured to pivot toward and away from the ultrasonic blade in response to relative translation between the first tube and the second tube, wherein the second tube comprises: (A) a distally projecting tongue, wherein the clamp arm is pivotably coupled to the distally projecting tongue such that the distally projecting tongue is configured to flex relative to the first tube and a proximal portion of the second tube in response to the clamp arm grasping tissue, (B) a circumferential lip extending around a first full circumference of the second tube, wherein the distally projecting tongue extends distally away from the circumferential lip, and (C) a stamped surface having a reduced cross-sectional area compared to the circumferential lip, wherein the stamped surface extends around a second full circumference of the second tube. ### Claim 2 (depends on 1) The apparatus of claim 1, wherein the distally projecting tongue is formed of a resilient material. ### Claim 3 (depends on 1) The apparatus of claim 1, wherein the distally projecting tongue further comprises a pair of distally projecting prongs. ### Claim 4 (depends on 3) The apparatus of claim 3, wherein the pair of distally projecting prongs are configured to elastically flex relative to each other. ### Claim 5 (depends on 3) The apparatus of claim 3, wherein the pair of distally projecting prongs further define a longitudinally extending channel. ### Claim 6 (depends on 5) The apparatus of claim 5, wherein the longitudinally extending channel terminates proximally adjacent to the circumferential lip. ### Claim 7 (depends on 3) The apparatus of claim 3, wherein the pair of distally projecting prongs each define a pin hole, wherein the clamp arm is pivotably coupled with the distally projecting prongs via the pin holes. ### Claim 8 (depends on 7) The apparatus of claim 7, further comprising a handle assembly, wherein the shaft assembly extending proximally into the handle assembly. ### Claim 9 (depends on 3) The apparatus of claim 3, wherein the pair of distally projecting prongs each define a circumferential cutout. ### Claim 10 (depends on 9) The apparatus of claim 9, wherein the circumferential cutouts comprise a semi-rectangular geometry. ### Claim 11 (depends on 9) The apparatus of claim 9, wherein each circumferential cutout defined by the pair of distally projecting prongs are adjacent to the circumferential lip. ### Claim 12 (depends on 1) The apparatus of claim 1, wherein the second full circumference is located, in its entirety, distally relative to the first full circumference. ### Claim 13 (depends on 1) The apparatus of claim 1, further comprising a handle assembly, wherein a proximal portion of the shaft assembly is coupled to the handle assembly. ### Claim 14 (depends on 13) The apparatus of claim 13, wherein the handle assembly further comprises a trigger configured to drive relative translation between the first tube and the second tube. ### Claim 15 (depends on 14) The apparatus of claim 14, wherein the trigger is pivotable relative to a remainder of the handle assembly. ### Claim 16 (depends on 1) The apparatus of claim 1, wherein the shaft assembly further comprises an ultrasonic waveguide extending proximally from the ultrasonic blade. ### Claim 17 (depends on 1) The apparatus of claim 1, wherein the clamp arm further comprises a clamp pad. ### Claim 18 An apparatus, comprising: (a) an end effector, wherein the end effector comprises: (i) an ultrasonic blade, and (ii) a clamp arm configured to pivot toward and away from the ultrasonic blade; and (b) a shaft assembly extending proximally from the end effector, wherein the shaft assembly comprises: (i) a first tube, wherein the clamp arm is pivotably coupled to the first tube, (ii) a second tube coaxially aligned with the first tube, wherein the first tube or the second tube is configured to translate relative to the other of the first tube or the second tube, wherein the clamp arm is configured to pivot toward and away from the ultrasonic blade in response to relative translation between the first tube and the second tube, wherein the second tube comprises: (A) a proximal portion having a first thickness, wherein a section of the proximal portion having the first thickness extends about a first full circumference of the second tube, (B) a distal portion comprising a second thickness smaller than the first thickness, (C) a circumferential lip extending about a second full circumference of the second tube, wherein the circumferential lip is entirely located between the proximal portion and the distal portion, and (D) a distally projecting tongue associated with the distal portion of the second tube, wherein the clamp arm is pivotably coupled to the distally projecting tongue such that the distally projecting tongue is configured to flex relative to the first tube and a remainder of the second tube in response to the clamp arm grasping tissue. ### Claim 19 (depends on 18) The apparatus of claim 18, wherein the distally projecting tongue comprises a pair of distally projecting prongs. ### Claim 20 An apparatus, comprising: (a) an end effector, wherein the end effector comprises: (i) an ultrasonic blade, and (ii) a clamp arm configured to pivot toward and away from the ultrasonic blade; (b) a shaft assembly extending proximally from the end effector, wherein the shaft assembly comprises: (i) a first tube, wherein the clamp arm is pivotably coupled to the first tube, (ii) a second tube coaxially aligned with the first tube, wherein the first tube or the second tube is configured to translate relative to the other of the first tube or the second tube, wherein the clamp arm is configured to pivot toward and away from the ultrasonic blade in response to relative translation between the first tube and the second tube, wherein the second tube comprises: (A) a circumferential lip extending about a first full circumference of the second tube, wherein a first portion of the second tube extends proximally from the circumferential lip and comprises a first thickness, wherein a second portion of the second tube extends distally from the circumferential lip and comprises a second thickness which is smaller than the first thickness, wherein the second portion of the tube extends about a second full circumference of the second tube, and (B) a distally projecting tongue extending distally from the circumferential lip of the second tube, wherein the clamp arm is pivotably coupled to the distally projecting tongue such that the distally projecting tongue is configured to flex relative to the first tube and a remainder of the second tube in response to the clamp arm grasping tissue.