# US 11,896,290 B2 · Dual stage energy activation for electrosurgical shears > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,896,290 B2 - Document ID: US11896290B2 - Status: Granted - Kind: B2 - Application number: 17/462,077 - Filed: 2021-08-31 - Published: 2022-02-17 - Granted: 2024-02-13 - Earliest claimed: 2018-05-25 - Assignees: Cilag GmbH International - Applicants: Cilag GmbH International - Inventors: Chad P. Boudreaux - Web page: https://patentgrep.com/patent/US11896290B2 ## CPC - A61B 18/1442: {Probes having pivoting end effectors, e.g. forceps} - A61B 18/1206: {Generators therefor} - A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod} - A61B 2018/00601: {Cutting} - A61B 2018/00607: {Coagulation and cutting with the same instrument} - A61B 2018/0063: {Sealing} - A61B 2018/00916: {with means for switching or controlling the main function of the instrument or device} - A61B 2018/00946: {slidable} - A61B 2018/126: {bipolar} - A61B 2018/1455: {having a moving blade for cutting tissue grasped by the jaws} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A surgical instrument includes an end effector, a handle assembly, and an electrode activation assembly. The end effector includes a first jaw, a second jaw, a knife, and an electrode assembly. The handle assembly includes a housing, and an arm. The arm can pivot the second jaw between the open position and the closed position. The arm can pivot relative to the housing between a first position, a second position, and a third position. The electrode activation assembly includes an activation button associated with the handle assembly, a resilient body, and a detent associated with either the housing or the arm. The activation button can activate the electrode assembly in response to the arm pivoting to the third position. The resilient body includes a first cam feature. The detent can engage the first cam feature as the arm pivots between the first position and the second position. ## Claims ### Claim 1 A surgical instrument, comprising: (a) an end effector, wherein the end effector comprises: (i) a first jaw, (ii) a second jaw operable to move relative to the first jaw between an open position and a closed position, and (iii) an electrode assembly; (b) a handle assembly, comprising: (i) a first body associated with the first jaw, and (ii) a second body associated with the second jaw, wherein the second body is configured to actuate the second jaw between the open position and the closed position, wherein the second body is configured to actuate relative to the first body between a first position, a second position, and a third position; and (c) an electrode activation assembly, comprising: (i) an activation component associated with the first body of the handle assembly, wherein the activation component is configured to activate the electrode assembly of the end effector is response to the second body actuating relative to the first body from the second position into the third position, (ii) a resilient body comprising a first cam feature, and (iii) a detent associated with either the first body or the second body, wherein the detent is configured to engage the first cam feature while the second body is in the second position to thereby inhibit the second body from actuating into the first position. ### Claim 2 (depends on 1) The surgical instrument of claim 1, wherein the second position is in between the first position and the third position. ### Claim 3 (depends on 1) The surgical instrument of claim 1, wherein the second body comprises an arm terminating proximally into a thumb ring. ### Claim 4 (depends on 3) The surgical instrument of claim 3, wherein the detent is associated with the thumb ring, wherein the resilient body is associated with the first body. ### Claim 5 (depends on 3) The surgical instrument of claim 3, wherein the arm comprises a resilient material. ### Claim 6 (depends on 5) The surgical instrument of claim 5, wherein the arm is configured to flex between the second position and the third position. ### Claim 7 (depends on 1) The surgical instrument of claim 1, wherein the end effector further comprises a knife configured to actuate between a pre-fired position and a fired position. ### Claim 8 (depends on 1) The surgical instrument of claim 1, further comprising a firing assembly associated with the first body of the handle assembly, wherein the first assembly is configured to actuate the knife between the pre-fired position and the fired position. ### Claim 9 (depends on 8) The surgical instrument of claim 8, wherein the firing assembly comprises a trigger slidably attached to the first body. ### Claim 10 (depends on 9) The surgical instrument of claim 9, wherein the firing assembly comprises a pinion configured to convert proximal translation of the trigger into distal translation of the knife. ### Claim 11 (depends on 10) The surgical instrument of claim 10, wherein the firing assembly further comprises a first rack coupled to the trigger and a second rack coupled to the knife. ### Claim 12 (depends on 1) The surgical instrument of claim 1, wherein the electrode activation assembly comprises a sliding body interposed between the second body and the activation component. ### Claim 13 (depends on 12) The surgical instrument of claim 12, wherein the activation component of the electrode activation assembly comprises a button. ### Claim 14 (depends on 12) The surgical instrument of claim 12, wherein the sliding body is biased away from the button via a spring. ### Claim 15 (depends on 1) The surgical instrument of claim 1, wherein the first body comprises a finger grip. ### Claim 16 A surgical instrument comprising: (a) an end effector, wherein the end effector comprises: (i) a first jaw, (ii) a second jaw coupled with the first jaw, wherein the second jaw is operable to move between an open position and a closed position, and (iii) an electrode assembly; (b) a handle assembly, wherein the handle assembly comprises: (i) a housing associated with the first jaw, and (ii) an arm associated with the second jaw, wherein the arm is configured to move the second jaw between the open position and the closed position, wherein the arm is configured to move relative to the housing between a first position, a second position, and a third position, wherein the second position is interposed between the first position and the third position, wherein the electrode assembly is configured to activate in response to the arm reaching the third position; and (c) an arm engagement assembly comprising: (i) a resilient body comprising a first cam feature, and (ii) a detent associated with the arm, wherein the resilient body is configured to resiliently deform through engagement of the first cam feature with the detent as the arm transitions from the first position to the second position, wherein the resilient body and the detent are configured to cooperate to inhibit the arm from moving from the second position toward the first position. ### Claim 17 (depends on 16) The surgical instrument of claim 16, wherein the arm is configured to flex in order to move between the second position and the third position. ### Claim 18 (depends on 16) The surgical instrument of claim 16, wherein the surgical instrument further comprises a knife configured to actuated through the first jaw and the second jaw in the closed position. ### Claim 19 (depends on 16) The surgical instrument of claim 16, wherein the second jaw is configured to remain in the closed position while the arm moves between the second position and the third position. ### Claim 20 A surgical instrument comprising: (a) an end effector, wherein the end effector comprises: (i) a first jaw, (ii) a second jaw coupled with the first jaw, wherein the second jaw is operable to move between an open position and a closed position, and (iii) an electrode assembly; (b) a handle assembly, wherein the handle assembly comprises: (i) a housing associated with the first jaw, and (ii) a resilient arm associated with the second jaw, wherein the resilient arm is configured to move the second jaw between the open position and the closed position, wherein the resilient arm is configured to move relative to the housing between a first position, a second position, and a third position, wherein the resilient arm is configured to flex while in the second position and the third position such that the second jaw remains in the closed position while the resilient arm is in both the second position and the third position; and (c) an arm engagement assembly comprising: (i) a resilient body comprising a first cam feature, and (ii) a detent configured to engage the first cam feature and thereby deform the resilient body as the arm transitions from the first position to the second position, wherein the resilient body is further configured to engage the detent after the arm reaches the second position to thereby inhibit the arm from moving from the second position toward the first position.