# US 2014/0194874 A1 · Electrosurgical end effector with independent closure feature and blade

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- Number: US 2014/0194874 A1
- Document ID: US20140194874A1
- Status: Published application
- Kind: A1
- Application number: 13/738,329
- Filed: 2013-01-10
- Published: 2014-07-10
- Earliest claimed: 2013-01-10
- Applicants: Ethicon Endo-Surgery, Inc.
- Inventors: Timothy G. Dietz; Mary E. Mootoo; David A. Witt; Zhifan F. Huang; Jeffrey L. Aldridge; Geoffrey S. Strobl; David K. Norvell; Jerome R. Morgan; Raymond M. Banks
- Web page: https://patentgrep.com/patent/US20140194874A1

## CPC

- A61B 18/1447: {wherein sliding surfaces cause opening/closing of the end effectors}
- A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod}
- A61B 18/1482: {having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy}
- A61B 18/1485: {having a short rigid shaft for accessing the inner body through natural openings}
- A61B 2017/2923: {Toothed members, e.g. rack and pinion}
- A61B 2017/2933: {camming or guiding means}
- A61B 2018/00196: {reciprocating lengthwise}
- A61B 2018/00601: {Cutting}
- A61B 2018/00619: {Welding}
- A61B 2018/0063: {Sealing}
- A61B 2018/00648: {using more than one sensed parameter}
- A61B 2018/00702: {Power or energy}
- A61B 2018/00815: {measured by a thermistor}
- A61B 2018/00875: {Resistance or impedance}
- A61B 2018/00892: {Voltage}
- A61B 2018/00898: {Alarms or notifications created in response to an abnormal condition}
- 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

An apparatus includes a body, an end effector, and outer beam, and an inner beam. The body comprises an actuator. The end effector is in communication with the body and has a first jaw and a second jaw. The outer beam is able to advance within the end effector such that the outer beam closes the second jaw toward the first jaw. The advancement of the outer beam is controlled mainly by the actuator. The inner beam is also able to advance within the end effector such that the inner beam transects tissue. The actuator is operable to control the advancement of the inner beam in at least two stages. The actuator advances the inner beam and the outer beam together in a first state. The actuator advances the inner beam while the outer beam remains stationary in a second stage.

## Claims

### Claim 1

An apparatus for operating on tissue, the apparatus comprising:
(a) a body comprising an actuator;
(b) an end effector in communication with the body, wherein the end effector comprises a first jaw and a second jaw configured to clamp tissue;
(c) an outer beam configured to advance within the end effector, wherein the outer beam is configured to close the second jaw toward the first jaw, wherein the actuator is configured to advance the outer beam within the end effector; and
(d) an inner beam configured to advance within the end effector, wherein the inner beam is configured to transect tissue, wherein the actuator is configured to control the advancement of the inner beam in at least two stages, wherein the actuator is configured to advance the inner beam and the outer beam together in a first stage, wherein the actuator is configured to advance the inner beam while the outer beam remains stationary in a second stage.

### Claim 2 (depends on 1)

The apparatus of claim 1, wherein the inner beam is shaped as an I-beam, wherein, the outer beam is shaped as a C-beam.

### Claim 3 (depends on 2)

The apparatus of claim 2, wherein the C-beam encompasses at least part of the I-beam.

### Claim 4 (depends on 1)

The apparatus of claim 1, wherein the body comprises a rack and pinion configured to advance the inner beam as the actuator is actuated.

### Claim 5 (depends on 1)

The apparatus of claim 1, further comprising a spring in communication with the inner beam such that the spring applies a proximal bias to the inner beam.

### Claim 6 (depends on 1)

The apparatus of claim 1, further comprising a pawl feature, wherein the inner beam comprises a pawl pocket, wherein the outer beam comprises a pawl pivot wherein the pawl feature is configured to longitudinally couple the inner beam and the outer beam, wherein the pawl feature is rotatable to disengage the inner beam from the outer beam.

### Claim 7 (depends on 6)

The apparatus of claim 6, wherein the pawl feature is configured to position within the pawl pocket as the inner beam advances relative to the outer beam.

### Claim 8 (depends on 7)

The apparatus of claim 7, wherein the pawl pivot is spring biased to rotate to an orientation parallel to the outer beam.

### Claim 9 (depends on 6)

The apparatus of claim 6, wherein the inner beam is configured to retract relative to the outer beam to cause the pawl feature to rotate.

### Claim 10 (depends on 1)

The apparatus of claim 1, wherein the outer beam is configured to advance distally ahead of the inner beam.

### Claim 11 (depends on 1)

The apparatus of claim 1, further comprising a ramp feature, wherein the inner beam comprises detent feature, wherein the outer beam comprises a detent pocket, wherein the ramp is configured to lower or raise the inner beam within the end effector such that the detent feature disengages and engages the detent pocket.

### Claim 12 (depends on 11)

The apparatus of claim 11, wherein the inner beam comprises an upper flange, wherein the outer beam defines a clearance for the upper flange to lower or raise within the clearance.

### Claim 13 (depends on 11)

The apparatus of claim 11, wherein the inner beam comprises a lower flange operable to engage the ramp feature.

### Claim 14 (depends on 11)

The apparatus of claim 11, wherein the inner beam is configured to transect at least a portion of tissue as the inner beam rides along the ramp feature.

### Claim 15 (depends on 11)

The apparatus of claim 11, wherein the detent feature is configured to re-engage the detent pocket as the inner beam is retracted.

### Claim 16

An apparatus comprising:
(a) a body comprising an actuator operable to be manually manipulated by a user;
(b) an end effector extending from the body, wherein the end effector is configured to grasp a portion of tissue;
(c) a first beam extending through the end effector, wherein the first beam is configured to advance within the end effector;
(d) a second beam extending through the end effector, wherein the second beam is configured to advance with the first beam when the second beam has engaged the first beam, wherein the second beam is further configured to remain longitudinally stationary when the second beam has disengaged the first beam; and
(e) an engagement feature configured to selectively engage the second beam with the first beam within the end effector.

### Claim 17 (depends on 16)

The apparatus of claim 16, wherein the engagement feature comprises a pawl feature.

### Claim 18 (depends on 16)

The apparatus of claim 16, wherein the engagement feature comprises a detent feature.

### Claim 19 (depends on 16)

The apparatus of claim 16, wherein the first beam comprises an I-beam, wherein the second beam comprises a C-beam.

### Claim 20

An apparatus for operating on tissue, the apparatus comprising:
(a) a body comprising an actuator;
(b) an end effector in communication with the body, wherein the end effector comprises a first jaw and a second jaw configured to clamp tissue; and
(c) a translating member operable to translate through the first and second jaws, wherein the translating member comprises:
(i) a vertical blade, and
(ii) an upper flange disposed above the vertical blade, wherein at least part of the upper flange is positioned to translate through a channel formed in the first jaw, wherein the upper flange is resiliently biased to drive the first jaw toward the second jaw.
