Surgical Instrument Partial Trigger Lockout Mechanism

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Solution Overview

Problem

Current electrosurgical instruments lack an efficient mechanism for simultaneously cutting and sealing tissue with bipolar RF energy, requiring complex control systems and mechanical lockouts to manage the cutting and sealing processes.

Innovation Solution

An electrosurgical device with a handpiece and end effector featuring a pivoting trigger, articulation control, and a firing beam that advances to sever tissue while applying bipolar RF energy to seal the tissue, utilizing a sliding linkage or dual cam mechanism to ensure jaws are fully closed before cutting, enhancing mechanical advantage and reducing the force required for tissue severance.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a complex control system and mechanical lockout are used to manage cutting and sealing processes, then tissue cutting and sealing can be controlled, but device complexity increases

Engineering Contradiction:
Improvecontrol of cutting and sealing processesVSAvoidcontrol system and mechanical lockout
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent combines the cutting and sealing control functions into a single integrated system. The firing trigger simultaneously controls both the cutting blade advancement and the bipolar RF energy delivery through a unified control mechanism, eliminating the need for separate control systems and mechanical lockouts that would otherwise be required to manage these processes independently.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The firing trigger serves multiple functions: it activates the cutting blade, controls RF energy delivery, and manages the sequencing of cutting and sealing operations. This multi-functional trigger mechanism replaces what would otherwise require multiple separate controls and mechanical lockout devices, thereby reducing overall system complexity while maintaining reliable control.

Inventive Principle:
Principle #6Universality (Multi-functionality)

2Productivity

If a firing beam advances to sever tissue, then tissue cutting is achieved, but operational force increases

Engineering Contradiction:
Improvetissue severing capabilityVSAvoidoperational force for cutting
Core Design Contradiction:
ProductivityVSForce

Solution Approach 1:

The patent replaces purely mechanical tissue cutting with a hybrid system where bipolar RF energy performs the primary cutting function. The firing beam delivers RF energy that severs tissue through thermal mechanisms rather than mechanical force, while a blade provides minimal mechanical assistance. This substitution dramatically reduces the operational force required compared to traditional mechanical cutting alone.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent changes the cutting mechanism from mechanical force-based to energy-based by applying bipolar RF energy. The firing beam delivers controlled electrical energy that transforms tissue through heating and vaporization, fundamentally changing the cutting parameter from mechanical force to thermal energy, thereby reducing the force burden on the mechanical cutting components.

Inventive Principle:
Principle #35Parameter changes

3Reliability

If bipolar RF energy is applied to seal tissue, then sealing performance is improved, but device complexity increases

Engineering Contradiction:
Improvesealing performanceVSAvoidbipolar RF energy application system
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent merges the sealing function into the existing firing beam structure. The bipolar RF energy delivery is integrated with the cutting mechanism, allowing the same firing trigger and beam structure to perform both cutting and sealing functions. This integration avoids adding a separate, complex sealing system while achieving reliable sealing performance through the energy already present in the firing beam.

Inventive Principle:
Principle #5Merging (Combining)

4Force

If a sliding linkage or dual cam mechanism is used to ensure jaws are fully closed before cutting, then mechanical advantage is enhanced, but device complexity increases

Engineering Contradiction:
Improvemechanical advantage for cuttingVSAvoidsliding linkage or dual cam mechanism
Core Design Contradiction:
ForceVSDevice complexity

Solution Approach 1:

The patent uses a linkage mechanism that automatically ensures the jaws are fully closed and properly positioned before the cutting and sealing actions occur. This preliminary positioning action is built into the firing sequence, where the trigger mechanism first closes the jaws completely, then activates the firing beam and blade. This preliminary action ensures optimal mechanical advantage without requiring complex adjustable linkages or cams.

Inventive Principle:
Principle #10Preliminary action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The device effectively cuts and seals tissue with reduced operational force and improved mechanical advantage, ensuring consistent sealing and cutting performance by integrating bipolar RF energy application with the firing mechanism, enhancing surgical efficiency.

Implementation Method 1

applying bipolar RF energy to seal the tissue

Methodology Applied
Scientific EffectBipolar RF energy heating: Joule Heating

Data Source

PatentUS9237923B2Surgical instrument with partial trigger lockout
Publication Date: 2016.01.19 CILAG GMBH INTERNATIONAL
  • US9237923B2 patent drawing
  • US9237923B2 patent drawing
  • US9237923B2 patent drawing

AI summary

An end effector comprises a first jaw, a second jaw, a firing beam, and a lockout feature. The second jaw pivots relative to the first jaw from an open position to a closed position. The firing beam has a sharp distal end and translates between the first and second jaws. The firing beam translates from a proximal position to a first distal position to pivot the second jaw to the closed position. The end effector applies bipolar RF energy when the firing beam is in the first distal position. The firing beam then translates to a second distal position to sever tissue captured between the first and second jaws. The lockout feature prevents the firing beam from advancing from the first distal position to the second distal position until the lockout feature is actuated.