Surgical instrument for dissecting tissue

• US 10,064,642 B2
• Filed: 01/08/2016
• Issued: 09/04/2018
• Est. Priority Date: 03/04/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Marczyk, Stanislaw, Banerjee, Saumya
• Primary Examiner(s): Woo, Julian W
• Application Number:
  US14/990,910
• Publication Number:
  US 20160256188A1
• Time in Patent Office: 970 Days
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/2922 toggle linkages
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A surgical instrument includes an end effector supported on a distal end of an elongated shaft, a clamping rod, and a measurement mechanism. The clamping rod extends through the elongated shaft and is operatively associated with the end effector to transition the first and second jaw members between open and clamped positions. The measurement mechanism includes a cylinder, a biasing member, and a locking member. The biasing member is disposed within the cylinder and is disposed over a proximal end of the clamping member distal to a piston disposed at a proximal end of the clamping rod. The cylinder is operatively associated with a moveable handle such that as the moveable handle is moved towards an actuated position, the cylinder is moved proximally such that the biasing member urges the clamping rod proximally to move the first and second jaw members towards the clamped position.

Claims

1. A surgical instrument comprising:

a body;

an elongated shaft extending from the body;

an end effector disposed at and supported on the distal end of the elongated shaft, the end effector including first and second jaw members moveable relative to one another between an open position and a clamped position;

a clamping rod extending from within the body, through the elongated shaft, and operatively associated with the end effector to transition the first and second jaw members between the open and clamped positions, the clamping rod having a piston disposed at a proximal end thereof;

a moveable handle pivotally mounted to the body and pivotable between an unactuated position and an actuated position;

a measurement mechanism including a cylinder, a biasing member, and a locking member, the biasing member disposed within the cylinder and disposed over the proximal end of the clamping rod distal to the piston, the cylinder pivotally coupled with the moveable handle such that as the moveable handle is moved towards the actuated position, the cylinder is moved proximally such that the biasing member urges the clamping rod proximally to move the first and second jaw members towards the clamped position.

2. The instrument of claim 1, wherein the biasing member is configured to prevent the first and second jaw members from clamping tissue greater than a predetermined tissue thickness, the biasing member configured to compress between the piston and the cylinder when the first and second jaw members are positioned over tissue having a thickness greater than the predetermined tissue thickness as the moveable handle is moved towards the actuated position.

3. The instrument of claim 1, wherein the measurement mechanism includes a clamp indicator/locking member fixed to the clamping rod distal to the cylinder, the clamp indicator/locking member including indicia of the position of the clamping rod relative to the body.

4. The instrument of claim 3, wherein the position of the clamping rod relative to the body is indicative of the thickness of tissue between the first and second jaw members.

5. The instrument of claim 3, further comprising a lever for advancing a knife through tissue clamped between the first and second jaw members.

6. The instrument of claim 5, further comprising a knife tube disposed over the clamping rod and being operatively associated with the knife, wherein advancement of the knife tube relative to the body advances the knife, and wherein the lever operatively coupled to the knife tube advances the knife as the lever is pivoted towards the fixed handle.

7. A surgical instrument comprising:

a body;

an elongated shaft extending from the body;

an end effector disposed at and supported on the distal end of the elongated shaft, the end effector including first and second jaw members moveable relative to one another between an open position and a clamped position;

a clamping rod extending from within the body, through the elongated shaft, and operatively associated with the end effector to transition the first and second jaw members between the open and clamped positions, the clamping rod having a piston disposed at a proximal end thereof;

a moveable handle pivotally mounted to the body and pivotable between an unactuated position and an actuated position;

a measurement mechanism including a cylinder, a biasing member, a locking member, and a clamp indicator/locking member, the biasing member disposed within the cylinder and disposed over the proximal end of the clamping rod distal to the piston, the cylinder operatively associated with the moveable handle such that as the moveable handle is moved towards the actuated position, the cylinder is moved proximally such that the biasing member urges the clamping rod proximally to move the first and second jaw members towards the clamped position, the clamp indicator/locking member fixed to the clamping rod distal to the cylinder, the clamp indicator/locking member including indicia of the position of the clamping rod relative to the body;

a lever for advancing a knife through tissue clamped between the first and second jaw members;

a knife tube disposed over the clamping rod and being operatively associated with the knife, wherein advancement of the knife tube relative to the body advances the knife, and wherein the lever operatively coupled to the knife tube advances the knife as the lever is pivoted towards the fixed handle; and

a knife lockout having a locking tab, the knife tube defining a locking notch, wherein the knife lockout is biased towards the knife tube such that the locking tab is received within the locking notch to prevent advancement of the knife.

8. The instrument of claim 7, wherein the knife lockout includes a release cam that is engaged by the clamp indicator/locking member when the clamping rod is retracted to a clamped position to disengage the locking tab of the knife lockout from the locking notch of the knife tube to permit the knife tube to advance the knife.

9. The instrument of claim 7, wherein the knife lockout is configured to prevent advancement of the knife when the first and second jaw members are in an open position.

10. A surgical instrument comprising:

a body;

an elongated shaft extending from the body;

an end effector disposed at and supported on the distal end of the elongated shaft, the end effector including first and second jaw members moveable relative to one another between an open position and a clamped position;

a clamping rod extending from within the body, through the elongated shaft, and operatively associated with the end effector to transition the first and second jaw members between the open and clamped positions, the clamping rod having a piston disposed at a proximal end thereof;

a moveable handle pivotally mounted to the body and pivotable between an unactuated position and an actuated position;

a measurement mechanism including a cylinder, a biasing member, a locking member, and a clamp indicator/locking member, the biasing member disposed within the cylinder and disposed over the proximal end of the clamping rod distal to the piston, the cylinder operatively associated with the moveable handle such that as the moveable handle is moved towards the actuated position, the cylinder is moved proximally such that the biasing member urges the clamping rod proximally to move the first and second jaw members towards the clamped position, the clamp indicator/locking member fixed to the clamping rod distal to the cylinder, the clamp indicator/locking member including indicia of the position of the clamping rod relative to the body; and

a clamp lock and the clamp indicator/locking member includes a clamp locking notch engagable by the clamp lock when the first and second jaw members are in the clamped position to secure the first and second jaw members in the clamped position.

11. The instrument of claim 10, further including a clamp release switch that is engagable to move the clamp lock out of engagement with the clamp locking notch.

12. A method for severing tissue, the method comprising:

positioning tissue between first and second jaw members of a surgical instrument;

pivoting a moveable handle of the surgical instrument to an actuated position, the moveable handle coupled to a cylinder by a link to move the cylinder proximally as the moveable handle is pivoted proximally, the cylinder including a clamping rod biasing member that urges the clamping rod proximally as the cylinder is moved proximally to move the first and second jaw members towards a clamped position; and

actuating a lever to advance a knife through the tissue between the first and second jaw members, the lever coupled to a knife tube disposed over the clamping rod.

13. The method of claim 12, further including verifying the thickness of the tissue between the first and second jaw members after pivoting the moveable handle to the actuated position through a window defined by the surgical instrument.

14. The method of claim 13, wherein verifying the thickness of the tissue includes observing the position of a tissue thickness indicator through the window, the tissue thickness indicator fixed relative to the clamping rod to provide indicia of the position of the clamping rod relative to a body of the surgical instrument.

15. The method of claim 14, wherein pivoting the moveable handle to the actuated position includes the first and second jaw members compressing tissue between the first and second jaw members in response to the clamping rod being urged proximally by the clamping rod biasing member, the clamping rod biasing member compressing in response to a thickness of the tissue being clamped.

16. The method of claim 12, wherein pivoting the moveable handle to the actuated position includes locking the clamping rod in the clamped position.

17. The method of claim 16, wherein locking the clamping rod in the clamped position includes locking the clamping rod with a clamp lock.

18. The method of claim 16, wherein locking the clamping rod in the clamped position includes a clamp lock engaging a clamp indicator/locking member fixed to the clamping rod, the clamp indicator/locking member engaging a knife lockout to permit a knife tube to advance when the clamping rod is in the clamped position.