Reconfigurable electrosurgical device

• US 10,182,861 B2
• Filed: 08/19/2015
• Issued: 01/22/2019
• Est. Priority Date: 08/20/2014
• Status: Active Grant

• Current Assignee: Gyrus ACMI, Inc. (Olympus Corporation)
• Original Assignee: Gyrus ACMI, Inc. (Olympus Corporation)
• Inventors: Batchelor, Kester J, Curtis, Richard J., Windgassen, Ryan J.
• Primary Examiner(s): Giuliani, Thomas
• Application Number:
  US14/830,069
• Publication Number:
  US 20160051275A1
• Time in Patent Office: 1,252 Days
• Field of Search: 606 41, 606 42, 606 45, 606 48- 52, 607 99, 607101, 607113, 607115, 607116
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• CPC Class Codes: A61B 17/282 Jaws
• CPC Class Codes: A61B 17/2833 Locking means
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 18/085 Forceps, scissors
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00411 actuated by application of energy from an energy source outside the body
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00946 slidable
• CPC Class Codes: A61B 2018/00958 for switching between different working modes of the main function
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/146 Scissors
• CPC Class Codes: A61B 2018/1462 : Tweezers

Abstract

The disclosure describes an electrosurgical device comprising: forceps including: a first and a second working arm; a blade; wherein the device is switchable between: (A) a first configuration where the first and second working arms move towards each other to grasp tissue therebetween; (B) a second configuration where the first and second working arms are secured together to prevent movement of the first and second working arm towards each other; and (C) a third configuration where the first and second working arms are secured together and are prevented from moving towards each other, and the blade is substantially flush with or extends beyond a distal end of the first and second working arms; and wherein the device delivers a bipolar current, and prevents current from flowing from the blade when in the first configuration and the second configuration; and delivers current through the blade when in the third configuration.

Claims

1. An electrosurgical device comprising:

forceps including;

i. a first working arm including an arm securing mechanism;

ii. a second working arm including an arm securing mechanism; and

iii. a slider including an immobilization member that is extendable between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm;

a blade;

wherein the electrosurgical device is capable of being switched between;

A. a first mechanical configuration where the first working arm and second working arm are free to move towards each other to grasp tissue therebetween;

B. a second mechanical configuration where the first working arm and second working arm are secured together by the immobilization member extending between the arm securing mechanism of the first working arm and the arm securing member of the second working arm so that movement of the first working arm and the second working arm towards each other is prevented; and

C. a third mechanical configuration where the first working arm and second working arm are secured together by the immobilization member extending between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm so that the first working arm and the second working arm are prevented from moving towards each other, and the blade is substantially flush with or extends beyond a distal end of the first working arm and the second working arm; and

wherein the electrosurgical device is configured to;

deliver a bipolar current between the first working arm and the second working arm, and to prevent current from flowing from the blade when the electrosurgical device is in the first mechanical configuration and the second mechanical configuration; and

deliver current through the blade when the electrosurgical device is in the third mechanical configuration.

2. The electrosurgical device of claim 1, wherein the electrosurgical device is configured to deliver current through the blade and return current through the first working arm, the second working arm, both working arms, or a remote electrode when the electrosurgical device is in the third mechanical configuration.

3. The electrosurgical device of claim 1, wherein the electrosurgical device is configured to deliver the bipolar current through the first working arm and the second working arm when the electrosurgical device is in the third mechanical configuration.

4. The electrosurgical device of claim 1, wherein the blade in the first mechanical configuration is retracted so that a distal end of the blade is located proximal of the first working arm and the second working arm.

5. The electrosurgical device of claim 1, wherein the blade in the second mechanical configuration is retracted so that a distal end of the blade is located proximal of the first working arm and the second working arm.

6. The electrosurgical device of claim 1, wherein a distal end of the blade is substantially flush with the distal end of the first working arm and the second working arm in the third mechanical configuration and extends beyond the first working arm and the second working arm in a fourth mechanical configuration.

7. The electrosurgical device of claim 1, wherein the arm securing mechanisms on the first working arm and the second working arm further comprise a selectively engageable electromagnetic latch;

and

wherein the first working arm and second working arm are free to move towards each other so as to grasp tissue therebetween when the electromagnetic latch is not activated and energized, and the first working arm and second working arm are biased towards each other by a force when the electromagnetic latch is activated and energized.

8. The electrosurgical device of claim 1, wherein the arm securing mechanism connected to the first working arm further comprises a slidable latch plate connected to the first working arm, and

the arm securing mechanism connected to the second working arm further comprises an engagement tongue;

and

wherein when the electrosurgical device is in the first mechanical configuration the latch plate is in a first position allowing the first working arm and second working arm to freely move towards and away from each other so as to grasp tissue therebetween and release the grasped tissue, and when the electrosurgical device is in the second mechanical configuration the latch plate is in a second position and engages the engagement tongue to secure the first working arm and second working arm to prevent movement of the first working arm and the second working arm towards each other.

9. The electrosurgical device of claim 1, wherein the electrosurgical device is capable of being switched between:

the first mechanical configuration,

the second mechanical configuration,

the third mechanical configuration where the first working arm and second working arm are secured together by the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm to prevent movement of the first working arm and the second working arm towards or away from each other, and the blade is extended by a blade extending mechanism so that a distal end of the blade is substantially flush with the distal end of the first working arm and the second working arm, and

a fourth mechanical configuration where the first working arm and second working arm are secured together by the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm to prevent movement of the first working arm and the second working arm towards or away from each other, and the blade is extended by the blade extending mechanism to extend beyond the distal end of the first working arm and the second working arm;

wherein the electrosurgical device is configured to;

deliver the bipolar current through the first working arm and the second working arm, and to prevent current from flowing from the blade when the electrosurgical device is in the first mechanical configuration or the second mechanical configuration; and

deliver current through the blade when the electrosurgical device is in the third mechanical configuration or the fourth mechanical configuration.

10. The electrosurgical device of claim 9, wherein the first working arm and the second working arm extend on opposing sides of the blade and grip the blade in the third mechanical configuration, and the fourth mechanical configuration.

11. An electrosurgical device comprising:

forceps including;

i. a first working arm including an arm securing mechanism;

ii. a second working arm including an arm securing mechanism;

iii. a first slider; and

iv. a second slider including an immobilization member that is extendable between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm;

a blade connected to the first slider;

wherein the electrosurgical device is capable of being switched between;

A. a first mechanical configuration where the first working arm and second working arm are free to move towards each other to grasp tissue therebetween;

B. a second mechanical configuration where movement of the first working arm and the second working arm towards each other is prevented; and

C. a third mechanical configuration where the first working arm and the second working arm are prevented from moving towards each other, and the blade is substantially flush with or extends beyond a distal end of the first working arm and the second working arm; and

wherein the electrosurgical device is configured to;

deliver a bipolar current between the first working arm and the second working arm, and to prevent current from flowing from the blade when the electrosurgical device is in the first mechanical configuration and the second mechanical configuration; and

deliver current through the blade when the electrosurgical device is in the third mechanical configuration;

wherein the immobilization member extends between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm and secures the first working arm and second working arm together when the electrosurgical device is in the second mechanical configuration, the third mechanical configuration, or both.

12. The electrosurgical device of claim 11, wherein the electrosurgical device includes a shuttle that connects to both the first slider and the second slider.

13. An electrosurgical device comprising:

a forceps including;

i. a first working arm including an arm securing mechanism;

ii. a second working arm including an arm securing mechanism; and

iii. a slider including an immobilization member that is extendable between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm;

a blade;

wherein the electrosurgical device is capable of being switched between;

a first mechanical configuration where the first working arm and the second working arm are free to move towards each other so as to grasp tissue therebetween;

a second mechanical configuration where the first working arm and second working arm are secured together by the immobilization member extending between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm to prevent movement of the first working arm and the second working arm towards or away from each other, the blade is locked between the first working arm and the second working arm, and the blade is extended by a blade extending mechanism to have a distal end of the blade flush with a distal end of the working arms, and a third mechanical configuration wherein the first working arm and second working arm are secured together by the immobilization member extending between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm to prevent movement of the first working arm and the second working towards or away from each other, and the blade is extended by the blade extending mechanism to have the distal end of the blade extend beyond the distal end of the working arms;

wherein the electrosurgical device is configured to;

deliver a bipolar current through the first working arm and the second working arm, and to prevent current from flowing from the blade when the electrosurgical device is in the first mechanical configuration; and

deliver current through the blade when the electrosurgical device is in the second mechanical configuration or third mechanical configuration.

14. The electrosurgical device of claim 13, wherein the electrosurgical device is capable of being switched between:

the first mechanical configuration,

the second mechanical configuration,

the third mechanical configuration, and

a fourth mechanical configuration;

wherein the electrosurgical device is configured to;

deliver the bipolar current through the first working arm and the second working arm, and to prevent current from flowing from the blade when the electrosurgical device is in the first mechanical configuration or the fourth mechanical configuration; and

deliver current through the blade when the electrosurgical device is in the third mechanical configuration or the second mechanical configuration.

15. The electrosurgical device of claim 13, wherein the arm securing mechanism of the first working arm is connected to and extends from the first working arm and the arm securing mechanism of the second working arm is connected to and extends from the second working arm.

16. The electrosurgical device of claim 15, wherein the arm securing mechanism of the first working arm is an immobilizing arm and the arm securing mechanism of the second working arm is an immobilization arm.

17. The electrosurgical device of claim 13, wherein the blade extending mechanism is a first slider that moves the blade between each of the first mechanical configuration, the second mechanical configuration, third mechanical configuration, or a combination thereof.

18. The electrosurgical device of claim 13, wherein the first working arm and the second working arm extend on opposing sides of the blade and grip the blade in the second mechanical configuration, and the third mechanical configuration so that the blade is prevented from moving.