ARTICULATING BIPOLAR ELECTROSURGICAL INSTRUMENT

• US 20090018535A1
• Filed: 09/26/2008
• Published: 01/15/2009
• Est. Priority Date: 09/21/2004
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Kerr, Duane E., Bucciaglia, Joseph D., Schechter, David A., Nelson, Scott D., Solga, Stephen G., Henault, Mark R.
• Granted Patent: US 7,799,028 B2
• Time in Patent Office: Days
• US Class Current: 606/33
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion

Abstract

A bipolar electrosurgical instrument has a pair of pivotable juxtaposed jaw members and a locking mechanism operatively associated with a second of the jaw members. The locking mechanism has a first position engaged with the second jaw member for preventing movement of the second jaw member between an axially aligned orientation and at least one angled orientation, and a second position. The second position is disengaged from the second jaw member allowing for movement of the second jaw member between the axially aligned orientation and the at least one angled orientation. The instrument has an actuation mechanism operatively connected to a first of the jaw members with the actuation mechanism operable to move the first jaw member between an axially aligned first orientation and at least one angled orientation. An articulation knob is operatively associated with the locking mechanism and effectuates independent operation of the locking and actuation mechanisms.

Claims

1. A bipolar electrosurgical instrument, comprising:

a housing;

a handle assembly operatively associated with the housing;

a shaft extending from the housing, the shaft defining a longitudinal axis;

an end effector operatively associated with a distal end of the shaft, the end effector comprising;

a first jaw member pivotably coupled to the distal end of the shaft;

a second jaw member pivotably coupled to the distal end of the shaft and in juxtaposed relation to the first jaw member, the first and second jaw members being movable from a first orientation in which the first and the second jaw member are axially aligned with the longitudinal axis and a plurality of second orientations in which the first and second jaw members are angled with respect to the longitudinal axis, the first and second jaw members having an open condition in which the first and second jaws members are spaced from one another and a closed condition in which the first and second jaw members are substantially in close proximity to one another, the second jaw member comprising a plurality of inter-engagement elements;

a locking mechanism operatively associated with the second jaw member, the locking mechanism comprising;

a locking shaft extending longitudinally through the shaft, the locking shaft having a distal end operatively associated with the second jaw member and including a locking pin extending transversely from the distal end of the locking shaft, the locking pin selectively engagable with each of the plurality of inter-engagement elements of the second jaw member; and

an actuation mechanism operatively connected to the first jaw member, the actuation mechanism comprising;

an actuation shaft reciprocally and rotatably disposed in the locking shaft, the actuation shaft having a distal end and a proximal end; and

a band having a proximal end operatively connected to the distal end of the actuation shaft, and a distal end extending through an aperture formed in the distal end of the locking shaft and operatively connected to the first jaw member.

2. The electrosurgical instrument according to claim 1, further comprising:

an articulation knob operatively associated with the locking mechanism and the actuation mechanism, wherein the articulation knob effectuates independent operation of one of the locking mechanism and the actuation mechanism.

3. The electrosurgical instrument according to claim 2, wherein rotation of the articulation knob manipulates the actuation mechanism to move the first jaw member between the first orientation and the plurality of second orientations.

4. The electrosurgical instrument according to claim 2, wherein the locking mechanism comprises:

a first collar operatively connected to a proximal end of the locking shaft;

a pair of diametrically opposed connecting rods extending proximally from the first collar; and

a second collar operatively connected to the proximal end of at least one of the connecting rods, the second collar being rotatably supported on the articulation knob, wherein as the articulation knob is axially displaced in one of a proximal and distal directions, the connecting rods transmit the axial displacement of the articulation knob to the locking rod.

5. The electrosurgical instrument according to claim 1, wherein the actuation mechanism further comprises:

a lead screw operatively connected to a proximal end of the actuation shaft; and

a drive shaft operatively interconnecting the lead screw and the articulation knob;

wherein rotation of the articulation knob moves the drive shaft, and wherein the drive shaft transmits rotation to the lead screw, and

wherein and the lead screw axially displaces the actuation shaft.

6. The electrosurgical instrument according to claim 4, further comprising an indexing plate operatively associated with at least one of the connecting rods, the indexing plate operatively engagable with the articulation knob, the indexing plate defining a plurality of angular orientations for the second jaw member.

7. The electrosurgical instrument according to claim 1, wherein the second jaw member is biased to the axially aligned orientation.

8. The electrosurgical instrument according to claim 1, wherein the end effector further comprises a pivot pin extending through the first and the second jaw members, the pivot pin being transversely oriented with respect to the longitudinal axis, the pivot pin being coplanar with respect to a plane defined by a tissue contacting surface of the second jaw member.

9. The electrosurgical instrument according to claim 1, wherein the band is fabricated from a material capable of transmitting compressive and tensile loads.

10. The electrosurgical instrument according to claim 1, wherein the band comprises spring steel.

11. The electrosurgical instrument according to claim 1, further comprising electrodes disposed on the first and the second jaw members, the electrodes being in juxtaposed relation to one another when the first and the second jaw members are substantially aligned.

12. The electrosurgical instrument according to claim 1, wherein the second jaw member comprises a pair of spaced apart flanges extending proximally therefrom, wherein each flange is provided with at least one inter-engaging element, and wherein the first jaw member includes a knuckle extending proximally therefrom, the knuckle being disposed between the pair of flanges.

13. The electrosurgical instrument according to claim 12, wherein the band is pivotably connected to the knuckle at a predetermined location, the predetermined location being spaced a transverse distance from the pivot pin in the longitudinal axis.

14. The electrosurgical instrument according to claim 1, wherein the handle assembly further comprises a reverse pivoting handle.

15. The electrosurgical instrument according to claim 14, further comprising a series of linkages configured and adapted to urge the lead screw in a distal direction and drive the actuation shaft in the distal direction when the pivoting handle is squeezed.

16. An electrosurgical instrument, comprising:

an end effector operatively associated with a distal end of a shaft, the end effector comprising;

a first jaw member pivotably coupled to a distal end of the shaft;

a second jaw member pivotably coupled to the distal end of the shaft, wherein at least one of the first and the second jaw members comprise a plurality of inter-engagement elements; and

a plurality of electrodes with at least one electrode being operatively disposed on the first jaw member and at least another electrode being operatively disposed on the second jaw member, wherein the electrodes transmit radiofrequency energy therebetween;

wherein the first and second jaw members move from a first orientation in which the first and the second jaw member are axially aligned with a longitudinal axis of the shaft and a plurality of second orientations in which the first and the second jaw members are angled with respect to the longitudinal axis, the first and second jaw members having an open condition in which the first and second jaws members are spaced from one another and a closed condition in which the first and second jaw members are substantially in close proximity to one another;

a locking mechanism operatively associated with the second jaw member to prevent movement of the second jaw member between the first orientation and any of the plurality of second orientations, and a second position in which the locking mechanism is disengaged from the second jaw member and allows for movement of the second jaw member between the first orientation and any of the plurality of second orientations; and

an actuation mechanism operatively connected to at least one of the first jaw member and second jaw member, the actuation mechanism operable to move at least one of the first jaw member and second jaw member between the first orientation and the plurality of second orientations.

17. An electrosurgical instrument, comprising:

an end effector operatively associated with a distal end of a shaft, the end effector comprising;

a first jaw member pivotably coupled to a distal end of the shaft;

a second jaw member pivotably coupled to the distal end of the shaft; and

a plurality of electrodes with at least one electrode being operatively disposed on the first jaw member and at least another electrode being operatively disposed on the second jaw member, wherein the electrodes transmit radiofrequency energy therebetween;

wherein the end effector defines a longitudinal axis with the shaft when the end effector is in a coaxial position, and wherein the end effector is articulatable from an angle of about 0°

with respect to the longitudinal axis to an angle of about 60°

with respect to the longitudinal axis; and

wherein the first and the second jaw members are adapted to move between an open position and a closed position at any of a plurality of angular positions of the end effector.

18. The electrosurgical instrument of claim 17, wherein the first and the second jaw members are openable and closable, and wherein the end effector articulates by a single linkage.

19. The electrosurgical instrument of claim 17, further comprising a locking device for locking the end effector at any of the plurality of angular positions.

20. The electrosurgical instrument of claim 17, further comprising a cutting device, the cutting device traversing through a channel in at least one the first and the second jaw members.