Vessel Sealer and Divider with Knife Lockout

• US 20110054469A1
• Filed: 08/27/2009
• Published: 03/03/2011
• Est. Priority Date: 08/27/2009
• Status: Active Grant

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Johnson, Larry, Kappus, John J., Gerhardt, Thomas J., Siebrecht, Wayne
• Granted Patent: US 8,430,876 B2
• Time in Patent Office: Days
• US Class Current: 606/46
• CPC Class Codes: A61B 17/295 combined with cutting implements
• 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 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

An endoscopic forceps includes a housing having a shaft attached thereto that supports a pair of jaws disposed at a distal end thereof. A drive assembly having a drive shaft with a proximal end is operable to move the jaws relative to one another from an open to closed positions. A knife assembly is operable to advance a knife through tissue disposed between the jaws and includes a flange disposed thereon. A knife lockout is included that has a flange configured to engage the proximal end of the drive shaft and a lockout arm configured to engage the flange of the knife assembly to prevent movement thereof. Movement of the jaws to the closed position causes the proximal end of the drive shaft to engage the flange on the lockout which causes the lockout arm to disengage the flange on the knife assembly to permit advancement of the knife.

Claims

1. An endoscopic forceps, comprising:

a housing having a shaft attached thereto, the shaft including a pair of jaw members disposed at a distal end thereof;

a drive assembly disposed in the housing and operable to move the jaw members relative to one another from an open position wherein the jaw members are disposed in spaced relation relative to one another to a closed position wherein the jaw members cooperate to grasp tissue therebetween, the drive assembly including a drive shaft having a proximal end;

a knife assembly operable to advance a knife through tissue disposed between the jaw members, the knife assembly including a mechanical interface disposed thereon; and

a knife lockout including a first mechanical interface configured to operably engage the proximal end of the drive shaft and a second mechanical interface configured to operably engage the mechanical interface of the knife assembly and prevent movement thereof, wherein movement of the jaw members to the closed position causes the proximal end of the drive shaft to engage the first mechanical interface which, in turn, causes the second mechanical interface to disengage the mechanical interface on the knife assembly to permit selective advancement of the knife.

2. An endoscopic forceps according to claim 1, further comprising a pair of handles operatively connected to the drive assembly, the handles being movable relative to the housing to actuate the drive assembly to move the jaw members.

3. An endoscopic forceps according to claim 1, wherein the knife assembly includes a knife shaft that seats within a cap of an elongated knife sleeve supported at a proximal end of the housing, the cap including a flange that extends therefrom that interfaces with the second mechanical of the knife lockout.

4. An endoscopic forceps according to claim 1, wherein engagement of said first mechanical interface with the proximal end of the drive shaft causes rotation of the second mechanical interface out of engagement with the mechanical interface of the knife assembly allowing selective actuation of the knife.

5. An endoscopic forceps according to claim 1, wherein the knife lockout includes an adjustment mechanism configured to precisely align the first mechanical interface of the knife lockout with the disposition of proximal end of the drive shaft when the jaw members are in the closed position.

6. An endoscopic forceps according to claim 5, wherein the adjustment mechanism includes an eccentric nut that is manually adjustable to align the knife lockout.

7. An endoscopic forceps according to claim 1, wherein the knife lockout includes a spring operable to bias the second mechanical interface of the knife lockout in an engaged position with the mechanical interface of the knife assembly.

8. An endoscopic forceps according to claim 1, wherein at least one jaw member is adapted to connect to an electrosurgical energy source for providing electrosurgical energy to tissue disposed between the jaw members.

9. A method of manufacturing a device for dividing tissue, comprising the steps of:

providing a forceps having;

a housing including a shaft attached thereto, the shaft having a pair of jaw members disposed at a distal end thereof;

a drive assembly disposed in the housing and operable to move the jaw members relative to one another from an open position wherein the jaw members are disposed in spaced relation relative to one another to a closed position wherein the jaw members cooperate to grasp tissue therebetween, the drive assembly including a drive shaft having a proximal end;

a knife assembly operable to advance a knife through tissue disposed between the jaw members, the knife assembly including a mechanical interface disposed thereon; and

a knife lockout including a first mechanical interface configured to operably engage the proximal end of the drive shaft and a second mechanical interface configured to operably engage the mechanical interface of the knife assembly and prevent movement thereof; and

actuating the drive assembly to move the jaw members to the closed position causing the proximal end of the drive shaft to engage the first mechanical interface which, in turn, causes the second mechanical interface to disengage the mechanical interface on the knife assembly and permit selective advancement of the knife.

10. A method according to claim 9, further comprising the step of biasing the knife lockout in a position to prevent translation of the knife blade.

11. A method of separating tissue, comprising the steps of:

positioning a knife lockout to prevent translation of a knife blade through a knife channel defined between a pair of jaw members;

actuating a drive assembly to close the pair of jaw members about tissue and position a proximal end of a drive shaft of the drive assembly to a proximal-most position; and

engaging a first mechanical interface extending from the knife lockout with the proximal end of the drive shaft to reposition a second mechanical interface of the knife lockout to allow translation of the knife blade.

12. A method according to claim 11, further comprising the step of biasing the knife lockout in a position to prevent translation of the knife blade.