Apparatus for Performing an Electrosurgical Procedure

• US 20110054471A1
• Filed: 08/27/2009
• Published: 03/03/2011
• Est. Priority Date: 08/27/2009
• Status: Abandoned Application

• 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
• Application Number:
  US12/548,534
• Publication Number:
  US 20110054471A1
• Time in Patent Office: Days
• US Class Current: 606/51
• 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 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1432 curved

Abstract

A surgical instrument is provided. The surgical instrument includes a housing having a shaft that extends therefrom that defines a longitudinal axis therethrough. An end effector assembly is operatively connected to a distal end of the shaft and includes a pair of first and second jaw members. The surgical instrument includes a handle assembly that includes a movable handle movable relative to a fixed handle operable to impart movement of the jaw members relative to one another. A rotating assembly is configured for rotating one of the shaft and end effector assembly about the longitudinal axis. The rotating assembly is supported in the housing and includes first and second drive. Each of the first and second drive wheels are selectively movable relative to the housing and configured such that rotation of the first drive wheel causes rotation of the second drive wheel and the shaft.

Claims

1. A forceps, comprising:

a housing having a shaft that extends therefrom that defines a longitudinal axis therethrough;

an end effector assembly operatively connected to a distal end of the shaft and having a pair of first and second jaw members, the first and second jaw members moveable from an open position wherein the jaw members are disposed in spaced relation relative to one another, to a clamping position wherein the jaw members cooperate to grasp tissue therebetween;

a handle assembly including a movable handle movable relative to a fixed handle operable connected to impart movement of the jaw members relative to each other; and

a rotating assembly for rotating the shaft and the end effector assembly about the longitudinal axis, the rotating assembly supported in the housing and including a first drive wheel defining an axis of rotation substantially perpendicular to the longitudinal axis of the shaft and a second drive wheel defining an axis of rotation substantially parallel to the longitudinal axis of shaft,

wherein each of the first and second drive wheels are selectively movable relative to the housing and configured such that rotation of the first drive wheel causes rotation of the second drive wheel and the shaft.

2. The forceps of claim 1, wherein the second drive wheel of the rotating assembly is operatively coupled to the shaft.

3. The forceps of claim 1, wherein each of the first and second drive wheels of the rotating assembly includes a beveled gear.

4. The forceps of claim 1, wherein the first drive wheel is accessible from a left and right side of the housing.

5. The forceps of claim 1, wherein the first drive wheel is knurled.

6. The forceps of claim 1, wherein the first drive wheel is oriented with respect to the second drive wheel at an angle that ranges from about 0°

to about 90°

.

7. The forceps of claim 1, wherein the rotating assembly includes at least one axle that is in mechanical communication with the first drive wheel that is movable relative to the axle.

8. The forceps of claim 7, wherein the drive wheel includes a bearing configuration to facilitate rotation of the first drive wheel with respect to the axle.

9. The forceps of claim 8, wherein the bearing configuration is selected from the group consisting of bushing, rolling element bearing, jewel bearing, fluid bearing, magnetic bearing and flexure bearings.

10. The forceps of claim 7, wherein the first drive wheel is fixedly coupled to the axle such that the first drive wheel and the axle rotate simultaneously.

11. The forceps of claim 10, wherein the axle is rotatably coupled to the housing and moveable relative thereto.

12. The forceps of claim 11, wherein the axle is coupled to the drive wheel and seats in opposite sides thereof within corresponding bores operatively associated within the cavity of housing.

13. A forceps, comprising:

a housing having a shaft that extends therefrom that defines a longitudinal axis therethrough;

an end effector assembly operatively connected to a distal end of the shaft and having a pair of first and second jaw members, the first and second jaw members moveable from an open position wherein the jaw members are disposed in spaced relation relative to one another, to a clamping position wherein the jaw members cooperate to grasp tissue therebetween;

a handle assembly including a movable handle movable relative to a fixed handle operable connected to impart movement of the jaw members relative to each other; and

a rotating assembly for rotating the shaft and the end effector assembly about the longitudinal axis, the rotating assembly supported in the housing and including a first drive wheel defining an axis of rotation substantially perpendicular to the longitudinal axis of the shaft and a second drive wheel defining an axis of rotation substantially parallel to the longitudinal axis of shaft,

wherein each of the first and second drive wheels are selectively movable relative to the housing and configured such that rotation of the first drive wheel causes rotation of the second drive wheel and the shaft.

14. The forceps of claim 13, wherein the first drive wheel includes a top surface that includes a pulley structure that includes top and bottom flanges with a circumferential groove defined therebetween.

15. The forceps of claim 14, wherein the second drive wheel includes front and rear flanges with a circumferential groove defined therebetween.

16. The forceps of claim 15, wherein the first and second drive wheels are in operative communication with each other via a belt that is movable within the circumferential grooves of the first and second drive wheels.

17. The forceps of claim 16, wherein the rotating assembly further includes at least one idler pulley configured to convert a rotational force of the first drive wheel to the second drive wheel.

18. The forceps of claim 17, wherein the belt extends from the first drive wheel in a plane that is parallel to the top surface of the first drive wheel.

20. The surgical instrument of claim 18, wherein the second drive wheel of the rotating assembly is operatively coupled to the shaft and wherein each of the first and second drive wheels of the rotating assembly is a beveled gear.

19. A surgical instrument configured to manipulate tissue, the surgical instrument comprising:

a housing having a shaft that extends therefrom that defines a longitudinal axis therethrough;

an end effector assembly operatively connected to a distal end of the shaft and having a pair of first and second jaw members, the first and second jaw members moveable from an open position wherein the jaw members are disposed in spaced relation relative to one another, to a clamping position wherein the jaw members cooperate to grasp tissue therebetween;

a handle assembly including a movable handle movable relative to a fixed handle operable to impart movement of the jaw members relative to one another; and

a rotating assembly for rotating the shaft and the end effector assembly about the longitudinal axis, the rotating assembly being supported in the housing and including a first drive wheel defining an axis of rotation substantially perpendicular to the longitudinal axis of the shaft and a second drive wheel defining an axis of rotation substantially parallel to the longitudinal axis of shaft,

wherein each of the first and second drive wheels are selectively movable relative to the housing, wherein each of the first and second drive wheels includes a toothless surface and tooth bearing surface, the plurality of teeth associated with the first drive wheel configured to mesh with the plurality of teeth associated with the second drive wheel such that rotation of the first drive wheel causes rotation of the second drive wheel and the shaft.