Endoscopic Instrument

• US 20160008018A1
• Filed: 07/09/2015
• Published: 01/14/2016
• Est. Priority Date: 07/10/2014
• Status: Active Grant

• Current Assignee: Karl Storz Se & Co. Kg
• Original Assignee: Karl Storz Se & Co. Kg
• Inventors: Blase, Bastian, Rthig, Sebastian, Schlegel, Sebastian
• Granted Patent: US 9,999,435 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2017/0034 adapted to be inserted through a working channel of an endoscope
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping
• CPC Class Codes: A61B 2017/2906 Multiple forceps
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/293 with means preventing relative rotation between the shaft and the actuating rod
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking

Abstract

Endoscopic instrument having a shaft extending between a proximal end and a distal end along a longitudinal direction, wherein a working section on the distal end and an actuating element on the proximal end are operatively connected by a thrust element extending along the longitudinal direction, wherein the working section has a jaw piece with first and second jaw parts, which jaw piece is arranged pivotably on a jaw part holder, which is arranged in the shaft so as to be displaceable along the longitudinal direction and rotatable about the longitudinal direction and the thrust element is coupled to the jaw piece, wherein the jaw piece, in the closed state, can be retracted into the shaft, and a blocking device is provided in the instrument which is configured to block a retraction of the jaw piece into the shaft in a predefined angle range about the longitudinal direction.

Claims

1. Endoscopic instrument having a shaft which extends between a proximal end of the instrument and a distal end of the instrument along a longitudinal direction, wherein a working section is arranged on the distal end and an actuating element is arranged on the proximal end, which actuating element permits an actuation of the working section, wherein the working section and the actuating element are operatively connected by a thrust element which extends along the longitudinal direction, wherein the working section has a jaw piece with a first jaw part and a second jaw part, which jaw piece is arranged pivotably on a jaw part holder, wherein the jaw part holder is arranged in the shaft so as to be displaceable along the longitudinal direction and rotatable about the longitudinal direction and the thrust element is coupled to the jaw piece, wherein the jaw piece is configured such that, in the closed state, it can be retracted into the shaft, wherein, in the instrument, there is provided a blocking device which is configured to block a retraction of the jaw piece into the shaft in a predefined angle range about the longitudinal direction.

2. Endoscopic instrument of claim 1, wherein the blocking device has a first blocking element, which is arranged positionally fixedly relative to the shaft, and a second blocking element, which is arranged positionally fixedly relative to the jaw part holder.

3. Endoscopic instrument of claim 2, wherein the first blocking element is in the form of a groove, and the second blocking element is in the form of a projection.

4. Endoscopic instrument of claim 1, wherein the blocking device has a longitudinal groove, which is formed in the shaft along the longitudinal direction, and has a projection, which is arranged on the jaw part holder and which is guided in the longitudinal groove during a displacement of the jaw part holder along the longitudinal direction.

5. Endoscopic instrument of claim 1, wherein, on the distal end of the shaft, there is formed an annular groove into which the projection arranged on the jaw part holder can enter, such that the jaw part holder can be rotated about the longitudinal direction when the projection has entered the annular groove.

6. Endoscopic instrument of claim 1, wherein the blocking device has a longitudinal groove, which is formed in the shaft along the longitudinal direction, has an annular groove on the distal end of the shaft, and has a projection arranged on the jaw part holder, wherein the projection is guided in the longitudinal groove and in the annular groove.

7. Endoscopic instrument of claim 1, wherein the first jaw part and the second jaw part are pivotable about a common first axis and the jaw piece is coupled to the thrust element at a second axis, wherein the first axis and the second axis are spaced apart from one another.

8. Endoscopic instrument of claim 7, wherein the first axis is situated further distally than the second axis.

9. Endoscopic instrument of claim 1, wherein the first jaw part is coupled to the thrust element by way of a first articulated connection and/or the second jaw part is coupled to the thrust element by way of a second articulated connection.

10. Endoscopic instrument of claim 1, wherein, on the distal end of the shaft, there is formed a stop which delimits a displacement of the jaw part holder along the longitudinal direction at the distal side.

11. Endoscopic instrument of claim 1, wherein the thrust element is displaceable along the longitudinal direction relative to the jaw part holder at least when the jaw piece has been deployed out of the shaft.

12. Endoscopic instrument of claim 1, wherein the thrust element, when subjected to a thrust action toward the distal end, exerts on the jaw piece a force which can open the jaw piece, and the shaft is spatially configured such that an opening of the jaw piece in the shaft is prevented.

13. Endoscopic instrument of claim 1, wherein the thrust element has an elongate thrust shaft which is guided displaceably in a sleeve of the jaw part holder, wherein the sleeve is guided in a channel in the interior of the shaft.

14. Endoscopic instrument of claim 1, wherein the shaft has, at the distal end, a region which can be angularly deflected, and the angular deflection is controlled by an angular-deflection control element which can be actuated from the proximal end of the instrument.

15. Endoscopic instrument of claim 1, wherein a second working section is arranged on the distal end and a second actuating element is arranged on the proximal end, which second actuating element permits an actuation of the second working section, wherein the second working section and the second actuating element are operatively connected by way of a second thrust element which extends along the longitudinal direction, wherein the second working section has a second jaw piece with a third jaw part and with a fourth jaw part, which second jaw piece is pivotably arranged on a second jaw part holder, wherein the second jaw part holder is arranged in the shaft so as to be displaceable along the longitudinal direction and rotatable about the longitudinal direction, and the second thrust element is coupled to the second jaw piece, wherein the second jaw piece is configured such that, in the closed state, it can be retracted into the shaft, wherein, within the instrument, there is arranged a second blocking device which is configured to block a retraction of the second jaw piece into the shaft in a second angle range about the longitudinal direction.

16. Endoscopic instrument of claim 1, wherein the shaft has, on the distal end, an opening slot into which a projection of the blocking device can enter during a rotation about the longitudinal direction.

17. Endoscopic instrument of claim 1, wherein the angle range is at least 180°

.

18. Endoscopic instrument of claim 1, wherein the angle range is at least 335°

.