SURGICAL INSTRUMENTS AND METHODS FOR PERFORMING TONSILLECTOMY, ADENOIDECTOMY, AND OTHER SURGICAL PROCEDURES

• US 20160338762A1
• Filed: 05/22/2015
• Published: 11/24/2016
• Est. Priority Date: 05/22/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: KRASTINS, CRAIG V., ALLEN, JAMES D. IV, OLSON, JESSICA E.C., WEIHE, JASON G.
• Granted Patent: US 9,918,779 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/26 Tonsillotomes, with or without means for stopping bleeding
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• 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 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/00424 ergonomic, e.g. fitting in fist
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/320044 Blunt dissectors blunt suture needles A61B2017/06085
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00184 Moving parts
• CPC Class Codes: A61B 2018/00327 : Ear, nose or throat
• CPC Class Codes: A61B 2018/00607 : Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0091 : Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/00928 : by sending a signal to an external energy source
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 90/03 : Automatic limiting or abutting means, e.g. for safety

Abstract

A surgical instrument includes a housing, a shaft extending therefrom, an end effector assembly supported by the shaft, a movable handle, and a drive assembly. The drive assembly includes a translatable drive member for actuating the end effector assembly, and a torsion spring including first and second legs. The first leg is configured to translate through the housing in response to movement of the movable handle relative to the housing. The second leg is configured to translate through the housing in cooperation with the first leg to move the drive member longitudinally when a force acting on the drive member is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position when the force acting on the drive member is equal to or exceeds the threshold force.

Claims

1. A surgical instrument, comprising:

a housing;

a shaft extending distally from the housing;

an end effector assembly coupled at a distal end of the shaft;

a movable handle coupled to the housing; and

a drive assembly operably coupling the movable handle and the end effector assembly, the drive assembly including;

a drive member configured to translate through the shaft and relative to the end effector assembly to actuate the end effector assembly; and

a torsion spring including a first leg and a second leg, the first leg operably coupled to the movable handle and configured to translate longitudinally through the housing in response to movement of the movable handle relative to the housing, the second leg operably coupled to the drive member and configured to translate longitudinally through the housing in cooperation with the first leg to thereby transfer longitudinal movement thereof into longitudinal movement of the drive member when a force acting on the drive member is less than a threshold force, the second leg configured to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position, in response to longitudinal movement of the first leg when the force acting on the drive member is equal to or exceeds the threshold force.

2. The surgical instrument according to claim 1, wherein the drive assembly further includes a slider including a housing portion operably retaining the torsion spring therein and a mandrel portion operably coupled to the movable handle, the slider configured to translate longitudinally through the housing in response to movement of the movable handle relative to the housing.

3. The surgical instrument according to claim 2, wherein the first leg of the torsion spring is engaged with the housing to bias the slider and wherein the second leg of the torsion spring is movable relative to the housing portion of the slider.

4. The surgical instrument according to claim 3, wherein a body portion of the torsion spring is rotatably supported on a post disposed within the housing portion of the slider, the post configured to enable tensioning of the torsion spring in response to movement of the first leg relative to the second leg.

5. The surgical instrument according to claim 1, wherein the first leg of the torsion spring is operably positioned relative to a block disposed within the housing to bias the drive member relative to the housing.

6. The surgical instrument according to claim 1, wherein the movable handle is movable relative to the housing between an initial position, a compressed position, and an activated position, wherein the second leg is configured to translate in cooperation with the first leg in response to movement of the movable handle between the initial and compressed positions, and wherein the second leg is configured to remain in fixed position in response to movement of the movable handle between the compressed and activated positions.

7. The surgical instrument according to claim 1, wherein the torsion spring is pre-loaded to a less-tensioned state and wherein, in response to longitudinal movement of the first leg when the force acting on the drive member is equal to or exceeds the threshold force, the torsion spring is further tensioned to a more-tensioned state.

8. The surgical instrument according to claim 1, wherein the end effector assembly includes first and second jaw members, at least one of the first and second jaw members movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween.

9. The surgical instrument according to claim 8, wherein the drive member is configured to translate through the shaft and relative to the end effector assembly to move the first and second jaw members between the spaced-apart and approximated positions.

10. The surgical instrument according to claim 8, wherein at least one of the first and second jaw members is adapted to connect to a source of energy for treating tissue grasped between the first and second jaw members.

11. The surgical instrument according to claim 10, further including an energy activation assembly disposed on the housing, the energy activation assembly including a switch configured to supply energy to the at least one of the first and second jaw members.

12. The surgical instrument according to claim 11, wherein the movable handle is movable relative to the housing between an initial position, a compressed position, and an activated position, wherein the second leg is configured to remain in fixed position in response to movement of the movable handle between the compressed and activated positions and wherein, in the activated position, at least a portion of the handle is configured to contact the energy activation assembly to activate the switch.

13. The surgical instrument according to claim 12, wherein the second leg is configured to translate in cooperation with the first leg in response to movement of the movable handle between the initial and compressed positions such that the first and second jaw members apply an appropriate closure force to tissue grasped therebetween.

14. The surgical instrument according to claim 13, wherein the appropriate closure force is maintained during movement of the movable handle between the compressed and activated positions.

15. A surgical instrument, comprising:

a movable handle;

a drive member;

a torsion spring including a body, a first leg, and a second leg, the second leg of the torsion spring engaged to the drive member; and

a slider, including;

a housing including a post rotatably supporting the body of the torsion spring thereon and configured to permit movement of the second leg of the torsion spring relative to the housing; and

a mandrel extending from the housing, the mandrel operably coupled to the movable handle such that movement of the movable handle longitudinally translates the slider,

wherein, when a force acting on the drive member is less than a threshold force, the slider and the second leg of the torsion spring configured to translate longitudinally through the housing in cooperation with one another in response to movement of the movable handle, thereby transferring longitudinal movement of the slider into longitudinal movement of the drive member, and

wherein, when the force acting on the drive member is equal to or exceeds the threshold force, the torsion spring is tensioned in response to movement of the movable handle such that the second leg of the torsion spring and the drive member remain in fixed position during longitudinal movement of the slider.

16. The surgical instrument according to claim 15, wherein the torsion spring is pre-loaded to a less-tensioned state and wherein, when the force acting on the drive member is equal to or exceeds the threshold force, the torsion spring is further tensioned to a more-tensioned state.

17. The surgical instrument according to claim 15, further including an end effector assembly operably coupled to the drive member, the drive member configured to translate relative to the end effector assembly to actuate the end effector assembly.

18. The surgical instrument according to claim 17, wherein the end effector assembly includes first and second jaw members, at least one of the first and second jaw members movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween in response to translation of the drive member relative to the end effector assembly.

19. The surgical instrument according to claim 18, wherein the movable handle is movable relative to the housing between an initial position, a compressed position, and an activated position, wherein the slider and the second leg of the torsion spring are configured to translate longitudinally through the housing in cooperation with one another in response to movement of the movable handle between the initial and compressed positions, and wherein the second leg of the torsion spring and the drive member remain in fixed position during longitudinal movement of the slider in response to movement of the movable handle between the compressed and activated positions.

20. The surgical instrument according to claim 19, wherein at least one of the first and second jaw members is adapted to connect to a source of energy for treating tissue grasped between the first and second jaw members.

21. The surgical instrument according to claim 20, wherein energy is supplied to the at least one of the first and second jaw members in response to movement of the movable handle to the activated position.

22. The surgical instrument according to claim 15, wherein the housing retains the first end of the torsion spring in fixed relation relative to the housing.

23. The surgical instrument according to claim 15, wherein the first leg of the torsion spring is operably positioned to bias the drive member in a longitudinal direction.