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

• US 20160338763A1
• 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., WEIHE, JASON G., ALLEN, JAMES D. IV, OLSON, JESSICA E.C.
• Granted Patent: US 9,918,780 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 17/2909 Handles
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 17/3205 Excision instruments
• 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 2017/00026 Conductivity or impedance, e.g. of tissue
• 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 2017/292 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 2017/2947 Pivots
• CPC Class Codes: A61B 2018/00327 Ear, nose or throat
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 34/37 : Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 34/76 : Manipulators having means for providing feel, e.g. force or tactile feedback
• 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 and supporting an end effector, a knife, and a trigger assembly. The knife is configured to translate between retracted and extended positions. The trigger assembly includes a trigger movable relative to the housing between un-actuated and actuated positions, and a linkage including an apex and first and second bases. The apex is rotatably coupled to the housing about a pivot. The first base is disposed on a first side of the apex and coupled to the trigger. The second base is disposed on a second side of the apex and coupled to the knife. In response to movement of the trigger from the un-actuated to the actuated position, the first base is moved proximally, the apex is rotated about the pivot, and the second base is moved distally to move the knife from the retracted to the extended position.

Claims

1. A surgical instrument, comprising:

a housing;

a shaft extending distally from the housing;

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

a knife slidably disposed within the shaft, the knife configured to translate through the shaft and relative to the end effector assembly between a retracted position and an extended position; and

a trigger assembly, including;

a trigger coupled to the housing and movable relative to the housing between an un-actuated position and an actuated position; and

a linkage defining a triangular configuration including an apex portion and first and second base portions, the apex portion rotatably coupled to the housing about a linkage pivot, the first base portion disposed on a first side of the apex portion and coupled to the trigger, the second base portion disposed on a second side of the apex portion and coupled to the knife, wherein, in response to movement of the trigger from the un-actuated position to the actuated position, the first base portion is moved proximally, the apex portion is rotated about the linkage pivot, and the second base portion is moved distally to thereby move the knife from the retracted position to the extended position.

2. The surgical instrument according to claim 1, wherein the trigger is pivotably coupled to the housing about a pivot pin, the trigger movable about the pivot pin and relative to the housing through an arc defined between the un-actuated and actuated positions.

3. The surgical instrument according to claim 2, wherein the first base portion is coupled to the trigger via a first pin-slot engagement and the second base portion is coupled to the knife via a second pin-slot engagement such that movement of the trigger through the arc translates the knife longitudinally.

4. The surgical instrument according to claim 2, further including a movable handle coupled to the housing and movable relative to the housing to actuate the end effector assembly.

5. The surgical instrument according to claim 4, wherein the movable handle is pivotably coupled to the housing about the pivot pin.

6. The surgical instrument according to claim 4, 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 movement of the movable handle relative to the housing.

7. The surgical instrument according to claim 6, wherein, in the extended position, the knife extends at least partially between the first and second jaw members to cut tissue grasped therebetween.

8. The surgical instrument according to claim 6, 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.

9. The surgical instrument according to claim 6, wherein at least one of the first and second jaw members defines a longitudinally-extending knife channel configured to at least partially receive the knife therein in the extended position.

10. The surgical instrument according to claim 9, wherein at least one of the first and second jaw members defines a window in communication with the longitudinally-extending knife channel thereof, and wherein, in the extended position, the knife extends through the window to protrude from an exterior of the at least one of the first and second jaw members.

11. A surgical instrument, comprising:

a housing;

a deployable member selectively deployable relative to the housing;

a trigger assembly, including;

a trigger pivotably coupled to the housing about a pivot pin and movable about the pivot pin relative to the housing through an arc defined between an un-actuated position and an actuated position; and

a linkage defining a triangular configuration including an apex portion and first and second base portions, the apex portion rotatably coupled to the housing about a linkage pivot, the first base portion disposed on a first side of the apex portion and coupled to the trigger via a first pin-slot engagement, the second base portion disposed on a second side of the apex portion and coupled to the deployable member via a second pin-slot engagement, wherein, in response to movement of the trigger through the arc from the un-actuated position to the actuated position, the first base portion is moved in a first direction, the apex portion is rotated about the linkage pivot, and the second base portion is moved in a second direction opposite the first direction to thereby longitudinally translate the deployable member from a retracted position to an extended position.

12. The surgical instrument according to claim 11, wherein the deployable member is a knife.

13. The surgical instrument according to claim 12, further including:

a shaft extending distally from the housing; and

an end effector assembly supported at a distal end of the shaft,

wherein the knife is slidably disposed within the shaft and configured to translate through the shaft and relative to the end effector assembly between the retracted and extended positions.

14. The surgical instrument according to claim 13, 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.

15. The surgical instrument according to claim 14, wherein, in the extended position, the knife extends at least partially between the first and second jaw members to cut tissue grasped therebetween.

16. The surgical instrument according to claim 15, wherein at least one of the first and second jaw members defines a longitudinally-extending knife channel configured to at least partially receive the knife therein in the extended position.

17. The surgical instrument according to claim 16, wherein at least one of the first and second jaw members defines a window in communication with the longitudinally-extending knife channel thereof, and wherein, in the extended position, the knife extends through the window to protrude from an exterior of the at least one of the first and second jaw members.

18. The surgical instrument according to claim 14, further including a movable handle coupled to the housing and movable relative to the housing to move the first and second jaw members between the spaced-apart and approximated positions.

19. The surgical instrument according to claim 18, wherein the movable handle is pivotably coupled to the housing about the pivot pin.

20. The surgical instrument according to claim 14, 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.