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

• US 20160338764A1
• 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, STAMM, STEPHEN J., OLSON, JESSICA E.C., WEIHE, JASON G.
• Granted Patent: US 9,918,781 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 17/285 combined with cutting implements
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2017/00353 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 2017/2916 pins in guiding slots
• 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 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 Sealing
• 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 from the housing, and end effector, a drive plate, and a knife member. The shaft defines a rectangular configuration. The end effector includes first and second jaw members coupled to one another via a pivot pin extending between long sides of the shaft and movable about the pivot pin between spaced-apart and approximated positions. The drive plate is configured such that translation of the drive plate through the shaft and relative to the end effector assembly pivots the jaw members. The drive plate defines surfaces that are parallel to the long sides of the shaft. The knife member is configured to translate through the shaft and relative to the end effector assembly between retracted and extended positions. The knife member defines surfaces that are parallel to the surfaces of the drive plate and the long sides of the shaft.

Claims

1. A surgical instrument, comprising:

a housing;

a shaft extending distally from the housing, the shaft defining a rectangular cross-sectional configuration and including opposed short sides and opposed long sides;

an end effector assembly including first and second jaw members pivotably coupled to one another and the shaft via a pivot pin extending between the opposed long sides of the shaft, the first and second jaw members movable relative to one another about the pivot pin between a spaced-apart position and an approximated position for grasping tissue therebetween;

a drive plate slidably disposed within the shaft and operably coupled to the end effector assembly such that translation of the drive plate through the shaft and relative to the end effector assembly moves the first and second jaw members between the spaced-apart and approximated positions, the drive plate defining a pair of surfaces disposed within planes extending in parallel orientation relative to the opposed long sides of the shaft;

a knife member slidably disposed within the shaft, the knife member configured to translate through the shaft and relative to the end effector assembly between a retracted position and an extended position wherein the knife member extends at least partially between the first and second jaw members, the knife member defining a pair of surfaces disposed within planes extending in parallel orientation relative to the surfaces of the drive plate and the opposed long sides of the shaft.

2. The surgical instrument according to claim 1, wherein the drive plate further includes at least one track edge extending longitudinally along one of the surfaces thereof, the at least one track edge configured to receive an edge of the knife member to guide translation of the knife member relative to the drive plate.

3. The surgical instrument according to claim 1, wherein the drive plate further includes a pair of spaced-apart track edges extending longitudinally along one of the surfaces thereof, the track edges configured to receive the knife member therebetween to guide translation of the knife member relative to the drive plate.

4. The surgical instrument according to claim 1, further including:

a movable handle coupled to the housing; and

a drive assembly operably coupling the movable handle and the drive plate such that movement of the movable handle relative to the housing between an initial position and a compressed position translates the drive plate through the shaft and relative to the end effector assembly.

5. The surgical instrument according to claim 4, wherein the drive assembly includes a slider assembly and wherein a portion of the drive plate is slidably disposed on the slider assembly.

6. The surgical instrument according to claim 5, wherein the movable handle is movable relative to the housing between the initial and compressed positions through an arc and wherein the movable handle is operably coupled to a mandrel of the slider assembly such that movement of the movable handle through the arc translates the slider assembly longitudinally through the housing.

7. The surgical instrument according to claim 4, wherein the movable handle defines a cut-out configured to slidably receive the drive plate.

8. The surgical instrument according to claim 4, 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 8, further including an energy activation assembly disposed on the housing, wherein the movable handle is movable from the compressed position to an activated position to activate the energy activation assembly to supply energy to the at least one of the first and second jaw members.

10. The surgical instrument according to claim 4, further including a trigger assembly, including:

a trigger coupled to the housing; and

a linkage operably coupling the trigger and the knife member such that movement of the trigger relative to the housing between an un-actuated position and an actuated position translates the knife member between the retracted position and the extended position.

11. The surgical instrument according to claim 10, wherein the trigger and the movable handle are pivotably coupled to the housing about a common pivot pin.

12. The surgical instrument according to claim 10, wherein the trigger is movable relative to the housing between the un-actuated position and the actuated position through an arc and wherein the trigger assembly further includes a linkage coupling the trigger and the knife member such that movement of the trigger through the arc is converted into longitudinal translation of the knife member.

13. The surgical instrument according to claim 1, wherein the first and second jaw members are curved along the lengths thereof, the first and second jaw members curving towards one of the opposed long sides of the shaft.

14. The surgical instrument according to claim 13, wherein the housing includes a barrel portion and a fixed handle portion extending from the barrel portion in a direction parallel to the opposed short sides of the shaft.

15. The surgical instrument according to claim 14, wherein the first and second jaw members are curved away from the fixed handle portion of the housing.