Medical instrument

• US 5,312,434 A
• Filed: 12/21/1992
• Issued: 05/17/1994
• Est. Priority Date: 12/21/1992
• Status: Expired due to Term

• Current Assignee: Lawrence Crainich
• Original Assignee: Lawrence Crainich
• Inventors: Crainich, Lawrence
• Primary Examiner(s): Yasko, John D.
• Assistant Examiner(s): GRING, NOELLE K
• Application Number:
  US07/993,630
• Time in Patent Office: 512 Days
• Field of Search: 606/45, 606/52, 606/79, 606/167, 606/170, 606/171, 606/174, 606/207
• US Class Current: 606/207
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points

Abstract

A medical instrument includes an elongated tube; a jaw tool, mounted to an end of the elongated tube and having two jaw elements pivotally mounted to each other at a pivot point, each jaw element having an operative end and a linkage end, the operative end and the linkage end extending from the pivot point, the operative end and the linkage end of each jaw element being arranged in a substantially coplaner fashion; an actuating rod for opening and closing the jaw tool, the actuating rod having a thickness and being movably disposed within the elongated tube; a linkage assembly for linking the actuating rod with the jaw tool, comprising two link elements, each link element having a first end pivotally linked to the actuating rod and a second end pivotally linked to the linkage end of a respective jaw element, the first end and the second end of each link element being offset relative to one another so as to compensate for the thickness of the actuating rod and provide proper alignment of each link element between the actuating rod and a respective jaw element; and a handle mounted to the elongated tube and operably connected to the actuating rod so as to actuate the actuating rod whereby the handle can be used to actuate the jaw tool. The second end of each link element preferably interacts with the linkage end of a jaw element so as to provide a closing stop for limiting the extent of closing of the jaw elements.

Claims

1. A medical instrument, comprising:

an elongated tube having a first end and a second end;

jaw means, mounted to the first end of the elongated tube and having two jaw elements pivotally mounted to each other at a pivot point, each jaw element having an operative end and a linkage end, the operative end and the linkage end extending from the pivot point, the operative end and the linkage end of each jaw element being arranged in a substantially coplaner fashion;

an actuating rod for opening and closing the jaw means, the actuating rod having a longitudinal axis and a thickness and being movably disposed within the elongated tube;

linkage means for linking the actuating rod with the jaw means, comprising two link elements, each link element having a first end defined in a first plane and pivotally linked to the actuating rod and a second end defined in a second plane and pivotally linked to the linkage end of a respective jaw element, the first plane of the first end and the second plane of the second end of each link element being offset relative to one another in a direction substantially perpendicular to the longitudinal axis of the actuating rod so as to compensate for the thickness of the actuating rod and provide proper alignment of each link element between the actuating rod and a respective jaw element; and

handle means mounted to the second end of the elongated tube and operably connected to the actuating rod so as to actuate the actuating rod whereby the handle means can be used to actuate the jaw means.

4. A medical instrument according to claim 1, wherein each jaw element has an inner surface and an outer surface, and wherein inner surfaces of the two jaw elements are adjacent, the second end of each link element being pivotally linked to an inner surface of a respective jaw element.

5. A medical instrument according to claim 4, wherein the first end of each link element is laterally offset relative to the second end by a distance substantially equal to about one half of the thickness of the actuating rod.

6. A medical instrument according to claim 5, wherein the second end of each link element interacts with the linkage end of a jaw element so as to provide stop means for limiting the extent of closing of the jaw means.

7. A medical instrument according to claim 1, wherein the jaw means is a scissor means, and wherein the operative end of each jaw element is a scissor blade.

8. A medical instrument according to claim 1, wherein the jaw means is a grasper means, and wherein the operative end of each jaw element is a grasper arm having a serrated edge.

9. A medical instrument according to claim 1, further including an electrode connected with the elongated tube, and insulating means disposed around the tube and the electrode so as to electrically insulate an exterior surface of the elongated tube from the electrode while providing electrical communication between the electrode and the jaw means.

10. A medical instrument according to claim 9, wherein the electrode is an integral formed portion of the elongated tube.

11. A medical instrument according to claim 1, wherein the two link elements are linked to the actuating rod at opposite sides of the actuating rod through a single pin.

12. A medical instrument according to claim 1, wherein the first end and the second end of each link element are joined by a stepped portion and extend in substantially opposite directions from the stepped portion.

15. A medical instrument according to claim 1, wherein each link element is a substantially Z-shaped member wherein the first and second ends correspond to top and bottom arms of the Z-shaped member.

16. A medical instrument according to claim 6, wherein the second end of one link element of the two link elements interacts with the linkage end of a jaw element connected to the second end of the other link element.

2. A medical instrument according to claim l, wherein the elongated tube includes fork means at the first end, the jaw means being pivotally mounted on a pin disposed within the fork means.

3. A medical instrument according to claim 2, wherein the fork means is an integral formed portion of the elongated tube.

13. A medical instrument, comprising:

an elongated tube having a first end and a second end;

jaw means, mounted to the first end of the elongated tube and having two jaw elements pivotally mounted to each other at a pivot point, each jaw element having an operative end and a linkage end, the operative end and the linkage end extending from the pivot point, the operative end and the linkage end of each jaw element being arranged in a substantially coplaner fashion;

an actuating rod for opening and closing the jaw means, the actuating rod having a thickness and being movably disposed within the elongated tube;

linkage means for linking the actuating rod with the jaw means, comprising two link elements, wherein each link element is a substantially planar member lying in a main plane and having a first end lying in a first plane and a second end lying in a second plane, and wherein the first and second planes are substantially parallel to and laterally offset to opposite sides of the main plane of the link element, the first end of each link element being pivotally linked to the actuating rod and the second end being pivotally linked to the linkage end of a respective jaw element; and

handle means mounted to the second end of the elongated tube and operably connected to the actuating rod so as to actuate the actuating rod whereby the handle means can be used to actuate the jaw means.

14. A medical instrument, comprising:

an elongated tube having a first end and a second end;

jaw means, mounted to the first end of the elongated tube and having two jaw elements pivotally mounted to each other at a pivot point, each jaw element having an operative end and a linkage end, the operative end and the linkage end extending from the pivot point, the operative end and the linkage end of each jaw element being arranged in a substantially coplaner fashion;

an actuating rod for opening and closing the jaw means, the actuating rod having a thickness and being movably disposed within the elongated tube;

linkage means for linking the actuating rod with the jaw means, comprising two link elements, each link element comprising a body member having a stepped portion and a first end lying in a first plane and a second end lying in a second plane, the first and second ends being joined by and extending in opposite directions from the stepped portion so that the first and second planes of the first and second ends are laterally offset relative to one another, the first end of each link element being pivotally linked to the actuating rod and the second end being pivotally linked to the linkage end of a respective jaw element; and

handle means mounted to the second end of the elongated tube and operably connected to the actuating rod so as to actuate the actuating rod whereby the handle means can be used to actuate the jaw means.