Endoscoptic surgical instrument with guided jaws and ratchet control

• US 5,499,998 A
• Filed: 03/10/1995
• Issued: 03/19/1996
• Est. Priority Date: 09/14/1993
• Status: Expired due to Term

• Current Assignee: Conmed Corporation (Jefferies Financial Group, Inc.)
• Original Assignee: Microsurge, Inc. (Imagyn Medical Technologies, Inc.)
• Inventors: Meade, John C.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US08/401,645
• Time in Patent Office: 375 Days
• Field of Search: 606/51, 606/52, 606/83, 606/127, 606/128, 606/170, 606/174, 606/205-211, 294/99.2, 128/751-755, 81/418
• US Class Current: 606/207
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/2837 with a locking ratchet
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2934 arcuate shaped guiding means
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: A61B 90/70 Cleaning devices specially adapted for surgical instruments

Abstract

A surgical instrument comprising a handle assembly with a detachable tool assembly is disclosed. The tool assembly comprises rotatable jaws having arc defining portions near their proximal ends which define arcs having arc centers displaced from the jaws. The jaws are coupled to the distal end of an inner rod which is longitudinally translatable within an outer sleeve. When the inner rod is translated, a guide member at the distal end of the outer sleeve contacts the arc defining portion of the jaws such that each jaw rotates about the center of its arc. The handle assembly comprises a trigger which engages a translation member on the inner rod. As the trigger is rotated, the translation member carries the inner rod back and forth to actuate the jaws. The translation member is coupled to the inner rod via a coupler having a spring which limits the closing force applied to the jaws. The instrument also includes a ratchet feature function which allows closing force to be applied to the jaws in increments and also allows the jaws to be held in a closed position at a desired closing force.

Claims

1. A surgical instrument comprising:

a tool assembly comprising;

an elongate jaw actuation device having a proximal end and a distal end, the jaw actuation device comprising;

an outer sleeve,

an inner rod within the outer sleeve, one of the inner rod and the outer sleeve being longitudinally translatable relative to the other, and

a guide member coupled to the distal end of the jaw actuation device, and

first and second rotatable jaws, each rotatable jaw comprising an arc defining portion shaped to define an arc having a center which is displaced from the jaw, the rotatable jaws being coupled to the distal end of the jaw actuation device and engaging the guide member at the arc defining portions of the rotatable jaws such that, as one of the inner rod and the outer sleeve is longitudinally translated relative to the other, the arc defining portions of the rotatable jaws move relative to the guide member and are guided by the guide member to rotate each rotatable jaw approximately about the center of its respective arc without changing the shape of the rotatable jaw; and

a handle assembly for retaining the tool assembly at its proximal end and translating one of the inner rod and the outer sleeve relative to the other to rotate the rotatable jaws.

2. The surgical instrument of claim 1 wherein the arc defining portion of each rotatable jaw is arcuate.

3. The surgical instrument of claim 1 wherein the handle assembly comprises a releasable retainer for retaining the tool assembly such that the tool assembly is detachable from the handle assembly.

4. The surgical instrument of claim 1 wherein the guide member comprises an arcuate portion.

5. The surgical instrument of claim 1 further comprising a ratchet device coupled between the tool assembly and the handle assembly near the proximal end of the tool assembly comprising:

a ratchet member attached to the handle assembly comprising a plurality of grooves; and

a shoulder attached to the jaw actuation device engageable with the grooves on the ratchet member, the ratchet member and the shoulder moving relative to each other as one of the inner rod and the outer sleeve is translated relative to the other, the relative motion between the ratchet member and the shoulder causing the shoulder to slide in and out of engagement with the grooves on the ratchet member such that rotating force is providable to the jaw in increments.

7. The surgical instrument of claim 5 wherein the shoulder is attached to the inner rod.

8. The surgical instrument of claim 1 further comprising a cleaning port in the tool assembly for allowing cleaning fluid into the tool assembly.

9. The surgical instrument of claim 8 wherein the cleaning port comprises a poppet type valve.

10. The surgical instrument of claim 1 wherein the handle assembly further comprises a retainer for retaining the outer sleeve against longitudinal movement relative to the handle.

11. The surgical instrument of claim 1 wherein:

the inner rod is coupled to the rotatable jaws; and

the outer sleeve is coupled to the guide member.

12. The surgical instrument of claim 1 further comprising:

a translation member coupled to the jaw actuation device near the proximal end of the jaw actuation device and engageable by the handle assembly to translate one of the inner rod and the outer sleeve relative to the other; and

a coupler coupling the translation member to the jaw actuation device, the coupler including a spring for limiting force applied to rotate the jaws.

13. The surgical instrument of claim 12 wherein the translation member is coupled to the inner rod.

14. The surgical instrument of claim 1 wherein the tool assembly further comprises a drive pin engaging the first and second rotatable jaws to move the first and second rotatable jaws relative to the guide member as one of the inner rod and the outer sleeve is translated relative to the other.

6. The surgical instrument of claim 6 wherein the ratchet member is pivotable such that the grooves on the ratchet member can be prevented from engaging the shoulder.

15. A surgical tool assembly comprising:

an elongate jaw actuation device having a proximal end and a distal end, the jaw actuation device comprising;

an outer sleeve,

an inner rod within the outer sleeve, one of the inner rod and the outer sleeve being longitudinally translatable relative to the other, and

a guide member coupled to the distal end of the jaw actuation device;

first and second rotatable jaws, each rotatable jaw comprising an arc defining portion shaped to define an arc having a center which is displaced from the jaw, the rotatable jaws being coupled to the distal end of the jaw actuation device and engaging the guide member at the arc defining portions of the rotatable jaws such that, as one of the inner rod and the outer sleeve is longitudinally translated relative to the other, the arc defining portions of the rotatable jaws move relative to the guide member and are guided by the guide member to rotate each rotatable jaw approximately about the center of its respective arc without changing the shape of the rotatable jaw.

16. The surgical tool assembly of claim 15 wherein the arc defining portion of each rotatable jaw is arcuate.

17. The surgical tool assembly of claim 15 wherein the guide member comprises an arcuate portion.

18. The surgical tool assembly of claim 15 further comprising:

a translation member coupled to the jaw actuation device near the proximal end of the jaw actuation device and being engageable to longitudinally translate one of the inner rod and the outer sleeve relative to the other to rotate the jaws; and

a coupler coupling the translation member to the jaw actuation device, the coupler including a spring for limiting force applied to rotate the jaws.

19. The surgical tool assembly of claim 15 further comprising a shoulder coupled to the jaw actuation device near the proximal end of the jaw actuation device, said shoulder being engageable by a groove to inhibit relative translational motion between one of the inner rod and the outer sleeve.

20. The surgical tool assembly of claim 15 further comprising a cleaning port for allowing cleaning fluid into the tool assembly.

21. The surgical tool assembly of claim 20 wherein the cleaning port comprises a poppet type valve.

22. The surgical tool assembly of claim 15 wherein:

the rotatable jaws are coupled to the inner rod; and

the guide member is coupled to the outer sleeve.

23. The surgical tool assembly of claim 22 wherein the guide member comprises an arcuate portion.

24. The surgical tool assembly of claim 15 further comprising a drive pin engaging the first and second rotatable jaws to move the first and second rotatable jaws relative to the guide member as one of the inner rod and the outer sleeve is translated relative to the other.

25. A jaw for a surgical instrument comprising:

a distal end having a jaw blade; and

a proximal end having a portion which is formed to a shape which defines an arc having a center which is displaced from the jaw, said portion being engageable by a guide member to rotate the jaw approximately about the center of the arc as the jaw and the guide member move relative to each other.

26. The jaw of claim 25 wherein the portion of the proximal end of the jaw which is formed to a shape which defines the arc is arcuate.

27. A method of using an endoscopic surgical instrument comprising:

providing a surgical instrument comprising;

an elongate jaw actuation device having a proximal end and a distal end, the jaw actuation device comprising;

an outer sleeve,

an inner rod within the outer sleeve, one of the inner rod and the outer sleeve being longitudinally translatable relative to the other, and

a guide member coupled to the distal end of the jaw actuation device, and

first and second rotatable jaws, each rotatable jaw comprising an arc defining portion shaped to define an arc having a center which is displaced from the jaw, the rotatable jaws being coupled to the distal end of the jaw actuation device and engaging the guide member at the arc defining portions of the rotatable jaws such that, as one of the inner rod and the outer sleeve is longitudinally translated relative to the other, the arc defining portions of the rotatable jaws moves relative to the guide member and are guided by the guide member to rotate each rotatable jaw approximately about the center of its respective arc without changing the shape of the rotatable jaw, and

a handle assembly for retaining the tool assembly at its proximal end and translating one of the inner rod and the outer sleeve relative to the other to rotate the rotatable jaw; and

with the handle assembly, translating one of the inner rod and the outer sleeve relative to the other to rotate the rotatable jaws.

28. A surgical instrument comprising:

a tool assembly comprising;

an elongate jaw actuation device having a proximal end and a distal end, the jaw actuation device comprising;

an outer sleeve,

an inner rod within the outer sleeve, one of the inner rod and the outer sleeve being longitudinally translatable relative to the other, and

a guide member coupled to the distal end of the jaw actuation device and having an arcuate portion, and

first and second rotatable jaws, each rotatable jaw comprising an arc defining portion shaped to define an arc having a center which is displaced from the jaw, the rotatable jaws being coupled to the distal end of the jaw actuation device and engaging the arcuate portion of the guide member at the arc defining portions of the rotatable jaws such that, as one of the inner rod and the outer sleeve is longitudinally translated relative to the other, the arc defining portions of the rotatable jaws move relative to the guide member and are guided by the guide member to rotate each rotatable jaw approximately about the center of its respective arc; and

a handle assembly for retaining the tool assembly at its proximal end and translating one of the inner rod and the outer sleeve relative to the other to rotate the rotatable jaws.

29. A surgical instrument comprising:

a tool assembly comprising;

an elongate jaw actuation device having a proximal end and a distal end, the jaw actuation device comprising;

an outer sleeve,

an inner rod within the outer sleeve, one of the inner rod and the outer sleeve being longitudinally translatable relative to the other,

a cleaning port for allowing cleaning fluid into the tool assembly, and

a guide member coupled to the distal end of the jaw actuation device, and

first and second rotatable jaws, each rotatable jaw comprising an arc defining portion shaped to define an arc having a center which is displaced from the jaw, the rotatable jaws being coupled to the distal end of the jaw actuation device and engaging the guide member at the arc defining portions of the rotatable jaws such that, as one of the inner rod and the outer sleeve is longitudinally translated relative to the other, the arc defining portions of the rotatable jaws move relative to the guide member and are guided by the guide member to rotate each rotatable jaw approximately about the center of its respective arc; and

a handle assembly for retaining the tool assembly at its proximal end and translating one of the inner rod and the outer sleeve relative to the other to rotate the rotatable jaws.

30. The surgical instrument of claim 29 wherein the cleaning port comprises a poppet type valve.

31. A surgical instrument comprising:

a tool assembly comprising;

an elongate jaw actuation device having a proximal end and a distal end, the jaw actuation device comprising;

an outer sleeve,

an inner rod within the outer sleeve, one of the inner rod and the outer sleeve being longitudinally translatable relative to the other, and

a guide member coupled to the distal end of the jaw actuation device, and

first and second rotatable jaws, each rotatable jaw comprising an arc defining portion shaped to define an arc having a center which is displaced from the jaw, the rotatable jaws being coupled to the distal end of the jaw actuation device and engaging the guide member at the arc defining portions of the rotatable jaws such that, as one of the inner rod and the outer sleeve is longitudinally translated relative to the other, the arc defining portions of the rotatable jaws move relative to the guide member and are guided by the guide member to rotate each rotatable jaw approximately about the center of its respective arc; and

a handle assembly comprising a retainer for retaining the tool assembly at its proximal end and retaining the outer sleeve against longitudinal movement relative to the handle assembly, the handle assembly translating the inner rod relative to the outer sleeve to rotate the rotatable jaws.

32. A surgical instrument comprising:

a tool assembly comprising;

an elongate jaw actuation device having a proximal end and a distal end, the jaw actuation device comprising;

an outer sleeve,

an inner rod within the outer sleeve, one of the inner rod and the outer sleeve being longitudinally translatable relative to the other, and

a guide member coupled to the distal end of the jaw actuation device,

first and second rotatable jaws, each rotatable jaw comprising an arc defining portion shaped to define an arc having a center which is displaced from the jaw, the rotatable jaws being coupled to the distal end of the jaw actuation device and engaging the guide member at the arc defining portions of the rotatable jaws such that, as one of the inner rod and the outer sleeve is longitudinally translated relative to the other, the arc defining portions of the rotatable jaws move relative to the guide member and are guided by the guide member to rotate each rotatable jaw approximately about the center of its respective arc,

a translation member coupled to the jaw actuation device near the proximal end of the jaw actuation device and engageable to translate one of the inner rod and the outer sleeve relative to the other, and

a coupler coupling the translation member to the jaw actuation device, the coupler including a spring for limiting force applied to rotate the rotatable jaws; and

a handle assembly for retaining the tool assembly at its proximal end and translating one of the inner rod and the outer sleeve relative to the other to rotate the rotatable jaws.

33. The surgical instrument of claim 32 wherein the translation member is coupled to the inner rod.

34. A surgical instrument comprising:

a tool assembly comprising;

an elongate jaw actuation device having a proximal end and a distal end, the jaw actuation device comprising;

an outer sleeve,

an inner rod within the outer sleeve, one of the inner rod and the outer sleeve being longitudinally translatable relative to the other, and

a guide member coupled to the distal end of the jaw actuation device;

at least one rotatable jaw comprising an arc defining portion shaped to define an arc having a center which is displaced from the jaw, the rotatable jaw being coupled to the distal end of the jaw actuation device and engaging the guide member at the arc defining portion of the rotatable jaw such that, as one of the inner rod and the outer sleeve is longitudinally translated relative to the other, the arc defining portion of the rotatable jaw moves relative to the guide member and is guided by the guide member to rotate the rotatable jaw approximately about the center of the arc; and

a drive pin engaging the rotatable jaw to move the rotatable jaw relative to the guide member to rotate the rotatable jaw as one of the inner rod and outer sleeve is translated relative to the other; and

a handle assembly for retaining the tool assembly at its proximal end and translating one of the inner rod and the outer sleeve relative to the other to rotate the rotatable jaw.