Jaw assembly for an endoscopic instrument

• US 5,645,075 A
• Filed: 05/12/1995
• Issued: 07/08/1997
• Est. Priority Date: 02/18/1992
• Status: Expired due to Term

• Current Assignee: Symbiosis Corporation (Boston Scientific Corporation)
• Original Assignee: Symbiosis Corporation (Boston Scientific Corporation)
• Inventors: Solar, Matthew S., Palmer, Matthew A., Slater, Charles R., Francese, Jose L., Turturro, Vincent A., Gottlieb, Saul, Damarati, John Jairo
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): Gilbert, Samuel
• Application Number:
  US08/440,327
• Time in Patent Office: 788 Days
• Field of Search: 128/749, 128/751, 128/754, 606/167, 606/170, 606/205-208
• US Class Current: 600/562
• CPC Class Codes: A61B 10/02 Instruments for taking cell samples or for biopsy A61B10/0038 and A61B10/0045 take precedence; needle locating or guiding means A61B17/3403; samplers for enzymology or microbiology C12M1/26; sampling or preparing biological specimens G01N33/48
• CPC Class Codes: A61B 10/0266 means for severing sample
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• 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 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2010/0225 for taking multiple samples
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2937 with flexible part
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/146 Scissors
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
• CPC Class Codes: A61M 2025/0098 : having a strain relief at the proximal end, e.g. sleeve

Abstract

An end effector assembly for an endoscopic instrument includes first and second end effectors, a screw, and optionally a washer. The end effectors have arms which are biased away from each other. The screw has a threaded portion dimensioned to engage the distal end of the endoscopic instrument and a head portion with a pair of arm receiving grooves. In a presently preferred embodiment, the washer extends over the arms of the end effectors which pass through grooves in the head of the screw. In this manner, the arms of the end effectors are captured between the screw and the washer. The grooves are preferably provided with upstanding pins which engage mounting holes in the arms of the end effectors. Where the endoscopic instrument is a biopsy forceps type instrument having a long coil, the threaded portion of the screw mates naturally with the distal end of the coil, and the end effectors, which are normally biased away from each other, are closed by a cylinder which is moved over the arms of the end effectors. Where the endoscopic instrument is a laparoscopic type instrument, an inner rod of the instrument is provided with threads to receive the screw, and the end effectors are closed either by the outer tube of the instrument which is slid over the arms of the end effectors, or by pulling the inner rod into the outer tube.

Claims

1. An end effector assembly for an endoscopic instrument, the endoscopic instrument having a closure means for closing first and second end effectors of the end effector assembly by extending over at least a portion of the first and second end effectors, and an actuation means for causing relative movement of the closure means and the first and second end effectors, said end effector assembly comprising:

a) the first and second end effectors each having arms biased away from each other; and

b) coupling means for coupling said arms of said first and said second end effectors to the endoscopic instrument, said coupling means comprising a hollow screw,

said hollow screw having a head with a pair of arm receiving grooves, and said screw having a threaded portion with threads for engaging a distal portion of the endoscopic instrument.

2. An end effector assembly according to claim 1, wherein:

a proximal portion of said screw head is tapered, and

said coupling means further comprises a washer having a throughbore dimensioned to receive said tapered portion of said screw and said arms of said first and second end effectors, such that when said threaded portion of said screw engages the distal portion of the endoscopic instrument, said arms extend around said tapered portion of said screw and are fixed in place between said tapered portion and said washer.

3. An end effector assembly according to claim 2, wherein:

said throughbore of said washer has a tapered portion, and

said arms of said first and second end effectors include a sharply angled proximal portion which extend over said tapered portion of said screw an through said tapered portion of said throughbore.

4. An end effector assembly according to claim 3, wherein:

each said arm includes a gently bent portion distal of said sharply angled proximal portion.

5. An end effector assembly according to claim 4, wherein:

each said arm terminates in a distal jaw cup, and

each said arm includes a gently bent portion proximal of said jaw cup and distal of said sharply angled proximal portion.

6. An end effector assembly according to claim 1, wherein:

said screw head includes a second pair of arm receiving grooves and a proximal reduced diameter portion,

each of said arms includes a proximal semi-cylindrical portion ending in a pair of distally extending tabs, and

each of said arms is received by a respective one of said arm receiving grooves such that said semi-cylindrical portion overlies said proximal reduced diameter portion and said pair of distally extending tabs are received by said second pair of grooves.

7. An end effector assembly according to claim 1, wherein:

said screw head has a stepped diameter defining a reduced diameter proximal portion,

said screw head includes an upstanding mounting pin located in each of said arm receiving grooves,

said arms of said end effectors each include a pin receiving mounting hole for receiving a respective one of said upstanding mounting pins, and

said coupling means further comprises a washer having a throughbore dimensioned to receive said proximal portion of said screw head and said arms of said first and second end effectors, such that when said threaded portion of said screw engages the distal portion of the endoscopic instrument, said arms extend over said proximal portion of said screw head and are fixed in place between said proximal portion of said screw head and said washer.

8. A jaw assembly according to claim 1, wherein:

each said arm has an arced outer surface.

9. An end effector assembly according to claim 1, wherein:

each said arm terminates in a distal jaw cup, and

each said arm includes a gently bent portion.

10. An end effector assembly according to claim 1, wherein:

said screw head includes an upstanding mounting pin located in each of said arm receiving grooves; and

said arms of said end effectors each include a pin receiving mounting hole for receiving a respective one of said upstanding mounting pins.

11. An end effector assembly according to claim 10, wherein:

said arm receiving grooves are each flanked by bendable peaked flanges which are bendable over said arms when said arms are received by said grooves.

12. An endoscopic instrument comprising:

a) an elongate member having proximal and distal portions;

b) a cylindrical member;

c) first and second end effectors each having arms biased away from each other; and

d) coupling means for coupling said arms of said first and said second end effectors to said distal portion of said elongate member, said coupling means comprising a hollow screw,

said screw having a head with a pair of arm receiving grooves, and said screw having a threaded portion which engages said distal portion of said elongate member, and

e) actuation means coupled to either said cylindrical member or to said first and second end effectors for causing said cylindrical member and said first and second end effectors to move relative to each other so as to cause said cylindrical member, in a first position, to extend over at least a portion of the first and second end effectors so as to force said arms of said first and second end effectors toward each other and assume a relatively closed position, and, in a second position, to permit said first and second end effectors to extend away from each other and assume a relatively open position.

13. An endoscopic instrument according to claim 12, wherein:

a proximal portion of said screw head is tapered, and

said coupling means further comprises a washer having a throughbore dimensioned to receive said tapered portion of said screw and said arms of said first and second end effectors, such that when said threaded portion of said screw engages said distal portion of said elongate member, said arms extend around said tapered portion of said screw and are fixed in place between said tapered portion and said washer.

14. An endoscopic instrument according to claim 13, wherein:

said throughbore has a tapered portion, and

said arms of said first and second end effectors include a sharply angled proximal portion which extend over said tapered portion of said screw and through said tapered portion of said throughbore.

15. An endoscopic instrument according to claim 12, wherein:

said screw head has a stepped diameter defining a reduced diameter proximal portion,

said screw head includes an upstanding mounting pin located in each of said arm receiving grooves,

said arms of said end effectors each include a pin receiving mounting hole for receiving a respective one of said upstanding mounting pins, and

said coupling means further comprises a washer having a throughbore dimensioned to receive said proximal portion of said screw head and said arms of said first and second end effectors, such that when said threaded portion of said screw engages the distal portion of the endoscopic instrument, said arms extend over said proximal portion of said screw head and are fixed in place between said proximal portion of said screw head and said washer.

16. An endoscopic instrument according to claim 12, wherein:

each said arm terminates in a distal jaw cup, and each said arm includes a gently bent portion proximal of said jaw cup and distal of a proximal end of said arm.

17. An endoscopic instrument according to claim 12, wherein:

each said arm terminates in a distal jaw cup, and

said cylindrical member has a sharp distal edge.

18. An endoscopic instrument according to claim 12, wherein:

each said arm has an arced outer surface.

19. An endoscopic instrument according to claim 12, wherein:

said screw head includes a second pair of arm receiving grooves and a proximal reduced diameter portion,

each of said arms includes a proximal semi-cylindrical portion ending in a pair of distally extending tabs, and

each of said arms is received by a respective one of said arm receiving grooves such that said semi-cylindrical portion overlies said proximal reduced diameter portion and said pair of distally extending tabs are received by said second pair of grooves.

20. An endoscopic instrument according to claim 12, wherein:

said screw head includes an upstanding mounting pin located in each of said arm receiving grooves; and

said arms of said end effectors each include a pin receiving mounting hole for receiving a respective one of said upstanding mounting pins.

21. An endoscopic instrument according to claim 20, wherein:

said arm receiving grooves are each flanked by bendable peaked flanges which are bendable over said arms when said arms are received by said grooves.

22. An endoscopic instrument according to claim 12, wherein said elongate member comprises:

a coil having a distal end, wherein said screw engages said distal end of said coil, and said actuation means is coupled to said member for causing said cylindrical member to move.

23. An endoscope instrument according to claim 22, wherein:

said actuation means includes a pull wire extending through said coil;

wherein said pull wire has a distal end coupled to said cylindrical member.

24. An endoscopic instrument according to claim 12, wherein said elongate member comprises:

a rod coupled to said first and second end effectors.

25. An endoscopic instrument according to claim 24, wherein:

said rod has a threaded distal end, and

said coupling means couples said first and second end effectors to said rod with said threaded portion of said screw engaging said threaded distal end of said rod.

26. An endoscopic instrument according to claim 24, wherein:

each said arm terminates in a distal jaw cup, and each said arm includes a gently bent portion proximal of said jaw cup and distal of a proximal end of said arm.

27. An endoscopic instrument according to claim 24, wherein:

said cylindrical member comprises a substantially rigid hollow tube through which said rod extends, and said actuation means comprises means for moving said hollow tube over said first and second end effectors.

28. An endoscopic instrument according to claim 27, wherein:

each said arm terminates in a distal jaw cup, and

said cylindrical member has a sharp distal edge.