Electrosurgical instrument with minimally invasive jaws
First Claim
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1. A surgical instrument comprising:
- a) a handle having a distal end;
b) a shaft having a distal end and a proximal end, said proximal end of the shaft mounted to the distal end of the handle;
c) a closing tube having a distal end, a proximal end, said closing tube slidably mounted coaxially to said shaft;
d) a first jaw extending from said distal end of the closing tube, the first jaw having a distal end, a proximal end, and a longitudinal axis, the first jaw having a hinge between the distal and proximal ends of the first jaw, wherein said distal end is rotatable about the hinge toward and away from the longitudinal axis of the first jaw;
e) a second opposed jaw extending from the distal end of the closing tube, the second jaw mounted to the distal end of the shaft and retaining the first jaw inside of the distal end of the closing tube, the second jaw having a distal end, a proximal end, and a longitudinal axis, wherein the said closing tube slideably fits over the first and second jaws so that a tissue grasping region of the first and second jaws is distal to the distal end of said closing tube, wherein the closing tube is movable relative to the first and second jaws between an open and a closed position;
f) a cam located on the second jaw and operationally engaged with a follower member on the first jaw, such that when said closing tube moves from the closed position to the open position the closing tube operationally engages the first jaw and moves the first jaw relative to the second jaw in the proximal direction so that the follower member of the first jaw rides up on the cam on the second jaw and causes the hinge to flex and the distal end of the first jaw to move away from the second jaw, and when the closing tube moves from the open position to the closed position the closing tube operationally engages the first jaw and moves the first jaw relative to the second jaw in the distal direction so that the follower member rides down on the cam on the second jaw and causes the hinge to flex and the distal end of the first jaw to move towards the second jaw; and
g) an actuator mounted to the handle for moving the closing tube, wherein the proximal end of the closing tube is mounted to the actuator.
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Abstract
A surgical instrument useful in harvesting blood vessels such as veins and arteries and for manipulating and grasping tissue. The instrument has a pair of jaws and a closing tube to open and close the jaws.
580 Citations
16 Claims
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1. A surgical instrument comprising:
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a) a handle having a distal end;
b) a shaft having a distal end and a proximal end, said proximal end of the shaft mounted to the distal end of the handle;
c) a closing tube having a distal end, a proximal end, said closing tube slidably mounted coaxially to said shaft;
d) a first jaw extending from said distal end of the closing tube, the first jaw having a distal end, a proximal end, and a longitudinal axis, the first jaw having a hinge between the distal and proximal ends of the first jaw, wherein said distal end is rotatable about the hinge toward and away from the longitudinal axis of the first jaw;
e) a second opposed jaw extending from the distal end of the closing tube, the second jaw mounted to the distal end of the shaft and retaining the first jaw inside of the distal end of the closing tube, the second jaw having a distal end, a proximal end, and a longitudinal axis, wherein the said closing tube slideably fits over the first and second jaws so that a tissue grasping region of the first and second jaws is distal to the distal end of said closing tube, wherein the closing tube is movable relative to the first and second jaws between an open and a closed position;
f) a cam located on the second jaw and operationally engaged with a follower member on the first jaw, such that when said closing tube moves from the closed position to the open position the closing tube operationally engages the first jaw and moves the first jaw relative to the second jaw in the proximal direction so that the follower member of the first jaw rides up on the cam on the second jaw and causes the hinge to flex and the distal end of the first jaw to move away from the second jaw, and when the closing tube moves from the open position to the closed position the closing tube operationally engages the first jaw and moves the first jaw relative to the second jaw in the distal direction so that the follower member rides down on the cam on the second jaw and causes the hinge to flex and the distal end of the first jaw to move towards the second jaw; and
g) an actuator mounted to the handle for moving the closing tube, wherein the proximal end of the closing tube is mounted to the actuator. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A method of grasping tissue comprising the steps of:
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I. providing a surgical instrument, the surgical instrument comprising;
a handle having a distal end;
a shaft having a distal end and a proximal end, said proximal end of the shaft mounted to the distal end of the handle;
a closing tube having a distal end and a proximal end, said closing tube slidably mounted coaxially to said shaft;
a first jaw extending from said distal end of the closing tube, the first jaw having a distal end, a proximal end, and a longitudinal axis, the first jaw having a hinge between the distal and proximal ends of the first jaw, wherein said distal end is rotatable about the hinge toward and away from the longitudinal axis of the first jaw;
a second opposed jaw extending from the distal end of the closing tube, the second jaw mounted to the distal end of the shaft and retaining the first jaw inside of the distal end of the closing tube, the second jaw having a distal end, a proximal end, and a longitudinal axis, wherein the said closing tube slideably fits over the first and second jaws so that a tissue grasping region of the first and second jaws is distal to the distal end of said closing tube, wherein the closing tube is movable relative to the first and second jaws between an open and a closed position;
a cam located on the second jaw and operationally engaged with a follower member on the first jaw, such that when said closing tube moves from the closed position to the open position the closing tube operationally engages the first jaw and moves the first jaw relative to the second jaw in the proximal direction so that the follower member of the first jaw rides up on the cam on the second jaw and causes the hinge to flex and the distal end of the first jaw to move away from the second jaw, and when the closing tube moves from the open position to the closed position the closing tube operationally engages the first jaw and moves the first jaw relative to the second jaw in the distal direction so that the follower member rides down on the cam on the second jaw and causes the hinge to flex and the distal end of the first jaw to move towards the second jaw; and
an actuator mounted to the handle for moving the closing tube, wherein the proximal end of the closing tube is mounted to the actuator;
II. moving the tube to the open position and positioning tissue between the jaws; and
,III. moving the tube to the closed position and engaging the tissue in the tissue grasping region.
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11. A surgical instrument, comprising a handle having a distal end;
- an actuator mounted to the handle;
a closing tube having a distal end and a proximal end, the proximal end of the closing tube operably mounted to the actuator, the actuator being configured to move the closing tube between at least an open position and a closed position, the closed position being distal to the open position relative to the handle;
a first jaw extending from the distal end of the closing tube, the first jaw having a distal end and a proximal end, the first j aw having a hinge between the distal and proximal ends of the first jaw, wherein the distal end of the first jaw is rotatable about the hinge;
wherein the first jaw comprises a follower member and the second j aw comprises a cam, and the follower member and the cam are configured such that, when the first jaw moves distal relative to the second jaw, the follower member rides down the cam thereby causing the distal end of the first jaw to rotate about the hinge toward the second jaw, a second jaw extending from the distal end of the closing tube; and
wherein the closing tube is configured to move the first jaw relative to the second jaw in the distal direction when the closing tube moves from the open position to the closed position. - View Dependent Claims (12, 13, 14, 15)
- an actuator mounted to the handle;
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16. A surgical instrument, comprising:
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a handle having a distal end;
an actuator mounted to the handle;
a closing tube having a distal end and a proximal end, the proximal end of the closing tube operably mounted to the actuator, the actuator being configured to move the closing tube between at least an open position and a closed position, the closed position being distal to the open position relative to the handle;
a first jaw extending from the distal end of the closing tube, the first jaw having a distal end and a proximal end, the first jaw comprising a hinge located between the distal end and the proximal end and a follower member, wherein the distal end of the first jaw is rotatable about the hinge;
a second jaw extending from the distal end of the closing tube, the second jaw comprising a cam; and
wherein the follower member and the cam are configured such that, when the closing tube moves from the open position to the closed position, the follower member rides down the cam thereby causing the distal end of the first jaw to rotate about the hinge toward the second jaw.
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Specification