Vessel sealer and divider

• US 7,101,371 B2
• Filed: 06/25/2002
• Issued: 09/05/2006
• Est. Priority Date: 04/06/2001
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Dycus, Sean T., Peterson, Darion
• Primary Examiner(s): Gibson, Roy D.
• Assistant Examiner(s): ROANE, AARON F
• Application Number:
  US10/179,863
• Publication Number:
  US 20030018331A1
• Time in Patent Office: 1,533 Days
• Field of Search: 606 49- 52, 606/205
• US Class Current: 606/49
• CPC Class Codes: A61B 17/12009 Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
• CPC Class Codes: A61B 17/282 Jaws
• 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 18/085 Forceps, scissors
• 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 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/0013 non-sticking
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/144 Wire
• CPC Class Codes: A61B 2018/1452 : including means for cutting A61B2018/146 takes precedence
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1861 : with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2090/034 : abutting on parts of the device itself

Abstract

An endoscopic bipolar forceps includes an elongated shaft having opposing jaw members at a distal end thereof. The jaw members are movable relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. The forceps also includes a source of electrical energy connected to each jaw member such that the jaw members are capable of conducting energy through tissue held therebetween to effect a seal. A generally tube-like cutter is included which is slidably engaged about the elongated shaft and which is selectively movable about the elongated shaft to engage and cut tissue on at least one side of the jaw members while the tissue is engaged between jaw members.

Claims

1. An endoscopic bipolar forceps, comprising:

an elongated shaft having opposing jaw members at a distal end thereof, the jaw members being movable relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween;

a source of electrical energy connected to each jaw member such that the jaw members are capable of conducting energy through tissue held therebetween to effect a seal; and

a generally tube-like cutter slidably engaged about said elongated shaft which is selectively movable about said elongated shaft to engage and cut tissue on at least one side of the jaw members while the tissue is engaged between jaw members.

2. An endoscopic bipolar forceps according to claim 1 wherein said cutter includes a U-shaped notched blade.

3. An endoscopic bipolar forceps according to claim 2 wherein said U-shaped notched blade is recessed from an outer periphery of said cutter.

4. An endoscopic bipolar forceps according to claim 2 wherein said U-shaped notched blade includes a bevel.

5. An endoscopic bipolar forceps according to claim 2 wherein said U-shaped notched blade includes opposing serrated cutting edges.

6. An endoscopic bipolar forceps according to claim 1 wherein said cutter includes a remotely operable actuator for selectively deploying said cutter to sever tissue.

7. An endoscopic bipolar forceps according to claim 6 wherein said actuator is a trigger.

8. An endoscopic bipolar forceps according to claim 6 wherein said actuator includes means for rapidly advancing said cutter to sever tissue.

9. An endoscopic bipolar forceps according to claim 8 wherein said cutter includes a substantially dull U-shaped notched blade which is rapidly advanced through the tissue.

10. An endoscopic bipolar forceps according to claim 1 wherein said cutter rotates as said cutter severs tissue on at least one side of the jaw members while the tissue is engaged between jaw members.

11. An endoscopic bipolar forceps according to claim 1 wherein said cutter is connected to a source of electrosurgical energy and said cutter severs tissue in an electrosurgical manner.

12. An endoscopic bipolar forceps according to claim 1 wherein said cutter is heated by a resistive heating source.

13. An endoscopic bipolar forceps according to claim 1 wherein said cutter includes a non-stick coating to reduce tissue adhesion during cutting.

14. An endoscopic bipolar forceps according to claim 1 wherein said cutter includes a cutting area having a U-shaped notched blade at a proximal end thereof and a pair of arms at a distal end thereof, said arms being dimensioned to feed tissue into said cutting area into contact with said U-shaped notched blade upon distal movement of said cutter.

15. An endoscopic bipolar forceps, comprising:

an elongated shaft having opposing jaw members at a distal end thereof, one of the jaw members being movable relative to the other jaw member from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween;

an electrically conductive outer sleeve which at least partially surrounds said shaft, said outer sleeve mechanically cooperating with said movable jaw member to pivot said jaw member from the first to second positions; and

means for selectively moving said outer sleeve to electrosurgically energize and pivot said jaw members.

16. An endoscopic bipolar forceps according to claim 15 wherein said movable jaw member includes a protrusion which mechanically interfaces with said outer sleeve such that when said sleeve moves in a first direction, said movable jaw member pivots to the first position and is electrically isolated from said outer sleeve and when said sleeve moves in a second direction, said movable jaw member pivots into the second position and said outer sleeve electrosurgically energizes said movable jaw member.

17. An endoscopic bipolar forceps according to claim 15 wherein at least one of said jaw members includes a knife channel for reciprocating a knife therethrough.

18. An endoscopic bipolar forceps according to claim 17 wherein said distal end of said elongated shaft houses said knife within a corresponding knife cavity.

19. An endoscopic bipolar forceps according to claim 18 wherein said knife is prevented from reciprocating through said knife channel when said jaw member is in the first position and said knife channel and said knife cavity are out of alignment.

20. An endoscopic bipolar forceps according to claim 15 wherein said jaw members include opposing conductive sealing surfaces disposed on the inner facing surfaces of said jaw members and wherein at least one of the jaw members is made from a hard anodized aluminum having high dielectric properties.

21. An endoscopic bipolar forceps according to claim 15 wherein each jaw member includes an outer peripheral surface manufactured from a material which reduces tissue adherence, the outer peripheral surface being selected from a group of materials consisting of:

TiN, ZrN, TiAlN, CrN, Ni200, Ni201, inconel 600, and resinous fluorine containing polymers or polytetrafluoroethylene.