Mechanism for dividing tissue in a hemostat-style instrument

• US 8,123,743 B2
• Filed: 07/29/2008
• Issued: 02/28/2012
• Est. Priority Date: 10/08/2004
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Arts, Gene H., Couture, Gary M., Johnson, Kristin D., Moses, Michael C.
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): GIULIANI, THOMAS ANTHONY
• Application Number:
  US12/181,430
• Publication Number:
  US 20080312653A1
• Time in Patent Office: 1,309 Days
• Field of Search: 606/37, 606/39, 606/52
• US Class Current: 606/39
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2018/1457 having opposing blades cutting tissue grasped by the jaws, i.e. combined scissors and pliers
• CPC Class Codes: A61B 2018/146 Scissors

Abstract

Open electrosurgical forceps for sealing tissue are provided which include first and second shaft portions pivotably associated with one another. Each shaft portion has a jaw member disposed at a distal end thereof. Each of the jaw members includes an electrically conductive sealing surface adapted to communicate electrosurgical energy through tissue held therebetween and a slot formed through the sealing surface thereof. The forceps includes a cutting mechanism operatively associated with the first and second jaw members. The cutting mechanism includes a cutting element disposed within the slot of the at least one jaw member, the cutting element being movable from a first position wherein the cutting element is retracted within the at least one jaw member and a second position in which the cutting element at least partially projects from a sealing surface of the at least one jaw member.

Claims

1. An open electrosurgical forceps for sealing tissue, comprising:

first and second shaft portions pivotably associated with one another, each shaft portion having a jaw member disposed at a distal end thereof, the jaw members being movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween, each of the jaw members including an electrically conductive sealing surface being configured to communicate electro surgical energy through tissue held therebetween, at least one of the jaw members including a slot formed through the sealing surface thereof;

a cutting mechanism operatively associated with the first and second jaw members, the cutting mechanism including;

a cutting element disposed within the slot of the at least one jaw member, the cutting element including at least one angled slot defined therethrough which receives a cam pin fixed to one of the jaw members, the cutting element being movable from a first position wherein the cutting element is retracted within the at least one jaw member and a second position in which the cutting element at least partially projects from the sealing surface of the at least one jaw member; and

an actuator operatively associated with the cutting element which upon movement thereof selectively advances the cutting element from the first position to the second position, wherein the cutting element remains substantially parallel to the sealing surface of the respective at least one jaw member during movement between the first position and the second position thereof.

2. The open electrosurgical forceps according to claim 1, wherein the actuator is integrally associated with the cutting element.

3. The open electrosurgical forceps according to claim 1, wherein the actuator is spaced a distance from the first shaft portion.

4. The open electrosurgical forceps according to claim 1, wherein the actuator selectively activates the cutting element when moved relative to the first shaft portion.

5. The open electrosurgical forceps according to claim 1, wherein the cutting mechanism includes;

a drive rod extending through a channel formed in at least one of the first and second shaft portions, the drive rod including a distal end operatively connected to the cutting element; and

a tab operatively connected to the drive rod which manipulates the drive rod to urge the cutting element between the first and second positions.

6. The open electrosurgical forceps according to claim 5, wherein the cutting element is supported in the slot of the jaw member such that proximal displacement of the drive rod urges the cutting element from within the slot of the jaw member to cut tissue.

7. The open electrosurgical forceps according to claim 1, wherein each angled slot formed in the cutting element includes a first portion in close proximity to the sealing surface and a second portion extending distally and away from the sealing surface.

8. The open electrosurgical forceps according to claim 7, wherein proximal movement of a drive rod urges the cutting element from the first position to the second position by a camming action between the cam pin and the slot formed in the cutting element.

9. An open electrosurgical forceps for sealing tissue, comprising:

first and second shaft portions pivotably associated with one another, each shaft portion having a jaw member disposed at a distal end thereof, the jaw members being movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween, each of the jaw members including an electrically conductive sealing surface being configured to communicate electrosurgical energy through tissue held therebetween, at least one of the jaw members including a slot formed through the sealing surface thereof;

a cutting mechanism operatively associated with the first and second jaw members, the cutting mechanism including;

a cutting element disposed within the slot of the at least one jaw member, the cutting element being movable from a first position wherein the cutting element is retracted within the at least one jaw member and a second position in which the cutting element at least partially projects from the sealing surface of the at least one jaw member;

an actuator operatively associated with the cutting element which upon movement thereof selectively advances the cutting element from the first position to the second position, wherein the cutting element remains substantially parallel to the sealing surface of the respective at least one jaw member during movement between the first position and the second position thereof;

a drive rod extending through a channel formed in at least one of the first and second shaft portions, the drive rod including a distal end operatively connected to the cutting element; and

a tab operatively connected to the drive rod which manipulates the drive rod to urge the cutting element between the first and second positions; and

a biasing element for urging the drive rod to a distal-most position.

10. The open electrosurgical forceps according to claim 9, wherein the actuator is integrally associated with the cutting element.

11. The open electrosurgical forceps according to claim 9, wherein the actuator is spaced a distance from the first shaft portion.

12. The open electrosurgical forceps according to claim 9, wherein the actuator selectively activates the cutting element when moved relative to the first shaft portion.

13. The open electro surgical forceps according to claim 9, wherein the cutting element is supported in the slot of the jaw member such that proximal displacement of the drive rod urges the cutting element from within the slot of the jaw member to cut tissue.

14. An open electrosurgical forceps for sealing tissue, comprising:

a pair of shaft portions pivotably coupled to one another at a pivot point, each shaft portion including a jaw member at a distal end thereof for grasping tissue therebetween, each jaw member including a sealing surface adapted to conduct electrosurgical energy through tissue grasped therebetween and one of the sealing surfaces includes a slot defined therein; and

a cutting mechanism operatively coupled to the shaft portions having a cutting element operatively secured within the slot of one of the jaw members, the cutting mechanism being selectively moveable from a first position in which the cutting element is retracted within the slot and a second position in which the cutting element at least partially projects from the slot to cut tissue disposed between the jaw members, wherein the cutting element is moved in a direction substantially parallel to the sealing surface of the respective jaw member;

the cutting element being operatively engaged in the slot of the one jaw member such that axial displacement of a drive rod results in transverse and axial displacement of the cutting element from the slot to cut tissue disposed between the jaw members.

15. The open electrosurgical forceps according to claim 14, wherein the drive rod extends through a channel formed in at least one of the first and second shaft portions, the drive rod including a distal end operatively connected to the cutting element and the cutting mechanism includes:

a tab operatively connected to the drive rod which manipulates the drive rod to urge the cutting element between the first and second positions.

16. An open electrosurgical forceps for sealing tissue, comprising:

a pair of shaft portions pivotably coupled to one another at a pivot point, each shaft portion including a jaw member at a distal end thereof for grasping tissue therebetween, each jaw member including a sealing surface adapted to conduct electrosurgical energy through tissue grasped therebetween and one of the sealing surfaces includes a slot defined therein; and

a cutting mechanism operatively coupled to the shaft portions having a cutting element operatively secured within the slot of one of the jaw members, the cutting element including at least one angled slot defined therethrough which receives a cam pin fixed to one of said jaw members, the cutting mechanism being selectively moveable from a first position in which the cutting element is retracted within the slot and a second position in which the cutting element at least partially projects from the slot to cut tissue disposed between the jaw members, wherein the cutting element is moved in a direction substantially parallel to the sealing surface of the respective jaw member.

17. The open electro surgical forceps according to claim 16, wherein each angled slot includes a first portion extending substantially longitudinally and a second portion extending substantially transversely.

18. The open electrosurgical forceps according to claim 16, wherein each angled slot formed in the cutting element includes a first portion in close proximity to the sealing surface and a second portion extending distally and away from the sealing surface.

19. The open electrosurgical forceps according to claim 18, wherein proximal movement of a drive rod urges the cutting element from the first position to the second position by a camming action between the cam pin and the slot formed in the cutting element.

20. The open electrosurgical forceps according to claim 16, wherein the cutting mechanism includes:

a drive rod extending through a channel formed in at least one of the first and second shaft portions, the drive rod including a distal end operatively connected to the cutting element; and

a tab operatively connected to the drive rod which manipulates the drive rod to urge the cutting element between the first and second positions.