Open vessel sealing instrument

• US 8,147,489 B2
• Filed: 02/17/2011
• Issued: 04/03/2012
• Est. Priority Date: 01/14/2005
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Moses, Michael C., Kerr, Duane E.
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US13/029,390
• Publication Number:
  US 20110196368A1
• Time in Patent Office: 411 Days
• Field of Search: 606 50- 52, 606205-207
• US Class Current: 606/51
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00504 Tissue welding
• CPC Class Codes: A61B 2017/1225 for clipping and cutting in a single operation
• CPC Class Codes: A61B 2017/2945 Curved jaws
• 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 2018/1432 curved
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A disposable open electrosurgical forceps for sealing tissue is disclosed in the present disclosure. The disposable open electrosurgical forceps comprise a pair of first and second shaft members containing a fiber reinforced thermoplastic blend material having fiber strands of at least 2 millimeters in length. Each shaft member includes a jaw member disposed at a distal end thereof which are 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 also includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a knife channel defined along a length thereof which is dimensioned to reciprocate a cutting mechanism therealong. An actuator is included for selectively advancing the cutting mechanism from a first position wherein the cutting mechanism is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting mechanism is disposed distal to tissue held between the jaw members. The actuator includes a trigger which cooperates with a rack and pinion system to advance the cutting mechanism from the first to second positions through tissue held therebetween.

Claims

1. A disposable open electrosurgical forceps for sealing tissue, comprising:

a pair of first and second shaft members, each shaft member having a jaw member disposed at a distal end thereof, the jaw members being movable from an open position in spaced relation relative to one another to at least one subsequent closed position wherein the jaw members cooperate to grasp tissue therebetween;

each of the jaw members including an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween;

at least one of the jaw members including a curved knife channel defined along a length thereof, the curved knife channel being dimensioned to reciprocate a flexible blade therealong;

at least one of the shafts including a longitudinal channel disposed therein;

a cutting mechanism operatively connected to one of the shaft members, the cutting mechanism being configured to selectively advance the flexible blade from a first position wherein the flexible blade is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the flexible blade is disposed distal to tissue held between the jaw members, the cutting mechanism including a trigger in slidable communication with the longitudinal channel which cooperates with a rack and pinion system to advance the flexible blade from the first to second positions through tissue held therebetween; and

a lockout mechanism including;

a recess defined at a proximal end of the longitudinal channel;

a positive stop defined at a distal edge of the recess;

wherein the positive stop is configured to engage a distal end of the cutting mechanism to prevent distal advancement of the flexible blade when the jaw members are in an open position and to allow distal advancement of the flexible blade when the jaw members are in a subsequent closed position.

2. The disposable endoscopic bipolar forceps in accordance with claim 1, further comprising:

a guide slot defined in at least one of the jaw members;

a terminal connector disposed within the guide slot, wherein the terminal connector is configured to move freely within the guide slot upon movement of the jaw members between an open position and a closed position.

3. The disposable endoscopic bipolar forceps in accordance with claim 2, wherein the guide slot is in electrical communication with the electrically conductive sealing plate.

4. The disposable endoscopic bipolar forceps in accordance with claim 2, wherein the guide slot is in electrical communication with the terminal connector.

5. The disposable endoscopic bipolar forceps in accordance with claim 1, further comprising:

a first ratchet extending from a proximal end of the first shaft member and having a first ratchet interface;

a second ratchet extending from a proximal end of the second shaft member and having a second ratchet interface;

wherein the first ratchet interface and the second ratchet interface cooperate to selectively lock the jaw members in a closed position.

6. The disposable endoscopic bipolar forceps in accordance with claim 5, wherein at least one of the first ratchet interface and the second ratchet interface includes a plurality of step-like flanges configured to selectively lock the jaw members in at least one additional position.

7. The disposable endoscopic bipolar forceps in accordance with claim 1, wherein the trigger includes a generally arcuate shape extending downwardly about an external surface of the shaft member.

8. The disposable endoscopic bipolar forceps in accordance with claim 1, wherein the trigger includes one or more tactile-enhancing features selected from the group consisting of a raised protuberance, a rubber insert, or a scalloped gripping surface.

9. The disposable endoscopic bipolar forceps in accordance with claim 1, wherein the first and second shaft members contain a fiber reinforced thermoplastic blend material including fiber strands in the range of about 2 millimeters to about 11 millimeters in length.

10. The disposable endoscopic bipolar forceps in accordance with claim 9, wherein the fiber reinforced thermoplastic blend material is a blend of at least one first thermoplastic resin material and at least one second thermoplastic resin material.

11. The disposable endoscopic bipolar forceps in accordance with claim 10, wherein the at least one first thermoplastic resin material is polycarbonate.

12. The disposable endoscopic bipolar forceps in accordance with claim 10, wherein the at least one second thermoplastic resin material is acrylonitrile-butadiene-styrene.

13. The disposable endoscopic bipolar forceps in accordance with claim 9, wherein the fiber reinforced thermoplastic blend material contains glass fiber.

14. A disposable open electrosurgical forceps for sealing tissue, comprising:

a pair of first and second shaft members containing a glass fiber reinforced blend of polycarbonate resin material and acrylonitrile-butadiene-styrene resin material having glass fibers in the range of about 2 millimeters to about 11 millimeters in length and which make up about 40% by volume of the total volume of the blend, each shaft member having a jaw member disposed at a distal end thereof, the jaw members being movable from an open position in spaced relation relative to one another to at least one subsequent closed position wherein the jaw members cooperate to grasp tissue therebetween;

each of the jaw members including an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween;

at least one of the jaw members including a curved knife channel defined along a length thereof, the curved knife channel being dimensioned to reciprocate a flexible blade therealong;

at least one of the shafts including a longitudinal channel disposed therein;

a cutting mechanism operatively connected to one of the shaft members, the cutting mechanism being configured to selectively advance the flexible blade from a first position wherein the flexible blade is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the flexible blade is disposed distal to tissue held between the jaw members, the cutting mechanism including a trigger in slidable communication with the longitudinal channel which cooperates with a rack and pinion system to advance the flexible blade from the first to second positions through tissue held therebetween; and

a lockout mechanism including;

a recess defined at a proximal end of the longitudinal channel;

a positive stop defined at a distal edge of the recess;

wherein the positive stop is configured to engage a distal end of the cutting mechanism to prevent distal advancement of the flexible blade when the jaw members are in an open position and to allow distal advancement of the flexible blade when the jaw members are in a subsequent closed position.

15. The disposable endoscopic bipolar forceps in accordance with claim 14, further comprising:

a guide slot defined in at least one of the jaw members;

a terminal connector disposed within the guide slot, wherein the terminal connector is configured to move freely within the guide slot upon movement of the jaw members between an open position and a closed position.

16. The disposable endoscopic bipolar forceps in accordance with claim 15, wherein the guide slot is in electrical communication with the electrically conductive sealing plate.

17. The disposable endoscopic bipolar forceps in accordance with claim 15, wherein the guide slot is in electrical communication with the terminal connector.

18. The disposable endoscopic bipolar forceps in accordance with claim 14, further comprising:

a first ratchet extending from a proximal end of the first shaft member and having a first ratchet interface;

a second ratchet extending from a proximal end of the second shaft member and having a second ratchet interface;

wherein the first ratchet interface and the second ratchet interface cooperate to selectively lock the jaw members in a closed position.

19. The disposable endoscopic bipolar forceps in accordance with claim 18, wherein at least one of the first ratchet interface and the second ratchet interface includes a plurality of step-like flanges configured to selectively lock the jaw members in at least one additional position.

20. The disposable endoscopic bipolar forceps in accordance with claim 14, wherein the trigger includes a generally arcuate shape extending downwardly about an external surface of the shaft member.