Electrosurgical jaws with offset knife

• US 8,246,618 B2
• Filed: 07/08/2009
• Issued: 08/21/2012
• Est. Priority Date: 07/08/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Bucciaglia, Joseph D., Chojin, Edward M., Horner, Glenn A.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US12/499,553
• Publication Number:
  US 20110009864A1
• Time in Patent Office: 1,140 Days
• Field of Search: 606/45, 606/46, 606 50- 52
• US Class Current: 606/51
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/295 combined with cutting implements
• 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 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 2017/2911 rings
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points
• CPC Class Codes: A61B 2017/2922 toggle linkages
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• 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 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61N 1/18 Applying electric currents by contact electrodes

Abstract

An endoscopic forceps includes a housing having a shaft attached thereto with a longitudinal axis defined therethrough and an end effector assembly disposed at a distal end thereof. The end effector assembly includes first and second jaw members disposed in opposing relation relative to one another and moveable from a first, open position to a second, closed position for grasping tissue therebetween. Each of the jaw members includes a proximal flange adapted to communicate with a drive assembly for moving the jaw members between the first and second positions. One or both of the of the jaw members has a curved knife channel defined therein having a proximal end that is offset from the longitudinal axis defined through the shaft. A knife guide is assembled to an outer surface of one of the proximal flanges of the jaw members on the same side as the proximal end of the knife channel and defines a knife path therein configured to guide a knife into the knife channel for translation therethrough.

Claims

1. A forceps, comprising:

a housing having a shaft attached thereto, the shaft having a longitudinal axis defined therethrough and an end effector assembly disposed at a distal end thereof, wherein the end effector assembly includes;

first and second jaw members disposed in opposing relation relative to one another and moveable from a first position to a second position for grasping tissue therebetween, each of the jaw members including a proximal flange adapted to communicate with a drive assembly for moving the jaw members between the first and second positions and at least one of the jaw members including a knife channel defined therein, a proximal end of the knife channel offset from the longitudinal axis defined through the shaft, at least one of the jaw members adapted to connect to an electrosurgical energy source to communicate energy to tissue disposed between the jaw members; and

a knife guide assembled adjacent an outer surface of one of the proximal flanges of the jaw members on the same side as the proximal end of the knife channel, the knife guide defining a knife path therein that is configured to guide a knife into the knife channel for translation therethrough, wherein the knife guide includes a channel defined therein for guiding an electrical lead to the at least one of the jaw members for supplying electrosurgical energy thereto.

2. A forceps according to claim 1, wherein the forceps includes at least one handle that operably couples to a drive assembly for moving the jaw members between the first and second positions.

3. A forceps according to claim 2, wherein the proximal flanges of the end effector and the knife guide include elongated slots defined therethrough that cooperate with a drive pin operably connected to the drive assembly to move the jaw members from the first position to the second position.

4. A forceps according to claim 3, wherein the elongated slots of the proximal flanges are cam slots that operably engage the drive pin and the elongated slot of the knife guide is a pass-through slot.

5. A forceps according to claim 1, wherein a distal portion of the knife channel is curved.

6. A forceps according to claim 5, wherein the offset knife channel and the disposition of the knife guide relative to the longitudinal axis facilitate substantially straight extension of the knife through the knife channel along a substantial length of the knife channel.

7. A forceps according to claim 1, wherein the proximal end of the knife channel is offset a distance X relative to the longitudinal axis defined through the forceps, wherein X is in the range of about 0.010 inches to about 0.040 inches.

8. A forceps according to claim 1, wherein the knife channel is defined within both the first and second jaw members and the knife guide is configured to preload the jaw members during assembly for ensuring proper alignment of the knife channels.

9. A forceps, comprising:

a housing having a shaft attached thereto, the shaft having a longitudinal axis defined therethrough and an end effector assembly disposed at a distal end thereof, wherein the end effector assembly includes;

first and second jaw members disposed in opposing relation relative to one another and moveable from a first configuration to a second configuration for grasping tissue therebetween, each of the jaw members including a proximal flange adapted to communicate with a drive assembly for moving the jaw members between the first and second configuration and at least one of the jaw members including a knife channel defined therein, a proximal end of the knife channel offset from the longitudinal axis defined through the shaft; and

a knife guide assembled adjacent an outer surface of one of the proximal flanges of the jaw members on the same side as the proximal end of the knife channel, the knife guide defining a knife path therein that is configured to guide a knife into the knife channel for translation therethrough, the knife guide including a blade stop at a distal end thereof, the blade stop positionable from a first position that interferes with the knife path to prevent distal translation of the knife when the jaw members are disposed in the first configuration to a second position that allows distal translation of the knife when the jaw members are disposed in the second configuration.

10. A forceps according to claim 9, wherein the blade stop is pivotably engaged to the knife guide and biased to obstruct the knife path when the jaw members are disposed in the first, open configuration.

11. A forceps according to claim 9, wherein the forceps includes at least one handle that operably couples to a drive assembly for moving the jaw members between the first and second configurations.

12. A forceps according to claim 11, wherein proximal flanges of the end effector and the knife guide include elongated slots defined therethrough that cooperate with a drive pin operably connected to the drive assembly to move the jaw members from the first configuration to the second configuration.

13. A forceps according to claim 12, wherein the elongated slots of the proximal flanges are cam slots that operably engage the drive pin and the elongated slot of the knife guide is a pass-through slot.

14. A forceps according to claim 9, wherein at least one of the jaw members is adapted to connect to an electrosurgical energy source to communicate energy to tissue disposed between the jaw members.

15. A forceps according to claim 14, wherein the knife guide includes a channel defined therein for guiding an electrical lead to at least one of the jaw members for supplying electrosurgical energy thereto.

16. A forceps according to claim 9, wherein a distal portion of the knife channel is curved.

17. A forceps according to claim 16, wherein the offset knife channel and the disposition of the knife guide relative to the longitudinal axis facilitate substantially straight extension of the knife through the knife channel along a substantial length of the knife channel.

18. A forceps according to claim 9, wherein the proximal end of the knife channel is offset a distance X relative to the longitudinal axis defined through the forceps, wherein X is in the range of about 0.010 inches to about 0.040 inches.