Single action tissue sealer

• US 8,277,447 B2
• Filed: 11/18/2009
• Issued: 10/02/2012
• Est. Priority Date: 08/19/2005
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Garrison, David M., Hermes, Paul, Dycus, Sean T.
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US12/621,056
• Publication Number:
  US 20100130977A1
• Time in Patent Office: 1,049 Days
• Field of Search: 606/45, 606/48, 606/51, 606/52, 606/171
• US Class Current: 606/51
• CPC Class Codes: A61B 17/282 Jaws
• CPC Class Codes: A61B 17/285 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 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/085 Forceps, scissors
• CPC Class Codes: A61B 18/1206 Generators therefor
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/08021 : of the patient or his organs

Abstract

An endoscopic bipolar forceps includes a housing and a shaft, the shaft having an end effector assembly at its distal end. The end effector assembly includes two jaw members for grasping tissue therebetween. The jaw members are adapted to connect to an electrosurgical energy source which enable them to conduct energy through the tissue to create a tissue seal. A drive assembly is disposed within the housing which moves the jaw members. A switch is disposed within the housing which activates the electrosurgical energy. A knife assembly is included which is advanceable to cut tissue held between the jaw members. A movable handle is connected to the housing. Continual actuation of the movable handle engages the drive assembly to move the jaw members, engages the switch to activate the electrosurgical energy source to seal the tissue, and advances the knife assembly the cut the tissue disposed between the jaw members.

Claims

1. An endoscopic bipolar forceps, comprising:

a housing;

a shaft affixed to the housing, the shaft having a longitudinal axis defined therethrough and an end effector assembly engaged at a distal end thereof, the end effector assembly including two jaw members, at least one of which is moveable relative to the other jaw member from a first position in spaced relation to the other jaw member to at least a second position closer to the other jaw member for grasping tissue therebetween, at least one of the jaw members adapted to connect to an electrosurgical energy source such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal;

a drive assembly disposed within the housing for moving the jaw members from the first position to the second position;

a knife assembly operably coupled to the housing and configured to cut tissue disposed between the jaw members;

a movable handle connected to the housing and selectively rotatable about a pivot, wherein a single, continuous actuation of the movable handle is operable to engage the drive assembly to move the jaw members and advance the knife assembly to cut tissue disposed between the jaw members; and

wherein the knife assembly is physically prevented from advancing before energy has been conducted between the jaw members.

2. An endoscopic bipolar forceps according to claim 1, wherein each of the jaw members includes a longitudinally-extending knife channel extending at least partially therethrough.

3. An endoscopic bipolar forceps according to claim 1, wherein at least one of the jaw members includes at least one stop member disposed thereon that regulates the distance between the jaw members.

4. An endoscopic bipolar forceps according to claim 3, wherein the distance between the jaw members is between 0.001 inches and 0.006 inches.

5. An endoscopic bipolar forceps according to claim 1, wherein a pressure range between the jaw members when disposed in the second position is between about 3 kg/cm² and about 16 kg/cm².

6. An endoscopic bipolar forceps according to claim 1, further including at least one tactile element that provides tactile feedback to a user relating to at least one of tissue sealing and tissue cutting.

8. An endoscopic bipolar forceps according to claim 1, further including a switch operably coupled to the housing and configured to activate the electrosurgical energy source.

9. An endoscopic bipolar forceps according to claim 1, further including an actuator configured to selectively advance the knife assembly after at least one of the jaw members has moved towards the second position.

7. A method for using an endoscopic bipolar forceps to grasp, seal and cut tissue, the method comprising the steps of:

providing an endoscopic bipolar forceps, the forceps having a housing, a shaft affixed to the housing, and an end effector assembly engaged at a distal end thereof, the end effector assembly including two jaw members, at least one of the jaw members adapted to connect to an electrosurgical energy source, a drive assembly disposed within the housing, a knife assembly operably coupled to the housing, and a movable handle connected to the housing and selectively rotatable about a pivot;

with a single, continuous actuation of the movable handle, engaging the drive assembly to move the jaw members such that they grasp tissue, and advancing the knife assembly to cut tissue disposed between the jaw members; and

activating the electrosurgical energy source to seal the tissue;

wherein the knife assembly is physically prevented from advancing before electrosurgical energy is activated.

10. A method for using an endoscopic bipolar forceps to grasp, seal and cut tissue according to claim 7, wherein the knife assembly is selectively advancable after at least one of the jaw members has moved towards the second position.

11. A method for using an endoscopic bipolar forceps to grasp, seal and cut tissue according to claim 7, wherein the knife assembly is prevented from advancing to cut tissue until the jaw members have securely grasped tissue.