Articulating bipolar electrosurgical instrument

• US 8,366,709 B2
• Filed: 12/27/2011
• Issued: 02/05/2013
• Est. Priority Date: 09/21/2004
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Schechter, David A., Solga, Stephen G., Kerr, Duane E., Nelson, Scott D., Henault, Mark R., Bucciaglia, Joseph D.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): HUPCZEY, JR, RONALD JAMES
• Application Number:
  US13/337,699
• Publication Number:
  US 20120095456A1
• Time in Patent Office: 406 Days
• Field of Search: 606/41, 606 51- 52, 606/139, 606205-207, 227/180.1
• US Class Current: 606/52
• 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 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion

Abstract

A bipolar electrosurgical instrument has a pair of pivotable juxtaposed jaw members and a locking mechanism operatively associated with a second of the jaw members. The locking mechanism has a first position engaged with the second jaw member for preventing movement of the second jaw member between an axially aligned orientation and at least one angled orientation, and a second position. The second position is disengaged from the second jaw member allowing for movement of the second jaw member between the axially aligned orientation and the at least one angled orientation. The instrument has an actuation mechanism operatively connected to a first of the jaw members with the actuation mechanism operable to move the first jaw member between an axially aligned first orientation and at least one angled orientation. An articulation knob is operatively associated with the locking mechanism and effectuates independent operation of the locking and actuation mechanisms.

Claims

1. A surgical instrument, comprising:

a housing supporting a cutter actuation control thereon;

an elongated shaft extending distally from the housing;

a first jaw member coupled to a distal end of the elongated shaft;

a second jaw member coupled to the distal end of the elongated shaft, the second jaw member movable with respect to the first jaw member such that the first and second jaw members have an open condition wherein the first and second jaw members are relatively spaced and a closed condition wherein the first and second jaw members are relatively close to one another;

an elongated knife channel defined in the second jaw member;

a knife carrier slidably disposed within the elongated knife channel;

a knife blade protruding from the knife carrier toward the first jaw member;

a spindle disposed at a distal end of the elongated knife channel; and

a drive cable extending through the knife channel and looping around the spindle to define first and second cable parts on two lateral sides of the spindle, the first and second cable parts extending proximally from the second jaw member into the elongated shaft, the knife carrier coupled to the first cable part such that proximal movement of the first cable part induces proximal movement of the knife carrier and proximal movement of the second cable part induces distal movement of the knife carrier.

2. The surgical instrument according to claim 1, wherein the drive cable extends through the elongated shaft and is operatively coupled to the cutter actuation control such that the cutter actuation control may be moved to selectively induce proximal movement of the first and second cable parts.

3. The surgical instrument according to claim 2, wherein the first and second jaw members are pivotally coupled to the distal end of the elongated shaft and movable between an aligned condition wherein the first and second jaw members are aligned with the elongated shaft in the closed condition and an articulated condition wherein the first and second jaw members are obliquely arranged with respect to the elongated shaft in the closed condition, and wherein the drive cable is constructed of a flexible material to accommodate the motion of the first and second jaw members between the aligned and articulated conditions.

4. The surgical instrument according to claim 3, further comprising:

a locking mechanism operatively associated with the second jaw member, the locking member selectively movable between a first position wherein the second jaw member is maintained at one of a plurality of orientations with respect to the distal end of the elongated shaft such that manipulation of at least one actuator induces pivotal movement of the first jaw member with respect to the second jaw member, and a second position to wherein the second jaw member is free to pivot with respect to the distal end of the elongated shaft; and

a biasing member operatively associated with the second jaw member to bias the second jaw member toward the first jaw member when the locking member is in the second position,

wherein the second jaw member is operatively associated with the first jaw member such that pivotal movement of the first jaw member induces the first jaw member to engage the second jaw member and to push the second jaw member against the bias of the biasing member to induce pivotal movement of the second jaw member to one of the plurality of orientations with respect to the distal end of the elongated shaft when the locking member is in the second position.

5. The surgical instrument according to claim 1, wherein the first jaw member includes a knife track defined therein, and wherein the knife blade protrudes into the knife track when the first and second jaw members are in the closed condition.

6. The surgical instrument according to claim 5, wherein the first jaw member includes a first tissue contacting surface thereon adjacent the knife track and second jaw member includes a second tissue contacting surface thereon adjacent the knife channel, the first and second tissue contacting surfaces arranged to oppose one another when the first and second jaw members are in the closed condition.

7. The surgical instrument according to claim 5, wherein the first and second tissue contacting surfaces comprise radiofrequency electrodes.

8. An electrosurgical instrument, comprising:

a housing;

an elongated shaft extending distally from the housing, the elongated shaft defining a longitudinal axis;

an end effector pivotally supported at a distal end of the elongated shaft about a pivot axis transverse to the longitudinal axis, end effector comprising;

first and second jaw members pivotably coupled to the distal end of the shaft about the pivot axis; and

a plurality of electrodes with at least one electrode being operatively disposed on the first jaw member and at least another electrode being operatively disposed on the second jaw member, wherein the electrodes transmit radiofrequency energy therebetween; and

a reciprocating knife assembly comprising an elongated knife channel defined in at least one of the first and second jaw members, a spindle disposed within the knife channel and a drive cable extending distally from the elongated shaft into the knife channel on a first side of the spindle, looping around the spindle, and extending proximally from the knife channel into the elongated shaft on a second side of the spindle, and a knife slidably disposed with respect to the knife channel and operatively coupled to the drive cable such that proximal movement of the drive cable on the first side of the spindle induces proximal movement of the knife and proximal movement of drive cable on the second side of the spindle induces distal movement of the knife.

9. The electrosurgical instrument according to claim 8, wherein the end effector is articulatable about the pivot axis to any of a plurality of angular positions from an angle of about 0°

with respect to the longitudinal axis to an angle of about 60°

with respect to the longitudinal axis, and wherein the first and the second jaw members are adapted to pivot relative to one another about the pivot axis between open and closed positions when the end effector is disposed at any of the plurality of angular positions.

10. The electrosurgical instrument according to claim 9, wherein the knife channel of the reciprocating knife assembly is disposed between two opposing lateral sides of at least one of the electrodes.

11. The electrosurgical instrument according to claim 9, wherein the spindle is disposed at a distal end of the knife channel.