Open vessel sealing instrument with hourglass cutting mechanism and overratchet safety

• US 8,623,017 B2
• Filed: 07/23/2009
• Issued: 01/07/2014
• Est. Priority Date: 11/19/2003
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Moses, Michael C., Romero, Paul R., Johnson, Kristin D., Kerr, Duane E., Dycus, Sean T.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US12/508,052
• Publication Number:
  US 20100023009A1
• Time in Patent Office: 1,629 Days
• Field of Search: 606 45- 52, 606205-207
• US Class Current: 606/51
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• 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 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• 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 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/00946 slidable
• 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

Abstract

An open electrosurgical forceps includes a pair of first and second shaft members each having a jaw member disposed at its distal end. The jaw members are movable from a first position in spaced relation relative to one another to a subsequent position wherein the jaw members cooperate to grasp tissue. Each of the jaw members includes an electrically conductive scaling plate for communicating electrosurgical energy through tissue. A curved knife channel is defined along the length of one of the jaw members and is dimensioned to reciprocate a cutting mechanism. An actuator selectively advances the cutting mechanism from a first position proximal to tissue held between the jaw members to a subsequent position distal to tissue held between the jaw members. The cutting mechanism includes a generally hourglass-shaped flexible blade having a mutually aggregating notch.

Claims

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

a pair of first and second shaft members each 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 plate for communicating electrosurgical energy through tissue held therebetween;

a generally hourglass-shaped flexible cutting mechanism including a proximal portion, a distal portion including a knife blade, and a notched portion disposed between the distal portion and the proximal portion;

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 the cutting mechanism therealong, the notched portion of the cutting mechanism including two symmetrically-disposed notches on opposite sides thereof that reduce the side profile of the cutting mechanism between the proximal portion and the distal portion thereof to facilitate distal translation of the knife blade within the curved knife channel;

an actuator operatively connected to one of the shaft members 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 at least a portion of the knife blade is disposed distal to tissue held between the jaw members.

2. An open electrosurgical forceps for sealing tissue according to claim 1 wherein the actuator includes a rack and pinion system having:

a first gear-like rack connected to a trigger;

a second gear-like rack connected to the cutting mechanism; and

a pinion disposed between the first and second racks.

3. An open electrosurgical forceps for sealing tissue according to claim 1, further comprising:

a safety lockout to prevent reciprocation of the cutting mechanism when the jaw members are disposed in the first position, the safety lockout forming part of at least one of the jaw members.

4. An open electrosurgical forceps for sealing tissue according to claim 1 further comprising:

a safety lockout to prevent reciprocation of the cutting mechanism when the jaw members are disposed in the first position, the safety lockout forming part of the cutting mechanism.

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

a pair of first and second shaft members each 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 plate for communicating electrosurgical energy through tissue held therebetween;

a cutting mechanism;

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

an actuator operatively connected to one of the shaft members, the actuator including a trigger in mechanical cooperation with a first gear-like rack;

a drive rod including a second gear-like rack, wherein a distal end of the drive rod is configured to engage a proximal end of the cutting mechanism; and

a safety lockout to prevent reciprocation of the cutting mechanism when the jaw members are disposed in the first position, the safety lockout forming part of the cutting mechanism.

6. An open electrosurgical forceps for sealing tissue according to claim 5, wherein the safety lockout mechanism includes the distal end of the drive rod which is configured to engage the proximal end of the cutting mechanism.

7. An open electrosurgical forceps for sealing tissue according to claim 5, wherein the trigger of the actuator cooperates with a rack and pinion system to advance 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.

8. An open electrosurgical forceps for sealing tissue according to claim 7, wherein the rack and pinion system includes the first gear-like rack in mechanical cooperation with the trigger, the second gear-like rack of the drive rod, and a pinion rotatable about an axis disposed between the first and second gear-like racks.

9. An open electrosurgical forceps for sealing tissue according to claim 5, wherein the cutting mechanism includes a distal portion including a knife blade, a proximal portion, and a notched portion disposed between the distal portion and the proximal portion.

10. An open electrosurgical forceps for sealing tissue according to claim 9, wherein the notched portion of the cutting mechanism including two symmetrically-disposed notches on opposite sides thereof that reduce the side profile of the cutting mechanism between the proximal portion and the distal portion thereof to facilitate distal translation of the knife blade within the curved knife channel.