Method and force-limiting handle mechanism for a surgical instrument

• US 8,708,210 B2
• Filed: 10/05/2006
• Issued: 04/29/2014
• Est. Priority Date: 10/05/2006
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Zemlok, Michael, Scirica, Paul A., Desantis, Robert J.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US11/543,424
• Publication Number:
  US 20080083813A1
• Time in Patent Office: 2,763 Days
• Field of Search: 227/175.2, 227/176.1, 227/19, 227/175.3, 227/182.1, 606/219, 606/139, 606/140, 606/141, 606/142, 606/143, 606/144, 606/145
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: Y10T 74/20612 Hand

Abstract

A safety handle assembly for use with a surgical instrument having an operative distal end portion is disclosed. The handle assembly includes a handle housing and a drive element movably mounted within the handle housing and connected to an associated operative distal end portion. A drive assembly is positioned within the handle housing and is engageable with the drive element to move the drive element within the handle housing. An actuator is movably mounted on the handle housing and an adjustable force-limiting mechanism is interposed between the drive assembly and the actuator. A force-limiting mechanism releasably connects the actuator to the drive assembly. The force-limiting mechanism is adjustable to preset the force at which the actuator separates or breaks away from the drive assembly.

Claims

1. A handle assembly for use with a surgical instrument having an operative distal end portion comprising:

a handle housing;

a drive element movably mounted within the handle housing and connected to an operative distal end portion;

a drive assembly positioned within the handle housing and engageable with the drive element to move the drive element within the handle housing;

an actuator movably mounted on the handle housing; and

a force-limiting mechanism interposed between the drive assembly and the actuator, the force-limiting mechanism releasably connecting the actuator to the drive assembly, wherein a portion of the force-limiting mechanism is pivotably attached to the drive assembly about a pivot, and wherein the pivot is stationary with respect to the handle housing;

wherein the force-limiting mechanism includes a connecting rod having a first end connected to a portion of the drive assembly and a second end movably mounted within the actuator.

2. The handle assembly as recited in claim 1, wherein the force-limiting mechanism includes a spring positioned within the actuator and adjacent the second end of the connecting rod.

3. The handle assembly as recited in claim 2, wherein the force-limiting mechanism includes an adjustment screw positioned within the actuator and engageable with the spring to vary the force within the spring.

4. The handle assembly as recited in claim 1, wherein the connecting rod has a protrusion and the drive assembly includes a cut out portion, the protrusion being releasably engageable within the cut out portion.

5. The handle assembly of claim 4, wherein the protrusion extends laterally from the connecting rod.

6. The handle assembly of claim 1, wherein the pivot is stationary with respect to a portion of the drive assembly that is pivotably attached to the force-limiting mechanism.

7. A handle assembly for use with a surgical instrument having an operative distal end portion comprising:

a handle housing;

a rack movably mounted within the handle housing and connected to an operative distal end portion;

a drive assembly positioned within the handle housing, the drive assembly including a pawl engageable with the rack;

a trigger pivotally mounted on the handle housing; and

an adjustable force-limiting mechanism releasably attached to a portion of the drive assembly and mounted for movement within the trigger, the adjustable force-limiting mechanism releasably connecting the trigger to the drive assembly, and wherein the adjustable force-limiting mechanism includes a connecting rod having a first end connected to a portion of the drive assembly and a second end movably mounted within the trigger.

8. The handle assembly as recited in claim 7, wherein the adjustable force-limiting mechanism includes a spring mounted within the trigger such that a first end of the spring is engageable with the second end of the connecting rod.

9. The handle assembly as recited in claim 8, wherein the adjustable force-limiting mechanism includes an adjustment screw mounted within the trigger such that rotation of the adjustment screw alters the pressure within the spring.

10. A method of controlling the maximum amount of force applied to an end effector by a handle assembly comprising:

providing a handle assembly having a handle housing, a rack movably mounted within the handle housing, a drive assembly mounted within the handle housing and engageable with the rack, a trigger pivotally mounted within the handle housing and a clutch mechanism interposed between the drive assembly and the trigger such that the clutch mechanism releasably connects the trigger to the drive assembly, wherein a portion of the clutch mechanism is pivotably attached to the drive assembly about a pivot, wherein a portion of the clutch mechanism is movably mounted within the trigger, and wherein the pivot is stationary with respect to the handle housing;

urging at least a portion of the clutch mechanism into engagement with the drive assembly by a predetermined force; and

releasing the clutch mechanism from the drive assembly in response to a predetermined amount of force applied to the rack.

11. The method as recited in claim 10, wherein the step of urging at least a portion of the clutch mechanism includes urging a spring biased plunger associated with the clutch mechanism into engagement with the drive assembly.

12. A handle assembly for use with a surgical instrument having an operative distal end portion comprising:

a handle housing;

a rack movably mounted within the handle housing and connected to an operative distal end portion;

a drive assembly positioned within the handle housing, the drive assembly including a pawl engageable with the rack;

a trigger pivotally mounted on the handle housing; and

an adjustable force-limiting mechanism releasably attached to a portion of the drive assembly and mounted for movement within the trigger, the adjustable force-limiting mechanism releasably connecting the trigger to the drive, wherein a portion of the adjustable force-limiting mechanism is pivotably attached to the drive assembly about a pivot, wherein a portion of the adjustable force-limiting mechanism is movably mounted within the trigger, and wherein the pivot is stationary with respect to the handle housing.