Single action tissue sealer

• US 8,945,127 B2
• Filed: 01/23/2014
• Issued: 02/03/2015
• 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:
  US14/162,192
• Publication Number:
  US 20140135761A1
• Time in Patent Office: 376 Days
• Field of Search: 606/51, 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. A bipolar forceps, comprising:

a housing;

an elongated shaft extending distally from the housing;

an end effector assembly engaged to a distal end of the elongated shaft, the end effector assembly including a first jaw member and a second jaw member, the first jaw member pivotable relative to the second jaw member from a first open position to a second closed position for grasping tissue, the jaw members adapted to connect to an electrosurgical energy source such that the jaw members are capable of conducting energy through tissue grasped therebetween;

a drive assembly disposed within the housing and operable to pivot the first jaw member from the first open position to the second closed position;

a switch operably associated with the housing and actuatable to energize the jaw members;

a knife advanceable to cut tissue grasped between the jaw members; and

a movable handle connected to the housing and selectively rotatable about a pivot point, wherein continuous actuation of the movable handle is operable to force the drive assembly to pivot the first jaw member from the first open position toward the second closed position and advance the knife to cut tissue grasped between the jaw members,

wherein the switch is actuatable to conduct energy through tissue grasped between the jaw members prior to advancement of the knife to cut tissue and the knife is advanceable through the jaw members to cut tissue subsequent to movement of the first jaw member to the second closed position.

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

3. The bipolar forceps according to claim 1, wherein at least one of the jaw members includes at least one stop member operable to limit a gap distance between the jaw members.

4. The bipolar forceps according to claim 1, wherein the knife is advanceable through the first and second jaw members to cut tissue grasped therebetween.

5. The bipolar forceps according to claim 1, further comprising a rotating assembly configured to rotate the elongated shaft relative to the housing about a longitudinal axis defined by the elongated shaft.

6. The bipolar forceps according to claim 1, wherein tissue is grasped between jaw members under a closure pressure from about 3 kg/cm² to about 16 kg/cm².

7. A bipolar forceps, comprising:

a housing;

an elongated shaft extending distally from the housing;

an end effector assembly engaged to a distal end of the elongated shaft, the end effector assembly including a first jaw member and a second jaw member, the first jaw member pivotable relative to the second jaw member from a first open position to a second closed position for grasping tissue, the jaw members adapted to connect to an electrosurgical energy source such that the jaw members are capable of conducting energy through tissue grasped therebetween;

a switch operably associated with the housing and actuatable to energize the jaw members;

a knife advanceable to cut tissue grasped between the jaw members; and

a movable handle connected to the housing and selectively rotatable about a pivot point, wherein continuous actuation of the movable handle pivots the first jaw member from the first open position toward the second closed position and advances the knife to cut tissue grasped between the jaw members,

wherein the switch is actuatable to conduct energy through tissue grasped between the jaw members prior to advancement of the knife to cut tissue and the knife is advanceable through the jaw members to cut tissue subsequent to movement of the first jaw member to the second closed position.

8. A bipolar forceps, comprising:

a housing;

an elongated shaft extending distally from the housing;

an end effector assembly engaged to a distal end of the elongated shaft, the end effector assembly including a first jaw member and a second jaw member, the first jaw member pivotable relative to the second jaw member from a first open position to a second closed position for grasping tissue;

a drive assembly disposed within the housing and operable to pivot the first jaw member from the first open position to the second closed position;

a switch operably associated with the housing and actuatable to energize the jaw members;

a knife advanceable to cut tissue grasped between the jaw members; and

a movable handle connected to the housing and selectively rotatable about a pivot point, wherein continuous actuation of the movable handle, in mechanical cooperation with the drive assembly, pivots the first jaw member relative to the second jaw member and advances the knife to cut tissue grasped between the jaw members,

wherein the switch is actuatable to conduct energy through tissue grasped between the jaw members prior to advancement of the knife to cut tissue.

9. The bipolar forceps according to claim 8, wherein at least one of the jaw members is adapted to connect to an electrosurgical generator.

10. The bipolar forceps according to claim 8, wherein each of the jaw members includes a longitudinally-extending knife channel extending at least partially therethrough.

11. The bipolar forceps according to claim 8, wherein at least one of the jaw members includes at least one stop member associated therewith operable to regulate a gap distance between the jaw members.

12. The bipolar forceps according to claim 11, wherein the gap distance between the jaw members is between about 0.001 inches and about 0.006 inches.

13. The bipolar forceps according to claim 8, 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.

14. A bipolar forceps, comprising:

a housing;

an elongated shaft extending distally from the housing;

an end effector assembly engaged to a distal end of the elongated shaft, the end effector assembly including a first jaw member and a second jaw member, the first jaw member pivotable relative to the second jaw member from a first open position in spaced relation to the second jaw member to a second closed position for grasping tissue, the jaw members adapted to connect to an electrosurgical energy source such that the jaw members are capable of conducting energy through tissue grasped therebetween;

a switch operably associated with the housing and actuatable to energize the jaw members;

a knife advanceable to cut tissue grasped between the jaw members; and

a movable handle connected to the housing and selectively rotatable about a pivot point, wherein actuation of the movable handle is operable to pivot the first jaw member from the first open position towards the second closed position and continued actuation of the movable handle advances the knife to cut tissue grasped between the jaw members,

wherein the switch is actuatable to conduct energy through tissue grasped between the jaw members prior to advancement of the knife to cut tissue and the knife is advanceable through the jaw members to cut tissue subsequent to movement of the first jaw member to the second closed position.

15. The bipolar forceps according to claim 14, wherein at least one of the jaw members includes at least one stop member operable to limit a gap distance between the jaw members.

16. The bipolar forceps according to claim 14, further comprising a rotating assembly configured to rotate the elongated shaft relative to the housing about a longitudinal axis defined by the elongated shaft.

17. The bipolar forceps according to claim 14, wherein tissue is grasped between jaw members under a closure pressure from about 3 kg/cm² to about 16 kg/cm².