Surgical instrument with stamped double-flag jaws and actuation mechanism

• US 8,968,311 B2
• Filed: 05/01/2012
• Issued: 03/03/2015
• Est. Priority Date: 05/01/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Allen, James D. IV, Chojin, Edward M., Bucciaglia, Joseph D.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US13/461,378
• Publication Number:
  US 20130296848A1
• Time in Patent Office: 1,036 Days
• Field of Search: None
• US Class Current: 606/51
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• 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 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: F04C 2270/0421 Controlled or regulated

Abstract

A surgical instrument includes a housing that supports an elongated shaft. A selectively movable drive rod extends through the elongated shaft and carries a cam pin in a longitudinal direction. An end effector for surgically treating tissue is supported by the elongated shaft and includes upper and lower jaw members pivotally coupled to one another about a pivot axis. The upper jaw member includes a first pair of laterally spaced flanges, and the lower jaw member includes a second pair of laterally spaced flanges defining a camming slot for engaging the cam pin. The flanges are arranged in an offset configuration where one flange of the upper jaw member is positioned on a laterally exterior side of a corresponding flange of the lower jaw member, and the other flange of the upper jaw member is positioned on a laterally interior side of the other flange of the lower jaw member.

Claims

1. A surgical instrument, comprising:

a housing;

an elongated shaft including a proximal portion coupled to the housing and a distal portion opposite the proximal portion, the elongated shaft defining a longitudinal axis;

a drive rod extending at least partially through the elongated shaft, the drive rod selectively movable in a longitudinal direction with respect to the elongated shaft;

a cam pin supported by the drive rod such that longitudinal movement of the drive rod is imparted to the cam pin, and

an end effector supported by the distal portion of the elongated shaft, the end effector adapted for treating tissue, and comprising;

an upper jaw member pivotally coupled to the distal portion of the elongated shaft about a pivot axis and including a first pair of laterally spaced flanges each defining a camming slot for engaging the cam pin; and

a lower jaw member pivotally coupled to the distal portion of the elongated shaft about the pivot axis and including a second pair of laterally spaced flanges each defining a camming slot for engaging the cam pin, wherein the first and second pairs of flanges of the jaw members are arranged in an offset configuration such that one flange of the upper jaw member is positioned on a laterally exterior side of a corresponding flange of the lower jaw member, and the other flange of the upper jaw member is positioned on a laterally interior side of the other flange of the lower jaw member, wherein the drive rod exhibits a generally u-shaped profile and extends through the jaw members on a laterally interior side of each of the flanges.

2. The surgical instrument according to claim 1, wherein the upper and lower jaw members are constructed as substantially identical components positioned in a laterally offset manner with respect to one another.

3. The surgical instrument according to claim 1, wherein each of the flanges extends proximally from a tissue engaging portion of each of the jaw members, and wherein the tissue engaging portions are substantially curved.

4. The surgical instrument according to claim 1, wherein the pivot axis extends through each of the flanges in a direction substantially transverse to the longitudinal axis.

5. The surgical instrument according to claim 1, further comprising a knife selectively movable in a longitudinal direction with respect to the drive rod, the knife supported within the u-shaped profile such that the drive rod restricts lateral movement of the knife in a first lateral plane.

6. The surgical instrument according to claim 5, wherein the drive rod includes an overfold disposed opposite a u-shaped connector portion of the drive rod such that the knife is substantially surrounded on four lateral sides, and such that the overfold and the u-shaped connector portion restrict movement of the knife in a second lateral plane that is orthogonal to the first lateral plane.

7. The surgical instrument according to claim 1, wherein each of the jaw members is adapted for electrosurgically treating tissue, and wherein each of the jaw members includes an electrical wire extending proximally therefrom for facilitating connection of the respective jaw member to a source of electrosurgical energy.

8. The surgical instrument according to claim 7, wherein at least one of the flanges of each of the jaw members includes an electrically isolative wire guide disposed on a lateral side thereof, the electrical wire of the respective jaw member extending through the wire guide.

9. The surgical instrument according to claim 8, wherein the wire guides are constructed of an electrically isolative plastic molded onto the respective flanges.

10. A surgical instrument, comprising:

a housing;

an elongated shaft including a proximal portion coupled to the housing and a distal portion opposite the proximal portion, the elongated shaft defining a longitudinal axis;

an end effector supported by the distal portion of the elongated shaft, the end effector adapted for treating tissue and including first and second jaw members pivotally coupled to one another to move between open and closed configurations, wherein each of the jaw members includes a pair of laterally spaced flanges, and wherein each of the flanges includes a camming surface thereon;

a knife extending at least partially through the elongated shaft and selectively movable in a longitudinal direction between the flanges of the jaw members, a blade of the knife extendable into a tissue contacting portion of the jaw members; and

a drive rod extending at least partially through the elongated shaft and selectively movable in a longitudinal direction with respect to the knife and with respect to the elongated shaft, the drive rod carrying a cam pin positioned to engage the camming surface of each of the flanges to induce the jaw members to move between the open and closed configurations, the drive rod substantially surrounding the knife on four lateral sides to restrict motion of the knife in at least two orthogonal planes, wherein the laterally spaced flanges of the jaw members are arranged in a nestled configuration wherein both of the flanges of one of the jaw members are arranged within a laterally interior side of the laterally spaced flanges of the other of the jaw members and wherein the drive rod is constructed of metal folded to exhibit a generally u-shaped profile extending around the four lateral sides of the knife.

11. The surgical instrument according to claim 10, wherein the knife is constructed of a substantially flat piece of metal.

12. The surgical instrument according to claim 10, wherein a distal-most end of the drive rod extends around the four lateral sides of the knife and a proximal portion of the drive rod extends around fewer than four lateral sides of the knife.