Surgical instrument with stamped double-flange jaws and actuation mechanism

• US 9,375,263 B2
• Filed: 01/23/2015
• Issued: 06/28/2016
• 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:
  US14/604,385
• Publication Number:
  US 20150133930A1
• Time in Patent Office: 522 Days
• Field of Search: None
• US Class Current: 1/1
• 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:

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

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

a first jaw member pivotally coupled to the distal portion of the elongated shaft and including a first pair of laterally spaced flanges; and

a second jaw member pivotally coupled to the distal portion of the elongated shaft and including a second pair of laterally spaced flanges, wherein the first and second pairs of flanges of the jaw members are arranged in an offset configuration such that one flange of the pair of flanges of the first jaw member is positioned on a laterally exterior side of a corresponding flange of the pair of flanges of the second jaw member, and the other flange of the pair of flanges of the first jaw member is positioned on a laterally interior side of the other flange of the pair of flanges of the second jaw member; and

a drive rod having a generally u-shaped profile and extending at least partially through the elongated shaft, the drive rod selectively movable to pivot at least one jaw member relative to the other jaw member.

2. The surgical instrument according to claim 1, wherein the drive rod is selectively movable in a longitudinal direction through a laterally interior side of each of the flanges.

3. The surgical instrument according to claim 1, further comprising a cam pin supported by the drive rod such that longitudinal movement of the drive rod is imparted to the cam pin.

4. The surgical instrument according to claim 3, wherein each of the flanges defines a camming slot configured to engage the cam pin.

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

6. The surgical instrument according to claim 1, wherein each of the pairs of flanges extends proximally from a curved tissue engaging portion of each respective jaw member.

7. The surgical instrument according to claim 1, wherein each of the jaw members is pivotally coupled to the distal portion of the elongated shaft about a pivot axis.

8. The surgical instrument according to claim 7, wherein the pivot axis extends through each of the pairs of flanges in a direction substantially transverse to the longitudinal axis defined by the elongated shaft.

9. 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 generally u-shaped profile of the drive rod such that the drive rod restricts lateral movement of the knife in a first lateral plane.

10. The surgical instrument according to claim 9, 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.

11. The surgical instrument according to claim 10, wherein 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.

12. The surgical instrument according to claim 1, 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.

13. The surgical instrument according to claim 12, wherein at least one of the flanges of the pair of 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.

14. The surgical instrument according to claim 13, wherein the wire guides are constructed of an electrically isolative plastic.

15. A surgical instrument, comprising:

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

an end effector supported by the distal portion of the elongated shaft and adapted for treating tissue, the end effector including first and second jaw members pivotally coupled to one another, each of the jaw members including a pair of laterally spaced flanges 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;

a knife extending at least partially through the elongated shaft and selectively movable in a longitudinal direction; and

a drive rod selectively movable at least partially through the elongated shaft in a longitudinal direction, the drive rod configured to surround the knife on four lateral sides of the knife to restrict motion of the knife in at least two orthogonal planes.

16. The surgical instrument according to claim 15, wherein the drive rod is constructed of metal folded to exhibit a generally u-shaped profile.

17. The surgical instrument according to claim 15, wherein each of the flanges defines a camming surface configured to engage a cam pin supported by a distal portion of the drive rod to induce the jaw members to pivot between an open configuration and a closed configuration upon longitudinal movement of the drive rod.

18. The surgical instrument according to claim 15, wherein the knife is constructed of a flat piece of metal.