Surgical forceps

• US 9,649,152 B2
• Filed: 03/28/2016
• Issued: 05/16/2017
• Est. Priority Date: 06/29/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Heard, David N., Mueller, Peter M., Artale, Ryan C., Coe, Jonathan A., Kappus, John J., Moua, Tony, Sirianne, Raymond A.
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US15/082,189
• Publication Number:
  US 20160206368A1
• Time in Patent Office: 414 Days
• Field of Search: None
• CPC Class Codes: A61B 17/295 combined with cutting implements
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/2901 Details of shaft
• 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 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00946 slidable
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1273 including multiple generators in one device
• CPC Class Codes: A61B 2018/1422 Hook
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1452 including means for cutting A61B2018/146 takes precedence
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2018/1495 : Electrodes being detachable from a support structure

Abstract

A forceps includes an end effector assembly including first and second jaw members. One or both of the jaw members is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One or both of the jaw members is configured to conduct energy between the jaw members and through tissue grasped therebetween to treat tissue. An insulative tubular member is movable relative to the end effector assembly between a retracted position, wherein the insulative tubular member is positioned proximally of the end effector assembly, and an extended position, wherein the insulative tubular member is disposed about the end effector assembly. A monopolar member is configured to apply energy to tissue to treat tissue when the insulative tubular member is disposed in the extended position.

Claims

1. A surgical instrument, comprising:

a housing;

a shaft extending distally from the housing;

an end effector assembly disposed at a distal end of the shaft; and

a monopolar assembly including a tubular member and a monopolar electrode, the tubular member at least partially formed from an insulative material and slidably disposed about the shaft, the monopolar electrode engaged to the tubular member, disposed at least partially within the tubular member, and extending distally from the tubular member,

wherein the monopolar assembly is deployable from a retracted position, wherein the tubular member is positioned proximally of the end effector assembly and a distal end of the monopolar electrode is positioned towards a proximal end of the end effector assembly, and an extended position, wherein the tubular member surrounds the end effector assembly and the distal end of the monopolar electrode extends distally from the end effector assembly.

2. The surgical instrument according to claim 1, wherein the end effector assembly includes first and second jaw members pivotably coupled to one another, at least one of the first or second jaw members pivotable relative to the other between a spaced-apart position and an approximated position.

3. The surgical instrument according to claim 2, wherein each of the first and second jaw members includes an electrically-conductive surface, the electrically-conductive surfaces configured to conduct bipolar energy therebetween.

4. The surgical instrument according to claim 2, further comprising:

a movable handle operably coupled to the housing; and

a drive assembly coupled between the movable handle and the at least one of the first or second jaw members,

wherein actuation of the movable handle pivots the at least one of the first or second jaw members relative to the other from the spaced-apart position to the approximated position.

5. The surgical instrument according to claim 2, wherein each of the first and second jaw members includes a proximal flange and a distal jaw body, and wherein, in the retracted position of the monopolar assembly, the distal end of the monopolar electrode is positioned adjacent the proximal flange of at least one of the first or second jaw members.

6. The surgical instrument according to claim 1, further comprising an actuation knob operably coupled to the housing and the monopolar assembly, wherein actuation of the actuation knob deploys the monopolar assembly from the retracted position to the extended position.

7. The surgical instrument according to claim 1, wherein the monopolar electrode includes an elongated proximal portion and a distal tip portion.

8. The surgical instrument according to claim 7, further comprising and insulator disposed about at least a portion of the elongated proximal portion of the monopolar electrode.

9. The surgical instrument according to claim 7, wherein the distal tip portion of the monopolar electrode defines a hook-shaped configuration.

10. The surgical instrument according to claim 1, further comprising a monopolar activation switch disposed on the housing and electrically coupled to monopolar electrode.

11. The surgical instrument according to claim 1, wherein, in the extended position, a distal end of the tubular member is positioned adjacent a distal end of the end effector assembly.

13. The surgical instrument according to claim 11, further comprising:

a movable handle operably coupled to the housing; and

a drive assembly coupled between the movable handle and the at least one of the first or second jaw members,

wherein actuation of the movable handle pivots the at least one of the first or second jaw members relative to the other from the spaced-apart position to the approximated position.

14. The surgical instrument according to claim 11, wherein each of the first and second jaw members includes a proximal flange and a distal jaw body, and wherein, in the retracted position of the monopolar assembly, the distal end of the monopolar electrode is positioned adjacent the proximal flange of at least one of the first or second jaw members.

15. The surgical instrument according to claim 11, further comprising an actuation knob operably coupled to the housing and the monopolar assembly, wherein actuation of the actuation knob deploys the monopolar assembly from the retracted position to the extended position.

16. The surgical instrument according to claim 11, wherein the monopolar electrode includes an elongated proximal portion and a distal tip portion.

17. The surgical instrument according to claim 15, further comprising and insulator disposed about at least a portion of the elongated proximal portion of the monopolar electrode.

18. The surgical instrument according to claim 15, wherein the distal tip portion of the monopolar electrode defines a hook-shaped configuration.

19. The surgical instrument according to claim 11, further comprising a monopolar activation switch disposed on the housing and electrically coupled to monopolar electrode.

20. The surgical instrument according to claim 11, further comprising a bipolar activation switch disposed on the housing and electrically coupled to at least one of the electrically-conductive surfaces of the first and second jaw members.

12. A surgical instrument, comprising:

a housing;

a shaft extending distally from the housing;

an end effector assembly disposed at a distal end of the shaft, the end effector assembly including first and second jaw members pivotably coupled to one another, at least one of the first or second jaw members pivotable relative to the other between a spaced-apart position and an approximated position, each of the first and second jaw members including an electrically-conductive surface adapted to connect to a source of bipolar energy; and

a monopolar assembly including a tubular member and a monopolar electrode, the tubular member at least partially formed from an insulative material and slidably disposed about the shaft, the monopolar electrode engaged to the tubular member, disposed at least partially within the tubular member, and extending distally from the tubular member, the monopolar electrode adapted to connect to a source of monopolar energy,

wherein the monopolar assembly is deployable from a retracted position, wherein the tubular member is positioned proximally of the end effector assembly and a distal end of the monopolar electrode is positioned towards a proximal end of the end effector assembly, and an extended position, wherein the tubular member surrounds the end effector assembly and the distal end of the monopolar electrode extends distally from the end effector assembly.