Endoscopic vessel sealer and divider for large tissue structures

• US 9,918,782 B2
• Filed: 07/22/2015
• Issued: 03/20/2018
• Est. Priority Date: 01/24/2006
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Unger, Jeffrey R.
• Primary Examiner(s): FOWLER, DANIEL WAYNE
• Application Number:
  US14/806,211
• Publication Number:
  US 20150351829A1
• Time in Patent Office: 972 Days
• 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 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself

Abstract

An endoscopic bipolar forceps includes a housing having a shaft affixed thereto, the shaft including jaw members at a distal end thereof. The forceps also includes a drive assembly which moves the jaw member relative to one another for manipulating tissue and a knife assembly for cutting tissue disposed between jaw members. The forceps also includes a knife lockout mechanism operatively connected to the drive assembly. Movement of the drive assembly moves the knife lockout mechanism from a first orientation in obstructive relationship with the knife bar to prevent movement thereof to a second position which allows selective, unencumbered movement of the knife assembly to cut tissue disposed between the jaw members.

Claims

1. An endoscopic bipolar forceps, comprising:

a housing;

a shaft extending from the housing defining a longitudinal axis;

first and second jaw members supported at a distal end of the shaft and capable of conducting electrosurgical energy to tissue held therebetween to effect a tissue seal, at least one of the first and second jaw members moveable relative to the other from a first position wherein the first and second jaw members are disposed in spaced relation relative to one another to a second position wherein the first and second jaw members are closer to one another for manipulating tissue;

a moveable handle rotatable about a pivot to move the first and second jaw members between the first and second position, the pivot located a fixed distance above the longitudinal axis;

a knife assembly having a knife bar configured to move a knife to cut tissue disposed between the first and second jaw members, the knife bar including a generally t-shaped proximal end dimensioned to operatively engage a corresponding slot defined within the housing, the slot guiding movement of the knife bar during translation thereof; and

a knife lockout mechanism operatively connected to the moveable handle wherein movement of the moveable handle moves the knife lockout mechanism from a first orientation to a second orientation, wherein in the first orientation the knife lockout mechanism prevents the knife bar from moving, and wherein in the second orientation the knife lockout mechanism allows selective, unencumbered movement of the knife bar to cut tissue disposed between the first and second jaw members.

2. The endoscopic bipolar forceps according to claim 1, further comprising a drive stop operatively engaged with the knife lockout mechanism such that rotation of the moveable handle causes the drive stop to move the knife lockout mechanism between the first orientation and the second orientation.

3. The endoscopic bipolar forceps according to claim 1, wherein the knife lockout mechanism obstructs the t-shaped proximal end of the knife bar when disposed in the first orientation.

4. The endoscopic bipolar forceps according to claim 1, wherein the knife bar is operatively coupled to the knife slidingly disposed within the shaft.

5. The endoscopic bipolar forceps according to claim 4, further comprising a finger actuator operatively coupled to the knife assembly wherein movement of the finger actuator moves the knife bar which, in turn, moves the knife to cut tissue disposed between the jaw members.

6. The endoscopic bipolar forceps according to claim 1, further comprising a spring which biases the knife assembly in a proximal-most orientation.

7. The endoscopic bipolar forceps according to claim 1, further comprising a spring which biases the knife lockout mechanism towards the first orientation.

8. The endoscopic bipolar forceps according to claim 1, further comprising a hand switch disposed within the housing and adapted to connect to a source of electrosurgical energy, the hand switch allowing a user to selectively supply electrosurgical energy to the first and second jaw members to effect a tissue seal.

9. The endoscopic bipolar forceps according to claim 1, wherein at least one of the first and second jaw members includes a series of stop members disposed thereon configured to regulate the distance between the first and second jaw members during sealing.

10. An endoscopic bipolar forceps, comprising:

a housing;

a shaft affixed to the housing having a longitudinal axis defined therethrough;

first and second jaw members at a distal end of the shaft electrically connected to a source of electrosurgical energy through the shaft such that the first and second jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal;

a selectively translatable drive sleeve configured to transition at least one of the first and second jaw members relative to the other between a first position wherein the first and second jaw members are disposed in spaced relation relative to one another and a second position wherein the first and second jaw members are closer to one another for manipulating tissue;

a movable handle rotatable about a pivot to move the drive sleeve to transition the first and second jaw members between the first and second positions, the pivot located a fixed distance above the longitudinal axis;

a knife assembly having a knife bar with a t-shaped proximal end, said knife assembly selectively movable to advance the knife bar which, in turn, moves a knife to cut tissue between jaw members; and

a knife lockout mechanism operatively coupled to the drive sleeve wherein translation of the drive sleeve pivots the knife lockout mechanism between a first orientation in obstructive relationship with the t-shaped proximal end of the knife bar to prevent movement thereof to a second orientation which allows selective, unencumbered movement of the t-shaped proximal end of the knife bar to reciprocate the knife to cut tissue disposed between the jaw members.

11. An endoscopic bipolar forceps, comprising:

a housing;

a shaft affixed to the housing having a longitudinal axis defined therethrough;

first and second jaw members at a distal end of the shaft electrically connected to a source of electrosurgical energy through the shaft such that the first and second jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal;

a selectively translatable drive sleeve configured to move at least one of the first and second jaw members relative to the other from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members are closer to one another for manipulating tissue;

a movable handle rotatable about a pivot to translate the drive sleeve to move the first and second jaw members between the first and second positions, the pivot located a fixed distance above the longitudinal axis;

a selectively moveable knife assembly having a knife bar which moves a knife to cut tissue between jaw members, the knife bar including a generally t-shaped proximal end dimensioned to operatively engage a corresponding slot defined within the housing, the slot guiding the movement of the knife bar during translation thereof; and

a knife lockout mechanism operatively connected to the drive sleeve wherein translation of the drive sleeve moves the knife lockout mechanism from a first orientation in obstructive relationship with the knife bar to prevent movement thereof to a second orientation which allows selective, unencumbered movement of the knife bar to cut tissue disposed between the jaw members.

12. The endoscopic bipolar forceps according to claim 11, wherein the knife assembly includes a cuff at a distal end of the knife bar, the cuff dimensioned to encapsulate and move atop the drive sleeve upon movement of the knife bar.

13. The endoscopic bipolar forceps according to claim 12, further comprising a finger actuator operatively connected to the knife assembly, the finger actuator including two generally u-shaped flanges which rotate about a pivot to abut and force the cuff distally which, in turn, results in distal translation of the knife bar.

14. The endoscopic bipolar forceps according to claim 13, further comprising a spring which biases the cuff to force the knife assembly in a proximal-most orientation.