Vessel sealer and divider

• US 10,687,887 B2
• Filed: 04/22/2019
• Issued: 06/23/2020
• Est. Priority Date: 04/06/2001
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Dycus, Sean T., Buysse, Steven P., Brown, Dax D.
• Primary Examiner(s): Fowler, Daniel W
• Assistant Examiner(s): Demie, Tigist S
• Application Number:
  US16/391,210
• Publication Number:
  US 20190247111A1
• Time in Patent Office: 428 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 18/1206 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 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/0063 Sealing
• 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 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
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A bipolar forceps includes an elongated shaft having opposing jaw members at a distal end thereof. The jaw members are movable relative to one another 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 cooperate to grasp tissue therebetween. The jaws members are connected to a source of electrical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. At least one non-conductive and spaced-apart stop member is disposed on an inner-facing surface of the jaw members to regulate the gap distance between the jaw members when tissue is held therebetween. The forceps also includes a longitudinally reciprocating knife which severs the tissue after sealing at a location which is proximate the sealing site.

Claims

1. A bipolar electrosurgical instrument, comprising:

a housing;

a shaft extending distally from the housing;

first and second jaw members disposed at a distal end of the shaft, the first and second jaw members including first and second seal surfaces, respectively, the first and second seal surfaces defining first and second knife channels, respectively, at least one of the first or second jaw members movable relative to the other from a open position to a closed position to grasp tissue between the first and second seal surfaces, the first and second seal surfaces adaptable to connect to a source of electrical energy such that the first and second seal surfaces are capable of conducting energy through tissue grasped therebetween;

a drive rod extending from the housing and through the shaft, the drive rod operably coupled with at least one of the first or second jaw members such that proximal translation of the drive rod moves the at least one of the first or second jaw members relative to the other to the closed position;

a drive linkage including at least a first end portion and a second end portion;

a movable handle coupled to the housing and movable proximally relative to a fixed handle portion of the housing from a spaced-apart position to an approximated position, the movable handle pivotably connected to the first end portion of the drive linkage;

a spring disposed within the housing, wherein a first end portion of the spring is operably coupled to the second end portion of drive linkage and wherein a second end portion of the spring is operably coupled to the drive rod, wherein movement of the drive linkage, in response to proximal movement of the movable handle from the spaced-apart position towards the approximated position moves the spring proximally to translate the drive rod proximally to thereby move the at least one of the first or second jaw members relative to the other to the closed position to maintain a compressive force between the first and second jaw members about tissue grasped between the first and second seal surfaces;

at least one stop member disposed on at least one of the first or second jaw members, the at least one stop member configured to regulate a gap distance between the first and second sealing surfaces in the closed position, wherein the gap distance and the compressive force facilitate sealing tissue grasped between the first and second sealing surfaces; and

a knife configured to translate through the first and second knife channels to cut sealed tissue.

2. The bipolar electrosurgical instrument according to claim 1, wherein the movable handle is configured to move the drive linkage to rotate and wherein rotation of the drive link moves the spring.

3. The bipolar electrosurgical instrument according to claim 1, further comprising a ratchet associated with the fixed handle portion of the housing and the movable handle, the ratchet including flange and a channel, the flange configured to engage the channel upon actuation of the movable handle to lock the movable handle relative to the fixed handle portion of the housing, thereby locking the first and second jaw members in the closed position.

4. The bipolar electrosurgical instrument according to claim 1, further comprising a trigger pivotably coupled to the housing and operably coupled to the knife, wherein actuation of the trigger moves translates the knife through the first and second knife channels.

5. The bipolar electrosurgical instrument according to claim 4, further comprising a knife sleeve extending from the housing and through the shaft, the knife sleeve operably coupling the trigger with the knife, wherein actuation of the trigger translates the knife sleeve to thereby translate the knife through the first and second knife channels.

6. The bipolar electrosurgical instrument according to claim 1, wherein the first and second seal surfaces are disposed on inwardly-facing surfaces of the first and second jaw members, respectively, and wherein each of the first and second jaw members further includes an insulator disposed on an outwardly-facing surface thereof.

7. The bipolar electrosurgical instrument according to claim 1, wherein the at least one stop member includes a plurality of stop members.

8. The bipolar electrosurgical instrument according to claim 1, further comprising a tab extending from the drive rod, wherein movement of the spring urges the spring into the tab to translate the drive rod to thereby move the at least one of the first or second jaw members relative to the other to the closed position.

9. The bipolar electrosurgical instrument according to claim 8, wherein the spring is compressed against the tab to translate the drive rod.

10. The bipolar electrosurgical instrument according to claim 1, wherein the spring is disposed about the drive rod.

11. The bipolar electrosurgical instrument according to claim 10, wherein the spring is a compression coil spring.

12. The bipolar electrosurgical instrument according to claim 10, wherein the spring and the drive rod are aligned on a longitudinal axis extending through the shaft.

13. The bipolar electrosurgical instrument according to claim 1, wherein both of the first and second jaw members are movable from the open position to the closed position.