Vessel Sealer and Divider for Large Tissue Structures

• US 20090012520A1
• Filed: 09/19/2008
• Published: 01/08/2009
• Est. Priority Date: 01/24/2006
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Shields, Chelsea, James, Jeremy, Unger, Jeffrey R., Hixson, David W.
• Granted Patent: US 8,734,443 B2
• Time in Patent Office: Days
• US Class Current: 606/51
• 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 18/1402 Probes for open surgery
• 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 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• 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 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter

Abstract

An endoscopic bipolar forceps includes a housing having a shaft affixed thereto, the shaft including jaw members at a distal end thereof. The shaft includes jaw members adapted to connect to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. The forceps include a drive assembly that moves the jaw members relative to one another from a first position to a second position for manipulating tissue. A movable handle is included that is rotatable about a pivot. A knife assembly is also included having a movable knife rod to operatively engage a knife blade, the knife rod having a first longitudinal section having a first predetermined shape, and a second longitudinal section having a second predetermined shape. The first predetermined shape is different than the second predetermined shape.

Claims

1. A bipolar forceps, comprising:

a housing;

a shaft affixed to the housing having jaw members at a distal end thereof, the shaft having a longitudinal axis defined therethrough, the jaw members adapted to connect to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal;

a drive assembly that moves the jaw members 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 are closer to one another for manipulating tissue;

a movable handle rotatable about a pivot to force a drive flange of the drive assembly to move the jaw members between the first and second positions, the pivot located a fixed distance above the longitudinal axis and the drive flange located generally along the longitudinal axis; and

a knife assembly having a movable knife rod that operatively engages a knife blade, the knife rod having a first longitudinal section having a first predetermined shape and a second longitudinal section having a second predetermined shape, wherein the first predetermined shape is different than the second predetermined shape.

2. A bipolar forceps according to claim 1, wherein the first longitudinal section of the knife rod has a profile selected from the group consisting of a solid profile and a hollow profile.

3. A bipolar forceps according to claim 1, wherein the first predetermined shape of the knife rod includes a uniform cross-section along the length of the first longitudinal section that is at least one of a circle, square, rectangle, triangle, quadrilateral, and polygon.

4. A bipolar forceps according to claim 3, wherein the polygon cross-section includes at least one of a pentagon, hexagon, heptagon, octagon, nonagon, or decagon.

5. A bipolar forceps according to claim 1, wherein the first longitudinal section of the knife rod has at least three peripheral edges rounded along the length thereof.

6. A bipolar forceps according to claim 1, wherein the first longitudinal section of the knife rod has at least one longitudinal flange along the length thereof.

7. A bipolar forceps according to claim 1, wherein the first longitudinal section of the knife rod has a width of about 0.20 inches to about 0.07 inches.

8. A bipolar forceps according to claim 1, wherein the second longitudinal section of the knife rod has a thickness of about 0.15 inches to about 0.5 inches.

9. A bipolar forceps according to claim 1 wherein the second longitudinal section of the knife rod includes at least one face shaped as a rack.

10. A bipolar forceps according to claim 1 wherein the first longitudinal section of the knife rod has a length of about 2 inches to about 5 inches along a longitudinal axis thereof and the second longitudinal section of the knife rod has a length of about 1 inches to about 2 inches along a longitudinal axis thereof.

11. A bipolar forceps according to claim 1, wherein the knife rod includes a third longitudinal section.

12. A bipolar forceps according to claim 11, wherein the third longitudinal section of the knife rod has a solid circular cross-section.

13. A bipolar forceps according to claim 11, wherein the third longitudinal section of the knife rod has a thickness of about 0.05 inches to about 0.20 inches.

14. A bipolar forceps according to claim 11, further comprising a tapered edge between the first longitudinal section of the knife rod and the third longitudinal section of the knife rod.

15. A bipolar forceps according to claim 1, wherein the knife blade includes a proximal end, a distal end, a web section, and a knife rod attachment section.

16. A bipolar forceps according to claim 15, wherein the knife rod attachment section includes an aperture defined therein.

17. A bipolar forceps according to claim 15, wherein the distal end of the knife blade includes a beveled edge having an angle of about 10°

to about 30°

relative to the vertical axis defined through the distal end.

18. A bipolar forceps according to claim 1, wherein the knife rod is operatively coupled to a knife slidingly disposed within the shaft and the forceps further comprises a finger actuator operatively coupled to the knife rod, wherein movement of the finger actuator moves the knife rod which, in turn, moves the knife to cut tissue disposed between the jaw members.

19. A bipolar forceps according to claim 18, wherein the finger actuator is in the shape of a wheel on a proximal portion of the housing.

20. A bipolar forceps according to claim 18, wherein the finger actuator is in the shape of a lever on a proximal portion of the housing.

21. A bipolar forceps according to claim 18, wherein the finger actuator includes a wheel having a first rack, a pinion that rotates about a pivot to abut and force the second longitudinal section distally which, in turn, results in distal translation of the knife.

22. A bipolar forceps according to claim 1, wherein the knife is selectively reciprocatable within a knife channel defined within at least one jaw member and the forceps further comprises a knife guide dimensioned to prevent tissue from entering the knife channel during activation.

23. A bipolar forceps according to claim 22, wherein the knife guide includes a solid body that insulates the jaw members from one another.