Vessel sealer and divider with non-conductive stop members

• US 8,241,284 B2
• Filed: 01/05/2009
• Issued: 08/14/2012
• Est. Priority Date: 04/06/2001
• Status: Active Grant

• Current Assignee: Covidien Limited (Medtronic Plc)
• Original Assignee: Covidien Limited (Medtronic Plc)
• Inventors: Dycus, Sean T., Buysse, Steven Paul, Brown, Dax D.
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US12/348,748
• Publication Number:
  US 20090171350A1
• Time in Patent Office: 1,317 Days
• Field of Search: 606 45- 52, 606170-174, 606205-210
• 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 18/1206 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

An endoscopic 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. An endoscopic bipolar forceps, comprising:

an elongated shaft having opposing jaw members at a distal end thereof, the jaw members including a length and a periphery and 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 jaw members each including respective flat seal surfaces extending along a respective length thereof and adaptable to connect 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;

a plurality of non-conductive stop members disposed along the length of at least one of the seal surfaces of at least one of the jaw members such that the plurality of non-conductive stop members are disposed along the same plane on the seal surface with respect to one another, the non-conductive stop members configured to maintain a uniform distance between the jaw members along the length thereof; and

a knife disposed in operative communication with at least one of the jaw members and translatable to sever tissue disposed between jaw members.

2. An endoscopic bipolar forceps according to claim 1 wherein the forceps includes at least two non-conductive stop members disposed on the inner facing surface of at least one of the jaw members that extend different heights from the inner facing surface.

3. An endoscopic bipolar forceps according to claim 1 wherein at least one of the jaw members includes an electrically conductive surface having a longitudinally-oriented channel defined therein which facilitates longitudinal translation of the knife for severing tissue.

4. An endoscopic bipolar forceps according to claim 3 wherein at least one non-conductive stop member is disposed on the electrically conductive surface of the jaw member proximate one side of the longitudinally-oriented channel and at least one non-conductive stop member is disposed on the electrically conductive surface of the jaw member proximate another side of the longitudinally-oriented channel.

5. An endoscopic bipolar forceps according to claim 1 wherein the non-conductive stop members are manufactured from the group consisting of:

parylene, nylon and ceramic.

6. An endoscopic bipolar forceps according to claim 1 wherein the non-conductive stop members include a series of longitudinally-oriented projections that extend from a proximal end of the jaw member to a distal end of the jaw member.

7. An endoscopic bipolar forceps according to claim 1 wherein the non-conductive stop members include a series of circle-like tabs which extend from a proximal end of the jaw member to a distal end of the jaw member.

8. An endoscopic bipolar forceps according to claim 7 wherein the circle-like tabs are disposed in an alternating, laterally-offset manner relative to one another along a length of the jaw member.

9. An endoscopic bipolar forceps according to claim 1 wherein the non-conductive stop members each protrude about 0.001 inches to about 0.005 inches from the inner facing surface of the jaw member.

10. An endoscopic bipolar forceps according to claim 1 wherein the non-conductive stop members each protrude about 0.002 inches to about 0.003 inches from the inner facing surface of the jaw member.

11. An endoscopic bipolar forceps according to claim 1 wherein the non-conductive stop members are affixed to the jaw member by a molding process.

12. An endoscopic bipolar forceps, comprising:

at least one elongated shaft having opposing jaw members at a distal end thereof, the jaw members movable with respect to the elongated shaft, the jaw members having a length and 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;

a drive rod assembly that connects the jaw members to a source of electrical energy such that the first jaw member has a first electrical potential and the second jaw member has a second electrical potential and the jaw members each including respective flat seal surfaces extending along a respective length thereof such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal;

a handle attached to the drive rod assembly for imparting movement of the first and second jaw members between the first and second positions;

a plurality of non-conductive stop members disposed along the length of at least one of the seal surfaces of least one of the jaw members such that the plurality of non-conductive stop members are disposed along the same plane on the seal surface, the non-conductive stop members configured to maintain a uniform distance between the jaw members along the length thereof;

a knife selectively movable to sever tissue along the tissue seal; and

a trigger which mechanically activates the knife for severing tissue proximate the tissue seal.

13. An endoscopic bipolar forceps according to claim 12 wherein the jaw members are configured to resist bending.

14. An endoscopic bipolar forceps according to claim 12 wherein the jaw members and the non-conductive stop members are configured such that the jaw members do not contact each other when the jaw members are moved to the second position.

15. An endoscopic bipolar forceps according to claim 12 wherein the jaw members and the non-conductive stop members are configured such that the distance between the jaw members when tissue is held therebetween is between about 0.002 inches and about 0.003 inches.

16. An endoscopic bipolar forceps according to claim 12 wherein the non-conductive stop members include a first pair of non-conductive stop members each being disposed a first distance from the inner facing surface of the jaw member and a second pair of non-conductive stop members each being disposed a second distance from the inner facing surface of the jaw member, and wherein the first distance is not equal to the second distance.

17. An endoscopic bipolar forceps according to claim 12 wherein the non-conductive stop members include at least one pair of non-conductive stop members arranged transversely atop at least one of the inner facing surfaces of one of the jaw members and a non-conductive stop member disposed at a distal tip of at least one of the jaw members.

18. An endoscopic bipolar forceps according to claim 12 wherein the distance between clamped jaw members is uniform along the length of the jaw members.