Single action tissue sealer

• US 9,198,717 B2
• Filed: 02/02/2015
• Issued: 12/01/2015
• Est. Priority Date: 08/19/2005
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Garrison, David M., Hermes, Paul, Dycus, Sean T.
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US14/611,845
• Publication Number:
  US 20150190192A1
• Time in Patent Office: 302 Days
• Field of Search: 606/51, 606/171
• US Class Current: 1/1
• CPC Class Codes: A61B 17/282 Jaws
• CPC Class Codes: A61B 17/285 combined with cutting implements
• 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 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/085 Forceps, scissors
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• 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 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• 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 2090/08021 : of the patient or his organs

Abstract

An endoscopic bipolar forceps includes a housing and a shaft, the shaft having an end effector assembly at its distal end. The end effector assembly includes two jaw members for grasping tissue therebetween. The jaw members are adapted to connect to an electrosurgical energy source which enable them to conduct energy through the tissue to create a tissue seal. A drive assembly is disposed within the housing which moves the jaw members. A switch is disposed within the housing which activates the electrosurgical energy. A knife assembly is included which is advanceable to cut tissue held between the jaw members. A movable handle is connected to the housing. Continual actuation of the movable handle engages the drive assembly to move the jaw members, engages the switch to activate the electrosurgical energy source to seal the tissue, and advances the knife assembly the cut the tissue disposed between the jaw members.

Claims

1. A bipolar forceps, comprising:

a housing;

an elongated shaft extending distally from the housing;

an end effector assembly coupled to a distal end of the elongated shaft, the end effector assembly including a first jaw member pivotable relative to a second jaw member between an open position and a closed position and configured to conduct electrosurgical energy through tissue grasped between the first and second jaw members;

a knife advanceable through the first and second jaw members to cut grasped tissue;

a movable handle connected to the housing and configured to pivot the first jaw member between the open and closed positions; and

a switch disposed within the housing and having a contact configured to be engaged by the movable handle to actuate the switch subsequent to pivoting of the first jaw member toward the closed position.

2. The bipolar forceps according to claim 1, wherein actuation of the switch is configured to control the transfer of electrosurgical energy through tissue grasped between the first and second jaw members.

3. The bipolar forceps according to claim 1, wherein the knife is advanceable through the first and second jaw members subsequent to the transfer of electrosurgical energy through the grasped tissue.

4. The bipolar forceps according to claim 3, further comprising a knife channel extending at least partially through each of the first and second jaw members, the knife channel configured to allow reciprocation of the knife therethrough.

5. The bipolar forceps according to claim 4, wherein the knife channels are curved.

6. The bipolar forceps according to claim 1, wherein the first and second jaw members are configured to apply a closure pressure to grasped tissue from about 3 kg/cm² to about 16 kg/cm².

7. The bipolar forceps according to claim 1, wherein each of the first and second jaw members includes a half channel defined therein, the half channels configured to form a knife channel, the knife channel configured to allow reciprocation of the knife therethrough.

8. The bipolar forceps according to claim 1, further comprising a rotating assembly configured to rotate the elongated shaft relative to the housing about a longitudinal axis defined through the elongated shaft.

9. The bipolar forceps according to claim 1, wherein at least one of the first or second jaw members includes at least one stop member configured to control a gap distance between the first and second jaw members.

10. A bipolar forceps, comprising:

an elongated shaft extending distally from a housing;

an end effector assembly coupled to a distal end of the elongated shaft and pivotable between an open configuration and a closed configuration for grasping tissue;

a knife advanceable through the end effector assembly to cut grasped tissue;

a movable handle connected to the housing and configured to pivot the end effector assembly between the open and closed configurations; and

a switch disposed within the housing and having a contact configured to be engaged by the movable handle to actuate the switch subsequent to pivoting of the end effector assembly from the open configuration toward the closed configuration.

11. The bipolar forceps according to claim 10, wherein actuation of the switch is configured to control the transfer of electrosurgical energy through tissue grasped by the end effector assembly.

12. The bipolar forceps according to claim 10, wherein the knife is configured to advance through the end effector assembly to cut the grasped tissue subsequent to the transfer of electrosurgical energy through the grasped tissue.

13. The bipolar forceps according to claim 10, further comprising a knife channel extending at least partially through the end effector assembly, the knife channel configured to allow reciprocation of the knife therethrough.

14. A handle assembly for a bipolar forceps, comprising:

a housing forming a stationary handle and having an elongated shaft extending therefrom;

a movable handle connected to the housing and movable relative to the stationary handle to actuate an end effector assembly disposed at a distal end of the elongated shaft;

a knife operably coupled to the movable handle and advanceable by the movable handle through the end effector assembly to cut grasped tissue; and

a switch disposed within the housing and having a contact configured to be engaged by the movable handle to actuate the switch subsequent to actuation of the end effector assembly.

15. The handle assembly according to claim 14, wherein movement of the movable handle relative to the stationary handle actuates the end effector assembly to grasp tissue and advances the knife through the end effector assembly to cut the tissue grasped by the end effector assembly subsequent to actuation of the switch.

16. The handle assembly according to claim 14, wherein the switch is configured to control the transfer of electrosurgical energy to the grasped tissue.

17. The handle assembly according to claim 14, wherein the housing is adapted to receive an electrosurgical cable therein configured to supply electrosurgical energy from an energy source to the end effector assembly.