1. Technical Field
The present disclosure relates to an apparatus for performing an electrosurgical procedure. More particularly, the present disclosure relates to an electrosurgical apparatus including an end effector assembly having a pair of jaw members that provide a mechanical advantage at the end effector.
2. Description of Related Art
Electrosurgical instruments, e.g., electrosurgical forceps (open or closed type), are well known in the medical arts and typically include a housing, a handle assembly, a shaft and an end effector assembly attached to a distal end of the shaft. The end effector includes jaw members that are configured to manipulate tissue (e.g., grasp and seal tissue). Typically, the electro surgical forceps utilizes both mechanical clamping action and electrical energy to effect hemostasis by heating the tissue and blood vessels to coagulate, cauterize, seal, cut, desiccate, and/or fulgurate tissue. Typically, one or more driving mechanisms, e.g., a drive assembly including a drive element, is utilized to cooperate with one or more components operatively associated with the end effector to impart movement to one or both of the jaw members.
To facilitate moving the jaw members from an open position for grasping tissue to a closed position for clamping tissue (or vice versa) such that a consistent, uniform tissue effect (e.g., tissue seal) is achieved, one or more types of suitable devices may be operably associated with the electrosurgical forceps. For example, in some instances, one or more cam members, e.g., a cam pin, may operably couple to the drive element, e.g., a drive rod, wire, cable, etc., and operably couple to a cam slot that is operably associated with one or both of the jaw members. Typically, the cam slots are operably disposed on proximal ends of the jaw members. In certain instances, the proximal ends of the jaw members are configured to extend outside of the shaft profile. In the extended position, the proximal ends of the jaw members are commonly referred to as “flags.”
In certain instances, the shaft may bend or deform during the course of an electrosurgical procedure. For example, under certain circumstances, a clinician may intentionally bend or articulate the shaft to gain desired mechanical advantage at the surgical site. Or, under certain circumstances, the surgical environment may cause unintentional or unwanted bending or flexing of the shaft, such as, for example, in the instance where the shaft is a component of a catheter-based electrosurgical forceps. More particularly, shafts associated with catheter-based electrosurgical forceps are typically designed to function with relatively small jaw members, e.g., jaw members that are configured to pass through openings that are 3 mm or less in diameter. Accordingly, the shaft and operative components associated therewith, e.g., a drive rod, are proportioned appropriately. That is, the shaft and drive rod are relatively small.
As can be appreciated, when the shaft is bent or deformed (either intentionally or unintentionally) any forces or frictional losses at the distal end of the shaft including those caused by the “flags” extending through the shaft profile and having to displace the flexible insulation may be transferred to the drive rod, drive element, and/or a spring operably associated with the drive assembly, which, in turn, may diminish, impede and/or prevent effective transfer of the desired closure force that is needed at the jaw members. Moreover, the frictional losses may also lessen the operative life of the spring, which, in turn, ultimately lessens the operative life of the electrosurgical instrument.
The present disclosure provides an endoscopic forceps. The endoscopic forceps includes a housing having a shaft that extends therefrom and defines a longitudinal axis therethrough. An end effector assembly is operatively connected to a distal end of the shaft and includes a pair of first and second jaw members. The first and second jaw members are pivotably coupled to one another. The first and second jaw members are movable relative to one another from an open position, wherein the first and second jaw members are disposed in spaced relation relative to one another, to a clamping position, wherein the first and second jaw members cooperate to grasp tissue therebetween. A drive mechanism includes a driving structure. A link assembly includes two or more links that are operably coupled to each other and the driving structure. The two or more links are operably coupled to respective ones of the first and second jaw members at proximal ends thereof. The proximal ends of the first and second jaw members each includes a stop member that is configured to contact the respective one of the at least two links. The stop members of the first and second jaw members include a generally slanted trailing edge that is configured to contact a leading edge of the respective one of the at least two links as the at least two links transition past vertical such that the first and second jaw members are releasably maintained in the clamping position.
The present disclosure provides endoscopic forceps. The endoscopic forceps includes a housing having a shaft that extends therefrom and defines a longitudinal axis therethrough. The shaft has a earn operably disposed thereon adjacent a distal end thereof. An end effector assembly is operatively connected to a distal end of the shaft adjacent the cam and includes a pair of first and second jaw members pivotably coupled to one another. One or both of the first and second jaw members are movable relative to the other jaw member from an open or neutral position, wherein the first and second jaw members are disposed in spaced relation relative to one another, to a clamping position, wherein the first and second jaw members cooperate to grasp tissue therebetween. A drive mechanism includes a driving structure. A link assembly includes two or more links. A top portion of one of the links operably couples to a bottom portion of the other link. The top and bottom portions of the links are operably coupled to each other and the driving structure via a pivot pin. The two or more links are operably coupled to respective ones of the first and second jaw members at proximal ends thereof.
Various embodiments of the present disclosure are described hereinbelow with references to the drawings, wherein:
Detailed embodiments of the present disclosure are disclosed herein; however, the disclosed embodiments are merely examples of the disclosure, which may be embodied in various forms. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure.
In the drawings and in the descriptions that follow, the term “proximal,” as is traditional, will refer to an end which is closer to the user, while the term “distal” will refer to an end that is farther from the user.
With reference to
Forceps 10 is shown configured for use with various electrosurgical procedures and generally includes a housing 20, an electrosurgical cable 310 that connects the forceps 10 to the electrosurgical generator, a rotating assembly 80 and a trigger assembly 70. For a more detailed description of the rotating assembly 80, trigger assembly 70, and electrosurgical cable 310 (including line-feed configurations and/or connections), reference is made to commonly-owned U.S. patent application Ser. No. 11/595,194 filed on Nov. 9, 2006, now U.S. Patent Publication No. 2007/0173814.
With continued reference to
A cam slot 13 of suitable configuration is positioned at the distal end 4 of the shaft 12 and is configured to receive a pivot pin 111 therein such that the pivot pin 111 may translate therein (
A resilient member in the form of a compression spring 15 is provided at the distal 14 end of the shaft 12. In particular, the spring 15 is grounded to an internal wall of the shaft 12 and couples to the pivot pin 111 via a one or more suitable coupling methods (
Handle assembly 30 includes a fixed handle 50 and movable handle 40 (
Drive mechanism 130 is in operative communication with movable handle 40 (see
Driving structure 133 is configured such that distal movement thereof causes the jaw members 110 and 120 to move from the open position (
With reference to
Link assembly 19 is an over-the-center link type and includes two or more links. In the embodiment illustrated in
A top portion of the link 19b operably couples to jaw member 120. More particularly, a pivot pin 21b operably couples the top portion of the link 19b to a proximal end 127a of the jaw member 120 (
End effector assembly 100 is illustrated operably disposed at the distal end 14 of the shaft 12 (
Jaw housing 127 and 117 of the respective jaw members 110 and 120 are substantially identical to each other. In view thereof, the operative features of jaw housing 127 are described in detail, and only those features that are unique to jaw member 110 are described hereinafter.
With continued reference to
Proximal end 127a serves as a beam that, in concert with the links 19a and 19b, regulates a clamping force at the jaw members 110 and 120 when the links 19a and 19b transition past vertical and the jaw members 110 and 120 are in the clamping position with tissue disposed therebetween. Proximal end 127a may be relatively resilient, or in some instances, may be substantially rigid. The resiliency, or lack thereof, may be varied based on a specific surgical procedure, manufacturer and/or user preference, etc. In the embodiment illustrated in
One or more stop members 23b (one stop member 23b is illustrated in the drawings) are operably disposed on the proximal end 127a of the jaw housing 127. Stop member 23b is configured to contact and/or releasably engage the link 19b of the link assembly 19 when the links 19a and 19b have transitioned past vertical. More specifically, stop member 23b includes an angled trailing edge 25 that is configured to contact a leading edge 27 of the link 19b. This contact between the angled trailing edge 25 of the stop 23b and the leading edge 27 of the link 19b facilitates “latching” jaw member 120 in the clamping position. That is, when the angled trailing edge 25 contacts the leading edge 27, the links 19a and 19b including pivot pin 21a are prevented from moving distally.
Jaw housing 117 of jaw member 110 includes components similar to that of the components associated with jaw housing 127 of jaw member 120. More particularly, jaw housing 117 includes proximal end 117a that functions similarly to that of proximal end 127a of jaw housing 127a. Proximal end 117a of the jaw member 110 includes a stop member 23a having an angled trailing edge 31 that is configured to contact a corresponding leading edge 35 of the link 19a. Stop 23a functions in a manner substantially similar to that of stop 23b.
The jaw members 110 and 120 may be coupled to each other via any suitable coupling methods. In the illustrated embodiment, an opening 108 is defined in and extends through each jaw housing 117 and 127 and is configured to receive pivot pin 111. Opening 108 is shown engaged with pivot pin 111 and as such is not explicitly visible.
In an assembled configuration, pivot pin 111 is positioned within the openings associated with each of the jaw members 110 and 120. Once assembled, the jaw members 120 and/or jaw member 110 may be pivotably supported at the distal end 14 of the shaft 12 by known methods, such as, for example, by the method described in commonly-owned U.S. Pat. No. 7,597,693 to Garrison filed on Jun. 13, 2003.
In use, jaw members 110 and 120 are, initially, in the open position (
The unique configuration of the link assembly 19 including links 19a and 19b and proximal ends 117a and 127a improves the opening and closing angles typically associated with known forceps jaw designs. Moreover, the unique configuration of the link assembly 19 including links 19a and 19b and proximal ends 117a and 127a eliminates the need of having the proximal ends 117a and 127a (“flags”) extend past the profile of the shaft 12.
With reference to
In use and with movable handle 40 in a distal position (see
From the foregoing and with reference to the various figure drawings, those skilled in the art will appreciate that certain modifications can also be made to the present disclosure without departing from the scope of the same. For example, it is contemplated that in certain instances one or more resilient members, e.g., a compression spring 200, may be operably associated with or coupled to either the link assembly 19 including links 19a and 19b and/or one or both of the jaw members 110 and 120 (see
With reference to
Unlike the previously described embodiments, the cam member 41 operably couples (via one or more suitable coupling methods, e.g., soldering) to a bifurcated distal end 135 having bifurcated ends 135a and 135h and the link assembly 19 is fixedly attached to an internal frame of the shaft 12. Operation of the forceps 10 with the end effector 200 is substantially similar to that of end effector 100. A distinguishing feature of the operation of the forceps 10 with the end effector 300 when compared to the end effector 100, is that the jaw members 100 and 200 are biased in the clamping configuration by the spring 200 that provides a clamping force or seal force in the range of about 3 kg/cm2 to about 16 kg/cm2 between the jaw members 110 and 120. Moreover, when movable handle 40 is moved proximally, cam member 41 moves distally and contacts the links 19a and 19b, which, in turn, causes the links 19a and 19b to pivot about the pivot pin 21a and the jaw members 110 and 120 to move away from each other to the open position against the bias of the spring 200.
With reference to
With reference to
The distal end 135 of the driving structure 133 is bifurcated or split with two legs or branches 135a and 135b that couple to respective resilient members 200a and 200b.
Resilient members 200a and 200b may be any suitable type of resilient member including but not limited to: springs selected from the group consisting of coil, leaf and tension; gas or fluid pistons; and elastomers or other compliant materials.
A proximal end of the resilient member 200a operably couples to the branch 135a of the driving structure 133 by any of the aforementioned coupling methods (e.g., soldering, welding, or solid joints) and a distal end of the resilient member 200a operably couples (e.g., also by soldering) to a movable cam member 510 (cam member 510). Likewise, a proximal end of the resilient member 200b operably couples, e.g., via soldering, to the branch 135b of the driving structure 133 and a distal end of the resilient member 200b operably couples (e.g., also by soldering) to the pivot pin 21a of the link assembly 19. To facilitate moving cam member 510, the resilient members 200a and 200b are disposed in different horizontal planes from each other. More particularly, resilient member 200a is located above the resilient member 200b.
Unlike cam member 410, a cam member 510 includes two slanted or angled cam slots 510a and 510b that are configured to house respective stationary cam pins 511a and 511b that are operably coupled to the jaw members 120 and 110, respectively. Cam member 510 is movable along the longitudinal axis “A-A.” In certain embodiments, the cam slots 510a and 510b may be in the jaw members 110 and 120 and the cam pins 51 la and 511b may be attached to the cam member 510.
In use, proximal movement of the movable handle 40 causes the driving structure 133 including the bifurcated distal end 135 to move distally, thus, moving the cam member 510 including the cam slots 510a and 510b distally, which, in turn, cams the cam pins 511a and 511b causing the jaw members 110 and 120 to move toward each other to the clamping position (
With reference to
Unlike the previously described jaw members, the jaw members 110 and 120 illustrated in
In the embodiment illustrated in
In use, proximal movement of the movable handle 40 causes the driving structure 133 including the bifurcated distal end 135 to move distally, thus, moving the cam member 510 including the cam slots 510a and 510b distally, which, in turn, cams the cam pins 511a and 511b causing the jaw members 110 and 120 to move away from each other to the open position (
With reference to
In the embodiment illustrated in
The driving structure 133 does not include a bifurcated distal end 135. Accordingly, unlike the resilient member 200a that includes a proximal end that operably couples to the branch 135a of the driving structure 133, a proximal end of the resilient member 200a′ is operably coupled to the pivot pin 21a (
In use, proximal movement of the movable handle 40 causes the driving structure 133 to move distally, thus, moving the cam member 510 including the cam slots 510a and 510b distally, which, in turn, cams the pivot pins 21b and 21c causing the jaw members 110 and 120 to move toward each other to the clamping position (
With reference to
A support structure 801 of suitable proportion is operably disposed adjacent the end effector 800. Support structure 801 is configured to couple to one or more resilient members 200a″.
In the embodiment illustrated in
A third resilient member 200b′ includes a proximal end that operably couples to the pivot pin 21a and a distal end that operably couples to the support structure 801.
In use, proximal movement of the movable handle 40 causes the driving structure 133 to move distally, thus, moving the cam member 510 including the cam slots 510a and 510b distally, which, in turn, cams the pivot pins 21b and 21c causing the jaw members 110 and 120 to move toward each other to the clamping position (
With reference to
A resilient member 200c includes a distal end that operably couples to a cam pin 21d that is operably coupled to a pair of cam slots 127c and 117c that are disposed on respective jaw members 120 and 110 at proximal ends 127a and 117a thereof.
In use, proximal movement of the movable handle 40 causes the driving structure 133 including bifurcated distal end 135 to move proximally, thus, moving the cam pin 21d proximally within the cam slots 127c and 117c, which, in turn, causes the jaw members 110 and 120 to move toward each other to the clamping position (
While several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.