The present disclosure relates to surgical instruments and, more particularly, to a surgical forceps having an cable configured for continuous rotation attached thereto for reducing tangling during surgical procedures.
A surgical forceps is a plier-like instrument which relies on mechanical action between its jaws to grasp tissue. Electrosurgical forceps utilize both mechanical clamping action and electrical energy to treat tissue, e.g., coagulate, cauterize, and/or seal tissue. Typically, once tissue is treated, the surgeon has to accurately sever the treated tissue. Accordingly, many electrosurgical forceps have been designed which incorporate a knife configured to effectively sever tissue after treating the tissue.
Various types of surgical forceps utilize different types of energy modalities to coagulate, cauterize, transect or seal vessels. As a result, one or more cables are attached to the forceps to provide electrical energy thereto. In some instances these cables are long and tend to tangle as a result of the surgeon manipulating the forceps during a given surgical procedure.
As used herein, the term “distal” refers to the portion that is being described which is further from a user, while the term “proximal” refers to the portion that is being described which is closer to a user.
Provided in accordance with one aspect of the present disclosure is a coupling for an electrosurgical cable of a surgical instrument that includes a plurality of insulative contact collars arranged in a stack-like manner. Each of the plurality of contact collars includes a flange configured to support a corresponding plurality of contact rings thereon. The plurality of contact rings is configured for electrical engagement with a corresponding plurality of electrical leads disposed through an electrosurgical cable. A plurality of contact wires is included wherein each contact wire is configured to engage a corresponding contact ring at one end thereof and a jumper wire at another end thereof. The jumper wires are adapted to electrical couple to an activation switch of the surgical instrument.
Aa locking bobbin is configured to at least partially envelop the plurality of insulative contact collars and lock the plurality of contact wires in secure electrical engagement with the plurality of contact rings. The locking bobbin includes one or more mechanical interfaces that cooperates with one or more corresponding mechanical interfaces disposed within the surgical instrument to secure the locking bobbin therein.
In aspects according to the present disclosure, the plurality of collars defines a passageway therethrough for receiving the electrical leads from the electrosurgical cable. In other aspects according to the present disclosure, the contact wires are U-shaped and include two opposing legs, the opposing legs of each contact wire configured to engage the opposing sides of each contact ring.
In aspects according to the present disclosure, the flanges of each contact collar of the plurality of contact collars is recessed relative to an outer peripheral surface of each contact collar of the plurality of contact collars such that, when electrically engaged with the corresponding plurality of contact wires, the plurality of contact wires lie flush with the outer peripheral surface of the plurality of contact collars.
In aspects according to the present disclosure, the locking bobbin includes a corresponding plurality of slots defined therein configured to receive the plurality of contact wires therethrough. In other aspects according to the present disclosure, each slot of the plurality of slots includes a recess configured to lock the respective contact wire therein. In still other aspects according to the present disclosure, each recess of each slot of the plurality of slots is configured to lock the respective contact wire therein upon movement of the locking bobbin relative to the plurality of contact collars from a first position to a second position.
In aspects according to the present disclosure, each lead of the plurality of electrical leads disposed through the electrosurgical cable is soldered to each corresponding contact ring. In other aspects according to the present disclosure, each contact wire of the plurality of contact wires is soldered to a corresponding jumper wire.
In aspects according to the present disclosure, each recess of each slot of the plurality of slots is angled relative to each slot of the plurality of slots to lock the respective contact wire therein upon movement of the locking bobbin relative to the plurality of contact collars from a first position to a second position.
In aspects according to the present disclosure, the locking bobbin includes at least one elongated flange that cooperates with a corresponding elongated channel disposed within the surgical instrument to secure the locking bobbin therein
Provided in accordance with one aspect of the present disclosure is a surgical instrument that includes an continuous rotation coupling (CRC) having: a plurality of insulative contact collars arranged in a stack-like manner, each of the plurality of contact collars including a flange configured to support a corresponding plurality of contact rings thereon, the plurality of contact rings configured for electrical engagement with a corresponding plurality of electrical leads disposed through an electrosurgical cable; and a plurality of contact wires, each contact wire configured to engage a corresponding contact ring at one end thereof and a jumper wire at another end thereof, the jumper wires adapted to electrical couple to an activation switch of a surgical instrument.
A locking bobbin is configured to at least partially envelop the CRC to lock the plurality of contact wires in secure electrical engagement with the plurality of contact rings. The locking bobbin includes one or more mechanical interfaces that cooperates with one or more corresponding mechanical interfaces disposed within the surgical instrument to secure the locking bobbin therein. The locking bobbin prevents the plurality of contact wires from rotating within the surgical instrument while permitting the plurality of contact collars, the plurality of contact rings and the electrosurgical cable to rotate relative thereto. A strain relief is disposed about the electrical cable. The strain relief is configured to seat within a strain cavity defined within a proximal flange of the surgical instrument. The strain relief is configured to allow rotation of the electrosurgical cable relative to the surgical instrument but prevent translation of the electrosurgical cable relative to the surgical instrument.
In aspects according to the present disclosure, the strain relief is crimped to the electrosurgical cable. In other aspects according to the present disclosure, the plurality of collars defines a passageway therethrough for receiving the electrical leads from the electrosurgical cable.
In aspects according to the present disclosure, the contact wires are U-shaped and include two opposing legs, the opposing legs of each contact wire configured to engage the opposing sides of each contact ring. In other aspects according to the present disclosure, the flanges of each contact collar of the plurality of contact collars is recessed relative to an outer peripheral surface of each contact collar of the plurality of contact collars such that, when electrically engaged with the corresponding plurality of contact wires, the plurality of contact wires lie flush with the outer peripheral surface of the plurality of contact collars.
In aspects according to the present disclosure, the locking bobbin includes a corresponding plurality of slots defined therein configured to receive the plurality of contact wires therethrough. In other aspects according to the present disclosure, each slot of the plurality of slots includes a recess configured to lock the respective contact wire therein. In still other aspects according to the present disclosure, each recess of each slot of the plurality of slots is configured to lock the respective contact wire therein upon movement of the locking bobbin relative to the plurality of contact collars from a first position to a second position.
In aspects according to the present disclosure, each lead of the plurality of electrical leads disposed through the electrosurgical cable is soldered to each corresponding contact ring. In other aspects according to the present disclosure, each contact wire of the plurality of contact wires is soldered to a corresponding jumper wire. In still other aspects according to the present disclosure, each recess of each slot of the plurality of slots is angled relative to each slot of the plurality of slots to lock the respective contact wire therein upon movement of the locking bobbin relative to the plurality of contact collars from a first position to a second position.
In aspects according to the present disclosure, the locking bobbin includes one or more elongated flanges that cooperates with a corresponding elongated channel disposed within the surgical instrument to secure the locking bobbin therein.
Various aspects of the present disclosure are described herein with reference to the drawings wherein like reference numerals identify similar or identical elements:
Throughout the description, like reference numerals and letters indicate corresponding structure throughout the several views. Also, any particular feature(s) of a particular exemplary embodiment may be equally applied to any other exemplary embodiment(s) of this specification as suitable. In other words, features between the various exemplary embodiments described herein are interchangeable as suitable, and not exclusive.
Embodiments of the disclosure include systems, devices, and methods to control tissue temperature at a tissue treatment site during an electrosurgical procedure, as well as shrinking, coagulating, cutting, and sealing tissue against blood and other fluid loss, for example, by shrinking the lumens of blood vessels (e.g., arteries or veins). In some embodiments, the devices may be configured, due to the narrow electrode size, to fit through a trocar down to a size as small as 5 mm.
Referring now to
With continued reference to
Continuing with reference to
Cable 210 includes a plurality of wires 210a-210c (
Activation switch 40b is disposed at proximal end 14b of shaft member 12b and extends therefrom towards shaft member 12a. A corresponding surface 40a is defined along shaft member 12a toward proximal end 14a thereof and is configured to actuate activation switch 40b. More specifically, upon approximation of shaft members 12a, 12b, e.g., when jaw members 110, 120 are moved to the closed position, activation switch 40b is moved into contact with, or in close proximity of surface 40a. Upon further approximation of shaft members 12a, 12b, e.g., upon application of a pre-determined closure force to jaw members 110, 120, activation switch 40b is advanced further into surface 40a to depress activation switch 40b. Activation switch 40b controls the supply of electrosurgical energy to jaw members 110, 120 such that, upon depression of activation switch 40b, electrosurgical energy is supplied to conductive surface 112 and/or conductive surface 122 of jaw members 110, 120, respectively, to seal tissue grasped therebetween. Electrical energy may be energy supplied through a proprietary Ligasure® sealing algorithm LS owned by Covidien, LP (Medtronic). The switch 40b may be disposed on either shaft 12a, 12b.
Forceps 10 may further include a knife assembly (not shown) disposed within one of the shaft members, e.g., shaft member 12a and a knife channel (not shown) defined within one or both of jaw members 110, 120, respectively, to permit reciprocation of a knife (not shown) therethrough. Knife assembly includes a trigger 144a (
Each jaw member 110, 120 of end effector assembly 100 may include a jaw frame having a proximal flange extending proximally therefrom that are engageable with one another to permit pivoting of jaw members 110, 120 relative to one another about a pivot 103 between the open position and the closed position upon movement of shaft members 12a, 12b relative to one another between the spaced-apart and approximated or closed positions. Proximal flanges of jaw members 110, 120 also connect jaw members 110, 120 to the respective shaft members 12b, 12a thereof, e.g., via welding, crimping or the like.
Jaw members 110, 120 may each further include an insulator (not shown) that is configured to receive a respective electrically-conductive tissue plate 112, 122, thereon and that is configured to electrically isolate the conductive plates 112, 122 from the remaining components of the respective jaw members 110, 120 (
Turning to
As mentioned above, a footswitch FS may be operably coupled to the generator G via cable 1010. Upon actuation of the footswitch FS, electrical energy is transmitted to the conductive plates 112, 122 to treat tissue in a standard bipolar manner, e.g., for use with cauterizing tissue. The footswitch FS does not necessarily supply the necessary electrical energy to the tissue, but rather, is configured to send a control signal to the generator G to apply standard or known electrical, bipolar energy across the treat tissue. As can be appreciated, this configuration eliminates electrical energy flowing through the footswitch FS which can have negative effects thereon. Similarly, if the activation switch 40b is actuated upon full approximation of the jaw members 110, 120, a control signal is sent to the generator G to apply electrical energy across the tissue utilizing the Ligasure® sealing algorithm LS.
Many iterations of the Ligasure® sealing algorithm LS have been developed over the years and, as such, when using the term Ligasure® sealing algorithm LS, all of these various iterations are envisioned. Details relating to some of the iterations of the Ligasure® sealing algorithm LS are disclosed in U.S. Pat. Nos. 8,920,421, 8,216,223, 6,398,779, 7,901,400, 7,972,328 the entire contents of each of which being incorporated by reference herein
When switch 40b is depressed, the generator G recognizes a voltage drop across the leads 210b and 210c which initiates activation of the generator G to supply a first electrical potential to jaw member 110 and a second electrical potential to jaw member 120 pursuant to the Ligasure® algorithm LS. In this fashion, switch 40b acts more like a control circuit and is protected or removed from the actual current loop which supplies electrical energy to the jaw members 110 and 120. This reduces the chances of electrical failure of the switch 40b due to high current loads during activation. As mentioned above, footswitch FS also operates in a similar manner, i.e., upon activation of the footswitch FS, the generator G recognizes a voltage drop across the leads 210a, 210b which, in turn, signals the generator G to initiate electrosurgical activation of bipolar energy the jaw members 110 and 120.
Various tactile, audible and/or visual displays or alarms may be utilized to inform or confirm to the user that the proper or desired energy modality is being utilized. In other embodiments, alarms may be utilized to address concerns relating to energy delivery or switch priority concerns.
CRC 450 includes a series of contact collars 455a-455d that are arranged in a stack-like manner about a series of contact rings 458a-458c disposed between each adjacent collar, e.g., 455a and 455b (
Bobbin 452 includes a corresponding series of slots defined in both an upper surface and lower surface, e.g., slots 452a-452c in the upper surface thereof and slots 453a-453c defined in the bottom surface thereof, that are each configured to receive a corresponding contact wire 456a-456c therein. Contact wires 456a-456c are generally U-shaped and include opposing legs that extend upwardly therefrom and into the slots 453a-453c defined in the bottom surface of bobbin 452 into contact with opposing sides of respective contact rings 458a-458c of the CRC 450 and out through slots 452a-452c in the upper surface of bobbin 452 (
Contact wires 456a-456c may be “J” shaped or be configured as “pogo-pins” which are configured to electrically engage respective contact rings 458a458c. Moreover, the U-shaped contact wires 456a-456c may include loading bends, pinch points or be pre-loaded to facilitate secure engagement with contact rings 458a-458c
Once the wires 456a-456c are engaged through both upper and lower slots 452a-452c and 453a-453c respectively, the bobbin 452 is moved relative to the CRC 450, e.g., slid proximally in direction “L”, to lock the contact wires 456a-456c in place in electrical engagement with the CRC 450 (
Once the bobbin 452 is engaged atop the CRC 450 and the contact wires 456a-456c are locked therein, corresponding jumper wires 475a-475c are soldered or otherwise engaged to respective contact wires 456a-456c. The jumper wires, e.g., jumper wire 475a, may be engaged to either leg of the respective contact wire, e.g., contact wire 456a (
The various embodiments disclosed herein may also be configured to work with robotic surgical systems and what is commonly referred to as “Telesurgery.” Such systems employ various robotic elements to assist the clinician and allow remote operation (or partial remote operation) of surgical instrumentation. Various robotic arms, gears, cams, pulleys, electric and mechanical motors, etc. may be employed for this purpose and may be designed with a robotic surgical system to assist the clinician during the course of an operation or treatment. Such robotic systems may include remotely steerable systems, automatically flexible surgical systems, remotely flexible surgical systems, remotely articulating surgical systems, wireless surgical systems, modular or selectively configurable remotely operated surgical systems, etc.
The robotic surgical systems may be employed with one or more consoles that are next to the operating theater or located in a remote location. In this instance, one team of clinicians may prep the patient for surgery and configure the robotic surgical system with one or more of the instruments disclosed herein while another clinician (or group of clinicians) remotely controls the instruments via the robotic surgical system. As can be appreciated, a highly skilled clinician may perform multiple operations in multiple locations without leaving his/her remote console which can be both economically advantageous and a benefit to the patient or a series of patients.
For a detailed description of exemplary medical work stations and/or components thereof, reference may be made to U.S. Patent Application Publication No. 2012/0116416, and PCT Application Publication No. WO2016/025132, the entire contents of each of which are incorporated by reference herein.
Persons skilled in the art will understand that the structures and methods specifically described herein and shown in the accompanying figures are non-limiting exemplary embodiments, and that the description, disclosure, and figures should be construed merely as exemplary of particular embodiments. It is to be understood, therefore, that the present disclosure is not limited to the precise embodiments described, and that various other changes and modifications may be affected by one skilled in the art without departing from the scope or spirit of the disclosure. Additionally, the elements and features shown or described in connection with certain embodiments may be combined with the elements and features of certain other embodiments without departing from the scope of the present disclosure, and that such modifications and variations are also included within the scope of the present disclosure. Accordingly, the subject matter of the present disclosure is not limited by what has been particularly shown and described.
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. For example, the knife body and tube do not necessarily have to be made from the exact same materials. Similar materials, or any two materials that can be welded together to allow for a durable weld joint could be used.