The present disclosure relates to an electrosurgical instrument and, more particularly, to an electrosurgical instrument including jaw members and a knife blade lockout mechanism that is configured to prevent unintentional deployment of a knife blade when the jaw members are in a spaced-apart configuration.
Electrosurgical forceps are well known in the medical arts. For example, an electrosurgical endoscopic forceps is utilized in surgical procedures, e.g., laparoscopic surgical procedure, where access to tissue is accomplished through a cannula or other suitable device positioned in an opening on a patient. The endoscopic forceps, typically, includes a housing; a handle assembly including a movable handle; a drive assembly; a shaft; a cutting mechanism such as, for example, a knife blade assembly; and an end effector assembly attached to a distal end of the shaft. The end effector includes jaw members that operably communicate with the drive assembly to manipulate tissue, e.g., grasp and seal tissue. Typically, the endoscopic 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, subsequent to effecting hemostasis, a knife blade of the knife blade assembly is deployed to sever the effected tissue.
Conventional endoscopic forceps, typically, utilize a safety blade lockout mechanism that prevents the blade from being unintentionally deployed. In particular, an endoscopic forceps may be configured to utilize a direct interaction between a lever and a trigger (or via another linkage in the lever mechanism) on the handle assembly to prevent the knife blade from being unintentionally deployed. That is, the knife blade is prevented from moving or translating into a knife slot on one or both of the jaw members. Under certain surgical scenarios, however, such as, for example, when the lever is in a “latched” configuration (i.e., the knife blade is operable to sever tissue) and a thick bundle of tissue is positioned between the jaw members, there exists a possibility of the knife blade deploying and wandering or drifting out of the knife slot(s) on the jaw member(s) and becoming trapped between the jaw members when they are moved to the clamping configuration. This condition is commonly referred to in the art as “blade trap.” As can be appreciated, “blade trap” may cause a cutting edge of the knife blade to ineffectively sever electrosurgically treated tissue, i.e., the knife blade may not fully or “swiftly” sever the electrosurgically treated tissue.
Aspects of the present disclosure are described in detail with reference to the drawing figures wherein like reference numerals identify similar or identical elements. 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. As used herein, electrosurgical energy refers to, without limitation, electrical energy, ultrasonic energy, thermal energy and/or mechanical energy used in combination with one of the aforementioned other energies.
According to an aspect of the invention disclosure, an electrosurgical forceps is provided. The electrosurgical forceps includes a shaft that extends from a housing of the electrosurgical forceps. A longitudinal axis is defined through the shaft. An end effector assembly operably coupled to a distal end of the shaft includes a pair of first and second jaw members. One or both of the first and second jaw members is movable from an open configuration, to a clamping configuration. A knife blade assembly includes a knife blade that is translatable within the first and second jaw members when the first and second jaw members are in the clamping configuration to sever tissue. A knife blade lockout mechanism is in operative communication with the knife blade assembly. The knife blade lockout mechanism includes an elongated cam slot with a cam pin translatable therein. The cam pin is translatable within the elongated cam slot from a distal end of the elongated cam slot corresponding to the first and second jaw members being in the open configuration and the knife blade lockout mechanism engaged with the knife blade assembly, to a proximal position corresponding to the first and second jaw members being in the clamping configuration and the knife blade lockout mechanism disengaged from the knife blade assembly.
In accordance with the instant disclosure, when the knife blade lockout mechanism is engaged with the knife blade assembly, the knife blade assembly is prevented from translating within the first and second jaw members, and when knife blade lockout mechanism is disengaged from the knife blade assembly the knife blade is capable of translating within the first and second jaw members. In certain instances, when the knife blade lockout mechanism is engaged with the knife blade assembly, the knife blade lockout mechanism could be used to limit the travel of the knife blade assembly. In this instance, the knife blade assembly could deploy partially, but not beyond a “safe” distance where the knife blade assembly is at risk of becoming trapped between the first and second jaw members. As can be appreciated, this may prevent a surgeon from becoming frustrated (or confused) that the knife blade assembly cannot be deployed and would maintain partial functionality of the knife blade assembly even on thick tissue.
In accordance with the instant disclosure, the knife blade lockout mechanism may include a generally rectangular configuration having open leading and trailing ends. In certain instances, the open leading end may be configured to selectively engage a notched portion of the knife blade assembly. Moreover, a protrusion may be disposed adjacent the open trailing end of the knife blade lockout mechanism and may be configured to selectively engage a notched portion of the knife blade assembly.
In certain instances, the knife blade lockout mechanism may be operably positioned between the first and second jaw members. In this particular instance, the first and second jaw members may be pivotably coupled to one another via a pivot pin extending through the knife lockout mechanism and the shaft. Moreover, the cam pin disposed within the elongated cam slot may be disposed within respective cam slots of the first and second jaw members and operably coupled to a drive tube of the electrosurgical forceps to move the first and second jaw members from the open position to the clamping position. In this instance, the knife blade lockout mechanism may be pivotable about the pivot pin to provide selective engagement between the knife blade lockout mechanism and the knife blade assembly.
In certain instances, the knife blade lockout mechanism may be positioned proximal to the first and second jaw members. In this particular instance, the first and second jaw members may be pivotably coupled to one another via a pivot pin extending through the shaft. Moreover, the cam pin disposed within the elongated cam slot of the knife blade lockout mechanism may be disposed within respective cam slots of the first and second jaw members. The cam pin may be operably coupled to a drive tube of the electrosurgical forceps to move the first and second jaw members from the open position to the clamping position.
In certain instances, the knife blade lockout mechanism may be positioned proximal to the first and second jaw members. In this particular instance, the first and second jaw members may be pivotably coupled to one another via a first pivot pin extending through the shaft. A second pivot pin extending through the knife blade lockout mechanism is positioned within a pair of slots defined through the drive tube such that the knife blade lockout mechanism pivots about the second pivot pin when the drive tube is actuated. Distal ends of the pair of slots defined in the drive tube may function as a hard stop for the first and second jaw members to provide a predetermined gap distance between the first and second jaw members when the first and second jaw members are in the clamping position. A knife blade assembly return spring that is configured to return the knife blade assembly to an initial retracted position may be operably coupled to the knife blade assembly.
According to another aspect of the instant disclosure, an electrosurgical forceps is provided. The electrosurgical forceps includes shaft that extends from a housing of the electrosurgical forceps. A longitudinal axis is defined through the shaft. An end effector assembly operably coupled to a distal end of the shaft includes a pair of first and second jaw members. One or both of the first and second jaw members is movable from an open configuration, to a clamping configuration. A knife blade assembly includes a knife blade that is translatable within the first and second jaw members when the first and second jaw members are in the clamping configuration to sever tissue. A knife blade lockout mechanism is selectively engageable with the knife blade assembly to lock the knife blade in an initial retracted position. The knife blade lockout mechanism is configured to allow passage of the knife blade assembly therethrough. The knife blade lockout mechanism includes an elongated cam slot with a cam pin translatable therein. The cam pin is translatable within the elongated cam slot from a distal end of the elongated cam slot corresponding to the first and second jaw members being in the open configuration and the knife blade lockout mechanism engaged with the knife blade assembly, to a proximal position corresponding to the first and second jaw members being in the clamping configuration and the knife blade lockout mechanism disengaged from the knife blade assembly.
In accordance with the instance application, the knife blade lockout mechanism may include a generally rectangular configuration having open leading and trailing ends, wherein at least one of the open leading and trailing ends is configured to selectively engage a notched portion of the knife blade assembly. In certain instances, the knife blade lockout mechanism may be operably positioned between the first and second jaw members.
In certain instances, the knife blade lockout mechanism may be operably positioned between the first and second jaw members. In this particular instance, the first and second jaw members may be pivotably coupled to one another via a pivot pin extending through the knife lockout mechanism and the shaft. Moreover, the cam pin disposed within the elongated cam slot may be disposed within respective cam slots of the first and second jaw members and operably coupled to a drive tube of the electrosurgical forceps to move the first and second jaw members from the open position to the clamping position. In this instance, the knife blade lockout mechanism may be pivotable about the pivot pin to provide selective engagement between the knife blade lockout mechanism and the knife blade assembly.
In certain instances, the knife blade lockout mechanism may be positioned proximal to the first and second jaw members. In this particular instance, the first and second jaw members may be pivotably coupled to one another via a pivot pin extending through the shaft. Moreover, the cam pin disposed within the elongated cam slot of the knife blade lockout mechanism may be disposed within respective cam slots of the first and second jaw members. The cam pin may be operably coupled to a drive tube of the electrosurgical forceps to move the first and second jaw members from the open position to the clamping position.
In certain instances, the knife blade lockout mechanism may be positioned proximal to the first and second jaw members and the first and second jaw members may be pivotably coupled to one another via a first pivot pin extending through the shaft. In this particular instance, a second pivot pin extending through the knife blade lockout mechanism is positioned within a pair of slots defined through the drive tube such that the knife blade lockout mechanism pivots about the second pivot pin when the drive tube is actuated. Distal ends of the pair of slots defined in the drive tube may function as a hard stop for the first and second jaw members to provide a predetermined gap distance between the first and second jaw members when the first and second jaw members are in the clamping position. A knife blade assembly return spring that is configured to return the knife blade assembly to an initial retracted position may be operably coupled to the knife blade assembly.
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.
Turning now to
Rotating assembly 8 is rotatable in either direction about longitudinal axis “A-A” to rotate end effector 12 about longitudinal axis “A-A,”
Housing 4 houses the internal working components of forceps 2, such as a drive assembly (not explicitly shown), working components of the handle assembly 6, electrical raceways associated with the cable 20, and other working components therein.
With continued reference to
With reference again to
Shaft 14 includes a generally elongated slot 15 of suitable configuration (
Drive tube 38 (
Alternately, the jaw members 22, 24 may be opened and closed via a linkage system (not shown) or the like. In this instance, the linkage system can be housed within the housing 4 and coupled to the movable handle 28 by one or more suitable coupling methods to effect movement of one or both of the jaw members 22, 24.
Drive tube 38 includes a first slot 52 that is in vertical registration with the slot 15 on the shaft 14 (
Drive tube 38 includes a pair of second slots 54 (
In certain instances, a distal end of the second slots 54 may be configured to function as a hard stop for the jaw members 22, 24 to provide a predetermined gap distance between the jaw members 22, 24 when the jaw members 22, 24 are in the clamping position.
Continuing with reference to
Mechanism 40 includes an elongated cam slot 68 having proximal and distal ends, 70 and 72, respectively (
An aperture 77 (shown in phantom in
Cam pin 78 (
Proximal translation of the drive tube 38 translates the cam pin 78 within the elongated slot 68 from the distal end 72 (corresponding to the jaw members 22, 24 being in the open configuration and the mechanism 40 engaged with the knife blade assembly 50, see
With reference again to
The knife blade channels 53 on the jaw members 22, 24 are aligned with the knife blade assembly 50 to accommodate reciprocation of the knife blade 52 therethrough when a trigger 11 of the trigger assembly 10 is moved proximally (
Knife blade assembly 50 is disposed within shaft 14 and is translatable therethrough from an initial retracted configuration to an extended configuration into the knife blade channels 53 on the jaw members 22, 24. Knife blade assembly 50 includes a generally elongated configuration having a split or bifurcated medial portion 55 including two legs 55a and 55b defining an opening 57 therebetween that is configured to receive the pivot pin 56 and cam pin 78 therethrough (
A knife blade assembly return spring 36 (
In use, drive tube 38 is, initially, in an extended configuration and the jaw members 22 and 24 are an open configuration to receive or position tissue therebetween (
In certain instances, when the mechanism 40 is engaged with the knife blade assembly 50, the mechanism 40 could be used to limit the travel of the knife blade assembly 50. In this instance, for example, the knife blade assembly 50 could deploy partially, but not beyond a “safe” distance where the knife blade assembly 50 is at risk of becoming trapped between the jaw members 22, 24. As can be appreciated, this may prevent a surgeon from becoming frustrated (or confused) that the knife blade assembly 50 cannot be deployed and would maintain partial functionality of the knife blade assembly 50 even on thick tissue.
To move the jaw members 22, 24 toward one another, the movable handle 28 is approximated toward the fixed handle 26. Approximation of the movable handle 28 causes the drive tube 38 to move proximally, which has a two-fold effect. One, the drive tube 38 moves the cam pin 44 (
With reference to
Unlike mechanism 40 that is positioned proximal with respect to the jaw members 22, 24, mechanism 140 is positioned between the jaw members 122, 124 of the end effector 112 (
In use, the drive tube 38 is, initially, in an extended configuration and the jaw members 122 and 124 are in an open configuration to receive or position tissue therebetween (
To move the jaw members 122, 124 toward one another, the movable handle 28 is approximated toward the fixed handle 26. Approximation of the movable handle 28 causes the drive tube 38 to move proximally, which has a two-fold effect. One, the drive tube 38 moves the cam pin 144 proximally, which, in turn, moves the jaw members 122, 124 toward one another and to the clamping configuration. Two, the drive tube 38 moves the cam pin 144 proximally towards the proximal end 170 until such time that the cam pin 144 contacts the ramp portion 176 (
With reference to
Unlike mechanism 140, mechanism 240 includes a protrusion 264 (
In use, the drive tube 38 is, initially, in an extended configuration and the jaw members 222 and 224 are an open configuration to position tissue therebetween (
To move the jaw members 222, 224 toward one another, the movable handle 28 is approximated toward the fixed handle 26. Approximation of the movable handle 28 causes the drive tube 38 to move proximally, which has a two-fold effect. One, the drive tube 38 moves the cam pin 244 proximally, which, in turn, moves the jaw members 222, 224 toward one another and the clamping configuration. Two, the drive tube 38 moves the cam pin 244 proximally towards the proximal end 270 until such time that the cam pin 244 contacts the ramp portion 276 (
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, in certain instances one or more resilient members, such as, for example, a spring or the like may be operably coupled to any of the aforementioned mechanisms 40, 140, 240 to facilitate pivoting thereof about the respective pivot pins 56, 134, 234.
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.
This application is a continuation of U.S. patent application Ser. No. 14/604,320, filed Jan. 23, 2015, which is a continuation of U.S. patent application Ser. No. 13/308,104, filed Nov. 30, 2011, the entire contents of each of which are incorporated herein by reference
Number | Date | Country | |
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Parent | 14604320 | Jan 2015 | US |
Child | 15461153 | US | |
Parent | 13308104 | Nov 2011 | US |
Child | 14604320 | US |