The present disclosure relates to surgical instruments and, more particularly, to an energy-based surgical instrument having multiple operational configurations.
Energy-based surgical instruments such as bipolar electrosurgical forceps are commonly used to treat, e.g., coagulate, cauterize and/or seal, tissue. Such forceps typically include a pair of jaw members that can be manipulated to grasp tissue and apply a mechanical clamping force to the tissue. Electrodes associated with the jaw members are charged to different electrical potentials such that electrosurgical energy may be selectively transferred through the tissue. The combination of electrosurgical energy and mechanical clamping force facilitates treating the tissue.
Some forceps are designed for in-line activation wherein, at the end of the actuation motion required to approximate the jaw members to grasp tissue therebetween, an activation button is activated to initiate the supply of energy to the jaw members. Still other forceps enable latching to maintain the jaw members in an approximated position grasping tissue therebetween. Such forceps may include a separate activation button that is manually activated, e.g., once the jaw members are latched in the approximated position, to initiate the supply of energy to the jaw members. However, these operational configurations are heretofore mutually exclusive, thus requiring a surgeon to choose a device having one or the other.
The present disclosure provides an energy-based surgical instrument having multiple operational configurations including, in aspects, a first operational configuration wherein the surgical instrument allows in-line activation, and a second operational configuration wherein the surgical instrument is capable of being latched and provides a separate manual activation button. The surgical instrument is readily transitionable between the first and second operations configurations. These and other aspects and features of the present disclosure are detailed below. To the extent consistent, any or all of the aspects and features detailed herein may be used in conjunction with any or all of the other aspects and features detailed herein. Further, as detailed herein and shown in the drawing figures, as is traditional when referring to relative positioning on a surgical instrument, the term “proximal” refers to the end portion of the apparatus or component thereof which is closer to the user and the term “distal” refers to the end portion of the apparatus or component thereof which is further away from the user.
Provided in accordance with aspects of the present disclosure is an energy-based surgical instrument including an end effector assembly, an actuator remote from the end effector assembly and operably coupled thereto such that actuation of the actuator along a portion of an actuation path manipulates the end effector assembly, a first activation button, a first latch component, and a selector. The first activation button is electrically coupled to the end effector assembly, disposed in-line with the actuation path, and is selectively activatable to supply energy to the end effector assembly. The first latch component is disposed in-line with the actuation path. The selector is operably coupled to the actuator and movable between a first position and a second position. In the first position, a portion of the selector is positioned to activate the first activation button upon movement of the actuator along a portion of the actuation path. In the second position, a second latch component of the selector is positioned to engage the first latch component to latch the actuator upon movement of the actuator along a portion of the actuation path.
In an aspect of the present disclosure, movement of the actuator along the actuation path from an un-actuated position to an actuated position manipulates the end effector assembly.
In another aspect of the present disclosure, with the selector disposed in the first position, movement of the actuator along the actuation path from the actuated position to an activated position activates the first activation button.
In another aspect of the present disclosure, with the selector disposed in the second position, movement of the actuator along the actuation path from the actuated position to a latched position engages the first and second latch components to latch the actuator.
In still another aspect of the present disclosure, a second activation button is electrically coupled to the end effector assembly and displaced from the actuation path. The second activation button is selectively activatable to supply energy to the end effector assembly.
In yet another aspect of the present disclosure, the surgical instrument further includes a housing, wherein the actuator is operably coupled to the housing, and a shaft extending distally from the housing, wherein the end effector assembly is disposed at a distal end of the shaft.
In still yet another aspect of the present disclosure, the housing defines a fixed handle portion positioned to oppose the actuator and the first activation button and first latch component are operably coupled to the fixed handle portion of the housing.
In another aspect of the present disclosure, in the latched position, the selector extends into the fixed handle portion wherein the first and second latch components engage on another.
In yet another aspect of the present disclosure, the end effector assembly includes first and second jaw members. In such aspects, manipulation of the end effector assembly includes moving at least one of the first or second jaw members relative to the other from a spaced-apart position to an approximated position.
In still another aspect of the present disclosure, the selector is pivotable relative to the actuator between the first and second positions.
Another energy-based surgical instrument provided in accordance with aspects of the present disclosure includes a housing including a fixed handle portion, a shaft extending distally from the housing, an end effector assembly disposed at a distal end of the shaft, an actuator operably coupled to the end effector assembly and movable relative to the fixed handle portion of the housing along a portion of an actuation path to manipulate the end effector assembly, a first activation button, a first latch component, and a selector. The first activation button is disposed on the fixed handle portion of the housing, electrically coupled to the end effector assembly, disposed in-line with the actuation path, and is selectively activatable to supply energy to the end effector assembly. The first latch component is disposed within the fixed handle portion and in-line with the actuation path. The selector is pivotably coupled to the actuator and movable relative thereto between a first position and a second position. In the first position, a portion of the selector is positioned to activate the first activation button upon movement of the actuator along a portion of the actuation path. In the second position, a second latch component of the selector is positioned to extend into the fixed handle portion of the housing and engage the first latch component to latch the actuator upon movement of the actuator along a portion of the actuation path.
In an aspect of the present disclosure, the actuator includes a movable handle.
In another aspect of the present disclosure, movement of the actuator along the actuation path from an un-actuated position to an actuated position manipulates the end effector assembly.
In still another aspect of the present disclosure, with the selector disposed in the first position, movement of the actuator along the actuation path from the actuated position to an activated position activates the first activation button.
In yet another aspect of the present disclosure, with the selector disposed in the second position, movement of the actuator along the actuation path from the actuated position to a latched position engages the first and second latch components to latch the actuator.
In still yet another aspect of the present disclosure, a second activation button is disposed on the housing, electrically coupled to the end effector assembly, and displaced from the actuation path. The second activation button is selectively activatable to supply energy to the end effector assembly.
In another aspect of the present disclosure, the end effector assembly includes first and second jaw members and wherein manipulation of the end effector assembly includes moving at least one of the first or second jaw members relative to the other from a spaced-apart position to an approximated position.
In another aspect of the present disclosure, when the actuator is latched, the first and second jaw members are latched in the approximated position.
Aspects and features of the present disclosure are described in detail with reference to the drawing figures wherein like reference numerals identify similar or identical structural elements and:
Referring to
Instrument 10 further includes a shaft 12 having a distal end portion 14 configured to engage end effector assembly 100 and a proximal end portion 16 that engages housing 20. Rotating assembly 60 is rotatable in either direction to rotate shaft 12 and end effector assembly 100 relative to housing 20 in either direction. Housing 20 houses the internal working components of instrument 10.
Instrument 10 also includes an electrosurgical cable 300 that connects instrument 10 to an electrosurgical generator “G” or other suitable energy source, although instrument 10 may alternatively be configured as a handheld instrument incorporating energy-generating and power components thereon or therein. Cable 300 includes wires (not shown) extending therethrough, into housing 20, and through shaft 12, to ultimately connect electrosurgical generator “G” to jaw member 110 and/or jaw member 120 of end effector assembly 100. First and second activation buttons 92, 94 disposed on housing 20 are electrically coupled between end effector assembly 100 and cable 300 so as to enable the selective supply of energy to jaw member 110 and/or jaw member 120, e.g., upon activation of either of activation buttons 92, 94. However, other suitable electrical connections and/or configurations for supplying electrosurgical energy to jaw member 110 and/or jaw member 120 may alternatively be provided, as may other suitable forms of energy, e.g., ultrasonic energy, microwave energy, light energy, thermal energy, etc.
Instrument 10 additionally includes a knife assembly 170 operably coupled to trigger assembly 80 and extending through housing 20 and shaft 12. One or both of jaw members 110, 120 defines a knife channel 125 (
With additional reference to
Each jaw member 110, 120 of end effector assembly 100 includes an electrically-conductive tissue-contacting surface 116, 126. Tissue-contacting surfaces 116 are positioned to oppose one another for grasping and treating tissue. More specifically, tissue-contacting surfaces 116, 126 are electrically coupled to the generator “G,” e.g., via cable 300, and activation buttons 92, 94 to enable the selective supply of energy thereto for conduction through tissue grasped between jaw members 110, 120, e.g., upon activation of either of activation buttons 92, 94. One or both of tissue-contacting surfaces 116, 126 may include one or more stop members (not shown) extending therefrom to define a minimum gap distance between electrically-conductive tissue-contacting surfaces 116, 126 in the approximated position of jaw members 110, 120, facilitate grasping of tissue, and/or inhibit shorting between electrically-conductive tissue-contacting surfaces 116, 126. The stop member(s) may be formed at least partially from an electrically-insulative material or may be effectively insulative by electrically isolating the stop member(s) from one or both of the electrically-conductive tissue-contacting surfaces 116, 126.
A pivot pin 103 of end effector assembly 100 extends transversely through aligned apertures defined within jaw members 110, 120 and shaft 12 to pivotably couple jaw member 110 to jaw member 120 and shaft 12. A cam pin 105 of end effector assembly 100 extends transversely through cam slots defined within jaw members 110, 120 and is operably engaged with a distal end portion of a drive bar of a drive assembly (not shown) such that longitudinal translation of the drive bar through shaft 12 translates cam pin 105 relative to jaw members 110, 120. More specifically, distal translation of cam pin 105 relative to jaw members 110, 120 urges cam pin 105 distally through the cam slots to thereby pivot jaw members 110, 120 from the spaced-apart position towards the approximated position, although cam slots may alternatively be configured such that proximal translation of cam pin 105 pivots jaw members 110, 120 from the spaced-apart position towards the approximated position. The drive assembly is described in greater detail, for example, in U.S. Pat. No. 9,655,673, previously incorporated herein by reference.
With continued reference to
Referring again to
Instrument 10 includes a selector 200 operably associated with movable handle 40 to enable selective transitioning of instrument 10 between a first, in-line activation configuration (
The use of instrument 10 in both the first, in-line activation configuration (
Once tissue to be grasped, treated, and/or divided is disposed between jaw members 110, 120, movable handle 40 is moved from the un-actuated position to the actuated position to pivot jaw members 110, 120 to the approximated position to grasp tissue therebetween. In the actuated position of movable handle 40, activation surface 218 of arm 210 of selector 200 is disposed in close proximity to or in abutment with first activation button 92 but does not activate first activation button 92. Thus, in the actuated position, tissue is mechanically held between jaw members 110, 120 without application of energy thereto.
When it is desired to treat tissue grasped between jaw members 110, 120, movable handle 40 is moved further towards fixed handle 50 from the actuated position to an activated position, wherein, since instrument 10 is disposed in the first, in-line activation configuration, activation surface 218 of arm 210 of selector 200 is urged into first activation button 92 to activate first activation button 92 and initiate the supply of energy from generator “G” (
After treating tissue, or where it is only desired to cut tissue, trigger 82 of trigger assembly 80 may be actuated to advance knife 172 of knife assembly 170 between jaw members 110, 120 (
Once tissue is treated and/or cut as desired, movable handle 40 is released or returned to the un-actuated position such that jaw members 110, 120 are returned to the spaced-apart position, releasing the sealed and/or cut tissue. The above may then be repeated to treat and/or cut other tissue.
Referring to
With arm 210 disposed in the second position, and with movable handle 40 disposed in the un-actuated position such that jaw members 110, 120 are disposed in the spaced-apart position, instrument 10 may be manipulated such that tissue to be grasped, treated, and/or divided is disposed between jaw members 110, 120.
Once tissue to be grasped, treated, and/or divided is disposed between jaw members 110, 120, movable handle 40 is moved from the un-actuated position to the actuated position to pivot jaw members 110, 120 to the approximated position to grasp tissue therebetween. From the actuated position, movable handle 40 may further be moved towards fixed handle 50 to a latched position, wherein second, free end 214 and second latch component 218 of arm 210 extend through (or extends further through) tunnel 52 and into engagement with first latch component 54 such that, upon release of movable handle 40, movable handle 40 is returned to and latched in the actuated position via the engagement of first and second latch components 54, 218, thereby latching jaw members 110, 120 in the approximated position grasping tissue therebetween.
When it is desired to treat tissue grasped between jaw members 110, 120, with jaw members 110, 120 latched in the approximated position, second activation button 94 is manually activated to initiate the supply of energy from generator “G” (
After treating tissue, or where it is only desired to cut tissue, trigger 82 of trigger assembly 80 may be actuated to advance knife 172 of knife assembly 170 between jaw members 110, 120 to cut tissue grasped therebetween. Once tissue is treated and/or cut as desired, movable handle 40 is once again moved from the actuated position to the latched position to disengage second latch component 218 from first latch component 54 to enable movable handle 40 to return to the un-actuated position, thereby returning jaw members 110, 120 to the spaced-apart position. The above may then be repeated to treat and/or cut other tissue.
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 examples of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Although the foregoing disclosure has been described in some detail by way of illustration and example, for purposes of clarity or understanding, it will be obvious that certain changes and modifications may be practiced within the scope of the appended claims.
The present application claims the benefit of and priority to U.S. Provisional Application Ser. No. 62/645,953, filed on Mar. 21, 2018, the entire contents of which are incorporated herein by reference.
Number | Name | Date | Kind |
---|---|---|---|
702472 | Pignolet | Jun 1902 | A |
2801633 | Ehrlich | Aug 1957 | A |
D295893 | Sharkany et al. | May 1988 | S |
D298353 | Manno | Nov 1988 | S |
4793218 | Jordan et al. | Dec 1988 | A |
5100506 | Sturtevant et al. | Mar 1992 | A |
5242456 | Nash et al. | Sep 1993 | A |
D343453 | Noda | Jan 1994 | S |
5302234 | Grace et al. | Apr 1994 | A |
5317938 | de Juan, Jr. et al. | Jun 1994 | A |
D348930 | Olson | Jul 1994 | S |
D349341 | Lichtman et al. | Aug 1994 | S |
D354564 | Medema | Jan 1995 | S |
5383471 | Funnell | Jan 1995 | A |
5395364 | Anderhub et al. | Mar 1995 | A |
5431667 | Thompson et al. | Jul 1995 | A |
5486185 | Freitas et al. | Jan 1996 | A |
5486189 | Mudry et al. | Jan 1996 | A |
5522830 | Aranyi | Jun 1996 | A |
5522839 | Pilling | Jun 1996 | A |
5539973 | Smith et al. | Jul 1996 | A |
5571129 | Porter | Nov 1996 | A |
5620447 | Smith et al. | Apr 1997 | A |
5626609 | Zvenyatsky et al. | May 1997 | A |
D384413 | Zlock et al. | Sep 1997 | S |
5707392 | Kortenbach | Jan 1998 | A |
5716374 | Francese et al. | Feb 1998 | A |
5833692 | Cesarini et al. | Nov 1998 | A |
D408018 | McNaughton | Apr 1999 | S |
6013028 | Jho et al. | Jan 2000 | A |
D424694 | Tetzlaff et al. | May 2000 | S |
D425201 | Tetzlaff et al. | May 2000 | S |
6117158 | Measamer et al. | Sep 2000 | A |
6202465 | Jankoski et al. | Mar 2001 | B1 |
6277117 | Tetzlaff et al. | Aug 2001 | B1 |
D449886 | Tetzlaff et al. | Oct 2001 | S |
H2037 | Yates et al. | Jul 2002 | H |
D496997 | Dycus et al. | Oct 2004 | S |
7101371 | Dycus et al. | Sep 2006 | B2 |
7122035 | Canady | Oct 2006 | B2 |
D533942 | Kerr et al. | Dec 2006 | S |
7186261 | Prestel | Mar 2007 | B2 |
D541938 | Kerr et al. | May 2007 | S |
7267677 | Johnson et al. | Sep 2007 | B2 |
D564662 | Moses et al. | Mar 2008 | S |
D575395 | Hushka | Aug 2008 | S |
D575401 | Hixson et al. | Aug 2008 | S |
D582038 | Swoyer et al. | Dec 2008 | S |
D617900 | Kingsley et al. | Jun 2010 | S |
D617901 | Unger et al. | Jun 2010 | S |
D617903 | Unger et al. | Jun 2010 | S |
D621503 | Otten et al. | Aug 2010 | S |
D627462 | Kingsley | Nov 2010 | S |
D649643 | Allen, IV et al. | Nov 2011 | S |
D661394 | Romero et al. | Jun 2012 | S |
8333765 | Johnson et al. | Dec 2012 | B2 |
8454602 | Kerr et al. | Jun 2013 | B2 |
8523898 | Bucciaglia et al. | Sep 2013 | B2 |
8529566 | Kappus et al. | Sep 2013 | B2 |
8568408 | Townsend et al. | Oct 2013 | B2 |
8591510 | Allen, IV et al. | Nov 2013 | B2 |
8628557 | Collings et al. | Jan 2014 | B2 |
8679098 | Hart | Mar 2014 | B2 |
8679140 | Butcher | Mar 2014 | B2 |
8685009 | Chernov et al. | Apr 2014 | B2 |
8685056 | Evans et al. | Apr 2014 | B2 |
8696667 | Guerra et al. | Apr 2014 | B2 |
8702737 | Chojin et al. | Apr 2014 | B2 |
8702749 | Twomey | Apr 2014 | B2 |
8745840 | Hempstead et al. | Jun 2014 | B2 |
8747413 | Dycus | Jun 2014 | B2 |
8747434 | Larson et al. | Jun 2014 | B2 |
8752264 | Ackley et al. | Jun 2014 | B2 |
8756785 | Allen, IV et al. | Jun 2014 | B2 |
8845636 | Allen, IV et al. | Sep 2014 | B2 |
8852185 | Twomey | Oct 2014 | B2 |
8864753 | Nau, Jr. et al. | Oct 2014 | B2 |
8864795 | Kerr et al. | Oct 2014 | B2 |
8887373 | Brandt et al. | Nov 2014 | B2 |
8888771 | Twomey | Nov 2014 | B2 |
8900232 | Ourada | Dec 2014 | B2 |
8920461 | Unger et al. | Dec 2014 | B2 |
8939972 | Twomey | Jan 2015 | B2 |
8961513 | Allen, IV et al. | Feb 2015 | B2 |
8961514 | Garrison | Feb 2015 | B2 |
8961515 | Twomey et al. | Feb 2015 | B2 |
8968283 | Kharin | Mar 2015 | B2 |
8968298 | Twomey | Mar 2015 | B2 |
8968305 | Dumbauld et al. | Mar 2015 | B2 |
8968306 | Unger | Mar 2015 | B2 |
8968307 | Evans et al. | Mar 2015 | B2 |
8968308 | Horner et al. | Mar 2015 | B2 |
8968309 | Roy et al. | Mar 2015 | B2 |
8968310 | Twomey et al. | Mar 2015 | B2 |
8968311 | Allen, IV et al. | Mar 2015 | B2 |
8968317 | Evans et al. | Mar 2015 | B2 |
8968360 | Garrison et al. | Mar 2015 | B2 |
9011435 | Brandt et al. | Apr 2015 | B2 |
9023035 | Allen, IV et al. | May 2015 | B2 |
9028492 | Kerr et al. | May 2015 | B2 |
9033981 | Olson et al. | May 2015 | B2 |
9034009 | Twomey et al. | May 2015 | B2 |
9039691 | Moua et al. | May 2015 | B2 |
9039704 | Joseph | May 2015 | B2 |
9039732 | Sims et al. | May 2015 | B2 |
9044243 | Johnson et al. | Jun 2015 | B2 |
9060780 | Twomey et al. | Jun 2015 | B2 |
9072524 | Heard et al. | Jul 2015 | B2 |
9113882 | Twomey et al. | Aug 2015 | B2 |
9113899 | Garrison et al. | Aug 2015 | B2 |
9113901 | Allen, IV et al. | Aug 2015 | B2 |
9113909 | Twomey et al. | Aug 2015 | B2 |
9113933 | Chernova et al. | Aug 2015 | B2 |
9113934 | Chernov et al. | Aug 2015 | B2 |
9113938 | Kerr | Aug 2015 | B2 |
9161807 | Garrison | Oct 2015 | B2 |
9192432 | Larson et al. | Nov 2015 | B2 |
9259268 | Behnke, II et al. | Feb 2016 | B2 |
9265565 | Kerr | Feb 2016 | B2 |
9265568 | Chernov et al. | Feb 2016 | B2 |
9265569 | Hart et al. | Feb 2016 | B2 |
9314295 | Garrison | Apr 2016 | B2 |
9375258 | Kendrick | Jun 2016 | B2 |
9375263 | Allen, IV et al. | Jun 2016 | B2 |
9375282 | Nau, Jr. et al. | Jun 2016 | B2 |
9381059 | Garrison | Jul 2016 | B2 |
9456870 | Chernov et al. | Oct 2016 | B2 |
9486220 | Twomey et al. | Nov 2016 | B2 |
9492221 | Garrison | Nov 2016 | B2 |
9615877 | Tyrrell et al. | Apr 2017 | B2 |
9636169 | Allen, IV et al. | May 2017 | B2 |
9655673 | McCullough, Jr. | May 2017 | B2 |
9668806 | Unger et al. | Jun 2017 | B2 |
9693816 | Orszulak | Jul 2017 | B2 |
9713493 | Waaler et al. | Jul 2017 | B2 |
9743976 | Kendrick | Aug 2017 | B2 |
9820765 | Allen, IV et al. | Nov 2017 | B2 |
9844384 | Chernov et al. | Dec 2017 | B2 |
9956030 | Allen, IV et al. | May 2018 | B2 |
10117705 | Chernov et al. | Nov 2018 | B2 |
10271897 | Allen, IV et al. | Apr 2019 | B2 |
20020058925 | Kaplan et al. | May 2002 | A1 |
20020161364 | Mulier et al. | Oct 2002 | A1 |
20040148992 | Huang | Aug 2004 | A1 |
20040193153 | Sartor et al. | Sep 2004 | A1 |
20050090837 | Sixto et al. | Apr 2005 | A1 |
20050240218 | Freed et al. | Oct 2005 | A1 |
20060052777 | Dumbauld | Mar 2006 | A1 |
20080083257 | Taylor et al. | Apr 2008 | A1 |
20080264139 | Rosenbohm et al. | Oct 2008 | A1 |
20080319467 | Wenchell | Dec 2008 | A1 |
20090088743 | Masuda | Apr 2009 | A1 |
20090182327 | Unger | Jul 2009 | A1 |
20100145334 | Olson et al. | Jun 2010 | A1 |
20110144665 | Malkowski | Jun 2011 | A1 |
20120239034 | Horner et al. | Sep 2012 | A1 |
20120265241 | Hart et al. | Oct 2012 | A1 |
20120296238 | Chernov et al. | Nov 2012 | A1 |
20120296371 | Kappus et al. | Nov 2012 | A1 |
20120303026 | Dycus et al. | Nov 2012 | A1 |
20120330308 | Joseph | Dec 2012 | A1 |
20130022495 | Allen, IV et al. | Jan 2013 | A1 |
20130071282 | Fry | Mar 2013 | A1 |
20130079774 | Whitney et al. | Mar 2013 | A1 |
20130274736 | Garrison | Oct 2013 | A1 |
20130304066 | Kerr et al. | Nov 2013 | A1 |
Number | Date | Country | |
---|---|---|---|
20190290353 A1 | Sep 2019 | US |
Number | Date | Country | |
---|---|---|---|
62645953 | Mar 2018 | US |