The present disclosure relates to a surgical forceps and, more particularly, to a surgical forceps including replaceable jaw members.
A forceps is a plier-like instrument which relies on mechanical action between its jaws to grasp, clamp and constrict vessels or tissue. Electrosurgical forceps utilize both mechanical clamping action and electrical energy to affect hemostasis by heating tissue and blood vessels to coagulate and/or cauterize tissue. Certain surgical procedures require more than simply cauterizing tissue and rely on the unique combination of clamping pressure, precise electrosurgical energy control and gap distance (i.e., distance between opposing jaw members when closed about tissue) to “seal” tissue, vessels and certain vascular bundles. Typically, once a vessel is sealed, the surgeon has to accurately sever the vessel along the newly formed tissue seal. Accordingly, many vessel sealing instruments have been designed which incorporate a knife or blade member which effectively severs the tissue after forming a tissue seal.
Generally, surgical instruments, including forceps, can be classified as single-use instruments, e.g., instruments that are discarded after a single use, partially-reusable instruments, e.g., instruments including both disposable portions and portions that are sterilizable for reuse, and completely reusable instruments, e.g., instruments that are completely sterilizable for repeated use. As can be appreciated, those instruments (or components of instruments) that can be sterilized and reused help reduce the costs associated with the particular surgical procedure for which they are used. However, although reusable surgical instruments are cost-effective, it is important that these instruments be capable of performing the same functions as their disposable counterparts and that any disposable components of these instruments be efficiently removable and replaceable with new components.
In accordance with one embodiment of the present disclosure, a forceps is provided, the forceps includes a pair of shaft members each having a jaw member disposed at a distal end thereof. One (or both) of the shaft members is moveable relative to the other about a pivot pin between a spaced-apart position and a first approximated position to move the jaw members between an open position and a closed position. A knife assembly is also provided. The knife assembly includes a knife blade and one or more actuator arms. The knife blade is mechanically keyed to the pivot pin and moveable between an initial position, wherein the knife blade is disposed within one of the jaw members, and an extended position, wherein the knife blade extends between the jaw members. The actuator arm(s) are likewise mechanically keyed to the pivot pin and extend therefrom. The actuator arm(s) is moveable between an un-actuated position and an actuated position to rotate the pivot pin relative to the jaw members to move the knife blade between the initial position and the extended position.
In one embodiment, the actuator arms) is coupled to a spring at an end thereof. The spring is moveable between an at-rest position and an extended position to move the actuator arm(s) between the un-actuated position and the actuated position, e.g., to move the knife blade between the initial position and the extended position. More specifically, the spring may be configured to move from the at-rest position to the extended position upon movement of the shaft members to a second approximated position. Further, the spring may be engaged to one of the shaft members at an end thereof and to the actuator arm(s) at an opposite end thereof.
In another embodiment, a first cam slot is defined within one of the shaft members and a second cam slot is defined within the actuator arm(s). A cam pin is disposed through each of the first and second cam slots and is coupled to the distal end of the spring, such that, upon movement of the shaft members to the second approximated position, the spring is moved from the at-rest position to the extended position to translate the cam pin along the first and second cam slots, thereby moving the actuator arm(s) to the actuated position, thus moving the knife blade to the extended position. Further, the forceps may be configured such that, upon movement of the shaft members to the second approximated position, one of the shaft members contacts the spring and urges the spring to move from the at-rest position to the extended position.
In yet another embodiment, one (or both) of the jaw members includes a jaw frame fixedly engaged to the respective shaft member and a disposable jaw housing releasably engageable with the jaw frame. Additionally, a seal plate may be releasably engaged to the jaw housing. The seal plate may include a longitudinally-extending blade channel defined therethrough. The blade channel is configured to permit passage of the knife blade therethrough upon movement of the knife blade from the initial position to the extended position. Further, the seal plate may be adapted to connect to a source of electrosurgical energy, e.g., for energizing the seal plate.
In still another embodiment, the jaw housing includes one or more engagement features configured to releasably engage a complementary engagement feature (or features) defined within the jaw frame.
In still yet another embodiment, the shaft members, the pivot pin, and the knife assembly are releasably engaged to one another, e.g., such that the shaft members, the pivot pin and the knife assembly may be assembled and disassembled by the user.
A method of assembling a forceps, e.g., the forceps according to any of the embodiments discussed above, is also provided in accordance with the present disclosure. The method includes providing a pair of shaft members, each shaft member having a jaw member disposed at a distal end thereof, providing a pivot pin including first and second mechanical keying features, and providing a knife assembly. The knife assembly includes a knife blade having a first complementary mechanical keying feature and one or more actuator arm(s) having a second complementary mechanical keying feature. The method further includes pivotably coupling the pivot pin to the shaft members such that the shaft members are movable between a spaced-apart position and a first approximated position to move the jaw members between an open position and a closed position, engaging the first mechanical keying feature of the pivot pin with the first complementary mechanical keying feature of the knife blade, and engaging the second mechanically keying feature of the pivot pin with the second complementary mechanical keying feature of the actuator arm(s). As such, when the forceps is assembled as described above, movement of the actuator arm(s) from an un-actuated position to an actuated position may be effected to rotate the pivot pin relative to the jaw members, thereby moving the knife blade from an initial position, wherein the knife blade is disposed within one of the jaw members, to an extended position, wherein the knife blade is extended between the jaw members.
In one embodiment, one (or both) of the jaw members includes a jaw frame fixedly engaged to the respective shaft member and a disposable jaw housing releasably engageable with the jaw frame. In such an embodiment, the method may further include releasably engaging the disposable jaw housing to the jaw frame.
In another embodiment, the method includes releasably engaging a seal plate to the jaw housing. Further, the seal plate may be connected to a source of electrosurgical energy, e.g., via an electrosurgical cable.
In yet another embodiment, the method includes coupling a proximal end of the actuator arm(s) to a proximal end of one of the shaft members. More specifically, a cam pin may be inserted through a first cam slot defined within one of the shaft members and through a second cam slot defined within the actuator arm(s) to couple the actuator arm(s) to the shaft member. Accordingly, upon movement of the shaft members to a second approximated position, the cam pin is translated along the first and second cam slots, thereby moving the actuator arm(s) from the un-actuated position to the actuated position, e.g., to move the knife blade from the initial position to the extended position.
In still another embodiment, the method includes providing a spring having a proximal end and a distal end, coupling the cam pin to the distal end of the spring, and coupling the proximal end of the spring to a proximal end of one of the shaft members. The spring is configured for movement from an at-rest position to an extended position upon movement of the shaft members to the second approximated position to move the actuator arms) from the un-actuated position to the actuated position, e.g., to move the blade from the initial position to the extended position.
A method of assembling a jaw member is also provided in accordance with the present disclosure. The jaw member to be assembled may be any of the jaw members discussed above, e.g., a jaw member including a jaw frame, a jaw housing, an insulator, and an electrically-conductive seal plate. The method includes positioning the seal plate about the insulator, slidably positioning the jaw housing about the seal plate and the insulator such that the jaw housing, the seal plate, and the insulator are retained in fixed relation relative to one another, and releasably engaging the jaw housing to the jaw frame to retain the jaw housing, the seal plate, the insulator, and the jaw frame in fixed relation relative to one another.
In one embodiment, jaw housing includes a track defined therein. The seal plate includes a pair of wings configured to slidably engage the track of the jaw housing to secure the seal plate, the jaw housing, and the insulator to one another.
In another embodiment, the insulator is formed partially (or entirely) from a resiliently compressible material. The insulator is configured to be compressed from an initial state to a compressed state upon positioning of the jaw housing about the seal plate and the insulator. As such, the biasing force acting of the insulator, e.g., biasing the insulator back toward the initial state, frictionally retains the jaw housing, the seal plate, and the insulator in fixed relation relative to one another, once the jaw member is assembled.
Various embodiments of the subject instrument are described herein with reference to the drawings wherein:
Embodiments 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.
Referring initially to
With continued reference to
A ratchet 30 may be included for selectively locking jaw members 110, 120 relative to one another at various positions during pivoting. The ratchet 30 may include graduations or other visual markings that enable the user to easily and quickly ascertain and control the amount of closure force between the jaw members 110 and 120.
Turning now to
With reference now to
Continuing with reference to
Jaw frame 112, as best shown in
During assembly, as best shown in
In order to disengage jaw housing 211 from jaw frame 112, jaw housing 211 and jaw frame 112 are pulled apart from one another with sufficient force such that tabs 213 of flexible snap-fit protrusions 212 of jaw housing 211 are disengaged from notches 114 of apertures 113 of jaw frame 112, allowing jaw housing 211 to be removed from jaw frame 112. Similarly as described above, an audible and/or tactile “snap,” or other feedback signal, may alert the user that jaw housing 211 has been disengaged from jaw frame 112.
Referring once again to
Electrically-conductive tissue sealing plate 219, as mentioned above, is disposed about insulator 215. Tissue sealing plate 219 includes a lateral flange 231 extending therefrom that is configured to electrically connect tissue sealing plate 219 to a source of electrosurgical energy such as an electrosurgical generator (not shown), e.g., via an electrosurgical cable (not shown). As will be described in greater detail below, disposable component 220 of jaw member 120 may similarly include an electrically-conductive tissue sealing plate 229 (see
With continued reference to
Continuing with reference to
Turning now to
With continued reference to
As shown in
Tissue sealing plate 229 may further include a longitudinally-extending blade channel 237 defined at least partially therethrough that permits extension of knife blade 261 of knife assembly 260 therethrough (see
Jaw housing 221, insulator 225, and/or tissue sealing plate 229 may otherwise be configured similarly to jaw housing 211, insulator 215, and tissue sealing plate 219, respectively, of disposable component 210 of jaw member 110, discussed above (see
Similar to disposable component 210, discussed above, disposable component 220 may come preassembled, e.g., disposable component 220 may be assembled during manufacturing, or may be configured to be assembled by the user. In either embodiment, similarly as discussed above, disposable component 220 and/or the sub-components thereof (e.g., jaw housing 221, insulator 225 and/or tissue sealing plate 229) may define various configurations such that the user may select a particular disposable component 220 (or sub-component thereof) suitable for the particular surgical procedure to be performed.
Turning now to
As best shown in
Referring again to
With continued reference to
Referring momentarily to
Turning once again to
Continuing with reference to
Initially, as shown in
Referring now to
With continued reference to
Next, cam pin 284 is coupled to distal end 282 of leaf spring 281, e.g., cam pin 284 is inserted through an aperture 286 defined within distal end 282 of leaf spring 281, and is inserted through cam slots 13a, 266, of shaft 12a and actuator arms 262, respectively. Any suitable engagement mechanism (not shown) for securing cam pin 284 within aperture 286 and cam slots 13a, 266 may be provided, e.g., end caps (not shown) may be releasably positioned on opposite ends of cam pin 284.
Next, pivot pin 150 is inserted into position. In order to pivotably engage pivot pin 150 within apertures 19a, 19b, of shafts 12a, 12b, respectively, and to mechanically-key pivot pin 150 in engagement with actuator arms 262 and knife blade 261, distal apertures 268 of actuator arms 262, proximal aperture 262 of knife blade 261 and apertures 19a, 19b of shafts 12a, 12b, respectively, are aligned with one another with knife blade 261 of knife assembly 260 disposed within jaw member 110 in the initial position, as discussed above. Next, pivot pin 150 is inserted through the aligned apertures.
More specifically, pivot pin 150 is first inserted through aperture 19b of shaft 12b. Next, pivot pin 150 is inserted through proximal aperture 263 of knife blade 261 such that the complementary mechanical keying features thereof engage one another. Pivot pin 150 is thereafter advanced through aperture 19a of shaft 12a. Finally, actuator arms 262 are positioned about pivot pin 150 on opposite sides thereof such that actuator arms 262 and pivot pin 150 are engaged in a mechanically-keyed relation relative to one another, as discussed above.
The different mechanical keying features of pivot pin 150 corresponding to knife blade 261 and actuator arms 262 are positioned relative to one another such that, upon assembly of forceps 10, knife blade 261 is initially disposed in the initial position, and such that actuator arms 262 are initially disposed in the un-actuated position, both under the bias of leaf spring 281 (which is disposed in the at-rest, or arched position). Visual markings or other indicia (not shown) may be provided to ensure the proper orientation and/or position of knife blade 261 and actuator arms 262 relative to pivot pin 150 and relative to each other such that this initial position is achieved upon assembly of forceps 10. Alternatively, or additionally, the mechanical keying features of actuator arms 262, knife blade 261, and/or pivot pin 150 may be configured such that pivot pin 150 may only be engaged with knife blade 261 and/or actuator arms 262 in the proper initial orientation and position, thereby helping to ensure proper assembly of forceps 10.
With reference to
With tissue sealing plate 219 disposed about insulator 215, as described above, tissue sealing plate 219 and insulator 215 are slidably engaged within jaw housing 211. More particularly, tissue sealing plate 219 and insulator 215 are slid distally into engagement with track 238 defined within jaw housing 211 from the proximal end of jaw housing 211 to the distal end of jaw housing 211 until tissue sealing plate 219 and insulator 215 are substantially fully disposed within jaw housing 211. Upon insertion of tissue sealing plate 219 and insulator 215, distal lip 218 of insulator 215 may be configured to engage an interior surface of track 238, while proximal base 217, as mentioned above, may be configured to snap-fittingly engage jaw housing 211. Further, in this configuration, tissue sealing plate 219 is inhibited from being lifted, or disengaged from jaw housing 211 via the engagement of lateral wings 232 within track 238 of jaw housing 211. In other words, jaw housing 211 secures insulator 215 and tissue sealing plate 219 therein. Additionally, or alternatively, as mentioned above, insulator 215 may be formed from a resiliently compressible material that is compressed, e.g., from an initial state to a compressed state, in order to allow insulator 215 and tissue sealing plate 219 to be slidably inserted through track 238 of jaw housing 211. Accordingly, once insulator 215 and tissue sealing plate 219 are disposed within jaw housing 211, insulator 215, tissue sealing plate 219, and jaw housing 211 are frictionally secured to one another under the bias of insulator 215, e.g., as insulator 215 attempts to resiliently returned to the initial, non-compressed state.
Referring now to
As can be appreciated, the above-described configuration of disposable components 210, 220 of jaw members 110, 120, respectively, obviates the need to overmold, machine, or otherwise form the components of jaw members 110, 120 to one another, thus allowing an end user to assemble and disassemble jaw members 110, 120 without the need for specialized equipment.
With disposable components 210, 220 of jaw members 110, 120 fully assembled, as described above, disposable components 210, 220 may be snap-fittingly engaged to their respective jaw frames 112, 122, to complete the assembly of forceps 10. Alternatively, either (or both) of the jaw housings 211, 221 may be configured for slidable positioning about the respective insulator 215, 225 and tissue sealing plate 219, 229, as well as the respective jaw frame 112, 122, to secure the respective disposable component 210, 220 to the corresponding jaw frame 112, 122 (as opposed to the snap-fitting arrangement discussed above). In other words, the insulators 215, 225 and tissue seal plates 219, 229 may first be positioned on the jaw frames 112, 122, respectively, with the respective jaw housing 211, 221 subsequently slide-fit thereabout to secure the respective insulators 215, 225, tissue sealing plates 219, 229, and jaw frames 112, 122 of each jaw member 110, 120 to one another.
Turning now to
Referring to
Once tissue is positioned as desired, shafts 12a and 12b may be moved toward one another, e.g., to the first approximated position, to pivot jaw members 110, 120 about pivot pin 150 toward the closed position to grasp tissue between tissue sealing plates 219, 229 of disposable components 210, 220, of jaw members 110, 120 respectively, as shown in
Referring now to
When it is desired to cut tissue grasped between jaw members 110, 120, shafts 12a, 12b are moved closer to one another, e.g., toward the second approximated position. As shafts 12a, 12b are moved toward the second approximated position, the ratchet 30 is moved to an over-extended position wherein the teeth of ratchet 30 no longer engage one another, e.g., such that shaft members 12a, 12b are thereafter continuously movable to the second approximated position. Eventually, upon translation of shafts 12a, 12b toward the second approximated position, shaft 12b contacts the arch-shaped leaf spring 281. Upon further approximation of shafts 12a, 12b, shaft 12b urges leaf spring 281 from the arch-shaped configuration to a relatively linear-shaped configuration. In other words, shaft 12b urges the apex of arch-shaped leaf spring 281 toward shaft 12a such that the distal end 282 of leaf spring 281 and, thus, cam pin 284 which is coupled thereto, are urged distally.
As cam pin 284 is urged distally through cam slots 13a, 266, of shaft 12a and actuator arms 262, respectively, actuator arms 262 are rotated about pivot pin 150 relative to shaft 12a and end effector assembly 100 from the un-actuated position (
Once tissue has been grasped, sealed and/or divided, jaw members 110, 120 may be returned to the open position, e.g., via moving shafts 12a, 12b back to the spaced-apart position, to release the sealed and divided tissue. As shafts 12a, 12b are returned to the spaced-apart position, shaft 12b is moved apart from leaf spring 281, allowing leaf spring 281 to return to its at-rest position. As leaf spring 281 is returned to its at-rest position, cam pin 284 is translated proximally such that actuator arms 262 are rotated back to the un-actuated position and such that knife blade 261 is returned to the initial position. Once jaw members 110, 120 have been moved to the open position to release tissue, forceps 10 may be removed from the surgical site.
At the completion of the surgical procedure, disposable components 210, 220 may be removed from jaw frames 112, 122 of jaw members 110, 120, respectively, and discarded. Additionally, forceps 10 may be further disassembled, e.g., knife assembly 260 may be removed and discarded, such that the remaining components of forceps 10 may be sterilized for reuse. Thereafter, forceps 10 may be reassembled with new disposable components 210, 220 and a new knife assembly 260 for subsequent use.
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. 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.
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Number | Date | Country | |
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20130018411 A1 | Jan 2013 | US |