The present disclosure relates to surgical instruments and, more particularly, to surgical forceps for grasping, treating, and/or dividing tissue.
A surgical forceps is a plier-like instrument which relies on mechanical action between its jaw members to grasp, clamp, and constrict tissue. Energy-based surgical forceps utilize both mechanical clamping action and energy, e.g., RF energy, ultrasonic energy, microwave energy, thermal energy, light energy, etc., to affect hemostasis by heating tissue and blood vessels to coagulate and/or cauterize tissue. Certain surgical procedures require more than simply coagulating/cauterizing tissue and rely on the unique combination of clamping pressure, precise energy control, and gap distance (i.e., the distance between opposing jaw members when closed about tissue) to “seal” tissue.
Typically, once tissue is treated, e.g., sealed, the surgeon has to accurately sever the tissue along the newly formed tissue seal. Accordingly, many surgical forceps have been designed which incorporate a knife or blade member that effectively severs the tissue after forming a tissue seal.
As used herein, the term “distal” refers to that portion that is further from an operator while the term “proximal” refers to that portion that is closer to an operator. As used herein, the term “treat” refers to performing a surgical treatment to tissue using energy. The term “energy” refers broadly to include all types of energy used to treat tissue, e.g., RF energy, ultrasonic energy, microwave energy, thermal energy, light energy, etc. Further, any or all of the aspects described herein, to the extent they are consistent, may be used in conjunction with any of the other aspects described herein.
In accordance with aspects of the present disclosure, a forceps is provided including an end effector assembly having first and second jaw members disposed in parallel orientation relative to one another. One (or both) of the jaw member is movable along a first axis relative to the other jaw member between a spaced-apart position and an approximated position for grasping tissue therebetween. The first and second jaw members are configured to maintain the parallel orientation therebetween upon movement of the jaw members between the spaced-apart and approximated positions. A drive bar is coupled to one or both of the jaw members. The drive bar is selectively movable along a second axis that is different from the first axis between first and second positions for moving the jaw members between the spaced-apart and approximated positions.
In one aspect, the first and second axes are perpendicular to one another such that the jaw members are movable in a perpendicular direction relative to the drive bar.
In another aspect, the first and second jaw members are coupled to an outer shaft. In such an aspect, the drive bar is selectively movable along the second axis relative to the outer shaft.
In another aspect, the drive bar defines at least one cam slot having a first portion and a second portion. The first portion of the cam slot defines a longitudinal configuration and the second portion of the cam slot extends in a generally diagonal direction relative to the first portion. The first portion of the cam slot is configured to slidably receive a pin of the outer shaft and the second portion of the cam slot is configured to slidably receive a pin of one (or each) of the jaw members such that translation of the drive bar along the second axis effects movement of one or both jaw members along the first axis.
In still another aspect, one or both of the jaw members is configured for slidable inter-fit engagement with the outer shaft to restrict movement of the jaw members to along the first axis, thereby maintaining the parallel orientation between the jaw members upon movement of the jaw members between the spaced-apart and approximated positions.
In yet another aspect, the outer shaft and one (or both) of the jaw members each include a T-shaped flange. The T-shaped flanges are configured for slidable inter-fit engagement with one another.
In still yet another aspect, the first and second jaw members are configured for slidable inter-fit engagement with one another to restrict movement of the jaw members to along the first axis, thereby maintaining the parallel orientation between the jaw members upon movement of the jaw members between the spaced-apart and approximated positions.
In another aspect, one of the jaw members includes an alignment pillar and the other jaw member includes an alignment slot. The alignment pillars and alignment slots are configured for slidable inter-fit engagement with one another to inhibit relative movement of the jaw members off of the first axis.
In yet another aspect, one (or both) of the jaw members are configured for slidable inter-fit engagement with the drive bar to restrict movement of the jaw members to along the first axis, thereby maintaining the parallel orientation between the jaw members upon movement of the jaw members between the spaced-apart and approximated positions.
In another aspect, the first and second jaw members are slidable diagonally along the first axis and the drive bar is selectively translatable longitudinally along the second axis.
Another forceps provided in accordance with aspects of the present disclosure includes an end effector assembly having first and second jaw members. The first and second jaw members are disposed in parallel orientation relative to one another. One (or both) of the jaw members is movable relative to the other along a first axis between a spaced-apart position and an approximated position for grasping tissue therebetween. The first and second jaw members are disposed in slidable inter-fit engagement with one another to maintain the parallel orientation between the jaw members upon movement of the jaw members between the spaced-apart and approximated positions.
In one aspect, one (or both) of the jaw members includes an alignment pillar. The other jaw member includes an alignment slot defined therein. The alignment pillar and alignment slot are configured for slidable inter-fit engagement with one another to inhibit relative movement of the jaw members off of the first axis.
In another aspect, the alignment pillar and the alignment slot define complementary keying features.
In still another aspect, a drive bar is provided. The drive bar is coupled to one (or both) of the jaw members and is selectively movable along a second axis different from the first axis for moving the jaw members between the spaced-apart and approximated positions.
In yet another aspect, the first and second axes are perpendicular to one another such that the jaw members are movable in a perpendicular direction relative to the drive bar.
Provided in accordance with other aspects of the present disclosure is another forceps including an end effector assembly having first and second jaw members. The first and second jaw members are disposed in parallel orientation relative to one another. One (or both) of the jaw members is movable along a first axis relative to the other jaw member between a spaced-apart position and an approximated position for grasping tissue therebetween. A drive bar is coupled to one (or both) of the jaw members. The drive bar is selectively movable along a second axis different from the first axis between first and second positions for moving the jaw members between the spaced-apart and approximated positions. The drive bar and one (or both) of the jaw members are disposed in inter-fit engagement with one another to maintain the parallel orientation between the jaw members upon movement of the jaw members between the spaced-apart and approximated positions.
In one aspect, the drive bar includes a distal engagement portion including one or more cut-outs. In such an aspect, one (or both) of the jaw members includes a proximal flange portion. The proximal flange portion(s) of the jaw member(s) is configured for slidable inter-fit engagement with the cut-out(s) of the distal engagement portion of the drive bar to maintain the parallel orientation between the jaw members upon movement of the jaw members between the spaced-apart and approximated positions.
In another aspect, the proximal flange portion(s) of the jaw member(s) is slidable relative to the cut-out(s) of the distal engagement portion of the drive bar along the first axis. Alternatively, the proximal flange portion(s) of the jaw member(s) may be slidable relative to the cut-out(s) of the distal engagement portion of the drive bar along a third axis that is diagonal to both the first and second axes.
In still another aspect, the first and second jaw members are coupled to an outer shaft. The drive bar, in such an aspect, is selectively movable relative to the outer shaft along the second axis.
In another aspect, the outer shaft defines one or more cam slots configured to slidably receive a pin of one (or both) of the jaw members. According to this configuration, translation of the drive bar along the second axis effects movement of the jaw members relative to one another along the first axis.
Various aspects of the present disclosure are described herein with reference to the drawings wherein like reference numerals identify similar or identical elements:
Referring to
With continued reference to
Handle assembly 30 includes a fixed handle 50 and a movable handle 40. Fixed handle 50 is integrally associated with housing 20 and movable handle 40 is movable relative to fixed handle 50, as will be explained in greater detail below, to impart movement of jaw members 110, 120 of end effector assembly 100 between a spaced-apart position (
Referring still to
Each of the jaw members 110, 120 of end effector assembly 100 defines a respective tissue-treating surface 112, 122 (
Referring to
With reference again to
As best shown in
Referring momentarily to
With continued reference to
Turning now to
Referring additionally to
With continued reference to
One of the jaw members, e.g., jaw member 120, is fixedly engaged to, e.g., monolithically formed with, shaft 12 and extends distally therefrom. Jaw member 120 defines a proximal flange portion 126 that is engaged to shaft 12, and a distal jaw portion 121 that defines the tissue-treating surface 122 of jaw member 120. Distal jaw portion 121 of jaw member 120 further includes a pair of alignment pillars 123 extending from either side thereof in generally perpendicular orientation relative to tissue-treating surface 122. The other jaw member, e.g., jaw member 110, similarly includes a proximal flange portion 116 and a distal jaw portion 111 that defines the tissue-treating surface 112 of jaw member 110. Distal jaw portion 111 of jaw member 110 further includes a pair of alignment slots 113 define therein on each side thereof that extend in generally perpendicular orientation relative to tissue-treating surface 112. Alignment slots 113 are shaped complementary to and are configured to receive alignment pillars 123 of jaw member 120 in inter-fit engagement therewith to maintain the alignment of and parallel orientation between jaw members 110, 120 regardless of the relative position of jaw members 110, 120, e.g., regardless of whether jaw members 110, 120 are disposed in the spaced-apart position, the approximated position, or any position therebetween.
As best shown in
Referring again to
The use and operation of forceps 10 and end effector assembly 100 for grasping and treating tissue is described with reference to
In order to grasp tissue between tissue-treating surfaces 112, 122 of jaw members 110, 120, respectively, movable handle 40 is compressed, or pulled proximally relative to fixed handle 50 from the initial position to the compressed position to urge drive bar 64 distally. As drive bar 64 is translated distally through lumen 18 of shaft 12 and relative to end effector assembly 100, first pin 19 is moved through longitudinal portion 68 of cam slot 67 from the distal end 68a thereof towards the proximal end 68b thereof, while second pin 119 is moved through curved portion 69 of cam slot 67 from the first (upper, distal) end 69a thereof towards the second (lower, proximal) end 69b thereof. As second pin 119 is urged vertically downwardly due to the vertically-curved configuration of curved portion 69 of cam slot 67 and the distal translation of drive bar 64 relative to second pin 119, jaw member 110 is moved vertically downwardly towards jaw member 120, e.g., towards the approximated position, to grasp tissue therebetween. That is, in the approximated position, as best shown in
With jaw members 110, 120 disposed in the approximated position, pillars 123 are substantially disposed within alignment slots 113, with the keyed relationship therebetween maintaining jaw members 110, 120 in parallel orientation relative to one another. More specifically, the keyed engagement between pillars 123 and alignment slots 113 of jaw members 120, 110, respectively, permits movement of jaw member 110 relative to jaw member 120 only in the vertical direction, thereby maintaining the parallel orientation of tissue-treating surfaces 112, 122 of jaw members 110, 120, respectively.
Continuing with reference to
At the completion of tissue treatment, or where it is desired to only cut tissue, knife 184 (
Turning now to
As mentioned above, end effector assembly 200 defines an asymmetrical configuration. More specifically, drive bar 264 extends alongside, e.g., adjacent to, shaft 202, rather than extending through shaft 202 as in the configuration of end effector assembly 100 (
With continued reference to
With continued reference to
The other jaw member, e.g., jaw member 210, likewise includes a proximal flange portion 216, and a distal jaw portion 211 defining a tissue-treating surface 212. Proximal flange portion 216 of jaw member 210 is offset relative to the longitudinal axis of jaw member 210 (similarly as proximal flange portion 226 of jaw member 220) and is configured for positioning between pillar 223 of jaw member 220 and the distal end of shaft 202. Second pin 219 extends outwardly from proximal flange portion 216 of jaw member 210 towards drive bar 264 and is configured for receipt within the curved portion of the cam slot defined within drive bar 264. The offset configuration of proximal flange portion 216 of jaw member 210 allows drive bar 264 to extend alongside shaft 202 and proximal flange portions 216, 226 of jaw members 210, 220, respectively, such that first and second pins 209, 219, respectively, may be operably received within the cam slot of drive bar 264.
Distal jaw portion 211 of jaw member 210 further includes an alignment slot 213 defined therein that is offset relative to the longitudinal axis thereof. Alignment slot 213 extends in generally perpendicular orientation relative to tissue-treating surface 212 and is aligned within and configured to receive alignment pillar 223 of jaw member 220 to maintain the parallel orientation between jaw members 210, 220 regardless of the relative position of jaw members 210, 220. The use and operation of end effector assembly 200 is similar to that of end effector assembly 100 (
Turning now to
Continuing with reference to
With continued reference to
Drive bar 364, as mentioned above, is slidably received within longitudinal channel 307 defined between shaft components 303, 305. Drive bar 364 further includes upper and lower longitudinal portions 365, 366 that define mirror-image configurations of one another. More specifically, upper longitudinal portion 365 of drive bar 264 defines a transverse cam slot 367a therethrough towards the distal end thereof that includes a generally longitudinal portion 368a and a curved portion 369a that curves vertically upwardly from the longitudinal portion 368a. Lower longitudinal portion 366 of drive bar 364, on the other hand, defines a transverse cam slot 367b therethrough towards the distal end thereof that is a mirror-image of transverse cam slot 367a of upper longitudinal portion 365. That is, transverse cam slot 367b of lower longitudinal portion 366 includes a generally longitudinal portion 368b and a curved portion 369b that curves vertically downwardly from the longitudinal portion 368b. Upper and lower pins 309a, 309b of shaft 302 are configured for receipt with and longitudinal translation through longitudinal portions 368a, 368b of cam slots 367a, 367b, respectively.
With continued reference to
The proximal flange portion 316, 326 of each jaw member 310, 320 defines a T-shaped configuration that is offset 90 degrees relative to the T-shaped flanges 304, 306 of shaft components 303, 305, respectively. As a result of this configuration, proximal flange portions 316, 326 of jaw members 310, 320 and flanges 304, 306 of shaft 302 are configured for inter-fit engagement with one another to restrict movement of jaw members 310, 320 relative to one another to the vertical direction, thereby maintaining the parallel orientation of jaw members 310, 320 throughout movement of jaw members 310, 320 between the spaced-apart and approximated positions. More specifically, to inter-fit jaw members 310, 320 and shaft 302 to one another, the first and second ends of crossbars 317, 327 of T-shaped proximal flange portions 316, 326 of jaw members 310, 320, respectively, are received within transverse cut-outs 304a, 304b of respective flanges 304, 306 of shaft 302. Further, the first and second ends of crossbars 304b, 306b of T-shaped flanges 304, 306 of shaft 302 are received within transverse cut-outs 318, 328 of proximal flange portions 316, 326 of jaw members 310, 320, respectively. Similarly as described above with respect to pillars 123 and alignment slots 113 of jaw members 120, 110, respectively (see
Continuing with reference to
The use and operation of end effector assembly 300 for moving jaw members 310, 320 from the spaced-apart position to the approximated position to grasp tissue therebetween is described with reference to
Initially, jaw members 310, 320 are disposed in the spaced-apart position (
In order to grasp tissue between tissue-treating surfaces 312, 322 of jaw members 310, 320, respectively, movable handle 40 (
Turning now to
Continuing with reference to
With reference to
Referring again to
As best shown in
First and second pins 419, 429 of jaw members 410, 420, respectively, are configured for engagement within respective cam slots 405, 407 of flanges 404, 406 of shaft 402, respective apertures 415, 425 of jaw members 410, 410, and respective vertically-elongated recesses 470a, 470b of neck 466 of drive bar 464. As a result of this configuration, longitudinal translation of drive bar 464 urges pins 419, 429 to translate along cam slots 405, 407 which, in turn, urge pins 419, 429 to translate vertically within vertically-elongated recesses 470a, 470b of neck 466 of drive bar 464 such that jaw members 410, 420 are moved relative to one another between the spaced-apart position and the approximated position while maintaining the parallel orientation between tissue-treating surfaces 412, 422 of jaw members 410, 420, respectively. More specifically, the inter-fit engagement between proximal flange portions 416, 426 of jaw members 410, 420, respectively, and distal engagement portion 465 of drive bar 464 maintains the parallel orientation of jaw members 410, 420 relative to one another by restricting movement of jaw members 410, 420 relative to one another to the vertical direction. The use and operation of end effector assembly 400 is similar to that described above with respect to the previous embodiments and, thus, will not be repeated here to avoid unnecessary repetition.
With reference to
Continuing with reference to
Drive bar 564, as mentioned above, is slidably received within shaft 502. Drive bar 564 includes a distal engagement portion 565 defining first and second cut-outs 566, 568 (
Referring still to
Jaw member 510, as mentioned above, includes a distal jaw portion 511 and a proximal flange portion 516. Proximal flange portion 516 defines an angled configuration that slopes similarly to angled portion 566b of cut-out 566 defined within drive bar 564. Proximal flange portion 516 further defines an aperture 515 therethrough that is configured to receive pin 519. That is, pin 519 is configured for engagement within cam slot 505 of flange 504 of shaft 502, aperture 515 of proximal flange portion 516 of jaw member 510, and angled recess 567 of drive bar 564. The pin (not explicitly shown) of jaw member 520 is similarly configured for engagement within the cam slot (not explicitly shown) of flange 506 of shaft 502, the aperture (not explicitly shown) defined within the proximal flange portion 526 of jaw member 520, and angled recess 569 of drive bar 564. Further, proximal flange portions 516, 526 of jaw members 510, 520, respectively, are configured for inter-fit engagement with drive bar 564 similarly as described above with respect to the previous embodiments, except that, due to the angled configuration of angled portions 566b, 568b of cut-outs 566, 568 and angled proximal flange portions 516, 526 of jaw members 510, 520, respectively, movement of jaw members 510, 520 is restricted to diagonal movement along the similarly-sloped angled portions 566b, 568b of cut-outs 566, 568 defined within drive bar 564. However, since angled portions 566b, 568b of cut-outs 566, 568 are similarly-sloped relative to one another (in opposite directions), tissue-treating surfaces 512, 522 of jaw members 510, 520, respectively, are maintained in parallel orientation relative to one another regardless of the position of jaw members 510, 520 relative to one another, e.g., the spaced-apart position, the approximated position, or any position therebetween.
With continued reference to
Turning to
Knife assembly 180 includes a knife bar 182 that is coupled to trigger assembly 80 via ferrule 89 at the proximal end thereof and to knife 184 at the distal end thereof. Knife bar 182 defines a transverse cam slot 187 therethrough towards distal end 186 thereof. Cam slot 187 defines a generally longitudinal portion 188 having proximal and distal ends 188a, 188b, respectively, and a curved portion 189 that curves vertically upwardly from the longitudinal portion 188. Curved portion 189 includes a first (lower, proximal) end 189a and second (upper, distal) end 189b. Cam slot 187 is configured to first and second pins 190, 192 within respect longitudinal and curved portions 188, 189, respectively, thereof.
With continued reference to
First pin 190 is fixedly engaged within jaw member 120 and extends transversely through knife channel 125 of jaw member 120. Although first pin 190 is shown disposed at a proximal end of knife 184, first pin 190 may alternatively be centrally disposed, or may be disposed at a distal end of knife 184. As mentioned above, first pin 190 is configured to be slidably disposed within longitudinal portion 188 of cam slot 187. Second pin 192 is fixedly engaged to and is disposed transversely relative to knife 184. As mentioned above, second pin 192 is configured to be slidably disposed within curved portion 189 of calm slot 187. This configuration, wherein first pin 190 of jaw member 120 is slidably disposed within longitudinal portion 188 of cam slot 187 and second pin 192 of knife 184 is slidably disposed within curved portion 189 of cam slot 187, allows knife 184 to be vertically translated relative to jaw members 110, 120 between the retracted and extended positions to cut tissue grasped therebetween upon longitudinal translation of knife bar 182, as will be described in greater detail below.
The use and operation of knife assembly 180 in conjunction with forceps 10 and end effector assembly 100 for cutting tissue grasped between jaw members 110, 120 is described with reference to
In order to move knife 184 to the extended position to cut tissue grasped between tissue-treating surfaces 112, 122 of jaw members 110, 120, respectively, trigger 82 of trigger assembly 80 is actuated from the un-actuated position to the actuated position to urge knife bar 182 proximally relative to end effector assembly 100. As knife bar 184 is translated proximally, first pin 190 is moved through longitudinal portion 188 of cam slot 187 from the proximal end 188a thereof towards the distal end 188b thereof, while second pin 192 is moved through curved portion 189 of cam slot 187 from the first (lower, proximal) end 189a thereof towards the second (upper, distal) end 189b thereof. As second pin 192 is urged vertically upwardly due to the vertically-curved configuration of curved portion 189 of cam slot 187 and the proximal translation of knife bar 182 relative to second pin 192, knife 184 is moved vertically upwardly to extend from jaw member 120 to the extended position to cut tissue grasped between jaw members 110, 120. That is, in the extended position, as best shown in
Once tissue has been cut, knife 184 may be returned to the retracted position and jaw members 110, 120 may be returned to the spaced-apart position to release the treated and/or divided tissue. More specifically, in order to return knife 184 to the retracted position, trigger 82 is released (or returned) to the un-actuated position, thereby translating knife bar 182 distally to return knife 184 to the retracted position.
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.
This application is a divisional of U.S. application Ser. No. 15/402,295, filed on Jan. 10, 2017, which is a continuation of U.S. application Ser. No. 14/032,486, filed on Sep. 20, 2013, now U.S. Pat. No. 9,549,749, which claims the benefit of Provisional Application No. 61/711,079, the entire contents of each of which is incorporated herein by reference.
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Number | Date | Country | |
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20200008826 A1 | Jan 2020 | US |
Number | Date | Country | |
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61711079 | Oct 2012 | US |
Number | Date | Country | |
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Parent | 15402295 | Jan 2017 | US |
Child | 16575787 | US |
Number | Date | Country | |
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Parent | 14032486 | Sep 2013 | US |
Child | 15402295 | US |