BACKGROUND
The present disclosure relates to surgical instruments and, more particularly, to surgical forceps for grasping, sealing, and/or dividing tissue.
TECHNICAL FIELD
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 that effectively severs the tissue after forming a tissue seal.
An endoscopic surgical forceps typically includes an elongated shaft having an end effector assembly, e.g., a pair of jaw members, disposed at the distal end thereof. The elongated shaft permits the surgeon to insert the end effector assembly through a relatively small access opening in the body to the internal surgical site, while the housing of the endoscopic forceps remains disposed externally of the surgical site. The surgeon may then control the operation of the end effector assembly, e.g., to grasp, seal, and/or divide tissue, by manipulating the housing. As can be appreciated, numerous mechanical and electrical connections extend through the shaft to permit the surgeon to operate the end effector assembly by manipulating mechanical and/or electrical components coupled to the housing.
SUMMARY
In accordance with one embodiment of the present disclosure, a surgical instrument is provided. The surgical instrument includes a shaft formed via extrusion. The shaft has one or more lumens extending therethrough. The lumen(s) defines a cross-sectional configuration. An end effector assembly is coupled to a distal end of the shaft. One or more components is coupled to the end effector assembly and extends proximally from the end effector assembly through the lumen(s) of the shaft. One or more of the components is formed via stamping and defines a cross-sectional configuration substantially complementary to the cross-section configuration of the lumen into which it extends.
In one embodiment, one of the components is a drive bar configured to translate through one of the lumens of the shaft to transition the end effector assembly between a first condition and a second condition.
In another embodiment, a second stamped component is disposed (partially) within the drive bar. The second component is configured to translate relative to the shaft and the end effector assembly to perform an operation at the end effector assembly.
In still another embodiment, one (or more) of the components is a mounting flange for coupling the end effector assembly to the shaft.
In yet another embodiment, a wire lumen (or wire lumens) extends through the shaft. The wire lumen is configured to receive an electrical wire therethrough for supplying energy to the end effector assembly.
In still yet another embodiment, the shaft is formed from an electrically-insulative material, e.g., a plastic.
In accordance with the present disclosure, another embodiment of a surgical instrument is provided. The surgical instrument includes a metal outer sleeve defining an internal passageway and a plastic inner shaft disposed within the outer sleeve that substantially fills the internal passageway of the outer sleeve. The inner shaft is formed via molding and includes one or more lumens extending therethrough. The lumen(s) defines a cross-sectional shape different from the cross-sectional shape of the internal passageway of the outer sleeve. An end effector assembly is coupled to a distal end of the inner shaft. One ore more components is coupled to the end effector assembly and extends proximally from the end effector assembly into the lumen(s) of the inner shaft.
In one embodiment, one (or more) of the components is a drive bar configured to translate through one of the lumens of the inner shaft to transition the end effector assembly between a first condition and a second condition.
In another embodiment, the shaft includes one or more wire lumens extending therethrough. The wire lumen(s) is configured to receive an electrical wire therethrough for supplying energy to the end effector assembly.
In still another embodiment, the inner shaft is formed via injection molding. Alternatively, the inner shaft may be formed via insert molding.
A method of manufacturing a surgical instrument is also provided in accordance with the present disclosure. The method includes forming a shaft via extrusion such that the shaft includes one or more lumen extending therethrough that are configured to receive one or more substantially complementary-shaped components therein. The method further includes forming the substantially complementary-shaped component(s) via stamping.
In one embodiment, the method further includes coupling an end effector assembly to the shaft via one or more of the components. More specifically, a mounting flange(s) may be engaged within one of the lumens of the shaft. The mounting flange(s) include the end effector assembly coupled thereto.
In another embodiment, one of the components is a drive bar configured to translate through one of the lumens of the shaft to transition the end effector assembly between a first condition and a second condition.
In another embodiment, the method further includes inserting one or more electrical wires through the lumen(s) of the shaft. The electrical wire(s) is configured to transmit electrosurgical energy through the shaft.
BRIEF DESCRIPTION OF THE DRAWINGS
Various embodiments of the present disclosure are described herein with reference to the drawings wherein:
FIG. 1 is a front, perspective view of a surgical forceps provided in accordance with the present disclosure;
FIG. 2A is a longitudinal, cross-sectional view of an end effector assembly of the forceps of FIG. 1 with jaw members of the end effector assembly disposed in a spaced-apart position;
FIG. 2B is a longitudinal, cross-sectional view of the end effector assembly of FIG. 2A with the jaw members disposed in an approximated position and with a knife blade disposed in a retracted position;
FIG. 2C is a longitudinal, cross-sectional view of the end effector assembly of FIG. 2A with the jaw members disposed in an approximated position and with the knife blade disposed in an extended position;
FIG. 3A is a side view of one embodiment of a shaft configured for use with the forceps of FIG. 1;
FIG. 3B is a top view of the shaft of FIG. 3A;
FIG. 3C is a transverse, cross-sectional view of the shaft of FIG. 3A;
FIG. 4A is a front, perspective view of another embodiment of a shaft configured for use with the forceps of FIG. 1;
FIG. 4B is a transverse, cross-sectional view of the shaft of FIG. 4A; and
FIG. 4C is an exploded view of the shaft of FIG. 4A.
DETAILED DESCRIPTION
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 now to FIG. 1, a forceps 10 configured for use in connection with endoscopic surgical procedures is shown. Forceps 10 is one example of a shaft-based surgical instrument incorporating the features of the present disclosure. As can be appreciated, the presently disclosed features detailed below are equally applicable to other shaft-based surgical instruments and are described with reference to forceps 10 for exemplary purposes only. Obviously, different electrical and mechanical connections and considerations apply to each particular type of instrument, however, the novel aspects of the present disclosure remain generally consistent with respect to most shaft-based surgical instruments.
With continued reference to FIG. 1, forceps 10 defines a longitudinal axis “X-X” and includes a housing 20, a handle assembly 30, a rotating assembly 70, a trigger assembly 80 and an end effector assembly 100. Forceps 10 further includes a shaft 12 having a distal end 14 configured to mechanically engage end effector assembly 100 and a proximal end 16 that mechanically engages housing 20. Forceps 10 also includes electrosurgical cable 610 that connects forceps 10 to a generator (not shown) or other suitable power source, although forceps 10 may alternatively be configured as a battery powered instrument. Cable 610 includes a wire (or wires) 612 (FIG. 3C) extending therethrough that has sufficient length to extend through shaft 12 in order to provide electrical energy to the end effector assembly 100, e.g., upon activation of activation switch 90.
Continuing with reference to FIG. 1, handle assembly 30 includes fixed handle 50 and a moveable handle 40. Fixed handle 50 is integrally associated with housing 20 and handle 40 is moveable relative to fixed handle 50. Rotating assembly 70 is rotatable in either direction about longitudinal axis “X-X” to rotate end effector assembly 100 about longitudinal axis “X-X.” Housing 20 houses the internal working components of forceps 10.
End effector assembly 100 is shown attached at a distal end 14 of shaft 12 and includes a pair of opposing jaw members 110 and 120. Each of the jaw members 110 and 120 includes an opposed electrically conductive tissue-sealing plate 112, 122, respectively. End effector assembly 100 is designed as a unilateral assembly, i.e., where jaw member 120 is fixed relative to shaft 12 and jaw member 110 is moveable about pivot 103 relative to shaft 12 and fixed jaw member 120. However, end effector assembly 100 may alternatively be configured as a bilateral assembly, i.e., where both jaw member 110 and jaw member 120 are moveable about a pivot 103 relative to one another and to shaft 12. In some embodiments, a knife assembly 180 (FIGS. 2A-2C) is disposed within shaft 12 and a knife channel 115, 125 (FIGS. 2A-2C) is defined within one or both of jaw members 110, 120, respectively, to permit reciprocation of a knife blade 182 (FIG. 2A-2C) therethrough, e.g., via activation of a trigger 82 of trigger assembly 80.
Referring still to FIG. 1, moveable handle 40 of handle assembly 30 is ultimately connected to a drive assembly including a drive bar 130 (FIGS. 3B-3C) that, together, mechanically cooperate to impart movement of jaw members 110 and 120 between a spaced-apart position (FIG. 2A) and an approximated position (FIGS. 2B-2C) to grasp tissue disposed between sealing plates 112 and 122 of jaw members 110, 120, respectively. As shown in FIG. 1, moveable handle 40 is initially spaced-apart from fixed handle 50 and, correspondingly, jaw members 110, 120 are biased in the spaced-apart position. Moveable handle 40 is actuatable from this initial position to a depressed position corresponding to the approximated position of jaw members 110, 120 (see FIGS. 2B-2C).
Referring now to FIGS. 2A-2C, in conjunction with FIG. 1, the use and operation of forceps 10 will be briefly described. As shown in FIG. 2A, jaw members 110, 120 of end effector assembly 100 are initially disposed in the spaced-apart position. In this position, as mentioned above, moveable handle 40 is disposed in the initial, spaced-apart position relative to fixed handle 50. In use, end effector assembly 100 is maneuvered into position such that tissue to be grasped, sealed, and/or divided, is disposed between jaw members 110, 120. Next, moveable handle 40 is pulled proximally relative to fixed handle 50 such that jaw member 110 is pivoted relative to jaw member 120 from the spaced-apart position to the approximated position to grasp tissue therebetween (see FIG. 2B). More specifically, as moveable handle 40 is pulled proximally, drive bar 130 (FIGS. 3B-3C) is translated relative to end effector assembly 100 to urge jaw member 110 to rotate about pivot 103 from the spaced-apart position to the approximated position. Thereafter, electrosurgical energy may be supplied, e.g., via activation of switch 90 (FIG. 1), to tissue-sealing plate 112 and/or tissue-sealing plate 122 and conducted through tissue to effect a tissue seal. As shown in FIG. 2C, knife blade 182 may then be advanced from the retracted position (FIG. 2B) to the extended position (FIG. 2C), e.g., via activation of trigger 82 of trigger assembly 80 which, in turn, advances knife bar 184 through shaft 12 to advance knife blade 182 through blade channels 115, 125 of jaw members 110, 120, respectively, to cut the previously sealed tissue grasped between jaw members 110, 120 (or to cut untreated tissue, depending on a particular purpose). Finally, moveable handle 40 may be returned to the initial position, translating drive bar 130 (FIGS. 3B-3C) relative to end effector assembly 100 such that jaw member 110 is urged to pivot back to the spaced-apart position.
Turning now to FIGS. 3A-3C, one embodiment of a shaft 312 configured for use with forceps 10 is shown. Shaft 312 defines a generally cylindrically-shaped configuration, although other configurations are contemplated, and may be formed from any suitable biocompatible material, e.g., plastics or other suitable polymeric materials. Plastics may be particularly suitable in that they are insulative, thus electrically insulating the internal components of shaft 312 from one another and from the external environment. As can be appreciated, forming the shaft 312 from an insulative material obviates the need to otherwise electrically insulate the shaft 312.
With continued reference to FIGS. 3A-3C, and particularly with reference to FIG. 3C, shaft 312 includes a plurality of lumens, although the number and/or configuration of the lumens extending through shaft 312 may be varied as desired, depending on the particular surgical instrument and/or end effector assembly used in conjunction with shaft 312. As shown in FIGS. 3A-3C, shaft 312 includes a central lumen 314 extending longitudinally therethrough. Central lumen 314 is generally rectangular-shaped, although other configurations may be provided. Central lumen 314, as will be described in greater detail below, is configured to house drive bar 130 of the drive assembly and knife bar 184 and knife blade 182 of knife assembly 180 (FIG. 2A-2C), which are selectively translatable through shaft 312 and relative to end effector assembly 100 to move jaw members 110, 120 between the spaced-apart and approximated positions and to advance knife blade 182 between jaw members 110, 120 to divide tissue grasped therebetween, respectively. As can be appreciated, in order to effect movement of jaw members 110, 120 and/or advancement of knife blade 182 via manipulation of moveable handle 40 (FIG. 1) and trigger 82 (FIG. 1), respectively, drive bar 130 and knife bar 184 extend through shaft 312 from the proximal end 313a thereof, i.e., from housing 20, to the distal end 313b thereof, i.e., to end effector assembly 100, thereby coupling the user-controls, e.g., moveable handle 40 and trigger 82, to end effector assembly 100.
Shaft 312 further includes a pair of offset lumens 316 extending longitudinally through shaft 312. Offset lumens 316 are generally rectangular in shape and each include a wire lumen 318 in communication therewith, although wire lumens 318 may alternatively be independent of offset lumens 316. Wire lumens 318 likewise extend through shaft 312, i.e., from the proximal end 313a to the distal end 313b thereof, and are configured to receive wires 612 of cable 610 (FIG. 1) therein such that, as mentioned above, electrosurgical energy may be transmitted via wires 612 from the source of energy (e.g., a generator, battery, or other suitable energy source), through shaft 312, to seal plates 112, 122 of jaw members 110, 120, respectively, to seal tissue grasped therebetween.
Each of the offset lumens 316, on the other hand, is configured to retain a proximal portion of a mounting flange 140 therein. Mounting flanges 140, as shown in FIGS. 3A and 3B, in conjunction with FIG. 1, are fixed in position relative to shaft 312 and extend distally from shaft 312. Mounting flanges 140 also engage pivot pin 103 therebetween, which rotatably couples jaw members 110, 120 to one another. Further, in embodiments where end effector assembly 100 is designed as a unilateral assembly, i.e., as shown in FIG. 1, jaw member 120 may be fixedly engaged to one or both of mounting flanges 140, while jaw member 110 is moveable relative thereto between the spaced-apart and approximated positions, or, in bilateral embodiments, jaw members 120 may simply be rotatably coupled to mounting flanges 140. In either configuration, mounting flanges 140 are secured within offset lumens 316 via any suitable mechanism, e.g., adhesion, friction-fit, etc. Shaft 312 may further include an outer sleeve (similar to outer sleeve 414 of shaft 412 (see FIGS. 4A-4C)) disposed about shaft 312. The outer sleeve may be formed from a metal or other suitable biocompatible material to add additional support to shaft 312.
With continued reference to FIGS. 3A-3C, the manufacture of shaft 312 and the components thereof will be described. Initially, shaft 312 is formed, e.g., using biocompatible plastic or other suitable material, via extrusion, to form the desired configuration of shaft 312, e.g., to form central lumen 314, offset lumens 316 and wire lumens 318. Extrusion is advantageous in that complex cross-sectional configurations may be created through a relatively inexpensive process. In other words, extrusion allows the formation of central lumen 314, offset lumens 316 and wire lumens 318, or any other number and/or configuration of lumens, while the remainder of shaft 312 remains solid. Such a process allows the lumens to be specifically configured for their intended purpose while the otherwise solid shaft 312 provides added structural support as compared to a hollow shaft.
Continuing with reference to FIGS. 3A-3C, in conjunction with FIG. 1, the formation of the components disposed within shaft 312, e.g., drive bar 130, knife bar 184 and mounting flanges 140, is described. One or more of these components may be formed from a metal, or other suitable material, via stamping, another relatively inexpensive process. Stamping is also advantageous in that specific features, e.g., grooves, pivot holes, cam slots, etc. may be subsequently or simultaneously formed through the stamped components, as desired. Further, although the stamping process yields relatively thin metal components, the configuration of lumens 314, 316 (through which drive bar 130 and knife bar 184 and mounting flanges 140, respectively, are to be inserted) constrains the components within shaft 312, thereby inhibiting buckling, when loaded in compression, and/or substantial twisting, when subject to torsional loading. In other words, during the extrusion process, the lumens extending through shaft 312 and the stamped components to be inserted therein are formed complementary in cross-section to one another to support and provide additional strength to the stamped components during use.
As best shown in FIG. 3C, drive bar 130 defines a U-shaped configuration (although other configurations may be provided) and is constrained by the internal dimensions of lumen 314. Similarly, knife bar 184 and knife blade 182 (FIGS. 2A-2C) are disposed within the dimensions of U-shaped drive bar 130 and, thus are similarly limited by the internal dimensions of lumen 314 as well as by U-shaped drive bar 130. Accordingly, smooth and consistent translation of drive bar 130 and knife bar 184 and knife blade 182 to move jaw members 110, 120 between the spaced-apart and approximated positions and to cut tissue grasped between jaw members 110, 120, respectively, are achieved. Likewise, lumens 316 retain mounting flanges 140 therein and provide support to mounting flanges 140, which mount jaw members 110, 120 thereon. Lumens 318, on the other hand, provide a portal through which wires 612 may be fed to electrically couple seal plates 112, 122 of jaw members 110, 120, respectively, to the source of energy (not explicitly shown) and help prevent wires 612 from catching on, interfering with, or being damaged by the other components of shaft 312.
Turning now to FIGS. 4A-4C, another embodiment of a shaft 412 configured for use with forceps 10 or any other suitable surgical instrument is shown. Shaft 412 is similar to shaft 312 (see FIGS. 3A-3C) and, thus, for purposes of brevity, will only be summarized hereinbelow, keeping in mind that the features and operation of shaft 312 described above apply similarly to shaft 412. Further, the additional features identified below with respect to shaft 412 are similarly applicable to shaft 312.
Continuing with reference to FIGS. 4A-4C, shaft 412 includes an outer sleeve 414 formed from a metal, or other suitable biocompatible material that provides support and strength to shaft 412. Outer sleeve 414 defines a hollow configuration having a longitudinal passageway 415 extending therethrough. Longitudinal passageway 415 of outer sleeve 414 defines a cylindrical configuration and, thus, a circular cross-sectional configuration, although other configurations are contemplated. An inner shaft 416 is disposed within longitudinal passageway 415 of outer sleeve 414. Inner shaft 416 is formed from a plastic or other suitable material and may be electrically insulative. Inner shaft 416 defines an outer cross-sectional configuration and outer diameter that are substantially similar to the diameter and cross-sectional configuration of longitudinal passageway 415 such that, when inner shaft 416 is positioned within outer sleeve 414, inner shaft 416 substantially fills the volume of passageway 415, as best shown in FIG. 4A, forming a strong, stable shaft 412. Inner shaft 416 may be secured within outer sleeve 414 via any suitable method, e.g., friction-fit, adhesion, etc.
Referring now to FIG. 4B, inner shaft 416 includes a lumen 418 extending therethrough. Lumen 418 defines a specific cross-sectional configuration different from the cross-sectional configuration of passageway 415 of outer sleeve 416. Inner shaft 416 is formed from molding, e.g., insert molding, injection molding, or other suitable process. Molding is advantageous in that it is a relatively inexpensive process that allows the formation of complex-shaped lumens extending through inner shaft 416, e.g., lumen 418. Further, the configuration of shaft 412 allows the metal outer sleeve 414 to be formed simply (an inexpensively) as a cylindrical, tube-like structure for adding support to shaft 412, while inner shaft 416 is formed from a plastic and includes multiple and/or complexly-shaped lumens 418 extending therethrough for receiving various (and differently-configured) components therein. In particular, lumen 418 may be configured to retain mounting flanges 140, drive bar 130, knife bar 184 and wires 612 therein, either in a single lumen 418, or, similar to shaft 312, via multiple lumens. In either configuration, the lumen(s) 418 are specifically configured to retain the components of the surgical instrument therein to facilitate the use and operation of end effector assembly 100 (FIG. 1) via controls disposed remotely therefrom (e.g., moveable handle 40, trigger 82, and/or activation switch 90 (see FIG. 1)).
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.
Patent Application
20130085491
