1. Technical Field
The present disclosure relates to a surgical instrument and a handle assembly for use with a surgical instrument. More particularly, the present disclosure relates to a handle assembly incorporating a spring loaded actuator for use with a surgical instrument having a distal end effector.
2. Background of Related Art
Various instruments are used during surgical procedures to manipulate tissue. Some of these instruments incorporate a handle assembly which is provided to transmit a force to an end effector. For example, some surgical instruments may be provided with a pair of jaws on the distal end to grasp or cut various tissues. Operation of the handle assembly opens and closes the jaws by transmitting a force from an actuator or trigger mechanism associated with the handle assembly to the jaws and thus to the tissue. Other types of surgical instruments may be provided including instruments having fastener applying end effectors which are configured to apply staples, clips, or other fasteners to tissue, and instruments that apply electrosurgical energy to seal and/or fuse tissue.
During the performance of certain surgical procedures with the above described surgical instruments, damage may occur to the instrument itself. This may occur where the tissue being operated on is sufficiently stiff or hard such that it cannot be compressed or cut by the surgical instrument. Additionally, certain hard tissues may not be able to be penetrated by the amount of force applied to fasteners in situations where stapling or sealing of tissue is desired. Similarly, instruments may not be able to completely compress the tissues where compression of tissues is required during the application of surgical clips.
Furthermore, many surgical instruments utilize replaceable or disposable cartridge assemblies to apply multiple clips or staples to tissue. Improper positioning of the cartridge assemblies on the surgical instrument, for example, may result in a resistance of the surgical instrument to application of pressure on the trigger of a handle assembly thereby causing damage to the surgical instrument itself. This may also occur where the cartridge assembly is devoid of fasteners and the surgeon attempts to continue or reuse the surgical instrument. Additionally, once the jaws are positioned about tissue, a surgeon may desire to unclamp the jaws to reposition the end effector. Further, a surgeon may desire to use the surgical instrument to grasp or otherwise manipulate tissue.
The present disclosure relates to a handle assembly for use with a surgical instrument having an operative distal end portion. The handle assembly including a housing, a drive element, an actuator, a spring arm and a biasing element. The drive element is disposed at least partially within the housing and is longitudinally translatable with respect to the housing. The actuator is disposed in mechanical cooperation with the housing. The spring arm is disposed at least partially within the housing. The biasing element biases the actuator. A first portion of the biasing element is disposed in mechanical cooperation with the actuator and a second portion of the biasing element is disposed in mechanical corporation with the spring arm. At least a partial actuation of the actuator distally translates the drive element from a proximal position where a portion of the drive element is in contact with the spring arm to a distal position where the drive element is not in contact with the spring arm.
In disclosed embodiments, a bottom surface of the drive element includes a plurality of teeth, and a portion of the spring arm is in contact with the bottom surface of the drive element when the drive element is in the proximal position.
In disclosed embodiments, a portion of the spring arm is in contact with a proximal-facing surface of the drive element when the drive element is between the proximal position and the distal position.
In disclosed embodiments, the spring arm exerts a distal force on the drive element when the drive element is between the proximal position and the distal position.
In disclosed embodiments, the spring arm is movable with respect to the housing.
In disclosed embodiments, the spring arm is rotatable with respect to the housing.
In disclosed embodiments, a predetermined amount of rotation of the spring arm with respect to the housing causes a portion of the spring arm to engage a portion of the handle housing, which substantially prevents continued rotation of the spring arm with respect to the housing.
In disclosed embodiments, the second portion of the biasing element extends through an aperture in the spring arm.
The present disclosure also relates to a surgical instrument comprising a handle assembly, an endoscopic portion, and an end effector. The endoscopic portion extends distally from the handle assembly. The end effector is disposed adjacent a distal end of the endoscopic portion and includes a first jaw member and a second jaw member. The first jaw member is movable with respect to the second jaw member from an open position to an approximated position. The handle assembly includes a housing, a longitudinally translatable drive element, an actuator, a spring arm, and a biasing element for biasing the actuator. A first portion of the biasing element is disposed in mechanical cooperation with the actuator and a second portion of the biasing element is disposed in mechanical corporation with the spring arm. At least a partial actuation of the actuator distally translates the drive element from a proximal position where a portion of the drive element is in contact with the spring arm to a distal position where the drive element is not in contact with the spring arm.
In disclosed embodiments, the spring arm is in contact with the drive element when the jaw members are in the open position.
In disclosed embodiments, the spring arm is not in contact with the drive element when the jaw members are in the approximated position.
In disclosed embodiments, a bottom surface of the drive element includes a plurality of teeth, and wherein a portion of the spring arm is in contact with the bottom surface of the drive element when the drive element is in the proximal position.
In disclosed embodiments, a portion of the spring arm is in contact with a proximal-facing surface of the drive element when the drive element is between the proximal position and the distal position.
In disclosed embodiments, the spring arm exerts a distal force on the drive element when the drive element is between the proximal position and the distal position.
In disclosed embodiments, the spring arm is movable with respect to the housing.
In disclosed embodiments, the spring arm is rotatable with respect to the housing.
In disclosed embodiments, a predetermined amount of rotation of the spring arm with respect to the housing causes a portion of the spring arm to engage a portion of the handle housing, which substantially prevents continued rotation of the spring arm with respect to the housing.
In disclosed embodiments, the second portion of the biasing element extends through an aperture in the spring arm.
An embodiment of the presently disclosed surgical instrument incorporating an actuator spring arm is disclosed herein with reference to the drawings, wherein:
An embodiment of the presently disclosed handle assembly and surgical instrument will now be described in detail with reference to the drawings wherein like numerals designate identical or corresponding elements in each of the several views. As is common in the art, the term “proximal” refers to that part or component closer to the user or operator, e.g., surgeon or physician, while the term “distal” refers to that part or component farther away from the user.
Referring initially to
With specific reference to
In the illustrated embodiment, handle housing 120 also includes a journaled nose portion 180 for rotatable support of the distal end portion of a surgical instrument. This allows end effectors 450 or loading units associated with the distal end portion of the surgical instrument to be rotated relative to handle assembly 100. Examples of loading units for use with a surgical instrument are disclosed in commonly-owned U.S. Pat. No. 5,752,644 to Bolanos et al., U.S. Pat. No. 5,762,256 to Mastri et al., and U.S. Pat. No. 5,865,361 to Milliman et al., the entire contents of each of which are hereby incorporated by reference herein.
To move drive element 140, handle assembly 100 includes a drive assembly 200 positioned between drive element 140 and movable handle 160. Drive assembly 200 transfers motion applied to movable handle 160 by an operator's hand to drive element 140 to translate drive element 140 longitudinally and thus actuate an associated end effector 450. The actuation of the end effector can include clamping the jaws onto tissue, firing staples or fasteners, and/or performing other functions. Drive assembly 200 includes an upper carrier 220 and a drive pawl 240 for moving drive element 140 within handle housing 120 in response to at least a partial actuation of movable handle 160.
Specifically, drive pawl 240 is provided with a distal lip 260 which is configured to engage the drive element 140. The lip 260 may engage the teeth 280 formed on drive element 140 or, alternatively, engage a slot in the drive element 140. Teeth 280 are oriented such that distal lip 260 can engage teeth 280 and move drive element 140 distally when drive pawl 240 is moved in the distal direction, and disengage from drive element 140 as drive pawl 240 is drawn in a proximal direction relative to drive element 140. Additionally, drive pawl 240 is biased via biasing element 242 in the general direction of arrow “A” (see
It is envisioned that actuation of movable handle 160 approximates jaw members 460, 470 of end effector 450, and that a continued actuation of movable handle 160 (or successive actuations of movable handle 160) causes fasteners to be fired from one of the jaw members 460, for example. Further details of how actuation of movable handle 160 causes distal advancement of drive element 140 and actuation of end effector 450 are explained in U.S. Pat. No. 6,953,139 to Milliman et al., which is hereby incorporated by reference herein.
With additional reference to
Spring arm 300, as shown in
With specific reference to
With specific reference to
Referring now to
As can be appreciated, when surgical instrument 100 is configured for being used multiple times, a sufficient proximal translation of drive element 140 causes drive element 140 to contact spring arm 300, which causes spring arm 300 to rotate in the general direction of arrow “D” in
Additionally, it is envisioned that surgical instrument 500 can be powered by a power source and/or motor. Further details of such a powered surgical instrument are included in U.S. Patent Publication No. 2008/0255607, the entire contents of which are hereby incorporated by reference herein.
Additionally, while the figures depict a linear fastener-applying surgical instrument, other types of endoscopic surgical instruments are encompassed by the present disclosure and are usable with the disclosed handle assembly 100 and the disclosed spring arm 300 and biasing element 190. Further details of endoscopic forceps are described in commonly-owned U.S. Patent Publication No. 2010/0179540 to Marczyk et al., and U.S. patent application Ser. No. 12/718,143 to Marczyk et al., and U.S. Pat. No. 7,988,028, the entire contents of each of which are hereby incorporated by reference herein. Further details of a circular fastener-applying surgical instrument are described in commonly-owned U.S. Patent Publication No. 2009/0173767 to Milliman et al., the entire contents of which are hereby incorporated by reference herein.
It will be understood that various modifications may be made to the embodiment disclosed herein. For example, different types of biasing elements may be substituted for the coil springs illustrated to bias the disclosed spring arm 300 into the drive element 140. Therefore, the above description should not be construed as limiting, but merely as exemplifications of a particular embodiment. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
This application is a continuation and claims the benefit of and priority to U.S. patent application Ser. No. 13/308,642, filed Dec. 1, 2011, the entire disclosure of which is incorporated by reference herein.
Number | Date | Country | |
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Parent | 13308642 | Dec 2011 | US |
Child | 14266029 | US |