Vessel sealing instrument and switch assemblies thereof

Information

  • Patent Grant
  • 10660694
  • Patent Number
    10,660,694
  • Date Filed
    Wednesday, July 15, 2015
    8 years ago
  • Date Issued
    Tuesday, May 26, 2020
    4 years ago
Abstract
A switch assembly for an electrosurgical instrument includes a switch housing, a switch, a first biasing member, and an additional biasing member. The switch is disposed within the switch housing and movably disposed between an activated position to initiate delivery of electrosurgical energy and a deactivated position to terminate delivery of electrosurgical energy. The first biasing member is selectively positionable adjacent the switch and in communication therewith. The first biasing member includes a first thickness that provides a first resistance to resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing. The additional biasing member is selectively interchangeable with the first biasing member. The additional biasing member includes a different thickness that provides a different resistance to resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing.
Description
BACKGROUND

1. Background of Related Art


The present disclosure relates to a forceps used for open or endoscopic surgical procedures. More particularly, the present disclosure relates to a switch assembly for a surgical forceps that can vary the resistance of an actuation switch of the surgical forceps.


2. Technical Field


A hemostat or forceps is a simple plier-like tool which uses mechanical action between its jaws to constrict vessels and is commonly used in open surgical procedures to grasp, dissect and/or clamp tissue. Electrosurgical forceps utilize both mechanical clamping action and electrical energy to effect hemostasis by heating the tissue and blood vessels to coagulate, cauterize and/or seal tissue.


Certain surgical procedures require sealing and cutting blood vessels or vascular tissue. Several journal articles have disclosed methods for sealing small blood vessels using electrosurgery. An article entitled Studies on Coagulation and the Development of an Automatic Computerized Bipolar Coagulator, J. Neurosurg., Volume 75, July 1991, describes a bipolar coagulator which is used to seal small blood vessels. The article states that it is not possible to safely coagulate arteries with a diameter larger than 2 to 2.5 mm. A second article entitled Automatically Controlled Bipolar Electrocoagulation—“COA-COMP,” Neurosurg. Rev. (1984), pp. 187-190, describes a method for terminating electrosurgical power to the vessel so that charring of the vessel walls can be avoided.


By utilizing an electrosurgical forceps, a surgeon can either cauterize, coagulate/desiccate, reduce or slow bleeding and/or seal vessels by controlling the intensity, frequency and duration of the electrosurgical energy applied to the tissue. Generally, the electrical configuration of electrosurgical forceps can be categorized in two classifications: 1) monopolar electrosurgical forceps; and 2) bipolar electrosurgical forceps.


Monopolar forceps utilize one active electrode associated with the clamping end effector and a remote patient return electrode or pad which is typically attached externally to the patient. When the electrosurgical energy is applied, the energy travels from the active electrode, to the surgical site, through the patient and to the return electrode.


Bipolar electrosurgical forceps utilize two generally opposing electrodes which are disposed on the inner opposing surfaces of the end effectors and which are both electrically coupled to an electrosurgical generator. Each electrode is charged to a different electric potential. Since tissue is a conductor of electrical energy, when the effectors are utilized to grasp tissue therebetween, the electrical energy can be selectively transferred through the tissue.


In order to effect a proper seal with larger vessels, two predominant mechanical parameters must be accurately controlled—the pressure applied to the vessel and the gap between the electrodes both of which affect thickness of the sealed vessel. More particularly, accurate application of the pressure is important to oppose the walls of the vessel, to reduce the tissue impedance to a low enough value that allows enough electrosurgical energy through the tissue, to overcome the forces of expansion during tissue heating and to contribute to the end tissue thickness which is an indication of a good seal. It has been determined that a fused vessel wall is optimum between 0.001 and 0.006 inches. Below this range, the seal may shred or tear and above this range the lumens may not be properly or effectively sealed.


With respect to smaller vessels, the pressure applied to the tissue tends to become less relevant whereas the gap distance between the electrically conductive surfaces becomes more significant for effective sealing. In other words, the chances of the two electrically conductive surfaces touching during activation increases as the vessels become smaller.


Electrosurgical methods may be able to seal larger vessels using an appropriate electrosurgical power curve, coupled with an instrument capable of applying a large closure force to the vessel walls. It is thought that the process of coagulating small vessels is fundamentally different than electrosurgical vessel sealing. For the purposes herein, “coagulation” is defined as a process of desiccating tissue wherein the tissue cells are ruptured and dried and vessel sealing is defined as the process of liquefying the collagen in the tissue so that it reforms into a fused mass. Thus, coagulation of small vessels is sufficient to permanently close them. Larger vessels need to be sealed to assure permanent closure.


Numerous bipolar electrosurgical forceps have been proposed in the past for various open surgical procedures. However, some of these designs may not provide uniformly reproducible pressure to the blood vessel and may result in an ineffective or non-uniform seal. For example, U.S. Pat. No. 2,176,479 to Willis, U.S. Pat. Nos. 4,005,714 and 4,031,898 to Hiltebrandt, U.S. Pat. Nos. 5,827,274, 5,290,287 and 5,312,433 to Boebel et al., U.S. Pat. Nos. 4,370,980, 4,552,143, 5,026,370 and 5,116,332 to Lottick, U.S. Pat. No. 5,443,463 to Stern et al., U.S. Pat. No. 5,484,436 to Eggers et al. and U.S. Pat. No. 5,951,549 to Richardson et al., all relate to electrosurgical instruments for coagulating, cutting and/or sealing vessels or tissue.


Many of these instruments include blade members or shearing members which simply cut tissue in a mechanical and/or electromechanical manner and are relatively ineffective for vessel sealing purposes. Other instruments rely on clamping pressure alone to procure proper sealing thickness and are not designed to take into account gap tolerances and/or parallelism and flatness requirements which are parameters which, if properly controlled, can assure a consistent and effective tissue seal. For example, it is known that it is difficult to adequately control thickness of the resulting sealed tissue by controlling clamping pressure alone for either of two reasons: 1) if too much force is applied, there is a possibility that the two poles will touch and energy will not be transferred through the tissue resulting in an ineffective seal; or 2) if too low a force is applied, a thicker less reliable seal is created. Similarly, an amount of force required to actuate a switch of the forceps may be too high or too low depending on the preferences of the user of the forceps.


SUMMARY

According to one aspect of the present disclosure, a switch assembly for an electrosurgical instrument is provided. The switch assembly includes a switch housing, a switch, a first biasing member, and one or more additional biasing members. The switch is disposed within the switch housing and is movably disposed between an activated position to initiate delivery of electrosurgical energy and a deactivated position to terminate delivery of electrosurgical energy. The first biasing member is selectively positionable adjacent the switch and in communication therewith. The first biasing member includes a first thickness that provides a first resistance to resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing. The additional biasing member is selectively interchangeable with the first biasing member. The additional biasing member(s) includes a different thickness than the first thickness to provide a different resistance than the first resistance and likewise resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing.


In some embodiments, each biasing member includes a protrusion extending therefrom and the switch may include a protrusion extending therefrom. The protrusion of the biasing members and the protrusion of the switch engage one another during movement of the switch between the activated and deactivated positions.


In some embodiments, the biasing members have a U-shaped configuration. Each biasing member may include a first leg, a bent portion and a second leg. The first leg may be secured with the switch housing. The second leg may be coupled to the first leg via the bent portion. The second leg flexes inwardly towards the first leg upon movement of the switch from the deactivated position to the activated position.


In some embodiments, the switch assembly further includes a post extending from the switch and a snap dome in coaxial alignment with the post. Upon movement of the switch from the deactivated position to the activated position, the post engages the snap dome. The switch assembly may further include a spring disposed between the switch and the snap dome and configured to resiliently bias the switch toward the deactivated position.


In another aspect of the present disclosure, an electrosurgical instrument is provided. The electrosurgical instrument includes a first arm and a second arm movable relative to one another between an expanded position and an approximated position, a switch assembly, and a pair of jaw members. The switch assembly is disposed within the first arm and includes a switch housing, a switch, a first biasing member, and one or more additional biasing members. The switch is disposed within the switch housing and movably disposed between an activated position to initiate delivery of electrosurgical energy and a deactivated position to terminate delivery of electrosurgical energy. The first biasing member is selectively positionable adjacent the switch and in communication therewith. The first biasing member includes a first thickness that provides a first resistance to resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing. The additional biasing member(s) is selectively interchangeable with the first biasing member. The additional biasing member(s) includes a different thickness than the first thickness to provide a different resistance than the first resistance and likewise resists movement of the switch between the activated and the deactivated positions when positioned in the switch housing. The first jaw member is coupled to the second arm and the second jaw member is coupled to the first arm. The jaw members are movable relative to one another between an expanded position and an approximated position.


In yet another aspect of the present disclosure, a method of performing an electrosurgical procedure is provided. The method includes providing a switch assembly of an electrosurgical instrument; selectively positioning one of a first and second biasing members adjacent a switch of the switch assembly and in communication therewith. In some embodiments, the method includes approximating first and second arms of the electrosurgical instrument to grasp tissue between first and second jaw members associated with the first and second arms; depressing the switch upon approximation of the first and second arms from a deactivated position to an intermediate position to relay information to the user corresponding to a grasping pressure applied to tissue grasped between the first and second jaw members; and


depressing the switch to overcome one of a first resistance or a second, different resistance of the one of the first or additional biasing members such that the switch is disposed in an activated position to activate a source of electrosurgical energy to supply electrosurgical energy to the first and second jaw members.


In some embodiments, depressing the switch to overcome the first resistance or the different resistance of the respective biasing members includes passing a protrusion of the switch over a protrusion of the one of the first and additional biasing members.


In some embodiments, depressing the switch to overcome the first resistance or the different resistance of the respective biasing members includes flexing a second leg of the respective biasing member inwardly towards a first leg of the respective biasing members. It is contemplated that depressing the switch to overcome the first resistance or the different resistance of the respective biasing members may further include engaging a snap dome with a post extending from the switch.


In some embodiments, the method further includes removing the one of the first and additional biasing members from the switch housing; and positioning the other of the one of the first and additional biasing members adjacent the switch and in communication therewith.


In the drawings and in the description that follows, the term “proximal”, as is traditional, will refer to the end of electrosurgical instrument that is closer to the user, while the term “distal” will refer to the end that is further from the user.





BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the present disclosure are described herein with reference to the accompanying drawings, wherein:



FIG. 1 is a right, perspective view of a forceps according to one embodiment of the present disclosure;



FIG. 2 is a side view of the forceps of FIG. 1, in part phantom, to show the inside of a switch assembly;



FIG. 3A is a plan view, in part phantom, of the switch assembly shown in FIG. 2 including a first biasing member selectively positioned therein;



FIG. 3B is a plan view, in part phantom, of the switch assembly shown in FIG. 2 including a second biasing member selectively positioned therein; and



FIGS. 4A and 4B are side views of the forceps of FIG. 1 illustrating actuation thereof between open and approximated positions.





DETAILED DESCRIPTION

Referring initially to FIGS. 1 and 2, an electrosurgical instrument, such as, for example, a forceps 10 for use with open surgical procedures is provided. The forceps 10 may be configured for insertion through a trocar cannula (not shown) or access opening in a patient for endoscopic or laparoscopic procedures. Forceps 10 includes a handle assembly 100, an end effector 200 coupled to handle assembly 100 and actuatable by handle assembly 100, and a switch assembly 300 configured to control the transfer of electrosurgical energy to end effector 200. Switch assembly 300 has a plurality of biasing members selectively positionable therein to vary the resistance and/or tactile response to actuation of the handle assembly 100, as discussed in greater detail herein.


As shown in FIG. 1, an electrosurgical cable 2 having a plug 6 at its proximal end connects forceps 10 to an electrosurgical source or electrosurgical generator (not shown). A distal end of cable 2 is securely held to a shaft 112b of handle assembly 100 by a proximal shaft connector 108 and the proximal end of cable 2 includes plug 6 having prongs 6a, 6b, 6c that are configured to electrically and mechanically engage the electrosurgical generator. The electrosurgical generator is configured to supply electrosurgical energy to a pair of jaw members 210, 220 of the end effector 200 upon actuation of switch assembly 300 to effect treating (e.g., sealing) of tissue disposed between the jaw members 210, 220.


Handle assembly 100 includes a first arm or elongated shaft portion 112a and a second arm or elongated shaft portion 112b each having a proximal end 114a, 114b and a distal end 116a and 116b, respectively. End effector 200 attaches to distal ends 116a and 116b of shaft portions 112a and 112b, respectively. Opposing jaw members 210 and 220 are pivotably connected and movable relative to one another about a pivot 222 to grasp tissue therebetween.


Shaft portions 112a, 112b include respective handles 115, 117 disposed at proximal ends 114a and 114b thereof. Handles 115, 117 define respective finger holes 115a, 117a therethrough for receiving a finger of the user. Handles 115 and 117 facilitate movement of shaft portions 112a and 112b relative to one another, which, in turn, pivot jaw members 210 and 220 from an open or expanded position, in which jaw members 210 and 220 are disposed in spaced relation to one another, to a clamping or approximated position, in which jaw members 210 and 220 cooperate to grasp tissue therebetween.


With reference to FIGS. 1, 2, 3A, and 3B, switch assembly 300 includes a switch housing 310, a switch 320, a first, removable biasing member 340 (FIG. 3A), and one or more second or additional, removable biasing members, e.g., biasing member 350 (FIG. 3B). Switch assembly 300 is disposed with proximal end 114b of shaft portion 112b and coplanar with proximal end 114a of shaft portion 112a such that switch assembly 300 is actuatable by proximal end 114a of shaft portion 112a during approximation of proximal ends 114a, 114b of shaft portions 112a, 112b.


Switch housing 310 extends from an inner facing surface 132 of shaft portion 112b and is configured to house switch 320 (and the electrical components associated therewith), which may be in the form of a depressible button. In some embodiments, switch housing 310 may be integrally connected to or monolithically formed with proximal end 114b of shaft portion 112b or proximal end 114a of shaft portion 112a.


Switch 320 is movably disposed within switch housing 310 between an activated position to initiate delivery of electrosurgical energy to jaw members 210, 220 and a deactivated position to terminate delivery of electrosurgical energy to jaw members 210, 220. Switch 320 aligns with an opposing inner facing surface 134 of proximal end 114a of shaft portion 112a such that upon approximation of shaft portions 112a and 112b, switch 320 is depressed into biasing engagement with opposing inner facing surface 134 of proximal end 114a of shaft portion 112a.


With reference to FIGS. 3A and 3B, switch 320 protrudes a distance “d” from switch housing 310 such that switch 320 can be axially translated distance “d” upon engagement of proximal end 114a of shaft portion 112a therewith. Switch 320 has a cylindrical shape and defines a cavity 322 therein. A spring, such as, for example, a coil spring 324 is disposed in cavity 322 captured between switch 320 and a dome switch 326, as described in greater detail below. Coil spring 324 is configured to resiliently bias switch 320 toward the deactivated position. Switch 320 further includes a post 328 disposed within cavity 322 and extending through a hollow core of coil spring 324. Switch 320 includes a first protrusion 332 extending from a first radial side thereof and configured for engagement with first or second biasing members 340, 350. Switch 320 may also include a second protrusion 334 extending from a second radial side thereof also configured for engagement with first or second biasing members 340, 350.


As mentioned above, switch assembly 300 includes snap dome or dome switch 326 and a printed circuit board 336 that supports dome switch 326. Dome switch 326 is in coaxial alignment with post 324 of switch 320 such that post 324 engages dome switch 326 upon movement of switch 320 from the deactivated position to the activated position. Printed circuit board 336 is attached to switch housing 310 and electrically couples the electrosurgical source or generator (not shown) and jaw members 210, 220 such that upon inversion of dome switch 326, via engagement with post 324, an electrical pathway is created through which electrosurgical energy can travel from the electrosurgical source to jaw members 210, 220.


With continued reference to FIGS. 3A and 3B, first biasing member 340 (FIG. 3A) and second biasing member 350 (FIG. 3B) are selectively positionable adjacent switch 320 and in communication therewith, as described in greater detail below. First biasing member 340 includes a first thickness “t1” that provides a first resistance to compression thereof to resist movement of switch 320 between the activated and deactivated positions when first biasing member 340 is positioned in switch housing 310. Second biasing member 350 includes a second thickness “t2,” less than thickness “t1” of first biasing member 340. Second thickness “t2” of second biasing member 350 provides a second resistance to compression thereof that is less than the first resistance provided by first thickness of “t1” of first biasing member 340. The second resistance of second biasing member 350 resists movement of switch 320 between the activated and deactivated positions when second biasing member 350 is positioned in switch housing 310. It is contemplated that a plurality of biasing members of varying thicknesses or varying material properties and, in turn, varying resistances, may be provided that are each selectively positionable adjacent switch 320 and in communication therewith. This allows a manufacturer or surgeon, during assembly of forceps 10, to selectively adjust the force required to actuate switch 320.


First and second biasing members 340, 350 each have a U-shaped configuration and are fabricated from plastic. In some embodiments, first and second biasing members 340, 350 may be variously configured, such as, for example, tapered, uniform, non-uniform, circular, triangular, squared, arcuate, undulating and/or polygonal and may be fabricated from any suitable, flexible material. First and second biasing members 340, 350 each include a first leg 342a, 352a, an intermediate bent portion 344, 354, and a second leg 342b, 352b. In some embodiments, first leg 342a of first biasing member 340 may have the same thickness as first leg 352a of second biasing member 350 while bent portions 344, 354 of biasing members 340, 350 have different thicknesses from one another.


First legs 342a, 352a are configured to be selectively secured within switch housing 310 via a plurality of capture members 362 extending from switch housing 310. Capture members 362 are arranged to define a channel configured to accommodate first legs 342a, 352a therein. It is envisioned that first legs 342a, 352a may be configured for snap fit engagement with capture members 362 such that first legs 342a, 352a are prevented from moving relative to switch housing 310.


Second legs 342b, 352b are coupled to first legs 342a, 352a, respectively, via bent portions 344, 354 such that first legs 342a, 352a and second legs 342b, 352b are in substantial side-by-side, parallel alignment with one another. In some embodiments, first and second legs 342a, 352a, 342b, 352b may be variously oriented relative to one another, such as, for example, positioned at an acute angle, an obtuse angle, or a substantially perpendicular angle relative to one another. Second legs 342b, 352b each have a protrusion or an arcuate bump 346, 356 extending from an intermediate portion thereof. When one of first or second biasing members 340, 350 is selectively positioned in switch housing 310, bump 346 or bump 356 of second legs 342b, 352b, respectively, is in coaxial alignment with protrusion 332 of switch 320. During movement of switch 320 between the activated and deactivated positions, protrusion 332 and bump 346 of first biasing member 340 or bump 356 of second biasing member 350 engage and pass over one another. Upon bump 346 and protrusion 332 or bump 356 and protrusion 332 passing over one another, second legs 342b, 352b of first or second biasing members 340, 350, respectively, flex inwardly towards respective first legs 342a, 352a under a resistance.


In some embodiments, the resistance of biasing members 340, 350 may be adjusted by varying the size and/or shape of bumps 346, 356. For example, a larger bump 346, 356 will correspond to a greater resistance of biasing members 340, 350, respectively.


In operation, one of the first or second biasing members 340, 350 is selectively positioned adjacent switch 320 and in communication therewith. For example, first biasing member 340 may be selected because its ability to resist movement of switch 320 between the activated and deactivated positions provides for a preferred tactility to a user of forceps 10. Alternately, a user that prefers switch 320 to be more responsive to a force exerted thereon may prefer to use a forceps 10 having second biasing member 350 selectively positioned within switch housing 310. In some embodiments, a plurality of biasing members may be provided to accommodate various user preferences.


With one of first or second biasing members 340, 350 disposed within switch housing 310, first and second shaft portions 112a, 112b may be approximated and, in turn, jaw members 210, 220 are pivoted to an approximated position to grasp tissue therebetween. Upon approximating first and second shaft portions 112a, 112b, inner facing surface 134 of shaft portion 112a engages switch 320 to depress switch 320 from the deactivated position, as shown in FIG. 4A, to an intermediate position, as shown in FIG. 4B, to relay information (i.e., a first tactile response) to the user corresponding to a predetermined grasping pressure applied to the tissue grasped between first and second jaw members 210, 220. The first tactile response indicates to the user that the maximum grasping pressure has been reached before end effector 200 is energized where the user is free to approximate, manipulate, and grasp tissue as needed.


Continued approximation of first and second jaw members 210, 220 overcomes the first resistance provided by first biasing member 340 (or the second resistance provided by second biasing member 350) to further depress switch 320 to the activated position (not shown). To overcome the resilient bias of first or second biasing members 340, 350, a sufficient amount of force is required to pass protrusion 332 of switch 320 over bump 346 of first biasing member 340 or bump 356 of second biasing member 350. Upon overcoming the resistance provided by first or second biasing members 340, 350, post 328 of switch 320 engages snap dome 326 to dispose switch 320 in the activated position. In the activated position, a source of electrosurgical energy is activated to supply electrosurgical energy to first and second jaw members 210, 220 to seal the tissue disposed therebetween. Upon switch 320 moving to the activated position, the user receives a second tactile response indicating the electrosurgical activation of end effector 200.


In some embodiments, switch 320 may include a plurality of other tactile responses between the above discussed first and second tactile responses and/or subsequent to the second tactile response that correspond to particular functions of forceps 10 such as, for example, operation of a knife (not shown) and/or an actuation assembly (not shown), and/or operation of a safety lockout mechanism (not shown) associated with the actuation assembly (not shown), as discussed in detail in U.S. application Ser. No. 14/105,374, which is incorporated by reference herein.


The various embodiments disclosed herein may also be configured to work with robotic surgical systems and what is commonly referred to as “Telesurgery.” Such systems employ various robotic elements to assist the surgeon in the operating theatre and allow remote operation (or partial remote operation) of surgical instrumentation. Various robotic arms, gears, cams, pulleys, electric and mechanical motors, etc. may be employed for this purpose and may be designed with a robotic surgical system to assist the surgeon during the course of an operation or treatment. Such robotic systems may include remotely steerable systems, automatically flexible surgical systems, remotely flexible surgical systems, remotely articulating surgical systems, wireless surgical systems, modular or selectively configurable remotely operated surgical systems, etc.


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.

Claims
  • 1. A switch assembly for an electrosurgical instrument, comprising: a switch housing;a switch disposed within the switch housing and movably disposed between an activated position to initiate delivery of electrosurgical energy and a deactivated position to terminate delivery of electrosurgical energy;a first biasing member selectively positionable adjacent the switch and in communication therewith, wherein the first biasing member includes a first thickness that provides a first resistance to resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing, the switch having a portion that engages and slides along and relative to a portion of the first biasing member during movement of the switch between the activated and deactivated positions, wherein when the switch moves toward the activated position, the portion of the switch moves toward the portion of the biasing member on an axis that intersects both the portion of the switch and the portion of the biasing member, wherein the switch moves to the activated position to initiate delivery of the electrosurgical energy after the portion of the switch slides past the portion of the first biasing member.
  • 2. The switch assembly according to claim 1, wherein the portion of the first biasing member is a protrusion extending therefrom and the portion of the switch is a protrusion extending therefrom that directly slidingly contacts the protrusion of the first biasing member during movement between the activated and deactivated positions.
  • 3. The switch assembly according to claim 2, wherein the protrusion of the switch and the protrusion of the first biasing member overlap one another when the switch is between the activated and deactivated positions.
  • 4. The switch assembly according to claim 1, wherein the first biasing member has a U-shaped configuration.
  • 5. The switch assembly according to claim 4, wherein the first biasing member includes: a first leg secured with the switch housing;a bent portion; anda second leg coupled to the first leg via the bent portion, wherein the second leg flexes inwardly towards the first leg and out of a path of the portion of the switch upon sliding movement of the portion of the switch over and relative to the portion of the first biasing member.
  • 6. The switch assembly according to claim 5, wherein the portion of the switch is a protrusion extending therefrom, and the portion of the first biasing member is a protrusion extending from the second leg thereof toward the protrusion of the switch.
  • 7. The switch assembly according to claim 1, further comprising: a post extending from the switch; anda snap dome in coaxial alignment with the post such that upon movement of the switch from the deactivated position to the activated position the post engages the snap dome.
  • 8. The switch assembly according to claim 7, further comprising a spring disposed between the switch and the snap dome and configured to resiliently bias the switch toward the deactivated position.
  • 9. The switch assembly according to claim 1, further comprising at least one additional biasing member selectively interchangeable with the first biasing member, wherein the at least one additional biasing member includes a different thickness than the first thickness that provides a different resistance than the first resistance to resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing.
  • 10. The switch assembly according to claim 1, wherein the switch and the first biasing member are in direct sliding contact with one another.
  • 11. An electrosurgical instrument, comprising: a first arm and a second arm movable relative to one another between an expanded position and an approximated position;a switch assembly disposed within the first arm and including: a switch housing;a switch disposed within the switch housing and movably disposed between an activated position to initiate delivery of electrosurgical energy and a deactivated position to terminate delivery of electrosurgical energy;a first biasing member selectively positionable adjacent the switch and in communication therewith, wherein the first biasing member includes a first thickness that provides a first resistance to resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing, the switch having a portion that engages and slides along and relative to a portion of the first biasing member during movement of the switch between the activated and deactivated positions, wherein when the switch moves toward the activated position, the portion of the switch moves toward the portion of the biasing member on an axis that intersects both the portion of the switch and the portion of the biasing member, wherein the switch moves to the activated position to initiate delivery of the electrosurgical energy after the portion of the switch slides past the portion of the first biasing member; anda first jaw member coupled to the second arm and a second jaw member coupled to the first arm, the jaw members movable relative to one another between an expanded position and an approximated position, wherein the portion of the switch moving into contact with the portion of the biasing member during movement of the switch toward the activated position corresponds with a maximum grasping pressure of the first and second members before the delivery of the electrosurgical energy.
  • 12. The electrosurgical instrument according to claim 11, wherein the portion of the first biasing member is a protrusion extending therefrom and the portion of the switch is a protrusion extending therefrom that releasably contacts the protrusion of the first biasing member.
  • 13. The electrosurgical instrument according to claim 12, wherein the protrusion of the switch and the protrusion of the first biasing member overlap one another when the switch is between the activated and deactivated positions.
  • 14. The electrosurgical instrument according to claim 11, wherein the first biasing member has a U-shaped configuration.
  • 15. The electrosurgical instrument according to claim 14, wherein the first biasing member includes: a first leg secured with the switch housing;a bent portion; anda second leg coupled to the first leg via the bent portion, wherein the second leg flexes inwardly towards the first leg and out of a path of the portion of the switch upon sliding movement of the portion of the switch over and relative to the portion of the first biasing member.
  • 16. The electrosurgical instrument according to claim 15, wherein the portion of the switch is a protrusion extending therefrom, and the portion of the first biasing member is a protrusion extending from the second leg thereof toward the protrusion of the switch.
  • 17. The electrosurgical instrument according to claim 11, wherein the switch assembly further includes: a post extending from the switch; anda snap dome in coaxial alignment with the post such that upon movement of the switch from the deactivated position to the activated position the post engages the snap dome.
  • 18. The electrosurgical instrument according to claim 17, wherein the switch assembly further includes a spring disposed between the switch and the snap dome and configured to resiliently bias the switch toward the deactivated position.
  • 19. The electrosurgical instrument according to claim 11, further comprising at least one additional biasing member selectively interchangeable with the first biasing member, wherein the at least one additional biasing member includes a different thickness than the first thickness that provides a different resistance than the first resistance to resist movement of the switch between the activated and the deactivated positions when positioned in the switch housing.
  • 20. The electrosurgical instrument according to claim 11, wherein the switch and the first biasing member are in sliding contact with one another.
CROSS REFERENCE TO RELATED APPLICATION

The present application claims the benefit of and priority to U.S. Provisional Application Ser. No. 62/042,543, filed on Aug. 27, 2014, the entire contents of which are incorporated herein by reference.

US Referenced Citations (164)
Number Name Date Kind
2176479 Willis Oct 1939 A
3100489 Bagley Aug 1963 A
3824363 Fuller Jul 1974 A
4005714 Hiltebrandt Feb 1977 A
4031898 Hiltebrandt et al. Jun 1977 A
D249549 Pike Sep 1978 S
D263020 Rau, III Feb 1982 S
4370980 Lottick Feb 1983 A
4461297 Sutter Jul 1984 A
4461305 Cibley Jul 1984 A
4552143 Lottick Nov 1985 A
D295893 Sharkany et al. May 1988 S
D295894 Sharkany et al. May 1988 S
D298353 Manno Nov 1988 S
D299413 DeCarolis Jan 1989 S
5026370 Lottick Jun 1991 A
5116332 Lottick May 1992 A
5122139 Sutter Jun 1992 A
5211655 Hasson May 1993 A
D343453 Noda Jan 1994 S
5290287 Boebel et al. Mar 1994 A
5312433 Boebel et al. May 1994 A
D348930 Olson Jul 1994 S
D349341 Lichtman et al. Aug 1994 S
5346459 Allen Sep 1994 A
5354291 Bales Oct 1994 A
D354564 Medema Jan 1995 S
5383875 Bays et al. Jan 1995 A
D358887 Feinberg May 1995 S
5443463 Stern et al. Aug 1995 A
5454827 Aust et al. Oct 1995 A
5484436 Eggers et al. Jan 1996 A
5498256 Furnish Mar 1996 A
5512721 Young et al. Apr 1996 A
5601601 Tal et al. Feb 1997 A
D384413 Zlock et al. Sep 1997 S
5746739 Sutter May 1998 A
H1745 Paraschac Aug 1998 H
5827274 Bonnet et al. Oct 1998 A
D402028 Grimm et al. Dec 1998 S
D408018 McNaughton Apr 1999 S
5891140 Ginn et al. Apr 1999 A
5891142 Eggers et al. Apr 1999 A
5951549 Richardson et al. Sep 1999 A
D416089 Barton et al. Nov 1999 S
6010516 Hulka Jan 2000 A
D424694 Tetzlaff et al. May 2000 S
D425201 Tetzlaff et al. May 2000 S
6106542 Toybin et al. Aug 2000 A
6117158 Measamer et al. Sep 2000 A
H1904 Yates et al. Oct 2000 H
D449886 Tetzlaff et al. Oct 2001 S
D453923 Olson Feb 2002 S
D454951 Bon Mar 2002 S
D457958 Dycus et al. May 2002 S
D457959 Tetzlaff et al. May 2002 S
H2037 Yates et al. Jul 2002 H
D465281 Lang Nov 2002 S
D466209 Bon Nov 2002 S
D493888 Reschke Aug 2004 S
D496997 Dycus et al. Oct 2004 S
D499181 Dycus et al. Nov 2004 S
D502994 Blake, III Mar 2005 S
D509297 Wells Sep 2005 S
D525361 Hushka Jul 2006 S
7083613 Treat Aug 2006 B2
D531311 Guerra et al. Oct 2006 S
D533274 Visconti et al. Dec 2006 S
D533942 Kerr et al. Dec 2006 S
D535027 James et al. Jan 2007 S
7166106 Bartel et al. Jan 2007 B2
D538932 Malik Mar 2007 S
D541418 Schechter et al. Apr 2007 S
D541611 Aglassinger May 2007 S
D541938 Kerr et al. May 2007 S
7211079 Treat May 2007 B2
D545432 Watanabe Jun 2007 S
D547154 Lee Jul 2007 S
D564662 Moses et al. Mar 2008 S
D567943 Moses et al. Apr 2008 S
D575395 Hushka Aug 2008 S
D575401 Hixson et al. Aug 2008 S
D582038 Swoyer et al. Dec 2008 S
7628791 Garrison et al. Dec 2009 B2
D617900 Kingsley et al. Jun 2010 S
D617901 Unger et al. Jun 2010 S
D617902 Twomey et al. Jun 2010 S
D617903 Unger et al. Jun 2010 S
D618798 Olson et al. Jun 2010 S
D621503 Otten et al. Aug 2010 S
D627462 Kingsley Nov 2010 S
D628289 Romero Nov 2010 S
D628290 Romero Nov 2010 S
D630324 Reschke Jan 2011 S
7922718 Moses et al. Apr 2011 B2
D649249 Guerra Nov 2011 S
D649643 Allen, IV et al. Nov 2011 S
8152806 Black et al. Apr 2012 B2
D661394 Romero et al. Jun 2012 S
8679140 Butcher Mar 2014 B2
RE44834 Dumbauld et al. Apr 2014 E
8939973 Garrison et al. Jan 2015 B2
8945127 Garrison et al. Feb 2015 B2
9113907 Allen, IV et al. Aug 2015 B2
9113937 Collings et al. Aug 2015 B2
9119630 Townsend et al. Sep 2015 B2
9124013 Frushhour et al. Sep 2015 B2
20020099258 Staskin Jul 2002 A1
20030018331 Dycus et al. Jan 2003 A1
20030109875 Tetzlaff et al. Jun 2003 A1
20030171747 Kanehira et al. Sep 2003 A1
20030229344 Dycus et al. Dec 2003 A1
20040176762 Lawes et al. Sep 2004 A1
20040243125 Dycus et al. Dec 2004 A1
20050154387 Moses et al. Jul 2005 A1
20070219409 Shimizu Sep 2007 A1
20070260241 Dalla Betta et al. Nov 2007 A1
20080114349 Treat May 2008 A1
20080215048 Hafner et al. Sep 2008 A1
20100030205 Herzon Feb 2010 A1
20110184459 Malkowski et al. Jul 2011 A1
20110190765 Chojin Aug 2011 A1
20110251613 Guerra et al. Oct 2011 A1
20110301592 Kerr et al. Dec 2011 A1
20120083827 Artale Apr 2012 A1
20120136347 Brustad et al. May 2012 A1
20130018411 Collings et al. Jan 2013 A1
20130296843 Boudreaux Nov 2013 A1
20140031821 Garrison Jan 2014 A1
20140031860 Stoddard et al. Jan 2014 A1
20140046323 Payne et al. Feb 2014 A1
20140066910 Nau, Jr. Mar 2014 A1
20140066911 Nau, Jr. Mar 2014 A1
20140074085 Kerr Mar 2014 A1
20140074091 Arya et al. Mar 2014 A1
20140074092 Horner et al. Mar 2014 A1
20140094798 Garrison et al. Apr 2014 A1
20140094845 Garrison et al. Apr 2014 A1
20140100564 Garrison Apr 2014 A1
20140100568 Garrison Apr 2014 A1
20140100569 Lawes et al. Apr 2014 A1
20140100600 Kendrick Apr 2014 A1
20140104070 Plaven Apr 2014 A1
20140107443 Hoarau et al. Apr 2014 A1
20140107646 Garrison et al. Apr 2014 A1
20140107648 Harper et al. Apr 2014 A1
20140107684 Craig Apr 2014 A1
20140107685 O'Neill et al. Apr 2014 A1
20140114309 Payne et al. Apr 2014 A1
20140121507 Nau, Jr. May 2014 A1
20140121508 Latimer et al. May 2014 A1
20140121661 Schmaltz et al. May 2014 A1
20140135758 Mueller May 2014 A1
20140135763 Kappus et al. May 2014 A1
20140148807 Kendrick May 2014 A1
20140180281 Rusin Jun 2014 A1
20140194875 Reschke et al. Jul 2014 A1
20140221994 Reschke Aug 2014 A1
20140221999 Cunningham et al. Aug 2014 A1
20140230243 Roy et al. Aug 2014 A1
20140243811 Reschke et al. Aug 2014 A1
20140257284 Artale Sep 2014 A1
20140257285 Moua Sep 2014 A1
20140276803 Hart Sep 2014 A1
Foreign Referenced Citations (95)
Number Date Country
201299462 Sep 2009 CN
2415263 Oct 1975 DE
02514501 Oct 1976 DE
2627679 Jan 1977 DE
03423356 Jun 1986 DE
03612646 Apr 1987 DE
8712328 Feb 1988 DE
04303882 Feb 1995 DE
04403252 Aug 1995 DE
19515914 Jul 1996 DE
19506363 Aug 1996 DE
29616210 Nov 1996 DE
19608716 Apr 1997 DE
19751106 May 1998 DE
19751108 May 1999 DE
19946527 Jul 2001 DE
20121161 Apr 2002 DE
10045375 Oct 2002 DE
202007009165 Aug 2007 DE
202007009317 Aug 2007 DE
202007009318 Aug 2007 DE
10031773 Nov 2007 DE
202007016233 Jan 2008 DE
19738457 Jan 2009 DE
102004026179 Jan 2009 DE
102008018406 Jul 2009 DE
1281878 Feb 2003 EP
1159926 Mar 2003 EP
1645238 Apr 2006 EP
1810625 Jul 2007 EP
2347725 Jul 2011 EP
2436330 Apr 2012 EP
2659848 Nov 2013 EP
2659849 Nov 2013 EP
61-501068 Sep 1984 JP
10-24051 Jan 1989 JP
11-47150 Jun 1989 JP
6-502328 Mar 1992 JP
5-5106 Jan 1993 JP
05-40112 Feb 1993 JP
0006030945 Feb 1994 JP
6-121797 May 1994 JP
6-285078 Oct 1994 JP
6-511401 Dec 1994 JP
06343644 Dec 1994 JP
07265328 Oct 1995 JP
8-56955 May 1996 JP
08252263 Oct 1996 JP
8-289895 Nov 1996 JP
8-317934 Dec 1996 JP
8-317936 Dec 1996 JP
9-10223 Jan 1997 JP
09000538 Jan 1997 JP
9-122138 May 1997 JP
0010000195 Jan 1998 JP
10-155798 Jun 1998 JP
11-47149 Feb 1999 JP
11-070124 Mar 1999 JP
11-169381 Jun 1999 JP
11-192238 Jul 1999 JP
11244298 Sep 1999 JP
2000-102545 Apr 2000 JP
2000-135222 May 2000 JP
2000342599 Dec 2000 JP
2000350732 Dec 2000 JP
2001008944 Jan 2001 JP
2001-29355 Feb 2001 JP
2001029356 Feb 2001 JP
2001-03400 Apr 2001 JP
2001128990 May 2001 JP
2001-190564 Jul 2001 JP
2002-136525 May 2002 JP
2002-528166 Sep 2002 JP
2003-116871 Apr 2003 JP
2003-175052 Jun 2003 JP
2003245285 Sep 2003 JP
2004-517668 Jun 2004 JP
2004-528869 Sep 2004 JP
2005-152663 Jun 2005 JP
2005-253789 Sep 2005 JP
2006-015078 Jan 2006 JP
2006-501939 Jan 2006 JP
2006-095316 Apr 2006 JP
2011125195 Jun 2011 JP
401367 Nov 1974 SU
0036986 Jun 2000 WO
0059392 Oct 2000 WO
0115614 Mar 2001 WO
0154604 Aug 2001 WO
02045589 Jun 2002 WO
2006021269 Mar 2006 WO
05110264 Apr 2006 WO
08040483 Apr 2008 WO
2011018154 Feb 2011 WO
2011044343 Apr 2011 WO
Non-Patent Literature Citations (53)
Entry
U.S. Appl. No. 09/591,328, dated Jun. 9, 2000 (Thomas Patrick Ryan).
U.S. Appl. No. 12/336,970, dated Dec. 17, 2008 (Sremcich et al.).
U.S. Appl. No. 13/731,674, dated Dec. 31, 2012 (Siebrecht et al.).
Michael Choti, “Abdominoperineal Resection with the LigaSure Vessel Sealing System and LigaSure Atlas 20 cm Open Instrument”; Innovations That Work, Jun. 2003.
Chung et al., “Clinical Experience of Sutureless Closed Hemorrhoidectomy with LigaSure” Diseases of the Colon & Rectum vol. 46, No. 1 Jan. 2003.
Tinkcler L.F., “Combined Diathermy and Suction Forceps”, Feb. 6, 1967 (Feb. 6, 1965), British Medical Journal Feb. 6, 1976, vol. 1, nr. 5431 p. 361, ISSN: 0007-1447.
Carbonell et al., “Comparison of theGyrus PlasmaKinetic Sealer and the Valleylab LigaSure Device in the Hemostasis of Small, Medium, and Large-Sized Arteries” Carolinas Laparoscopic and Advanced Surgery Program, Carolinas Medical Center, Charlotte, NC; Date: Aug. 2003.
Peterson et al. “Comparison of Healing Process Following Ligation with Sutures and Bipolar Vessel Sealing” Surgical Technology International (2001).
“Electrosurgery: A Historical Overview” Innovations in Electrosurgery; Sales/Product Literature; Dec. 31, 2000.
Johnson et al. “Evaluation of a Bipolar Electrothermal Vessel Sealing Device in Hemorrhoidectomy” Sales/Product Literature; Jan. 2004.
E. David Crawford “Evaluation of a New Vessel Sealing Device in Urologic Cancer Surgery”, 2000.
Johnson et al. “Evaluation of the LigaSure Vessel Sealing System in Hemorrhoidectormy” American College of Surgeons (ACS) Clinicla Congress Poster (2000).
Muller et al., “Extended Left Hemicolectomy Using the LigaSure Vessel Sealing System” Innovations That Work, Sep. 1999.
Kennedy et al. “High-burst-strength, feedback-controlled bipolar vessel sealing” Surgical Endoscopy (1998) 12: 876-878.
Burdette et al. “In Vivo Probe Measurement Technique for Determining Dielectric Properties At VHF Through Microwave Frequencies”, IEEE Transactions on Microwave Theory and Techniques, vol. MTT-28, No. 4, Apr. 1980 pp. 414-427.
Carus et al., “Initial Experience With the LigaSure Vessel Sealing System in Abdominal Surgery” Innovations That Work, Jun. 2002.
Heniford et al. “Initial Results with an Electrothermal Bipolar Vessel Sealer” Surgical Endoscopy (2000) 15:799-801.
Herman et al., “Laparoscopic Intestinal Resection With the LigaSure Vessel Sealing System: A Case Report”; Innovations That Work, Feb. 2002.
Koyle et al., “Laparoscopic Palomo Varicocele Ligation in Children and Adolescents” Pediatric Endosurgery & Innovative Techniques, vol. 6, No. 1, 2002.
W. Scott Helton, “LigaSure Vessel Sealing System: Revolutionary Hemostasis Product for General Surgery”; Sales/Product Literature 1999.
LigaSure Vessel Sealing System, the Seal of Confidence in General, Gynecologic, Urologic, and Laparaoscopic Surgery; Sales/Product Literature; Apr. 2002.
Joseph Ortenberg “LigaSure System Used in Laparoscopic 1st and 2nd Stage Orchiopexy” Innovations That Work, Nov. 2002.
Sigel et al. “The Mechanism of Blood Vessel Closure by High Frequency Electrocoagulation” Surgery Gynecology & Obstetrics, Oct. 1965 pp. 823-831.
Sampayan et al, “Multilayer Ultra-High Gradient Insulator Technology” Discharges and Electrical Insulation in Vacuum, 1998. Netherlands Aug. 17-21, 1998; vol. 2, pp. 740-743.
Paul G. Horgan, “A Novel Technique for Parenchymal Division During Hepatectomy” The American Journal of Surgery, vol. 181, No. 3, Apr. 2001 pp. 236-237.
Benaron et al., “Optical Time-Of-Flight and Absorbance Imaging of Biologic Media”, Science, American Association for the Advancement of Science, Washington, DC, vol. 259, Mar. 5, 1993, pp. 1463-1466.
Olsson et al. “Radical Cystectomy in Females” Current Surgical Techniques in Urology, vol. 14, Issue 3, 2001.
Palazzo et al. “Randomized clinical trial of Ligasure versus open haemorrhoidectomy” British Journal of Surgery 2002, 89, 154-157.
Levy et al. “Randomized Trial of Suture Versus Electrosurgical Bipolar Vessel Sealing in Vaginal Hysterectomy” Obstetrics & Gynecology, vol. 102, No. 1, Jul. 2003.
“Reducing Needlestick Injuries in the Operating Room”, 2001.
Bergdahl et al. “Studies on Coagulation and the Development of an Automatic Computerized Bipolar Coagulator” J. Neurosurg, vol. 75, Jul. 1991, pp. 148-151.
Strasberg et al. “A Phase I Study of the LigaSure Vessel Sealing System in Hepatic Surgery” Section of HPB Surger, Washington University School of Medicine, St. Louis MO, Presented at AHPBA, Feb. 2001.
Sayfan et al. “Sutureless Closed Hemorrhoidectomy: A New Technique” Annals of Surgery vol. 234 No. 1 Jul. 2001; pp. 21-24.
Levy et al., “Update on Hysterectomy—New Technologies and Techniques” OBG Management, Feb. 2003.
Dulemba et al. “Use of a Bipolar Electrothermal Vessel Sealer in Laparoscopically Assisted Vaginal Hysterectomy” Sales/Product Literature; Jan. 2004.
Strasberg et al., “Use of a Bipolar Vessel-Sealing Device for Parenchymal Transection During Liver Surgery” Journal of Gastrointestinal Surgery, vol. 6, No. 4, Jul./Aug. 2002 pp. 569-574.
Sengupta et al., “Use of a Computer-Controlled Bipolar Diathermy System in Radical Prostatectomies and Other Open Urological Surgery” ANZ Journal of Surgery (2001) 71.9 pp. 538-540.
Rothenberg et al. “Use of the LigaSure Vessel Sealing System in Minimally Invasive Surgery in Children” Int'l Pediatric Endosurgery Group (IPEG) 2000.
Crawford et al. “Use of the LigaSure Vessel Sealing System in Urologic Cancer Surgery” Grand Rounds in Urology 1999 vol. 1 Issue 4 pp. 10-17.
Craig Johnson, “Use of the LigaSure Vessel Sealing System in Bloodless Hemorrhoidectomy” Innovations That Work, Mar. 2000.
Levy et al. “Use of a New Energy-based Vessel Ligation Device During Vaginal Hysterectomy” Int'l Federation of Gynecology and Obstetrics (FIGO) World Congress 1999.
Barbara Levy, “Use of a New Vessel Ligation Device During Vaginal Hysterectomy” FIGO 2000, Washington, D.C.
E. David Crawford “Use of a Novel Vessel Sealing Technology in Management of the Dorsal Veinous Complex”, 2000.
Jarrett et al., “Use of the LigaSure Vessel Sealing System for Peri-Hilar Vessels in Laparoscopic Nephrectomy” Sales/Product Literature 2000.
Crouch et al. “A Velocity-Dependent Model for Needle Insertion in Soft Tissue” MICCAI 2005; LNCS 3750 pp. 624-632, Dated: 2005.
McLellan et al. “Vessel Sealing for Hemostasis During Pelvic Surgery” Int'l Federation of Gynecology and Obstetrics FIGO World Congress 2000, Washington, D.C.
McLellan et al. “Vessel Sealing for Hemostasis During Gynecologic Surgery” Sales/Product Literature 1999.
European Search Report from Application No. EP14158818.6 dated May 28, 2014.
The extended European Search Report from Application No. 14158819.4 dated Jun. 10, 2014.
Vallfors et al., “Automatically Controlled Bipolar Electrosoagulation-‘COA-COMP’”, Neurosurgical Review 7:2-3 (1984) pp. 187-190.
U.S. Appl. No. 08/926,869, dated Sep. 10, 1997 (Chandler et al.).
U.S. Appl. No. 09/177,950, dated Oct. 23, 1998 (Frazier et al.).
U.S. Appl. No. 09/387,883, dated Sep. 1, 1999 (Schmaltz et al.).
Related Publications (1)
Number Date Country
20160058498 A1 Mar 2016 US
Provisional Applications (1)
Number Date Country
62042543 Aug 2014 US