Multi-function surgical transection instrument

Patent metadata

Field	Value
Publication number	US-11612403-B2
Application number	US-201916580384-A
Country	US
Kind code	B2
Filing date	Sep 24, 2019
Priority date	Oct 3, 2018
Publication date	Mar 28, 2023
Grant date	Mar 28, 2023

Abstract

A surgical instrument includes a housing having a first handle and an elongated shaft extending therefrom. An end effector is disposed at a distal end of the elongated shaft and includes first and second jaw members, the first jaw member including a staple cartridge configured to house a series of staples therein. A second handle is operably coupled to the housing and is selectively moveable relative to the first handle to actuate the first and second jaw members between an open position and a closed position for grasping tissue. A first switch is activatable to supply energy to one of the jaw members. A stapler mode switch is actuatable between an unactuated position wherein movement of the second handle moves the jaws to the second position and an actuated position wherein movement of the second handle moves the jaws to the second position and drives the staples through tissue.

First claim

What is claimed is:

1. A surgical instrument, comprising:
a housing having a first handle depending therefrom;
an elongated shaft extending distally from the housing;
an end effector disposed at a distal end of the elongated shaft, the end effector including first and second jaw members each having an electrically conductive plate disposed thereon, the respective electrically conductive plates of the first and second jaw members disposed in vertical opposition relative to one another, the first jaw member including a staple cartridge configured to house a series of staples therein;
a second handle operably coupled to the housing and selectively moveable relative to the first handle to actuate the first and second jaw members between a first position wherein the first and second jaw members of the end effector assembly are disposed in a spaced apart configuration relative to one another and a second position wherein the jaw members cooperate to grasp tissue disposed therebetween;
a first switch disposed on the housing and activatable to supply electrical energy from an electrical energy source to at least one of the electrically conductive plates of the first or second jaw members; and
a stapler mode activation switch operably coupled to the second handle, the stapler mode activation switch actuatable between a first, unactuated position, wherein movement of the second handle towards the first handle moves the jaw members to the second position and a second, actuated, position wherein movement of the second handle towards the first handle moves the jaw members to the second position and drives the staples through tissue disposed between the jaw members.

2. The surgical instrument according to claim 1 wherein the second jaw member includes a corresponding series of pockets defined therein disposed in registration with the series of staples disposed in the first jaw member.

3. The surgical instrument according to claim 1 wherein the first switch, when activated, provides electrical energy to the respective at least one jaw member to coagulate tissue.

4. The surgical instrument according to claim 1 further comprising a second switch disposed on an inner facing surface of the first handle in alignment with the second handle such that actuation of the second handle activates the second switch during movement thereof, the second switch operably connected to both electrically conductive plates of the first and second jaw members and configured to supply electrical energy from an electrical energy source to tissue disposed between the electrically conductive plates.

5. The surgical instrument according to claim 4 wherein the second switch is configured to supply electrical energy to seal tissue disposed between the electrically conductive plates of the first and second jaw members.

6. The surgical instrument according to claim 5 wherein at least one of the jaw members includes at least one stop member disposed thereon configured to regulate a gap between electrically conductive plates when the jaw members are disposed in the second position.

7. The surgical instrument according to claim 4 wherein the second switch is configured to include tactile feedback or an audible tone to advise the user prior to activation of electrical energy.

8. The surgical instrument according to claim 1 , further comprising:
a trigger assembly operably associated with the housing, the trigger assembly including a trigger configured to selectively advance a knife between the first and second jaw members upon actuation thereof.

9. The surgical instrument according to claim 8 wherein the knife is advanceable via actuation of the trigger between a first position wherein the knife is disposed proximal the first and second electrically conductive plates of the first and second jaw members to a second position wherein the knife translates through respective channels defined within the first and second electrically conductive plates of the first and second jaw members.

10. The surgical instrument according to claim 1 further comprising a rotation knob operably associated with the elongated shaft of the housing, the rotation knob selectively rotatable relative to the housing to rotate the elongated shaft and the end effector at the distal end thereof.

11. The surgical instrument according to claim 1 further comprising a release mechanism disposed on the housing and operably associated with the end effector, the release mechanism actuatable to uncouple the end effector from a distal end of the elongated shaft.

12. The surgical instrument according to claim 11 wherein the release mechanism is actuatable to couple and uncouple the end effector from the distal end of the shaft.

13. The surgical instrument according to claim 11 wherein the release mechanism cooperates with a coupler disposed within the elongated shaft to uncouple the end effector from the shaft.

14. A surgical instrument, comprising:
a housing having a first handle depending therefrom;
an elongated shaft extending distally from the housing;
an end effector disposed at a distal end of the elongated shaft, the end effector including first and second jaw members each having an electrically conductive plate disposed thereon, the first jaw member including a staple cartridge configured to house a series of staples therein and the second jaw member including a series of corresponding pockets defined therein in vertical registration with the series of staples of the first jaw member;
a second handle operably coupled to the housing and selectively moveable relative to the first handle to actuate the first and second jaw members between a first position wherein the first and second jaw members of the end effector assembly are disposed in a spaced apart configuration relative to one another and a second position wherein the jaw members cooperate to grasp tissue disposed therebetween;
a first switch disposed on the housing and activatable to supply electrical energy from an electrical energy source to at least one of the electrically conductive plates of the first or second jaw members;
a second switch disposed on an inner facing surface of the first handle in alignment with the second handle such that actuation of the second handle activates the second switch during movement thereof, the second switch operably connected to both electrically conductive plates of the first and second jaw members and configured to supply electrical energy from an electrical energy source to tissue disposed between the electrically conductive plates to form a tissue seal; and
a stapler mode activation switch operably coupled to the second handle, the stapler mode activation switch actuatable between a first, unactuated position, wherein movement of the second handle towards the first handle moves the jaw members to the second position and a second, actuated, position wherein movement of the second handle towards the first handle moves the jaw members to the second position and drives the staples through tissue disposed between the jaw members.

15. The surgical instrument according to claim 14 wherein actuation of the stapler mode activation switch deactivates the second switch.

16. The surgical instrument according to claim 14 further comprising a release mechanism disposed on the housing and operably associated with the end effector, the release mechanism actuatable to uncouple the end effector from a distal end of the elongated shaft.

17. The surgical instrument according to claim 16 wherein the release mechanism is actuatable to couple and uncouple the end effector fr

Assignees

• Covidien Lp

Inventors

• Kabala Rachael L
• Allen Iv James D
• Drochner Thomas E
• Hammerland Iii John A
• Joseph Daniel A

Classifications

• A61B2218/002

  Irrigation · CPC title

• A61B2018/00916

  with means for switching or controlling the main function of the instrument or device · CPC title

• A61B2017/00367

  Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like · CPC title

• A61B17/22031 Primary

  Gripping instruments, e.g. forceps, for removing or smashing calculi (A61B17/221 takes precedence) · CPC title

• A61B2018/00958

  for switching between different working modes of the main function · CPC title