Bipolar end effector apparatus for a surgical instrument

Patent metadata

Field	Value
Publication number	US-11712288-B2
Application number	US-202017064796-A
Country	US
Kind code	B2
Filing date	Oct 7, 2020
Priority date	Jul 13, 2015
Publication date	Aug 1, 2023
Grant date	Aug 1, 2023

Abstract

An end effector apparatus for a surgical instrument is disclosed including a housing having a first jaw mounted on a revolute joint and providing a first electrical conduction path between the housing and the first jaw. A second jaw is mounted on a revolute joint within the housing and is insulated from the housing, the jaws each having a manipulating portion and a lever arm. A yoke is received within the housing and mechanically coupled to the lever arms and to a control link and is moveable in response to movements of the control link to cause opening and closing of the jaws, the yoke being electrically insulated from the housing and the first jaw. A second electrical conduction path is provided between the control link and the second jaw. The electrical conduction paths facilitate conduction of an electrocauterization current through tissue grasped between the jaws.

First claim

What is claimed is:

1. An end effector apparatus for a surgical instrument, the apparatus comprising:
a housing;
a first jaw mounted on a revolute joint within the housing so as to provide a first electrical conduction path between the housing and the first jaw, the first jaw having a manipulating portion extending forwardly and a lever arm projecting rearwardly from the revolute joint, the revolute joint defining a revolute axis;
a second jaw mounted on the revolute joint within the housing and electrically insulated from the housing, the second jaw having a manipulating portion extending forwardly from the revolute joint and a lever arm projecting rearwardly from the revolute joint;
an inner clevis received within the housing and mechanically coupled to the respective lever arms of the first and second jaws and to a control link, the inner clevis being moveable with respect to the housing in response to movements of the control link along a control axis extending orthogonal to the revolute axis when actuated by the surgical instrument, the movement of the inner clevis being operable to cause opening and closing movements of the first and second jaws about the respective revolute joints, the inner clevis being electrically insulated from the housing and the first jaw, the inner clevis including:
a first tine defining a first tine opening extending parallel to the revolute axis and being spaced a radial distance from the control axis;
a second tine disposed adjacent to and spaced apart from the first tine to define a first slot therebetween, wherein the lever arm of the first jaw is disposed within the first slot, the second tine defining:
a first opening axially aligned with the opening of the first tine, and spaced a radial distance from the control axis; and
a second opening, parallel to the first opening, and spaced a radial distance from the control axis, on a side opposite the first opening; and

a third tine disposed adjacent to and spaced apart from the second tine to define a second slot therebetween, the third tine defining a third tine opening extending parallel to the revolute axis and being axially aligned with the second opening of the second tine; and

a second electrical conduction path between the control link and the second jaw, the first and second electrical conduction paths facilitating conduction of an electrocauterization current through tissue grasped between the first and second jaws.

2. The apparatus of claim 1 , further comprising a first pin disposed within the first tine opening and the first opening of the second tine, wherein the first pin extends through an arcuate slot formed in the lever arm of the first jaw.

3. The apparatus of claim 2 , further comprising a second pin disposed within the third tine opening and the second opening of the second tine, wherein the second pin extends through an arcuate slot formed in the lever arm of the second jaw.

4. The apparatus of claim 3 , wherein the inner clevis defines a central opening extending longitudinally therethrough and disposed at least partially within the second tine.

5. The apparatus of claim 1 , wherein the first jaw and the second jaw are each mounted on the revolute joint within the housing.

6. The apparatus of claim 1 , wherein the housing includes an outer clevis and wherein the revolute joint includes a pivot pin extending between a pair of arms associated with the outer clevis.

7. The apparatus of claim 6 , wherein the second jaw is mounted on an insulating spacer received on the revolute joint.

8. The apparatus of claim 1 , further comprising a torque tube coupled to the housing, the torque tube being operable to cause rotation of the housing when actuated by the surgical instrument and wherein the torque tube is in electrical connection with the housing for carrying the electrocauterization current.

9. The apparatus of claim 8 , wherein the control link is received within a bore of the torque tube and further comprising an electrically insulating sheath between the control link and the torque tube and wherein the control link and torque tube are operable to connect to respective poles of a bipolar electrocautery current generator.

10. The apparatus of claim 9 , wherein the torque tube, insulating sheath, and control link are configured to flex within an articulated tool positioner to permit dexterous movement of the end effector apparatus.

11. The apparatus of claim 1 , wherein the housing comprises an electrically conductive material and further comprising an electrically conductive washer disposed on the revolute joint between the first jaw and the housing for providing the first electrical conduction path.

12. The apparatus of claim 1 , wherein the inner clevis includes an electrically insulating material and wherein the control link extends through the inner clevis and has a portion in sliding contact with the second jaw for completing the second electrical conduction path.

13. The apparatus of claim 12 , wherein the portion of the control link in sliding contact with the second jaw includes a conductive tab having a surface that contacts the second jaw.

14. The apparatus of claim 1 , wherein the housing includes an insulating material and wherein the first electrical conduction path between the housing and the first jaw is provided by a conductor running through the housing and having a portion in sliding contact with the first jaw.

15. The apparatus of claim 1 , further comprising a linkage extending between the lever arm associated with at least one of the first and second jaws and the inner clevis for providing the mechanical coupling between the inner clevis and the lever arm.

Assignees

• Titan Med Inc

Inventors

• Robert Rene
• Hills Jonathan Hess
• Johnson Timothy Norman

Classifications

• A61B18/1445 Primary

  at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod · CPC title

• B25J15/0226

  actuated by cams · CPC title

• A61B2017/2936

  Pins in guiding slots · CPC title

• A61B2017/2945

  Curved jaws · CPC title

• A61B2018/00595

  Cauterization · CPC title