Surgical devices with intracorporeal elbow joint
US-9211159-B2 · Dec 15, 2015 · US
US9757138B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9757138-B2 |
| Application number | US-201414479013-A |
| Country | US |
| Kind code | B2 |
| Filing date | Sep 5, 2014 |
| Priority date | Sep 10, 2013 |
| Publication date | Sep 12, 2017 |
| Grant date | Sep 12, 2017 |
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An instrument ( 10 ) having a tool ( 15 ) of a particularly simple design comprises jaws ( 16, 17 ) with jaw supports ( 46 ) supported by spaced-apart hinges on a shared socket part 18 . The hinge axes ( 27, 28 ) of the hinges are oriented parallel relative to each other and are at a distance from each other. A slit ( 24 ) for precisely guiding a knife ( 25 ) may be provided between the two. The jaw supports ( 46 ) of the jaws ( 16, 17 ) are guided in their own hinges with minimal play and hence in a precise manner. They are held against each other by transverse interlocking means ( 37 ), thereby ensuring a simple assembly and precise guiding.
Opening claim text (preview).
What is claimed is: 1. Surgical instrument ( 10 ), for tissue coagulation and vessel sealing, comprising: a tool ( 15 ) having two jaws ( 16 , 17 ) that are supported on a socket part ( 18 ) so as to be pivotable about two different hinge axes ( 27 , 28 ) toward each other and away from each other, wherein the hinge axes ( 27 , 28 ): are defined by two spaced apart hinges, and are aligned parallel to each other; wherein individual ones of the two hinges comprises: a bearing pin ( 31 ) having a cylindrical bearing section ( 34 ) and a fillet ( 35 ) extending radially away from said bearing section, and a bearing bushing ( 22 , 23 ) having an opening ( 36 ); wherein the opening ( 36 ) of the bearing bushing ( 23 ) has a width ( 36 a ) that is smaller than a diameter of the bearing section ( 34 ) and greater than a thickness of the fillet ( 35 ). 2. Surgical instrument as in claim 1 , wherein the socket part ( 18 ) has a slit ( 24 ) for a knife, said slit being located between the hinge axes ( 27 , 28 ). 3. Surgical instrument as in claim 1 , wherein the bearing pin ( 31 ) is seamlessly connected to an actuating member ( 30 ) of the jaw ( 16 , 17 ) on one end side. 4. Surgical instrument as in claim 1 wherein the bearing pin ( 31 ) is provided on the jaw ( 16 ) and on the bearing bushing ( 23 ) in the socket part ( 18 ). 5. Surgical instrument as in claim 1 , wherein the socket part ( 18 ) is made of plastic material. 6. Surgical instrument as in claim 1 , wherein the bearing bushings ( 22 , 23 ) of the two hinges are oriented parallel to each other and are frontally open in opposite directions (+X, −X). 7. Surgical instrument as in claim 1 , wherein at least one of the jaws ( 16 , 17 ) comprises a jaw support ( 46 ). 8. Surgical instrument as in claim 1 , wherein the two jaws ( 16 , 17 ) comprise mutually engaging transverse interlocking means ( 37 ). 9. Surgical instrument as in claim 8 , wherein the transverse interlocking means ( 37 ) comprise at least one projection ( 38 ) on a first jaw ( 16 ), said projection being configured so as to extend into a recess ( 40 ) of the second jaw ( 17 ). 10. Surgical instrument as in claim 9 , wherein the projection ( 38 ) is a rib ( 38 ) extending on the jaw ( 16 ) relative to an axis ( 39 ) in circumferential direction (U). 11. Surgical instrument as in claim 10 , wherein the recess is a pocket ( 40 ) provided on the jaw ( 16 ) in the circumferential direction (U). 12. Surgical instrument as in claim 11 , wherein the pocket ( 40 ) and the rib ( 38 ) are laterally offset against each other. 13. Surgical instrument as in claim 11 , wherein the pocket ( 40 ) and the rib ( 38 ) are offset against each other in the circumferential direction (U). 14. A method for operating a surgical instrument ( 10 ) for tissue coagulation and vessel sealing, the method comprising: moving two jaws ( 16 , 17 ) supported on a socket part ( 18 ) of a tool ( 15 ) toward each other and away from each other pivotally about respective and different hinge axes ( 27 , 28 ) that are spaced apart and aligned parallel to each other, wherein the different hinge axes are defined by two spaced apart hinges, wherein individual ones of the two hinges comprises: a bearing pin ( 31 ) having a cylindrical bearing section ( 34 ) and a fillet ( 35 ) extending radially away from said bearing section, and a bearing bushing ( 22 , 23 ) having an opening ( 36 ); wherein the opening ( 36 ) of the bearing bushing ( 23 ) has a width ( 36 a ) that is smaller than a diameter of the bearing section ( 34 ) and greater than a thickness of the fillet ( 35 ). 15. The method of claim 14 further comprising sliding a knife through a slit located between the hinge axes.
combined with cutting implements · CPC title
Pivots · CPC title
Sealing · CPC title
Probes having pivoting end effectors, e.g. forceps · CPC title
having a moving blade for cutting tissue grasped by the jaws · CPC title
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