TRIGGER MECHANISMS FOR SURGICAL INSTRUMENTS AND SURGICAL INSTRUMENTS INCLUDING THE SAME
20210361287 · 2021-11-25
Inventors
Cpc classification
A61B18/1445
HUMAN NECESSITIES
A61B2018/00607
HUMAN NECESSITIES
A61B2017/2929
HUMAN NECESSITIES
A61B2018/1455
HUMAN NECESSITIES
A61B2017/294
HUMAN NECESSITIES
A61B34/76
HUMAN NECESSITIES
International classification
Abstract
A trigger assembly of a surgical instrument includes a trigger, a first linkage, a second linkage, and a slider block configured such that moving the manipulation portion in a first direction relative to a housing of the surgical instrument translates the slider block along a longitudinal axis relative to the housing. Another trigger assembly of a surgical instrument includes a trigger and a coupling sphere rotatably captured within a cavity of a retention portion of the trigger such that movement of a manipulation portion of the trigger relative to the housing translates the coupling sphere along the longitudinal axis relative to the housing.
Claims
1-20. (canceled)
21. A surgical instrument, comprising: a housing; a shaft extending from the housing and defining a longitudinal axis; a drive bar extending from the housing at least partially through the shaft, the drive bar slidable relative to the housing and the shaft; and a trigger assembly, including: a trigger pivotably coupled to the housing on a first side of the longitudinal axis; a first linkage pivotably coupled to the housing on the first side of the longitudinal axis; and a second linkage pivotably coupled to both the trigger and the first linkage on a second side of the longitudinal axis opposite the first side of the longitudinal axis, the second linkage operably coupled to the drive bar such that pivoting of the trigger relative to the housing pivots the first linkage and moves the second linkages to slide the drive bar relative to the housing and the shaft.
22. The surgical instrument according to claim 21, wherein the drive bar is slidable along the longitudinal axis.
23. The surgical instrument according to claim 22, wherein the second linkage is operably coupled to the drive bar along the longitudinal axis.
24. The surgical instrument according to claim 23, wherein the second linkage is operably coupled to the drive bar via a slider block slidable about the shaft within the housing and along the longitudinal axis.
25. The surgical instrument according to claim 21, further comprising a cutting element coupled to the drive bar such that sliding the drive bar relative to the housing and the shaft deploys the cutting element for cutting tissue.
26. The surgical instrument according to claim 21, wherein the trigger includes a manipulation portion that extends from the housing on the first side of the longitudinal axis to permit manual manipulation thereof by a user, and a linkage portion that extends within the housing across the longitudinal axis to the second side thereof, the second linkage pivotably coupled to the linkage portion of the trigger.
27. The surgical instrument according to claim 21, wherein the first linkage is pivotably coupled to the housing towards a first end of the first linkage on the first side of the longitudinal axis and extends within the housing across the longitudinal axis to a second end of the first linkage, the second linkage pivotably coupled to the first linkage towards the second end of the first linkage.
28. The surgical instrument according to claim 21, wherein the second linkage defines a T-shaped configuration including a crossbar and an upright, the trigger and first linkage pivotably coupled to the second linkage at opposing end portions of the crossbar, the second linkage operably coupled to the drive bar at a free end portion of the upright.
29. The surgical instrument according to claim 21, wherein at least a portion of at least one of: the trigger, the second linkage, or the first linkage defines a bifurcated configuration for receipt of the drive bar therebetween.
30. The surgical instrument according to claim 21, wherein at least one of: the trigger, the first linkage, or the second linkage is formed as a single, monolithic piece of material.
31. A surgical instrument, comprising: a housing; a shaft extending from the housing and defining a longitudinal axis; a drive bar extending from the housing at least partially through the shaft, the drive bar slidable relative to the housing and the shaft; and a trigger assembly, including: a trigger pivotably coupled to the housing on a first side of the longitudinal axis and extending across the longitudinal axis to a second side of the longitudinal axis opposite the first side thereof; a first linkage pivotably coupled to the housing on the first side of the longitudinal axis and extending across the longitudinal axis to the second side of the longitudinal axis; a second linkage disposed on the second side of the longitudinal axis pivotably coupled to both the trigger and the first linkage on a second side of the longitudinal axis opposite the first side of the longitudinal axis, the second linkage operably coupled to the drive bar such that pivoting of the trigger relative to the housing pivots the first linkage and moves the second linkages to slide the drive bar relative to the housing and the shaft.
32. The surgical instrument according to claim 31, wherein the drive bar is slidable along the longitudinal axis.
33. The surgical instrument according to claim 32, wherein the second linkage is operably coupled to the drive bar along the longitudinal axis.
34. The surgical instrument according to claim 33, wherein the second linkage is operably coupled to the drive bar via a slider block slidable about the shaft within the housing and along the longitudinal axis.
35. The surgical instrument according to claim 31, further comprising a cutting element coupled to the drive bar such that sliding the drive bar relative to the housing and the shaft deploys the cutting element for cutting tissue.
36. The surgical instrument according to claim 31, wherein the trigger includes a manipulation portion that extends from the housing on the first side of the longitudinal axis to permit manual manipulation thereof by a user.
37. The surgical instrument according to claim 31, wherein the second linkage defines a T-shaped configuration including a crossbar and an upright, the trigger and first linkage pivotably coupled to the second linkage at opposing end portions of the crossbar, the second linkage operably coupled to the drive bar at a free end portion of the upright.
38. The surgical instrument according to claim 31, wherein at least a portion of at least one of: the trigger, the second linkage, or the first linkage defines a bifurcated configuration for receipt of the drive bar therebetween.
39. The surgical instrument according to claim 31, wherein at least one of: the trigger, the first linkage, or the second linkage is formed as a single, monolithic piece of material.
Description
BRIEF DESCRIPTION OF DRAWINGS
[0020] The above and other aspects and features of the present disclosure will become more apparent in view of the following detailed description when taken in conjunction with the accompanying drawings wherein like reference numerals identify similar or identical elements.
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DETAILED DESCRIPTION
[0036] Referring to
[0037] Forceps 10 further includes a shaft 12 having a distal end portion 14 configured to engage (directly or indirectly) end effector assembly 100 and a proximal end portion 16 that engages (directly or indirectly) housing 20. Rotating assembly 60 is rotatable in either direction to rotate shaft 12 and end effector assembly 100 relative to housing 20 in either direction. Housing 20 houses the internal working components of forceps 10.
[0038] An electrosurgical cable 300 connects forceps 10 to an electrosurgical generator “G” or other suitable energy source, although forceps 10 may alternatively be configured as a handheld instrument incorporating energy-generating and/or power components thereon or therein. Cable 300 includes wires (not shown) extending therethrough, into housing 20, and through shaft 12, to ultimately connect electrosurgical generator “G” to jaw member 110 and/or jaw member 120 of end effector assembly 100. Activation button 92 of activation assembly 90 is disposed on housing 20 are electrically coupled between end effector assembly 100 and cable 300 to enable the selective supply of energy to jaw member 110 and/or jaw member 120, e.g., upon activation of activation button 92. However, other suitable electrical connections and/or configurations for supplying electrosurgical energy to jaw member 110 and/or jaw member 120 may alternatively be provided, as may other suitable forms of energy, e.g., ultrasonic energy, microwave energy, light energy, thermal energy, etc.
[0039] Forceps 10 additionally includes a knife assembly 170 (
[0040] With additional reference to
[0041] Each jaw member 110, 120 of end effector assembly 100 includes an electrically-conductive tissue-contacting surface 116, 126. Tissue-contacting surfaces 116 are positioned to oppose one another for grasping and treating tissue. More specifically, tissue-contacting surfaces 116, 126 are electrically coupled to the generator “G,” e.g., via cable 300, and activation button 92 to enable the selective supply of energy thereto for conduction through tissue grasped therebetween, e.g., upon activation of activation button 92. One or both of tissue-contacting surfaces 116, 126 may include one or more stop members (not shown) extending therefrom to define a minimum gap distance between electrically-conductive tissue-contacting surfaces 116, 126 in the approximated position of jaw members 110, 120, facilitate grasping of tissue, and/or inhibit shorting between electrically-conductive tissue-contacting surfaces 116, 126. The stop member(s) may be formed at least partially from an electrically-insulative material or may be effectively insulative by electrically isolating the stop member(s) from one or both of the electrically-conductive tissue-contacting surfaces 116, 126.
[0042] A pivot pin 103 of end effector assembly 100 extends transversely through aligned apertures defined within jaw members 110, 120 and shaft 12 to pivotably couple jaw member 110 to jaw member 120 and shaft 12. A cam pin 105 of end effector assembly 100 extends transversely through cam slots defined within jaw members 110, 120 and is operably engaged with a distal end portion of a drive bar 152 (
[0043] Referring to
[0044] Fixed handle 50 operably supports activation button 92 of activation assembly 90 thereon in an in-line position, wherein activation button 92 is disposed in the actuation path of movable handle 40. In this manner, upon pivoting of movable handle 40 relative to fixed handle 50 from the actuated position to an activated position, protrusion 94 of movable handle 40 is urged into contact with activation button 92 to thereby activate activation button 92 and initiate the supply of energy to electrically-conductive surfaces 116, 126, e.g., to treat tissue grasped therebetween. Alternatively, actuation button 92 may be disposed in any other suitable position, on housing 20 or remote therefrom, to facilitate manual activation by a user to initiate the supply of energy to electrically-conductive surfaces 116, 126.
[0045] With reference to
[0046] Referring to
[0047] Trigger 82 includes a manipulation portion 83a extending from housing 20 to enable manual manipulation thereof by a user. Trigger 82 further includes a linkage portion 83b and a pivot portion 83c. Trigger 82 is monolithically formed from a single piece of material or is otherwise formed, e.g., via fixed engagements, such that manipulation portion 83a, linkage portion 83b, and pivot portion 83c are fixed relative to one another. Pivot portion 83c is pivotably coupled within housing 20 via receipt of a pair of pivot posts 83d extending outwardly from opposite sides of pivot portion 83c within corresponding apertures (not shown) defined on opposed interior sides of housing 20. Pivot portion 83c is pivotably coupled to housing 20 at a position below a longitudinal axis “X-X” defined by shaft 12, drive bar 152, and/or knife bar 172. Further, pivot portion 83c is disposed between manipulation portion 83a, which extends from housing 20, and linkage portion 83b, which is disposed within housing 20, such that movement of manipulation portion 83a in one direction, e.g., proximally, urges linkage portion 83b in the opposite direction, e.g., distally. However, other configurations are also contemplated, e.g., wherein pivot portion 83c is offset relative to manipulation portion 83a and/or linkage portion 83b.
[0048] Linkage portion 83b of trigger 82 extends from pivot portion 83c below longitudinal axis “X-X” to a free end portion thereof above longitudinal axis “X-X” and is pivotably coupled at the free end portion thereof to a proximal end portion 85b of a crossbar 85a of T-link 84. T-link 84 includes crossbar 85a defining proximal and distal end portions 85b, 85c, respectively, and an upright 85e extending from an intermediate portion 85d of crossbar 85a between proximal and distal end portions 85b, 85c, respectively, e.g., in generally perpendicular orientation or other suitable orientation relative to crossbar 85a. Upright 85e of T-link 84 is fixed relative to, e.g., monolithically formed with intermediate portion 85d of crossbar 85a at a position above longitudinal axis “X-X” and extends downwardly therefrom to a free end portion 85f defining a slot 85g. Slot 85g extends to or traverses longitudinal axis “X-X” and is configured to receive an outwardly-extending pivot post 89b extending outwardly from body 89a of slider block 88.
[0049] Arcuate link 86 includes an upper end portion 87a, a lower end portion 87b, and a body 87c extending between upper and lower end portions 87a, 87b, respectively. Upper end portion 87a of arcuate link 86 is disposed above longitudinal axis “X-X” and is pivotably coupled to distal end portion 85c of crossbar 85a of T-link 84 above longitudinal axis “X-X.” Body 87c of arcuate link 86 traverses longitudinal axis “X-X” from extending from upper end portion 87a of arcuate link 86 is to lower end portion 87b of arcuate link 86. Lower end portion 87b of arcuate link 86 is disposed below longitudinal axis “X-X” and is pivotably coupled to housing 20, e.g., via a pivot pin, below longitudinal axis “X-X”. Body 87c of arcuate link 86, in embodiments, defines an arcuate configuration wherein the concave side thereof is proximally-facing and the convex side thereof is distally-facing. This configuration provides suitable clearance to enable receipt of slider block 88 within the concave volume defined by body 87c on the concave side thereof Alternatively, as noted above, link 86 need not be arcuate but may define a linear, angled, or other suitable configuration.
[0050] Slider block 88, as noted above, includes a body 89a and an outwardly-extending pivot post 89b extending outwardly from body 89a. Body 89a of slider block 88 is slidably disposed about drive bar 152 and includes an internal post, posts, or other suitable engagement structure(s) (not shown) extending through a longitudinal slot 153 defined within drive bar 152 and into engagement with knife bar 174 to fix body 89a of slider block 88 relative to knife bar 174. Slider block 88 is slidable about drive bar 152 and along longitudinal axis “X-X” to thereby translate knife bar 174 to, in turn, deploy knife blade 172 distally through jaw members 110, 120 to cut tissue grasped between electrically-conductive surfaces 116, 126 and to retract knife blade 172 subsequent to tissue cutting (see
[0051] Continuing with reference to
[0052] It is noted that slot 85g enables upright 85e to include a relatively minor vertical range of motion in response to pivoting of trigger 82 and arcuate linkage 86, without imparting vertical motion to slider block 88. In embodiments, slot 85g may be cam-shaped to vary the mechanical advantage during travel. Further, the above-detailed configuration provides a four-bar mechanical linkage facilitating deployment of knife blade 172 (
[0053] Turning to
[0054] Referring in particular to
[0055] Retention portion 183b of trigger 182 extends from pivot portion 183c below longitudinal axis “X-X” to meet or traverse longitudinal axis “X-X,” although other configurations are also contemplated. Retention portion 183b defines a base 184a and a pair of spaced-apart side walls 184b extending from base 184 on either side of drive bar 152. Base 184a and side walls 184b cooperate to partially enclose a cavity 185 that is aligned on longitudinal axis “X-X.” Side walls 184b may define proximal and distal ends 186 (
[0056] With reference to
[0057] Returning to
[0058] In embodiments, a return spring (not shown) may be provided to return manipulation portion 183a of trigger 182 towards the un-actuated position and, thus, to return knife blade 172 to the retracted position (
[0059] Turning to
[0060] Trigger 282 includes a manipulation portion 283a, a retention portion 283b, and a pivot portion 283c. Retention portion 283b of trigger 282 defines a base 284a and pair of spaced-apart end forks 284b. Each end fork 284b includes first and second spaced-apart fork legs 284c configured for positioning on either side of drive bar 152 (see
[0061] Base 284a and end forks 284b cooperate to define a cavity 285 configured to capture coupling sphere 188 (
[0062] 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.