Method for producing a branch and surgical instrument comprising a tool having a branch

Abstract

A branch is produced by means of an additive 3D production process for producing a metal part, which comprises at least two parts, namely a support section and a functional section. The metal part is a single-pieced part, in which the support section and the functional section are seamlessly interconnected by means of corresponding connecting webs. After the material is applied, the connecting webs are removed.

Claims

1. A method for producing a branch for a surgical instrument, the method comprising: forming a support piece, at least one electrode and at least one connecting web as a one-piece metal part in an additive production process, the support piece being configured to provide structural support for the branch and being interconnected with the at least one electrode via the at least one connecting web, the support piece, the at least one electrode and the at least one connecting web each comprising a first material; encapsulating the metal part with a second material; and removing the at least one connecting web.

2. The method of claim 1, wherein the one-piece metal part is provided by means of selective laser melting of metal powder.

3. The method of claim 1, wherein the encapsulating step comprises leaving at least one surface region of the at least one electrode exposed.

4. The method of claim 3, wherein the support piece and the at least one electrode, in combination with one another, form a gap, wherein at least one holding structure is formed on the at least one electrode, wherein said at least one holding structure does not touch the support piece.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) FIG. 1 shows an instrument according to an embodiment of the invention in schematic perspective sectional illustration;

(2) FIG. 2 shows a branch of a tool of the instrument according to FIG. 1, in partially exposed simplified side view;

(3) FIG. 3 shows another embodiment of the branch according to FIG. 2, in top view;

(4) FIG. 4 shows the branch according to FIGS. 2 and 3, in cross section;

(5) FIG. 5 shows a metal part for forming the branch according to FIGS. 2 through 4, in schematic side view;

(6) FIG. 6 shows the metal part according to FIG. 5 in enlarged illustration, in exposed sectional top view; and

(7) FIG. 7 shows the metal part according to FIGS. 5 and 6, in rear sectional view.

DETAILED DESCRIPTION

(8) FIG. 1 shows the tool part 10 of a surgical instrument, which is used to coagulate tissue gripped between two branches 11, 12 of the tool part 10. The tool part 10 is mounted on a shaft 13, through which at least one actuation element for the tool part 10 extends, by means of which at least one of the branches 11, 12 is movable, in particular being pivotable about an axis 14.

(9) FIG. 2 illustrates the branch 11 as an example. The branch 12 preferably has the same structural design such that the following description applies similarly for the branch 12.

(10) In one embodiment, the branch 11 is a plastic-metal composite part. It includes a support section 15 and at least one, in the present case two functional sections 16, 17. The support section 15 comprises an elongate finger 18, which is illustrated with dashed lines in FIG. 2 and which is rigid in order to absorb the forces occurring on the branch 11. A hinge opening 19, in addition to other structures, can also be formed in the support section 15, for example in the form of a passage opening 20, for example for fastening further parts.

(11) In the present exemplary embodiment, the functional section 16 is formed by an electrode plate 21, which is intended to be brought into contact with the biological tissue to be coagulated. The electrode plate 21 has a functional surface, which can be flat or, as illustrated in FIGS. 1 and 2, can be provided with a structure for example in the form of a row of transverse ribs. The functional surface is exposed on the finished branch 11 such that it can come into contact with tissue. The electrode plate 21 can be straight or, as illustrated in FIG. 3, can be curved along the longitudinal direction thereof. The electrode plate 21 is preferably provided with connecting means (not illustrated) for the attachment of an electrical lead. In the simplest case, said electrical lead can be fastened, for example on a flat point 22 (FIG. 3) of the electrode plate 21 by means of point welding. Other connecting possibilities and embodiments are feasible. Functional surfaces covered with plastic can also be provided.

(12) The functional section 16 can be provided with a holding structure 23, which is designed for example in the form of one or more projections 24. Such projections 24 preferably extend away from the side of the functional section 16 facing the support section 15, in the direction of the support section 15. The projections 24 can be continuous or can have an enlarged cross section at one or more points with increasing spacing from the functional section 16. FIG. 4 shows a stepwise cross-sectional enlargement, whereby the projection 24 forms a head 25. This head 25 forms an undercut as viewed from the finger 18. Said head is used to anchor the functional section 16 in a material, for example a material jacket, preferably a plastic jacket 26, which has been injection-molded around the support section 15. The thusly formed plastic jacket 26 fills, in particular, a gap 27 formed between the functional section 16 and the support section 15. The projections 24 extending into this gap 27 anchor the functional section 16 in the body of the plastic jacket 26 in a form-locked manner. The plastic jacket 26 is held on the support section 15 in a form-locked manner by engaging around said support section. The support section 15 and the functional section 16 are thermally and electrically separated from one another. There is no metallic bridge between the two.

(13) The further functional section 17 of the branch 11 is a lever 28, for example, which is connected to the support section 15 in a mechanically fixed manner, but without electrical contact. The lever 28 extends in the direction opposite the finger 18, as viewed from the hinge opening 19. The lever 28 is used to introduce forces into the branch 11 in order to move said branch for example in the closing direction, in order to grip tissue. As necessary the lever 28 can also have an exposed surface region, for example as the functional surface, which is not encapsulated in plastic via injection-molding.

(14) The design of the functional section 17 emerges, in particular, from FIGS. 5 to 7, which illustrate the branch 11 before application of the plastic jacket 26. In turn the functional section 17 and the support section 15, in combination with one another, define a gap 29, which is filled with a material in the subsequent production process. The gap can be straight or U-bent, offset or can any other type of geometrically complex shape. For example, said gap can have a dovetail-shaped contour, as shown in FIG. 7. Within said contour, a projection 30 of the functional section 17 or the lever 28 engages into a corresponding recess of the support section 15 in order to define the gap 29 as a meander. In addition, a projection 31 of the lever 28 directed transversely thereto can engage into a corresponding recess 32 of the support section 15. The gap 29 can therefore extend around the projection 31, which is cylindrical or mushroom-shaped, for example.

(15) In one embodiment, the branch 11 is produced as follows:

(16) Initially a metal part 33 is provided, as shown in FIGS. 5 to 7. This metal part 33 encloses the support section 15 as well as the functional sections 16, 17. The support section 15 is connected to the functional section 16 via at least one, preferably numerous connecting webs 34, 35. Likewise the functional section 17 is connected to the support section 15 via one or more connecting webs 36, 37, 38, 39. In order to manufacture the metal part 33, suitable primary shaping processes are preferably used, in particular suitable additive production processes, such as for example selective laser melting, 3D printing or other powder metallurgical processes, such as for example the MIM process, in which the desired metal part 33 is produced entirely as a single piece having a uniform structure and composition. In a subsequent production step, the metal part 33 is provided with the material jacket 26 in a suitable tool. Said material jacket also enters the gap 27, 29, in particular, and seals said gap with respect to the outside. The gaps 27, 29 are preferably completely filled with the material. In addition, the hinge opening 19 can be completely or partially filled. For example a dimensionally-stable bearing bore can be formed by means of a mold core. The tool for applying the material can be a plastics injection mold, and the material can be a plastic.

(17) After the plastic jacket 26 has cured, the connecting webs 34 to 39 are removed. Depending on the material properties, said connecting webs can be cut off, broken off, torn off, or removed by any other means, for example by laser processing, punching, grinding, or milling. This applies for embodiments of the method, in which the connecting webs 34 to 39 are located outside of the material jacket 26, and in methods that leave material on the connecting webs 34 to 39.

(18) The branch 11, according to an embodiment of the invention, is created by means of an additive 3D production process for producing a metal part 33, which comprises at least two sections, namely a support section 15 and a functional section 16, 17. The metal part 33 is a single-pieced part, in which the support section 15 and the functional section 16, 17 are seamlessly interconnected by means of corresponding connecting webs 34, 35. After the material 26 is applied, the connecting webs are removed. The thusly produced branch 11 is dimensionally accurate, compact, and has excellent electrical and thermal and mechanical properties.