Switch assembly for electrosurgical instrument
09820806 · 2017-11-21
Assignee
Inventors
- Weng-Kai K. Lee (Longmont, CO, US)
- Jeffrey R. Townsend (Loveland, CO, US)
- Scott N. Lacosta (Lafayette, CO, US)
- Jason T. Sanders (Johnstown, CO, US)
- Grant T. Sims (Littleton, CO, US)
Cpc classification
A61B2018/00958
HUMAN NECESSITIES
A61B18/1445
HUMAN NECESSITIES
A61B2018/00916
HUMAN NECESSITIES
International classification
Abstract
An electrosurgical forceps includes a housing having a shaft affixed thereto, the shaft including jaw members at a distal end thereof. The forceps also includes a switch assembly that includes a supporting member, a flexible membrane circuit having snap dome switch contacts operably fixed thereto, and ergonomically-contoured keytops. The switch assembly provides at least one monopolar activation switch, and a bipolar activation switch. The forceps also include a drive mechanism which causes the jaw members to move relative to one another for manipulating tissue. A monopolar safety switch is incorporated into the switch assembly which cooperates with the drive mechanism to inhibit the monopolar activation switch when the jaw members are in an open position.
Claims
1. An electrosurgical forceps, comprising: a housing; a shaft affixed to the housing having jaw members at a distal end thereof, wherein the jaw members are configured to move relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members are closer to one another for manipulating tissue; a pivot pin; a movable handle pivotable on the pivot pin and configured to cause the jaw members to move between the first and second positions; a switch assembly included within the housing, comprising: a switch carrier, comprising: a top face; a top-proximal face joined to a proximal edge of the top face; a left face joined to a left edge of the top-proximal face; a right face joined to a right edge of the top-proximal face; and a pivot mount joined to a distal edge of the top face and configured to directly engage the pivot pin; a flex circuit assembly disposed on an exterior surface of the switch carrier, comprising: at least one monopolar switch configured to selectively activate a source of electrosurgical energy in monopolar mode; a monopolar safety switch configured to enable the at least one monopolar switch upon actuation of the monopolar safety switch; and a bipolar switch configured to selectively activate the same or a different source of electrosurgical energy in bipolar mode; and wherein the movable handle is configured to actuate the monopolar safety switch when the jaw members are in the second position.
2. The electrosurgical forceps of claim 1, wherein the movable handle is rotatable around the pivot pin, the movable handle further comprising a cam member adapted to actuate the monopolar safety switch when the jaw members are in the second position.
3. The electrosurgical forceps of claim 1, wherein the source of electrosurgical energy is configured to provide electrosurgical energy selected from the group consisting of monopolar electrosurgical energy and bipolar electrosurgical energy.
4. The electrosurgical forceps of claim 1, wherein the source of electrosurgical energy is operably coupled to at least one of the switch assembly or the jaw members.
5. The electrosurgical forceps of claim 1, wherein the at least one monopolar switch comprises at least two monopolar switches coupled in parallel.
6. The electrosurgical forceps of claim 1, wherein the monopolar safety switch is coupled in series with the at least one monopolar switch.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) Various embodiments of the subject instrument are described herein with reference to the drawings wherein:
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DETAILED DESCRIPTION
(28) Particular embodiments of the present disclosure will be described hereinbelow with reference to the accompanying drawings; however, it is to be understood that the disclosed embodiments are merely exemplary of the disclosure, which may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure.
(29) In the drawings and in the descriptions that follow, the terms “proximal”, as is traditional, shall refer to the end of the instrument that is closer to the user, while the term “distal” shall refer to the end that is farther from the user.
(30) Turning now to
(31) Forceps 10 includes a shaft 12 that has a distal end 16 dimensioned to mechanically engage the end effector assembly 100 and a proximal end 14 that mechanically engages the housing 20. The proximal end 14 of shaft 12 is received within the housing 20.
(32) Forceps 10 also includes an electrosurgical cable 305 that connects the forceps 10 to a source of electrosurgical energy, e.g., a generator 500 (shown schematically). It is contemplated that generators such as those sold by Valleylab, Inc. (now Covidien), may be used as a source of electrosurgical energy, e.g., Ligasure™ Generator, FORCE EZ™ Electrosurgical Generator, FORCE FX™ Electrosurgical Generator, FORCE 1CT™, FORCE 2™ Generator, SurgiStat™ II or other envisioned generators which may perform different or enhanced functions. One such system is described in commonly-owned U.S. Pat. No. 6,033,399 entitled “ELECTROSURGICAL GENERATOR WITH ADAPTIVE POWER CONTROL”. Other systems have been described in commonly-owned U.S. Pat. No. 6,187,003 entitled “BIPOLAR ELECTROSURGICAL INSTRUMENT FOR SEALING VESSELS”.
(33) In one embodiment, the generator 500 includes various safety and performance features including isolated output, independent activation of accessories. It is envisioned that the electrosurgical generator includes Covidien's Instant Response™ technology features which provides an advanced feedback system to sense changes in tissue 200 times per second and adjust voltage and current to maintain appropriate power. The Instant Response™ technology is believed to provide one or more of the following benefits to surgical procedure, including consistent clinical effect through all tissue types; reduced thermal spread and risk of collateral tissue damage; less need to “turn up the generator”; and is well-adapted to the minimally invasive environment.
(34) Cable 305 is internally divided into control leads (not explicitly shown) that are adapted to transmit electrical potentials through their respective feed paths through the forceps 10 to the switch assembly 180. Cable 305 may additionally or alternatively include energy leads (not explicitly shown) that are designed to transmit electrical potentials through their respective feed paths through the forceps 10 to the end effector assembly 100. Details relating to the electrical connections are explained in more detail below with the discussion of the switch assembly 180.
(35) Handle assembly 30 includes a fixed handle 50 and a movable handle 40. Fixed handle 50 is integrally associated with housing 20 and handle 40 is movable relative to fixed handle 50 as explained in more detail below with respect to the operation of the forceps 10 and switch assembly 180. Fixed handle 50 is oriented approximately 30 degrees relative a longitudinal axis A-A defined through shaft 12. Fixed handle 50 may include one or more ergonomic enhancing elements to facilitate handling, e.g., scallops, protuberances, elastomeric material, etc. Rotating assembly 80 is operatively associated with the housing 20 and is rotatable approximately 180 degrees about a longitudinal axis A-A (See
(36) As mentioned above, end effector assembly 100 is attached at the distal end 14 of shaft 12 and includes a pair of opposing jaw members 110 and 120. Movable handle 40 of handle assembly 30 is operably coupled to a drive assembly 130 which, together, mechanically cooperate to impart movement of the jaw members 110 and 120 from a first (e.g., open) position, wherein the jaw members 110 and 120 are disposed in spaced relation relative to one another, to a second (e.g., clamping or closed position), wherein the jaw members 110 and 120 cooperate to grasp tissue therebetween.
(37) It is envisioned that the forceps 10 may be designed such that it is fully or partially disposable depending upon a particular purpose or to achieve a particular result. For example, end effector assembly 100 may be selectively and releasably engageable with the distal end 16 of the shaft 12, and/or the proximal end 14 of shaft 12 may be selectively and releasably engageable with the housing 20 and the handle assembly 30. In either of these two instances, the forceps 10 would be considered “partially disposable” or “reposable”, e.g., a new or different end effector assembly 100 (or end effector assembly 100 and shaft 12) selectively replaces the old end effector assembly 100 as needed. As can be appreciated, the presently disclosed electrical connections would have to be altered to modify the instrument to a reposable forceps.
(38) Turning now to the more detailed features of the present disclosure as described with respect to
(39) Referring to
(40) Referring to
(41) With reference to
(42) Adhesive layer 400b includes an adhesive substrate 403 that may be formed from any suitable adhesive and/or adhesive film-backed material, such as without limitation, double-sided adhesive tape, e.g., #7953 MP adhesive tape, manufactured by 3M of St. Paul, Minn., United States. Adhesive substrate 403 includes a plurality of openings 404, 405, 406, 407, and 408 defined therein: a generally circular opening 408, having a diameter roughly corresponding to opening 196; a pair of substantially square opening 405 and 406 that are each adapted to accommodate monopolar snap dome switches 465 and 466, respectively; a substantially square opening 407 that is adapted to accommodate bipolar snap dome switch 460, and a generally U-shaped opening 404 that is configured to provide a deformation region (not explicitly shown) which enables contact between bottom safety switch contact pad 430b and top safety switch contact pad 430a during actuation thereof. Opening 404 additionally may provide fluidic coupling between the deformation region (not explicitly shown) to the atmosphere via vent opening 431 of top circuit layer 400c to accommodate the reduced volume of the deformation region during actuation, e.g., when bottom safety switch contact pad 430b and top safety switch contact pad 430a are brought into electrical communication in response to force applied thereto by cam lobe 47 of handle 40.
(43) Top circuit layer 400c includes circuit trace 410 that is arranged to couple edge contact 490 to resistor 420, and circuit trace 412 that is arranged to couple edge contact 491 to resistor 422. Resistors 420 and/or 422 may be formed from any suitable resistive material, such as without limitation, M3012-1 and/or M3013-1 RS carbon blend material manufactured by Minico/Asahi Chemical, of Congers, N.Y. United States. Resistors 420 and 422 form a voltage divider network to provide a reference voltage to top safety switch contact pad 430a via circuit trace 414. In an embodiment, resistor 420 has a value of about 1,250Ω and resistor has a value of about 750Ω. Top circuit layer 400c has defined therein a pair of substantially square openings 432 and 433, each adapted to accommodate a monopolar snap dome switch as described below, a substantially square opening 434 that is adapted to accommodate a bipolar snap dome switch as described below, a generally circular opening 435 having a diameter roughly corresponding to opening 196, and a vent opening 431. A cover 470 is fixed in a generally centered fashion over vent opening 431. Vent cover 470 may be formed from liquid-resistant, gas-permeable material, such as without limitation, Gore™ Series VE4, manufactured by W. L. Gore & Associates, Inc. of Newark, Del., United States.
(44) Bottom circuit layer 400a, adhesive layer 400b, and top circuit layer 400c, and switch layer 400d are assembled as shown in
(45) Monopolar snap dome switches 465, 466 are joined to bottom circuit layer 400a in a similar fashion to the respective positions thereof, e.g., snap dome switch 465 is joined to bottom circuit layer 400a by monopolar dome adhesive layer 455 and monopolar dome retainer 475, and snap dome switch 466 is joined to bottom circuit layer 400a by monopolar dome adhesive layer 456 and monopolar dome retainer 476. In an embodiment snap dome switches 460, 465, and/or 466 may be a Snaptron F08400N snap dome switch having a 400 gram actuation pressure (a.k.a., “trip force”), however, the use of any suitable snap dome contact is contemplated within the scope of the present disclosure.
(46) Referring now to
(47) Bipolar keytop 60 is disposed within an opening 64 defined within the housing 20 (
(48) Switch assembly 180 is disposed within housing 20 and configured to electromechanically cooperate with drive mechanism 130, handle 40, and bipolar keytop 60 to allow a user to selectively activate the jaw members 110 and 120 in a monopolar and/or bipolar mode. Monopolar safety switch 430 is configured such that the monopolar activation switches 65 are disabled when the handle 40 and/or jaw members 110 and 120 are in an open position, and/or when jaw members 110 and 120 have no tissue held therebetween (
(49) A sensor (not shown) may be employed to determine if tissue is held between jaw members 110 and 120. In addition, other sensor mechanisms may be employed which determine pre-surgical, concurrent surgical (i.e., during surgery) and/or post surgical conditions. The sensor mechanisms may also be utilized with a closed-loop feedback system coupled to the electrosurgical generator 500 to regulate the electrosurgical energy based upon one or more pre-surgical, concurrent surgical or post surgical conditions. Various sensor mechanisms and feedback systems are described in commonly-owned U.S. Pat. No. 7,137,980 entitled “METHOD AND SYSTEM FOR CONTROLLING OUTPUT OF RF MEDICAL GENERATOR”.
(50) As seen in
(51) The jaw members 110 and 120 are electrically isolated from one another such that electrosurgical energy can be effectively transferred through the tissue to form seal. Cable leads (not explicitly shown) are held loosely but securely along the cable path to permit rotation of the jaw members 110 and 120 about longitudinal axis “A” (See
(52) From the foregoing and with reference to the various figure drawings, those skilled in the art will appreciate that certain modifications can also be made to the present disclosure without departing from the scope of the same. For example, it may be preferable to add other features to the forceps 10, e.g., an articulating assembly to axially displace the end effector assembly 100 relative to the elongated shaft 12.
(53) It is also contemplated that the forceps 10 (and/or the electrosurgical generator used in connection with the forceps 10) may include a sensor or feedback mechanism (not shown) which automatically selects the appropriate amount of electrosurgical energy to effectively seal the particularly-sized tissue grasped between the jaw members 110 and 120. The sensor or feedback mechanism may also measure the impedance across the tissue during sealing and provide an indicator (visual and/or audible) that an effective seal has been created between the jaw members 110 and 120. Examples of such sensor systems are described in commonly-owned U.S. Pat. No. 7,137,980 entitled “METHOD AND SYSTEM FOR CONTROLLING OUTPUT OF RE MEDICAL GENERATOR”.
(54) Moreover, it is envisioned that the forceps 10 may be used to cut tissue without sealing. Alternatively, a knife assembly (not explicitly shown) may be coupled to the same or alternate electrosurgical energy source to facilitate cutting of the tissue.
(55) It is envisioned that the outer surface of the end effector assembly 100 may include a nickel-based material, coating, stamping, metal injection molding which is designed to reduce adhesion between the jaw members 110 and 120 with the surrounding tissue during activation and sealing. Moreover, it is also contemplated that the conductive surfaces 112 and 122 of the jaw members 110 and 120 may be manufactured from one (or a combination of one or more) of the following materials: nickel-chrome, chromium nitride, inconel 600, tin-nickel, and MedCoat 2000 manufactured by The Electrolizing Corporation of Ohio, Cleveland, Ohio, United States. The tissue conductive surfaces 112 and 122 may also be coated with one or more of the above materials to achieve the same result, i.e., a “non-stick surface”. As can be appreciated, reducing the amount that the tissue “sticks” during sealing improves the overall efficacy of the instrument.
(56) One particular class of materials disclosed herein has demonstrated superior non-stick properties and, in some instances, superior seal quality. For example, nitride coatings which include, but not are not limited to: TiN, ZrN, TiAlN, and CrN are preferred materials used for non-stick purposes. CrN has been found to be particularly useful for non-stick purposes due to its overall surface properties and optimal performance. Other classes of materials have also been found to reducing overall sticking. For example, high nickel/chrome alloys with a Ni/Cr ratio of approximately 5:1 have been found to significantly reduce sticking in bipolar instrumentation. One particularly useful non-stick material in this class is Inconel 600. Bipolar instrumentation having sealing surfaces 112 and 122 made from or coated with Ni200, Ni201 (˜100% Ni) also showed improved non-stick performance over typical bipolar stainless steel electrodes.
(57) As can be appreciated, locating switches 460, 465, and 466 on the forceps 10 has many advantages. For example, the disclosed configuration of switches 60, 65 and 66 reduces the amount of electrical cable in the operating room and eliminates the possibility of activating the wrong instrument during a surgical procedure due to “line-of-sight” activation. Switches 60, 65, and 66 may be configured such that operation thereof is mechanically or electromechanically inhibited during trigger activation, which may eliminate unintentionally activating the device during the cutting process. Switches 60, 65, and 66 may be disposed on another part of the forceps 10, e.g., the fixed handle 50, rotating assembly 80, housing 20, etc.
(58) The described embodiments of the present disclosure are intended to be illustrative rather than restrictive, and are not intended to represent every embodiment of the present disclosure. Further variations of the above-disclosed embodiments and other features and functions, or alternatives thereof, may be made or desirably combined into many other different systems or applications without departing from the spirit or scope of the disclosure as set forth in the following claims both literally and in equivalents recognized in law.