Endoscopic vessel sealer and divider having a flexible articulating shaft

摘要

An electrosurgical instrument for treating tissue includes a housing having a shaft extending therefrom having an axis A-A defined therethrough. The shaft is at least partially flexible and includes first and second jaw members attached at a distal end thereof. Each jaw member includes an electrically conductive tissue contacting surface adapted to connect to a source of electrosurgical energy such that the electrically conductive tissue contacting surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A drive assembly is disposed in the housing and has a first actuator operably coupled to a drive rod for reciprocation thereof to move the jaw members from a first position in spaced relation to one another to a second position closer to one another for engaging tissue. A second actuator is disposed on the housing and is actuatable to articulate the shaft.

主权项

1. An endoscopic forceps, comprising: a housing;
a shaft extending from the housing and defining a longitudinal axis, the shaft including a flexible portion; an end effector supported adjacent a distal end of the flexible portion of the shaft, the end effector including a pair of jaw members configured and dimensioned to connect to a source of electrosurgical energy, at least one jaw member being pivotable relative to the other jaw member, the end effector including structure to accommodate a drive rod having a flexible distal portion mounting a knife; a drive assembly disposed within the housing, the drive assembly operable to pivot the at least one jaw member relative to the other jaw member from a first position wherein the movable jaw member is disposed in spaced relation relative to the other jaw member to a second position wherein the movable jaw member is closer to the other jaw member for manipulating tissue; a movable handle pivotably supported on the housing, the movable handle in mechanical cooperation with the drive assembly such that the movable handle is rotatable relative to the housing to move the jaw members between the first and second positions; an articulation assembly including at least one steering cable operably coupled to the flexible portion of the shaft such that movement of the articulation assembly causes the flexible portion of the shaft to articulate relative to the longitudinal axis, the articulation assembly including a manually operated articulation wheel mounted at least partially within the housing, the articulation wheel defining a plane transverse to the longitudinal axis, the articulation wheel being operably coupled to the at least one steering cable such that rotation of the articulation wheel moves the at least one steering cable to articulate the flexible portion of the shaft relative to the longitudinal axis; and wherein the flexible portion of the shaft includes a plurality of joints that interengage to facilitate articulation of the flexible portion of the shaft relative to the longitudinal axis, each joint of the plurality of joints including a longitudinally aligned clevis, the clevis defining an axially longitudinally aligned central lumen, the joint further defining at least one longitudinal lumen offset from the central lumen for slidable receiving the at least one steering cable, the central lumen of the plurality of joints configured and dimensioned to accommodate reciprocal motion of the flexible distal portion of the drive rod.