Surgical jaws for sealing tissue
View Patent ↗A surgical tool assembly for use in electrosurgery includes an elongated sheath movable in a longitudinal direction. The assembly includes a pair of jaws, with each jaw having a plurality of teeth for grasping tissue and a support element supporting the plurality of teeth. The support element is disposed partially within the sheath and extends to a distal end disposed outside of the sheath. The support element includes a first portion extending from the distal end and delineating a first region. The support element further includes a second portion extending from the first portion and delineating a second region. The second portion is curved to engage with the sheath such that the jaws move towards one another as the elongated sheath moves towards the distal end. The teeth extend from the first region into the second region.
1. A surgical tool assembly for use in electrosurgery, the surgical tool assembly comprising: a handle mechanism; an elongated tubular sheath having a circular cross-section and a hollow interior, the elongated tubular sheath being moveable with respect to the handle mechanism in a longitudinal direction; a first jaw including a first wire element and a first set of teeth, the first wire element including a first portion and a second portion, wherein the first portion of the first wire element is curved and extends from the hollow interior of the elongated tubular sheath and a proximal end of the second portion of the first wire element extends from a distal end of the first portion of the first wire element; a second jaw including a second wire element and a second set of teeth, the second wire element including a first portion and a second portion, wherein the first portion of the second wire element is curved and extends from the hollow interior of the elongated tubular sheath and a proximal end of the second portion of the second wire element extends from a distal end of the first portion of the second wire element, the first portion of the first wire element and the first portion of the second wire element bulging away from each other; wherein the first set of teeth includes a first distal portion and a second proximal portion, the first wire element rigidly attaches to the first set of teeth only at the second portion of the first wire element and the first distal portion of the first set of teeth, the second set of teeth includes a first distal portion and a second proximal portion, the second wire element rigidly attaches to the second set of teeth only at the second portion of the second wire element and the first distal portion of the second set of teeth; and wherein, when moved away from the handle mechanism, a distal end of the elongated tubular sheath engages first portions of the first and second wire elements, causing the first and second jaws to move into a closed position.
2. The surgical tool assembly of claim 1 , wherein, when the first and second jaws are in the closed position, the position of the first and second sets of teeth with respect to the distal end of the elongated tubular sheath is such that tissue of a patient is prevented from bulging between the distal end of the elongated tubular sheath and the first and second sets of teeth.
3. The surgical tool assembly of claim 1 , wherein, when the first and second jaws are in the closed position, the second proximal portion of the first set of teeth and second proximal portion of the second set of teeth extend at least halfway through an area between the first portion of the first wire element and the second portion of the second wire element.
4. The surgical tool assembly of claim 3 , wherein when the first and second jaws are in the closed position, the first and second sets of teeth are positioned at least along a range of positions in the longitudinal direction from at least halfway through an area between the first portion of the first wire element and the first portion of the second wire element to a distal end of the second portions of the first and second wire elements.
5. The surgical tool assembly of claim 1 , wherein the first and second wire elements are configured as solid wires having a substantially circular cross-section.
6. The surgical tool assembly of claim 1 , wherein the first jaw and second jaw are complementary and are configured to clamp tissue of a patient.
7. The surgical tool assembly of claim 1 , wherein the first wire element includes a first pair of legs and the second wire element includes a second pair of legs, and wherein the first pair of legs is coupled together at a distal end of the first wire element and the second pair of legs is coupled together at a distal end of the second wire element.
8. The surgical tool assembly of claim 7 , wherein, when the first and second jaws are in the closed position, a channel is formed between the legs of the first pair of legs and between the legs of the second pair of legs.
9. The surgical tool assembly of claim 8 , further comprising a blade moveable in the longitudinal direction within the channel.
10. The surgical tool assembly of claim 1 , wherein at least one of the first and second jaws is formed of an electrically conductive material.
11. The surgical tool assembly of claim 10 , wherein the at least one of the first and second jaws is electrically connected to an electrical power source for delivering electrical power to tissue of a patient.
12. The surgical tool assembly of claim 10 , wherein the at least one of the first and second jaws is at least partially covered by a non-conductive material.
13. The surgical tool assembly of claim 1 , wherein, the first jaw includes a first tip disposed on a distal end of the first jaw and the second jaw includes a second tip disposed on a distal end of the second jaw, the first tip and the second tip each including a flat surface, such that, when the first and second jaws are in the closed position, the flat surface of the first tip and the flat surface of the second tip engage each other to prevent the first set of teeth and the second set of teeth from meshing together.
14. A surgical tool assembly comprising: an elongated tubular sheath having a circular cross-section and a hollow interior, the elongated tubular sheath being moveable in a longitudinal direction; a first jaw including a first wire element and a first set of teeth, the first wire element including a first portion and a second portion, wherein the first portion of the first wire element is curved and extends from the hollow interior of the elongated tubular sheath and a proximal end of the second portion of the first wire element extends from a distal end of the first portion of the first wire element; a second jaw including a second wire element and a second set of teeth, the second wire element including a first portion and a second portion, wherein the first portion of the second wire element is curved and extends from the hollow interior of the elongated tubular sheath and a proximal end of the second portion of the second wire element extends from a distal end of the first portion of the second wire element, the first portion of the first wire element and the first portion of the second wire element bulging away from each other; and wherein the first set of teeth includes a first distal portion and a second proximal portion, the first wire element rigidly attaches to the first set of teeth only at the second portion of the first wire element and the first distal portion of the first set of teeth, the second set of teeth includes a first distal portion and a second proximal portion, the second wire element rigidly attaches to the second set of teeth only at the second portion of the second wire element and the first distal portion of the second set of teeth.
15. The surgical tool assembly of claim 14 , further comprising a blade moveable in the longitudinal direction, wherein the first wire element includes a first pair of legs defining a first channel, wherein the second wire element includes a second pair of legs defining a second channel, and wherein the blade is moveable within the first and second channels.
16. The surgical tool assembly of claim 14 , wherein at least one of the first and second jaws is formed of an electrically conductive material and is connected to an electrical power source for delivering electrical power to tissue of a patient.
17. The surgical tool assembly of claim 14 , wherein when the elongated tubular sheath is moved in a distal longitudinal direction, a distal end of the elongated tubular sheath engages the first portion of the first wire element and the first portion of the second wire element to force the first and second jaws into a closed position.
18. The surgical tool assembly of claim 17 , wherein, when the first and second jaws are in the closed position, the second proximal portion of the first set of teeth and the second proximal portion of the second set of teeth extend at least halfway through an area between the first portion of the first wire element and the first portion of the second wire element.
19. The surgical tool assembly of claim 18 , wherein, when the first and second jaws are in the closed position, the position of the first and second sets of teeth with respect to the distal end of the elongated tubular sheath is such that tissue of a patient is prevented from bulging between the distal end of the elongated tubular sheath and the first and second sets of teeth.
20. The surgical tool assembly of claim 17 , wherein when the first and second jaws are in the closed position, the first and second sets of teeth are positioned at least along a range of positions in the longitudinal direction from at least halfway through an area between the first portion of the first wire element and the first portion of the second wire element to a distal end of the second portions of the first and second wire elements.
21. The surgical tool assembly of claim 17 , wherein, the first jaw includes a first tip disposed on a distal end of the first jaw and the second jaw includes a second tip disposed on a distal end of the second jaw, the first tip and the second tip each including a flat surface, such that, when the first and second jaws are in the closed position, the flat surface of the first tip and the flat surface of the second tip engage each other to prevent the first set of teeth and the second set of teeth from meshing together.