Electrosurgical system

• US 10,342,604 B2
• Filed: 02/13/2017
• Issued: 07/09/2019
• Est. Priority Date: 03/31/2008
• Status: Active Grant

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Brustad, John R., Falkenstein, Zoran, Cappello, Christopher J., Johnson, Gary M., Gianneschi, Benjamin A., Tran, Olivia J., Wixey, Matthew A., Pravongviengkham, Kennii, Pravong, Boun, Yawata, Haruyasu, Becerra, Matthew M., Cohen, Adam J., Hilal, Nabil, Pingleton, Edward D., Hilal, Said S., Hart, Charles C., Wikoff, Chris R.
• Primary Examiner(s): Flick, Jason E
• Application Number:
  US15/431,595
• Publication Number:
  US 20170151011A1
• Time in Patent Office: 876 Days
• Field of Search: 606 45
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00041 Heating, e.g. defrosting
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00208 actively driven, e.g. by a motor
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00494 Stomach, intestines or bowel
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 : using a threshold value
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00869 : Phase
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00892 : Voltage
• CPC Class Codes: A61B 2018/00898 : Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/00916 : with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00922 : by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/00988 : Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1266 : with DC current output
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61B 2018/1432 : curved
• CPC Class Codes: A61B 2018/144 : Wire
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1467 : using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/162 : located on the probe body
• CPC Class Codes: A61B 90/90 : Identification means for patients or instruments, e.g. tags

Abstract

An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.

Claims

1. An electrosurgical system comprising:

an electrosurgical generator arranged to output electrosurgical energy; and

a bipolar electrosurgical tool removably coupled to the electrosurgical generator, the tool comprising;

a stationary handle; and

an actuation handle movably coupled to the stationary handle;

a rotatable elongate shaft extending distally from the stationary handle and rotatable relative to the stationary handle, the rotatable elongate shaft having a proximal end and a distal end defining a central longitudinal axis therebetween;

a jaw assembly pivotably connected and positioned at the distal end of the rotatable elongate shaft, the jaw assembly comprising an upper jaw having an inner surface, an outer surface, and an electrode disposed on the inner surface of the upper jaw and a lower jaw having an inner surface, an outer surface, an electrode disposed on the inner surface of the lower jaw and a lower spacer disposed adjacent to the electrode, the upper and lower jaws actuatable by movement of the actuation handle from an open configuration in which the inner surface of the upper jaw is spaced apart from the inner surface of the lower jaw to a closed configuration in which the inner surface of the upper jaw is proximate the inner surface of the lower jaw, arranged to contact tissue and apply the electrosurgical energy to the tissue,

wherein the electrosurgical generator supplies electrosurgical energy from the electrosurgical generator through the electrode disposed on the inner surface of the upper jaw of the bipolar electrosurgical tool and the electrode disposed on the inner surface of the lower jaw of the bipolar electrosurgical tool, the supplied electrical energy has a potential difference of no more than 200V, and the electrode disposed on the inner surface of the upper jaw has a tissue contact area equal to a tissue contact area of the electrode disposed on the inner surface of the lower jaw.

2. The electrosurgical system of claim 1 wherein the lower jaw has an extended distal end distally extending beyond a distal most end of the upper jaw.

3. The electrosurgical system of claim 2 wherein the extended distal end of the lower jaw has a distal end being short and narrow relative to proximal portions of the lower jaw being long and wide and a proximal end of lower jaw is affixed to the elongate shaft in that the lower jaw is stationary relative to the upper jaw.

4. The electrosurgical system of claim 1 wherein the upper jaw has an extended distal end distally extending beyond a distal most end of the lower jaw, a distal end being short and narrow relative to proximal portions of the upper jaw being long and wide and a proximal end being pivotably connected to a proximal end of the lower jaw in that the upper jaw is movable relative to the lower jaw.

5. The electrosurgical system of claim 1 wherein the lower spacer is housed inside the lower jaw and disposed between the electrode of the lower jaw and an outer periphery of the lower jaw, the lower spacer extending from the lower jaw towards the upper jaw and preventing a conductive pad of the electrode of the upper jaw from contacting an entire length of the inner surface of the lower jaw.

6. The electrosurgical system of claim 1 wherein the lower spacer extends lengthwise along the lower jaw and is disposed between a blade channel in the lower jaw and an outer periphery of the lower jaw, the lower spacer extending from the lower jaw towards the upper jaw and preventing a conductive pad of the electrode of the upper jaw from contacting the inner surface of the lower jaw.

7. The electrosurgical system of claim 6 wherein the lower spacer further comprises a first protrusion next to and parallel with the blade channel and a second protrusion aligned with and in front of the blade channel, the second protrusion disposed at the distal portion of the lower jaw.

8. The electrosurgical system of claim 7 wherein the first protrusion and the second protrusion are equally sized and shaped to each other and the first protrusion having an orientation relative to the lower jaw different from an orientation of the second protrusion relative to the lower jaw.

9. The electrosurgical system of claim 8 wherein the lower spacer further comprises a third protrusion near the proximal most end of the lower jaw, the third protrusion having a size and shape different from the first and second protrusions.

10. The electrosurgical system of claim 9 wherein the first and second protrusions have a distance between each other that is smaller than a distance between the second protrusion and the third protrusion.

11. The electrosurgical system of claim 10 wherein the lower spacer is housed inside a lengthwise u-shaped and u-groove portion below the inner surface of the lower jaw.

12. The electrosurgical system of claim 11 wherein an outer shape of the upper and lower jaws are curved and distal ends of the upper and lower jaws are offset with respect to a longitudinal axis and from proximal ends of the upper and lower jaws.

13. The electrosurgical system of claim 12 wherein the electrode of the lower jaw comprises an outer electrode and an inner electrode, the outer electrode disposed on the inner surface of the lower jaw, extending lengthwise from a proximal end of the lower jaw towards a distal end of the lower jaw and surrounding the inner electrode, the inner electrode disposed on the inner surface of the lower jaw, extending lengthwise from a proximal end of the lower jaw towards a distal end of the lower jaw and having a length being shorter than a length of the outer electrode.

14. The electrosurgical system of claim 13 wherein the outer electrode comprises a u-shaped electrode comprising a pair of parallel linear legs extending from a proximal end of the lower jaw towards a distal end of the lower jaw and a curved connector at the distal end of the lower jaw connecting the pair of parallel linear legs together.

15. The electrosurgical system of claim 14 further comprising a bridge member disposed on the inner surface of the lower jaw between a parallel leg of the outer electrode and a parallel leg of the inner electrode and connecting the parallel leg of the outer electrode to the parallel leg of the inner electrode.

16. The electrosurgical system of claim 15 wherein the rotatable elongate shaft further comprises a blade actuation shaft formed of two polymer mating shaft sections including a proximal shaft portion and a distal shaft portion, the proximal shaft portion and the distal shaft portion connected by interlocks including projections on at least one of the proximal shaft portion or the distal shaft portion with corresponding slots on the at least one of the proximal shaft portion or the distal shaft portion.

17. An electrosurgical system comprising:

an electrosurgical generator arranged to output electrosurgical energy; and

a bipolar electrosurgical tool removably coupled to the electrosurgical generator, the tool comprising;

a stationary handle; and

an actuation handle movably coupled to the stationary handle;

a rotatable elongate shaft extending distally from the stationary handle and rotatable relative to the stationary handle, the rotatable elongate shaft having a proximal end and a distal end defining a central longitudinal axis therebetween;

a jaw assembly pivotably connected and positioned at the distal end of the rotatable elongate shaft, the jaw assembly comprising an upper jaw having an inner surface, an outer surface, an electrode disposed on the inner surface of the upper jaw, and an exterior electrode disposed on an exterior surface at the distal end of the upper jaw and electrically insulated from other components of the upper jaw, the exterior electrode selectively activated by at least one actuation button on the stationary handle; and

a lower jaw having an inner surface, an outer surface, an electrode disposed on the inner surface of the lower jaw, and a lower spacer disposed adjacent to the electrode, the upper and lower jaws actuatable by movement of the actuation handle from an open configuration in which the inner surface of the upper jaw is spaced apart from the inner surface of the lower jaw to a closed configuration in which the inner surface of the upper jaw is proximate the inner surface of the lower jaw, arranged to contact tissue and apply the electrosurgical energy to the tissue,

wherein the electrosurgical generator supplies electrosurgical energy from the electrosurgical generator through the electrode disposed on the inner surface of the upper jaw of the bipolar electrosurgical tool and the electrode disposed on the inner surface of the lower jaw of the bipolar electrosurgical tool.

18. The electrosurgical system of claim 17 wherein the supplied electrical energy has a potential difference between the electrode on the inner surface of the upper jaw and the electrode on the inner surface of the lower jaw of no more than 200 volts and the supplied electrical energy has a potential difference between the exterior electrode on the outer surface of the upper jaw and the electrode on the inner surface of the upper jaw between 300 volts and 500 volts.

19. The electrosurgical system of claim 18 wherein the electrosurgical generator supplies a measurement signal through the electrodes on the upper and lower jaws to determine a future trigger level to switch from coagulation to cutting of tissue between the upper and lower jaws.

20. The electrosurgical system of claim 19 further comprising a non-sterile controller disposed between the electrosurgical generator and the bipolar electrosurgical tool, the bipolar electrosurgical tool further comprising a cord extending from the bipolar electrosurgical tool beyond a sterile field and plugged into the non-sterile controller connected the electrosurgical generator.