Jaw structure with distal closure for electrosurgical instruments

• US 10,485,607 B2
• Filed: 04/29/2016
• Issued: 11/26/2019
• Est. Priority Date: 04/29/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Strobl, Geoffrey S., Stewart, Randolph C., Nienhaus, Ellen M.
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Demie, Tigist S
• Application Number:
  US15/142,446
• Publication Number:
  US 20170312016A1
• Time in Patent Office: 1,306 Days
• 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 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself

Abstract

An electrosurgical instrument includes an end effector having first and second jaws defining an electrically conductive gap setting member configured to maintain a gap between energy delivery surfaces of the first and second jaws. The first jaw comprises a first energy delivery surface, a first body, a first distal end, a first proximal end, and a first electrically conductive member protruding from the first body at the first distal end. The second jaw comprises a second energy delivery surface further comprising an aperture, a second body, a second distal end, a second proximal end, and a second electrically conductive member protruding from the second body at the second distal end. The second jaw further comprises an electrically insulative member extending through the aperture. At least one electrically conductive gap setting member is configured to maintain a gap between energy delivery surfaces of the first and second jaw.

Claims

1. An end effector for an electrosurgical instrument, comprising:

a first jaw, comprising;

a first energy delivery surface;

a first body;

a first distal end;

a first electrically conductive member protruding from the first body at the first distal end; and

a first proximal end; and

a second jaw, comprising;

a second energy delivery surface comprising an aperture;

a second body;

a second distal end;

a second electrically conductive member protruding from the second body at the second distal end;

an electrically insulative member extending through the aperture, wherein the electrically insulative member comprises a height extending beyond the second energy delivery surface; and

a second proximal end, wherein the first and second jaws are pivotally coupled in proximity to the first and second proximal ends, such that at least one of the first and second jaws is movable between a closed position where the first and second electrically conductive members are in contact with one another and the first and second energy delivery surfaces face one another, and an open position where the first and second electrically conductive members are spaced apart, wherein the first and second electrically conductive members cooperate to define a non-uniform gap between the first and second energy delivery surfaces in the closed position, wherein the non-uniform gap comprises a gap height defined by a minimum distance between the first and second energy delivery surfaces, and wherein the gap height is greater than the height of the electrically insulative member.

2. The end effector of claim 1, wherein the first electrically conductive member is formed integrally with the first body of the first jaw.

3. The end effector of claim 2, wherein the second electrically conductive member is formed integrally with the second body of the second jaw.

4. The end effector of claim 1, wherein the gap height is a first gap height, wherein the first gap height is defined between the first and second energy delivery surfaces in proximity to the first and second distal ends, wherein the non-uniform gap comprises a second gap height defined between the first and second energy delivery surfaces in proximity to the first and second proximal ends, and wherein the second gap height is greater than the first gap height.

5. The end effector of claim 1, wherein a height of the first electrically conductive member beyond the first energy delivery surface is between 0.002″

and 0.010″

.

6. The end effector of claim 5, wherein a height of the second electrically conductive member beyond the second energy delivery surface is between 0.002″

and 0.010″

.

7. An end effector for an electrosurgical instrument, comprising:

a first jaw, comprising;

a first energy delivery surface;

a first body;

a first distal end;

a first proximal end;

a first electrically insulative layer including a first recess, wherein the first recess is configured to receive at least a portion of the first energy delivery surface; and

a first protrusion extending from the first body at the first distal end, wherein the first protrusion comprises a first portion and a second portion that are laterally spaced apart, wherein a second recess is defined between the first portion and the second portion, and wherein the second recess is configured to receive at least a distal portion of the first electrically insulative layer; and

a second jaw, comprising;

a second energy delivery surface;

a second body;

a second distal end;

a second electrically insulative layer comprising a third recess, wherein the third recess is configured to receive at least a portion of the second energy delivery surface;

a second protrusion extending from the second body at the second distal end, wherein the second protrusion comprises a third portion and a fourth portion that are laterally spaced apart, wherein a fourth recess is defined between the third portion and the fourth portion, and wherein the fourth recess is configured to receive at least a portion of the second electrically insulative layer; and

a second proximal end, wherein the first and second jaws are pivotally coupled in proximity to the first and second proximal ends, such that at least one of the first and second jaws is movable between a closed position where the first and second protrusions are in contact with one another and the first and second energy delivery surfaces face one another, and an open position where the first and second protrusions are spaced apart, wherein the first and second protrusions cooperate to define a gap between the first and second energy delivery surfaces in the closed position, and wherein the gap comprises a gap height defined by a minimum distance between the first and second energy delivery surfaces.

8. The end effector of claim 7, wherein the first energy delivery surface extends distally to the first distal end.

9. The end effector of claim 7, wherein in the closed position, the first portion contacts the third portion.

10. The end effector of claim 9, wherein in the closed position, the second portion contacts the fourth portion.

11. The end effector of claim 7, wherein the first, second, third, and fourth portions are substantially rectangular in a lateral cross-section.

12. The end effector of claim 7, wherein the first protrusion is electrically conductive.

13. The end effector of claim 12, wherein the second protrusion is electrically conductive.

14. The end effector of claim 13, wherein the first protrusion is formed integrally with the first body of the first jaw.

15. The end effector of claim 14, wherein the second protrusion is formed integrally with the second body of the second jaw.

16. An end effector for an electrosurgical instrument, comprising:

a first jaw, comprising;

a first energy delivery surface;

a first body;

a first distal end;

a first electrically conductive curved portion extending from the first body at the first distal end; and

a first proximal end; and

a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other one of the first jaw and the second jaw between an open position and a closed position, the second jaw comprising;

a second energy delivery surface comprising an aperture;

a second body;

a second distal end;

a second electrically conductive curved portion extending from the second body at the second distal end;

an electrically insulative layer extending at least partially between the second energy delivery surface and the second electrically conductive curved portion, wherein the electrically insulative layer comprises an electrically insulative member extending through the aperture, wherein the electrically insulative member comprises a height extending beyond the second energy delivery surface; and

a second proximal end, wherein the first and second electrically conductive curved portions are in contact with one another and the first and second energy delivery surfaces face one another in the closed position, wherein the first and second electrically conductive curved portions are spaced apart in the open position, wherein the first and second electrically conductive curved portions cooperate to define a gap between the first and second energy delivery surfaces in the closed position, wherein the gap comprises a gap height defined by a minimum distance between the first and second energy delivery surfaces, and wherein the gap height is greater than the height of the electrically insulative member.

17. The end effector of claim 16, wherein the first electrically conductive curved portion is formed integrally with the first body of the first jaw.

18. The end effector of claim 17, wherein the second electrically conductive curved portion is formed integrally with the second body of the second jaw.

19. The end effector of claim 16, wherein the gap height is a first gap height, wherein the first gap height is defined between the first and second energy delivery surfaces in proximity to the first and second distal ends, wherein the gap comprises a second gap height defined between the first and second energy delivery surfaces in proximity to the first and second proximal ends, and wherein the second gap height is different than the first gap height.

20. The end effector of claim 16, wherein the gap is a non-uniform gap.