Electrode wiping surgical device

• US 10,595,930 B2
• Filed: 10/16/2015
• Issued: 03/24/2020
• Est. Priority Date: 10/16/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Scheib, Charles J., Zeiner, Mark S., Yates, David C., Vendely, Michael J.
• Primary Examiner(s): Fowler, Daniel W
• Application Number:
  US14/885,341
• Publication Number:
  US 20170105786A1
• Time in Patent Office: 1,621 Days
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• 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 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00773 Sensed parameters
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1495 : Electrodes being detachable from a support structure
• CPC Class Codes: A61B 2090/061 : for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/067 : for measuring angles

Abstract

Aspects of the present disclosure include a surgical device comprising electrodes on the sides of an end of an effector to aide in sealing during various surgical procedures, such as a liver resection. During a sealing procedure, the surgeon may wipe the surgical site with the end effector, causing the electrodes to touch the fractured area. Electrosurgical energy may be applied to the electrodes during the wiping, causing coagulation of smaller vessels, such as tiny blood vessels and bile ducts in the parenchyma of the liver. In some cases, due to the nature of some smaller vessels, electrosurgical energy should be delicately applied to cause sealing but to avoid overly damaging the remaining tissue. In some embodiments, the thin design of the electrodes allows for an appropriate amount of electrosurgical energy to be applied to the fractured area.

Claims

1. A surgical instrument comprising:

a handle assembly;

a shaft coupled to a distal end of the handle assembly; and

an end effector coupled to a distal end of the shaft, the end effector comprising;

a first jaw;

a second jaw, wherein the first jaw and the second jaw cooperate to capture tissue therebetween;

the first jaw comprising a first lateral side, a second lateral side, and a third side connecting the first and second lateral sides and facing the second jaw such that the third side is positioned closest to the second jaw as the second jaw closes with the first jaw;

a stapling member configured to fire one or more staples between the first and second jaws; and

an elongated electrode secured to the first jaw, the elongated electrode comprising;

a first long portion that runs longitudinally along the first lateral side of the first jaw from a first proximal point on said first lateral side beginning near a joint connecting the first jaw to the second jaw and extending to a distal end of said first lateral side;

a second portion electrically coupled to the first long portion that runs along a distal end of the third side of the first jaw such that the second jaw closes onto the second portion when the second jaw closes onto the first jaw;

a third long portion electrically coupled to the second portion that runs longitudinally along the second lateral side of the first jaw from a distal end of said second lateral side and extending to a second proximal point on said second lateral side beginning near the joint connecting the first jaw to the second jaw;

a fourth portion running substantially perpendicular to the longitudinal direction of the first long portion and connecting a distal end of the first long portion to the second portion; and

a fifth portion running substantially perpendicular to the longitudinal direction of the third long portion and connecting a distal end of the third long portion to the second portion;

wherein the first long portion and the third long portion are positioned on a first plane distal to the second jaw, and the second portion is positioned on a second plane parallel to the first plane and proximal to the second jaw; and

wherein the elongated electrode is configured to transmit electrosurgical energy throughout the entirety of the first long portion, the second portion, the third long portion, the fourth portion and the fifth portion, to coagulate tissue upon wiping the end effector against the tissue.

2. The surgical instrument of claim 1, further comprising a microprocessor configured to vary an amount of the electrosurgical energy transmitted by the elongated electrode based on a measured distance or angle of opening between the first jaw and the second jaw.

3. The surgical instrument of claim 2, wherein the microprocessor is coupled to a sensor, wherein the sensor is configured to measure said distance or angle of the opening between the first jaw and the second jaw.

4. The surgical instrument of claim 3, wherein the microprocessor is configured to:

deliver the electrosurgical energy to the elongated electrode when it is determined that the first and second jaws are in a closed position;

deliver the electrosurgical energy to the elongated electrode when it is determined that the first and second jaws are in a substantially closed position and are clamped onto patient tissue; and

deliver no electrosurgical energy to the elongated electrode when it is determined that the first and second jaws are in an open position.

5. The surgical instrument of claim 1, further comprising a power button configured to supply the electrosurgical energy to the elongated electrode when pressed by a user of the surgical instrument.

6. The surgical instrument of claim 1, wherein the end effector further comprises a cutting element disposed between the first jaw and the second jaw.

7. The surgical instrument of claim 1, further comprising a microprocessor configured to:

control a first maximum level of energy delivered to the elongated electrode, the first maximum level of energy sufficient to coagulate tissue upon wiping of the elongated electrode onto the tissue and not sufficient to cut the tissue upon contact with the tissue; and

control a second maximum level of energy delivered to the elongated electrode, the second maximum level of energy sufficient to cut the tissue upon contact with the elongated electrode onto the tissue.

8. A surgical system comprising:

a power generator; and

a surgical instrument coupled to the power generator, the surgical instrument comprising;

a handle assembly;

a shaft coupled to a distal end of the handle assembly; and

an end effector coupled to a distal end of the shaft, the end effector comprising;

a first jaw;

a second jaw, wherein the first jaw and the second jaw cooperate to capture tissue therebetween;

the first jaw comprising a first lateral side, a second lateral side, and a third side connecting the first and second lateral sides and facing the second jaw such that the third side is positioned closest to the second jaw as the second jaw closes with the first jaw;

a stapling member configured to fire one or more staples between the first and second jaws; and

an elongated electrode secured to the first jaw, the elongated electrode comprising;

a first long portion that runs longitudinally along the first lateral side of the first jaw from a first proximal point on said first lateral side beginning near a joint connecting the first jaw to the second jaw and extending to a distal end of said first lateral side;

a second portion electrically coupled to the first long portion that runs along a distal end of the third side of the first jaw such that the second jaw closes onto the second portion when the second jaw closes onto the first jaw;

a third long portion electrically coupled to the second portion that runs longitudinally along the second lateral side of the first jaw from a distal end of said second lateral side and extending to a second proximal point on said second lateral side beginning near the joint connecting the first jaw to the second jaw;

a fourth portion running substantially perpendicular to the longitudinal direction of the first long portion and connecting a distal end of the first long portion to the second portion; and

a fifth portion running substantially perpendicular to the longitudinal direction of the third long portion and connecting a distal end of the third long portion to the second portion;

wherein the first long portion and the third long portion are positioned on a first plane distal to the second jaw, and the second portion is positioned on a second plane parallel to the first plane and proximal to the second jaw; and

wherein the elongated electrode is configured to transmit electrosurgical energy throughout the entirety of the first long portion, the second portion, the third long portion, the fourth portion and the fifth portion, to coagulate tissue upon wiping the end effector against the tissue.

9. The surgical system of claim 8, further comprising a microprocessor coupled to a sensor, wherein the sensor is configured to measure a distance or angle of an opening between the first jaw and the second jaw, and the microprocessor is configured to control delivery of the electrosurgical energy to the elongated electrode based on the measured distance or the angle of the opening.

10. The surgical system of claim 9, wherein the microprocessor is configured to:

deliver the electrosurgical energy to the elongated electrode when it is determined that the first and second jaws are in a closed position;

deliver the electrosurgical energy to the elongated electrode when it is determined that the first and second jaws are in a substantially closed position and are clamped onto patient tissue; and

deliver no electrosurgical energy to the elongated electrode when it is determined that the first and second jaws are in an open position.

11. The surgical system of claim 8, further comprising a power button configured to supply the electrosurgical energy to the elongated electrode when pressed by a user of the surgical instrument.

12. The surgical system of claim 8, wherein the end effector further comprises a cutting element disposed between the first jaw and the second jaw.

13. The surgical system of claim 8, further comprising a microprocessor configured to:

control a first maximum level of energy delivered to the elongated electrode, the first maximum level of energy sufficient to coagulate tissue upon wiping of the elongated electrode onto the tissue and not sufficient to cut the tissue upon contact with the tissue; and

control a second maximum level of energy delivered to the elongated electrode, the second maximum level of energy sufficient to cut the tissue upon contact with the elongated electrode onto the tissue.