Electrode configurations for surgical instruments

• US 10,639,092 B2
• Filed: 12/08/2014
• Issued: 05/05/2020
• Est. Priority Date: 12/08/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Corbett, Catherine A., Rupp, Kip M.
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Ouyang, Bo
• Application Number:
  US14/563,091
• Publication Number:
  US 20160157927A1
• Time in Patent Office: 1,975 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 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself

Abstract

An end effector includes a first electrically conductive layer and a second electrically conductive layer comprising an electrically conductive projection extending from the second electrically conductive layer, wherein at least one of the first electrically conductive layer and the electrically conductive projection is movable relative to the other one of the first electrically conductive layer and the electrically conductive projection to capture tissue therebetween.

Claims

1. A surgical instrument, comprising:

an end effector, comprising;

a first jaw comprising a first electrically conductive layer; 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 to transition the end effector between a first configuration and a second configuration, the second jaw comprising;

a second electrically conductive layer defining a first plurality of openings arranged at a plurality of locations on the second electrically conductive layer;

an electrically non-conductive layer comprising a second plurality of openings, wherein the first electrically conductive layer and the electrically non-conductive layer are configured to be on opposite sides of the second electrically conductive layer; and

a third electrically conductive layer comprising a plurality of electrically conductive members extending from the third electrically conductive layer and projecting through the second plurality of openings and the first plurality of openings to maintain a predetermined gap between the first electrically conductive layer and the second electrically conductive layer, wherein the second electrically conductive layer and the third electrically conductive layer are on opposite sides of the electrically non-conductive layer; and

wherein the second electrically conductive layer is configured to conduct electrical energy to the first electrically conductive layer and the plurality of electrically conductive members through tissue disposed between the first jaw and the second jaw to treat the tissue.

2. The surgical instrument of claim 1, wherein the first and second plurality of openings are located at a predetermined distance from the plurality of electrically conductive members.

3. The surgical instrument of claim 2, wherein the predetermined gap is equal to or greater than the predetermined distance.

4. The surgical instrument of claim 2, wherein the predetermined distance is any distance selected from a range of about 0.001 inch to about 0.010 inch.

5. The surgical instrument of claim 2, wherein the predetermined distance is about 0.004 inch.

6. The surgical instrument of claim 1, wherein each of the plurality of electrically conductive members extend along an axis that passes through the electrically non-conductive layer.

7. The surgical instrument of claim 6, wherein each of the first and second plurality of openings define a wall that at least partially extends about the axis.

8. The surgical instrument of claim 7, further comprising a plurality of electrically non-conductive barriers configured to separate corresponding walls of the first and second plurality of openings from the plurality of electrically conductive members.

9. The surgical instrument of claim 1, wherein the predetermined gap between the first electrically conductive layer and the second electrically conductive layer is any gap selected from a range of about 0.001 inch to about 0.010 inch.

10. The surgical instrument of claim 1, wherein the predetermined gap between the first electrically conductive layer and the second electrically conductive layer is about 0.004 inch.

11. The surgical instrument of claim 1, wherein the electrically non-conductive layer comprises a plurality of sockets configured to partially receive the plurality of electrically conductive members.

12. The surgical instrument of claim 1, wherein the plurality of electrically conductive members are attached to the electrically non-conductive layer.

13. The surgical instrument of claim 1, wherein the plurality of electrically conductive members are arranged in a first row and a second row.

14. The surgical instrument of claim 13, further comprising a longitudinal slot extending longitudinally between the first row and the second row.

15. An end effector for a surgical instrument, the end effector comprising:

a first jaw comprising a first electrically conductive layer; and

a second jaw comprising;

a second electrically conductive layer comprising a plurality of electrically conductive projections extending from the second electrically conductive layer, wherein at least one of the first electrically conductive layer and the plurality of electrically conductive projections is movable relative to the other one of the first electrically conductive layer and the plurality of electrically conductive projections to capture tissue therebetween, and wherein the plurality of electrically conductive projections are integral with the second electrically conductive layer;

a first electrically non-conductive support comprising a first plurality of apertures arranged at a plurality of locations on the first electrically non-conductive support, wherein the plurality of electrically conductive projections extend through the first plurality of apertures; and

a third electrically conductive layer comprising a second plurality of apertures, wherein the plurality of electrically conductive projections extend through the second plurality of apertures, and wherein the first electrically non-conductive support is positioned between the second electrically conductive layer and the third electrically conductive layer.

16. The end effector of claim 15, wherein the second plurality of apertures are larger than the first plurality of apertures.

17. The end effector of claim 15, wherein each of the second plurality of apertures define a wall, and wherein each wall is separated from a corresponding electrically conductive projection of the plurality of electrically conductive projections by a predetermined gap.

18. The end effector of claim 15, further comprising a second electrically non-conductive support, wherein the first electrically non-conductive support and the second electrically non-conductive support are positioned on opposite sides of the captured tissue.

19. The end effector of claim 18, further comprising a fourth electrically conductive layer, wherein the second electrically non-conductive support is positioned between the fourth electrically conductive layer and the first electrically conductive layer.

20. The end effector of claim 15, wherein each of the the plurality of electrically conductive projections define an axis that passes through the first plurality of apertures and the second plurality of apertures.

21. The end effector of claim 15, wherein the third electrically conductive layer is configured to conduct electrical energy to the first electrically conductive layer and at least one of the plurality of electrically conductive projections through tissue disposed between the first jaw and the second jaw to treat the tissue.

22. The end effector of claim 15, wherein the third electrically conductive layer comprises an inner perimeter defining a longitudinal slot extending along a length of the second jaw, and wherein the inner perimeter comprises cutouts defining the second plurality of apertures.

23. A surgical end effector, comprising:

a first jaw comprising a first electrically conductive layer; 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 to transition the surgical end effector between a first configuration and a second configuration, the second jaw comprising;

a second electrically conductive layer comprising a plurality of electrically conductive projections extending from the second electrically conductive layer;

a first electrically non-conductive support comprising first apertures arranged at locations on the first electrically non-conductive support, wherein the plurality of electrically conductive projections extend through the first apertures; and

a third electrically conductive layer comprising an inner perimeter defining a longitudinal slot extending along a length of the second jaw, wherein the third electrically conductive layer comprises side cavities defined in the inner perimeter, and wherein the electrically conductive projections extend through the side cavities, and wherein the first electrically non-conductive support is positioned between the second electrically conductive layer and the third electrically conductive layer on the second jaw.