Coagulating electrosurgical instrument with tissue dam

• US 20020111624A1
• Filed: 01/23/2002
• Published: 08/15/2002
• Est. Priority Date: 01/26/2001
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Baxter, Chester O. III, Witt, David A., Cummings, John F., Faller, Craig
• Application Number:
  US10/055,534
• Publication Number:
  US 20020111624A1
• Time in Patent Office: Days
• US Class Current: 606/51
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/142 at least partly surrounding the target, e.g. concave, curved or in the form of a cave
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1457 having opposing blades cutting tissue grasped by the jaws, i.e. combined scissors and pliers
• CPC Class Codes: A61B 2018/146 Scissors

Abstract

A bipolar electrosurgical instrument having a pair of relatively moveable jaws, each of which includes a tissue contacting surface. The tissue contacting surfaces of the jaws are in face-to-face relation with one another, and adjacent each of the tissue contacting surfaces are first and second spaced-apart electrodes that are adapted for connection to the opposite terminals of a bipolar RF generator so as to generator a current flow between the electrodes. The first and second electrodes of one jaw are in offset opposed relation, respectively, with the first and second electrodes of the other jaw. A cutting portion is provided between the jaws. The cutting portion is moveable to provide the instrument with a scissors-like capability or a grasper-like capability, depending on the position of the cutting portion. A tissue dam is included on at least one jaw to help contain tissue within the desired coagulation area, and thereby help contain current density between the electrodes, thereby decreasing lateral tissue thermal damage and increasing hemostasis.

Claims

1. An electrosurgical apparatus comprising:

first and second elongated grasping jaws, each jaw including a tissue contacting surface in face-to-face relation with the tissue contacting surface of the other jaw;

at least one electrode surface carried adjacent said tissue contacting surfaces and disposed to engage said tissue when grasped; and

tissue dam means for providing selected compression to the tissue within the tissue contacting surface.

2. The apparatus of claim 1 further comprising a cutting blade movably disposed between at least two of said electrode surfaces wherein said at least two electrode surfaces have opposite polarity.

3. The apparatus of claim 1 wherein said tissue contacting surfaces of said first and second jaws each have opposed elongated edges and said electrode surfaces are located on the edges of said tissue contacting surfaces.

4. A Tissue grasping apparatus comprising:

two grasping jaws, each jaw including an insulating tissue contacting surface;

said jaws further comprising two spaced-apart electrode surfaces adjacent said insulating tissue contacting surface, said jaws being in face-to-face relationship to provide a first offset face-to-face electrode surface pair, and a second offset face-to-face electrode surface pair;

insulating surfaces; and

tissue dam means for providing selected compression to the tissue within the tissue contacting surface.

5. The apparatus of claim 4 further comprising a cutting blade disposed between said first offset face-to-face electrode surface pair and said second offset face-to-face electrode surface pair.

6. A method of promoting coagulation in tissue, comprising:

providing a pair of grasping jaws, each jaw including an insulating tissue contacting surface in face-to-face relation with said tissue and a pair of tissue dam members;

contacting surface of said other jaw, said jaws further comprising two spaced-apart electrode surfaces adjacent said insulating tissue contacting surface, said jaws providing first offset face-to-face electrode surface pair, face-to-face insulating surfaces, and a second offset face-to-face electrode surface pair, said electrode surfaces being connectable to a power source for providing an electrical current between said first and said second electrode surface pairs, said electrode surfaces comprising a particular electrode surface pair being of like polarity;

closing said jaws having said tissue dam members on tissue to be coagulated, with said tissue contacting surfaces and said tissue dam members in contact with said tissue;

connecting said electrode surfaces to a current source to create a current flow between said first and said second electrode surface pairs and through tissue located between said tissue contacting surfaces to promote coagulation of tissue grasped between said tissue contacting surfaces.

7. An electrosurgical apparatus comprising:

a first moveable jaw and a second moveable jaw, wherein said first moveable jaw includes a first tissue contacting surface and said second moveable jaw includes a second tissue contacting surface, wherein said first tissue contacting surface and said second tissue contacting surface have a substantially face-to-face relationship;

a first dam member, wherein said first dam member projects from said first moveable jaw;

a first insulating material, wherein said first insulating material comprises said first tissue contacting surface;

a second insulating material, wherein said second insulating material comprises said second tissue contacting surface;

a first electrode housed within said first moveable jaw;

a second electrode housed within said second moveable jaw; and

a means of connecting said first electrode and said second electrode to a power source for providing an electrical current between said first electrode and said second electrode.

8. The apparatus of claim 7, further comprising a second dam member, wherein said second dam member protrudes from said first moveable jaw, wherein said second dam member lies adjacent to said first dam member.

9. The apparatus of claim 8, further comprising a third dam member, wherein said third dam member protrudes from said second moveable jaw.

10. The apparatus of claim 9, further comprising a fourth dam member, wherein said fourth dam member protrudes from said second moveable jaw, wherein said fourth dam member lies adjacent to said third dam member.