Vessel sealing instrument with electrical cutting mechanism

• US 20050113826A1
• Filed: 09/02/2004
• Published: 05/26/2005
• Est. Priority Date: 10/04/2002
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Johnson, Kristin D., Couture, Gary M., Sharp, Robert, Unger, Jeff
• Granted Patent: US 7,276,068 B2
• Time in Patent Office: Days
• US Class Current: 606/45
• 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 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/2945 Curved jaws
• 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 2018/00601 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 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• 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 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2562/125 characterised by the manufacture of electrodes
• CPC Class Codes: Y10T 29/49117 : Conductor or circuit manufacturing

Abstract

An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes a pair of spaced apart electrically conductive tissue contacting surfaces which each have an insulator disposed therebetween, the conductive surfaces are connected to an electrosurgical energy source. The first jaw member includes an electrically conductive cutting element disposed within the insulator which extends towards the second tissue contacting surface to create a gap therebetween. The cutting element is inactive during the sealing process while the two pairs of electrically conductive surfaces are activated to seal tissue. During the cutting process, the cutting element is energized to a first potential and at least one electrically conductive tissue contacting surface is energized to a different potential to effect a tissue cut through the tissue held between the jaw members along the already formed tissue seal.

Claims

1. An end effector assembly for use with an instrument for sealing and cutting vessels and/or tissue, the end effector assembly comprising:

a pair of opposing first and second jaw members at least one of which being movable relative to the other from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween;

each jaw member including a pair of spaced apart, electrically conductive tissue sealing surfaces extending along a length thereof, each tissue sealing surface being adapted to connect to a source of electrosurgical energy such that the tissue sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween to effect a seal;

an insulator disposed between each pair of electrically conductive sealing surfaces;

the first jaw member including an electrically conductive cutting element disposed within the insulator of the first jaw member, the electrically conductive cutting element disposed in general vertical registration to the insulator on the second jaw member;

wherein the cutting element extends from the first electrically conductive tissue sealing surface towards the second electrically conductive tissue sealing surface to create a gap between the electrically conductive tissue sealing surfaces when the jaw members close for sealing tissue;

the cutting element being inactive during the sealing process and the pair of spaced apart electrically conductive sealing surfaces on the first jaw member being energized to a different potential from the corresponding pair of spaced apart electrically conductive sealing surfaces on the second jaw member such that electrosurgical energy can be transferred through the tissue to effect a tissue seal; and

the cutting element being energized to a first potential during the cutting process and at least one electrically conductive tissue sealing surface on the first jaw member and at least one electrically conductive tissue sealing surface on the second jaw member being energized to a different potential such that electrosurgical energy can be transferred through the tissue to effect a tissue cut.

2. An end effector assembly according to claim 1 wherein the cutting and sealing processes are automatically controlled by an electrosurgical energy source.

3. An end effector assembly according to claim 1 wherein the potential of the at least one electrically conductive tissue sealing surface of the first jaw member and the potential of the cutting element are independently activatable by the surgeon.

4. An end effector assembly according to claim 1 wherein the electrical potential of the cutting element and the electrical potential of at least one electrically conductive tissue sealing surface are automatically configured for cutting when the surgeon selectively activates a trigger.

5. An end effector assembly according to claim 1 wherein the cutting element is substantially dull and only capable of cutting tissue through electrosurgical activation.

6. An end effector assembly according to claim 1 further comprising a smart sensor for determining seal quality prior to cutting.

7. An end effector assembly according to claim 6 wherein the smart sensor includes one of an audible or visual indicator for indicating seal quality.

8. An end effector assembly according to claim 6 wherein the smart sensor automatically switches electrosurgical energy to the cutting element once the tissue is sealed.

9. An end effector assembly according to claim 1 further comprising a first switch for energizing the electrically conductive tissue sealing surfaces to effect tissue sealing and a trigger for energizing the cutting element and at least one of the electrically conductive tissue sealing surfaces to effect tissue cutting.

10. An end effector assembly according to claim 1 wherein at least one of the insulators is configured to at least partially extend to a position which is at least substantially flush with the cutting element.

11. An end effector assembly according to claim 1 further comprising a second electrically conductive cutting element disposed within the insulator of the second jaw member, the second electrically conductive cutting element opposing the first electrically conductive cutting element.

12. An end effector assembly according to claim 11 wherein the first and second electrically conductive cutting elements when disposed on opposite sides of tissue form the gap distance between electrically conductive sealing surfaces when the jaw members are disposed in the second position.

13. An end effector assembly for use with an instrument for sealing and cutting vessels and/or tissue, the end effector assembly comprising:

a pair of opposing first and second jaw members at least one of which being movable relative to the other from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween;

each jaw member including a pair of spaced apart, electrically conductive tissue sealing surfaces extending along a length thereof, each tissue sealing surface being adapted to connect to a source of electrosurgical energy such that the tissue sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween to effect a seal;

an insulator disposed between each pair of electrically conductive sealing surfaces;

the first jaw member including an electrically conductive cutting element disposed within the insulator of the first jaw member, the electrically conductive cutting element disposed in general vertical registration to the insulator on the second jaw member;

at least one stop member operatively associated with one of the first and second jaw members being dimensioned to create a gap between the electrically conductive tissue sealing surfaces when the jaw members close for sealing tissue;

the cutting element being inactive during the sealing process and the pair of spaced apart electrically conductive sealing surfaces on the first jaw member being energized to a different potential from the corresponding pair of spaced apart electrically conductive sealing surfaces on the second jaw member such that electrosurgical energy can be transferred through the tissue to effect a tissue seal; and

the cutting element being energized to a first potential during the cutting process and at least one electrically conductive tissue sealing surface on the first jaw member and at least one electrically conductive tissue sealing surface on the second jaw member being energized to a different potential such that electrosurgical energy can be transferred through the tissue to effect a tissue cut.