Vessel Sealing Instrument With Electrical Cutting Mechanism

• US 20100179543A1
• Filed: 01/20/2010
• Published: 07/15/2010
• 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 8,740,901 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. A method of manufacturing an electrode assembly, the method comprising the steps of:

providing an electrode assembly for use with an instrument for sealing and cutting vessels and tissue, the electrode assembly comprising;

a pair of opposing first and second jaw members each having an insulator and a corresponding pair of electrically conductive tissue sealing surfaces extending along a length thereof, each pair of the electrically conductive tissue sealing surfaces having an exposed surface;

a cutting element disposed between the pair of electrically conductive tissue sealing surfaces of the first jaw member, the cutting element and at least one electrically conductive tissue sealing surface having a gap defined therebetween;

disposing an insulative material upon an inner sidewall of the electrically conductive tissue sealing surface such that the insulative material extends into the gap and disposing an insulative material on an opposing sidewall of the cutting element such that the insulative material extends into the gap, the insulative material configured to reduce the exposed surface area of the inner sidewall of the electrically conductive tissue sealing surface and opposing sidewall of the cutting element; and

adjusting the position of insulative material on one of the inner sidewall of the electrically conductive tissue sealing surface and the opposing sidewall of the cutting element to optimize power density and location of the cutting zone during electrosurgical cutting.

2. The method according to claim 1, wherein the insulative material includes materials selected from the group consisting of ceramic and polymeric materials.

3. The method according to claim 1, wherein the exposed surface area of each electrically conductive tissue sealing surface is substantially the same.

4. The method according to claim 1, further including the step of adjusting a distance between the first and second jaw members.

5. The method according to claim 1, further including the step of adjusting the insulative material to change the exposed surface area of the at least one electrically conductive tissue sealing surface of the first jaw member.

6. The method according to claim 1, wherein the pair of opposing first and second jaw members maintain one polarity and the electrically conductive cutting element maintains a different polarity in order to effect tissue cutting.

7. The method according to claim 1, wherein the first jaw member has a first polarity and the second jaw member has an opposing polarity.

8. An electrode assembly for use with an instrument for sealing and cutting vessels and/or tissue, the electrode assembly comprising:

a pair of opposing first and second jaw members each having an insulator and a corresponding pair of electrically conductive tissue sealing surfaces extending along a length thereof, each pair of tissue sealing surfaces adapted to connect to a source of electrosurgical energy such that each of the electrically conductive tissue sealing surfaces is capable of conducting electrosurgical energy through tissue held therebetween to effect a seal, each pair of the electrically conductive tissue sealing surfaces having an exposed surface;

a cutting element disposed between the pair of electrically conductive tissue sealing surfaces of the first jaw member, the cutting element and at least one electrically conductive tissue sealing surface having a gap defined therebetween;

an insulative material disposed on an inner sidewall of the electrically conductive tissue sealing surface and on an opposing sidewall of the cutting element, the insulative material extending into the gap to reduce the exposed surface area of the inner sidewall of the electrically conductive tissue sealing surface and opposing sidewall of the cutting element and configured to optimize power density and location of the cutting zone during electrosurgical cutting.

9. The electrode assembly according to claim 8, wherein the insulative material is selected from the group consisting of ceramic and polymeric materials.

10. The electrode assembly according to claim 8, wherein the exposed surface area of each electrically conductive tissue sealing surface is substantially equivalent.

11. The electrode assembly according to claim 8, wherein the pair of opposing first and second jaw members maintain one polarity and the electrically conductive cutting element maintains a different polarity in order to effect tissue cutting.