Electrosurgical clip applicator

• US 5,207,691 A
• Filed: 11/01/1991
• Issued: 05/04/1993
• Est. Priority Date: 11/01/1991
• Status: Expired due to Term

• Current Assignee: Medical Scientific Incorporated
• Original Assignee: Medical Scientific Incorporated
• Inventors: Nardella, Paul C.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US07/786,574
• Time in Patent Office: 550 Days
• Field of Search: 606/143, 606/142, 606/51, 606/52, 606/139, 606/41, 606/34, 606/32, 128/785
• US Class Current: 606/142
• CPC Class Codes: A61B 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2018/0066 without feedback, i.e. open loop control
• CPC Class Codes: A61B 2018/00738 Depth, e.g. depth of ablation
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/145 wherein the effectors remain parallel during closing and opening
• CPC Class Codes: Y10S 227/901 Surgical clip appliers

Abstract

A clip applicating device deploys surgical clips to ligate ducts and/or vessels during surgical procedures. While the clip is deployed the device simultaneously delivers electrosurgical energy to the affected tissue through the clip. This causes the clip and the adjacent tissue to be fused together, resulting in more secure surgical clips. The clipping device may be configured either as a bipolar or a monopolar instrument.

Claims

1. An electrosurgical clipping device, comprising:

a handle portion adjacent and connected to an elongate member, the handle portion having a triggering means for deploying at least one surgical clip;

a means for housing a supply of surgical clips within the device;

a surgical clip delivery means for deploying at least one clip from the device to desired tissue, the clip delivery means extending from a distal end of the elongate member;

actuating means for effecting the deployment of one or more surgical clips through the delivery means in response to activation of the triggering means, the actuating means connecting between the triggering means and the delivery means;

supply means associated with the clipping device for delivering electrical current through the clipping device from a source remote from the clipping device to the delivery means for discharge through a clip to tissue contacted by the clip; and

control means for selectively activating and regulating the electrosurgical energy delivered through the energy supply means to the delivery means.

2. The device of claim 1 wherein the actuating means and the delivery means are made of conductive materials.

3. The device of claim 2 wherein the supply means is in electrical connection with the actuating means such that electrical current is conducted through the actuating means to the delivery means.

4. The device of claim 3 wherein the supply means comprises an insulated electrical wire which extends from a connection port disposed on the device to a connection point on the actuating means.

5. The device of claim 4 where the supply means is in electrical communication a voltage determinative, low source impedance generator unit which provides electrosurgical energy.

6. The device of claim 5 wherein the generator provides electrosurgical energy in the range of 500-700 KHz.

7. The device of claim 6 wherein the current delivered to tissue through the clip is in the range of 0.5 to 2.0 amps.

8. The device of claim 6 wherein the voltage delivered to tissue through the clip is in the range of 50 to 100 volts RMS.

9. The device of claim 3 wherein the delivery means comprises at least one pair of opposed clamping elements which extend from a distal end of the elongate member.

10. The device of claim 9 wherein the actuating means communicates with first and second pairs of opposed clamping elements which extend from a distal end of the elongate member, and each pair is adapted to engage and close separate surgical clips for simultaneous deployment of the clips.

11. The device of claim 10 wherein the first pair of opposed clamping elements is electrically isolated from the second pair of opposed clamping elements.

12. The device of claim 11 wherein the supply means communicates with the first pair of clamping elements for discharge of electrosurgical energy through a first surgical clip to tissue in contact with the first clip.

13. The device of claim 12 wherein the second pair of clamping elements serve as a return electrode and are in electrical communication with a ground wire.

14. The device of claim 1, adapted to function as a monopolar electrosurgical tool, wherein the surgical clip to be deployed, through electrical connection to the delivery means, serves as an active, energy-delivering electrode, and a remote ground plate serves as a return electrode.

15. A method of electrosurgically applying a surgical clip to tissue, comprising the steps of:

providing a clip applicator device adapted to deploy one or more surgical clips;

deploying one or more surgical clips to body tissue;

delivering electrosurgical energy to tissue contacted by the clip, simultaneous with the deployment of the clip, the energy being communicated to the tissue through the surgical clip.

16. The method of claim 15 wherein the electrosurgical energy is supplied to the applicator device from an electrosurgical generator unit.

17. The method of claim 16 wherein the generator unit provides electrosurgical energy in the range of 500-700 KHz.

18. The method of claim 15 wherein the current applied to tissue through the clip is in the range of 0.5 to 2.0 amps.

19. The method of claim 15 wherein the voltage applied to tissue through the clip is in the range of 50 to 100 volts RMS.

20. The method of claim 15 wherein the electrosurgical energy is supplied to tissue, through the clip, for a duration of about 5 to 15 seconds.