Electrosurgical hemostatic device with recessed and/or offset electrodes

• US 5,688,270 A
• Filed: 01/18/1995
• Issued: 11/18/1997
• Est. Priority Date: 07/22/1993
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Voegele, James, Yates, David C.
• Primary Examiner(s): Bahr, Jennifer
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/374,012
• Time in Patent Office: 1,035 Days
• Field of Search: 606/37-42, 606/45-52, 606/205-209, 606/142, 606/143
• US Class Current: 606/51
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• 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 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• 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 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/00504 Tissue welding
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00672 lower
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00684 using lookup tables
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1273 including multiple generators in one device
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/032 : pressure limiting, e.g. hydrostatic

Abstract

An electrosurgical instrument is provided for cauterization and/or welding of tissue of varying impedances, thicknesses and vascularity especially in the performance of endoscopic procedures. The instrument compresses the tissue between an electrode associated with a first pole of a bipolar energy source located on one interfacing surface off a first element, and a second interfacing surface of a second element. The first and second elements are used to engage and compress tissue between the first and second interfacing surfaces. A second electrode associated with a second pole is located one of the two interfacing surfaces. The first electrode is either recessed into the first tissue contacting surface and/or offset from the second electrode on the same or opposing surfaces. A preferred application of the invention is in a cutting instrument wherein a hemostatic line is formed along a cut line using RF energy.

Claims

1. An electrosurgical device having an end effector capable of receiving electrosurgical energy therein, said end effector comprising:

first and second opposing interfacing surfaces, said interfacing surfaces capable of engaging tissue therebetween, at least one of said first and second interfacing surfaces being electrically insulating and including a recessed portion;

electrically isolated first and second poles comprised of electrically different electrodes capable of conducting electrosurgical energy therethrough, said first pole comprised of a first electrode of a first electrical potential and said second pole comprised of a second electrode of a second electrical potential different from said first potential; and

wherein said first electrode is located on one of said interfacing surfaces and said second electrode is located on at least one of said interfacing surfaces, and a tissue contacting portion of at least one of said electrodes is located below said interfacing surface on a said recessed portion, said electrodes being arranged so that electrosurgical energy may be communicated between said poles through the tissue.

2. The electrosurgical device of claim 1 wherein a portion of said second interfacing surface comprises a ridge extending from said second interfacing surface to form a tissue compression zone between said interfacing surfaces, said ridge including said recessed portion.

3. The electrosurgical device of claim 2 wherein said first and second electrodes are arranged to provide a current path through tissue in the compression zone.

4. The electrosurgical device of claim 2 wherein a portion of said first interfacing surface comprises a ridge adapted to form said tissue compression zone with said ridge of said second interfacing surface.

5. The electrosurgical device of claim 1 wherein a portion of said second interfacing surface comprises a ridge extending from said second interfacing surface to form a tissue compression zone between said interfacing surfaces, wherein said first interfacing surface includes said recessed portion and wherein said ridge is adapted to compress tissue into said recessed portion to cause the tissue to make electrical contact with said portion of at least one electrode located at said recessed portion.

6. The electrosurgical device of claim 5 wherein said first and second electrodes are arranged to provide a current path through tissue in the compression zone.

7. The electrosurgical device of claim 5 wherein the ridge is formed of an insulator electrically isolating said first electrode from said second electrode.

8. The electrosurgical device of claim 1 wherein at least one electrode of each said pole is located on a same interfacing surface.

9. The electrosurgical device of claim 1 wherein a said second electrode is located on an opposite interfacing surface as a said first electrode.

10. The electrosurgical device of claim 1 wherein said first electrode is arranged in a substantially parallel manner with respect to said second electrode.

11. The electrosurgical device of claim 1 further comprising a longitudinal axis extending proximally to distally with respect to said end effector;

wherein a said first electrode comprises an elongated electrode extending longitudinally with respect to said axis.

12. The electrosurgical device of claim 1 wherein said device includes a cutting element arranged on said device to divide tissue engaged by said end effector through a cutting line when said cutting element is actuated.

13. The electrosurgical device of claim 12 wherein said end effector further comprises at least one staple and at least one driver adapted to apply said at least one staple lateral to said cutting line.

14. The electrosurgical device of claim 13 wherein said end effector further comprises a channel through which said cutting element is adapted to move, wherein said channel forms said recessed portion.

15. The electrosurgical device of claim 12 wherein said cutting element is movable in a cutting path to form said cutting line.

16. The electrosurgical device of claim 12 wherein the first pole comprises a pair of electrodes between which the cutting element is adapted to move.

17. The electrosurgical device of claim 16 wherein each electrode of said pair of electrodes comprises a substantially parallel elongated bar electrode in electrical communication with the other of said pair of electrodes, and a slot for the cutting element to travel between the bar electrodes.

18. The electrosurgical device of claim 17 wherein said slot forms said recessed portion.

19. The electrosurgical device of claim 12 wherein the end effector is adapted to provide hemostasis of tissue lateral to said cutting line.

20. The electrosurgical device of claim 12 wherein said end effector further comprises at least one fastener and at least one applier adapted to apply said at least one fastener lateral to said cutting line.

21. The electrosurgical device of claim 1 wherein said end effector further comprises:

at least one fastener and at least one applier adapted to apply said at least one fastener through tissue.

22. The electrosurgical device of claim 1 wherein said end effector further comprises:

at least one staple and at least one driver adapted to drive said at least one staple through tissue.

23. The electrosurgical device of claim 22

wherein said device includes a cutting element adapted to divide tissue engaged by said interfacing surfaces;

and

wherein said end effector further comprises;

a cartridge containing at least one row of staples, having a slot extending longitudinally therethrough for receiving the cutting element, said slot arranged to permit said cutting element to travel lateral to said at least one row of staples, said cartridge forming the second interfacing surface;

wherein said at least one driver is adapted to apply said at least one row of staples to tissue engaged by said end effector; and

an anvil for receiving and forming said staples, said anvil forming a portion of the first interfacing surface.

24. The electrosurgical device of claim 23

wherein said at least one driver is adapted to apply staples to tissue as the cutting element cuts between the parallel rows.

25. The electrosurgical device of claim 23 wherein a said second electrode is located on said anvil.

26. The electrosurgical device of claim 23 wherein the cartridge is formed of an insulating material.

27. The electrosurgical device of claim 25 wherein a said second electrode is located on the second interfacing surface formed by said cartridge.

28. The electrosurgical device of claim 23 wherein said end effector is adapted to apply bipolar energy to engaged tissue before the cutting element is advanced.

29. An electrosurgical device having an end effector capable of receiving electrosurgical energy therein, said end effector comprising:

first and second opposing interfacing surfaces, said interfacing surfaces capable of engaging tissue therebetween, at least one of said first and second interfacing surfaces being electrically insulating and including a recessed portion;

electrically isolated first and second poles comprised of electrically opposite electrodes capable of conducting bipolar energy therethrough, said first pole comprised of a first electrode of a first electrical potential and said second pole comprised of a second electrode of a second electrical potential;

wherein said first electrode is located on one of said interfacing surfaces and said second electrode is located on at least one of said interfacing surfaces, and wherein a tissue contacting portion of at least one of said electrodes is located below said interfacing surface on a said recessed portion.

30. The electrosurgical device of claim 29 wherein said at least one of said electrodes is located on a said recessed portion on said first interfacing surface, and is offset from the electrically opposite electrode positioned on said second interfacing surface and with respect to said interfacing surfaces.

31. The electrosurgical device of claim 29 wherein a first portion of said at least one of said electrodes is located on a said recessed portion on said first interfacing surface and wherein a second portion of said at least one of said electrodes is offset from the electrically opposite electrode positioned on said second interfacing surface with respect to said interfacing surfaces.

32. The electrosurgical device of claim 31 said electrodes including a length at which said electrodes are not offset from each other with respect to said interfacing surfaces, wherein at least one of said electrodes is recessed in said end effector where said first and second electrodes are not offset from each other.