Electrosurgical hemostatic device with adaptive electrodes

• US 5,876,401 A
• Filed: 04/14/1997
• Issued: 03/02/1999
• 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: Yates, David, Nalagatla, Anil, Schulze, Dale R., Fox, William D.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/843,195
• Time in Patent Office: 687 Days
• Field of Search: 606/41, 606/42, 606/45-52, 607/100-102, 600/372, 600/374
• 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 17/1155 Circular staplers comprising a plurality of staples
• 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 18/12 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 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2018/00761 Duration
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00886 : Duration
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1273 : including multiple generators in one device
• 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 impedance, thickness, compressibility, density, vascularity, etc., especially in the performance of endoscopic procedures. The instrument provides two electrodes of different electrical potentials. One electrode is moveable with respect to the other electrode to vary the distances between the electrodes and thus the impedance of the tissue as presented to the generator. The electrode distances may be varied by an automated or user controlled device.

Claims

1. An electrosurgical device comprising:

a handle;

a first jaw member and a second jaw member connected to said handle by an actuator adapted to move said first jaw member with respect to said second jaw member;

a first surface on one of said first and second jaw members including an elongated spring electrode which extends from a proximal portion of said one jaw member to a distal portion of said one jaw member.

2. An electrosurgical device according to claim 1 wherein said one jaw member comprises said first jaw member and said second jaw member includes a second electrode arranged on a surface of said second jaw member.

3. An electrosurgical device according to claim 1 wherein said one jaw member includes a second electrode arranged on a surface of said second jaw member.

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

first and second electrically insulated opposing interfacing surfaces, said interfacing surfaces capable of engaging tissue therebetween;

a first spring electrode; and

a second electrode insulated from said first spring electrode;

wherein said first spring electrode is located on said first interfacing surface and said second electrode is located on one of said first and second interfacing surfaces.

5. The electrosurgical device of claim 4

wherein said first spring electrode is flexible and moves with respect to said second electrode from a first position to a second position.

6. The electrosurgical device of claim 5

wherein said first spring electrode moves as electrosurgical energy is applied to tissue.

7. The electrosurgical device of claim 4

wherein said first spring electrode is flexible such that, when said interfacing surfaces engage tissue, said first spring electrode and said second electrode are separated by a distance, said distance being a function of a parameter of said tissue engaged by said surfaces.

8. The electrosurgical device of claim 7 wherein said parameter is tissue composition.

9. The electrosurgical device of claim 7 wherein said parameter is tissue thickness.

10. The electrosurgical device of claim 7 wherein said parameter is tissue type.

11. The electrosurgical device of claim 7 wherein said parameter is tissue compressibility.

12. The electrosurgical device of claim 7 wherein said parameter is tissue density.

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

first and second electrically insulated opposing interfacing surfaces, said interfacing surfaces capable of engaging tissue therebetween;

a first electrode;

a second electrode insulated from said first electrode;

a removable cartridge forming at least a portion of one of said interfacing surfaces, wherein said first electrode is located on said cartridge and said second electrode is located on one of said first and second interfacing surfaces.

14. The electrosurgical device of claim 13 wherein said cartridge is selectable from a plurality of cartridges, said cartridge adapted for use in a predetermined application.

15. The electrosurgical device of claim 13 wherein said cartridge is selectable from a plurality of cartridges, said cartridge adapted for use with tissue having a predetermined tissue parameter.

16. The electrosurgical device of claim 15 wherein said tissue parameter is electrical impedance.

17. The electrosurgical device of claim 15 wherein said tissue parameter is tissue composition.

18. The electrosurgical device of claim 15 wherein said tissue parameter is tissue compressibility.

19. The electrosurgical device of claim 15 wherein said tissue parameter is tissue density.

20. The electrosurgical device of claim 15 wherein said tissue parameter is tissue type.

21. The electrosurgical device of claim 15 wherein said tissue parameter is tissue thickness.