Bipolar electrosurgical instrument with replaceable electrodes

• US 6,050,996 A
• Filed: 11/12/1997
• Issued: 04/18/2000
• Est. Priority Date: 11/12/1997
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Luzzi, Robert, Schmaltz, Dale Francis, Heard, David Nichols, Lawes, Kate Ryland, Kennedy, Jenifer Serafin, Mitchell, Mathew Erle, Trimberger, Daniel Lee II, Buysee, Steven Paul
• Primary Examiner(s): Peffley, Michael
• Application Number:
  US08/968,496
• Time in Patent Office: 888 Days
• Field of Search: 606/51, 606/52, 606/45-50, 606/41, 606/205-208
• US Class Current: 606/51
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• 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 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/146 Scissors
• CPC Class Codes: A61B 2018/1495 Electrodes being detachable from a support structure

Abstract

A bipolar electrosurgical instrument for vessel sealing comprises first and second members connected by a pivot. A pair of jaws have opposable seal surfaces that are designed to grasp vascular tissue and conduct bipolar electrosurgical current therethrough. Electrodes on the jaws, including the seal surfaces, are removable and disposable. The jaws of the instrument have mechanical interfaces designed to accept replacement electrodes. The instrument further comprises interlocking ratchets designed to hold a constant closure force between the seal surfaces. Wires extend from the electrodes along one of the members and are connectable to electrosurgical generator.

Claims

1. A bipolar electrosurgical instrument comprising:

first and second members each having a jaw member attached to a distal end thereof and a handle attached to a proximal end thereof for effecting movement of the jaw members relative to one another; and

a connector which is removably engageable with one of the first or second members, the connector having a pair of electrodes which are removably engageable with the jaw members.

2. An instrument according to claim 1 wherein the first and second members are pivotably connected.

3. An instrument according to claim 1 wherein each jaw member includes at least one mechanical interface and each electrode includes a corresponding mechanical interface which removably engages the mechanical interface of the corresponding jaw member.

4. An instrument according to claim 1 wherein each electrode includes an electrically conductive surface and an electrically insulative substrate.

5. An instrument according to claim 1 wherein the jaw members and the electrodes are curved.

6. An instrument according to claim 1 further comprising a ratchet for locking the first and second members in at least one position relative to one another.

8. The instrument of claim 1 wherein the insulative substrate on each of the first and second electrodes comprises a forked snap fit extension, and wherein each of the first and second mechanical interfaces has a recess shaped to capture the forked snap fit extension.

9. The instrument of claim 1 wherein the insulative substrate on each of the first and second electrodes comprises a pair of alignment pins, and wherein each of the first and second mechanical interfaces has a pair of recesses shaped to engage a pair of alignment pins.

10. The instrument of claim 1 wherein the first and second wires are removably attached to the first handle.

11. The instrument of claim 1 wherein the first and second wires are terminated with an electrical connector near the proximal end.

12. The instrument of claim 1 wherein the first and second electrodes are aligned in parallel opposition.

13. The instrument of claim 1 wherein each of the first and second electrodes have planar seal surfaces.

14. The instrument of claim 1 wherein each of the first and second jaws have a curved shape.

15. The instrument of claim 1 wherein the seal surface has a width, and the closure force in grams divided by the width in millimeters is in the range of 400 to 650.

16. The instrument of claim 1 wherein the seal surface has a width, and the closure force in grams divided by the width in millimeters is in the range of 1000 to 2000.

7. A bipolar electrosurgical instrument comprising:

a first member having a first jaw near a distal end of the instrument, and having a first handle near a proximal end of the instrument;

a second member having a second jaw near the distal end and having a second handle near the proximal end;

a pivot joint connecting the first and second members between the proximal and distal ends to allow for arcuate motion of the first and second jaws toward each other;

a first mechanical interface on the first jaw, and a second mechanical interface on the second jaw;

first and second electrodes removably mounted in the first and second mechanical interfaces, respectively, wherein each of the first and second electrodes has an electrically conductive seal surface and an electrically insulative substrate, and wherein each substrate is shaped to engage ore of the first or second mechanical interfaces;

first and second wires connected to the first and second electrodes, respectively;

a first ratchet on the first handle, and a second ratchet on the second handle, wherein the first and second ratchets interlock in at least one position, and wherein the position holds strain energy in the first and second members to force the first and second electrodes towards each other in opposition defining a closure force.

17. A bipolar electrosurgical instrument for sealing vascular tissue, comprising:

a first member having a first jaw near a distal end and having a first handle near a proximal end;

a second member having a second jaw near a distal end and having a second handle near a proximal end;

a pivot joint connecting the first and second members to allow for arcuate motion of the first and second jaws toward each other;

a first mechanical interface on the first jaw, and a second mechanical interface on the second jaw;

first and second electrodes removably mounted in the first and second mechanical interfaces, respectively, wherein each of the first and second electrodes has an electrically conductive seal surface and an electrically insulative substrate, and wherein each substrate has two pins and a forked snap fit extension that are shaped to engage one of the first or second mechanical interfaces;

first and second wires connected to the first and second electrodes, respectively, and removably connected to the first handle and terminated with an electrical connector;

a first ratchet on the first handle, and a second ratchet on the second handle, wherein the first and second ratchets interlock in at least one position, and wherein the position holds strain energy in the first and second handles to force the first and second electrodes against each other in opposition.