Electrosurgical jaw structure for controlled energy delivery

• US 6,770,072 B1
• Filed: 12/03/2002
• Issued: 08/03/2004
• Est. Priority Date: 10/22/2001
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: SurgRx, Inc. (Johnson & Johnson)
• Inventors: Truckai, Csaba, Shadduck, John H., Baker, James A.
• Primary Examiner(s): Gibson, Roy D.
• Assistant Examiner(s): ROANE, AARON F
• Application Number:
  US10/308,362
• Time in Patent Office: 609 Days
• Field of Search: 606/45, 606/47, 606/49-52
• US Class Current: 606/52
• 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 2018/00029 open
• 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 2018/00148 with metal
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

A working end of a surgical instrument that carries first and second jaws for delivering energy to tissue. In a preferred embodiment, at least one jaw of the working end defines a tissue-engagement plane that contacts the targeted tissue. The cross-section of the engagement plane reveals that it defines a surface conductive portion and an elastomeric body portion. The elastomeric body portion is adapted to flex, deflect and extend laterally when engaging tissue to atraumatically engage tissue at the edges of the working end to create a smooth transition between welded tissue and undamaged tissue. The jaws can further carry a variably resistive matrix of a temperature-sensitive resistive material or a pressure-sensitive resistive material. An interior of the jaw carries a conductive material or electrode that is coupled to an Rf source and controller. In an exemplary embodiment, the variably resistive matrix can comprise a positive temperature coefficient (PTC) material, such as a ceramic, that is engineered to exhibit a dramatically increasing resistance (i.e., several orders of magnitude) above a specific temperature of the material. In use, the engagement plane will apply active Rf energy to captured tissue until the point in time that the variably resistive matrix is heated to its selected switching range. Thereafter, current flow from the conductive electrode through the engagement surface will be terminated due to the exponential increase in the resistance of variably resistive matrix to provide instant and automatic reduction of Rf energy application. Thus, the jaw structure can automatically modulate the application of energy to tissue between active Rf heating and passive conductive heating of captured tissue to maintain a target temperature level.

Claims

1. A working end of a surgical instrument for delivering energy to tissue, comprising:

paired first and second jaw members moveable between an open position and a closed position relative to an engagement plane; and

at least one jaw having an electrically conductive inward portion extending along an axis and at least one outward portion extending in parallel to and laterally outside of said first inward portion;

wherein the outward portion is more flexible than the inward portion so that the outward portion can flatten relative to the inward portion when engaging tissue on the engagement plane.

2. The working end of claim 1 wherein said inward portion comprises an electrode portion.

3. The working end of claim 1 wherein said outward portion comprises an electrode portion.

4. The working end of claim 1 wherein said inward portion and said outward portion each comprise an electrode portion.

5. The working end of claim 1 wherein said outward portion comprises an elastomeric composition.

6. The working end of claim 5 wherein said elastomeric composition is silicone-based.

7. The working end of claim 1 wherein said outward portion comprises a closed-cell foam.

8. The working end of claim 1 wherein said outward portion comprises an open-cell foam.

9. The working end of claim 8 further comprising a fluid source coupled to said open-cell foam.

10. The working end of claim 1 wherein the jaw carries a body portion having an electrical resistance that increases with an increase in temperature thereof.

11. The working end of claim 1 wherein the jaw carries a body portion having an electrical resistance that decreases with an increase in temperature thereof.

12. The working end of claim 1 wherein the jaw carries a body portion that defines a switching range at which its electrical resistance substantially increases or decreases in a selected temperature range.

13. The working end of claim 1 wherein the jaw carries a body portion having a resistance to electrical current flow therethrough that decreases with pressure applied thereto.

14. The working end of claim 1 wherein the jaw carries a body portion having a resistance to electrical current flow therethrough that increases with pressure applied thereto.

15. The working end of claim 1 wherein said outward portion comprises tissue-gripping elements.

16. The working end of claim 15 wherein said tissue-gripping elements have an exposed conductive surface.

17. The working end of claim 15 wherein said tissue-gripping elements have an exposed insulated surface.

18. The working end of claim 1 wherein said outward portion comprises retractable tissue-gripping elements.

19. A method for controlled application of energy to tissue, comprising the steps of:

providing a working end with opposing jaws for engaging tissue, at least one jaw having axially oriented inward and outward portions, wherein at least two said outward portions are disposed laterally on opposite sides of at least one inward portion and are composed of an elastomeric material;

engaging tissue between the opposing jaws; and

delivering RF energy to said tissue wherein said elastomeric material of the outward portions flexes to altraumatically engage the tissue at the outer edges of the inward portion.