Electrosurgical instrument which reduces effects to adjacent tissue structures

• US 7,160,298 B2
• Filed: 04/06/2001
• Issued: 01/09/2007
• Est. Priority Date: 11/12/1997
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Dycus, Sean T., Buysse, Steven P., Johnson, Kristin D., Moses, Michael C., Tetzlaff, Philip M., Schechter, David A., Lawes, Kate R., Mihaichuk, Carolyn H.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US10/474,273
• Publication Number:
  US 20050004568A1
• Time in Patent Office: 2,104 Days
• Field of Search: 606 45- 52
• 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

An electrosurgical instrument which includes opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The instrument includes a housing and a pair of electrodes. Each electode preferably includes an electrically conductive surface (e.g., which can be dimensioned for sealing, clamping and/or cutting) and an insulating substrate which is dimensioned to be engageable with the end effectors such that the electrodes reside in opposing relation relative to one another. The dimensions of the insulating substrate are different from the dimensions of the electrically conductive surface to reduce thermal spread to adjacent tissue structures. The insulating substrate is made from a material having a Comparative Tracking Index of about 300 volts to about 600 volts to reduce the incidence of flashover.

Claims

1. A vessel or tissue sealing instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another, comprising:

a housing;

a pair of electrodes each including an electrically conductive surface each having a first radii and an insulating substrate each having a second radii, the outer radial dimensions of the insulating substrate being different from the outer radial dimensions of the electrically conductive surface to reduce thermal spread to adjacent tissue structures and the insulating substrate is made from a material having a Comparative Tracking Index of about 300 volts to about 600 volts to reduce the incidence of flashover during the sealing process; and

a compliant material disposed about an outer periphery of at least one of the electrically conductive surfaces.

2. A vessel or tissue sealing instrument according to claim 1 wherein the insulating substrate is selected from the group consisting of nylon, syndiotactic-polystryrene, polybutylene terephthalate, polycarbonate, acrylonitrile butadiene styrene, polyphthalamide, polymide, polyethylene terephthalate, polyamide-imide, acrylic, polystyrene, polyether sulfone, aliphatic polyketone, acetal copolymer, polyurethane, nylon with polyphenylene-oxide dispersion and acrylonitrile styrene acrylate.

3. A vessel or tissue sealing instrument according to claim 1 wherein the insulating substrate is mounted to the electrically conductive surface by overmolding a stamped plate.

4. A vessel or tissue sealing instrument according to claim 1 wherein the insulating substrate is mounted to the electrically conductive surface by overmolding a metal injection molded plate.

5. A vessel or tissue sealing instrument according to claim 1 wherein the electrically conductive surface of at least one electrode includes a pinch trim and the insulating substrate extends beyond a periphery of the electrically conductive surface.

6. A vessel or tissue sealing instrument according to claim 1 wherein the insulating substrate of each of the electrodes includes at least one mechanical interface for engaging a complimentary mechanical interface disposed on the corresponding end effector of the instrument.

7. A vessel or tissue sealing instrument according to claim 1 wherein the electrically conductive surfaces of the opposing jaw members cooperate to seal tissue.

8. A vessel or tissue sealing instrument according to claim 1 wherein the electrically conductive surfaces of the opposing jaw members include shearing surfaces which cooperate to cut tissue.

9. A vessel or tissue sealing instrument having a handle and at least one shaft for effecting movement of a pair of opposing end effectors relative to one another, comprising:

a housing;

a pair of electrodes each having an electrically conductive surface having a first geometric shape and an insulating substrate having a second geometric shape, the electrodes being integrally associated with the end effectors of the instrument such that the electrodes reside in opposing relation relative to one another; and

a compliant material disposed about an outer periphery of at least one of the electrically conductive surfaces,

wherein the second geometric shape of the insulating substrate is different than the first geometric shape of the electrically conductive surface to reduce thermal spread to adjacent tissue structures and the insulating substrate is made from a material having a Comparative Tracking Index of about 300 volts to about 600 volts to reduce the incidence of flashover during the sealing process.