Electrosurgical instrument and method of use

• US 7,354,440 B2
• Filed: 11/18/2004
• Issued: 04/08/2008
• 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: Shaddock, John H., Truckal, Csaba
• Primary Examiner(s): Peffley; Michael
• Assistant Examiner(s): ROANE, AARON F
• Application Number:
  US10/993,413
• Publication Number:
  US 20050171535A1
• Time in Patent Office: 1,237 Days
• Field of Search: 606 41- 49
• US Class Current: 606/51
• 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 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00125 with nanostructure
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• 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 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

Embodiments of the invention provide an electrosurgical jaw structure comprising first and second opposing jaws one or both of which include 3D variable resistance bodies. The jaw structure can be part of the working end of a surgical instrument. In one embodiment, the jaws can comprise first and second energy-delivery jaw surfaces having first and second 3D variable resistance bodies, with the jaw surface configured to be coupled to an Rf source. The 3D variable resistance bodies can define different temperature-resistance curves. The 3D bodies can be configured to control ohmic heating of tissue by modulating the delivery of Rf energy to tissue. Jaw structures having the 3D bodies can be used to engage and produce high strength tissue welds in targeted tissue including tissue volumes having varying tissue types. Such jaw structures can be configured to simultaneously apply different energy levels to each tissue type within the tissue volume.

Claims

1. An electrosurgical jaw structure comprising:

first and second jaws defining first and second tissue engaging energy-delivery surfaces;

at least one jaw comprising first and second opposing polarity portions;

an energy-modulating body intermediate the first and second polarity portions, the energy-modulating body including a capacitive surface portion overlying a 3-dimensional variable impedance interior portion, wherein the energy-modulating body controls a selected parameter of Rf energy applied across the tissue-engaging surface portions.

2. The electrosurgical instrument of claim 1, wherein the parameter is at least one of voltage, current or impedance.