Vessel sealing instrument

• US 7,513,898 B2
• Filed: 01/16/2008
• Issued: 04/07/2009
• Est. Priority Date: 10/23/1998
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Arts, Gene H., Johnson, Kristin D., Ehr, Chris J.
• Primary Examiner(s): Cohen; Lee S
• Application Number:
  US12/015,404
• Publication Number:
  US 20080114356A1
• Time in Patent Office: 447 Days
• Field of Search: 606/51
• US Class Current: 606/51
• 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 2018/126 bipolar
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A bipolar electrosurgical instrument for clamping, grasping, manipulating, and sealing tissue includes first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof. The handle being operable to effect movement of the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. The bipolar instrument is connectable to a source of electrical energy having a first electrical potential connected to one of the jaw members and a second electrical potential connected to the other of the jaw members such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal. Both the first and second electrical potentials are transmitted to the jaw members through the first shaft.

Claims

1. A bipolar electrosurgical instrument for use in open surgery, comprising:

first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween, the pivot configured to selectively receive a knife, each of the jaw members including a channel extending from a proximal end of the jaw member to the distal end of the jaw member;

each jaw member being adapted to connect to a source of electrosurgical energy having first and second electrical potentials, a conductive lead connected to one of the jaw members providing the first electrical potential, and a conductive tube connected to other jaw member providing the second electrical potential such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal; and

a distal connector disposed between the jaw members for electrically isolating the first and second electrical potentials, the distal connector including a donut-like mechanical interface that mechanically engages a distal end of the conductive lead.

2. A bipolar electrosurgical instrument for use in open surgery according to claim 1, wherein a knife is disposed within each of the channels between the jaw members, the knife being selectively translatable within each of the channels from a first position proximal to tissue grasped between the jaw members to a distal position to sever tissue held between the jaw members.

3. A bipolar electrosurgical instrument for use in open surgery according to claim 2, wherein the knife is made from a non-conductive material.

4. A bipolar electrosurgical instrument for use in open surgery according to claim 2, wherein the knife is made from a conductive material and is adapted to connect to the electrosurgical energy source.

5. A bipolar electrosurgical instrument for use in open surgery according to claim 1, further comprising:

a control rod for remotely actuating the knife.

6. A bipolar electrosurgical instrument for use in open surgery according to claim 5, wherein the control rod is disposed along an outer periphery of one of the first and second shafts.

7. A bipolar electrosurgical instrument for use in open surgery according to claim 5, wherein the control rod is disposed through a spacer within the pivot.

8. A bipolar electrosurgical instrument for use in open surgery according to claim 1, wherein each of the jaw members includes an electrically conductive sealing surface and at least one of the jaw members includes at least one non-conductive stop member disposed on the electrically conductive sealing surface to control the distance between opposing electrically conductive sealing surfaces when tissue is held therebetween.

9. A bipolar electrosurgical instrument according to claim 8, further comprising a non-stick coating disposed on the electrically conductive sealing surfaces.

10. A bipolar electrosurgical instrument according to claim 9, wherein the non-stick coating is selected from a group of materials consisting of:

nitrides and nickel/chrome alloys.

11. A bipolar electrosurgical instrument according to claim 9, wherein the non-stick coating includes at least one of TiN, ZrN, TiAlN, CrN, nickel/chrome alloys with a Ni/Cr ratio of approximately 5:

1, Inconel 600, Ni200 and Ni201.

12. A bipolar electrosurgical instrument according to claim 1, further comprising a ratchet disposed on the first shaft and a complementary interlocking mechanical interface disposed on the second shaft, the ratchet and complementary interlocking mechanical interface providing at least one interlocking position to maintain a closure pressure in the range of about 3 kg/cm² to about 16 kg/cm² between the jaw members.

13. A bipolar electrosurgical instrument for use in open surgery, comprising:

first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween, the pivot configured to selectively receive a knife;

each jaw member being adapted to connect to a source of electrosurgical energy having first and second electrical potentials, a conductive lead connected to one of the jaw members providing the first electrical potential, and a conductive tube connected to other jaw member providing the second electrical potential such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal; and

a distal connector disposed between the jaw members for electrically isolating the first and second electrical potentials, the distal connector including a donut-like mechanical interface that mechanically engages a distal end of the conductive lead.

14. A bipolar electrosurgical instrument for use in open surgery according to claim 13, wherein one of the jaw members includes a recess defined in a proximal end thereof, the recess housing a knife therein and having a cam-like profile such that selective, distal movement of the knife deflects the knife into and through tissue held between jaw members.

15. A bipolar electrosurgical instrument for use in open surgery according to claim 14, wherein the knife is made from a non-conductive material.

16. A bipolar electrosurgical instrument for use in open surgery according to claim 14, wherein the knife is made from a conductive material and is adapted to connect to the electrosurgical energy source.

17. A bipolar electrosurgical instrument for use in open surgery according to claim 13, wherein each of the jaw members includes an electrically conductive sealing surface and at least one of the jaw members includes at least one non-conductive stop member disposed on the electrically conductive sealing surface to control the distance between opposing electrically conductive sealing surfaces when tissue is held therebetween.

18. A bipolar electrosurgical instrument according to claim 17, further comprising a non-stick coating disposed on the electrically conductive sealing surfaces.

19. A bipolar electrosurgical instrument according to claim 18, wherein the non-stick coating is selected from a group of materials consisting of:

nitrides and nickel/chrome alloys.

20. A bipolar electrosurgical instrument according to claim 18, wherein the non-stick coating includes at least one of TiN, ZrN, TiAlN, CrN, nickel/chrome alloys with a Ni/Cr ratio of approximately 5:

1, Inconel 600, Ni200 and Ni201.

21. A bipolar electrosurgical instrument according to claim 13, further comprising a ratchet disposed on the first shaft and a complementary interlocking mechanical interface disposed on the second shaft, the ratchet and complementary interlocking mechanical interface providing at least one interlocking position to maintain a closure pressure in the range of about 3 kg/cm² to about 16 kg/cm² between the jaw members.

22. A bipolar electrosurgical instrument for use in open surgery, comprising:

first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween;

each of the jaw members being adapted to connect to a source of electrical energy having first and second electrical potentials, each of the jaw members including electrically conductive sealing surfaces having a non-stick coating disposed thereon, a conductive lead connected to one of the jaw members providing the first electrical potential, and a conductive tube connected to other jaw member providing the second electrical potential such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal; and

a distal connector disposed between the jaw members for electrically isolating the first and second electrical potentials, the distal connector including a donut-like mechanical interface that mechanically engages a distal end of the conductive lead.

23. A bipolar electrosurgical instrument according to claim 22, wherein the non-stick coating is selected from a group of materials consisting of:

nitrides and nickel/chrome alloys.