Electrosurgical forceps with energy based tissue division

• US 7,594,916 B2
• Filed: 11/22/2005
• Issued: 09/29/2009
• Est. Priority Date: 11/22/2005
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Weinberg, Craig
• Primary Examiner(s): Peffley; Michael
• Assistant Examiner(s): Sica; Vincent
• Application Number:
  US11/285,432
• Publication Number:
  US 20070118111A1
• Time in Patent Office: 1,407 Days
• Field of Search: 606/45, 606/46, 606 48- 51, 606205-208
• 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 2018/0019 vibrating
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting

Abstract

An electrosurgical bipolar forceps for sealing and dividing tissue is disclosed. The forceps includes one or more shaft members having an end effector assembly disposed at a distal end thereof. The end effector assembly includes two jaw members movable from a first position to a second position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive surface adapted to connect to a first energy source which communicates electrosurgical energy through tissue held therebetween. The forceps also include an energy-based cutting element adapted to connect to a second energy source and disposed between the jaw members. The energy-based cutting element is moveable from a first configuration when said jaw members are in the first position to a second configuration wherein the energy-based cutting element is disposed at an angle between the jaw members.

Claims

1. An electrosurgical bipolar forceps for treating tissue, comprising:

at least one shaft member having an end effector assembly disposed at a distal end thereof, the end effector assembly including two jaw members movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween;

each of the jaw members including an electrically conductive surface adapted to connect to a first energy source which communicates electrosurgical energy through tissue held therebetween; and

an energy-based cutting element adapted to connect to a second energy source and disposed between the jaw members, the jaw members being configured to deploy the energy-based cutting element, said energy-based cutting element being moveable by the jaw members from a first configuration longitudinally disposed within said jaw members when said jaw members are disposed in said first position to a second configuration wherein said energy-based cutting element is disposed at an angle between said jaw members when said jaw members are in at least one subsequent position;

said energy-based cutting element being pivotably engaged to said jaw members at two pivot points, a first pivot point located on one of said jaw members and a second pivot point located on the other of said jaw members.

2. An electrosurgical bipolar forceps for sealing and dividing tissue as in claim 1, wherein each of the electrically conductive surfaces comprises at least one electrically conductive sealing plate.

3. An electrosurgical bipolar forceps for sealing and dividing tissue as in claim 1, wherein the energy-based cutting element when disposed at an angle is configured for dividing tissue upon selective activation of the second energy source.

4. An electrosurgical bipolar forceps for sealing and dividing tissue as in claim 1, wherein the energy-based cutting element is an electrode configured to transmit electrosurgical energy.

5. An electrosurgical bipolar forceps for sealing and dividing tissue as in claim 1, wherein the energy-based cutting element is an ultrasonic probe configured to transmit ultrasonic energy.

6. An electrosurgical bipolar forceps for sealing and dividing tissue as in claim 1, wherein the energy-based cutting element is a thermal blade configured to transmit heat.

7. An electrosurgical bipolar forceps for sealing and dividing tissue as in claim 1, wherein each of the pivot points include mechanical interfaces which attach the energy-based cutting element to the respective jaw members allowing the energy-based cutting element to rotate freely thereabout.

8. An electrosurgical bipolar forceps for sealing and dividing tissue as in claim 1, wherein at least one of the pivot points is disposed at a proximal end of one of said jaw members and at least another of the pivot points is disposed at a distal end of the other of said jaw members.

9. An electrosurgical bipolar forceps for sealing and dividing tissue as in claim 1, further comprising:

a rotating assembly mechanically associated with the shaft member, wherein rotation of the rotating assembly imparts similar rotational movement to the shaft member and the end effector assembly.

10. A method for electrically cutting tissue comprising the steps of:

providing an electrosurgical bipolar forceps including;

two jaw members movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween,

each of the jaw members including an electrically conductive surface adapted to connect to a first energy source which communicates electrosurgical energy through tissue held therebetween, and

an energy-based cutting element adapted to connect to a second energy source and disposed between the jaw members, the jaw members being configured to deploy the energy-based cutting element, said energy-based cutting element being moveable by the jaw members from a first configuration longitudinally disposed within said jaw members when said jaw members are disposed in said first position to a second configuration wherein said energy-based cutting element is disposed at an angle between said jaw members when said jaw members are in at least one subsequent position;

said energy-based cutting element being pivotably engaged to said jaw members at two pivot points, a first pivot point located on one of said jaw members and a second pivot point located on the other of said jaw members;

positioning the jaw members in the first position to deploy the energy-based cutting element;

supplying electrosurgical energy to the energy-based cutting element; and

moving electrosurgical bipolar forceps to position the energy-based cutting element in operative proximity to tissue thereby culling tissue.

11. A method for electrically cutting tissue according to claim 10, wherein each of the electrically conductive surfaces includes at least one electrically conductive sealing plate.

12. A method for electrically cutting tissue according to claim 10, wherein the energy-based cutting element when disposed at an angle is configured for dividing tissue upon selective activation of the second energy source.

13. A method for electrically cutting tissue according to claim 10, wherein each of the pivot points include mechanical interfaces which attach the energy-based cutting element to the respective jaw members allowing the energy-based cutting element to rotate freely thereabout.

14. A method for electrically cutting tissue according to claim 10, wherein at least one of the pivot points is disposed at a proximal end of one of said jaw members and at least another of the pivot points is disposed at a distal end of the other of said jaw members.

15. An electrosurgical bipolar forceps for treating tissue, comprising:

at least one shaft member having an end effector assembly disposed at a distal end thereof the end effector assembly including two jaw members movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween;

each of the jaw members including an electrically conductive surface adapted to connect to a first energy source which communicates electrosurgical energy through tissue held therebetween; and

a cutting element disposed between the jaw members, the jaw members being configured to deploy the energy-based cutting element, the cutting element being pivotably movable at two pivot points, a first pivot point located at a proximal end of one of the jaw members and a second pivot point located at a distal end of the other of the jaw members, wherein the cutting element is movable from a first configuration longitudinally disposed within the jaw members when the jaw members are disposed in the first position to a second configuration wherein the cutting element is disposed at an angle between the jaw members when the jaw members are disposed in at least one subsequent position.