Tissue fusion/welder apparatus and method

• US 7,625,370 B2
• Filed: 01/16/2003
• Issued: 12/01/2009
• Est. Priority Date: 02/13/2002
• Status: Active Grant

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Pingleton, Edward D., Hilal, Said S., Brustad, John R., Hart, Charles C., Johnson, Gary M.
• Primary Examiner(s): Peffley; Michael
• Application Number:
  US10/504,279
• Publication Number:
  US 20050165444A1
• Time in Patent Office: 2,511 Days
• Field of Search: 606 27- 31, 606/41, 606 48- 52, 606213-216
• US Class Current: 606/27
• CPC Class Codes: A61B 17/12013 for use in minimally invasive surgery, e.g. endoscopic surgery
• 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 18/1477 Needle-like probes
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• 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 2018/1425 Needle
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.

Claims

1. A tissue welding apparatus for fusing a first piece of tissue in a surface proximate relationship with a second piece of tissue, comprising:

an operative member adapted to be disposed generally on a side of the first piece of tissue opposite the second piece of tissue;

at least one penetrating member movable with the operative member relative to the first piece of tissue, the penetrating member being adapted to penetrate the first piece of tissue and the second piece of tissue;

the penetrating member being adapted for connection to a source of heat for heating the penetrating member in order to form a tissue weld bonding the first piece of tissue to the second piece of tissue;

a chemical agent carried by the penetrating member on an exterior surface of the penetrating member, at least a portion of the chemical agent adapted to be released when the penetrating member penetrates at least one of the first piece of tissue and the second piece of tissue to facilitate a reaction between the chemical agent and at least one of the first piece of tissue and the second piece of tissue;

an elongate shaft, the operative member being a first jaw connected to the elongate shaft; and

a second jaw connected to the shaft in an opposing relationship with the first jaw, the first jaw movable towards the second jaw;

wherein the at least one penetrating member comprises a plurality of needles affixed to a substantially planar surface of the first jaw; and

further comprising an energizing block movable longitudinally along the first jaw electrically coupling a subset of the plurality of needles to the source of heat.

2. The apparatus recited in claim 1, further comprising:

a chemical releasing member disposed on the at least one penetrating member and having properties for carrying the chemical agent.

3. The apparatus recited in claim 1, wherein the chemical agent has properties for producing a mechanical reaction with at least one of the first piece of tissue and the second piece of tissue.

4. The apparatus recited in claim 3, wherein the chemical agent includes at least one of an adhesive, a lubricant, and a coagulant.

5. The apparatus recited in claim 1, wherein the chemical agent has properties for producing a chemical reaction with at least one of the first piece of tissue and the second piece of tissue.

6. The apparatus recited in claim 5, wherein the chemical agent includes at least one of a thrombogenic, fibrogenic, germicidal, and microbial material.

7. The apparatus recited in claim 1, wherein the at least one penetrating member comprises the plurality of needles each integrated with a corresponding chemical releasing portion supplying the chemical agent.

8. The apparatus recited in claim 1, wherein the source of heat comprises a direct current electrical power source.

9. The apparatus recited in claim 1, wherein the second jaw comprises a continuous flat planar surface along an entire length of the second jaw facing the first jaw.

10. The apparatus recited in claim 1, wherein each of the plurality of needles comprise an electrosurgical electrode.

11. The apparatus recited in claim 1, wherein the second jaw comprises an electrosurgical electrode.

12. The apparatus recited in claim 1, further comprising a solid state energy source and wherein each of the plurality of needles is an individual electrode selectable to receive electrical energy from the solid state energy source.

13. The apparatus recited in claim 1, wherein the second jaw comprises a plurality of apertures facing the plurality of needles on the opposing first jaw.

14. The apparatus recited in claim 13, wherein the second jaw is movable in a first direction towards the first jaw positioning each of the plurality of needles into an associated aperture of the plurality of apertures of the second jaw.

15. The apparatus of claim 14 wherein the second jaw is movable along a second direction being different from the first direction, each of the plurality of needles inserted into the associate aperture of the plurality of apertures contacting portions of each of the plurality of apertures of the second jaw.

16. A tissue welding apparatus for fusing a first piece of tissue in a surface proximate relationship with a second piece of tissue, comprising:

an operative member adapted to be disposed generally on a side of the first piece of tissue opposite the second piece of tissue;

at least one penetrating member movable with the operative member relative to the first piece of tissue, the penetrating member being adapted to penetrate the first piece of tissue and the second piece of tissue;

the penetrating member being adapted for connection to a source of heat for heating the penetrating member in order to form a tissue weld bonding the first piece of tissue to the second piece of tissue;

a chemical agent carried by the penetrating member on an exterior surface of the penetrating member, at least a portion of the chemical agent adapted to be released when the penetrating member penetrates at least one of the first piece of tissue and the second piece of tissue to facilitate a reaction between the chemical agent and at least one of the first piece of tissue and the second piece of tissue;

an elongate shaft, the operative member being a first jaw connected to the elongate shaft;

a second jaw connected to the shaft in an opposing relationship with the first jaw, the first jaw movable towards the second jaw;

wherein the at least one penetrating member comprises a plurality of needles affixed to a substantially planar surface of the first jaw; and

further comprising an energizing block movable from a proximal position to a distal position and sequentially supplying electrical energy to groups of the plurality of needles along the first jaw.

17. The apparatus recited in claim 16, further comprising:

a chemical releasing member disposed on the at least one penetrating member and having properties for carrying the chemical agent.

18. The apparatus recited in claim 16, wherein the chemical agent has properties for producing a mechanical reaction with at least one of the first piece of tissue and the second piece of tissue.

19. The apparatus recited in claim 18, wherein the chemical agent includes at least one of an adhesive, a lubricant, and a coagulant.

20. The apparatus recited in claim 16, wherein the chemical agent has properties for producing a chemical reaction with at least one of the first piece of tissue and the second piece of tissue.

21. The apparatus recited in claim 20, wherein the chemical agent includes at least one of a thrombogenic, fibrogenic, germicidal, and microbial material.

22. The apparatus recited in claim 16, wherein the at least one penetrating member comprises the plurality of needles each integrated with a corresponding chemical releasing portion supplying the chemical agent.

23. The apparatus recited in claim 16, wherein the source of heat comprises a direct current electrical power source.

24. The apparatus recited in claim 16, wherein the second jaw comprises a continuous flat planar surface along an entire length of the second jaw facing the first jaw.

25. The apparatus recited in claim 16, wherein each of the plurality of needles comprise an electrosurgical electrode.

26. The apparatus recited in claim 16, wherein the second jaw comprises an electrosurgical electrode.

27. The apparatus recited in claim 16, further comprising a solid state energy source and wherein each of the plurality of needles is an individual electrode selectable to receive electrical energy from the solid state energy source.

28. The apparatus recited in claim 16, wherein the second jaw comprises a plurality of apertures facing the plurality of needles on the opposing first jaw.

29. The apparatus recited in claim 28, wherein the second jaw is movable in a first direction towards the first jaw positioning each of the plurality of needles into an associated aperture of the plurality of apertures of the second jaw.

30. The apparatus of claim 29 wherein the second jaw is movable along a second direction being different from the first direction, each of the plurality of needles inserted into the associate aperture of the plurality of apertures contacting portions of each of the plurality of apertures of the second jaw.

31. A tissue welding apparatus for fusing a first piece of tissue in a surface proximate relationship with a second piece of tissue, comprising:

an operative member adapted to be disposed generally on a side of the first piece of tissue opposite the second piece of tissue;

at least one penetrating member movable with the operative member relative to the first piece of tissue, the penetrating member being adapted to penetrate the first piece of tissue and the second piece of tissue; and

the at least one penetrating member comprising a plurality of needles affixed to a substantially planar surface of the first jaw

the penetrating member being adapted for connection to a source of heat for heating the penetrating member in order to form a tissue weld bonding the first piece of tissue to the second piece of tissue;

an energizing block movable longitudinally along the first jaw electrically coupling a subset of the plurality of needles to the source of heat; and

a chemical agent carried by the penetrating member to facilitate a reaction between the chemical agent and at least one of the first piece of tissue and the second piece of tissue.

32. The apparatus recited in claim 31, further comprising:

a chemical releasing member disposed on the at least one penetrating member and having properties for carrying the chemical agent.

33. The apparatus recited in claim 31, wherein the chemical agent has properties for producing a mechanical reaction with at least one of the first piece of tissue and the second piece of tissue.

34. The apparatus recited in claim 33, wherein the chemical agent includes at least one of an adhesive, a lubricant, and a coagulant.

35. The apparatus recited in claim 31, wherein the chemical agent has properties for producing a chemical reaction with at least one of the first piece of tissue and the second piece of tissue.

36. The apparatus recited in claim 35, wherein the chemical agent includes at least one of a thrombogenic, fibrogenic, germicidal, and microbial material.

37. The apparatus recited in claim 31, wherein the at least one penetrating member comprises the plurality of needles each integrated with a corresponding chemical releasing portion supplying the chemical agent.

38. The apparatus recited in claim 31, wherein the source of heat comprises a direct current electrical power source.

39. The apparatus recited in claim 31, wherein the second jaw comprises a continuous flat planar surface along an entire length of the second jaw facing the first jaw.

40. The apparatus recited in claim 31, wherein each of the plurality of needles comprise an electrosurgical electrode.

41. The apparatus recited in claim 31, wherein the second jaw comprises an electrosurgical electrode.

42. The apparatus recited in claim 31, further comprising a solid state energy source and wherein each of the plurality of needles is an individual electrode selectable to receive electrical energy from the solid state energy source.

43. The apparatus recited in claim 31, wherein the second jaw comprises a plurality of apertures facing the plurality of needles on the opposing first jaw.

44. The apparatus recited in claim 43, wherein the second jaw is movable in a first direction towards the first jaw positioning each of the plurality of needles into an associated aperture of the plurality of apertures of the second jaw.

45. The apparatus of claim 44 wherein the second jaw is movable along a second direction being different from the first direction, each of the plurality of needles inserted into the associate aperture of the plurality of apertures contacting portions of each of the plurality of apertures of the second jaw.

46. A tissue welding apparatus for fusing a first piece of tissue in a surface proximate relationship with a second piece of tissue, comprising:

an operative member adapted to be disposed generally on a side of the first piece of tissue opposite the second piece of tissue;

at least one penetrating member movable with the operative member relative to the first piece of tissue, the penetrating member being adapted to penetrate the first piece of tissue and the second piece of tissue; and

the at least one penetrating member comprising a plurality of needles affixed to a substantially planar surface of the first jaw

the penetrating member being adapted for connection to a source of heat for heating the penetrating member in order to form a tissue weld bonding the first piece of tissue to the second piece of tissue;

an energizing block movable from a proximal position to a distal position and sequentially supplying electrical energy to groups of the plurality of needles along the first jaw; and

a chemical agent carried by the penetrating member to facilitate a reaction between the chemical agent and at least one of the first piece of tissue and the second piece of tissue.

47. The apparatus recited in claim 46, further comprising:

a chemical releasing member disposed on the at least one penetrating member and having properties for carrying the chemical agent.

48. The apparatus recited in claim 46, wherein the chemical agent has properties for producing a mechanical reaction with at least one of the first piece of tissue and the second piece of tissue.

49. The apparatus recited in claim 48, wherein the chemical agent includes at least one of an adhesive, a lubricant, and a coagulant.

50. The apparatus recited in claim 46, wherein the chemical agent has properties for producing a chemical reaction with at least one of the first piece of tissue and the second piece of tissue.

51. The apparatus recited in claim 50, wherein the chemical agent includes at least one of a thrombogenic, fibrogenic, germicidal, and microbial material.

52. The apparatus recited in claim 46, wherein the at least one penetrating member comprises the plurality of needles each integrated with a corresponding chemical releasing portion supplying the chemical agent.

53. The apparatus recited in claim 46, wherein the source of heat comprises a direct current electrical power source.

54. The apparatus recited in claim 46, wherein the second jaw comprises a continuous flat planar surface along an entire length of the second jaw facing the first jaw.

55. The apparatus recited in claim 46, wherein each of the plurality of needles comprise an electrosurgical electrode.

56. The apparatus recited in claim 46, wherein the second jaw comprises an electrosurgical electrode.

57. The apparatus recited in claim 46, further comprising a solid state energy source and wherein each of the plurality of needles is an individual electrode selectable to receive electrical energy from the solid state energy source.

58. The apparatus recited in claim 46, wherein the second jaw comprises a plurality of apertures facing the plurality of needles on the opposing first jaw.

59. The apparatus recited in claim 58, wherein the second jaw is movable in a first direction towards the first jaw positioning each of the plurality of needles into an associated aperture of the plurality of apertures of the second jaw.

60. The apparatus of claim 59 wherein the second jaw is movable along a second direction being different from the first direction, each of the plurality of needles inserted into the associate aperture of the plurality of apertures contacting portions of each of the plurality of apertures of the second jaw.