End effector coatings for electrosurgical instruments

• US 7,780,663 B2
• Filed: 09/22/2006
• Issued: 08/24/2010
• Est. Priority Date: 09/22/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Moran, Kenneth V., Shuster, Phillip Q., Kuhns, Jesse J., Giordano, James R., Baxter, Chester O. III, Yates, David C., Witt, David A.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US11/534,326
• Publication Number:
  US 20080077131A1
• Time in Patent Office: 1,432 Days
• Field of Search: 606/41, 606 45- 52, 606151-153, 227/175.1, 227/176.1, 227/181.1
• US Class Current: 606/51
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• 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 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• 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

An electrosurgical stapling instrument includes an end effector capable of applying bipolar RF energy into tissue. The end effector has a first pole electrode and a second pole electrode for forming an RF contact circuit with tissue. At least one of the electrodes may have a dielectric coating thereon to create a RF circuit with tissue. The dielectric coating can cover one of the electrodes to create a capacitive coupling circuit with tissue, or can have at least one open passageway extending through the dielectric coating to enable tissue contact with the electrode and the passage of RF energy therethrough. The dielectric coating on the electrode can be masked to create passageways through the dielectric, or the dielectric coating can be locally removed with a variety of techniques to form passageways. The dielectric coating may provide a barrier to prevent shorting between the dielectrically coated electrode and a conductive fastener embedded within tissue. Alternately, a cartridge coating can be used to reduce an electric surface sheet charge on the cartridge thermoplastic that can occur during the application of RF energy to tissue.

Claims

1. An electrosurgical instrument having an end effector capable of clamping on tissue and receiving RF bipolar energy therein, said end effector comprising:

a) a first pole electrode having a first tissue contact surface;

b) a second pole electrode having a second tissue contact surface with at least one pocket recessed therein; and

c) a dielectric coating placed on said second pole electrode across said second tissue contact surface and into said at least one pocket, said dielectric coating having at least one open channel recessed deep into said at least one open pocket and extending through said dielectric coating to provide passage of radio frequency energy between said first and second pole electrodes, wherein when the end effector is clamped without tissue therein, said first and said second pole electrodes are configured to prevent shorting contact therebetween, wherein when the end effector is clamped with at least one electrically conducting object therein, said first and second pole electrodes and said dielectric coating are configured to prevent said at least one electrically conducting object from directly shorting said first and second pole electrodes together.

2. The electrosurgical instrument of claim 1 wherein at least one of said first pole electrode or said second pole electrode includes at least one staple forming pocket therein in direct opposition to a staple positioned for ejection from within the end effector, said staple forming pocket configured to secure said staple into tissue as said staple is ejected, wherein at least a portion of said at least one staple forming pocket is free of dielectric coating and provides at least one open channel through said dielectric coating.

3. The electrosurgical instrument of claim 2 wherein said electrosurgical instrument includes at least one electrically conductive staple formable against one of said first pole electrode or said second pole electrode.

4. The electrosurgical instrument of claim 3 wherein said electrically conductive staple has a dielectric coating.

5. The electrosurgical instrument of claim 1 wherein said dielectric coating contains at least one coating selected from the group of polytetrafluroethelene, at least one of a series of polymers based on paraxylene, titanium dioxide, and epoxy.

6. The electrosurgical instrument of claim 5 wherein said at least one channel is in said dielectric coating, on at least one of said first pole electrode or said second pole electrode, and comprises one or more of an open channel:

a) etched through said dielectric coating with sandblasting,

b) etched through said dielectric coating with water jetting,

c) ground in place through said dielectric coating, or

d) etched through said dielectric coating with laser etching.

7. The electrosurgical instrument of claim 5 wherein said dielectric passage is selectively masked from areas of said first pole electrode or said second pole electrode to prevent dielectric coatings from adhering thereto, said selectively masked areas having a masked edge around each dielectric passage.

8. The electrosurgical instrument of claim 1 wherein said dielectric coating comprises one or more of:

a) a generally constant thickness, or

b) a variable thickness.

9. The electrosurgical instrument of claim 1 further including a knife moveable through the end effector.

10. The electrosurgical instrument of claim 1, wherein the end effector further comprises a first clamping member and a second clamping member, wherein the second clamping member is movable toward the first clamping member, wherein the second clamping member includes both the first pole electrode and the second pole electrode.

11. An electrosurgical instrument having an end effector for clamping and coagulating tissue with bipolar energy, said end effector comprising:

a) a first clamping member;

b) a second clamping member, wherein the second clamping member is movable toward the first clamping member to clamp tissue between the first clamping member and the second clamping member, wherein the second clamping member comprises;

i) a first pole electrode having a first contact surface configured to provide a contact for tissue, and

ii) a second pole electrode having a second contact surface configured to provide a contact for tissue, said second pole electrode having at least one pocket recessed therein; and

c) a dielectric coating entirely covering the second pole electrode of the second clamping member, said dielectric coating having at least one open channel recessed into said at least one pocket and extending through said dielectric coating to provide passage of radio frequency energy between said first and second pole electrodes, said dielectric coating placing a non-conducting barrier between said first pole electrode of the second clamping member and said second pole electrode of the second clamping member.

12. The electrosurgical instrument of claim 11 wherein said dielectric coating creates a capacitive coupling circuit when clamping and coagulating tissue between the first and second clamping members, the capacitive coupling circuit being created with the first and second pole electrodes of the second clamping member.

13. The electrosurgical instrument of claim 11 wherein said bipolar energy is radio frequency energy.

14. The electrosurgical instrument of claim 11 wherein said dielectric coating is at least one selected from the group of polytetrafluroethelene, at least one of a series of polymers based on paraxylene, titanium dioxide, and epoxy.

15. The electrosurgical instrument of claim 11 further including a knife moveable through the first clamping member.

16. The electrosurgical instrument of claim 11, wherein the first pole electrode extends along a central portion of the second clamping member, wherein at least part of the second pole electrode is positioned lateral to the first pole electrode.

17. The electrosurgical instrument of claim 11, wherein the second clamping member further comprises an insulator separating the first pole electrode from the second pole electrode, wherein the insulator has a C-shaped cross-section, wherein the dielectric coating is further positioned between the second pole electrode and the insulator.

18. The electrosurgical instrument of claim 11, wherein the second clamping member further comprises a plurality of staple forming pockets.

19. The electrosurgical instrument of claim 18, wherein the plurality of staple forming pockets are formed in the second pole electrode, wherein the dielectric coating extends fully into the staple forming pockets.

20. An electrosurgical instrument having an end effector capable of applying bipolar energy and placing at least one staple into tissue compressed therein, said end effector comprising;

a) a first pole electrode having a first tissue contact surface;

b) a second pole electrode, wherein the second pole electrode has a second tissue contact surface defining a recess, wherein the recess is positioned opposite one of the at least one staple positioned for ejection from within the end effector, wherein the recess is configured to secure the one of at least one staple into tissue as the staple is ejected; and

c) a dielectric coating on the second pole electrode, wherein the dielectric coating extends across at least a portion of the second tissue contact surface, wherein the dielectric coating further defines an opening at the recess providing a passageway through the recess for radio frequency energy to be communicated between the first pole electrode and the second pole electrode, wherein the end effector is configured to clamp tissue such that the first and second pole electrodes and the dielectric coating are configured to prevent the tissue from directly shorting the first and second pole electrodes.

21. The electrosurgical instrument of claim 20 wherein said coating is a dielectric comprising at least one selected from a group of polytetrafluroethelene, at least one of a series of polymers based on paraxylene, titanium dioxide, and epoxy.

22. The electrosurgical instrument of claim 20 further including a knife moveable through the end effector.

23. The electrosurgical instrument of claim 20, wherein the recess comprises a staple forming pocket.

24. An electrosurgical instrument having an end effector capable of applying bipolar energy and placing at least one fastener into tissue compressed therein, said end effector comprising;

a) a first pole electrode having a first tissue contact surface;

b) a second pole electrode, wherein the second pole electrode has a second tissue contact surface defining a staple forming pocket; and

c) a dielectric coating on the second pole electrode, wherein the dielectric coating extends across at least a portion of the second tissue contact surface, wherein the dielectric coating further defines an opening at the staple forming pocket providing a passageway through the staple forming pocket for radio frequency energy to be communicated between the first pole electrode and the second pole electrode.

25. The electrosurgical instrument of claim 24, wherein said dielectric coating on said staple is at least one selected from the group of polytetrafluroethelene, at least one of a series of polymers based on paraxylene, titanium dioxide, and epoxy.