Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion

• US 7,799,026 B2
• Filed: 11/13/2003
• Issued: 09/21/2010
• Est. Priority Date: 11/14/2002
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Johnson, Kristin D., Schechter, David A.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US10/712,486
• Publication Number:
  US 20040143263A1
• Time in Patent Office: 2,504 Days
• Field of Search: 606 48- 52
• US Class Current: 606/51
• CPC Class Codes: A61B 17/04 for suturing wounds; Holders or packages for needles or suture materials suture materials A61L17/00
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• 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 2017/00265 Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
• CPC Class Codes: A61B 2017/00504 Tissue welding
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections Y-shaped blood vessel prostheses A61F2002/065
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2090/064 : for measuring force, pressure or mechanical tension

Abstract

The present disclosure relates to electrosurgical instruments for use in sealing various tissues. The instrument includes a housing having a shaft attached thereto and an end effector assembly attached to a distal end of the shaft, wherein the end effector assembly includes first and second jaw members attached thereto. The jaw members are movable relative to one another from a first position for approximating tissue to at least one additional position for grasping tissue therebetween. The jaw members have an elastomeric material disposed on an inner facing tissue contacting surface thereof with the elastomeric materials including an electrode disposed therein. The electrodes are offset a distance X relative to one another such that when the jaw members are closed about the tissue and when the electrodes are activated, electrosurgical energy flows through the tissue in a generally coplanar manner relative to the tissue contacting surfaces.

Claims

1. A tissue or vessel sealing instrument, comprising:

a housing having a shaft attached thereto, the shaft defining a longitudinal axis; and

an end effector assembly attached to a distal end of the shaft, the end effector assembly including first and second jaw members attached thereto made from a substantially rigid material, at least one jaw member being movable relative to the other jaw member from a first position for approximating tissue to at least one additional position for grasping tissue therebetween;

each of the jaw members including an elastomeric material disposed on an inner facing tissue contacting surface thereof, the elastomeric material of the first jaw member completely surrounding a first electrode associated therewith, each of the electrodes including a planar tissue-contacting surface disposed transverse to the longitudinal axis, the first electrode and the second electrode being offset a distance X relative to one another, wherein the distance X is variable, wherein the distance X is transverse to the longitudinal axis, such that when the jaw members are closed about the tissue and when the electrodes are activated, electrosurgical energy flows through the tissue in a generally coplanar manner relative to tissue contacting surfaces and generally transverse to the longitudinal axis, the elastomeric material being adapted to compress or deflect about 0.001 inches to about 0.015 inches when the force used to close the jaw members is between about 40 psi to about 230 psi; and

wherein the substantially rigid material of the jaw members resists deformation when the force used to close the jaw members is between about 40 psi to about 230 psi.

2. The tissue or vessel sealing instrument of claim 1, wherein the elastomeric material is selected from the group consisting of at least one of the following materials:

silicone, polyurethane, santoprene, nylon, syndiotactic polystryrene, Polybutylene Terephthalate (PBT), Polycarbonate (PC), Acrylonitrile Butadiene Styrene (ABS), Polyphthalamide (PPA), Polymide, Polyethylene Terephthalate (PET), Polyamide-imide (PAI), Acrylic (PMMA), Polystyrene (PS and HIPS), Polyether Sulfone (PES), Aliphatic Polyketone, Acetal (POM) Copolymer, Polyurethane (PU and TPU), Nylon with Polyphenylene-oxide dispersion and Acrylonitrile Styrene Acrylate.

3. The tissue or vessel sealing instrument of claim 1, wherein the offset distance X is in the range of about 0.005 inches to about 0.200 inches.

4. The tissue or vessel sealing instrument of claim 3, wherein the offset distance X is configured to result in a substantially uniform temperature distribution between the electrodes after activation of the electrodes.

5. The tissue or vessel sealing instrument of claim 1, further comprising at least one sensor which provides information to a feedback circuit for regulating the electrosurgical energy through the tissue.

6. The tissue or vessel sealing instrument of claim 5, wherein the sensor measures at least one of tissue impedance, tissue temperature and tissue thickness.

7. The electrosurgical instrument of claim 1, wherein at least one of the jaw members includes means for regulating the distance X dependent upon tissue thickness or tissue type.

8. The tissue or vessel sealing instrument of claim 1, wherein at least one of the jaw members includes at least one electrode across the width thereof and the electrosurgical instrument includes means for selecting one of the electrodes for electrically opposing the electrode disposed on the other of the jaw members, wherein the means includes a sensor which measures at least one of tissue impedance, tissue temperature and tissue thickness.

9. The tissue or vessel sealing instrument of claim 1, wherein the elastomeric material has a comparative tracking index value of about 300 to about 600 volts.

10. The electrosurgical instrument of claim 1, wherein the electrodes are wire electrodes which project from the tissue contacting surfaces of the elastomeric material into contact with the tissue.

11. The electrosurgical instrument of claim 1, wherein the elastomeric material on each of the jaw members includes an electrode which is partially disposed therein.

12. The electrosurgical instrument of claim 11, wherein upon grasping of tissue between the jaw members, each of the electrodes deflect inwardly relative to the tissue contacting surfaces.

13. The electrosurgical instrument of claim 12, wherein the electrodes are recessed within the elastomeric material.

14. The electrosurgical instrument of claim 13, wherein the tissue contacting surface of each electrode is substantially crowned.

15. The tissue or vessel sealing instrument of claim 1, wherein the temperature along the tissue contacting surfaces of the jaw members is substantially uniform after the electrodes are activated.

16. The tissue or vessel sealing instrument of claim 1, wherein the first electrode is encased within a first pocket, wherein the second electrode is encased within a second pocket, wherein the first pocket is disposed within the elastomeric material of the first jaw member, and wherein the second pocket is disposed within the elastomeric material of the second jaw member.

17. A tissue or vessel sealing instrument, comprising:

a housing having a shaft attached thereto, the shaft defining a longitudinal axis; and

an end effector assembly attached to a distal end of the shaft, the end effector assembly including first and second jaw members attached thereto made from a substantially rigid material, at least one jaw member being movable relative to the other jaw member from a first position for approximating tissue to at least one additional position for grasping tissue therebetween;

each of the jaw members including an elastomeric material disposed on an inner facing tissue contacting surface thereof, the electrodes being offset a distance X relative to one another such that when the jaw members are closed about the tissue and when the electrodes are activated, wherein the distance X is variable, electrosurgical energy flows through the tissue in a generally coplanar manner relative to the tissue contacting surfaces and transversely perpendicular to the longitudinal axis, wherein the elastomeric material is selected from the group consisting of at least one of the following materials;

silicone, polyurethane, santoprene, nylon, syndiotactic polystyrene, Polybutylene Terephthalate (PBT), Polyphthalamide (PPA), Polymide, Polyethylene Terephthalate (PET), Polyamide-imide (PAI), Acrylic (PMMA), Polystyrene (PS and HIPS), Polyether Sulfone (PES), Aliphatic Polyketone, Acetal (POM) Copolymer, Polyurethane (PU and TPU), Nylon with Polyphenylene-oxide dispersion and Acrylonitrile Styrene Acrylate, the elastomeric material being adapted to compress or deflect about 0.001 inches to about 0.015 inches when the force used to close the jaw members is between about 40 psi to about 230 psi; and

wherein the substantially rigid material of the jaw members resists deformation when the force used to close the jaw members is between about 40 psi to about 230 psi.

18. A tissue or vessel sealing instrument, comprising:

a housing having a shaft attached thereto; and

an end effector assembly attached to a distal end of the shaft, the end effector assembly including first and second jaw members attached thereto made from a substantially rigid material, at least one jaw member being movable relative to the other jaw member from a first position for approximating tissue to at least one additional position for grasping tissue therebetween;

each of the jaw members including an elastomeric material disposed on an inner facing tissue contacting surface thereof, the elastomeric material being adapted to compress or deflect about 0.001 inches to about 0.015 inches when the force used to close the jaw members is between about 40 psi to about 230 psi, each of the elastomeric materials including a pocket disposed therein, and each pocket including an electrode disposed therein, the electrodes being offset a distance X relative to one another such that when the jaw members are closed about the tissue and when the electrodes are activated, electrosurgical energy flows through the tissue in a generally coplanar manner relative to the tissue contacting surfaces, wherein the offset distance X is in the range of about 0.005 inches to about 0.200 inches, wherein the distance X is variable, wherein the offset distance X is configured to result in a substantially uniform temperature distribution between the electrodes after activation of the electrodes; and

wherein the substantially rigid material of the jaw members resists deformation when the force used to close the jaw members is between about 40 psi to about 230 psi.

19. A tissue or vessel sealing instrument, comprising:

a housing having a shaft attached thereto, the shaft defining a longitudinal axis; and

an end effector assembly attached to a distal end of the shaft, the end effector assembly including first and second jaw members attached thereto made from a substantially rigid material, at least one jaw member being movable relative to the other jaw member from a first position for approximating tissue to at least one additional position for grasping tissue therebetween;

each of the jaw members including an elastomeric material disposed on an inner facing tissue contacting surface thereof, the electrodes being substantially longitudinally aligned and being offset a distance X relative to one another such that when the jaw members are closed about the tissue and when the electrodes are activated, electrosurgical energy flows through the tissue in a generally coplanar manner relative to the tissue contacting surfaces, the distance X being variable depending on the thickness of the tissue between the jaw members, the elastomeric material being adapted to compress or deflect about 0.001 inches to about 0.015 inches when the force used to close the jaw members is between about 40 psi to about 230 psi; and

wherein the substantially rigid material of the jaw members resists deformation when the force used to close the jaw members is between about 40 psi to about 230 psi.