Vessel sealing instrument with electrical cutting mechanism

• US 7,931,649 B2
• Filed: 02/14/2007
• Issued: 04/26/2011
• Est. Priority Date: 10/04/2002
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Weinberg, Craig, Couture, Gary M., Tetzlaff, Philip M.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US11/706,029
• Publication Number:
  US 20080195093A1
• Time in Patent Office: 1,532 Days
• Field of Search: 606 45- 52
• 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 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• 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 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/007 Aspiration

Abstract

An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes an electrically conductive tissue contacting surface connected to an electrosurgical energy source. At least one of the jaw members includes an electrically conductive cutting element disposed within an insulator defined in the jaw member. At least one channel is included in the insulator which is configured to deliver fluid between the jaw members.

Claims

1. An end effector assembly for use with an instrument for sealing, coagulating and/or cutting vessels and/or tissue, the end effector assembly comprising:

a pair of opposing first and second jaw members at least one of which is movable relative to the other 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 jaw member including an electrically conductive tissue sealing surface extending along a length thereof, each tissue sealing surface adapted to connect to a source of electrosurgical energy such that the tissue sealing surfaces are capable of conducting electrosurgical energy through tissue grasped therebetween to effect a seal;

an insulative support element configured to support each electrically conductive tissue sealing surface;

a first electrically conductive cutting element disposed within the insulative support element of the first jaw member;

a second electrically conductive cutting element disposed within the insulative support element of the second jaw member, the second electrically conductive cutting element generally opposing the first electrically conductive cutting element; and

at least one channel defined within at least one of the insulative support elements, the at least one channel configured to transport fluid adjacent to the electrically conductive cutting element.

2. An end effector assembly according to claim 1, wherein the channel further comprises at least one port configured to at least deliver fluid through the port.

3. An end effector assembly of claim 2, wherein the fluid comprises at least one of a conductive fluid, a non-conductive fluid, and combinations thereof.

4. An end effector assembly of claim 3, wherein the conductive fluid comprises aqueous solutions, saline solutions, salt solutions, electrolyte containing solutions, and combinations thereof.

5. An end effector assembly of claim 3, wherein the non-conductive fluid comprises at least one of aqueous solutions, a solution having 1.5% glycine, 3% sorbitol, 5% mannitol, sterile water solution, and combinations thereof.

6. An end effector assembly according to claim 1, wherein the channel is in communication with at least one pump.

7. An end effector assembly according to claim 1, further comprising a sensor configured to monitor the conductivity of tissue disposed between the jaws.

8. An end effector assembly according to claim 1, wherein each insulative support element is configured to at least partially extend to a position which is at least substantially flush with its respective cutting element.