Electrosurgical instrument and method

• US 8,460,292 B2
• Filed: 12/12/2011
• Issued: 06/11/2013
• Est. Priority Date: 04/30/2002
• Status: Expired due to Fees

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Truckai, Csaba, Shadduck, John H.
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US13/323,032
• Publication Number:
  US 20120136352A1
• Time in Patent Office: 547 Days
• Field of Search: 606/51, 606/171
• US Class Current: 606/51
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/085 Forceps, scissors
• 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 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2934 arcuate shaped guiding means
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• 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 2018/1432 curved

Abstract

An electrosurgical working end and method for sealing and transecting tissue. An exemplary working end provides curved jaw members that are positioned on opposing sides of the targeted anatomic structure. The working end carries a slidable extension member having flange portions with inner surfaces that slide over the jaw members to clamp tissue therebetween. The working end carries an independent slidable cutting member that is flexible to follow the curved axis of the jaws. The electrosurgical surfaces of the jaws include partially-resistive bodies for carrying a current or load which modulates ohmic heating in the engaged tissue to prevent charring and desiccation of tissue to create a high strength thermal seal.

Claims

1. A surgical instrument, comprising:

an elongate introducer having a working end including openable-closeable first and second jaw members having curved distal portions that define a curved tissue-engaging axis;

a flanged member that is slidably carried by the introducer, the flanged member moveable between a first non-extended position and second extended position wherein flanges slidably engage the jaw members to move the jaws from an open position to a closed position; and

a flexible tissue-cutting member slidably carried by the introducer, the tissue-cutting member moveable between a first non-extended position and a second extended position that extends distally beyond the flanged member and flexes.

2. The surgical instrument of claim 1 wherein the flanged member in configured with laterally-extending flanges.

3. The surgical instrument of claim 1 wherein the flanges slidably engage outwardfacing surfaces of the jaw members.

4. The surgical instrument of claim 1 wherein the tissue-cutting member includes a blade edge.

5. The surgical instrument of claim 1 wherein the tissue-cutting member includes an electrode.

6. The surgical instrument of claim 1 wherein at least one jaw member includes an electrosurgical energy-delivery surface for delivering energy to tissue.

7. The surgical instrument of claim 6 wherein the electrosurgical energy-delivery surface includes first and second polarity electrodes.

8. The surgical instrument of claim 6 wherein the electrosurgical energy-delivery surface includes a body having a positively or negatively sloped temperature-resistance profile.

9. The surgical instrument of claim 6 wherein the electrosurgical energy-delivery surface includes a body that exhibits a pressure-resistance profile wherein resistance decreases with pressure.

10. The surgical instrument of claim 6 wherein the electrosurgical energy-delivery surface includes a body having a fixed resistance.

11. The surgical instrument of claim 6 wherein the electrosurgical energy-delivery surface of the first jaw member includes a first body comprising an electrode and a second body comprising a load-carrying material that is partially resistive.

12. The surgical instrument of claim 11 wherein the first body and the second body are in contact in the energy-delivery surface.

13. The surgical instrument of claim 6 wherein the electrosurgical energy-delivery surface of the first jaw member includes a first body comprising spaced apart opposing polarity electrodes and a second body comprising a load-carrying material that is partially resistive.

14. The surgical instrument of claim 13 wherein the first body and the second body are in contact in the energy-delivery surface.

15. The surgical instrument of claim 1 wherein the flanged member comprises a plurality of axially-extending elements.

16. The surgical instrument of claim 15 wherein the plurality of axially-extending elements are coupled by a flexible hinge joint.

17. The surgical instrument of claim 15 wherein the plurality of axially-extending elements are coupled by at least one flexible cable.