Vessel sealing instrument with multiple electrode configurations

• US 8,597,297 B2
• Filed: 08/29/2006
• Issued: 12/03/2013
• Est. Priority Date: 08/29/2006
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Couture, Gary M., Sharp, Robert, Weinberg, Craig
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GOOD, SAMANTHA M
• Application Number:
  US11/511,640
• Publication Number:
  US 20080058802A1
• Time in Patent Office: 2,653 Days
• Field of Search: 606 50- 52
• US Class Current: 606/52
• 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 2017/00084 Temperature
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/145 wherein the effectors remain parallel during closing and opening

Abstract

An electrode assembly for use with an instrument for sealing and cutting vessels and/or tissue is provided. The assembly includes a pair of opposing first and second jaw members. Each jaw member includes at least one electrically conductive tissue sealing surfaces extending along a length thereof. Each tissue sealing surface is adapted to connect to a source of electrosurgical energy to effect a tissue seal. An insulator is disposed adjacent to the at least one the electrically conductive sealing surfaces. The jaw members include an electrically conductive cutting element which effectively cuts tissue within pre-defined cutting zone between the jaw members. The polarity of the cutting element and electrically conductive sealing surfaces may be manipulated depending upon whether tissue sealing or tissue cutting is desired.

Claims

1. An electrode assembly for use with an instrument for sealing and/or cutting tissue, the electrode assembly comprising:

a pair of opposing first and second jaw members moveable from a first space position relative to one another to a second, closed position for gripping tissue, each of the jaw members including at least one electrically conductive tissue sealing element extending along a length thereof, each of the at least one electrically conductive tissue sealing elements having a U-shaped sealing section configured to contact tissue and being adapted to connect to a source of electrosurgical energy such that the at least one electrically conductive tissue sealing elements are capable of conducting electrosurgical energy through tissue held therebetween;

wherein at least one of the first and second jaw members includes at least one L-shaped flange portion configured to define a central cutting zone;

an insulator disposed adjacent to each of the at least one electrically conductive tissue sealing elements;

the first jaw member including an electrically conductive cutting element disposed within the insulator of the first jaw member, the electrically conductive cutting element disposed in general vertical registration to the insulator on the second jaw member and within the central cutting zone;

wherein the at least one L-shaped flange portion abuts the opposing insulator when the jaw members are disposed in the closed position to define a gap distance between the U-shaped sealing sections of the first and second jaw members;

wherein the cutting element and the at least one electrically conductive tissue sealing elements on the first jaw member are energized to a first potential during a sealing process, wherein the first potential is different than a second potential energizing the at least one electrically conductive tissue sealing element on the second jaw member such that the electrosurgical energy can be transferred through the tissue to effect a tissue seal; and

the cutting element is configured to maintain the same first potential during a cutting process and the at least one electrically conductive tissue sealing element on the first jaw member and the corresponding at least one electrically conductive tissue sealing element on the second jaw member are energized to the second potential such that the electrosurgical energy can be transferred through the tissue to effectively cut the tissue and wherein the at least one L-shaped flange portion restricts the size of the resulting cutting region around the cutting element during the cutting process.

2. The electrode assembly according to claim 1, wherein the cutting and sealing processes are automatically controlled by the electrosurgical energy source.

3. The electrode assembly according to claim 1, wherein the potential of the at least one electrically conductive tissue sealing element of the first jaw member and the potential of the cutting element are independently activatable by a surgeon.

4. The electrode assembly according to claim 1, further comprising a sensor for determining seal quality prior to the cutting process.

5. The electrode assembly according to claim 1, wherein the cutting element is substantially dull and only capable of cutting tissue through electrosurgical activation.

6. The electrode assembly according to claim 1, wherein the potentials of the cutting element and the electrically conductive tissue sealing elements are selectively alterable.

7. The electrode assembly according to claim 1, wherein each of the jaw members includes only one electrically conductive tissue sealing element.

8. An electrode assembly for use with an instrument for sealing and/or cutting tissue, the electrode assembly comprising:

a pair of opposing first and second jaw members moveable from a first space position relative to one another to a second, closed position for gripping tissue, each of the jaw members including at least one electrically conductive tissue sealing element extending along a length thereof, each of the at least one electrically conductive tissue sealing elements having a U-shaped sealing section configured to contact tissue and being adapted to connect to a source of electrosurgical energy such that the at least one electrically conductive tissue sealing elements are capable of conducting electrosurgical energy through tissue held therebetween;

wherein at least one of the first and second jaw members includes at least one L-shaped flange portion configured to define a central cutting zone;

an insulator disposed adjacent to each of the at least one electrically conductive tissue sealing elements;

the first jaw member including an electrically conductive cutting element disposed within the insulator of the first jaw member, the electrically conductive cutting element disposed in general vertical registration to the insulator on the second jaw member and within the central cutting zone;

wherein the at least one L-shaped flange portion abuts the opposing insulator when the jaw members are disposed in the closed position and the at least one L-shaped flange portion is adapted to control a gap distance between the at least one electrically conductive tissue sealing surfaces of the first and second jaw members;

a second insulator adjacent the at least one L-shaped flange portion dimensioned to reduce stray currents and heat dissipation inwardly towards the central cutting zone;

wherein the cutting element and the at least one electrically conductive tissue sealing element on the first jaw member are energized to a first potential during a sealing process and the at least one electrically conductive sealing element on the second jaw member are energized to a second potential, where the second potential is different from the first potential applied to the at least one electrically conductive tissue sealing element on the first jaw member such that the electrosurgical energy can be transferred through the tissue to effect a tissue seal; and

wherein the cutting element is configured to maintain the same first potential during a cutting process and the at least one electrically conductive tissue sealing element on the first jaw member and the corresponding at least one electrically conductive tissue sealing element on the second jaw member are energized to the second potential such that the electrosurgical energy can be transferred through the tissue to effectively cut the tissue wherein the at least one L-shaped flange portion restricts the size of the resulting cutting region during the cutting process.

9. The electrode assembly according to claim 8, wherein the at least one L-shaped flange portion and the cutting element define the cutting zone disposed inwardly of the at least one L-shaped flange portion.