Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions

• US 8,747,404 B2
• Filed: 10/09/2009
• Issued: 06/10/2014
• Est. Priority Date: 10/09/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Batross, Jonathan T.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GIULIANI, THOMAS ANTHONY
• Application Number:
  US12/576,789
• Publication Number:
  US 20110087219A1
• Time in Patent Office: 1,705 Days
• Field of Search: 606/32, 606/37, 606/39, 606/40, 606/48, 606/50, 606/51, 606/52, 606/207, 607/99
• US Class Current: 606/52
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• 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 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A surgical instrument for supplying energy to tissue can comprise an end effector comprising a first jaw member and a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member to clamp tissue intermediate the first jaw member and the second jaw member. The instrument can further comprise an electrode configured to generate heat when electrical energy is supplied to the electrode, and, in addition, a tissue-grasping portion comprising a plurality of teeth, wherein the tissue-grasping portion is comprised of an electrically non-conductive material.

Claims

1. A surgical instrument for supplying energy to tissue, comprising:

a handle, comprising;

a trigger; and

an electrical input;

a shaft extending from said handle, wherein said shaft comprises a conductor, and wherein said trigger is selectively actuatable to electrically couple said electrical input and said conductor; and

an end effector, comprising;

a first jaw member;

a second jaw member, wherein at least one of said first jaw member and said second jaw member is movable relative to the other of said first jaw member and said second jaw member to clamp tissue intermediate said first jaw member and said second jaw member;

a slot configured to slideably receive a cutting member;

an electrode electrically coupled with said conductor, wherein said electrode is configured to generate heat when electrical energy is supplied to said electrode, and wherein said electrode comprises;

a first lateral portion;

a second lateral portion; and

a transverse portion connecting said first lateral portion and said second lateral portion; and

a tissue-grasping portion comprising a plurality of energy impediments, wherein said tissue-grasping portion is comprised of an electrically non-conductive material, and wherein said tissue-grasping portion is positioned intermediate said first lateral portion and said second lateral portion, and wherein said energy impediments directly flank said slot.

2. The surgical instrument of claim 1, wherein said tissue-grasping portion comprises:

a first row of energy impediments positioned adjacent to said first lateral portion of said electrode; and

a second row of energy impediments positioned adjacent to said second lateral portion.

3. The surgical instrument of claim 2, further comprising said cutting member configured to transect the tissue positioned intermediate said first jaw member and said second jaw member, and wherein said cutting member comprises a return electrode.

4. The surgical instrument of claim 3, wherein said slot is defined between said first row of energy impediments and said second row of energy impediments.

5. The surgical instrument of claim 1, wherein said tissue-grasping portion is comprised of molded plastic.

6. The surgical instrument of claim 1, wherein said tissue-grasping portion comprises at least one of a lubricant embedded within said electrically non-conductive material and a lubricant coated on said electrically non-conductive material.

7. The surgical instrument of claim 1, wherein said electrode further comprises a passage extending longitudinally through said first lateral portion, wherein an outer surface of said electrode defines a hole in fluid communication with said passage, and wherein said hole and said passage are configured to transport vapors caused by heating the tissue with said electrode.

8. The surgical instrument of claim 7, wherein said shaft further comprises a conduit in fluid communication with said passage in said electrode configured to vent the vapors from said passage and away from a patient.

9. The surgical instrument of claim 7, wherein said passage is a first passage;

wherein said electrode further comprises;

a second passage extending longitudinally through said second lateral portion; and

a third passage extending through said transverse portion, wherein said third passage is in fluid communication with said first passage and said second passage; and

wherein said hole is a first hole, and wherein said outer surface of said electrode defines a second hole in fluid communication with said second passage and a third hole in fluid communication with said third passage.

10. A surgical instrument for supplying energy to tissue, comprising:

a handle, comprising;

a trigger; and

an electrical input;

a shaft extending from said handle, wherein said shaft comprises a conductor, and wherein said trigger is selectively actuatable to electrically couple said electrical input and said conductor; and

an end effector, comprising;

a first jaw member;

a second jaw member, wherein at least one of said first jaw member and said second jaw member is movable relative to the other of said first jaw member and said second jaw member to clamp tissue intermediate said first jaw member and said second jaw member;

a cutting member slot;

an electrode electrically coupled with said conductor, wherein said electrode is configured to generate heat when electrical energy is supplied to said electrode, and wherein said electrode comprises;

a first lateral portion;

a second lateral portion; and

a transverse portion connecting said first lateral portion and said second lateral portion; and

an array of electrically non-conductive energy impediments positioned adjacent to and extending away from said electrode, wherein said array of electrically non-conductive energy impediments directly flanks said cutting member slot.

11. The surgical instrument of claim 10, wherein said array of electrically non-conductive energy impediments comprises:

a first row of teeth positioned adjacent to said first lateral portion of said electrode; and

a second row of teeth positioned adjacent to said second lateral portion.

12. The surgical instrument of claim 11, further comprising a moveable cutting member configured to transect the tissue positioned intermediate said first jaw member and said second jaw member, and wherein said movable cutting member comprises a return electrode.

13. The surgical instrument of claim 12, wherein said cutting member slot is configured to slidably receive said cutting member, and wherein said cutting member slot is defined between said first row of teeth and said second row of teeth.

14. The surgical instrument of claim 10, wherein said array of electrically non-conductive energy impediments is comprised of molded plastic.

15. The surgical instrument of claim 10, wherein said electrode further comprises a passage extending longitudinally through said first lateral portion, wherein an outer surface of said electrode defines a hole in fluid communication with said passage, and wherein said hole and said passage are configured to transport vapors caused by heating the tissue with said electrode.

16. The surgical instrument of claim 15, wherein said shaft further comprises a conduit in fluid communication with said passage in said electrode configured to vent the vapors from said passage and away from a patient.

17. The surgical instrument of claim 15, wherein said passage is a first passage;

wherein said electrode further comprises;

a second passage extending longitudinally through said second lateral portion; and

a third passage extending through said transverse portion, wherein said third passage is in fluid communication with said first passage and said second passage; and

wherein said hole is a first hole, and wherein said outer surface of said electrode defines a second hole in fluid communication with said second passage and a third hole in fluid communication with said third passage.