Electrosurgical instrument employing a thermal management system

• US 8,753,338 B2
• Filed: 06/10/2010
• Issued: 06/17/2014
• Est. Priority Date: 06/10/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Widenhouse, Tamara, Shelton, Frederick E. IV, Faller, Craig N., Giordano, James R., Miller, Matthew C.
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US12/797,853
• Publication Number:
  US 20110306972A1
• Time in Patent Office: 1,468 Days
• Field of Search: 606 45- 52, 606205-207
• US Class Current: 606/45
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. In various embodiments, the first and second jaws can comprise one or more electrodes configured to apply a voltage across the tissue thereby causing current to flow through the tissue and, as a result, generate heat within the tissue. The surgical instrument can further comprise a fluid circulatory system embedded within at least a portion the end effector wherein, in at least one embodiment, the fluid can be dispensed from the fluid circulatory system and onto the jaws of the end effector and/or the tissue positioned between the jaws.

Claims

1. A surgical instrument, comprising:

a handle;

a conductor configured to be electrically coupled to a power source;

an end effector, comprising;

a first jaw;

a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position to capture tissue therebetween; and

a first electrode electrically coupled with said conductor;

a fluid conveying circuit at least partially embedded within said first jaw, comprising;

a first fluid passage; and

a second fluid passage; and

a pump configured to circulate a fluid through said fluid conveying circuit, wherein said pump is configured to pressurize said fluid to a first fluid pressure and a second fluid pressure, wherein said second fluid pressure is higher than said first fluid pressure, and wherein at least one of said first passage and said second passage is configured to burst when the fluid is pressurized to said second fluid pressure.

2. The surgical instrument of claim 1, wherein said end effector comprises a proximal end and a distal end opposite said proximal end, wherein said surgical instrument further comprises:

a cutting member movable between a proximal position within said proximal end of said end effector and a distal position within said distal end of said end effector;

a sensor configured to detect the movement of said cutting member into said distal position; and

a controller operably coupled with said sensor and said pump, wherein said controller is programmed to operate said pump to generate said second fluid pressure when said sensor communicates to said controller that said cutting member is in said distal position.

3. A surgical instrument, comprising:

a handle;

a conductor configured to be electrically coupled to a power source;

an end effector, comprising;

a first law;

a second jaw, wherein one of said first law and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position to capture tissue therebetween; and

an electrode electrically coupled with said conductor; and

a fluid conveying circuit at least partially embedded within said first jaw, comprising;

a first fluid passage; and

a second fluid passage,

wherein at least one of said first fluid passage and said second fluid passage is configured to rupture such that fluid flowing through said fluid conveying circuit can flow onto the tissue captured between said first jaw and said second jaw.

4. The surgical instrument of claim 3, wherein said fluid comprises at least one cellular growth factor.

5. The surgical instrument of claim 3, wherein said fluid comprises at least one hemostatic agent.

6. The surgical instrument of claim 3, wherein said fluid comprises at least one heat-activated tissue sealant.

7. The surgical instrument of claim 3, wherein said first passage comprises a first conduit configured to melt and rupture owing to heat generated by said electrode.

8. A surgical instrument, comprising:

a handle;

a conductor configured to be electrically coupled to a power source;

an end effector, comprising;

a first jaw;

a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position to capture tissue therebetween;

a first electrode electrically coupled with said conductor; and

a second electrode;

a fluid conveying circuit at least partially embedded within said first jaw; and

a cutting member configured to be moved relative to said first electrode and said second electrode and incise said fluid conveying circuit.

9. A surgical instrument, comprising:

a handle;

a conductor configured to be electrically coupled to a power source;

an end effector, comprising;

a first jaw;

a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position to capture tissue therebetween; and

an electrode electrically coupled with said conductor; and

a fluid conveying circuit at least partially embedded within said first jaw, comprising;

a first fluid passage; and

a second fluid passage,

wherein at least one of said first fluid passage and said second fluid passage comprises a discharge port therein, and wherein said discharge port is expandable between a first configuration when fluid in said fluid conveying circuit is pressurized at a first fluid pressure and a second configuration when fluid in said fluid conveying circuit is pressurized at a second fluid pressure.

10. The surgical instrument of claim 9, wherein said discharge port is sealed when said discharge port is in said first configuration such that the fluid in said fluid conveying circuit cannot flow through said discharge port, and wherein the fluid can flow through said discharge port when said discharge port is in said second configuration.

11. A surgical instrument, comprising:

a handle comprising a trigger and a switch;

a shaft extending from said handle, wherein said shaft comprises;

a conductor configured to be electrically coupled with a power source upon an actuation of said switch; and

a drive member operably coupled with said trigger;

an end effector extending from said shaft, comprising;

a first jaw;

a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position to capture tissue therebetween; and

an electrode electrically coupled with said conductor;

a fluid conveying circuit;

a pump configured to circulate a fluid through said fluid conveying circuit, wherein said pump is configured to pressurize said fluid to a first fluid pressure and a second fluid pressure, wherein said second fluid pressure is higher than said first fluid pressure, and wherein said fluid conveying circuit is configured to burst when the fluid is pressurized to said second fluid pressure.

12. The surgical instrument of claim 11, wherein said surgical instrument further comprises:

a cutting member operably coupled with said drive member, wherein an actuation of said trigger is configured to move said cutting member between a proximal position and a distal position;

a sensor configured to detect the movement of said cutting member into said distal position; and

a controller operably coupled with said sensor and said pump, wherein said controller is programmed to operate said pump to generate said second fluid pressure when said sensor communicates to said controller that said cutting member is in said distal position.

13. A surgical instrument, comprising:

a handle comprising a trigger and a switch;

a shaft extending from said handle, wherein said shaft comprises;

a conductor configured to be electrically coupled with a power source upon an actuation of said switch; and

a drive member operably coupled with said trigger;

an end effector extending from said shaft, comprising;

a first jaw;

a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position to capture tissue therebetween;

an electrode electrically coupled with said conductor;

a fluid conveying circuit,

wherein said fluid conveying circuit is configured to rupture such that fluid flowing through said fluid conveying circuit can flow onto the tissue captured between said first jaw and said second jaw.

14. The surgical instrument of claim 13, wherein said fluid comprises at least one cellular growth factor.

15. The surgical instrument of claim 13, wherein said fluid comprises at least one hemostatic agent.

16. The surgical instrument of claim 13, wherein said fluid comprises at least one heat-activated tissue sealant.

17. The surgical instrument of claim 13, wherein said fluid conveying circuit comprises a conduit configured to melt and rupture owing to heat generated by said electrode.

18. A surgical instrument, comprising:

a handle comprising a trigger and a switch;

a shaft extending from said handle, wherein said shaft comprises;

a conductor configured to be electrically coupled with a power source upon an actuation of said switch; and

a drive member operably coupled with said trigger;

an end effector extending from said shaft, comprising;

a first jaw;

a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position to capture tissue therebetween;

a first electrode electrically coupled with said conductor; and

a second electrode;

a fluid conveying circuit; and

a cutting member configured to be moved relative to said first electrode and said second electrode and incise said fluid conveying circuit.

19. A surgical instrument, comprising:

a handle comprising a trigger and a switch;

a shaft extending from said handle, wherein said shaft comprises;

a conductor configured to be electrically coupled with a power source upon an actuation of said switch; and

a drive member operably coupled with said trigger;

an end effector extending from said shaft, comprising;

a first jaw;

a second jaw, wherein one of said first law and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position to capture tissue therebetween; and

an electrode electrically coupled with said conductor; and

a fluid conveying circuit,

wherein said fluid conveying circuit comprises a discharge port therein, and wherein said discharge port is expandable between a first configuration when fluid in said fluid conveying circuit is pressurized at a first fluid pressure and a second configuration when fluid in said fluid conveying circuit is pressurized at a second fluid pressure.

20. The surgical instrument of claim 19, wherein said discharge port is sealed when said discharge port is in said first configuration such that the fluid in said fluid conveying circuit cannot flow through said discharge port, and wherein the fluid can flow through said discharge port when said discharge port is in said second configuration.

21. A surgical instrument for treating tissue, comprising:

a conductor configured to be electrically coupled to a power source;

an end effector, comprising;

a first jaw; and

a second jaw,

an electrode electrically coupled with said conductor; and

a fluid conveying circuit comprising means for releasing fluid from within said fluid conveying circuit onto the tissue.

22. A surgical instrument, comprising:

a handle;

an end effector, comprising;

a first jaw; and

a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between a first position and a second position to capture tissue therebetween; and

a fluid conveying circuit, wherein said fluid conveying circuit is adjustable between a first condition and an open condition, wherein fluid flowing through said fluid conveying circuit can be expelled onto the tissue when said fluid conveying circuit is in said open condition.

23. A surgical instrument, comprising:

a handle;

an end effector, comprising;

a first jaw;

a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between a first position and a second position to capture tissue therebetween; and

a fluid conveying circuit; and

a cutting member configured to be moved relative to said first jaw and said second jaw and incise said fluid conveying circuit.