Electrosurgical instrument employing a plurality of electrodes

• US 8,795,276 B2
• Filed: 06/09/2010
• Issued: 08/05/2014
• Est. Priority Date: 06/09/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Dietz, Timothy G., Huang, Zhifan F., Witt, David A., Aldridge, Jeffrey L., Banks, Raymond M., Mootoo, Mary E., Swayze, Jeffrey S., Stulen, Foster B., Malaviya, Prasanna, Johnson, Gregory W., Guerra, Paul
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US12/797,305
• Publication Number:
  US 20110306966A1
• Time in Patent Office: 1,518 Days
• Field of Search: 606 45- 52, 606205-207
• US Class Current: 606/52
• 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 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

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 to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.

Claims

1. 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 other of said first jaw and said second jaw;

a longitudinal channel comprising a proximal end and a distal end;

a cutting member at least partially positioned within said longitudinal channel, wherein said cutting member is movable between a first position, a second position, and a distal position to transect tissue positioned intermediate said first jaw and said second jaw;

a first electrode positioned within said second jaw;

a second electrode positioned within said second jaw, wherein said second electrode is positioned distally with respect to said first electrode;

a third electrode comprised of a positive temperature coefficient material positioned within said first jaw, wherein said positive temperature coefficient material comprises a first electrical resistance when the temperature of said third electrode is below a switching temperature, and wherein said positive temperature coefficient material comprises a second electrical resistance higher than said first resistance when the temperature of said third electrode is above said switching temperature; and

a controller configured to selectively electrically couple said first electrode and said second electrode with a power source, wherein said controller is configured to electrically couple said first electrode with the power source when said cutting member is positioned in said first position, and wherein said controller is configured to electrically couple said second electrode with the power source when said cutting member is positioned in said second position.

2. The surgical instrument of claim 1, wherein said controller is configured to electrically couple said first electrode with the power source when said first jaw is in a closed position.

3. The surgical instrument of claim 2, wherein said controller is configured to electrically couple said first electrode with the power source before it electrically couples said second electrode with the power source.

4. The surgical instrument of claim 3, wherein said controller is configured to electrically decouple said first electrode from the power source before electrically coupling said second electrode with the power source.

5. The surgical instrument of claim 1, wherein said second jaw further comprises an electrical insulator configured to electrically insulate said first electrode from said second electrode.

6. The surgical instrument of claim 1, wherein said controller is configured to electrically couple said first electrode with the power source prior to said cutting member being moved within said end effector.

7. The surgical instrument of claim 6, wherein said controller is configured to electrically couple said second electrode with the power source as the cutting member is moved within said end effector.

8. The surgical instrument of claim 1, wherein said end effector comprises a central axis, and wherein said first electrode is positioned closer to said central axis than said second electrode.

9. A method of operating an electrosurgical instrument, comprising the steps of:

moving one of a first jaw and a second jaw toward the other in order to capture tissue between the first jaw and the second jaw, wherein the second jaw comprises a first electrode and a second electrode, wherein said second electrode is positioned distally with respect to said first electrode, and wherein the first jaw comprises an opposing electrode positioned opposite the first electrode and the second electrode;

applying a first voltage potential to the first electrode such that current can flow between the first electrode and the opposing electrode and can contract the tissue positioned between the first electrode and the opposing electrode;

applying a second voltage potential to the second electrode after the first voltage potential has been at least initially applied to the first electrode; and

advancing a cutting member relative to the first electrode and the second electrode, wherein said cutting member is movable between a first position, a second position, and a distal position, wherein said first voltage potential is applied when said cutting member is in said first position, and wherein said second voltage potential is applied when said cutting member is in said second position.

10. The method of claim 9, wherein said step of applying a second voltage potential to the second electrode is not commenced until after said step of applying a first voltage potential to the first electrode has been completed.

11. The method of claim 9, further comprising the step of monitoring the impedance of tissue positioned between the second electrode and the opposing electrode during said step of applying a first voltage potential to the first electrode.

12. The method of claim 9, wherein said step of advancing the cutting member occurs at the same time as said step of applying a second voltage potential to the second electrode.

13. The method of claim 9, further comprising the step of terminating said step of applying a first voltage potential to the first electrode while continuing said step of applying a second voltage potential to the second electrode.

14. The method of claim 13, further comprising the step of monitoring the impedance of the tissue positioned between the first electrode and the opposing electrode after said step of applying a first voltage potential to the first electrode has been terminated.

15. The method of claim 9, wherein the opposing electrode is comprised of a positive temperature coefficient material having a switching temperature, and wherein the positive temperature coefficient material is configured to switch between a first electrical resistance and a second electrical resistance once the temperature of the opposing electrode has exceeded the switching temperature.

16. The method of claim 15, wherein the second electrical resistance is at least one order of magnitude larger than the first electrical resistance.

17. The method of claim 9, wherein at least one of the first jaw and the second jaw comprises a cutting slot configured to slidably receive the cutting member, and wherein the first electrode is positioned closer to the cutting slot than the second electrode.

18. The method of claim 9, wherein at least one of the first jaw and the second jaw comprises a cutting slot configured to slidably receive the cutting member, and wherein the second electrode is positioned closer to the cutting slot than the first electrode.