Electrosurgical instrument employing an electrode

• US 8,888,776 B2
• Filed: 06/09/2010
• Issued: 11/18/2014
• 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., Witt, David A., Aldridge, Jeffrey L., Huang, Zhifan F., Mootoo, Mary E., Banks, Raymond M.
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US12/797,207
• Publication Number:
  US 20110306963A1
• Time in Patent Office: 1,623 Days
• Field of Search: 606 45- 52
• US Class Current: 606/51
• 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 2018/00065 porous
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/0063 Sealing
• 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 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, wherein at least one of the electrodes can comprise a conductive material positioned within a non-conductive, or high-resistance, material. In use, current flowing through the conductive material can heat the conductive material and cause it to evaporate and leave behind the non-conductive material. In such circumstances, the current flowing through the electrode may cease or may be substantially reduced.

Claims

1. A surgical instrument, comprising:

a handle;

a first conductor;

a second conductor; and

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;

a first electrode electrically coupled with said first conductor; and

a second electrode electrically coupled with said second conductor, said second electrode comprising;

a porous material comprised of an electrically non-conductive material; and

an evaporable material comprised of an electrically conductive material and having a boiling point temperature, wherein said evaporable material is stored within said porous material, and wherein said evaporable material is configured to evaporate when the temperature of said evaporable material meets or exceeds said boiling point temperature.

2. The surgical instrument of claim 1, wherein said boiling point temperature is approximately 100 degrees Celsius at approximately 1 atm atmospheric pressure.

3. The surgical instrument of claim 1, wherein said evaporable material comprises isotonic saline.

4. The surgical instrument of claim 1, wherein said porous material comprises a first side and a second side, wherein said second electrode further comprises:

a first conductive surface positioned on said first side of said porous material, wherein said second conductor is electrically coupled with said first conductive surface; and

a conductive tissue-contacting surface positioned on said second side of said porous material.

5. The surgical instrument of claim 1, wherein said first electrode is positioned in said first jaw, and wherein said second electrode is positioned in said second jaw.

6. A surgical instrument of claim 1, comprising:

a handle;

a first conductor;

a second conductor; and

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;

a first electrode electrically coupled with said first conductor; and

a second electrode electrically coupled with said second conductor, said second electrode comprising;

a porous material; and

an evaporable material stored within said porous material; and

a sealed enclosure, wherein said porous material and said evaporable material are positioned within said sealed enclosure.

7. A surgical instrument, comprising:

a handle;

a first conductor;

a second conductor; and

an end effector, comprising;

a first jaw;

a second law, 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;

a first electrode electrically coupled with said first conductor; and

a second electrode electrically coupled with said second conductor, said second electrode comprising;

a porous material;

a first evaporable material stored within said porous material; and

a second evaporable material stored within said porous material, and wherein said first evaporable material comprises a boiling point temperature which is less than a boiling point temperature of said second evaporable material.

8. A surgical instrument, comprising:

a handle;

a first conductor;

a second conductor electrically engageable with a power source; and

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;

a first electrode electrically coupled with said first conductor; and

a second electrode electrically coupled with said second conductor, said second electrode comprising;

a porous first material comprised of an electrically non-conductive material; and

an evaporable second material comprised of an electrically conductive material, wherein said second material is interdispersed within said first material when said second electrode is below a switching temperature, and wherein said second material is configured to withdraw from said first material when the temperature of said second material at least one of meets or exceeds said switching temperature.

9. The surgical instrument of claim 8, wherein said switching temperature comprises a boiling point temperature of said second material, and wherein said second material can evaporate from said first material when the temperature of said second material is at said boiling point temperature.

10. The surgical instrument of claim 9, wherein said boiling point temperature is approximately 100 degrees Celsius at approximately 1 atm atmospheric pressure.

11. The surgical instrument of claim 9, wherein said second electrode further comprises a sealed enclosure, and wherein said first material and said second material are positioned within said sealed enclosure.

12. The surgical instrument of claim 8, wherein said second material comprises isotonic saline.

13. The surgical instrument of claim 8, wherein said first material comprises a first side and a second side, wherein said second electrode further comprises:

a first conductive surface positioned on said first side of said first material, wherein said second conductor is electrically coupled with said first conductive surface; and

a conductive tissue-contacting surface positioned on said second side of said first material.

14. The surgical instrument of claim 8, wherein said first electrode is positioned in said first jaw, and wherein said second electrode is positioned in said second jaw.

15. An end effector for use with a surgical instrument, comprising:

a first conductor;

a second conductor;

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;

a first electrode electrically coupled with said first conductor; and

a second electrode electrically coupled with said second conductor, said second electrode comprising;

a porous material; and

an evaporable material stored within said porous material and having a boiling point temperature;

wherein said second electrode comprises a first electrical resistance when the temperature of said evaporable material is less than said boiling point temperature, wherein said second electrode comprises a second electrical resistance when the temperature of said evaporable material is equal to or greater than said boiling point temperature, and wherein said second electrical resistance is greater than said first electrical resistance.

16. The surgical instrument of claim 15, wherein said evaporable material is electrically conductive and said porous material is electrically non-conductive.

17. The surgical instrument of claim 15, wherein said boiling point temperature is approximately 100 degrees Celsius at approximately 1 atm atmospheric pressure.

18. The surgical instrument of claim 15, wherein said evaporable material comprises isotonic saline.

19. A surgical instrument, comprising:

a handle;

a first conductor;

a second conductor; and

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;

a first electrode electrically coupled with said first conductor; and

a second electrode electrically coupled with said second conductor, said second electrode comprising;

a porous material;

a first evaporable material stored within said porous material and having a first switching temperature; and

a second evaporable material stored within said porous material and having a second switching temperature that is different than said first switching temperature.

20. A surgical instrument, comprising:

a handle;

a conductor; and

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; and

an electrode electrically coupled with said conductor, said electrode comprising;

a porous material comprised of an electrically non-conductive material; and

an evaporable material comprised of an electrically conductive material and having a boiling point temperature, wherein said evaporable material is stored within said porous material, and wherein said evaporable material is configured to evaporate when the temperature of said evaporable material meets or exceeds said boiling point temperature.

21. A surgical instrument, comprising:

a handle;

a conductor; and

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; and

an electrode electrically coupled with said conductor, said electrode comprising;

a porous material; and

an evaporable material stored within said porous material; and

a sealed enclosure, wherein said porous material and said evaporable material are positioned within said sealed enclosure.

22. A surgical instrument, comprising:

a handle;

a conductor; and

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; and

an electrode electrically coupled with said conductor, said electrode comprising;

a porous material;

a first evaporable material stored within said porous material; and

a second evaporable material stored within said porous material, wherein said first evaporable material comprises a boiling point temperature which is less than a boiling point temperature of said second evaporable material.

23. A surgical instrument, comprising:

a handle;

a conductor electrically engageable with a power source; and

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; and

an electrode electrically coupled with said conductor, said electrode comprising;

a porous first material comprised of an electrically non-conductive material; and

an evaporable second material comprised of an electrically conductive material, wherein said second material is interdispersed within said first material when said electrode is below a switching temperature, and wherein said second material is configured to withdraw from said first material when the temperature of said second material at least one of meets or exceeds said switching temperature.

24. An end effector for use with a surgical instrument, comprising:

a conductor;

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; and

an electrode electrically coupled with said conductor, said electrode comprising;

a porous material; and

an evaporable material stored within said porous material and having a boiling point temperature;

wherein said electrode comprises a first electrical resistance when the temperature of said evaporable material is less than said boiling point temperature, wherein said electrode comprises a second electrical resistance when the temperature of said evaporable material is equal to or greater than said boiling point temperature, and wherein said second electrical resistance is greater than said first electrical resistance.

25. A surgical instrument, comprising:

a handle;

a conductor; and

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; and

an electrode electrically coupled with said conductor, said electrode comprising;

a porous material;

a first evaporable material stored within said porous material and having a first switching temperature; and

a second evaporable material stored within said porous material and having a second switching temperature that is different than said first switching temperature.