Heat management configurations for controlling heat dissipation from electrosurgical instruments

• US 9,005,199 B2
• Filed: 06/10/2010
• Issued: 04/14/2015
• 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: Beckman, Andrew T., White, Bradley E., Kimball, Cory G., Cummings, John F., Mirel, Al, Schall, Christopher J., Aldridge, Jeffrey L., Dietz, Timothy G., Witt, David A., Mootoo, Mary E., Huang, Zhifan F., Banks, Raymond M., Widenhouse, Tamara, Shelton, Frederick E. IV, Harris, Jason L., Swayze, Jeffrey S., Stulen, Foster B., Malaviya, Prasanna, Johnson, Gregory W., Guerra, Paul
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GIULIANI, THOMAS ANTHONY
• Application Number:
  US12/797,866
• Publication Number:
  US 20110306968A1
• Time in Patent Office: 1,769 Days
• Field of Search: 606/39, 606/41, 606/46, 606/48, 606 50- 52, 606206-209, 607/99, 607/107
• US Class Current: 606/52
• 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 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00017 with gas
• 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 2018/00047 using Peltier effect
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1452 including means for cutting A61B2018/146 takes precedence
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument'"'"'s end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.

Claims

1. A surgical instrument, comprising:

an end effector comprising;

a first jaw comprising an electrode having a distal end;

a second jaw, wherein the first jaw and the second jaw are operably coupled together; and

a cutting member configured to translate between a retracted position and a fully advanced position with respect to the first jaw, wherein the cutting member comprises a cutting surface and a body, wherein the body defines a cavity and at least one opening communicating with the cavity, and wherein the at least one cutting member opening is proximal to the distal end of the electrode when the cutting member is in the fully advanced position.

2. The surgical instrument of claim 1, further comprising an elongate shaft and a handle operably coupled to the elongate shaft, wherein the end effector is operably coupled to the elongate shaft, and wherein the at least one cutting member opening is positioned between the handle and the cutting surface.

3. The surgical instrument of claim 1, wherein the cutting member defines a longitudinal axis and wherein the at least one opening defines a plane that is parallel to the longitudinal axis.

4. The surgical instrument of claim 1, wherein the cutting member defines a longitudinal axis and wherein the at least one opening defines a plane that intersects the longitudinal axis.

5. The surgical instrument of claim 1, further comprising a porous material positioned within the at least one opening.

6. The surgical instrument of claim 1, further comprising:

an elongate shaft;

a handle operably coupled to the elongate shaft, wherein the end effector is operably coupled to the elongate shaft; and

a fluid chamber operably coupled to the cutting member cavity.

7. The surgical instrument of claim 6, further comprising a plunger movable within the chamber.

8. The surgical instrument of claim 6, wherein the fluid chamber contains at least one gas and/or liquid.

9. The surgical instrument of claim 6, the fluid chamber contains at least one liquid, wherein the at least one liquid comprises nano-particles that are configured to absorb and store heat.

10. A surgical instrument, comprising:

an end effector comprising;

a first jaw;

a second jaw, wherein the first jaw and the second jaw are operably coupled together; and

a cutting member configured to translate with respect to the first jaw, wherein the cutting member comprises a cutting surface and a body, wherein the body defines a cavity and at least one opening communicating with the cavity; and

an elongate shaft and a handle operably coupled to the elongate shaft, wherein the end effector is operably coupled to the elongate shaft, and wherein the at least one cutting member opening is positioned between the handle and the cutting surface;

wherein the cutting member is configured to translate between a retracted position and a fully advanced position with respect to the first jaw, wherein the at least one cutting member opening is positioned between the first jaw and the handle when the cutting member is at the fully advanced position.

11. A surgical instrument, comprising:

an end effector, comprising;

a first jaw and a second jaw; and

an energy delivery surface; and

a closure member, comprising;

a camming surface configured to move the first jaw and the second iaw between an open configuration and a closed configuration;

a cutting surface; and

heat dissipation means for supplying fluid to tissue intermediate the first jaw and the second jaw and for dissipating heat from at least a portion of the end effector.

12. The surgical instrument of claim 11, further comprising a handle and an elongate shaft operably coupling the handle to the end effector, wherein the heat dissipation means comprises a gas container operably coupled to the handle, wherein the gas container is configured to selectively release a gas such that the gas moves through the elongate shaft and to at least a portion of the end effector.

13. The surgical instrument of claim 11, further comprising a handle and an elongate shaft operably coupling the handle to the end effector, wherein the heat dissipation means comprises a vortex tube operably coupled to the handle, wherein the vortex tube is configured to expel a cooled gas such that the gas moves through the elongate shaft and to at least a portion of the end effector.

14. The surgical instrument of claim 11, further comprising an additional energy delivery surface.

15. A surgical instrument, comprising:

an end effector, comprising;

a first jaw; and

a second jaw operably coupled to the first jaw; and

a movable closure member, comprising;

a camminq surface configured to move the first iaw and the second jaw between an open configuration and a closed configuration; and

a cutting member, comprising;

a distal end comprising a cutting surface; and

an intermediate portion proximal to the distal end, wherein the intermediate portion comprises an outer surface, wherein a cavity is defined in the intermediate portion, and wherein at least one opening extends from the cavity to the outer surface of the intermediate portion.

16. The surgical instrument of claim 15, further comprising an electrode.

17. The surgical instrument of claim 15, wherein the first jaw further comprises a first energy delivery surface, and wherein the second jaw further comprises a second energy delivery surface.

18. A surgical instrument, comprising:

an end effector comprising a pair of jaws; and

a closure beam configured to move relative to the pair of jaws, wherein the closure beam comprises;

a cam surface configured to move the pair of jaws a predefined distance apart; and

a cutting member, comprising;

a body comprising an outer surface, wherein a cavity is defined in the body, and wherein at least one opening extends from the cavity to the outer surface; and

a distal end comprising a cutting surface.

19. The surgical instrument of claim 18, wherein the cutting member defines a longitudinal axis and wherein the at least one opening defines a plane that is parallel to the longitudinal axis.

20. The surgical instrument of claim 18, wherein the cutting member defines a longitudinal axis and wherein the at least one opening defines a plane that intersects the longitudinal axis.

21. The surgical instrument of claim 18, wherein the body comprises a first side and a second side, wherein the at least one opening comprises a first opening and a second opening, wherein the first opening extends from the cavity to the outer surface on the first side of the body, and wherein the second opening extends from the cavity to the outer surface on the second side of the body.

22. The surgical instrument of claim 18, further comprising:

a shaft coupled to the end effector; and

a handle coupled to the shaft, wherein the handle comprises a fluid source, and wherein the fluid source is in fluid communication with the cavity.

23. The surgical instrument of claim 18, further comprising an electrode.