Electrosurgical cutting and sealing instrument

• US 9,011,437 B2
• Filed: 07/23/2010
• Issued: 04/21/2015
• Est. Priority Date: 07/23/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Woodruff, Scott A., Weizman, Patrick A., Payne, Gwendolyn P., Korvick, Donna L., Norvell, David K.
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US12/842,565
• Publication Number:
  US 20120022530A1
• Time in Patent Office: 1,733 Days
• Field of Search: 606 50- 52, 606205-209
• 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 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure

Abstract

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The surgical instrument may have a indicator to provide feedback signals during the operational stroke. The feedback signals assist in regulating the rate of distal translation of the tissue-cutting element.

Claims

1. An electrosurgical instrument, comprising:

a handle;

an elongate shaft extending distally from said handle;

an end effector extending distally from said elongate shaft, comprising;

a first jaw member;

a second jaw member, wherein said first jaw member is movable relative to said second jaw member between an open configuration and a closed configuration;

an electrode configured to seal tissue captured by said end effector; and

a tissue-cutting element translatable with respect to said first jaw member and said second jaw member to cut said captured tissue;

an axially movable member translatable during an operational stroke to move said first jaw member to said closed configuration, said tissue-cutting element positioned at a distal portion of said axially movable member;

a trigger system coupled to said axially movable member, wherein said trigger system is movable during said operational stroke to advance said tissue-cutting element through a first tissue zone of said captured tissue, wherein said trigger system is movable during said operational stroke to advance said tissue-cutting element through a second tissue zone of said captured tissue, wherein said first tissue zone is proximal to said second tissue zone, wherein said trigger system is configured to provide a first trigger feedback signal during said operational stroke, and wherein said trigger system is configured to provide a second trigger feedback signal during said operational stroke;

a first pacing indicator configured to provide a first pacing feedback signal corresponding to a first impedance level of said first tissue zone; and

a second pacing indicator configured to provide a second pacing feedback signal corresponding to a second impedance level of said second tissue zone, wherein said first pacing feedback signal is configured to signal a user to advance said tissue-cutting element through said first tissue zone until said first trigger feedback signal is transmitted, and wherein said second pacing feedback signal is configured to signal the user to advance said tissue-cutting element through said second tissue zone until said second trigger feedback signal is transmitted.