Surgical instrument with feedback at end effector

• US 9,050,100 B2
• Filed: 12/10/2012
• Issued: 06/09/2015
• Est. Priority Date: 12/10/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Yates, David C., Shelton, Frederick E. IV, Houser, Kevin L., Zingman, Aron O., Korvick, Donna L., Madan, Ashvani K., Willis, John W.
• Primary Examiner(s): Wieland, Robert N
• Application Number:
  US13/709,420
• Publication Number:
  US 20140163549A1
• Time in Patent Office: 911 Days
• Field of Search: 606/52
• US Class Current: 1/1
• 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 2017/0003 of parts of the instruments
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00303 active, e.g. with a motor creating vibrations
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/0066 without feedback, i.e. open loop control
• CPC Class Codes: A61B 2018/00809 measured thermochromatically
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1495 Electrodes being detachable from a support structure
• CPC Class Codes: A61B 2218/006 for smoke evacuation

Abstract

An apparatus for operating on tissue includes a body, a lip in communication with the body, and at least one electrode also in communication with the body. The body is able to mechanically couple with a portion of an end effector, which may be controlled by a user through a handpiece. The lip is configured to grip a portion of the end effector. The at least one electrode is configured to provide sufficient electrical energy to weld at least a portion of tissue. In some versions, a temperature sensitive material may be positioned on a portion of the end effector. Additionally, in some versions, the handpiece of the end effector may comprise feedback features able to convey information to the user.

Claims

1. An apparatus for operating on tissue, the apparatus comprising:

(a) a body configured to mechanically couple with a portion of an end effector;

(b) a lip in communication with the body, wherein the lip is configured to grip a portion of the end effector; and

(c) at least one electrode in communication with the body, wherein the at least one electrode is configured to weld at least a portion of tissue using electrical energy.

2. The apparatus of claim 1, wherein the body has an elongated curved shape configured to complement contours of an end effector.

3. The apparatus of claim 1, wherein the lip has an elongated edge configured to run along the length of an end effector.

4. The apparatus of claim 1, wherein the at least one electrode is oriented longitudinally along the body.

5. The apparatus of claim 1, wherein the at least one electrode is configured to turn off when the end effector is in operation.

6. The apparatus of claim 1, wherein the body further comprises a heat sink layer.

7. The apparatus of claim 1, wherein the body further comprises an insulating layer comprising a plastic film.

8. The apparatus of claim 1, wherein at least a portion of the at least one electrode comprises an energy sensitive material.

9. The apparatus of claim 8, wherein the energy sensitive material is configured to change color upon the application of energy to the at least one electrode.

10. The apparatus of claim 8, wherein the energy sensitive material is configured to be heat sensitive.

11. The apparatus of claim 8, wherein the energy sensitive material is configured to be sensitive to electrical current flowing through the at least one electrode.

12. The apparatus of claim 1, further comprising a feedback system in communication with the body, wherein the feedback system comprises a feedback controller and at least one signal device, wherein the feedback controller is configured to detect changes in at least one measurable characteristic of the end effector.

13. The apparatus of claim 12, wherein the feedback controller of the feedback system is operable to detect whether electrical current is flowing through the at least one electrode.

14. The apparatus of claim 13, wherein the at least one signal device is configured to provide haptic feedback to the user upon current flowing through the at least one electrode.

15. The apparatus of claim 13, wherein the at least one signal device is configured to provide audio feedback to the user upon current flowing through the at least one electrode.

16. An apparatus comprising:

(a) a handpiece;

(b) an end effector in communication with the handpiece, wherein the end effector comprises a first and second jaw, wherein the end effector is configured to clamp, cut, and seal tissue; and

(c) an energy sensitive region, wherein the energy sensitive region is positioned on a portion of the end effector, wherein the energy sensitive region is configured to alter the energy sensitive region'"'"'s visual appearance in response to the application of energy to the end effector.

17. The apparatus of claim 16, wherein the energy sensitive region is configured to be heat sensitive.

18. The apparatus of claim 16, wherein the energy sensitive region is configured to change color upon the application of energy to the energy sensitive region.

19. An apparatus comprising:

(a) a handpiece;

(b) an end effector in communication with the handpiece, wherein the end effector is configured to clamp and cut tissue;

(c) a feedback controller in communication with the end effector, wherein the feedback controller is configured to detect at least one aspect of the end effector; and

(d) a signal device in communication with the feedback controller, wherein the signal device is configured to inform a user of a change in the at least one aspect of the end effector, wherein the signal device is positioned within the handpiece.

20. The apparatus of claim 19, wherein the signal device is configured to provide a haptic, audible, or visual feedback to the user.