Variable resistor jaw

• US 9,113,905 B2
• Filed: 06/20/2013
• Issued: 08/25/2015
• Est. Priority Date: 07/21/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: McKenna, Nicole, Wham, Robert H.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GIULIANI, THOMAS ANTHONY
• Application Number:
  US13/922,975
• Publication Number:
  US 20130282010A1
• Time in Patent Office: 796 Days
• Field of Search: 606/38, 606 50- 52, 606/207
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators therefor
• 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 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00869 Phase
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/00904 Automatic detection of target tissue

Abstract

A bipolar forceps for sealing tissue includes an end effector assembly having opposing first and second jaw members each having a proximal end and a distal end. A first electrically conductive surface having two or more conductive sealing plates and a dielectric layer is operably coupled to the first jaw member. Each sealing plate is connected to a reactive element and positioned along the first electrically conductive surface from the proximal end to the distal end. The reactive element of the sealing plate have different impedances. A second electrically conductive surface having one or more conductive sealing plates is operably coupled to the second jaw member. Each electrically conductive surface on the jaw members connects to a source of electrosurgical energy such that the sealing plates are capable of conducting energy through tissue held therebetween to effect a tissue seal.

Claims

1. A bipolar forceps for sealing tissue, comprising:

an end effector assembly having opposing first and second jaw members each having a proximal end and a distal end and movable relative to one another to grasp tissue therebetween, a first jaw member including;

a first slotted electrically conductive surface including a plurality of electrically isolated conductive sections extending across a width thereof;

a sealing plate disposed on a center portion of the slotted electrically conductive surface and having a variable width along a length of the first jaw member thereby providing a varying change in capacitance along the length of the first jaw member; and

a second electrically conductive surface having at least one conductive sealing plate operably coupled to the second jaw member,

wherein the sealing plate and the second electrically conductive surface are adapted to connect to a source of electrosurgical energy, and

wherein impedance is increased towards a proximal end of the first slotted and second electrically conductive surfaces which increases current through a distal end of each of the first slotted and second electrically conductive surfaces to effectively seal tissue during electrical activation in a more uniform manner.

2. The bipolar forceps of claim 1, wherein impedance at each of the electrically isolated conductive sections of the first slotted electrically conductive surface increases toward the proximal end of the end effector assembly.

3. The bipolar forceps of claim 1, further including a dielectric layer disposed on a portion of the first slotted electrically conductive surface, the dielectric layer configured to radiate outward from a center portion of the first slotted electrically conductive surface.

4. The bipolar forceps of claim 3, wherein the first slotted electrically conductive surface has the same geometry as the sealing plate and dielectric layer.

5. The bipolar forceps of claim 3, wherein the dielectric layer varies in width along the length of the first jaw member.

6. The bipolar forceps of claim 1, wherein the first slotted electrically conductive surface includes stop members that regulate the distance between jaw members.

7. The bipolar forceps of claim 1 further comprising:

a sensor disposed on one of the first and second jaw members and positioned to measure at least one tissue and property relay the measured at least one tissue property to the source of electrosurgical energy to effectively seal tissue.

8. The bipolar forceps of claim 7, wherein the at least one tissue property measured by the sensor includes at least one of tissue thickness, tissue hydration level, tissue impedance, tissue density, tissue type, voltage, current, impedance, and phase.

9. The bipolar forceps of claim 7, further comprising a feedback loop that provides real time adjustment of the source of electrosurgical energy based on the at least one tissue property.

10. A bipolar forceps for sealing tissue, comprising:

an end effector assembly having opposing first and second jaw members each having a proximal end and a distal end and movable relative to one another to grasp tissue therebetween, a first jaw member including;

a first slotted electrically conductive surface including a plurality of electrically isolated conductive sections extending across a width thereof;

a sealing plate disposed on the first slotted electrically conductive surface and having a varying width that provides a smooth change in capacitance along a length of the first jaw member; and

a second electrically conductive surface having at least one conductive sealing plate operably coupled to the second jaw member,

wherein the sealing plate and the second electrically conductive surface are adapted to connect to a source of electrosurgical energy, and

wherein impedance is increased towards the proximal end of the first slotted and second electrically conductive surfaces which increases current through the distal end of each of the first slotted and second electrically conductive surfaces to effectively seal tissue during electrical activation in a more uniform manner.

11. The bipolar forceps of claim 10, wherein impedance at each of the electrically isolated conductive sections of the first slotted electrically conductive surface increases toward the proximal end of the end effector assembly.

12. The bipolar forceps of claim 10, further including a dielectric layer disposed on a portion of the first slotted electrically conductive surface, the dielectric layer configured to radiate outward from a center portion of the first slotted electrically conductive surface.

13. The bipolar forceps of claim 12, wherein the first slotted electrically conductive surface has the same geometry as the sealing plate and dielectric layer.

14. The bipolar forceps of claim 12, wherein the dielectric layer varies in width along the length of the first jaw member.

15. The bipolar forceps of claim 10, wherein the first slotted electrically conductive surface includes stop members that regulate the distance between the jaw members.

16. The bipolar forceps of claim 10, further comprising:

a sensor disposed on one of the first and second jaw members and positioned to measure at least one tissue property and relay the measured at least one tissue property to the source of electrosurgical energy to effectively seal tissue.

17. The bipolar forceps of claim 16, wherein the at least one tissue property measured by the sensor includes at least one of tissue thickness, tissue hydration level, tissue impedance, tissue density, tissue type, voltage, current, impedance, and phase.

18. The bipolar forceps of claim 17, further comprising a feedback loop that provides real time adjustment of the source of electrosurgical energy based on the at least one tissue property.