Bipolar or ultrasonic surgical device

• US 9,662,514 B2
• Filed: 09/23/2014
• Issued: 05/30/2017
• Est. Priority Date: 06/02/1999
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Whitman, Michael P.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US14/493,638
• Publication Number:
  US 20150011988A1
• Time in Patent Office: 980 Days
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/285 combined with cutting implements
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2017/320097 with stapling means
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/145 wherein the effectors remain parallel during closing and opening
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

An electro-mechanical surgical device, system and/or method may include a housing, at least two opposing jaw, and at least one electrical contact associated with at least one of the jaws. The electrical contact may include at least one of a bipolar electrical contact and an ultrasonic electrical contact. The electrical contact may be a row of electrodes located on one or all of the jaws. A sensor may also be associated with any tissue located between the jaws to sense and report the temperature of that tissue. A pierceable ampulla containing fluid may also be placed on at least one of the jaws so that the fluid is releasable when the jaws are in closed position and the electrode(s) pass through the tissue into the pierceable ampulla.

Claims

1. An electro-mechanical surgical system, comprising:

a surgical instrument including;

a first jaw;

a second jaw opposing the first jaw, the first and second jaws configured to clamp tissue therebetween;

a plurality of ultrasonic resonator pins arranged on at least one jaw of the first jaw or the second jaw;

a stapling device configured to staple tissue clamped between the first jaw and the second jaw; and

an ultrasonic transducer configured to supply ultrasonic energy to the plurality of ultrasonic resonator pins; and

an elongated shaft extending from the surgical instrument and having a distal end configured to detachably couple with the surgical instrument.

2. The electro-mechanical surgical system according to claim 1, further comprising a cutting device configured to cut tissue clamped between the first jaw and the second jaw.

3. The electro-mechanical surgical system according to claim 1, wherein the surgical instrument includes at least one sensor configured to sense temperature of tissue.

4. The electro-mechanical surgical system according to claim 3, wherein the at least one sensor is configured to transmit a signal to indicate the temperature of tissue.

5. The electro-mechanical surgical system according to claim 1, wherein at least one jaw of the first jaw or the second jaw includes:

at least one pierceable ampulla containing matter, the at least one pierceable ampulla configured to release the matter when the first jaw and the second jaw are in a closed position; and

at least one piercing member, the at least one piercing member configured to pass through the tissue clamped between the first jaw and the second jaw and into the at least one pierceable ampulla.

6. The electro-mechanical surgical system according to claim 5, wherein the matter includes at least one of collagen, fibrin, dye, matter configured to effect anastomosis, matter configured to seal tissue or matter configured to effect hemostasis.

7. The electro-mechanical surgical system according to claim 1, wherein at least one of height, width or density of spacing of the plurality of ultrasonic resonator pins is adjustable.

8. An electro-mechanical surgical device, comprising:

a first jaw;

a second jaw opposing the first jaw, the first and second jaws configured to clamp tissue therebetween;

a plurality of ultrasonic resonator pins, at least one ultrasonic resonator pin of the plurality of ultrasonic resonator pins arranged on at least one jaw of the first jaw or the second jaw;

a plurality of electrodes arranged on at least one of the first jaw or the second jaw, the plurality of electrodes including at least one first electrode and at least one second electrode adjacent to the at least one first electrode, wherein the plurality of resonator pins projects from a tissue contacting surface of the first jaw or the second jaw; and

an ultrasonic transducer configured to supply ultrasonic energy to the plurality of ultrasonic resonator pins and to supply electrical energy to the at least one first electrode and the at least one second electrode so that the at least one first electrode has a polarity opposite a polarity of the at least one second electrode.

9. The electro-mechanical surgical device according to claim 8, further comprising a stapling device configured to staple tissue clamped between the first jaw and the second jaw.

10. The electro-mechanical surgical device according to claim 8, further comprising an elongated shaft having a distal end configured to detachably couple with the first jaw and the second jaw.

11. The electro-mechanical surgical device according to claim 8, wherein at least one of height, width or density of spacing of the plurality of ultrasonic resonator pins is adjustable.

12. The electro-mechanical surgical device according to claim 8, further comprising a cutting device configured to cut tissue clamped between the first jaw and the second jaw.