Heat management configurations for controlling heat dissipation from electrosurgical instruments

• US 9,737,358 B2
• Filed: 03/20/2015
• Issued: 08/22/2017
• Est. Priority Date: 06/10/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (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, IV, Frederick E., Harris, Jason L., Swayze, Jeffrey S., Malaviya, Prasanna, Johnson, Gregory W., Guerra, Paul
• Primary Examiner(s): Giuliani, Thomas
• Application Number:
  US14/664,249
• Publication Number:
  US 20150196352A1
• Time in Patent Office: 886 Days
• Field of Search: 606 50- 52, 606 41
• 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 a first channel;

a second jaw operably coupled to the first jaw, wherein the second jaw comprises a second channel; and

an electrode; and

a moveable cutting member moveable between a retracted position and extended position, wherein the moveable cutting member is moveable through the first channel and the second channel when the first jaw and the second jaw are in a clamped configuration, and wherein the moveable cutting member comprises;

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, wherein at least one opening extends from the cavity to the outer surface, wherein the at least one opening is positioned intermediate the first jaw and the second jaw when the moveable cutting member is in the extended position, and wherein the at least one opening is configured to dissipate heat between the first jaw and the second jaw when the first jaw and the second jaw are in the clamped configuration.

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

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

a handle operably coupled to the elongate shaft.

3. The surgical instrument of claim 1, further comprising a fluid chamber fluidly coupled to the cavity.

4. The surgical instrument of claim 3, wherein 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.

5. The surgical instrument of claim 1, further comprising a vacuum source fluidly coupled to the cavity.

6. The surgical instrument of claim 1, wherein a plurality of openings extend from the cavity to the outer surface, and wherein the plurality of openings are spaced apart along the intermediate portion.

7. The surgical instrument of claim 1, wherein the electrode comprises a U-shaped electrode positioned on the first jaw, and wherein a second electrode is positioned on the second jaw.

8. The surgical instrument of claim 7, further comprising a channel defined into the first jaw and at least partially around the U-shaped electrode.

9. The surgical instrument of claim 1, wherein the distal end comprises a closed distal end.

10. A surgical instrument, comprising:

an end effector, comprising;

a first jaw comprising a first channel;

a second jaw operably coupled to the first jaw, wherein the second jaw comprises a second channel; and

an electrode; and

a moveable cutting member moveable between a retracted position and an extended position, wherein the moveable cutting member is moveable through the first channel and the second channel when the first jaw and the second jaw are in a clamped configuration, and wherein the moveable cutting member comprises;

a distal cutting surface; and

heat dissipation means for supplying fluid to tissue proximal to the distal cutting surface and clamped intermediate the first jaw and the second jaw, wherein the heat dissipation means does not extend past the electrode when the moveable cutting member is in the extended position.

11. The surgical instrument of claim 10, further comprising:

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

a handle operably coupled to the elongate shaft.

12. The surgical instrument of claim 10, further comprising a fluid chamber fluidly coupled to the heat dissipation means.

13. The surgical instrument of claim 12, wherein 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.

14. The surgical instrument of claim 10, wherein the moveable cutting member comprises a hollow portion.

15. A surgical instrument, comprising:

an end effector, comprising;

a first jaw comprising a first channel;

a second jaw operably coupled to the first jaw, wherein the second jaw comprises a second channel; and

an electrode; and

a cutting member moveable between a retracted position and an extended position, wherein the moveable cutting member is moveable through the first channel and the second channel when the first jaw and the second jaw are in a clamped configuration, and wherein the cutting member comprises;

an outer surface; and

a fluid pathway, wherein the fluid pathway comprises at least one opening defined in the outer surface and a closed distal end, wherein the at least one opening is positioned intermediate the first jaw and the second jaw when the cutting member is in the extended position, and wherein the at least one opening is configured to dissipate heat between the first jaw and the second jaw when the first jaw and the second jaw are in the clamped configuration.

16. The surgical instrument of claim 15, wherein the cutting member is configured to translate between the first jaw and the second jaw along a longitudinal axis.

17. The surgical instrument of claim 15, further comprising:

an elongate shaft, wherein the end effector is operably coupled to the elongate shaft;

a handle operably coupled to the elongate shaft; and

a fluid chamber fluidly coupled to the fluid pathway.

18. The surgical instrument of claim 17, further comprising a vacuum source fluidly coupled to the fluid chamber.

19. The surgical instrument of claim 15, wherein a plurality of openings are defined in the outer surface.

20. The surgical instrument of claim 15, wherein the outer surface comprises a cutting edge.