Vessel sealing instrument with reduced thermal spread and method of manufacture therefor

• US 9,867,659 B2
• Filed: 10/18/2016
• Issued: 01/16/2018
• Est. Priority Date: 02/24/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brandt, Kim V., Aquino, Allan G.
• Primary Examiner(s): Wieland, Robert N
• Application Number:
  US15/296,100
• Publication Number:
  US 20170035493A1
• Time in Patent Office: 455 Days
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: B29B 11/14 characterised by structure or composition
• CPC Class Codes: B29C 2949/0715 the preform having one end closed
• CPC Class Codes: B29C 49/071 Preforms or parisons characterised by their configuration, e.g. geometry, dimensions or physical properties
• CPC Class Codes: B29C 70/78 Moulding material on one side only of the preformed part
• CPC Class Codes: B29C 70/88 characterised primarily by possessing specific properties, e.g. electrically conductive or locally reinforced
• CPC Class Codes: B29K 2077/00 Use of PA, i.e. polyamides, e.g. polyesteramides or derivatives thereof, as moulding material
• CPC Class Codes: B29L 2031/7546 Surgical equipment
• CPC Class Codes: Y10T 29/49986 Subsequent to metal working

Abstract

An electrosurgical vessel sealing instrument having a first and a second opposing jaw member at a distal end thereof, wherein each jaw member includes a jaw housing, a seal plate having a tissue contacting surface and a side wall, and an insulating region disposed on the side wall of the seal plate. The instrument includes the ability to move the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue. The insulating region enables precision overmolding of the jaw housing to the seal plate, while advantageously reducing thermal spread and edge cutting during vessel sealing procedures.

Claims

1. An end effector assembly for an electrosurgical instrument, comprising:

a first jaw member and a second jaw member, at least one of the first jaw member or the second jaw member movable relative to the other to grasp tissue therebetween, at least one of the first jaw member or the second jaw member including;

an electrode having a tissue contacting surface and a side wall extending from the tissue contacting surface, the side wall including a series of ribs and a series of spaces therebetween; and

an insulator, wherein a portion of the insulator is disposed within each space of the series of spaces,

wherein the series of ribs and the portions of the insulator are configured to define a current flow path from the side wall towards the tissue contacting surface such that electrosurgical energy is inhibited from propagating to untargeted tissue.

2. The end effector assembly according to claim 1, wherein the tissue contacting surface includes a peripheral edge, the side wall extending from the peripheral edge of the tissue contacting surface.

3. The end effector assembly according to claim 2, wherein a transition from the peripheral edge of the tissue contacting surface to the side wall defines an edge radius.

4. The end effector assembly according to claim 3, wherein the edge radius is configured to direct the current flow path from the series of ribs towards the tissue contacting surface.

5. The end effector assembly according to claim 1, wherein a current concentration is formed in a region surrounding the series of ribs, wherein the series of ribs is provided to inhibit the current concentration from propagating electrosurgical energy from the side wall to untargeted tissue.

6. The end effector assembly according to claim 1, wherein the electrode defines an inverted U-shaped cross-section.

7. The end effector assembly according to claim 1, wherein an outer surface of the insulator is flush with an outer surface of the side wall.

8. The end effector assembly according to claim 1, wherein the tissue-contacting surface of the electrode defines a longitudinally-extending knife channel therethrough.

9. The end effector assembly according to claim 1, wherein the electrode and the insulator are overmolded to one another.

10. The end effector assembly according to claim 1, wherein a distance between adjacent ribs of the series of ribs is greater than a width of each rib of the series of ribs.

11. The end effector assembly according to claim 1, wherein the at least one of the first jaw member or the second jaw member further comprises a jaw housing configured to support the electrode and the insulator.

12. The end effector assembly according to claim 1, wherein the at least one of the first jaw member or the second jaw member further comprises a wire joined to the electrode and configured to supply electrosurgical energy thereto.

13. An end effector assembly for an electrosurgical instrument, comprising:

a first jaw member and a second jaw member, at least one of the first jaw member or the second jaw member movable relative to the other to grasp tissue therebetween, at least one of the first jaw member or the second jaw member including;

an electrode having a tissue contacting surface and a side wall extending from the tissue contacting surface, the side wall configured to define a current flow path of electrosurgical energy from the side wall towards the tissue contacting surface; and

an insulator disposed along at least a part of the side wall, the insulator configured to inhibit propagation of the current flow path of electrosurgical energy from the side wall to untargeted tissue.

14. The end effector assembly according to claim 13, wherein the side wall includes a series of ribs and a series of spaces therebetween, and wherein a potion of the insulator is disposed within each space of the series of spaces.

15. The end effector assembly according to claim 14, wherein the tissue contacting surface includes a peripheral edge, the side wall extending from the peripheral edge of the tissue contacting surface.

16. The end effector assembly according to claim 15, wherein a transition from the peripheral edge of the tissue contacting surface to the side wall defines an edge radius.

17. The end effector assembly according to claim 16, wherein the edge radius is configured to direct the current flow path from the series of ribs towards the tissue contacting surface.