Electrosurgical instruments and connections thereto

• US 9,962,222 B2
• Filed: 04/22/2016
• Issued: 05/08/2018
• Est. Priority Date: 10/01/2010
• Status: Active Grant

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Brustad, John R., Falkenstein, Zoran, Linville-Engler, Benjamin, Wixey, Matthew A., Johnson, Gary M., Elliott, Patrick
• Primary Examiner(s): Carey, Michael
• Assistant Examiner(s): Patel, Natasha
• Application Number:
  US15/136,652
• Publication Number:
  US 20160235475A1
• Time in Patent Office: 746 Days
• 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 2017/2903 transferring rotary motion
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00869 Phase
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1432 curved

Abstract

An electrosurgical instrument includes jaws having an electrode configuration utilized to electrically modify tissue in contact with one or more electrodes. The instrument is removably connectable to an electrosurgical unit via an electrosurgical connector extending from the instrument and a receptacle on the electrosurgical unit. The electrosurgical instrument is rotatable without disrupting electrical connection to the electrodes of the jaws. One or more of the electrodes is retractable. The electrosurgical unit and instrument optimally seals and/or cuts tissue based on identifying the tissue and monitoring the modification of the tissue by the application of radio frequency energy.

Claims

1. An electrosurgical system comprising

an electrosurgical instrument comprising a first jaw pivotably coupled to a second jaw, the first and second jaws movable between a spaced position with the first and second jaws spaced from each other and a proximate position with the first and second jaws proximate to each other to capture tissue between the first and second jaws, the first jaw comprising an inner surface and the second jaw comprising an inner surface facing the inner surface of the first jaw, the first jaw comprising a first electrode on the inner surface of the first jaw and a second electrode connected to the first jaw and extendable from a first position within the first jaw to a second position outside the first jaw when the first and second jaws are in the proximate position, the first electrode being electrically connected to the second electrode;

an electrosurgical unit removably connected to the electrosurgical instrument and comprising a radio frequency (RF) amplifier configured to supply RF energy to the first and second electrodes to coagulate and cut tissue; and

a connector;

wherein the electrosurgical instrument further comprises;

a cable having a proximal end and a distal end, the distal end of the cable being attached to and extending from a proximal portion of the electrosurgical instrument, a plug having one end connected to the proximal end of the cable and another end removably attached to the connector; and

wherein the electrosurgical unit further comprises a tool connector receptacle; and

wherein the connector of the electrosurgical instrument is removably attached to the tool connector receptacle and comprises memory circuitry having tool data specific for the electrosurgical instrument and configured to be utilized by the electrosurgical unit to retrieve the tool data.

2. The electrosurgical system of claim 1 wherein the second electrode of the electrosurgical instrument is retractable from the second position outside the first jaw to the first position within the first jaw when the first and second jaws are in the spaced position;

and wherein the electrosurgical instrument further comprises;

an elongate shaft connected to first and second jaws; and

an actuator connected to the elongate shaft, the actuator having a stationary handle and a movable trigger connected to the first and second jaws, the movable trigger movable towards the stationary handle to move the first and second jaws to the proximate position and the second electrode to the first position and the movable trigger movable away from the stationary handle to move the first and second jaws to the spaced position and the second electrode to the second position.

3. The electrosurgical system of claim 2 wherein the electrosurgical instrument further comprises:

an internal switch disposed within the actuator and not externally accessible, the internal switch activated by the movable trigger contacting the internal switch when the movable trigger is moved towards the stationary handle; and

at least one external switch disposed on the actuator and an electrical connection being established with the at least one external switch and the internal switch being both activated.

4. The electrosurgical system of claim 3 wherein the movable trigger includes a flexible arm attached to a portion of the movable trigger disposed within the stationary handle, the flexible arm of the movable trigger contacting the internal switch, the movable trigger and the flexible arm pivotable relative to the stationary handle.

5. The electrosurgical system of claim 4 wherein the external switch is disposed at a distal portion of the stationary handle and below the internal switch and the elongate shaft;

and the internal switch is disposed in a proximal portion of the stationary handle, below the elongate shaft and above the external switch.

6. The electrosurgical system of claim 5 wherein the external switch further comprises a first external switch to activate an electrosurgical activity and a second external switch to activate a different electrosurgical activity, the first switch disposed above the second switch, both switches being disposed on the stationary housing and below the elongate shaft.

7. The electrosurgical system of claim 1 wherein the connector comprises:

at least one of a pin or recess arrangement on the connector that is arranged to couple to at least one of a corresponding recess or pin arrangement of the plug of the electrosurgical instrument; and

at least one of a pin or recess arrangement on the connector that is arranged to couple to at least one of a corresponding recess or pin arrangement on the tool connector receptacle of the electrosurgical unit.

8. The electrosurgical system of claim 7 wherein the tool connector receptacle includes a switch recessed within the tool connector receptacle that is operatively activated by the connector being inserted into the tool connector receptacle.

9. The electrosurgical system of claim 7 wherein the memory circuitry is configured to be utilized by the electrosurgical unit and the electrosurgical instrument authenticated by the electrosurgical unit.

10. The electrosurgical system of claim 1 wherein the memory circuitry is configured to be utilized by the electrosurgical unit upon successful electrical connection of the electrosurgical instrument to the electrosurgical unit.

11. The electrosurgical system of claim 10 wherein the electrosurgical unit is configured to identify a total number of electrodes on the electrosurgical instrument from tool data stored in the memory circuitry.

12. The electrosurgical system of claim 10 wherein the memory circuitry is configured to transfer script information to the electrosurgical unit when the electrosurgical instrument is connected to the electrosurgical unit.

13. The electrosurgical system of claim 1 wherein the memory circuitry is configured to be utilized by the electrosurgical unit and the memory circuitry comprises tool data that includes script information, a total number of electrodes on the electrosurgical instrument, and a state of one or more electrodes of the electrosurgical instrument to be utilized upon successful electrical connection of the electrosurgical instrument to the electrosurgical unit.

14. The electrosurgical system of claim 13 wherein the memory circuitry is configured to transfer the script information to the electrosurgical unit when the electrosurgical instrument is connected to the electrosurgical unit and after initial handshaking between the electrosurgical instrument and the electrosurgical unit is completed.

15. The electrosurgical system of claim 1 wherein the memory circuitry is configured to be utilized by the electrosurgical unit, the memory circuitry being configured to transfer script information to the electrosurgical unit and to deny subsequent requests to transfer the script information, the script information being specific and usable only for the electrosurgical instrument connected to the electrosurgical unit.

16. The electrosurgical system of claim 15 wherein the memory circuitry further comprises tool data comprising energy level ranges and durations for specific electrosurgical procedures;

electrode configuration of the electrosurgical instrument; and

electrode configuration switching to perform electrosurgical procedures specific for the electrosurgical instrument.

17. The electrosurgical system of claim 16 wherein the RF amplifier in conjunction with the memory circuitry are configured to supply RF energy to the electrosurgical instrument for specified energy level ranges and durations for specific electrosurgical procedures based on the tool data stored in the memory circuitry.

18. The electrosurgical system of claim 16 wherein the RF amplifier in conjunction with the memory circuitry are configured to supply RF energy to the electrosurgical instrument for specified electrode configurations based on the tool data stored in the memory circuitry.

19. The electrosurgical system of claim 1

wherein the cable is a sterile cable, the plug is a sterile plug and the connector is a non-sterile connector and the memory circuitry is disposed adjacent to a pin or recess arrangement on one end of the non-sterile connector, the pin or recess arrangement of the non-sterile connector arranged to couple to a corresponding recess or pin arrangement of the sterile plug.

20. The electrosurgical system of claim 19 wherein the electrosurgical unit reads information on the memory circuitry of the non-sterile connector and writes information on the memory circuitry of the non-sterile connector.

21. The electrosurgical system of claim 20 wherein the information written on the memory circuitry by the electrosurgical unit includes treatment data, the treatment data including tissue types encountered by the electrosurgical instrument.

22. The electrosurgical system of claim 20 wherein the information includes calibration and output verification information stored on the electrosurgical unit and the electrosurgical unit transfers and stores the information on the memory circuitry to the non-sterile connector when the non-sterile connector is attached to the electrosurgical unit.

23. The electrosurgical system of claim 1 wherein the electrosurgical unit is arranged to record tissue types contacted by the electrodes of the electrosurgical instrument.

24. The electrosurgical system of claim 1 wherein the second electrode is extendable pass a distal most end of the first jaw.

25. The electrosurgical system of claim 24 wherein the second electrode is L-hook shaped.

26. The electrosurgical system of claim 24 wherein the second electrode is extendable and retractable only from the first jaw and is in contact with only the first jaw.

27. The electrosurgical system of claim 1 wherein the connector comprises flat surface contact pads and the tool connector receptacle comprises a series of extending pins, the series of extending pins from the tool connector receptacle of the electrosurgical unit being removably and electrically coupled to flat surface pads of the connector.

28. The electrosurgical system of claim 27 wherein the connector comprises a pin arrangement disposed on an opposite side of the flat surface contact pads of the connector, the pin arrangement disposed adjacent to the memory circuitry.

29. The electrosurgical system of claim 28 wherein the series of extending pins comprises spring-loaded pogo-pins.