Vessel sealer and divider

• US 10,265,121 B2
• Filed: 08/02/2018
• Issued: 04/23/2019
• Est. Priority Date: 04/06/2001
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Dycus, Sean T., Buysse, Steven P., Brown, Dax D.
• Primary Examiner(s): Fowler, Daniel W
• Assistant Examiner(s): Demie, Tigist S
• Application Number:
  US16/053,052
• Publication Number:
  US 20180344385A1
• Time in Patent Office: 264 Days
• 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 18/1206 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 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• 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: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

An endoscopic bipolar forceps includes an elongated shaft having opposing jaw members at a distal end thereof. The jaw members are movable 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 therebetween. The jaws members are connected to a source of electrical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. At least one non-conductive and spaced-apart stop member is disposed on an inner-facing surface of the jaw members to regulate the gap distance between the jaw members when tissue is held therebetween. The forceps also includes a longitudinally reciprocating knife which severs the tissue after sealing at a location which is proximate the sealing site.

Claims

1. A bipolar electrosurgical instrument, comprising:

opposing first and second jaw members, the first and second jaw members including first and second seal surfaces, respectively, adaptable to connect to a source of electrical energy such that the first and second seal surfaces are capable of conducting energy through tissue held between the first and second jaw members, at least one of the first or second jaw members movable relative to the other;

the first seal surface including a knife channel defined therein and extending along a portion of a length thereof from an open proximal end of the knife channel to a closed distal end of the knife channel that is proximally-spaced from a distal end of the first seal surface;

a series of non-conductive tabs spaced along a portion of the length of the first seal surface and configured to facilitate gripping tissue, the series of non-conductive tabs disposed between the open proximal end of the knife channel and the closed distal end of the knife channel and including at least one non-conductive tab disposed on a first side of the knife channel and at least one non-conductive tab disposed on a second, opposite side of the knife channel, each of the non-conductive tabs extending a first height above the first sealing surface;

a stop member disposed distally of the knife channel between the closed distal end of the knife channel and the distal end of the first seal surface, the stop member configured to prevent short circuiting of the first and second seal surfaces and extending a second height above the first sealing surface that is different than the first height; and

a knife configured to translate through the knife channel.

2. The bipolar electrosurgical instrument according to claim 1, wherein the stop member is electrically-insulated from the first seal surface.

3. The bipolar electrosurgical instrument according to claim 1, wherein the stop member is formed from a non-conductive material.

4. The bipolar electrosurgical instrument according to claim 1, wherein the stop member protrudes through the first seal surface.

5. The bipolar electrosurgical instrument according to claim 1, wherein the stop member intersects with a plane formed by the first seal surface.

6. The bipolar electrosurgical instrument according to claim 1, wherein the stop member is configured to maintain space between the first and second seal surfaces when the at least one of the first or second jaw members is moved to a closed position.

7. The bipolar electrosurgical instrument according to claim 6, wherein the stop member is configured to contact the second seal surface to maintain space between the first and second seal surfaces when the at least one of the first or second jaw members is moved to a closed position.

8. The bipolar electrosurgical instrument according to claim 1, wherein the stop member is disposed in longitudinal alignment with the knife channel.

9. The bipolar electrosurgical instrument according to claim 1, wherein the stop member is configured as a tab.

10. The bipolar electrosurgical instrument according to claim 1, wherein at least one of the non-conductive tabs is formed from a first material and wherein the stop member is formed from a second material that is different from the first material.

11. The bipolar electrosurgical instrument according to claim 1, wherein at least one of the non-conductive tabs defines a first compressibility and wherein the stop member defines a second compressibility that is different from the first compressibility.

12. The bipolar electrosurgical instrument according to claim 1, wherein at least one of the non-conductive tabs is further configured to prevent short circuiting of the first and second seal surfaces.

13. The bipolar electrosurgical instrument according to claim 12, wherein the at least one non-conductive tab is configured to contact the second seal surface to prevent short circuiting of the first and second seal surfaces.

14. The bipolar electrosurgical instrument according to claim 1, wherein at least one of the non-conductive tabs defines a first diameter and wherein the stop member defines a second diameter different from the first diameter.

15. The bipolar electrosurgical instrument according to claim 1, wherein both of the first and second jaw members are movable.

16. The bipolar electrosurgical instrument according to claim 1, wherein the tabs are circle-like.

17. A bipolar electrosurgical instrument, comprising:

opposing first and second jaw members, the first and second jaw members including first and second seal surfaces, respectively, adaptable to connect to a source of electrical energy such that the first and second seal surfaces are capable of conducting energy through tissue held between the first and second jaw members, at least one of the first or second jaw members movable relative to the other;

the first seal surface including a knife channel defined therein and extending along a portion of a length thereof from an open proximal end of the knife channel to a closed distal end of the knife channel that is proximally-spaced from a distal end of the first seal surface;

a series of non-conductive tabs formed from a first material, disposed between the open proximal end of the knife channel and the closed distal end of the knife channel, spaced along a portion of the length of the first seal surface, and configured to facilitate gripping tissue, at least one of the non-conductive tabs capable of maintaining space between the first and second seal surfaces, the series of non-conductive tabs including at least one non-conductive tab disposed on a first side of the knife channel and at least one non-conductive tab disposed on a second, opposite side of the knife channel;

a stop member disposed between the closed distal end of the knife channel and the distal end of the first seal surface in longitudinal alignment with the closed distal end of the knife channel, the stop member configured to prevent short circuiting of the first and second seal surfaces, the stop member formed from a second material that is different from the first material; and

a knife configured to translate through the knife channel.

18. The bipolar electrosurgical instrument according to claim 17, wherein the stop member is electrically-insulated from the first seal surface.

19. The bipolar electrosurgical instrument according to claim 17, wherein the stop member protrudes through and extends from the first seal surface.

20. The bipolar electrosurgical instrument according to claim 17, wherein at least one of the non-conductive tabs is capable of contacting the second seal surface to maintain space between the first and second seal surfaces when the at least one of the first or second jaw members is moved to a closed position.

21. The bipolar electrosurgical instrument according to claim 17, wherein the stop member is configured to maintain space between the first and second seal surfaces when the at least one of the first or second jaw members is moved to a closed position.

22. The bipolar electrosurgical instrument according to claim 17, wherein the stop member is configured to contact the second seal surface to maintain space between the first and second seal surfaces when the at least one of the first or second jaw members is moved to a closed position.

23. The bipolar electrosurgical instrument according to claim 17, wherein at least one of the non-conductive tabs defines a first compressibility and wherein the stop member defines a second compressibility that is different from the first compressibility.

24. The bipolar electrosurgical instrument according to claim 17, wherein at least one of the non-conductive tabs defines a first diameter and wherein the stop member defines a second diameter different from the first diameter.

25. The bipolar electrosurgical instrument according to claim 17, wherein at least one of the non-conductive tabs extend a first height above the first seal surface and wherein the stop member extends a second, different height above the first seal surface.

26. The bipolar electrosurgical instrument according to claim 17, wherein both of the first and second jaw members are movable.

27. The bipolar electrosurgical instrument according to claim 17, wherein the tabs are circle-like.

28. The bipolar electrosurgical instrument according to claim 17, wherein the stop member intersects with a plane formed by the first seal surface.