BIPOLAR CLAMP FOR HF SURGERY

• US 20110066150A1
• Filed: 03/23/2009
• Published: 03/17/2011
• Est. Priority Date: 04/17/2008
• Status: Active Grant

• Current Assignee: Erbe Elektromedizin GmbH (C. Erbe GmbH)
• Original Assignee: Erbe Elektromedizin GmbH (C. Erbe GmbH)
• Inventors: Brodbeck, Achim, Hiller, Jürgen, Beller, Jürgen
• Granted Patent: US 9,066,723 B2
• Time in Patent Office: Days
• US Class Current: 606/51
• 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 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating

Abstract

A bipolar clamp for high-frequency surgery, in particular for coagulating tissue, having at least two bipolar clamping parts which are movable relative to one another, defining a grasping region between an open position and a coagulation position (e.g., closed position) and having electrodes for coagulating tissue that is grasped by the clamping parts in the grasping region. The clamping parts are formed of an electrically conductive core which is surrounded by a thin-layer electrical insulation and the electrodes are arranged on the clamping parts as thin pin electrodes that protrude through the thin-layer electrical insulation into the grasping region.

Claims

1-17. -17. (canceled)

18. A bipolar clamp for use in high-frequency surgery, the bipolar clamp comprising:

at least two bipolar clamping parts, each clamping part comprising;

an electrically conductive core;

a thin-layer electrical insulation surrounding the electrically conductive core; and

a plurality of electrodes arranged on the electrically conductive core and protruding through the thin-layer electrical insulation,

wherein the clamping parts are movable relative to one another, between an open position and a coagulation position, and in the coagulation position the clamping parts define a grasping region, and

wherein the electrodes of each clamping part protrude through the respective thin-layer electrical insulation into the grasping region.

19. The bipolar clamp according to claim 18, wherein the high-frequency surgery comprises coagulating tissue.

20. The bipolar clamp according to claim 19, wherein the clamping parts are configured to grasp tissue in the grasping region and the electrodes are configured to coagulate said tissue.

21. The bipolar clamp according to claim 18, wherein the electrodes are pin electrodes.

22. The bipolar clamp according to claim 18, wherein a ratio of heat capacities of all the electrodes on a particular electrically conductive core to a heat capacity of the particular electrically conductive core is such that during operation, heating of the clamping parts is substantially prevented.

23. The bipolar clamp according to claim 18, wherein a total volume of the electrodes on a particular electrically conductive core is smaller than a total volume of the particular electrically conductive core.

24. The bipolar clamp according to claim 18, wherein a total surface area of the electrodes on a particular electrically conductive core is smaller than a total surface area of the respective clamping part.

25. The bipolar clamp according to claim 18, wherein each electrode has a flattened surface at a free end thereof such that penetration of said electrode into tissue grasped in the grasping region when the clamping parts are in the coagulation position is substantially prevented.

26. The bipolar clamp according to claim 18, wherein the electrodes have a cylindrical form.

27. The bipolar clamp according to claim 18, wherein the electrodes are configured integrally the respective electrically conductive core.

28. The bipolar clamp according to claim 18, wherein the electrodes are arranged in complementary electrode receptacles on the respective electrically conductive core.

29. The bipolar clamp according to claim 18, wherein the electrodes are arranged on the respective electrically conductive cores such that the electrodes are orthogonal to clamping part surfaces of the clamping parts which face toward the grasping region.

30. The bipolar clamp according to claim 18, wherein the electrodes are arranged on the respective electrically conductive cores such that the electrodes are spaced apart and offset from one another, in each case leaving an intermediate space, such that in the coagulation position, the electrodes of one clamping part are at least partially immersed in the intermediate spaces formed by the electrodes of the other clamping part.

31. The bipolar clamp according to claim 30, wherein the electrodes are arranged and configured such that when tissue is grasped in the grasping region when the clamping parts are in the coagulation position, a current flows between the electrodes of one clamping part forming an intermediate space and the electrode of the other clamping part immersed into the intermediate space, thereby producing a coagulation area.

32. The bipolar clamp according to claim 31, wherein the electrodes are spaced apart from one another such that the coagulation areas formed by the current flow between the respective electrodes forming coagulation pairs at least partially overlap.

33. The bipolar clamp according to claim 30, wherein a plurality of intermediate spaces is formed, each of the plurality of intermediate spaces being substantially identical.

34. The bipolar clamp according to claim 18, wherein the thin-layer electrical insulation is configured as an insulation plate on clamping part surfaces of the clamping parts which face toward the grasping region and as an insulation coating on a remainder of a surface of the electrically conductive core.

35. The bipolar clamp according to claim 18, further comprising arms having the clamping parts arranged distally on the arms, the arms being connected together via an articulated connection and have proximal actuating devices for opening and closing the clamping parts arranged distally thereon, wherein the respective electrodes are each pivoted round the articulated connection following a circular path on which said electrodes move during opening and closing of the clamping parts.

36. The bipolar clamp according to claim 35, wherein lengths of the electrodes protruding from at least one electrically conductive core increase in proportion to a distance from the articulated connection.

37. A surgical instrument for high-frequency surgery, comprising:

at least one bipolar clamp according to claim 18;

at least two arms, connected to one another via an articulated connection; and

proximal actuating devices for opening and closing the clamping parts of the at least one bipolar clamp which are arranged distally on the arms.