Electrosurgical instrument

Patent metadata

Field	Value
Publication number	US-10413352-B2
Application number	US-201614992193-A
Country	US
Kind code	B2
Filing date	Jan 11, 2016
Priority date	Jan 14, 2015
Publication date	Sep 17, 2019
Grant date	Sep 17, 2019

Abstract

An end effector for an electrosurgical instrument includes a pair of opposing first and second jaw members (2), (3), movable between an open position in which the jaw members are disposed in a spaced relation relative to one another, and a closed position in which sealing surfaces of the jaw members cooperate to grasp tissue therebetween. A first sealing electrode (9) is located on the first jaw member (2), while a second sealing electrode (10) is located on the second jaw member (3). One or both of the sealing surfaces are provided with electrically conductive stop members (12), the one or more stop members maintaining a predetermined spacing between the first and second sealing electrodes when the jaw members are in their closed position. One or more insulating members (14), (17), (19) are present to prevent the conductive stop members from causing an electrical short between the first and second sealing electrodes when the jaw members are in their closed position.

First claim

The invention claimed is:

1. An electrosurgical instrument comprising:
a handle including an actuating mechanism movable between a first position and a second position;
a first jaw member and a second jaw member, the first jaw member having a first inner surface and the second jaw member having a second inner surface, movement of the actuating mechanism from its first position to its second position causing at least one of the first jaw member and the second jaw member to move relative to the other from a first open position in which the first jaw member and the second jaw member are disposed in a spaced relation relative to one another, to a second closed position in which the first jaw member and the second jaw member cooperate with the first inner surface and the second inner surface adjacent one another;
a first sealing electrode located on the first inner surface of the first jaw member:
a second sealing electrode located on the second inner surface of the second jaw member:
electrical connections capable of connecting the instrument to an electrosurgical generator, such that when the first jaw member and the second jaw member are in their second closed position with tissue grasped therebetween, the instrument is capable of sealing the tissue by passing an electrosurgical current into the tissue from the first sealing electrode and the second sealing electrode;
an electrically conductive stop member disposed on one or both of the first inner surface of the first jaw member and the second inner surface of the second jaw member, the electrically conductive stop member maintaining a predetermined spacing between the first sealing electrode and the second sealing electrode when the first jaw member and the second jaw member are in their second closed position, wherein the electrically conductive stop member is disposed on an elongate stop element, the elongate stop element (1) being separate from the first sealing electrode and the second sealing electrode and (2) having a dimension greater than that of a corresponding electrically conductive stop member; and
an insulating member surrounding the electrically conductive stop member and the elongate stop element such that the electrically conductive stop member and the elongate stop element are embedded in the insulating member, wherein the insulating member comprises a continuous structure of insulating material circumnavigating the electrically conductive stop member so as to isolate the electrically conductive stop member from the remainder of the sealing electrode on which the structure is located, the insulating member being configured to prevent the electrically conductive stop member from causing an electrical short between the first sealing electrode and the second sealing electrode when the first jaw member and the second jaw member are in their second closed position.

2. The electrosurgical instrument according to claim 1 , wherein the electrically conductive stop member is disposed beside one or both of the first sealing electrode and the second sealing electrode.

3. The electrosurgical instrument according to claim 2 , wherein the electrically conductive stop member is disposed beside the first sealing electrode.

4. The electrosurgical instrument according to claim 3 , wherein the elongate stop element comprises an elongate strip running longitudinally along the first inner surface of the first jaw member, the electrically conductive stop member being disposed on the elongate strip.

5. The electrosurgical instrument according to claim 4 , including a plurality of electrically conductive stop members.

6. The electrosurgical instrument according to claim 4 , wherein the electrically conductive stop member comprises a plurality of electrically conductive stop members disposed on two elongate strips running parallel to one another longitudinally along the first inner surface of the first jaw member.

7. The electrosurgical instrument according to claim 5 , wherein the plurality of electrically conductive stop members are equally spaced along the elongate strip.

8. The electrosurgical instrument according to claim 4 , wherein the elongate strip comprises a rail having a length, a depth and a width, the length being greater than the depth, and the depth being greater than the width.

9. The electrosurgical instrument according to claim 8 , wherein the rail includes an upper surface, and the electrically conductive stop member is disposed on the upper surface of the rail.

10. The electrosurgical instrument according to claim 4 , wherein the insulating member is located between the elongate strip and the first sealing electrode.

11. The electrosurgical instrument according to claim 10 , wherein the insulating member comprises a polymer strip running parallel to the elongate strip.

12. The electrosurgical instrument according to claim 11 , wherein the polymer strip is part of an overmoulded polymeric component securing the elongate strip with respect to the first jaw member.

13. The electrosurgical instrument according to claim 1 , wherein the electrosurgical instrument includes a knife selectively movable in a longitudinal channel in one or both of the first jaw member and the second jaw member, in order to sever tissue grasped therebetween.

14. The electrosurgical instrument according to claim 6 , wherein the electrosurgical instrument includes a knife selectively movable in a longitudinal channel in one or both of the first jaw member and the second jaw member, in order to sever tissue grasped therebetween, wherein the two elongate strips running parallel to one another define the longitudinal channel in which the knife is movable.

15. The electrosurgical instrument according to claim 1 , wherein the electrically conductive stop member comprises a plurality of electrically conductive stop members positioned in corresponding apertures within at least one of the first sealing electrode and the second sealing electrode.

16. The electrosurgical instrument according to claim 15 , wherein the instrument includes a knife selectively movable from a first position relative to the first jaw member and the second jaw member to a second position relative to the first jaw member and the second jaw member, in order to sever tissue grasped therebetween.

17. An end effector for an electrosurgical instrument including
a first jaw member and a second jaw member, the first jaw member having a first inner surface and the second jaw member having a second inner surface, at least one of the first jaw member and the second jaw member being movable relative to the other from a first open position in which the first jaw member and the second jaw member are disposed in a spaced relation relative to one another, to a second closed position in which the jaw members cooperate with their inner surfaces adjacent one another,
a first sealing electrode located on the first inner surface of the first jaw member,
a second sealing electrode located on the second inner surface of the second jaw member,
an electrically conductive stop member disposed on one or both of the first inner surface of the first jaw member and the second inner surface of the second jaw member, the electrically conductive stop member maintaining a predetermined spacing between the first sealing electrode and the second sealing electrode when the first jaw member and the second jaw member are in their second closed position, wherein the electrically conductive stop members is disposed on an elongate stop element having a dimension greater than that of a corresponding electrically conductive stop

Assignees

• Gyrus Medical Ltd

Inventors

• Thomas Daniel John
• Jones Lewis Meurig

Classifications

• A61B2018/0063

  Sealing · CPC title

• A61B18/12

  by passing a current through the tissue to be heated, e.g. high-frequency current · CPC title

• A61B2018/00821

  measured by a thermocouple · CPC title

• A61B2018/00607

  Coagulation and cutting with the same instrument · CPC title

• B29K2995/0005

  Conductive · CPC title