Electrosurgical instruments for controlling thermal damage

Patent metadata

Field	Value
Publication number	US-11224478-B2
Application number	US-201515742717-A
Country	US
Kind code	B2
Filing date	Jul 17, 2015
Priority date	Jul 17, 2015
Publication date	Jan 18, 2022
Grant date	Jan 18, 2022

Abstract

An end effector assembly (114) includes a first jaw member (114a) having a first tissue contact surface (122) and a second jaw member (114b) having a second tissue contact surface (122). The second jaw member (114b) is pivotally coupled to the first jaw member (114a). The tissue contact surfaces (122) may include raised steps (122b) that define an exhaust channel (124). A longitudinally extending knife slot (214) may be defined in one or both of the tissue contact surfaces (122). One or more exhaust slots (216), which may be defined in one or both of the tissue contact surfaces (122), are in communication with the knife slot (214). The exhaust channel (124) and the exhaust slots (216) direct fluid away from the jaw members (114a, 114b) to minimize thermal damage risks associated with tissue sealing.

First claim

What is claimed is:

1. An end effector assembly comprising:
a first jaw member;
a second jaw member pivotally coupled to the first jaw member and movable along a vertical plane between an open position and a closed position relative to the first jaw member;
a central longitudinal axis that extends distally along the first and second jaw members;
a first tissue contact surface having a first raised step extending longitudinally along the first jaw member, the first step consisting of two horizontal walls interconnected by a single vertical wall, wherein the single vertical wall is parallel to the central longitudinal axis;
a second tissue contact surface having a second raised step extending longitudinally along the second jaw member, the first raised step and the second raised step disposed in complementary relation relative to the central longitudinal axis; and
an exhaust channel defined between the first raised step and the second raised step when the second jaw member is in the closed position, the exhaust channel configured to direct fluid away from the first and second jaw members.

2. The end effector of claim 1 , wherein the first and second tissue contact surfaces have L-shaped cross-sectional profiles that complement one another to form the exhaust channel.

3. The end effector of claim 1 , wherein the first and second jaw members define a closed tip distal to the exhaust channel that blocks the exhaust channel when the first and second jaw members are in the closed position.

4. The end effector of claim 3 , wherein the closed tip includes an insulated coating.

5. The end effector of claim 1 , wherein the first and second jaw members are tip-biased.

6. The end effector of claim 1 , wherein a proximal end of the exhaust channel is open and a distal end of the exhaust channel is closed.

7. The end effector of claim 1 , wherein in the closed position, the first and second jaw members are movable between an unpinched position and a pinched position.

8. The end effector of claim 1 , wherein each of the first and second jaw members includes a grasp portion and a beam portion extending from the grasp portion, the grasp portion of the first jaw member supporting the first tissue contact surface, the grasp portion of the second jaw member supporting the second tissue contact surface, the beam portions of the first and second jaw members defining a space therebetween when the first and second jaw members are in the closed position.

9. The end effector of claim 8 , wherein the exhaust channel is configured to direct fluid generated during a tissue sealing process through the exhaust channel and proximally toward the space defined between the beam portions to limit thermal spread formed alongside the first and second jaw members during the tissue sealing process.

10. The end effector of claim 1 , wherein the exhaust channel is configured to direct fluid proximally along the first and second jaw members.

11. The end effector of claim 1 , wherein the single vertical wall of the first raised step is parallel to the vertical plane.

12. The end effector of claim 11 , wherein the single vertical wall of the first raised step is offset from the central longitudinal axis.

13. The end effector of claim 1 , wherein the second raised step consists of two horizontal walls interconnected by a vertical wall.

14. The end effector of claim 13 , wherein the single vertical wall of the first raised step is parallel to the vertical plane, and wherein the vertical wall of the second raised step is parallel to the vertical plane.

15. The end effector of claim 14 , wherein the single vertical wall of the first raised step is offset from the central longitudinal axis, and wherein the vertical wall of the second raised step is offset from the central longitudinal axis.

16. The end effector of claim 1 , wherein the tissue contact surface of the second jaw member includes a single vertical wall that is parallel to the central longitudinal axis.

17. The end effector of claim 1 , wherein a cross-section of the first jaw member at a location including the first raised step includes the first tissue contact surface consisting of the two horizontal walls interconnected by the single vertical wall of the first raised step.

18. The end effector of claim 17 , wherein the tissue contact surface of the second jaw member includes a single vertical wall that is parallel to the central longitudinal axis, and wherein a cross-section of the second jaw member at a location including the second raised step includes the second tissue contact surface consisting of two horizontal walls interconnected by the single vertical wall of the second jaw member.

Assignees

• Covidien Lp

Inventors

• Ding Weijiang
• Chen Jianjiang
• Joseph Daniel A
• Liu Kai
• Nau Jr William H
• Ward Arlen K
• Whitney William Ross

Classifications

• A61B18/1442 Primary

  Probes having pivoting end effectors, e.g. forceps · CPC title

• A61B18/1445 Primary

  at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod · CPC title

• A61B2218/007

  Aspiration · CPC title

• A61B2018/0063

  Sealing · CPC title

• A61B2018/00083

  low, i.e. electrically insulating · CPC title