End effector for instrument with ultrasonic blade and bipolar clamp arm

Patent metadata

Field	Value
Publication number	US-11786289-B2
Application number	US-202016835623-A
Country	US
Kind code	B2
Filing date	Mar 31, 2020
Priority date	Dec 10, 2015
Publication date	Oct 17, 2023
Grant date	Oct 17, 2023

Abstract

An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a first electrode and a second electrode. The first and second electrodes are operable to cooperate to apply bipolar RF energy to tissue.

First claim

We claim:

1. An apparatus, comprising:
(a) a shaft assembly comprising an acoustic waveguide, wherein the acoustic waveguide is configured to communicate ultrasonic vibrations; and
(b) an end effector, wherein the end effector comprises:
(i) an ultrasonic blade in acoustic communication with the acoustic waveguide, and
(ii) a clamp arm assembly longitudinally and distally projecting relative to the shaft assembly, wherein the clamp arm assembly is pivotable toward and away from the ultrasonic blade, wherein the clamp arm assembly comprises:
(A) a first electrode,
(B) a second electrode, wherein at least two of the first electrode, the second electrode, or the ultrasonic blade are configured to cooperate to apply bipolar RF energy to tissue, and
(C) a clamp pad defining a centerline longitudinally extending therealong, wherein the clamp pad includes a contact surface configured to contact and compress tissue against the ultrasonic blade, wherein the clamp pad includes a plurality of openings positioned along the centerline and configured to provide discontinuous tissue access, wherein the plurality of openings includes first and second openings, wherein a portion of each of the first and second electrodes is recessed within the first and second openings in a direction away from the contact surface to expose select portion of the first and second electrodes through each of the first and second openings.

2. The apparatus of claim 1 , wherein the plurality of openings are uniformly spaced along the centerline.

3. The apparatus of claim 1 , wherein the plurality of openings are laterally centered about the centerline.

4. The apparatus of claim 1 , wherein the first opening is an oval shaped opening.

5. The apparatus of claim 1 , wherein each of the plurality of openings extends laterally across the centerline such that the clamp pad is not a continuous pad material along the centerline.

6. The apparatus of claim 1 , further comprising a clamp arm body, wherein the first electrode includes a first body portion and a first terminal, wherein the first terminal transversely extends from the first body portion toward the clamp arm body, wherein the second electrode includes a second body portion and a second terminal.

7. The apparatus of claim 6 , wherein the first body portion includes a first exposed surface extending through the openings, wherein the first exposed surface faces toward the ultrasonic blade and is configured to engage the tissue, wherein the second body portion includes a second exposed surface extending through the openings, wherein the second exposed surface faces toward the ultrasonic blade and is configured to engage the tissue.

8. The apparatus of claim 6 , further comprising a clamp arm body that includes an outer surface facing away from the ultrasonic blade and defines a first opening transversely extending through the outer surface, wherein the first opening of the clamp arm body receives a first portion of the clamp pad such that the first portion of the clamp pad is exposed through the first opening of the clamp arm body.

9. The apparatus of claim 8 , wherein the first terminal transversely extends from the first body portion transversely beyond the outer surface of the clamp arm body, wherein the second terminal transversely extends from the second body portion transversely beyond the outer surface of the clamp arm body.

10. The apparatus of claim 6 , wherein the clamp arm body defines a first opening that receives a first portion of the clamp pad, wherein the first terminal transversely extends through the first portion of the clamp pad and the first opening of the clamp arm body such that the first terminal is laterally interposed between the clamp pad and the clamp arm body.

11. The apparatus of claim 1 , wherein the first and second electrodes have a first polarity, wherein the ultrasonic blade has a second polarity that is opposite to the first polarity, wherein the bipolar RF energy is configured to be applied to provide conductive pathways through the tissue between the first electrode and the ultrasonic blade and between the second electrode and the ultrasonic blade.

12. The apparatus of claim 1 , wherein the first electrode has a first polarity, wherein the second electrode has a second polarity that is opposite to the first polarity, wherein the ultrasonic blade has a neutral polarity that is different from the first and second polarities, wherein the bipolar RF energy is configured to be applied to provide conductive pathways through the tissue between the first and second electrodes disposed within the first opening.

13. The apparatus of claim 1 , wherein the clamp arm assembly is pivotable toward and away from the ultrasonic blade between open and closed configurations, wherein the first electrode is spaced a fixed distance from the second electrode in each of the open and closed configurations.

14. The apparatus of claim 13 , wherein the contact surface of the clamp pad is configured to contact and compress tissue against the ultrasonic blade in response to the clamp arm assembly including the clamp pad, the first electrode, and the second electrode pivoting toward the ultrasonic blade toward the closed configuration.

15. The apparatus of claim 13 , wherein the contact surface of the clamp pad is configured to contact and compress tissue against the ultrasonic blade in response to the at least the clamp pad, the first electrode, and the second electrode pivoting toward the ultrasonic blade from the open configuration to the closed configuration.

16. A method of treating a tissue with a surgical instrument, wherein the surgical instrument includes (a) a shaft assembly comprising an acoustic waveguide, wherein the acoustic waveguide is configured to communicate ultrasonic vibrations; and (b) an end effector, wherein the end effector comprises: (i) an ultrasonic blade in acoustic communication with the acoustic waveguide, and (ii) a clamp arm assembly longitudinally and distally projecting relative to the shaft assembly, wherein the clamp arm assembly is pivotable toward and away from the ultrasonic blade, wherein the clamp arm assembly comprises: (A) a first electrode, (B) a second electrode, wherein at least two of the first electrode, the second electrode, or the ultrasonic blade are configured to cooperate to apply bipolar RF energy to tissue, and (C) a clamp pad defining a centerline longitudinally extending therealong, wherein the clamp pad includes a contact surface configured to contact and compress tissue against the ultrasonic blade, wherein the clamp pad includes a plurality of openings positioned along the centerline and configured to provide discontinuous tissue access, wherein the plurality of openings includes first and second openings, the method comprising:
(a) applying bipolar RF energy using at least two of the first and second electrodes or the ultrasonic blade, wherein the first and second electrodes are each recessed within the first and second openings in a direction away from the contact surface exposing select portions of each of the first and second electrodes thereby sealing a plurality of discrete locations of the tissue in a discontinuous manner.

17. The method of claim 16 , wherein the ultrasonic blade is configured to align with a centerline of the clamp pad that extends between the first and second electrodes, wherein the plurality of openings extend across the centerline, wherein the method further comprises gripping the tissue intermittently or in a discontinuous manner because the openings interrupt the centerline.

Assignees

• Cilag Gmbh Int

Inventors

• Lesko Jason R
• Corbett Catherine A
• Weisenburgh Ii William B
• Worrell Barry C
• Davison Mark A
• Boudreaux Chad P
• Cummings Nathan
• Burkart Ellen
• Dannaher William D
• Hough Christina M
• Faller Craig N
• Brown Adam N
• Messerly Jeffrey D
• Chen Kai
• Clem William E

Classifications

• A61B18/1206 Primary

  Generators therefor · CPC title

• A61B17/320092

  with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw · 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

• A61B2017/320094

  additional movable means performing clamping operation · CPC title

• A61B2017/320095

  with sealing or cauterizing means · CPC title