Deflectable support of RF energy electrode with respect to opposing ultrasonic blade

Patent metadata

Field	Value
Publication number	US-11786291-B2
Application number	US-202016887506-A
Country	US
Kind code	B2
Filing date	May 29, 2020
Priority date	Dec 30, 2019
Publication date	Oct 17, 2023
Grant date	Oct 17, 2023

Abstract

An end-effector is disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a clamp arm pad, and a cantilever electrode that is free to deflect. The cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator. Also disclosed are configurations where the clamp arm includes a peripheral cantilever electrode and a clamp arm pad extending beyond the electrode, a floating cantilever electrode and a resilient clamp arm pad, an interlocked cantilever electrode plate and a clamp arm pad configured to receive the plate, a laterally deflectable cantilever electrode and a clamp arm pad extending beyond the electrode, and a flexible cantilever electrode and a clamp arm pad extending beyond the electrode.

First claim

The invention claimed is:

1. An end-effector, comprising:
a clamp arm comprising a clamp arm pad,wherein the clamp arm pad comprises one or more resistors embedded in the clamp arm pad to sense a height of the clamp arm pad; and
an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator;
wherein the clamp arm comprises:
a clamp jaw having a proximal end and a distal end, the proximal end pivotally movable about a pivot point;
the clamp arm pad fixed to the clamp jaw; and
a cantilever electrode having a proximal end fixed to the proximal end of the clamp jaw and a distal end that is free to deflect, the cantilever electrode defining a surface configured to contact tissue and apply electrical energy to the tissue in contact therewith, wherein the cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator.

2. The end-effector of claim 1 , further comprising at least one gap pad fixed to the cantilever electrode to set a gap between the ultrasonic blade and the cantilever electrode.

3. The end-effector of claim 2 , wherein the at least one gap pad is located at the proximal end of the cantilever electrode, wherein the at least one gap pad is made a material having a hardness that is greater than a hardness of the clamp arm pad such that the at least one gap pad has longer wear life than the clamp arm pad, and wherein the clamp arm pad is made of a polymer material and the at least one gap pad is made of a polyimide material.

4. The end-effector of claim 2 , wherein the at least one gap pad is made of a non-compliant material and the clamp arm pad is made of a compliant material.

5. The end-effector of claim 2 , wherein the cantilever electrode comprises a gap pad of the at least one gap pad at the proximal end of the cantilever electrode, a second gap pad of the at least one gap pad at the distal end of the cantilever electrode, and a third gap pad of the at least one gap pad located between the proximal end of the cantilever electrode and the distal end of the cantilever electrode.

6. The end-effector of claim 1 , wherein the clamp arm pad comprises a base portion fixedly attached to the clamp jaw and a plurality of teeth extending from the base portion in a direction toward the cantilever electrode.

7. The end-effector of claim 1 , wherein the cantilever electrode defines a plurality of apertures.

8. The end-effector of claim 1 , wherein the cantilever electrode comprises a center pivot configuration to enable the cantilever electrode to rotate about the center pivot.

9. The end-effector of claim 1 , wherein the cantilever electrode is formed into a spring element, and wherein the spring element further comprises strips of metal to form a leaf spring configuration.

10. The end-effector of claim 1 , further comprising a spring disposed between the cantilever electrode and the clamp jaw.

11. The end-effector of claim 9 , wherein the cantilever electrode comprises wear pads attached to the cantilever electrode on a side facing the ultrasonic blade.

12. The end-effector of claim 1 , wherein the cantilever electrode is overmolded with an elastomer to provide uniform compression along a length of the cantilever electrode, and the clamp arm pad comprises at least a portion disposed between the clamp jaw and the cantilever electrode and another portion extending beyond the surface of the cantilever electrode that is configured to contact tissue.

13. The end-effector of claim 12 , wherein the cantilever electrode comprises electrical contacts on lateral portions thereof.

14. The end-effector of claim 12 , wherein a spring rate of the cantilever electrode increases as the cantilever electrode overmolded with the elastomer compresses against the elastomer.

15. The end-effector of claim 12 , wherein the ultrasonic blade comprises overmolded rings or pads.

16. The end-effector of claim 12 , where the cantilever electrode comprises a diaphragm attached to the clamp jaw by rigid electrically conductive connections, wherein the clamp arm pad is disposed on the diaphragm, and wherein the diaphragm is formed of a thin metallic conductor material to flex or deflect the cantilever electrode.

17. The end-effector of claim 12 , wherein the cantilever electrode overmolded with the elastomer comprises ends folded into springs and that are in electrical contact with the clamp jaw.

18. The end-effector of claim 1 , wherein the one or more than one resistor is configured to melt or wear along with the clamp arm pad such that a resistance value of the one or more resistors is analogous to the height of the clamp arm pad.

19. The end-effector of claim 1 , wherein the cantilever electrode comprises a resilient plug at the distal end, and wherein the clamp arm pad comprises at least a portion disposed between the clamp jaw and the cantilever electrode and another portion extending beyond the surface of the cantilever electrode to contact tissue.

20. An end-effector, comprising:
a clamp arm; and
an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator;
wherein the clamp arm comprises:
a clamp jaw having a proximal end and a distal end, the proximal end pivotally movable about a pivot point;
a clamp arm pad fixed to the clamp jaw; and
a cantilever electrode having a proximal end fixed to the proximal end of the clamp jaw and a distal end that is free to deflect, the cantilever electrode defining a surface configured to contact tissue and apply electrical energy to the tissue in contact therewith, wherein the cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator;
wherein the cantilever electrode is overmolded with an elastomer to provide uniform compression along a length of the cantilever electrode, wherein the clamp arm pad fixed to the clamp jaw comprises at least a portion disposed between the clamp jaw and the cantilever electrode and another portion extending beyond the surface of the cantilever electrode that is configured to contact tissue;
wherein the cantilever electrode comprises a diaphragm attached to the clamp jaw by rigid electrically conductive connections, wherein the clamp arm pad is disposed on the diaphragm, and wherein the diaphragm is formed of a thin metallic conductor material to flex or deflect the cantilever electrode.

21. An end-effector, comprising:
a clamp arm; and
an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator;
wherein the clamp arm comprises:
a clamp jaw having a proximal end and a distal end, the proximal end pivotally movable about a pivot point;
a clamp arm pad fixed to the clamp jaw; and
a cantilever electrode having a proximal end fixed to the proximal end of the clamp jaw and a distal end that is free to deflect, the cantilever electrode defining a surface configured to contact tissue and apply electrical energy to the tissue in contact therewith, wherein the cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator;
wherein the cantilever electrode is overmolded with an elastomer to provide uniform compression along a length of the cantilever electrode, wherein the clamp arm pad fixed to the clamp jaw comprises at least a portion disposed between the clamp jaw and th

Assignees

• Cilag Gmbh Int

Inventors

• Sarley John M
• Boudreaux Chad P
• Brehm Tyler N
• Guo Wei
• Burkart Ellen E
• Messerly Jeffrey D
• Faller Craig N
• Bishop Robert S
• Keenan Michael A
• Olson William A
• Flaker Richard W
• Shelton Iv Frederick E

Classifications

• A61B18/1442 Primary

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

• A61B17/320092

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

• A61B18/1206

  Generators therefor · CPC title

• A61B18/149

  bow shaped or with rotatable body at cantilever end, e.g. for resectoscopes, or coagulating rollers · CPC title

• A61B90/03

  Automatic limiting or abutting means, e.g. for safety · CPC title