Systems and methods for sealing and dissecting tissue using an electrosurgical forceps including a thermal cutting element

Patent metadata

Field	Value
Publication number	US-12408970-B2
Application number	US-202016838551-A
Country	US
Kind code	B2
Filing date	Apr 2, 2020
Priority date	Apr 2, 2020
Publication date	Sep 9, 2025
Grant date	Sep 9, 2025

Abstract

A method for treating tissue includes determining whether tissue is present between first and second jaw members. In a case where it is determined that tissue is present between the first and second jaw members, the method further includes determining whether activation has been initiated. In a case where it is determined that activation has been initiated, the method further includes supplying electrosurgical energy to the first and second jaw members to seal the tissue and, if it is determined that sealing is complete: stopping the supply of electrosurgical energy; activating a thermal cutting element to supply thermal energy to cut the sealed present tissue; determining if thermal cutting is complete; and, in a case where it is determined that the thermal cutting is complete, stopping and the supply of thermal energy.

First claim

What is claimed is:

1. A method, performed by a control device, for treating tissue, comprising:
determining whether an activation switch has been engaged with tissue present between first and second jaw members;
supplying electrosurgical energy to the first and second jaw members to seal the tissue present between the first and second jaw members in response to a determination that the activation switch has been engaged, wherein the electrosurgical energy is conducted between sealing surfaces of the first and second jaw members and through the tissue;
determining if sealing is complete;
stopping the supply of electrosurgical energy in response to a determination that sealing is complete;
determining, in response to a determination that sealing is complete, whether the activation switch is still engaged;
activating a cutting element to supply energy to cut the sealed tissue in response to a determination that the activation switch is still engaged;
determining if cutting is complete; and
stopping the supply of energy in response to a determination that the cutting is complete.

2. The method of claim 1 , wherein activating the cutting element includes activating the cutting element in a high temperature mode, and wherein the method further includes:
activating the cutting element in a low temperature mode in response to a determination that the activation switch is not still engaged and that a subsequent activation is initiated.

3. The method of claim 1 , further including:
activating the cutting element to supply energy to tissue to cut the tissue in response to a determination that the activation switch has been engaged without tissue present between the first and second jaw members.

4. The method of claim 3 , wherein:
the cutting element is activated in a different mode to supply energy to tissue to cut the tissue when the activation switch is engaged without tissue present between the first and second jaw members as compared to a mode wherein the cutting element is activated to supply energy to cut the sealed tissue.

5. The method of claim 1 , further including:
determining whether tissue is present between the first and second jaw members; and
displaying on a display an indication that tissue is present in response to a determination that tissue is present between the first and second jaw members.

6. The method of claim 5 , further including:
displaying on a display an indication that tissue is not present in response to a determination that tissue is not present between the first and second jaw members.

7. The method of claim 1 , further including:
emitting a fault tone in response to a determination that the sealing is not complete.

8. The method of claim 7 , further including:
displaying on a display a fault condition.

9. The method of claim 1 , further including:
emitting a success tone in response to a determination that the sealing is complete.

10. The method of claim 1 , wherein determining whether the activation switch has been engaged with tissue present between the first and second jaw members includes sensing impedance between the first and second jaw members.

11. A system for treating tissue, comprising:
a surgical instrument including first and second jaw members configured to treat tissue, at least one of the first or second jaw members including an energizable cutting element, each of the first and second jaw members including a sealing surface;
at least one processor; and
at least one memory coupled to the at least one processor, the at least one memory having instructions stored thereon which, when executed by the at least one processor, cause the system to:
determine whether an activation switch has been engaged with tissue present between the first and second jaw members;
supply electrosurgical energy to the first and second jaw members to seal the tissue present between the first and second jaw members, in response to a determination that the activation switch has been engaged, wherein the electrosurgical energy is conducted between sealing surfaces of the first and second jaw members and through the tissue;
determine if the sealing is complete;
stop the supply of electrosurgical energy in response to a determination that the sealing is complete;
determine, in response to a determination that sealing is complete, whether the activation switch is still engaged;
activate the cutting element to supply energy to cut the sealed tissue in response to a determination that the activation switch is still engaged;
determine if cutting is complete; and
stop the supply of energy in response to a determination that the cutting is complete.

12. The system of claim 11 , wherein activating the cutting element includes activating the cutting element in a high temperature mode, and wherein the instructions, when executed by the at least one processor, further cause the system to:
activate the cutting element in a low temperature mode in response to a determination that the activation switch is not still engaged and that a subsequent activation is initiated.

13. The system of claim 11 , wherein the instructions, when executed by the at least one processor, further cause the system to:
activate the cutting element to supply energy to tissue to cut the tissue in response to a determination that the activation switch has been engaged without tissue present between the first and second jaw members.

14. The system of claim 13 , wherein the instructions, when executed by the at least one processor, further cause the system to:
activate the cutting element in a different mode to supply energy to tissue to cut the tissue when the activation switch is engaged without tissue present between the first and second jaw members as compared to a mode wherein the cutting element is activated to supply energy to cut the sealed tissue.

15. The system of claim 11 , wherein the instructions, when executed by the at least one processor, further cause the system to:
determine whether tissue is present between the first and second jaw members; and
display on a display an indication that tissue is present, in response to a determination that tissue is present between the first and second jaw members.

16. The system of claim 15 , wherein the instructions, when executed by the at least one processor, further cause the system to:
display on a display an indication that tissue is not present, in response to a determination that tissue is not present between the first and second jaw members.

17. The system of claim 11 , wherein the instructions, when executed by the at least one processor, further cause the system to:
emit a fault tone in response to a determination that the sealing is not complete.

18. The system of claim 17 , wherein the instructions, when executed by the at least one processor, further cause the system to:
display on a display a fault condition.

19. A non-transitory storage medium that stores a program causing a computer to execute a method for treating tissue, the method comprising:
determining whether an activation switch has been engaged with tissue present between first and second jaw members;
supplying electrosurgical energy to first and second jaw members to seal the tissue present between the first and second jaw members in response to a determination that the activation switch has been engaged with tissue present between first and second jaw members, wherein the electrosurgical energy is conducted between sealing surfaces of the first and second jaw members and through the

Assignees

• Covidien Lp

Inventors

• Allen Iv James D
• Hammerland John A
• Robinson William E
• Joseph Daniel A
• Lyons Michael B
• Netzel Ken

Classifications

• A61B2018/00898

  Alarms or notifications created in response to an abnormal condition · CPC title

• A61B2018/00875

  Resistance or impedance · CPC title

• A61B2018/0063

  Sealing · CPC title

• A61B2018/00601

  Cutting · CPC title

• A61B18/1233

  with circuits for assuring patient safety · CPC title