Electrosurgical instrument

Patent metadata

Field	Value
Publication number	US-9579146-B2
Application number	US-201414286105-A
Country	US
Kind code	B2
Filing date	May 23, 2014
Priority date	Sep 7, 2010
Publication date	Feb 28, 2017
Grant date	Feb 28, 2017

Abstract

An end effector assembly is provided. The end effector assembly includes a pair of first and second jaw members including respective seal plates adapted to connect to a source of electrosurgical energy. The first and second jaw members operable in a first bipolar mode of operation for treating tissue and a second bipolar mode of operation for separating tissue. A dissector translatable through one of the first and second jaw members is in electrical communication with one of the seal plates of the first and second jaw members and activatable in the second bipolar mode of operation for separating tissue when the first and second jaw members are in one of the open and clamping position and tissue is adjacent thereto.

First claim

What is claimed is:

1. An end-effector assembly for an electrosurgical instrument, comprising:
first and second jaw members, each of the first and second jaw members including a seal plate, at least one of the first and second jaw members movable relative to the other jaw member from an open position, wherein the first and the second jaw members are disposed in spaced relation relative to one another, to a clamping position wherein the first and second jaw members cooperate to grasp tissue therebetween;
a dissector channel defined longitudinally in the second jaw member; and
an electrical dissecting member translatable through the dissector channel, the electrical dissecting member in electrical communication with at least one of the seal plates of the first and second jaw members, wherein the dissector channel is configured to raise the electrical dissecting member above a seal surface of the seal plate of the second jaw member when the electrical dissecting member is translated distally,
wherein the electrical dissecting member is movable from a partially extended position within the dissector channel where the electrical dissecting member is flush with the seal surface of the seal plate of the second jaw member, to a fully extended position within the dissector channel wherein the electrical dissecting member is elevated relative to the seal surface of the seal plate of the second jaw member, and
wherein when the electrical dissecting member is flush with the seal surface of the seal plate of the second jaw member, each of the electrical dissecting member and the seal plate of the second jaw member have the same polarity, and when the electrical dissecting member is elevated relative to the seal surface, each of the electrical dissecting member and the seal plate of the second jaw member have a different polarity.

2. An end-effector assembly according to claim 1 , wherein a protrusion is operably disposed on the second jaw member at a distal end thereof, the protrusion configured to elevate the electrical dissecting member as the electrical dissecting member translates through the dissector channel from the partially extended position to the fully extended position.

3. An end-effector assembly according to claim 1 , wherein the dissector channel includes a bottom surface that is sloped.

4. An end-effector assembly according to claim 1 , wherein the first and second jaw members are operable in at least two bipolar modes of operation, a first bipolar mode of operation for treating tissue and a second bipolar mode of operation for separating tissue.

5. An end-effector assembly according to claim 4 , wherein in the first bipolar mode of operation, the electrical dissecting member is flush with the seal surface of the seal plate of the second jaw member and each of the seal plates and the electrical dissecting member are active and electrosurgical energy is transmitted to opposite seal plates, and in the second bipolar mode of operation, the electrical dissecting member is elevated relative to the seal surface of the seal plate of the second jaw member and the seal plate on the second jaw member is active and electrosurgical energy is transmitted from the second jaw member to the electrical dissecting member.

6. An end-effector assembly according to claim 4 , wherein the first bipolar mode of operation is configured for one of fusing, sealing, coagulating and fulgurating tissue and the second bipolar mode of operation is configured for one of dissecting, cutting, severing and transecting tissue.

7. An end-effector assembly according to claim 4 , wherein the electrical dissecting member is activatable in the second bipolar mode of operation for separating tissue when the first and second jaw members are in one of the open and clamping positions and tissue is adjacent thereto.

8. An end-effector assembly according to claim 1 , wherein the dissector channel extends along the length of the second jaw member to a distal end thereof.

9. An end-effector assembly according to claim 1 , wherein the electrical dissecting member includes a proximal surface having a generally triangular cross-sectional configuration with a tip that is pointed and configured to maximize current densities thereabout.

10. An end-effector assembly according to claim 1 , wherein the dissector channel is defined by at least two non-conductive interior walls that surround the electrical dissecting member when the electrical dissecting member is translated through the dissector channel.

11. An end-effector assembly according to claim 10 , wherein the at least two non-conductive interior walls are coated with a non-conductive material.

12. An end-effector assembly according to claim 1 , wherein the electrical dissecting member is operably coupled to a drive mechanism associated with the electrosurgical instrument.

13. An end-effector assembly according to claim 1 , wherein the width of the seal plate of the first jaw member is smaller than the width of the seal plate of the second jaw member.

14. A system for performing an electrosurgical procedure, comprising:
a source of electrosurgical energy configured to operate in at least two bipolar modes of operation, a first bipolar mode of operation for treating tissue and a second bipolar mode of operation for separating tissue;
a handle having at least one shaft that extends therefrom that defines a longitudinal axis therethrough;
an end-effector assembly operatively connected to a distal end of the at least one shaft and having first and second jaw members, each of the first and second jaw members including a seal plate adapted to connect to the source of electrosurgical energy, at least one of the first and second jaw members movable relative to the other jaw member from an open position, wherein the first and the second jaw members are disposed in spaced relation relative to one another, to a clamping position wherein the first and second jaw members cooperate to grasp tissue therebetween, the first and second jaw members operable in the at least two bipolar modes of operation;
a dissector channel defined longitudinally in the second jaw member; and
an electrical dissecting member translatable through the dissector channel, the electrical dissecting member in electrical communication with at least one of the seal plates of the first and second jaw members and activatable in the second bipolar mode of operation for separating tissue when the first and second jaw members are in one of the open and clamping positions and tissue is adjacent thereto, wherein the dissector channel is configured to raise the electrical dissecting member above a seal surface of the seal plate of the second jaw member when the electrical dissecting member is translated distally,
wherein the electrical dissecting member is movable from a partially extended position within the dissector channel where the electrical dissecting member is flush with the seal surface of the seal plate of the second jaw member, to a fully extended position within the dissector channel where the electrical dissecting member is elevated relative to the seal surface of the seal plate of the second jaw member, and
wherein when the electrical dissecting member is flush with the seal surface of the seal plate of the second jaw member, the electrical dissecting member and the seal plate of the second jaw member have the same polarity, and when the electrical dissecting member is elevated relative to the seal surface, the electrical dissecting member and the seal plate of the second jaw member have a different polarity.

15. A system according to claim 14 , wherein the

Assignees

• Covidien Lp

Inventors

• Johnson Kristin D
• Alexander Scott F

Classifications

• A61B2018/1455

  having a moving blade for cutting tissue grasped by the jaws · CPC title

• A61B2018/126

  bipolar · CPC title

• A61B2018/0063

  Sealing · CPC title

• A61B2018/00607

  Coagulation and cutting with the same instrument · CPC title

• A61B2018/00589

  Coagulation · CPC title