Electrosurgical instrument end effector with compliant electrode

Patent metadata

Field	Value
Publication number	US-9877782-B2
Application number	US-201313804963-A
Country	US
Kind code	B2
Filing date	Mar 14, 2013
Priority date	Mar 14, 2013
Publication date	Jan 30, 2018
Grant date	Jan 30, 2018

Abstract

An end effector for operating on tissue comprises an upper jaw, a lower jaw, a flexible member, and a pair of conductive members. The upper jaw and the lower jaw are configured to receive tissue when in an open position and the upper jaw is movable toward the lower jaw. The flexible member is coupled to either the upper jaw or the lower jaw, and is configured to deform in response to compression of tissue between the jaws. One of the conductive members is associated with the flexible member and is configured to move with the flexible member in response to compression of tissue between the jaws. The end effector may be configured to manipulate the position of muscle within tissue in response to compression of tissue between the jaws.

First claim

We claim:

1. An apparatus for operating on tissue, the apparatus comprising:
(a) an upper jaw;
(b) a lower jaw, wherein the upper jaw and the lower jaw are configured to receive tissue when in an open position, and wherein the upper jaw is movable toward the lower jaw from the open position to a closed position;
(c) a flexible member comprising a first face and a second face, wherein the first face of the flexible member is coupled to one of either the upper jaw or the lower jaw, wherein the first face and the second face define an oblique angle while the upper jaw and the lower jaw are in the open position, wherein the first face and the second face are deformable to be parallel with each other when the upper jaw and the lower jaw are in the closed position; and
(d) a pair of conductive members, wherein a first conductive member of the pair of conductive members is associated with the upper jaw, wherein a second conductive member of the pair of conductive members is associated with the lower jaw, wherein the flexible member is configured to deform in response to compression of tissue between the pair of conductive members, and wherein the conductive members are configured to communicate energy to tissue;
wherein one or both of the first conductive member or the second conductive member comprises a plurality of segments.

2. The apparatus of claim 1 , wherein either the first conductive member or the second conductive member is coupled to the flexible member.

3. The apparatus of claim 1 , wherein the first conductive member is configured such that a central portion of the first conductive member is positioned to contact tissue between the upper jaw and the lower jaw prior to the rest of the first conductive member.

4. The apparatus of claim 3 , wherein the first conductive member has an inwardly tapered profile.

5. The apparatus of claim 3 , wherein the first conductive member has a curved profile.

6. The apparatus of claim 1 , wherein the first conductive member is configured such that an outer edge of the conductive member contacts tissue between the upper jaw and the lower jaw prior to the rest of the first conductive member.

7. The apparatus of claim 6 , wherein the first conductive member has a curved profile.

8. The apparatus of claim 1 , wherein the lower jaw presents a plurality of openings, and wherein the flexible member is configured to move within the openings in response to compression of tissue between the pair of conductive members.

9. The apparatus of claim 8 , wherein the flexible member comprises a plurality of tabs, and wherein the tabs are disposed within the openings of the lower jaw.

10. The apparatus of claim 1 , further comprising an insulator, wherein the second conductive member is coupled to the insulator.

11. The apparatus of claim 10 , wherein the insulator comprises a plurality of guides, wherein the guides are slidably disposed within the lower jaw, and wherein the flexible member is between the insulator and the lower jaw.

12. The apparatus of claim 11 , wherein the insulator is configured to move in a downward direction in response to compression of tissue between the pair of conductive members.

13. The apparatus of claim 11 , wherein the insulator is configured to rotate about a pivot member of the insulator in response to compression of tissue between the pair of conductive members.

14. The apparatus of claim 1 , wherein the pair of conductive members, and the flexible member are configured to drive tissue in an outward direction in response to compression of tissue between the pair of conductive members.

15. The apparatus of claim 1 , wherein the pair of conductive members and the flexible member are configured to stretch tissue in an outward direction in response to compression of tissue between the pair of conductive members.

16. An apparatus for operating on tissue, the apparatus comprising:
(a) an upper jaw,
(b) a lower jaw, wherein the upper jaw and the lower jaw are configured to receive tissue when in an open position, and wherein the upper jaw is movable toward the lower jaw from the open position to a closed position;
(c) a flexible member comprising a first face and a second face, wherein the first face of the flexible member is coupled to one of either the upper jaw or the lower jaw, wherein the first face and the second face define an oblique angle while the upper jaw and the lower jaw are in the open position, wherein the first face and the second face are deformable to be parallel with each other when the upper jaw and the lower jaw are in the closed position; and
(d) a pair of conductive members, wherein a first conductive member of the pair of conductive members is associated with the upper jaw, wherein a second conductive member of the pair of conductive members is associated with the lower jaw, wherein the flexible member is configured to deform in response to compression of tissue between the pair of conductive members, and wherein the conductive members are configured to communicate energy to tissue;
wherein the lower jaw presents a plurality of openings, and wherein the flexible member is configured to move within the openings in response to compression of tissue between the pair of conductive members.

Assignees

• Ethicon Endo Surgery Inc
• Ethicon Llc

Inventors

• Voegele Aaron C
• Franer Paul T
• Strobl Geoffrey S
• Corbett Catherine A

Classifications

• A61B2018/1455

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

• A61B18/18 Primary

  by applying electromagnetic radiation, e.g. microwaves · CPC title

• A61B18/1442 Primary

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

• A61B2017/00862

  elastic or resilient · CPC title

• A61B18/1445

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