TWO-STAGE ELECTROSURGICAL DEVICE FOR VESSEL SEALING
20210338314 ยท 2021-11-04
Inventors
- Huisun Wang (Maple Grove, MN, US)
- Kester Julian Batchelor (Mound, MN, US)
- Zane R. Ward (Minneapolis, MN, US)
Cpc classification
A61B18/1445
HUMAN NECESSITIES
A61B2018/1457
HUMAN NECESSITIES
A61B2018/00607
HUMAN NECESSITIES
A61B2018/1455
HUMAN NECESSITIES
A61B18/12
HUMAN NECESSITIES
International classification
Abstract
A forceps includes an end effector assembly with a first jaw having a tissue sealing surface and an electrode on the sealing surface, and a second jaw having a tissue sealing surface and an electrode on the sealing surface. The first jaw and the second jaw move between an open position and a closed position. The sealing surface of at least one of the first jaw and the second jaw has a flexible medial section and rigid lateral sections.
Claims
1. (canceled)
2. A forceps comprising: an end effector assembly comprising: a first jaw having a tissue sealing surface; and a second jaw having a tissue sealing surface, wherein the first jaw and the second jaw move between an open position and a closed position, wherein the tissue sealing surface of at least one of the first jaw and the second jaw has a distal section and a proximal section, and wherein the distal section and the proximal section form separate compression zones.
3. The forceps of claim 2, wherein a first compression zone formed by the distal section has a different rigidity compared to the second compression zone formed by the proximal section.
4. The forceps of claim 3, wherein the first compression zone produces a first compression force that is different compared to a second compression force formed by the second compression zone.
5. The forceps of claim 2, wherein the distal section is configured to move relative to the proximal section.
6. The forceps of claim 2, wherein the tissue sealing surface of the first jaw includes a first electrode and the tissue sealing surface of the second jaw includes a second electrode.
7. The forceps of claim 2, wherein the sealing surface of at least one of the first jaw and the second jaw has a pair of distal sections.
8. The forceps of claim 2, wherein the sealing surfaces of both the first jaw and the second jaw have a pair of distal sections.
9. The forceps of claim 2, further comprising: a slot extending axially through a substantial portion of the first jaw and the second jaw and further comprising a blade that is translatable within the slot.
10. The forceps of claim 2, wherein at least one of the distal section and the proximal section has teeth for gripping tissue.
11. The forceps of claim 2, wherein the tissue sealing surfaces of the first and second jaw include electrodes that are connected to a source of electrosurgical energy, the source generating electrosurgical energy to coagulate tissue grasped between the first jaw and the second jaw, and wherein the distal section and the proximal section are electrically connected, the electrodes being on the distal section and the proximal section.
12. The forceps of claim 2, wherein the distal section is configured to at least one of translate or rotate relative to the proximal section.
13. A forceps comprising: an end effector assembly comprising: a first jaw having a tissue sealing surface and an electrode on the sealing surface; and a second jaw having a tissue sealing surface and an electrode on the sealing surface, wherein the first jaw and the second jaw move between an open position and a closed position, wherein the sealing surface of at least one of the first jaw and the second jaw has at least two compression sections extending along a longitudinal direction of the sealing surface such that a first compression section of the at least two compression sections is positioned proximal to a second compression section of the at least two compression section, and wherein the first compression section is moveable relative to the second compression section.
14. The forceps of claim 13, wherein a first compression zone formed by the first compression section has a different rigidity compared to a second compression zone formed by the second compression section.
15. The forceps of claim 13, wherein a first compression zone is provided by the first compression section and a second compression zone is provided by the second compression section, and wherein the first compression zone and the second compression zone are each configured to apply a separate compression force to tissue grasped between the first and second jaw.
16. The forceps of claim 13, wherein the end effector assembly further comprises a slot extending axially through at least a portion of the first jaw and the second jaw; and a blade that is translatable within the slot.
17. The forceps of claim 13, wherein the first compression zone produces a first compression force and the second compression zone produces a second compression force, wherein the first compression force is different from the second compression force.
18. The method of claim 13, wherein the second compression section is configured to at least one of translate or rotate relative to the first compression section.
19. A forceps comprising: an end effector assembly comprising: a first jaw having a tissue sealing surface including a first electrode; a second jaw having a second tissue sealing surface including a second electrode, wherein the first jaw and the second jaw move between an open position and a closed position; and a plurality of biasing members arranged along a proximal-distal longitudinal direction of the end effector, wherein the plurality of biasing members are at least one of: disposed between the first tissue sealing surface and the first jaw, or disposed between the second tissue sealing surface and the second jaw,
20. The forceps of claim 19, wherein the plurality of biasing members include springs or solid compression members that resiliently bias at least one of the first tissue sealing surface and the second tissue surface towards the other of the first tissue sealing surface and the second tissue sealing surface.
21. The forceps of claim 19, wherein the end effector assembly further comprises a slot extending axially through at least a portion of the first jaw and the second jaw; and a blade that is translatable within the slot.
Description
DRAWINGS
[0017] The drawings described herein are for illustration purposes only and are not intended to limit the scope of the present disclosure in any way. The components in the figures are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the invention. In the drawings:
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DETAILED DESCRIPTION
[0043] The following description is merely exemplary in nature and is not intended to limit the present disclosure, application, or uses.
[0044] Referring now to the drawings, a forceps, such as, for example, a laparoscopic forceps, embodying the principles of the present invention is illustrated therein and designated at 2. The forceps 2 may function to grip an object. The forceps 2 may be used during surgery to grip a feature of interest including: a part of a body, an anatomical feature, tissue, veins, arteries, or a combination thereof. The forceps 2 may function to be used in surgery, for example, laparoscopic surgery. The forceps 2 may be used with or without power. Current may be passed through the forceps 2 so that the forceps are used for electrosurgery. For example, a therapy current may be passed from one jaw to a second jaw when tissue is located within the jaw and the therapy current may coagulate blood, cauterize, cut, or a combination thereof. The forceps 2 may generally include one or more working assemblies and sufficient controls to work the one or more assemblies. The forceps 2 may include parts employed to perform the recited functions and may include generally, a stylet (e.g., a tubular member, a hollow tube, or an assembly of tubes), a hand piece, one or more operable mechanisms used to actuate the stylet, or a combination thereof. The hand piece may be an assembly of parts or housing structures capable of forming a hand piece structure with a cavity. Note that the present invention is not limited to laparoscopic procedures. That is, the below described jaws can be employed with any type of medical device that clamps onto tissue.
[0045] Turning now to
[0046] Referring further to
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[0051] Turning back to
[0052] Accordingly, as the jaw members 92 and 94 clamped onto a smaller vessel, V, only the medial second compression zones formed by the compression surfaces 108 and 110 clamp and close on the vessel, V. Whereas, with a larger vessel, V, both the lateral first compression zones formed by the compression surfaces 104 and 106 and the second compression zones formed by the compression surfaces 108 and 110 clamp and close on the vessel, V, such that the lateral first compression zones produce a lower compression force on the vessel, V, than the medial second compression zones. In various arrangements, the medial sections 108 and 110 and/or the body portions 116 and 118 can be electrical connected to a generator that provides a source of electrosurgical energy so that a RF voltage with different potentials can be applied to the electrically connected sections of the jaw members 92 and 94. The RF voltage produces a current that passes from one jaw member to the other jaw member electrode through tissue, thereby heating the tissue to coagulate or cut the tissue.
[0053] Turning now to
[0054]
[0055] The second jaw member 394 includes a jaw body 397 and a sealing plate 399 disposed on both sides of a slot 398. The exterior surface of the sealing plate 399 defines a sealing surface 302. A layer of pliable material 306, 310, 314 is disposed between the jaw body 397 and the sealing plate 399. The layer of pliable mater is made of separate cells placed side by side with different thickness, the medial or center cells 310 being more flexible than the lateral cells 304. In certain arrangements, the layer of pliable material includes the medial cells 310 positioned adjacent to the lateral cells 306, while in other arrangements intermediate cells 314 are positioned between the medial cells 310 and the lateral cells 306 to provide an additional transition from the more flexible medial cells 310 to the stiffer lateral cells 306. The layers of pliable material 304, 308, 312 and 306, 310, 314 can extend along a portion of or all of the jaw members 392 and 394.
[0056] Accordingly, the sealing surfaces 300 and 302 above the lateral cells 304 and 306 form a first compression zone and the sealing surfaces above the medial cells 308 and 310 form a second compression zone when the jaw members 392 and 394 are clamped together on a vessel, the first compression zone being less flexible than the second compression zone. Again, if the jaw members 392 and 394 include the intermediate cells 312 and 314, the stiffness of the cells 312 and 314 can be selected to provide a desired transition from the first compression zone to the second compression zone.
[0057] The cells 304, 306, 308, 310, 312, 314 can be made from any suitable pliable materials such as elastomers. In some arrangements, none of the cells 304, 306, 308, 310, 312, 314 are electrically conductive. In other arrangements, some or all of the cells 304, 306, 308, 310, 312, 314 can be electrically conductive. Hence, when the jaw members 392 and 394 are connected to a generator that provides a source of electrical energy, a voltage with different potentials can be applied to the electrically conductive cells such that a current passes from one jaw member to the other jaw member through tissue clamped between the jaw members to coagulate or cut the tissue.
[0058] Any of the jaw arrangements 40, 240 and 340 described previously can include a cutting blade. For example, as shown in
[0059] Turning now to
[0060] The exterior surface of the first jaw member 502 defines a sealing surface 505. The first jaw member 502 also includes one or two retainers 508 with an exterior surface that defines a second sealing surface 511. The second jaw member 504 has an exterior surface that defines a sealing surface 506.
[0061] As shown in
[0062] In various arrangements, the retainers 508 are electrically connected to the first jaw member 502 such that both the retainers 508 and the first jaw member 502 are electrically conductive. In other arrangements, either the retainers 508 or the jaw member 502 are electrically conductive. All or a portion of the second jaw member 504 can be electrically conductive as well. Accordingly, the jaws 500 can be electrical connected to a generator that provides a source of electrosurgical energy so that a RF voltage with different potentials can be applied to the electrically connected sections of the jaw members 502 and 504 in a bipolar jaw arrangement. The RF voltage produces a current that passes from one jaw member to the other jaw member electrode through tissue, thereby heating the tissue to coagulate or cut the tissue. The retainers 508 can include one or more non-conductive stop 510 positioned between the sealing surfaces 511 and the sealing surface 506 to prevent shorting the electrically portions of the jaw members 502 and 504.
[0063] Turning now to
[0064] The exterior surface of the second jaw member 604 defines a sealing surface 606. The second jaw member 604 also includes one or two retainers 616 with an exterior surface that defines a second sealing surface 611. Again, the arrangement for the first jaw member 502 is the same as described previously with respect to the jaws 500.
[0065] As shown in
[0066] In various arrangements, the retainers 508 are electrically connected to the first jaw member 502 such that both the retainers 508 and the first jaw member 502 are electrically conductive. In other arrangements, either the retainers 508 or the jaw member 502 are electrically conductive. Similarly, in some arrangements the retainers 616 are electrically connected to the second jaw member 604 such that both the retainers 616 and the second jaw member 604 are electrically conductive, while in arrangements, either the retainers 616 or the jaw member 604 are electrically conductive. Accordingly, the jaws 600 can be electrical connected to a generator that provides a source of electrosurgical energy so that a RF voltage with different potentials can be applied to the electrically connected sections of the jaw members 502 and 604 in a bipolar jaw arrangement. The RF voltage produces a current that passes from one jaw member to the other jaw member electrode through tissue, thereby heating the tissue to coagulate or cut the tissue. The retainers 508 and 616 can include one or more non-conductive stop 510 and 618 positioned between the sealing surfaces 511 and the sealing surfaces 611 to prevent shorting the electrically portions of the jaw members 502 and 604.
[0067] Referring now to
[0068] The exterior surface of the first jaw member 702 defines a sealing surface 705. The first jaw member 702 also includes one or two retainers 708 with an exterior surface that defines a second sealing surface 711. The second jaw member 704 has an exterior surface that defines a sealing surface 706.
[0069] As shown in
[0070] In various arrangements, the retainers 708 are electrically connected to the first jaw member 702 such that both the retainers 708 and the first jaw member 702 are electrically conductive. In other arrangements, either the retainers 708 or the jaw member 702 are electrically conductive. All or a portion of the second jaw member 704 can be electrically conductive as well. Accordingly, the jaws 700 can be electrical connected to a generator that provides a source of electrosurgical energy so that a RF voltage with different potentials can be applied to the electrically connected sections of the jaw members 702 and 704 in a bipolar jaw arrangement. The RF voltage produces a current that passes from one jaw member to the other jaw member electrode through tissue, thereby heating the tissue to coagulate or cut the tissue. The jaw member 704 can include one or more non-conductive stop 710 positioned between the sealing surfaces 711 and the sealing surface 706 to prevent shorting the electrically portions of the jaw members 702 and 704.
[0071] Although the previously described jaws were directed to one jaw member pivotally attached to another jaw member, the present invention contemplates any type of jaw member that clamps onto tissue with another jaw member. For example, the jaw members can clamp onto tissue as the jaw members move toward each other in any suitable manner including translational and rotational movement; that is, the distal section can rotate or translate relative to the proximal section. Further, as mentioned previously, various components of the any of the above-described jaw members can be electrically conductive. The components themselves can be electrically conductive electrodes or electrically conductive material can be added to the component to form an electrode on the component. Any of the above described jaw members can have teeth for gripping tissue.
[0072] The description of the invention is merely exemplary in nature and variations that do not depart from the gist of the invention are intended to be within the scope of the invention. Such variations are not to be regarded as a departure from the spirit and scope of the invention.