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Dielectric jaw insert for electrosurgical end effector

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Publication number
CA2729280A1
CA2729280A1 CA 2729280 CA2729280A CA2729280A1 CA 2729280 A1 CA2729280 A1 CA 2729280A1 CA 2729280 CA2729280 CA 2729280 CA 2729280 A CA2729280 A CA 2729280A CA 2729280 A1 CA2729280 A1 CA 2729280A1
Authority
CA
Grant status
Application
Patent type
Prior art keywords
jaw
insert
member
assembly
tissue
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA 2729280
Other languages
French (fr)
Inventor
Edward M. Chojin
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/285Surgical forceps combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/295Forceps for use in minimally invasive surgery combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws
    • A61B2017/2825Inserts of different material in jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00Metal working
    • Y10T29/49Method of mechanical manufacture
    • Y10T29/49002Electrical device making
    • Y10T29/49117Conductor or circuit manufacturing
    • Y10T29/49204Contact or terminal manufacturing

Abstract

The present disclosure relates to an end effector assembly for use with an electrosurgical instrument and methods of manufacturing the same. The end effector assembly includes a pair of opposing first and second jaw members and a jaw insert.
Each of the opposing jaw members has a tissue contacting surface and one or more of the jaw members are monolithic. Additionally, at least one of the jaw members is moveable relative to the other from a first, open position to a second, closed position for grasping tissue. The monolithic jaw member also has a cavity defined therein. The jaw insert is selectively positionable within the cavity of the monolithic jaw member. The jaw insert includes a tissue contacting surface and a portion of the jaw insert includes a dielectric material configured to reduce the thermal mass of the monolithic jaw member.

Description

DIELECTRIC JAW INSERT FOR ELECTROSURGICAL END EFFECTOR
BACKGROUND

Technical Field [0001] The present disclosure relates to varying sealing characteristics of a bipolar electrosurgical instrument with a monolithic jaw member. More particularly, the present disclosure relates to varying sealing characteristics by using a dielectric insert within a monolithic jaw member.

Description of Related Art [0002] Open or endoscopic electrosurgical forceps utilize both mechanical clamping action and electrical energy to effect hemostasis. The electrode of each opposing jaw member is charged to a different electric potential such that when the jaw members grasp tissue, electrical energy can be selectively transferred through the tissue.
Many times monolithic jaw members having a one-piece metallic configuration are utilized during such procedures. The monolithic jaw configuration allows for an efficient and easier manufacturing process, since fewer parts are needed to assemble a single jaw member.

[0003] Additionally, certain types of open and endoscopic electrosurgical forceps, as mentioned above, utilize a movable knife or cutting element that is movable via a cutting channel. Cutting channel is defined by a jaw member and is often characterized as a narrow cavity within one or both jaw members. Throughout a typical surgical procedure, various conductive fluids, for example, blood or saline may fill the cutting channel of a jaw member. Since the entire depth of the cutting channel is part of the electrical circuit in this type of jaw, material in the blade slot may become subject to the electrosurgical effect and may affect a cycle and/or a quality of a tissue seal. When this or similar situations occur, unnecessary complications arise for the user during a surgical procedure.
SUMMARY

[0004] The present disclosure relates to an end effector assembly for use with an electrosurgical instrument. The end effector assembly includes a pair of opposing first and second jaw members and a jaw insert. Each of the opposing jaw members has a tissue contacting surface and one or more of the jaw members are monolithic.
Additionally, at least one of the jaw members is moveable relative to the other from a first, open position to a second, closed position for grasping tissue. The monolithic jaw member also has a cavity defined therein. The jaw insert is selectively positionable within the cavity of the monolithic jaw member. The jaw insert includes a tissue contacting surface and a portion of the jaw insert includes a dielectric material configured to reduce the thermal mass of the monolithic jaw member.

[0005] In embodiments, the jaw insert may define a cutting channel therealong configured to receive a cutting element therealong. The jaw insert may include a portion of conductive material that is configured to conduct electrosurgical energy received from the electrosurgical energy source. The jaw insert may also be overmolded to the monolithic jaw member. In embodiments, the jaw insert may include one or more mechanical interfaces that cooperate with corresponding mechanical interfaces to selectively position the jaw insert within the cavity. The mechanical interfaces may include one or more biasing members.

[0006] In embodiments, the tissue contacting surface of the at least one monolithic jaw member and the tissue contacting surface of the jaw insert may be offset relative to one another. Additionally, the tissue contacting surface of the jaw insert may be raised relative to the tissue contacting surface of the monolithic jaw member to form a gap between the monolithic jaw member and the opposing jaw member in the range of about 0.00 1 inches to about 0.006 inches. The jaw insert may be removable from the cavity.

[0007] The present disclosure also relates to a method of manufacturing an end effector assembly for use with an electrosurgical instrument. The method includes a step of fabricating opposing jaw members, at least one jaw member being monolithic and having a cavity defined therein. In another step, a jaw insert is fabricated having a portion including a dielectric material configured to reduce the thermal mass of the monolithic jaw member. In another step, the jaw insert is positioned within the cavity of the monolithic jaw member.

[0008] In other embodiments, the method includes the step of fabricating the jaw insert to define a cutting channel configured to receive a cutting element therealong. In another step, the jaw insert may be fabricated to include a portion of conductive material configured to conduct electrosurgical energy received from the electrosurgical energy source. In another step, the jaw insert is overmolded and positioned within the cavity of the monolithic jaw member. In another step, the jaw insert may be fabricated to include - J -one or more mechanical interfaces that cooperate with a corresponding mechanical interface disposed within the cavity. In another step, a tissue contacting surface of the monolithic jaw member may be offset from a tissue contacting surface of the jaw insert.
BRIEF DESCRIPTION OF THE DRAWINGS

[0009] Various embodiment of the subject instrument are described herein with reference to the drawings wherein:

[0010] Fig. 1A and 113 are perspective views of an endoscopic forceps and an open forceps for electrosurgical treatment having an end effector assembly in accordance with an embodiment of the present disclosure;

[0011] Fig. 2A is a cross-sectional view of an end effector assembly having a jaw insert in accordance with an embodiment of the present disclosure;

[0012] Fig. 2B is an exploded view of the end effector assembly of Fig. 2A;

[0013] Fig. 2C is a top view of an end effector assembly of Fig. 2A having a cutting channel;

[0014] Fig. 2D is a top view of an end effector assembly of Fig. 2A having an offset cutting channel;

[0015] Fig. 2E is a top view of an end effector assembly similar to the end effector of Fig. 2A having an angled cutting channel;

[0016] Fig. 3A is a cross-sectional view of another embodiment of an end effector assembly having a jaw insert in accordance with an embodiment of the present disclosure;

[0017] Fig. 3B is an exploded view of the end effector assembly of Fig. 3A;

[0018] Fig. 3C is a top view of an end effector assembly of Fig. 3A having a cutting channel;

[0019] Fig. 4A is a cross-sectional view of yet another embodiment of an end effector assembly having a jaw insert in accordance with an embodiment of the present disclosure;

[0020] Fig. 4B is an exploded view of yet another embodiment of an end effector assembly including a jaw insert having a cutting channel in accordance with an embodiment of the present disclosure;

[0021] Fig. 4C is a top view of the end effector assembly of Fig. 4A; and [0022] Figs. 5A-5C are cross-sectional views of an end effector assembly including a jaw insert having various configurations.

DETAILED DESCRIPTION

[00231 Embodiments of the presently-disclosed electrosurgical instrument are described in detail with reference to the drawings wherein like reference numerals identify similar or identical elements. As used herein, the term "distal"
refers to that portion which is further from a user while the term "proximal" refers to that portion which is closer to a user. As used herein, the term "monolithic jaw member"
refers to a jaw member of an end effector for a bipolar electrosurgical device having a one-piece configuration. More specifically, a major portion of the jaw member, including the electrode surface (e.g., a sealing surface) is machined from a one-piece conductive material, for example, but not limited to stainless steel. When the monolithic jaw member is configured to have a cutting channel, the cutting channel is machined (e.g., bored) into and along the length of the jaw member such that a cutting element may travel therethrough.

100241 The present disclosure relates to modifying sealing characteristics of monolithic jaw members by embedding a dielectric jaw insert within the monolithic jaw members of the end effector assembly. The dielectric jaw insert modifies the seal area and thermal mass of the end effector by allowing the combination of materials in the structure to be altered. Additionally, the dielectric jaw insert can contain features such as a cutting channel to allow a cutting element to pass therethrough. In this manner, the cutting channel is electrically insulated from the monolithic jaw member such that fluids that are trapped in the cutting channel are not subject to the electrosurgical effect. The dielectric jaw inserts may be a discrete part separate from the end effector assembly or, in the alternative, may be molded into the monolithic jaw members during a manufacturing step. All of these novel features will be described in greater detail further below.

[00251 Referring now to the figures, Fig. IA depicts a forceps 10 used in correlation with endoscopic surgical procedures and Fig. 1B depicts an open forceps 50 used in correlation with more traditional open surgical procedures. For the purposes herein, either an endoscopic instrument or an open instrument may be utilized with the cutting assembly described herein. It should be noted that different electrical and mechanical connections and considerations apply to each particular type of instrument.
However, the novel aspects, with respect to the cutting assembly and its operating characteristics, remain generally consistent with respect to both the endoscopic or open designs.

[00261 Turning now to Fig. IA, a tissue treatment system 2 according to the present disclosure is shown including a forceps 10 coupled to an electrosurgical energy source 22. Forceps 10 is particularly adapted to seal tissue using radiofrequency (RF) however, other types of suitable energy, for example, but not limited to light energy and microwave energy may be utilized to electrosurgically treat tissue. Energy source 22 is configured to output various types of energy such as RF energy (e.g., from about 300 MHz to about 5000 MHz). In addition, where laser energy is used, the energy source 22 may be a light source. If ultrasonic energy is desired, the energy source 22 may be adapted to provide an electrical excitation signal to one or more ultrasonic transducers within forceps 10.
Forceps 10 is coupled to the energy source 22 via a cable 20 adapted to transmit the appropriate energy and control signals therebetween. Various embodiments of forceps 10 utilizing the aforementioned types of energy are discussed in more detail below.

[0027] Forceps 10 is configured to support an end effector assembly 100.
Forceps 10 typically includes various conventional features (e.g., a housing 12, a handle assembly 14, a rotating assembly 18a and a trigger assembly 18b) which enable forceps 10 and end effector assembly 100 to mutually cooperate to grasp, seal and/or divide tissue grasped therebetween. Forceps 10 generally includes housing 12 and handle assembly 14 that includes moveable handle 14a and a fixed handle 14b which is integral with housing 12.
Handle 14a is moveable relative to handle 14b to actuate end effector assembly 100 to grasp tissue. Forceps 10 also includes shaft 16 that has distal end 16b that mechanically engages end effector assembly 100 and proximal end 16a that mechanically engages housing 12 proximate rotating assembly 18a disposed at the distal end of housing 12.
Rotating assembly 18a is mechanically associated with shaft 16. Movement of rotating assembly 18a imparts similar rotational movement to shaft 16 which, in turn, rotates end effector assembly 100.

[0028] End effector assembly 100 includes two jaw members 110 and 120 having proximal ends 110a, 120a and distal ends 110b, 120b, respectively. One or both jaw members 110 and 120 are pivotable about a pivot pin 19 and are movable from a first position wherein jaw members 110 and 120 are spaced relative to another, to a second position wherein jaw members 110 and 120 are closed and cooperate to grasp tissue therebetween. That is, jaw members 110 may have a unilateral configuration (e.g., only one jaw member is movable) and/or a bilateral configuration (e.g., both jaw members are movable). As discussed in more detail below, the end effector assembly 100 may include a removable dielectric insert.

[00291 A switch assembly 18b is configured to selectively provide electrical energy to the end effector assembly 100. More particularly, switch assembly I8b is configured to selectively supply electrical energy to tissue contacting surfaces 112 and 122 of jaw member 110 and 120, respectively. Cable 20 connects the forceps 10 to a source of electrosurgical energy 22, for example, but not limited to, an electrosurgical generator.
Cable 20 is internally divided (not shown) within the handle assembly 14 and the shaft 16 to transport electrosurgical energy through various conductive paths and ultimately to end effector assembly 100. In this manner, the end effector assembly 100 may electrosurgically treat tissue.

[00301 In addition to switch assembly 18b, forceps 10 also includes a trigger assembly 18c that is operably coupled to and advances a cutting element 30 (see phantom) disposed within the end effector assembly 100. Once a tissue seal is formed, the user activates the trigger assembly 18c to separate the tissue along the tissue seal.
Cutting element 30 may include a sharpened edge 32 for severing the tissue held between the jaw members 110 and 120 at the tissue sealing site.

[0031] Referring now to Fig. 1B, an open forceps 50 is depicted and includes end effector assembly 100 (similar to forceps 10) that is attached to a pair of elongated shaft portions 52a and 52b. Elongated shaft portions 52a and 52b have proximal ends 54a and 54b and distal ends 56a and 56b, respectively. The end effector assembly 100 includes jaw members 110 and 120 that attach to distal ends 56a and 56b of shafts 52a and 52b, respectively. The jaw members 110 and 120 are connected about pivot pin 55 that allows the jaw members 110 and 120 to pivot relative to one another from the first to second positions for treating tissue (as described above). The tissue contacting surfaces (e.g., seal plates) 112 and 122 are connected to opposing jaw members 110 and 120 and include electrical connections through or around the pivot pin 55.

[0032] Each shaft 52a and 52b includes a handle 57a and 57b disposed at the proximal end 54a and 54b thereof. Handles 57a and 57b facilitate movement of the shafts 52a and 52b relative to one another which, in turn, pivot the jaw members 110 and 120 from the open position wherein the jaw members 110 and 120 are disposed in spaced relation relative to one another to the clamping or closed position wherein the jaw members 110 and 120 cooperate to grasp tissue therebetween.

[0033] In an example embodiment, as depicted in Fig. 1B, a ratchet 58 (e.g., hemostat clamp) may be included for selectively locking the jaw members 110 and 120 relative to one another at various positions during pivoting. The ratchet 58 is configured to hold a specific, i.e., constant, strain energy in the shaft members 52a and 52b which, in turn, transmits a specific closing force to the jaw members 110 and 120. It is envisioned that the ratchet 58 may include graduations or other visual markings that enable the user to easily and quickly ascertain and control the amount of closure force desired between the jaw members 110 and 120.

[0034] With continued reference to Fig. 1 B, forceps 50 is depicted having a cable 59 that connects the forceps 50 to a source of electrosurgical energy, e.g., generator 22. In a similar fashion to forceps 10, cable 59 of forceps 50 is internally divided within the shaft 52b to transmit electrosurgical energy through various electrical conductive paths to the components of the end effector assembly 100.

[0035] In embodiments, a switch assembly 53a may be configured to selectively provide electrical energy to the end effector assembly 100. More particularly, switch assembly 53a is configured to selectively supply electrical energy to tissue contacting surfaces 112 and 122 of jaw member 110 and 120, respectively. In addition to switch assembly 53a, forceps 50 may also include a trigger assembly 53b that is operably coupled to and advances a cutting element (not shown) disposed within shaft member 52b and end effector assembly 100. Once a tissue seal is formed, the user may activate trigger assembly 53b to separate the tissue along the tissue seal.

[0036] Jaw members 110 and 120 are configured to have a monolithic jaw configuration. Each monolithic jaw body 110, 120 is made of substantially all metal or any other suitable conductive material to facilitate conductance throughout the end effector assembly 100. Monolithic jaw members 110 and 120 include sealing surfaces 112 and 122 and each define a substantially wide cavity (e.g., cavity 114) that is configured to receive various embodiments of the presently disclose dielectric jaw inserts 200, 300, 400 and 500. Although both jaw members 110 and 120 may employ one or more dielectric inserts described herein, only one of the jaw members (e.g., jaw member 110) will be shown and described throughout the disclosure for simplification purposes.
[0037] Referring now to Figs. 2A-2C, a monolithic jaw member 110 is shown having a removable dielectric jaw insert 200. Jaw member 110 includes sealing surface around a periphery thereof and is adapted to electrosurgically treat tissue that is grasped between jaw members 110 and 120 (as shown in Fig. 1). On an interior portion, monolithic jaw member 110 defines a cavity 114 that is configured to receive dielectric jaw insert 200. Dielectric jaw insert 200 includes a dielectric body 202 made of any suitable dielectric material, for example, but not limited to ceramic, plastic and epoxy.
Dielectric jaw insert 200 also includes a tissue contacting surface 204 that allows tissue to be compressed therealong when tissue is grasped between jaw members 110, 120.
To facilitate attachment to jaw member 110, dielectric jaw insert 200 may include one or more mechanical interfaces (e.g., tabs 216) that are configured to mechanically couple to corresponding one or more mechanical interfaces (e.g., grooves 116) disposed within or along an internal surface or periphery of cavity 114 of monolithic jaw 110.

[0038] The dielectric jaw insert 200 allows the jaw members 110 and 120 to modify the seal area and properly distribute the thermal mass of the end effector 100 during electrosurgical treatment of tissue. That is, a high concentration of thermal mass may be properly distributed through the jaw members 110, 120 by allowing the combination of materials in the jaw structure to be altered without compromising the size of the end effector assembly 100. In other words, a large end effector assembly 100 having large jaw members 110 may be utilized during an electrosurgical procedure but at the same time a small area of tissue sealing surface 112 may be utilized due to the displacement of dielectric insert 200.

[0039] As shown in Fig. 2A, sealing surface 112 of jaw member 110 and tissue contacting surface 204 of jaw insert 200 uniformally define an even surface.
Other configurations are envisioned, for example, sealing surface 112 and tissue contacting surface 204 may be offset from each other.

[0040] In embodiments, dielectric jaw insert 200 may be coupled and secured to jaw member 110 via any suitable securement techniques known in the art. For example, securement of dielectric jaw insert 200 to monolithic jaw member 110 may be accomplished by stamping, by overmolding, by overmolding a stamped non-conductive jaw insert 200 and/or by overmolding a plastic injection molded jaw insert 200. All of these manufacturing techniques may be utilized to produce jaw member 110.
Alternatively, jaw insert 200 may be secured to jaw member 110 via one or more types of mechanical interfaces. More particularly, jaw insert 200 may be secured to jaw member 110 via a press fit, fiction fit, bayonet fit, etc. In one particular embodiment, jaw insert 200 is secured to jaw member 110 via press fit.

[0041] Fig. 2C illustrates dielectric jaw insert 200 having a cutting channel defined therethrough. As mentioned above, certain surgical procedures utilize a knife or cutting element 30 that is selectively movable within a pre-defined cutting channel 210 defined between jaw member 110 and 120. In this embodiment, cutting channel 210 is defined within jaw insert body 202. Since the cutting channel 210 is made of a dielectric material, conductive fluids residing within channel 210 (e.g., saline and blood) during treatment will remain substantially neutral and not conduct a charge from the tissue sealing surface. That is, during an electrosurgical procedure, the conductive fluids will not electrically react, thus the tissue seal cycle and/or quality will not be substantially affected by stray conductive fluids.

[0042] Fig. 2D illustrates jaw member 110 having a dielectric insert 200a that includes a dielectric body 202a. A longitudinal axis "B" is defined centrally and along jaw member 110. A cutting channel 210a may be defined laterally offset relative to longitudinal axis "B" at any portion of dielectric body 202a. For example, as shown in Fig. 2D, cutting channel 210a is laterally offset to one side of longitudinal axis "B." In this configuration, a cutting element 30 (as shown in Fig. 1) may be laterally offset, which, in turn, creates an offset cut along a complete tissue seal.

[00431 Fig. 2E illustrates a jaw member 110 having a dielectric insert 200b that includes a dielectric body 202b. A longitudinal axis "B" is defined centrally and along jaw member 110. A cutting channel 210a may be defined angularly offset relative to longitudinal axis "B" at any angle "0" of dielectric body 202a. For example, as shown in Fig. 2E, cutting channel 210a may be angularly offset and bisect longitudinal axis "B,"
defined by any angle "0." In this configuration, a cutting element 30 (as shown in Fig. 1) may cut a completed tissue seal at any angular offset defined by angle "0."

[00441 Referring now to Fig. 3A-3C, a monolithic jaw member 110 is shown having a removable hybrid jaw insert 300. As described above, jaw member 110 includes a sealing surface 112 around a periphery thereof and is adapted to electrosurgically treat tissue that is grasped between jaw members 110 and 120 (as shown in Fig. 1).
On an interior portion, monolithic jaw member 110 defines a cavity 114 that is configured to receive jaw insert 300. Similar to dielectric jaw insert 200, hybrid jaw insert 300 includes a dielectric body 302a made of any suitable dielectric material, for example, but not limited to ceramic, plastic and epoxy. In addition to dielectric body 302a, hybrid jaw insert 300 includes a conductive body 302b that is disposed on the outside of dielectric body 302a.

[0045] Conductive body 302b may be made of any suitable conductive material, for example, but not limited to stainless steel. Hybrid jaw insert 300 also includes a dielectric tissue contacting surface 304a and a conductive tissue contacting surface 304b.
Jointly, contacting surfaces 304a and 304b allow tissue to be compressed therealong when tissue is grasped between jaw members 110, 120. Similarly to dielectric jaw insert 200, hybrid jaw insert 300 includes tabs 316 that are configured to mechanically couple to grooves 116 disposed within cavity 114 of monolithic jaw 110 to facilitate attachment to jaw member 110. Any suitable set of mechanical interfaces may be used for this purpose.

[0046] In this configuration, when a greater thermal mass is required during a electrosurgical tissue treatment, dielectric insert 200 may be swapped with hybrid jaw insert 300, since hybrid jaw insert 300 provides additional conductive material 302b, which, in turn, provides additional electrosurgical energy to a tissue via sealing surfaces 112 and 304b.

[0047] As shown in Fig. 3A, sealing surface 112 of jaw member 110 and tissue contacting surfaces 304a and 304b of jaw insert 300 uniformally define an even surface.
Other configurations are envisioned such that sealing surface 112 and tissue contacting surface 304 may be offset from each other. For example, dielectric tissue contacting surface 304a may be raised relative to surfaces 112 and 304b to provide a gap distance between jaw members 110 and 120 of about 0.001 inches to about 0.006 inches to facilitate vessel sealing. Alternatively, tissue surface 304a may include a series of raised projections or stop members that are dimensioned to provide a gap distance within the same range. A detailed discussion of the stop members is discussed in U.S.
Application No. 11/595,194, the contents of which is incorporated by reference herein.

[0048] Referring now to Fig. 4A-4C, a monolithic jaw member 110 is shown having a removable dielectric jaw insert 400. On an interior portion, monolithic jaw member 110 defines a cavity 114 that is configured to receive dielectric jaw insert 400. Dielectric jaw insert 400 includes a dielectric body made of any suitable dielectric material, for example, but not limited to ceramic, plastic and epoxy. Dielectric jaw insert 400 also includes a tissue contacting surface 402 that allows tissue to compress therealong when tissue is grasped between jaw members 110 and 120.

[0049] To facilitate attachment to jaw member 110, dielectric jaw insert 400 includes a plurality of biasing members 416 that are configured to mechanically couple to corresponding grooves 116 disposed within cavity 114 of monolithic jaw 110.
Biasing members 416 allow dielectric jaw insert 400 to float within cavity 114 that may facilitate advancement and alignment of cutting element 30 (see Fig. 1). For example, if cutting element 30 is angularly offset, cutting channels 410 of jaw member 110 and the cutting channel (not shown) of jaw member 120 will not align properly. However, in accordance with the present embodiment, dielectric jaw inserts 400 of both jaw members 110 and 120 may reposition themselves, via biasing members 416 within cavity 114, such that cutting channels 410 of both jaw members 110 and 120 are properly aligned with each other to allow cutting element 30 to pass therethrough.

[0050] As shown in Fig. 4A-4C, sealing surface 112 of jaw member 110 and tissue contacting surface 404 of jaw insert 400 uniformally define an even surface.
Other configurations are envisioned, for example, sealing surface 112 and tissue contacting surface 404 may be offset from each other.

[0051] Referring now to Fig. 5A-5C, end effector assembly 500a, 500b, 500c includes a jaw member 510a, 510b, 510c having a sealing surface 512a, 512b, 512c disposed on an inner-facing surface thereof. Fig. 5A illustrates jaw member 510a including a jaw insert 502a having a v-shaped configuration that is disposed and coupled within a v-shaped cavity 514a defined by jaw insert 502a. Fig. 5B illustrates jaw member 510b including a jaw insert 502b having a u-shaped configuration that is disposed and coupled within a u-shaped cavity 514b defined by jaw insert 502b. Fig. 5C
illustrates jaw member 510c including a jaw insert 502c having a square-shaped configuration that is disposed and coupled within a square-shaped cavity 514c defined by jaw insert 502c.
[0052] As similarly described with the aforementioned embodiments, a surface 504a, 504b, and 504c of dielectric jaw insert 502a, 502b, 502c and a sealing surface 512a, 512b, 512c of jaw member 510a, 510b, 510c may either be even or offset relative to each other.

[0053] While several embodiments of the disclosure have been shown in the drawings and/or discussed herein, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Claims (19)

1. An end effector assembly for use with an electrosurgical instrument, the end effector assembly comprising:

a pair of opposing first and second jaw members each having a tissue contacting surface, at least one of the first and second jaw members being monolithic and at least one jaw member moveable relative to the other from a first, open position to a second, closed position for grasping tissue, the at least one monolithic jaw member having a cavity defined therein; and a jaw insert selectively positionable within the cavity of the at least one monolithic jaw member, at least a portion of the jaw insert including a dielectric material configured to reduce the thermal mass of the at least one monolithic jaw member.
2. An end effector assembly according to claim 1, wherein the jaw insert defines a cutting channel therealong configured to receive a cutting element therealong.
3. An end effector assembly according to claim 1, wherein the jaw insert includes at least a portion of conductive material configured to conduct electrosurgical energy received from the electrosurgical energy source.
4. An end effector assembly according to claim 1, wherein the jaw insert is overmolded to the at least one monolithic jaw member.
5. An end effector assembly according to claim 1, wherein the jaw insert is made from one of plastic, ceramic and epoxy.
6. An end effector assembly according to claim 1, wherein the jaw insert includes at least one mechanical interface configured to cooperate with a corresponding mechanical interface to selectively position the jaw insert within the cavity.
7. An end effector assembly according to claim 6, wherein the at least one mechanical interface includes at least one biasing member.
8. An end effector assembly according to claim 1, wherein the tissue contacting surface of the at least one monolithic jaw member and the tissue contacting surface of the jaw insert are offset relative to one another.
9. An end effector assembly according to claim 1, wherein the tissue contacting surface of the jaw insert is raised relative to the tissue contacting surface of the monolithic jaw member to form a gap between the monolithic jaw member and the opposing jaw member in the range of about 0.001 inches to about 0.006 inches.
10. An end effector assembly according to claim 1, wherein the jaw insert is selectively removable from the cavity.
11. A method of manufacturing an end effector assembly for use with an electrosurgical instrument comprising the steps of:

fabricating opposing jaw members, at least one jaw member being monolithic and having a cavity defined therein;

fabricating a jaw insert and at least a portion of the jaw insert including a dielectric material configured to reduce the thermal mass of the monolithic jaw member;
and positioning the jaw insert within the cavity of the monolithic jaw member.
12. A method according to claim 11, further comprising the step of:
fabricating the jaw insert to define a cutting channel configured to receive a cutting element therealong.
13. A method according to claim 11, further comprising the step of:
fabricating the jaw insert to include at least a portion of conductive material configured to conduct electrosurgical energy received from the electrosurgical energy source.
14. A method according to claim 11, further comprising the steps of overmolding and positioning the jaw insert within the cavity of the monolithic jaw member.
15. A method according to claim 11, wherein the jaw insert is made from one of plastic, ceramic and epoxy.
16. A method according to claim 11, further comprising the steps of:
fabricating the jaw insert to include at least one mechanical interface that cooperates with a corresponding mechanical interface disposed within the cavity; and selectively positioning the jaw insert within the cavity.
17. A method according to claim 11, further comprising the step of:

offsetting a tissue contacting surface of the monolithic jaw member from a tissue contacting surface of the jaw insert.
18. An end effector assembly for use with an electrosurgical instrument, the end effector assembly comprising:

a pair of opposing first and second jaw members each having a tissue contacting surface, at least one of the first and second jaw members being monolithic and at least one jaw member moveable relative to the other from a first, open position to a second, closed position for grasping tissue, the at least one monolithic jaw member having a cavity defined therein; and a jaw insert selectively positionable within the cavity of the at least one monolithic jaw member, at least a portion of the jaw insert including a dielectric material configured to reduce the thermal mass of the at least one monolithic jaw member, the jaw insert including at least one mechanical interface configured to cooperate with a corresponding mechanical interface to selectively position the jaw insert within the cavity.
19. An end effector assembly according to claim 18, wherein the at least one mechanical interface includes at least one biasing member.
CA 2729280 2010-01-29 2011-01-25 Dielectric jaw insert for electrosurgical end effector Abandoned CA2729280A1 (en)

Priority Applications (2)

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US12/696,857 2010-01-29
US12696857 US8858553B2 (en) 2010-01-29 2010-01-29 Dielectric jaw insert for electrosurgical end effector

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JP (1) JP5670772B2 (en)
CA (1) CA2729280A1 (en)
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EP2353535A1 (en) 2011-08-10 application
US8858553B2 (en) 2014-10-14 grant
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US20110190765A1 (en) 2011-08-04 application
JP5670772B2 (en) 2015-02-18 grant

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