EP1372487A1 - Electrosurgical instrument reducing flashover - Google Patents
Electrosurgical instrument reducing flashoverInfo
- Publication number
- EP1372487A1 EP1372487A1 EP01920937A EP01920937A EP1372487A1 EP 1372487 A1 EP1372487 A1 EP 1372487A1 EP 01920937 A EP01920937 A EP 01920937A EP 01920937 A EP01920937 A EP 01920937A EP 1372487 A1 EP1372487 A1 EP 1372487A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- electrode assembly
- insulating substrate
- electrodes
- assembly according
- sealing surface
- 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.)
- Withdrawn
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2945—Curved jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
- A61B2018/1432—Needle curved
Definitions
- the present disclosure relates to electrosurgical instruments used for open and endoscopic surgical procedures. More particularly, the present disclosure relates to a bipolar forceps for sealing vessels and vascular tissue having an electrode assembly which is designed to reduce the incidence of flashover.
- a hemostat or forceps is a simple plier-like tool which uses mechanical action between its jaws to constrict tissue and is commonly used in open surgical procedures to grasp, dissect and/or clamp tissue. Electrosurgical forceps utilize both mechanical clamping action and electrical energy to effect hemostasis by heating the tissue and blood vessels to coagulate, cauterize and/or seal tissue.
- electrosurgical forceps By utilizing an electrosurgical forceps, a surgeon can either cauterize, coagulate/desiccate tissue and/or simply reduce or slow bleeding by controlling the intensity, frequency and duration of the electrosurgical energy applied to the tissue.
- the electrical configuration of electrosurgical forceps can be categorized in two classifications: 1 ) monopolar electrosurgical forceps; and 2) bipolar electrosurgical forceps.
- Monopolar forceps utilize one active electrode associated with the clamping end effector and a remote patient return electrode or pad which is attached externally to the patient. When the electrosurgical energy is applied, the energy travels from the active electrode, to the surgical site, through the patient and to the return electrode.
- Bipolar electrosurgical forceps utilize two generally opposing electrodes which are generally disposed on the inner facing or opposing surfaces of the end effectors which, in turn, are electrically coupled to an electrosurgical generator. Each electrode is charged to a different electric potential. Since tissue is a conductor of electrical energy, when the end effectors are utilized to clamp or grasp tissue therebetween, the electrical energy can be selectively transferred through the tissue.
- endoscopic instruments are inserted into the patient through a cannula, or port, that has been made with a trocar.
- Typical sizes for cannulas range from three millimeters to twelve millimeters. Smaller cannulas are usually preferred, which, as can be appreciated, ultimately presents a design challenge to instrument manufacturers who must find ways to make surgical instruments that fit through the cannulas.
- Certain surgical procedures require sealing blood vessels or vascular tissue.
- surgeons can have difficulty suturing vessels or performing other traditional methods of controlling bleeding, e.g., clamping and/or tying-off transected blood vessels.
- Blood vessels in the range below two millimeters in diameter, can often be closed using standard electrosurgical techniques. If a larger vessel is severed, it may be necessary for the surgeon to convert the endoscopic procedure into an open-surgical procedure and thereby abandon the benefits of laparoscopy.
- coagulation is defined as a process of desiccating tissue wherein the tissue cells are ruptured and dried.
- vessel sealing is defined as the process of liquefying the collagen in the tissue so that the tissue crosslinks and reforms into a fused mass.
- Flashover as used herein relates to a visual anomaly which develops as a result of inconsistent current tracking over the surface of the insulator or insulative coating and/or activation irregularities which may occur when the instrument is repeatedly used during surgery. Although flashover tends to char the surface of the insulate, it does not effect seal quality. However, it may effect the life of the instrument and/or the electrode assembly. The effects and industry standards with respect to flashover are discussed in detail in the Annual Book of ASTM Standards, Vol. 10.02, Designations: D495-84; D618; D2303; and D3638.
- the present disclosure generally relates to an open and/or endoscopic electrosurgical instrument which includes a removable electrode assembly having electrodes which are electrically and thermally isolated from the remainder of the instrument by a unique insulating substrate and/or by a uniquely designed insulating substrate and electrically conductive surface. It is envisioned that both the geometric shape of the insulating substrate (relative to the geometric shape of the electrically conductive surface) and/or the type of insulating material used contribute to the overall reduction of the incidence of flashover.
- the present disclosure relates to an electrode assembly for use with an electrosurgical instrument which includes opposing end effectors and a handle for effecting movement of the end effectors relative to one another.
- the assembly includes a housing having at least one portion which is removably engageable with at least one portion of the electrosurgical instrument (e.g., handle, end effector, pivot, shaft, etc.) and a pair of electrodes.
- Each electrode preferably includes an electrically conductive sealing surface and an insulating substrate and is dimensioned to be selectively engageable with the end effectors such that the electrodes reside in opposing relation relative to one another.
- the dimensions of the insulating substrate are different from the dimensions of the electrically conductive sealing surface which effectively reduces the incidence of flashover.
- the insulating substrate of each of the electrodes includes a mechanical interface for engaging a complimentary mechanical interface disposed on the corresponding end effector of the electrosurgical instrument.
- the mechanical interface of the substrate may include a detent and the mechanical interface of the corresponding end effector may include a complimentary socket for receiving the detent.
- the insulating substrate is mounted to the electrically conductive sealing surface by stamping, by overmolding, by overmolding a stamped seal plate and/or by overmolding a metal injection molded seal plate.
- the electrically conductive sealing surface includes a pinch trim and the insulating substrate extends beyond the periphery of the electrically conductive sealing surface. All of these manufacturing techniques are contemplated to effectively reduce the incidence of flashover during activation.
- the insulating substrate is made from a material having a Comparative Tracking Index of about 300 volts to about 600 volts.
- the insulating substrate is substrate is made from a group of materials which include Nylons, Syndiotactic-polystryrene (SPS), Polybutylene Terephthalate (PBT), Polycarbonate (PC), Acrylonit le Butadiene Styrene (ABS), Polyphthalamide (PPA), Polymide, Polyethylene Terephthalate (PET), Polyamide-imide (PAI), Acrylic (PMMA), Polystyrene (PS and HIPS), Polyether Sulfone (PES), Aliphatic Polyketone, Acetal (POM) Copolymer, Polyurethane (PU and TPU), Nylon with Polyphenylene-oxide dispersion and Acrylonithle Styrene Acrylate.
- SPS Syndiotactic-polystryrene
- PBT Polybutylene Terephthalate
- PC Poly
- inventions of the present disclosure include a housing having a bifurcated distal end which forms two resilient and flexible prongs which each carry an electrode designed to engage a corresponding end effector.
- the end effectors are disposed at an angle ( ⁇ ) relative to the distal end of the shaft of the electrosurgical instrument. Preferably, the angle is about fifty degrees to about seventy degrees.
- the end effectors and, in turn, the electrodes can also be dimensioned to include a taper along a width "W" (See Fig. 2).
- the present disclosure also relates to an electrode assembly for use with an electrosurgical instrument having a handle and at least one shaft for effecting movement of a pair of opposing end effectors relative to one another.
- the electrode assembly includes a housing which is removably engageable with the shaft and/or the handle and a pair of electrodes.
- Each electrode is removably engageable with a corresponding end effector and includes an electrically conductive sealing surface with a first geometric shape and an insulating substrate with a second geometric shape.
- the second geometric shape of the insulating substrate is different from the first geometric shape of the sealing surface which effectively reduces the incidence of flashover during activation of the instrument.
- the electrode assembly is removable, disposable and replaceable after the electrode assembly is used beyond its intended number of activation cycles.
- the electrode assembly and/or the electrodes may be integrally associated with the end effectors of the instrument and are not removable.
- the electrosurgical instrument open or endoscopic
- the entire instrument is fully disposable after the surgery is completed.
- Fig. 1 is a perspective view of an open bipolar forceps according to one embodiment of the present disclosure
- Fig. 2 is an enlarged, perspective view of a distal end of the bipolar forceps shown in Fig. 1 ;
- Fig. 3 is a perspective view with parts separated of the forceps shown in Fig. 1 ;
- Fig. 4 is an enlarged, side view of an electrode assembly of Fig. 1 shown without a cover plate
- Fig. 5 is an enlarged, perspective view of a distal end of the electrode assembly of Fig. 4;
- Fig. 6 is a perspective view with parts separated of an upper electrode of the electrode assembly of Fig. 5;
- Fig. 7A is a perspective view with parts separated of a lower electrode of the electrode assembly of Fig. 5;
- Fig. 7B is a cross section of a prior art electrode configuration with the electrode extending over the sides of the insulator;
- Fig. 7C is a cross section of an electrode with the insulator extending beyond the sides of the electrode;
- Fig. 7D is a cross section of an overmolded stamped electrode configuration showing the insulator capturing a pinch trim which depends from the electrically conductive surface;
- Fig. 8A is a perspective view of the forceps of the present disclosure showing the operative motion of the forceps to effect sealing of a tubular vessel;
- Fig. 8B is a perspective view of an endoscopic version of the present disclosure showing the operative motion of the instrument to effect sealing of a tubular vessel;
- Fig. 9 is an enlarged, partial perspective view of a sealing site of a tubular vessel
- Fig. 10 is a longitudinal cross-section of the sealing site taken along line 10-10 of Fig. 9;
- Fig. 11 is a longitudinal cross-section of the sealing site of Fig. 9 after separation of the tubular vessel.
- Flashover is simply a visual anomaly which occurs during sealing as a result of inconsistent and/or irregular current tracking over the surface of the insulate which may occur when the instrument is repeatably used during surgery. Flashover tends to char the surface of the insulate but is not know to effect seal quality. However, it may effect the life of the instrument.
- a bipolar forceps 10 is shown for use with open surgical procedures by way of example and includes a mechanical forceps 20 and a disposable electrode assembly 21.
- proximal as is traditional, will refer to the end of the forceps 10 which is closer to the user, while the term “distal” will refer to the end which is further from the user.
- Figs 1-7A and 8A show one embodiment of the presently described instrument for use with open surgical procedures, e.g., forceps 20, it is envisioned that the same properties as shown and described herein may also be employed with or incorporated on an endoscopic instrument 100 such as the embodiment shown by way of example in Fig. 8B.
- Figs 1-3 show mechanical forceps 20 which includes first and second members 9 and 11 which each have an elongated shaft 12 and 14, respectively.
- Shafts 12 and 14 each include a proximal end 13 and 15 and a distal end 17 and 19, respectively.
- Each proximal end 13, 15 of each shaft portion 12, 14 includes a handle member 16 and 18 attached thereto which allows a user to effect movement of at least one of the shaft portions, e.g., 12 relative to the other, e.g., 14.
- Extending from the distal ends 17 and 19 of each shaft portion 12 and 14 are end effectors 24 and 22, respectively.
- the end effectors 24 and 22 are movable relative to one another in response to movement of handle members 16 and 18.
- the end effectors 22, 24 are disposed at an angle alpha ( ⁇ ) relative to the distal ends 19, 17 (See Fig. 2). It is contemplated that the angle alpha ( ⁇ ) is in the range of about fifty degrees to about seventy degrees relative to the distal ends 19, 17.
- angling the end effectors 22, 24 at an angle alpha ( ⁇ ) relative to the distal ends 19, 17 may be advantageous for two reasons: 1 ) the angle of the end effectors, jaw members and electrodes will apply more constant pressure for a constant tissue thickness at parallel; and 2) the thicker proximal portion of the electrode, e.g., 110, (as a result of the taper along width "W") will resist bending due to the reaction force of the tissue 150.
- the tapered "W" shape (Fig. 2) of the electrode 1 10 is determined by calculating the mechanical advantage variation from the distal to proximal end of the electrode 1 10 and adjusting the width of the electrode 110 accordingly.
- end effectors 22, 24 at an angle of about 50 degrees to about 70 degrees is preferred for accessing and sealing specific anatomical structures relevant to prostatectomies and cystectomies, e.g., the dorsal vein complex and the lateral pedicles.
- shaft portions 12 and 14 are affixed to one another at a point proximate the end effectors 24 and 22 about a pivot 25 such that movement of one of the handles 16, 18 will impart relative movement of the end effectors 24 and 22 from an open position wherein the end effectors 22 and 24 are disposed in spaced relation relative to one another to a clamping or closed position wherein the end effectors 22 and 24 cooperate to grasp a tubular vessel 150 therebetween (see Figs. 8A and 8B). It is envisioned that pivot 25 has a large surface area to resist twisting and movement of forceps 10 during activation.
- the forceps 10 can be designed such that movement of one or both of the handles 16 and 18 will only cause one of the end effectors, e.g., 24, to move with respect to the other end effector, e.g., 22.
- end effector 24 includes an upper or first jaw member 44 which has an inner facing surface 45 and a plurality of mechanical interfaces disposed thereon which are dimensioned to releasable engage a portion of a disposable electrode assembly 21 which will be described in greater detail below.
- the mechanical interfaces include sockets 41 which are disposed at least partially through inner facing surface 45 of jaw member 44 and which are dimensioned to receive a complimentary detent 122 attached to upper electrode 120 of the disposable electrode assembly 21. While the term "socket" is used herein, it is contemplated that either a male or female mechanical interface may be used on jaw member 44 with a mating mechanical interface disposed on the disposable electrode assembly 21.
- jaw member 44 also includes an aperture 67 disposed at least partially through inner face 45 of end effector 24 which is dimensioned to receive a complimentary guide pin 124 disposed on electrode 120 of the disposable electrode assembly 21.
- End effector 22 includes a second or lower jaw member 42 which has an inner facing surface 47 which opposes inner facing surface 45.
- jaw members 42 and 44 are dimensioned generally symmetrically, however, in some cases it may be preferable to manufacture the two jaw members 42 and 44 asymmetrically depending upon a particular purpose.
- jaw member 42 also includes a plurality of mechanical interfaces or sockets 43 disposed thereon which are dimensioned to releasable engage a complimentary portion disposed on electrode 1 10 of the disposable electrode assembly 21 as described below.
- jaw member 42 also includes an aperture 65 disposed at least partially through inner face 47 which is dimensioned to receive a complimentary guide pin 127 (see Fig. 4) disposed on electrode 1 10 of the disposable electrode assembly 21.
- shaft members 12 and 14 of the mechanical forceps 20 are designed to transmit a particular desired force to the opposing inner facing surfaces of the of the jaw members 22 and 24, respectively, when clamped.
- the shaft members 12 and 14 effectively act together in a springlike manner (i.e., bending that behaves like a spring)
- the length, width, height and deflection of the shaft members 12 and 14 will directly effect the overall transmitted force imposed on opposing jaw members 42 and 44.
- jaw members 22 and 24 are more rigid than the shaft members 12 and 14 and the strain energy stored in the shaft members 12 and 14 provides a constant closure force between the jaw members 42 and 44.
- Each shaft member 12 and 14 also includes a ratchet portion 32 and 34, respectively.
- each ratchet e.g., 32
- each ratchet extends from the proximal end 13 of its respective shaft member 12 towards the other ratchet 34 in a generally vertically aligned manner such that the inner facing surfaces of each ratchet 32 and 34 abut one another when the end effectors 22 and 24 are moved from the open position to the closed position.
- Each ratchet 32 and 34 includes a plurality of flanges 31 and 33, respectively, which project from the inner facing surface of each ratchet 32 and 34 such that the ratchets 32 and 34 can interlock in at least one position. In the embodiment shown in Fig.
- each ratchet position holds a specific, i.e., constant, strain energy in the shaft members 12 and 14 which, in turn, transmits a specific force to the end effectors 22 and 24 and, thus, the electrodes 120 and 110.
- a ratchet and pawl system could be utilized to segment the movement of the two handles into discrete units which will, in turn, impart discrete movement to the jaw members 42 and 44 relative to one another.
- At least one of the shaft members, e.g., 14, includes a tang 99 which facilitates manipulation of the forceps 20 during surgical conditions as well as facilitates attachment of electrode assembly 21 on mechanical forceps 20 as will be described in greater detail below.
- disposable electrode assembly 21 is designed to work in combination with mechanical forceps 20.
- electrode assembly 21 includes housing 71 which has a proximal end 77, a distal end 76 and an elongated shaft plate 78 disposed therebetween.
- a handle plate 72 is disposed near the proximal end 77 of housing 71 and is sufficiently dimensioned to releasably engage and/or encompass handle 18 of mechanical forceps 20.
- shaft plate 78 is dimensioned to encompass and/or releasably engage shaft 14 and pivot plate 74 disposed near the distal end 76 of housing 71 and is dimensioned to encompass pivot 25 and at least a portion of distal end 19 of mechanical forceps 20. It is contemplated that the electrode assembly 21 can be manufactured to engage either the first or second members 9 and 11 of the mechanical forceps 20 and its respective component parts 12, 16 or 14, 18, respectively.
- handle 18, shaft 14, pivot 25 and a portion of distal end 19 are all dimensioned to fit into corresponding channels located in housing 71.
- a channel 139 is dimensioned to receive handle 18, a channel 137 is dimensioned to receive shaft 14 and a channel 133 is dimensioned to receive pivot 25 and a portion of distal end 19.
- Electrode assembly 21 also includes a cover plate 80 which is also designed to encompass and/or engage mechanical forceps 20 in a similar manner as described with respect to the housing 71. More particularly, cover plate 80 includes a proximal end 85, a distal end 86 and an elongated shaft plate 88 disposed therebetween. A handle plate 82 is disposed near the proximal end 85 and is preferably dimensioned to releasable engage and/or encompass handle 18 of mechanical forceps 20. Likewise, shaft plate 88 is dimensioned to encompass and/or releasable engage shaft 14 and a pivot plate 94 disposed near distal end 86 is designed to encompass pivot 25 and distal end 19 of mechanical forceps 20. Preferably, handle 18, shaft 14, pivot 25 and distal end 19 are all dimensioned to fit into corresponding channels (not shown) located in cover plate 80 in a similar manner as described above with respect to the housing 71.
- housing 71 and cover plate 80 are designed to engage one another over first member, e.g., 1 1 , of mechanical forceps 20 such that first member 1 1 and its respective component parts, e.g., handle 18, shaft 14, distal end 19 and pivot 25, are disposed therebetween.
- first member 1 1 and its respective component parts e.g., handle 18, shaft 14, distal end 19 and pivot 25, are disposed therebetween.
- housing 71 and cover plate 80 include a plurality of mechanical interfaces disposed at various positions along the interior of housing 71 and cover plate 80 to effect mechanical engagement with one another.
- a plurality of sockets 73 are disposed proximate handle plate 72, shaft plate 78 and pivot plate 74 of housing 71 and are dimensioned to releasably engage a corresponding plurality of detents (not shown) extending from cover plate 80. It is envisioned that either male or female mechanical interfaces or a combination of mechanical interfaces may be disposed within housing 71 with mating mechanical interfaces disposed on or within cover plate 80.
- the distal end 76 of electrode assembly 21 is bifurcated such that two prong-like members 103 and 105 extend outwardly therefrom to support electrodes 110 and 120, respectively. More particularly, electrode 120 is affixed at an end 90 of prong 105 and electrode 110 is affixed at an end 91 of prong 103. It is envisioned that the electrodes 1 10 and 120 can be affixed to the ends 91 and 90 in any known manner, e.g., friction-fit, snap-fit engagement, crimping, etc. Moreover, it is contemplated that the electrodes 110 and 120 may be selectively removable from ends 90 and 91 depending upon a particular purpose and/or to facilitate assembly of the electrode assembly 21.
- a pair of wires 60 and 62 are connected to the electrodes 120 and 1 10, respectively, as best seen in Figs. 4 and 5.
- wires 60 and 62 are bundled together and form a wire bundle 28 (Fig. 4) which runs from a terminal connector 30 (see Fig. 3), to the proximal end 77 of housing 71 , along the interior of housing 71 , to distal end 76.
- Wire bundle 28 is separated into wires 60 and 62 proximate distal end 76 and the wires 60 and 62 are connected to each electrode 120 and 1 10, respectively.
- wires 60 and 62 are designed to be convenient to the user so that there is little interference with the manipulation of bipolar forceps 10.
- the proximal end of the wire bundle 28 is connected to a terminal connector 30, however, in some cases it may be preferable to extend wires 60 and 62 to an electrosurgical generator (not shown).
- electrode 120 includes an electrically conductive seal surface 126 and an electrically insulative substrate 121 which are attached to one another by snap-fit engagement or some other method of assembly, e.g., overmolding of a stamping or metal injection molding.
- substrate 121 is made from molded plastic material and is shaped to mechanically engage a corresponding socket 41 located in jaw member 44 of end effector 24 (see Fig. 2).
- the substrate 121 not only insulates the electric current but it also aligns electrode 120 both of which contribute to the seal quality, consistency and the reduction of flashover.
- the alignment and thickness, i.e., height "h2" of the electrode 120 can be controlled.
- the overmolding manufacturing technique reduces the overall height "h2" (Fig. 7C) of the electrode 120 compared to traditional manufacturing techniques which yield a height of "hi " (Fig. 7B).
- the smaller height "h2" allows a user access to smaller areas within the body and facilitates sealing around more delicate tissue areas.
- the overmolding technique provides more insulation along the side of the electrically conductive surface which also effectively reduces the incidence of flashover.
- substrate 121 includes a plurality of bifurcated detents
- Substrate 121 also includes an alignment or guide pin 124 which is dimensioned to engage aperture 67 of jaw member 44.
- a slide-fit technique is also contemplated such as the slide-fit technique describe with respect to commonly-assigned, co-pending U.S. Application Serial No. 203-2348CIP2PCT, by Tetzlaff et al., the entire contents of which is hereby incorporated by reference herein.
- Conductive seal surface 126 includes a wire crimp 145 designed to engage the distal end 90 of prong 105 of electrode assembly 21 and electrically engage a corresponding wire connector affixed to wire 60 located within electrode assembly. Seal surface 126 also includes an opposing face 125 which is designed to conduct an electrosurgical current to a tubular vessel or tissue 150 when it is held thereagainst.
- Electrode 1 10 includes similar elements and materials for insulating and conducting electrosurgical current to tissue 150. More particularly, electrode 110 includes an electrically conductive seal surface 116 and an electrically insulative substrate 1 1 1 which are attached to one another by one of the above methods of assembly. Substrate 1 11 includes a plurality of detents 1 12 which are dimensioned to engage a corresponding plurality of sockets 43 and aperture 65 located in jaw member 42. Conductive seal surface 1 16 includes an extension 155 having a wire crimp 119 which engages the distal end 91 of prong 103 and electrically engages a corresponding wire connector affixed to wire 62 located in housing 71.
- Seal surface 116 also includes an opposing face 115 which conducts an electrosurgical current to a tubular vessel or tissue 150 when it is held thereagainst. It is contemplated that electrodes 110 and 120 can be formed as one piece and include similar components and/or dimensions for insulating and conducting electrical energy in a manner to reduce the incidence of flashover.
- flashover may be reduced and/or eliminated by altering the physical or chemical characteristics of the insulator and electrode, e.g., by altering the geometry/shape of the insulator, by changing the type of material used to manufacture the insulator and/or by coating the insulator with different materials. Modifying the geometry of the insulator 1 1 1 and/or conductive surface 1 16 creates a longer path of the current to travel over the insulator 1 11 before flashover occurs. For example and as best shown in the comparison of Fig. 7B (prior art) with newly disclosed Figs. 7C and 7D, substrates 1 1 1 , 121 are designed to extend along width "W" (Fig.
- the width of the insulating substrate, e.g., 11 1 exceeds the width of the electrically conductive seal surface 116.
- manufacturing these electrically conductive sealing surface 116 and insulator 1 1 1 configurations may be accomplished by various manufacturing techniques such as overmolding of a stamping and/or metal injection molding. Stamping is defined herein to encompass virtually any press operation known in the trade, including, but not limited to: blanking, shearing, hot or cold forming, drawing, bending and coining.
- the electrically conductive sealing surface 1 16 may include a pinch trim 131 which facilitates secure integral engagement of the insulate and the electrically conductive sealing surface 116 during the assembly and/or manufacturing process. It is envisioned that manufacturing the electrodes 1 10 and 120 in this fashion will reduce the incidence of flashover. Other manufacturing techniques may also be employed to achieve similar electrically conductive sealing surface 116 and insulator 1 11 configurations which will effectively the incidence of flashover.
- a plastic insulation can be employed having a CTI value of about 300 to about 600 volts.
- high CTI materials include nylons and syndiotactic polystryrenes such as QUESTRA ® manufactured by DOW Chemical.
- Other materials may also be utilized either alone or in combination to reduce flashover, e.g., Nylons, Syndiotactic- polystryrene (SPS), Polybutylene Terephthalate (PBT), Polycarbonate (PC), Acrylonitrile Butadiene Styrene (ABS), Polyphthalamide (PPA), Polymide, Polyethylene Terephthalate (PET), Polyamide-imide (PAI), Acrylic (PMMA), Polystyrene (PS and HIPS), Polyether Sulfone (PES), Aliphatic Polyketone, Acetal (POM) Copolymer, Polyurethane (PU and TPU), Nylon with Polyphenylene-oxide dispersion and Acrylonitrile Styrene Acrylate.
- SPS Syndiotactic- polystryrene
- PBT Polybutylene Terephthalate
- PC Polycarbonate
- ABS Acrylonitrile Butadiene Styrene
- PPA Polyphthalamide
- PET Polyethylene Tere
- insulator 11 1 and/or conductive surface 116 it may be preferable to alter both the geometry of the insulator 11 1 and/or conductive surface 116 and/or utilize a plastic insulation that does not have a CTI value of about 300 to about 600 volts.
- certain coatings can be utilized either alone or in combination with one of the above manufacturing techniques to reduce flashover.
- Fig. 8A shows the bipolar forceps 10 during use wherein the handle members 16 and 18 are moved closer to one another to apply clamping force to the tubular tissue 150 to effect a seal 152 as shown in Figs. 9 and 10. Once sealed, the tubular vessel 150 can be cut along seal 152 to separate the tissue 150 and form a gap 154 therebetween as shown in Fig. 1 1.
- the electrode assembly 21 can be easily removed and/or replaced and a new electrode assembly 21 may be attached to the forceps in a similar manner as described above. It is envisioned that by making the electrode assembly 21 disposable, the electrode assembly 21 is less likely to become damaged since it is only intended for a single operation and, therefore, does not require cleaning or sterilization. As a result, the functionality and consistency of the sealing components, e.g., the conductive surfaces 126, 1 16 and insulating surfaces 121 , 1 1 1 will assure a uniform and quality seal. Alternatively, the entire electrosurgical instrument may be disposable which, again, will assure a uniform and quality seal with minimal flashover effect.
- Fig. 8B shows an endoscopic bipolar instrument 100 during use wherein movement of a handle assembly 128 applies clamping force on the tubular tissue 150 to effect a seal 152 as shown in Figs. 9-1 1.
- a shaft 109 and the electrode assembly 122 are inserted through a trocar 130 and cannula 132 and a handle assembly 1 18 is actuated to cause opposing jaw members of the electrode assembly 122 to grasp tubular vessel 150 therebetween.
- a movable handle 1 18b is moved progressively towards a fixed handle 1 18a which, in turn, causes relative movement of the jaw members from an open, spaced-apart position to a closed, sealing position.
- a rotating member 123 allows the user to rotate the electrode assembly 122 into position about the tubular tissue 150 prior to activation.
- the user then applies electrosurgical energy via connection 128 to the tissue 150.
- electrosurgical energy via connection 128 to the tissue 150.
- the user can either cauterize, coagulate/desiccate seal and/or simply reduce or slow bleeding.
- electrodes 110 and 120 meet in parallel opposition, and, therefore, meet on the same plane
- the electrode assembly 21 include housing 71 and cover plate 80 to engage mechanical forceps 20 therebetween, in some cases it may be preferable to manufacture the electrode assembly 21 such that only one piece, e.g., housing 71 is required to engage mechanical forceps 20.
- the outer surface of the end effectors may include a nickel-based material, coating, stamping, metal injection molding which is designed to reduce adhesion between the end effectors (or components thereof) with the surrounding tissue during or after sealing.
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- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2006201480A AU2006201480B2 (en) | 2001-04-06 | 2006-04-07 | Electrosurgical instrument reducing flashover |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/US2001/011411 WO2002080785A1 (en) | 2001-04-06 | 2001-04-06 | Electrosurgical instrument reducing flashover |
Publications (1)
Publication Number | Publication Date |
---|---|
EP1372487A1 true EP1372487A1 (en) | 2004-01-02 |
Family
ID=21742480
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP01920937A Withdrawn EP1372487A1 (en) | 2001-04-06 | 2001-04-06 | Electrosurgical instrument reducing flashover |
Country Status (5)
Country | Link |
---|---|
EP (1) | EP1372487A1 (en) |
JP (1) | JP2004524920A (en) |
AU (1) | AU2006201480B2 (en) |
CA (1) | CA2442706A1 (en) |
WO (1) | WO2002080785A1 (en) |
Families Citing this family (71)
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US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
US7118570B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealing forceps with disposable electrodes |
US7887535B2 (en) | 1999-10-18 | 2011-02-15 | Covidien Ag | Vessel sealing wave jaw |
US10849681B2 (en) | 2001-04-06 | 2020-12-01 | Covidien Ag | Vessel sealer and divider |
US20030229344A1 (en) | 2002-01-22 | 2003-12-11 | Dycus Sean T. | Vessel sealer and divider and method of manufacturing same |
ES2262639T3 (en) | 2001-04-06 | 2006-12-01 | Sherwood Services Ag | SHUTTER AND DIVIDER OF GLASSES WITH BUMPER MEMBERS N OCONDUCTIVES. |
US7101371B2 (en) | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US7276068B2 (en) | 2002-10-04 | 2007-10-02 | Sherwood Services Ag | Vessel sealing instrument with electrical cutting mechanism |
US7799026B2 (en) | 2002-11-14 | 2010-09-21 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
WO2004082495A1 (en) | 2003-03-13 | 2004-09-30 | Sherwood Services Ag | Bipolar concentric electrode assembly for soft tissue fusion |
US8128624B2 (en) | 2003-05-01 | 2012-03-06 | Covidien Ag | Electrosurgical instrument that directs energy delivery and protects adjacent tissue |
US7147638B2 (en) | 2003-05-01 | 2006-12-12 | Sherwood Services Ag | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
US7160299B2 (en) | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
EP1628586B1 (en) | 2003-05-15 | 2011-07-06 | Covidien AG | Tissue sealer with non-conductive variable stop members |
US7156846B2 (en) | 2003-06-13 | 2007-01-02 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
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US7150749B2 (en) | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Vessel sealer and divider having elongated knife stroke and safety cutting mechanism |
US9848938B2 (en) | 2003-11-13 | 2017-12-26 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US7367976B2 (en) | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
US7252667B2 (en) | 2003-11-19 | 2007-08-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism and distal lockout |
US7131970B2 (en) | 2003-11-19 | 2006-11-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism |
US7811283B2 (en) | 2003-11-19 | 2010-10-12 | Covidien Ag | Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety |
US7442193B2 (en) | 2003-11-20 | 2008-10-28 | Covidien Ag | Electrically conductive/insulative over-shoe for tissue fusion |
DE102004016630B4 (en) * | 2004-03-29 | 2009-04-09 | Aesculap Ag | Surgical instrument |
US7686827B2 (en) | 2004-10-21 | 2010-03-30 | Covidien Ag | Magnetic closure mechanism for hemostat |
US7909823B2 (en) | 2005-01-14 | 2011-03-22 | Covidien Ag | Open vessel sealing instrument |
US7686804B2 (en) | 2005-01-14 | 2010-03-30 | Covidien Ag | Vessel sealer and divider with rotating sealer and cutter |
US7837685B2 (en) | 2005-07-13 | 2010-11-23 | Covidien Ag | Switch mechanisms for safe activation of energy on an electrosurgical instrument |
US7628791B2 (en) | 2005-08-19 | 2009-12-08 | Covidien Ag | Single action tissue sealer |
US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
US7922953B2 (en) | 2005-09-30 | 2011-04-12 | Covidien Ag | Method for manufacturing an end effector assembly |
AU2006225175B2 (en) | 2005-09-30 | 2012-08-30 | Covidien Ag | Insulating boot for electrosurgical forceps |
CA2561034C (en) | 2005-09-30 | 2014-12-09 | Sherwood Services Ag | Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue |
US7789878B2 (en) | 2005-09-30 | 2010-09-07 | Covidien Ag | In-line vessel sealer and divider |
US8298232B2 (en) | 2006-01-24 | 2012-10-30 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider for large tissue structures |
US8734443B2 (en) | 2006-01-24 | 2014-05-27 | Covidien Lp | Vessel sealer and divider for large tissue structures |
US8882766B2 (en) | 2006-01-24 | 2014-11-11 | Covidien Ag | Method and system for controlling delivery of energy to divide tissue |
US7846158B2 (en) | 2006-05-05 | 2010-12-07 | Covidien Ag | Apparatus and method for electrode thermosurgery |
US7776037B2 (en) | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
US7744615B2 (en) | 2006-07-18 | 2010-06-29 | Covidien Ag | Apparatus and method for transecting tissue on a bipolar vessel sealing instrument |
US8597297B2 (en) | 2006-08-29 | 2013-12-03 | Covidien Ag | Vessel sealing instrument with multiple electrode configurations |
US8267935B2 (en) * | 2007-04-04 | 2012-09-18 | Tyco Healthcare Group Lp | Electrosurgical instrument reducing current densities at an insulator conductor junction |
AU2008221509B2 (en) | 2007-09-28 | 2013-10-10 | Covidien Lp | Dual durometer insulating boot for electrosurgical forceps |
US9023043B2 (en) | 2007-09-28 | 2015-05-05 | Covidien Lp | Insulating mechanically-interfaced boot and jaws for electrosurgical forceps |
US8388646B2 (en) * | 2008-02-22 | 2013-03-05 | Covidien Lp | Monocoque jaw design |
US8469956B2 (en) | 2008-07-21 | 2013-06-25 | Covidien Lp | Variable resistor jaw |
US9603652B2 (en) | 2008-08-21 | 2017-03-28 | Covidien Lp | Electrosurgical instrument including a sensor |
US8968314B2 (en) | 2008-09-25 | 2015-03-03 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US9375254B2 (en) | 2008-09-25 | 2016-06-28 | Covidien Lp | Seal and separate algorithm |
US8016827B2 (en) | 2008-10-09 | 2011-09-13 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8114122B2 (en) | 2009-01-13 | 2012-02-14 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8187273B2 (en) | 2009-05-07 | 2012-05-29 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8133254B2 (en) | 2009-09-18 | 2012-03-13 | Tyco Healthcare Group Lp | In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor |
US8112871B2 (en) | 2009-09-28 | 2012-02-14 | Tyco Healthcare Group Lp | Method for manufacturing electrosurgical seal plates |
US9113940B2 (en) | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US9844384B2 (en) | 2011-07-11 | 2017-12-19 | Covidien Lp | Stand alone energy-based tissue clips |
US8888771B2 (en) | 2011-07-15 | 2014-11-18 | Covidien Lp | Clip-over disposable assembly for use with hemostat-style surgical instrument and methods of manufacturing same |
US8845636B2 (en) | 2011-09-16 | 2014-09-30 | Covidien Lp | Seal plate with insulation displacement connection |
USD738499S1 (en) | 2013-08-07 | 2015-09-08 | Covidien Lp | Open vessel sealer with mechanical cutter |
USD744644S1 (en) | 2013-08-07 | 2015-12-01 | Covidien Lp | Disposable housing for open vessel sealer with mechanical cutter |
USD726910S1 (en) | 2013-08-07 | 2015-04-14 | Covidien Lp | Reusable forceps for open vessel sealer with mechanical cutter |
WO2015017991A1 (en) * | 2013-08-07 | 2015-02-12 | Covidien Lp | Bipolar surgical instrument |
US10646267B2 (en) | 2013-08-07 | 2020-05-12 | Covidien LLP | Surgical forceps |
PL2853219T3 (en) | 2013-09-10 | 2018-09-28 | Erbe Elektromedizin | Vessel sealing instrument |
US20150324317A1 (en) | 2014-05-07 | 2015-11-12 | Covidien Lp | Authentication and information system for reusable surgical instruments |
EP2982325B1 (en) | 2014-08-04 | 2020-03-18 | Erbe Elektromedizin GmbH | Method for producing a branch and surgical instrument with a tool having branches |
US10213250B2 (en) | 2015-11-05 | 2019-02-26 | Covidien Lp | Deployment and safety mechanisms for surgical instruments |
US10856933B2 (en) | 2016-08-02 | 2020-12-08 | Covidien Lp | Surgical instrument housing incorporating a channel and methods of manufacturing the same |
US10918407B2 (en) | 2016-11-08 | 2021-02-16 | Covidien Lp | Surgical instrument for grasping, treating, and/or dividing tissue |
US11166759B2 (en) | 2017-05-16 | 2021-11-09 | Covidien Lp | Surgical forceps |
US11844562B2 (en) | 2020-03-23 | 2023-12-19 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
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US6050996A (en) * | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
-
2001
- 2001-04-06 EP EP01920937A patent/EP1372487A1/en not_active Withdrawn
- 2001-04-06 CA CA002442706A patent/CA2442706A1/en not_active Abandoned
- 2001-04-06 JP JP2002578824A patent/JP2004524920A/en active Pending
- 2001-04-06 WO PCT/US2001/011411 patent/WO2002080785A1/en active IP Right Grant
-
2006
- 2006-04-07 AU AU2006201480A patent/AU2006201480B2/en not_active Ceased
Non-Patent Citations (1)
Title |
---|
See references of WO02080785A1 * |
Also Published As
Publication number | Publication date |
---|---|
WO2002080785A8 (en) | 2003-01-03 |
JP2004524920A (en) | 2004-08-19 |
AU2006201480B2 (en) | 2008-03-06 |
AU2006201480A1 (en) | 2006-04-27 |
CA2442706A1 (en) | 2002-10-17 |
WO2002080785A1 (en) | 2002-10-17 |
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Inventor name: TETZLAFF, PHILIP MARK Inventor name: BUYSSE,STEVEN PAUL Inventor name: JOHNSON, KRISTIN, D. Inventor name: DYCUS, SEAN, T. Inventor name: LAWES, KATE, RYLAND |
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RIN1 | Information on inventor provided before grant (corrected) |
Inventor name: TETZLAFF, PHILIP MARK Inventor name: BUYSSE,STEVEN PAUL Inventor name: JOHNSON, KRISTIN, D. Inventor name: DYCUS, SEAN, T. Inventor name: LAWES, KATE, RYLAND |
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