Bipolar electrosurgical instrument for sealing vessels
View Patent ↗A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.
1. An electrosurgical system, comprising:
an electrosurgical generator for generating electrosurgical energy;
a first shaft having a jaw member attached to a distal end thereof, a second shaft having a jaw member attached to a distal end thereof, the first and second jaw members each including a sealing surface disposed thereon which reside in opposing relation relative to one another, the jaw members being movable from a first position wherein the sealing surfaces are disposed in spaced apart relation relative to one another to at least one second position wherein the sealing surfaces grasp tissue therebetween;
a connector adapted to electrically couple the jaw members to a source of electrosurgical energy such that the sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween;
a ratchet operatively associated with at least one of the shafts, the ratchet being selectively positionable to maintain to a closure pressure in the range of about 7 kg/cm 2 to about 13 kg/cm 2 between sealing surfaces; and
regulating means being configured to monitor the phase angle between the output voltage and the current emanating from the electrosurgical generator and terminate the electrosurgical energy once the phase angle reaches a predetermined angle.
2. An electrosurgical system according to claim 1 wherein the regulating means includes a feedback control system disposed within the generator.
3. An electrosurgical system according to claim 1 wherein the regulating means is further configured to monitor the impedance on the electrosurgical generator and terminate the electrosurgical energy once the impedance reaches a predetermined level.
4. An electrosurgical system according to claim 3 wherein the predetermined level is above 1000 ohms.
5. An electrosurgical system according to claim 1 wherein the predetermined angle is greater than about 50 degrees.