Vessel sealing instrument
View Patent ↗A bipolar electrosurgical instrument for clamping, grasping, manipulating, and sealing tissue includes first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof. The handle being operable to effect movement of the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. The bipolar instrument is connectable to a source of electrical energy having a first electrical potential connected to one of the jaw members and a second electrical potential connected to the other of the jaw members such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal. Both the first and second electrical potentials are transmitted to the jaw members through the first shaft.
1. A bipolar electrosurgical instrument for use in open surgery, comprising:
first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween, each of said jaw members including a channel extending from a proximal end of the jaw member to the distal end of the jaw member;
a source of electrosurgical energy having first and second electrical potentials, the first electrical potential being connected to one of the jaw members via a conductive lead and a second electrical potential being connected to the other of the jaw members via a conductive tube such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal;
a distal connector disposed between the jaw members for electrically isolating said first and second electrical potentials, said distal connector including a donut-like mechanical interface which mechanically engages a distal end of said conductive lead; and
a knife disposed within each of said channels between the first and second jaw members, said knife being selectively translatable within each of said channels from a first position proximal to tissue grasped between said jaw members to a distal position to sever tissue held between said jaw members.
2. A bipolar electrosurgical instrument for use in open surgery according to claim 1 further comprising a control rod for remotely actuating said knife.
3. A bipolar electrosurgical instrument for use in open surgery according to claim 2 wherein said control rod is disposed along an outer periphery of one of the first and second shafts.
4. A bipolar electrosurgical instrument for use in open surgery according to claim 2 wherein the control rod is disposed through a spacer within said pivot.
5. A bipolar electro surgical instrument for use in open surgery according to claim 1 wherein each of the jaw members includes an electrically conductive sealing surface and at least one of the jaw members includes at least one non-conductive stop member disposed on said electrically conductive sealing surface to control the distance between opposing electrically conductive sealing surfaces when tissue is held therebetween.
6. A bipolar electrosurgical instrument according to claim 5 further comprising a non-stick coating disposed on the electrically conductive sealing surfaces.
7. A bipolar electrosurgical instrument according to claim 6 wherein the non-stick coating is selected from a group of materials consisting of: nitrides and nickel/chrome alloys.
8. A bipolar electro surgical instrument according to claim 6 wherein the non-stick coating includes one of TiN, ZrN, TiAlN, CrN, nickel/chrome alloys with a Ni/Cr ratio of approximately 5:1, Inconel 600, Ni200 and Ni201.
9. A bipolar electrosurgical instrument for use in open surgery according to claim 1 wherein the knife is made from a non-conductive material.
10. A bipolar electrosurgical instrument for use in open surgery according to claim 1 wherein the knife is made from a conductive material and is connected to the electrosurgical energy source.
11. A bipolar electrosurgical instrument according to claim 1 further comprising a ratchet disposed on the first shaft and a complementary interlocking mechanical interface disposed on the second shaft, said ratchet and complementary interlocking mechanical interface providing at least one interlocking position to maintain a closure pressure in the range of about 3 kg/cm 2 to about 16 kg/cm 2 between the jaw members.
12. A bipolar electrosurgical instrument for use in open surgery, comprising:
first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween;
a source of electrical energy having first and second electrical potentials, the first electrical potential being connected to one of the jaw members via a conductive lead and a second electrical potential being connected to the other of the jaw members via a conductive tube such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal;
a distal connector disposed between the jaw members for electrically isolating said first and second electrical potentials, said distal connector including a donut-like mechanical interface which mechanically engages a distal end of said conductive lead; and
one of said jaw members including a recess defined in a proximal end thereof, said recess housing a knife therein and having a cam-like profile such that selective, distal movement of said knife deflects said knife into and through tissue held between jaw members.
13. A bipolar electro surgical instrument for use in open surgery according to claim 12 wherein said knife is made from a non-conductive material.
14. A bipolar electrosurgical instrument for use in open surgery according to claim 12 wherein said knife is made from a conductive material and is connected to the electrosurgical energy source.
15. A bipolar electro surgical instrument for use in open surgery according to claim 12 wherein each of the jaw members includes an electrically conductive sealing surface and at least one of the jaw members includes at least one non-conductive stop member disposed on said electrically conductive sealing surface to control the distance between opposing electrically conductive sealing surfaces when tissue is held therebetween.
16. A bipolar electro surgical instrument according to claim 15 further comprising a non-stick coating disposed on the electrically conductive sealing surfaces.
17. A bipolar electrosurgical instrument according to claim 16 wherein the non-stick coating is selected from a group of materials consisting of: nitrides and nickel/chrome alloys.
18. A bipolar electrosurgical instrument according to claim 16 wherein the non-stick coating includes one of TiN, ZrN, TiAlN, CrN, nickel/chrome alloys with a Ni/Cr ratio of approximately 5:1, Inconel 600, Ni200 and Ni201.
19. A bipolar electro surgical instrument according to claim 12 further comprising a ratchet disposed on the first shaft and a complementary interlocking mechanical interface disposed on the second shaft, said ratchet and complementary interlocking mechanical interface providing at least one interlocking position to maintain a closure pressure in the range of about 3 kg/cm 2 to about 16 kg/cm 2 between the jaw members.