Vessel sealing instrument with electrical cutting mechanism
An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes a pair of spaced apart electrically conductive tissue contacting surfaces which each have an insulator disposed therebetween, the conductive surfaces are connected to an electrosurgical energy source. The first jaw member includes an electrically conductive cutting element disposed within the insulator which extends towards the second tissue contacting surface to create a gap therebetween. The cutting element is inactive during the sealing process while the two pairs of electrically conductive surfaces are activated to seal tissue. During the cutting process, the cutting element is energized to a first potential and at least one electrically conductive tissue contacting surface is energized to a different potential to effect a tissue cut through the tissue held between the jaw members along the already formed tissue seal.
1. A method of manufacturing an electrode assembly, the method comprising the steps of:
providing an electrode assembly for use with an instrument for sealing and cutting vessels and tissue, the electrode assembly comprising:
a pair of opposing first and second jaw members each having an insulator and a corresponding pair of electrically conductive tissue sealing surfaces extending along a length thereof, each pair of tissue sealing surfaces being adapted to connect to a source of electrosurgical energy such that each of the electrically conductive tissue sealing surfaces is capable of conducting electrosurgical energy through tissue held therebetween to effect a seal, each pair of the electrically conductive tissue sealing surfaces having an exposed surface;
a cutting element operably disposed between the pair of electrically conductive tissue sealing surfaces of the first jaw member, the cutting element and at least one electrically conductive tissue sealing surface having a gap defined therebetween;
disposing an insulative material upon first and second opposing sidewalls of the cutting element such that the insulative material extends into the gap, the insulative material configured to reduce an exposed surface area of the electrically conductive tissue sealing surfaces and of the cutting element, wherein the insulative material on the electrically conductive tissue sealing surfaces and the cutting element is positioned to optimize power density and location of a cutting zone during electrosurgical cutting.
2. The method according to claim 1 , wherein the insulative material includes materials selected from the group consisting of ceramic and polymeric materials.
3. The method according to claim 1 , wherein the exposed surface area of each electrically conductive tissue sealing surface is substantially the same.
4. The method according to claim 1 , further including adjusting a distance between the first and second jaw members.
5. The method according to claim 1 , wherein the insulative material is positioned such that the exposed surface area of one of the electrically conductive tissue sealing surfaces of the first jaw member is greater than the exposed surface area of the other of the electrically conductive tissue sealing surfaces of the first jaw member.
6. The method according to claim 1 , wherein the pair of opposing first and second jaw members maintain one polarity and the electrically conductive cutting element maintains a different polarity in order to effect tissue cutting.
7. The method according to claim 1 , wherein the first jaw member has a first polarity and the second jaw member has an opposing polarity.
8. An electrode assembly for use with an instrument for sealing and cutting vessels and/or tissue, the electrode assembly comprising:
a pair of opposing first and second jaw members each having an insulator and a corresponding pair of electrically conductive tissue sealing surfaces extending along a length thereof, each pair of tissue sealing surfaces adapted to connect to a source of electrosurgical energy such that each of the electrically conductive tissue sealing surfaces is capable of conducting electrosurgical energy through tissue held therebetween to effect a seal, each pair of the electrically conductive tissue sealing surfaces having an exposed surface;
a cutting element operably disposed between the pair of electrically conductive tissue sealing surfaces of the first jaw member, the cutting element and at least one electrically conductive tissue sealing surface having a gap defined therebetween; and
an insulative material disposed on an inner sidewall of the electrically conductive tissue sealing surface and on an opposing sidewall of the cutting element, the insulative material extending into the gap to reduce an exposed surface area of the inner sidewall of the electrically conductive tissue sealing surface and opposing sidewall of the cutting element and configured to optimize power density and location of a cutting zone during electrosurgical cutting.
9. The electrode assembly according to claim 8 , wherein the insulative material is selected from the group consisting of ceramic and polymeric materials.
10. The electrode assembly according to claim 8 , wherein the exposed surface area of each electrically conductive tissue sealing surface is substantially equivalent.
11. The electrode assembly according to claim 8 , wherein the pair of opposing first and second jaw members maintain one polarity and the electrically conductive cutting element maintains a different polarity in order to effect tissue cutting.