Electrosurgical instrument comprising sequentially activated electrodes
View Patent ↗An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. One or both of the first and second jaws can comprise a plurality of electrodes which can be sequentially activated. The electrodes can be activated in a predetermined order in connection with a cutting member being advanced through the tissue. In various embodiments, the electrodes can be deactivated in a predetermined order. In certain embodiments, the electrodes can be comprised of a positive temperature coefficient material which can allow the electrodes to be sequentially deactivated.
1. A surgical instrument, comprising:
a handle comprising a trigger;
a shaft extending from said handle, wherein said shaft comprises:
a firing member operably coupled with said trigger, wherein said firing member is sequentially movable between an initial position, a first deployed position, and a second deployed position, and wherein an actuation of said trigger is configured to impart a firing motion to said firing member and move said firing member between said initial position and said first deployed position and between said first deployed position and said second deployed position;
a first conductor;
a second conductor; and
a return conductor, wherein said return conductor is electrically insulated from said first conductor and said second conductor, and wherein said second conductor is electrically insulated from said first conductor;
a cutting member operably coupled with said firing member;
an end effector, comprising:
a proximal end operably engaged with said shaft;
a distal end;
a first jaw, comprising:
a first electrode comprised of a positive temperature coefficient material, wherein said first conductor is electrically coupled with said first electrode; and
a second electrode comprised of a positive temperature coefficient material, wherein said first electrode is positioned proximally with respect to said second electrode, and wherein said second conductor is electrically coupled with said second electrode; and
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw, wherein said second jaw further comprises a return electrode, and wherein said return conductor is electrically coupled to said return electrode; and
a controller configured to:
electrically couple said first conductor with a power source when said firing member is moved into said first deployed position; and
electrically couple said second conductor with a power source when said firing member is moved into said second deployed position.
2. The surgical instrument of claim 1 , wherein said firing member further comprises:
a proximal end operably coupled with said trigger;
a first compression portion configured to engage said first jaw, wherein said first compression portion comprises a first distal end; and
a second compression portion configured to engage said second jaw, wherein said second compression portion comprises a second distal end, wherein said cutting member extends between said first compression portion and said second compression portion, and wherein said first distal end and said second distal end are positioned distally with respect to said cutting member.
3. The surgical instrument of claim 2 , wherein said first electrode and said second electrode define a compression slot configured to receive said first compression portion and a cutting slot configured to receive said cutting member.
4. The surgical instrument of claim 1 , wherein said trigger is sequentially movable between an unactuated position, a first actuated position, and a second actuated position, and wherein said handle further comprises:
a first sensor configured to detect when said trigger has been moved into said first actuated position, wherein said first sensor is in signal communication with said controller; and
a second sensor configured to detect when said trigger has been moved into said second actuated position, wherein said second sensor is in signal communication with said controller.
5. The surgical instrument of claim 1 , wherein said shaft further comprises:
a first sensor configured to detect when said firing member has been moved into said first deployed position, wherein said first sensor is in signal communication with said controller; and
a second sensor configured to detect when said firing member has been moved into said second deployed position, wherein said second sensor is in signal communication with said controller.
6. The surgical instrument of claim 1 , wherein said handle further comprises said power source.
7. A surgical instrument, comprising:
a handle comprising a trigger;
a shaft extending from said handle, wherein said shaft comprises:
a firing member operably coupled with said trigger, wherein said firing member is sequentially movable between an initial position, a first deployed position, and a second deployed position, and wherein an actuation of said trigger is configured to impart a firing motion to said firing member and move said firing member between said initial position and said first deployed position and between said first deployed position and said second deployed position;
a first conductor;
a second conductor; and
a return conductor, wherein said return conductor is electrically insulated from said first conductor and said second conductor, and wherein said second conductor is electrically insulated from said first conductor;
a cutting member operably coupled with said firing member;
an end effector, comprising:
a proximal end operably engaged with said shaft;
a distal end;
a first jaw, comprising:
a first electrode comprised of a positive temperature coefficient material, wherein said first conductor is electrically coupled with said first electrode; and
a second electrode comprised of a positive temperature coefficient material, wherein said first electrode is positioned proximally with respect to said second electrode, and wherein said second conductor is electrically coupled with said second electrode; and
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw, wherein said second jaw further comprises a return electrode, and wherein said return conductor is electrically coupled to said return electrode; and
a controller configured to:
electrically couple said first conductor with a power source when said firing member is moved into said first deployed position; and
electrically couple said second conductor with a power source when said firing member is moved into said second deployed position,
wherein said shaft further comprises a third conductor, wherein said third conductor is electrically insulated from said first conductor, said second conductor, and said return conductor, wherein said first jaw further comprises a third electrode positioned distally with respect to said second electrode, wherein said third electrode is comprised of a positive temperature coefficient material, wherein said third conductor is electrically coupled with said third electrode, wherein said firing member is sequentially movable into a third deployed position after said second deployed position, and wherein said controller is configured to electrically couple said third conductor with a power source when said firing member is moved into said third deployed position.
8. A surgical instrument, comprising:
a handle comprising a trigger;
a shaft extending from said handle, wherein said shaft comprises:
a firing member operably coupled with said trigger, wherein said firing member is sequentially movable between an initial position, a first deployed position, and a second deployed position, and wherein at least one actuation of said trigger is configured to impart a firing motion to said firing member and move said firing member between said initial position and said first deployed position and between said first deployed position and said second deployed position;
a first conductor; and
a second conductor, wherein said second conductor is electrically insulated from said first conductor;
a cutting member operably coupled with said firing member;
an end effector, comprising:
a proximal end operably engaged with said shaft;
a distal end;
a first jaw, comprising:
a first electrode comprised of a positive temperature coefficient material, wherein said first conductor is electrically coupled with said first electrode; and
a second electrode comprised of a positive temperature coefficient material, wherein said first electrode is positioned proximally with respect to said second electrode, and wherein said second conductor is electrically coupled with said second electrode; and
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw;
at least one sensor configured to detect when said firing member is in said first deployed position and said second deployed position; and
a microprocessor configured to:
electrically couple said first conductor with a power source when said firing member is moved into said first deployed position; and
electrically couple said second conductor with a power source when said firing member is moved into said second deployed position.
9. The surgical instrument of claim 8 , wherein said firing member further comprises:
a proximal end operably coupled with said trigger;
a first compression portion configured to engage said first jaw, wherein said first compression portion comprises a first distal end; and
a second compression portion configured to engage said second jaw, wherein said second compression portion comprises a second distal end, wherein said cutting member extends between said first compression portion and said second compression portion, and wherein said first distal end and said second distal end are positioned distally with respect to said cutting member.
10. The surgical instrument of claim 9 , wherein said first electrode and said second electrode define a compression slot configured to receive said first compression portion and a cutting slot configured to receive said cutting member.
11. The surgical instrument of claim 8 , wherein said trigger is sequentially movable between an unactuated position, a first actuated position, and a second actuated position, and wherein said at least one sensor comprises:
a first sensor configured to detect when said trigger has been moved into said first actuated position, wherein said first sensor is in signal communication with said microprocessor; and
a second sensor configured to detect when said trigger has been moved into said second actuated position, wherein said second sensor is in signal communication with said microprocessor.
12. The surgical instrument of claim 8 , wherein said at least one sensor comprises:
a first sensor positioned within said shaft configured to detect when said firing member has been moved into said first deployed position, wherein said first sensor is in signal communication with said microprocessor; and
a second sensor positioned within said shaft configured to detect when said firing member has been moved into said second deployed position, wherein said second sensor is in signal communication with said microprocessor.
13. The surgical instrument of claim 8 , wherein said handle further comprises said power source.
14. A surgical instrument, comprising:
a handle comprising a trigger;
a shaft extending from said handle, wherein said shaft comprises:
a firing member operably coupled with said trigger, wherein said firing member is sequentially movable between an initial position, a first deployed position, and a second deployed position, and wherein at least one actuation of said trigger is configured to impart a firing motion to said firing member and move said firing member between said initial position and said first deployed position and between said first deployed position and said second deployed position;
a first conductor; and
a second conductor, wherein said second conductor is electrically insulated from said first conductor;
a cutting member operably coupled with said firing member;
an end effector, comprising:
a proximal end operably engaged with said shaft;
a distal end;
a first jaw, comprising:
a first electrode comprised of a positive temperature coefficient material, wherein said first conductor is electrically coupled with said first electrode; and
a second electrode comprised of a positive temperature coefficient material, wherein said first electrode is positioned proximally with respect to said second electrode, and wherein said second conductor is electrically coupled with said second electrode; and
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw;
at least one sensor configured to detect when said firing member is in said first deployed position and said second deployed position; and
a microprocessor configured to:
electrically couple said first conductor with a power source when said firing member is moved into said first deployed position; and
electrically couple said second conductor with a power source when said firing member is moved into said second deployed position,
wherein said shaft further comprises a third conductor, wherein said third conductor is electrically insulated from said first conductor and said second conductor, wherein said first jaw further comprises a third electrode positioned distally with respect to said second electrode, wherein said third electrode is comprised of a positive temperature coefficient material, wherein said third conductor is electrically coupled with said third electrode, wherein said firing member is sequentially movable into a third deployed position after said second deployed position, and wherein said microprocessor is configured to electrically couple said third conductor with a power source when said firing member is moved into said third deployed position.
15. A surgical instrument, comprising:
a handle comprising a trigger sequentially movable between an unactuated position, a first actuated position, and a second actuated position;
a shaft extending from said handle, wherein said shaft comprises:
a firing member operably coupled with said trigger, wherein said firing member is sequentially movable between an initial position, a first deployed position, and a second deployed position, and wherein at least one actuation of said trigger is configured to impart a firing motion to said firing member and move said firing member between said initial position and said first deployed position and between said first deployed position and said second deployed position;
a first conductor; and
a second conductor, wherein said second conductor is electrically insulated from said first conductor;
a cutting member operably coupled with said firing member;
an end effector, comprising:
a proximal end operably engaged with said shaft;
a distal end;
a first jaw, comprising:
a first electrode, wherein said first conductor is electrically coupled with said first electrode; and
a second electrode, wherein said first electrode is positioned proximally with respect to said second electrode, and wherein said second conductor is electrically coupled with said second electrode; and
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw; and
detection means for detecting the position of one of said trigger and said firing member; and
operating means for electrically coupling said first conductor with a power source when one of said trigger is moved into said first actuated position and said firing member is moved into said first deployed position, and for electrically coupling said second conductor with a power source when one of said trigger is moved into said second actuated position and said firing member is moved into said second deployed position.
16. The surgical instrument of claim 15 , wherein said firing member further comprises:
a proximal end operably coupled with said trigger;
a first compression portion configured to engage said first jaw, wherein said first compression portion comprises a first distal end; and
a second compression portion configured to engage said second jaw, wherein said second compression portion comprises a second distal end, wherein said cutting member extends between said first compression portion and said second compression portion, and wherein said first distal end and said second distal end are positioned distally with respect to said cutting member.
17. The surgical instrument of claim 16 , wherein said first electrode and said second electrode define a compression slot configured to receive said first compression portion and a cutting slot configured to receive said cutting member.
18. The surgical instrument of claim 15 , wherein said detection means comprises:
a first sensor configured to detect when said trigger has been moved into said first actuated position, wherein said first sensor is in signal communication with said operating means; and
a second sensor configured to detect when said trigger has been moved into said second actuated position, wherein said second sensor is in signal communication with said operating means.
19. The surgical instrument of claim 15 , wherein said detection means comprises:
a first sensor positioned within said shaft configured to detect when said firing member has been moved into said first deployed position, wherein said first sensor is in signal communication with said operating means; and
a second sensor positioned within said shaft configured to detect when said firing member has been moved into said second deployed position, wherein said second sensor is in signal communication with said operating means.
20. The surgical instrument of claim 15 , wherein said handle further comprises said power source.
21. A surgical instrument, comprising:
a handle comprising a trigger sequentially movable between an unactuated position, a first actuated position, and a second actuated position;
a shaft extending from said handle, wherein said shaft comprises:
a firing member operably coupled with said trigger, wherein said firing member is sequentially movable between an initial position, a first deployed position, and a second deployed position, and wherein at least one actuation of said trigger is configured to impart a firing motion to said firing member and move said firing member between said initial position and said first deployed position and between said first deployed position and said second deployed position;
a first conductor; and
a second conductor, wherein said second conductor is electrically insulated from said first conductor;
a cutting member operably coupled with said firing member;
an end effector, comprising:
a proximal end operably engaged with said shaft;
a distal end;
a first jaw, comprising:
a first electrode, wherein said first conductor is electrically coupled with said first electrode; and
a second electrode, wherein said first electrode is positioned proximally with respect to said second electrode, and wherein said second conductor is electrically coupled with said second electrode; and
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw;
detection means for detecting the position of one of said trigger and said firing member; and
operating means for electrically coupling said first conductor with a power source when one of said trigger is moved into said first actuated position and said firing member is moved into said first deployed position, and for electrically coupling said second conductor with a power source when one of said trigger is moved into said second actuated position and said firing member is moved into said second deployed position,
wherein said shaft further comprises a third conductor, wherein said third conductor is electrically insulated from said first conductor and said second conductor, wherein said first jaw further comprises a third electrode positioned distally with respect to said second electrode, wherein said third conductor is electrically coupled with said third electrode, wherein said firing member is sequentially movable into a third deployed position after said second deployed position, and wherein said operating means is configured to electrically couple said third conductor with a power source when said firing member is moved into said third deployed position.