Electrosurgical cutting and sealing instrument
View Patent ↗A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a damper. The damper may have barrel and a plunger.
1. An electrosurgical instrument, comprising:
a handle;
an elongate shaft extending distally from the handle;
a trigger moveable between a first trigger position and a second trigger position;
an end effector coupled to a distal end of the elongate shaft, comprising:
a first jaw member;
a second jaw member, wherein the first jaw member is moveable relative to the second jaw member between an open position and a closed position;
a tissue-cutting element configured to translate with respect to the first jaw member and the second law member; and
an electrode configured to seal tissue during a sealing interval;
an axially moveable cutting member configured to open and close the first and second jaw members, the tissue-cutting element positioned at a distal end of the axially moveable cutting member;
a spring; and
a cutting speed restraint comprising a damper, wherein the cutting speed restraint is configured to receive an input velocity from the trigger and reduce an output velocity applied to the tissue-cutting element while the tissue-cutting element translates distally;
wherein the damper comprises a barrel and a plunger, wherein an outer diameter of the plunger is in sealing engagement with an inner diameter of the barrel, and wherein the plunger is moveable between a first plunger position and a second plunger position;
wherein the barrel defines at least one inlet orifice and at least one outlet orifice; and
wherein the electrosurgical instrument further comprises a check valve positioned proximate the at least one inlet orifice.
2. An electrosurgical instrument, comprising:
a handle;
an elongate shaft extending distally from the handle;
a trigger moveable between a first trigger position and a second trigger position;
an end effector coupled to a distal end of the elongate shaft, comprising:
a first jaw member;
a second jaw member, wherein the first jaw member is moveable relative to the second jaw member between an open position and a closed position;
a tissue-cutting element configured to translate with respect to the first jaw member and the second jaw member; and
an electrode;
an axially moveable cutting member configured to open and close the first and second jaw members, the tissue-cutting element positioned at a distal end of the axially moveable cutting member; and
a damper coupled to the trigger and the axially moveable cutting member, wherein the damper comprises a barrel and a plunger, wherein an outer diameter of the plunger is in sealing engagement with an inner diameter of the barrel, wherein the plunger is moveable between a first plunger position and a second plunger position, wherein the barrel comprises:
an inlet orifice; and
an outlet orifice defining a cross-sectional area that is variable.
3. An electrosurgical instrument, comprising:
a handle;
an elongate shaft extending distally from the handle;
a trigger moveable between a first trigger position and a second trigger position;
an end effector coupled to a distal end of the elongate shaft, comprising:
a first jaw member;
a second jaw member, wherein the first jaw member is moveable relative to the second jaw member between an open position and a closed position;
a tissue-cutting element configured to translate with respect to the first jaw member and the second jaw member; and
an electrode;
an axially moveable cutting member configured to open and close the first and second jaw members, the tissue-cutting element positioned at a distal end of the axially moveable cutting member; and
a damper coupled to the trigger and the axially moveable cutting member, wherein the damper comprises a barrel and a plunger, wherein an outer diameter of the plunger is in sealing engagement with an inner diameter of the barrel, wherein the plunger is moveable between a first plunger position and a second plunger position, wherein the barrel defines at least one inlet orifice and at least one outlet orifice, and wherein a cross-sectional area of the at least one inlet orifice is less than a cross-sectional area of the at least one outlet orifice.
4. An electrosurgical instrument, comprising:
a handle;
an elongate shaft extending distally from the handle;
an end effector coupled to a distal end of the elongate shaft, comprising:
a first jaw member;
a second jaw member, wherein the first jaw member is moveable relative to the second jaw member between an open position and a closed position;
a tissue-cutting element;
a tissue-sealing electrode, wherein the tissue-cutting element is configured to translate relative to the tissue-sealing electrode;
an axially moveable member configured to open and close the first jaw member relative to the second jaw member, the tissue-cutting element positioned at a distal end of the axially moveable member;
a trigger moveable between a first position and a second position;
a spring; and
a tissue-cutting velocity limiter comprising a damper configured to reduce a velocity of the axially moveable member while the axially moveable member moves distally, wherein the damper comprises a barrel and a plunger, wherein the plunger is directly coupled to the axially moveable member and the trigger.
5. The electrosurgical instrument of claim 4 , wherein the spring is positioned internal to the barrel and intermediate the plunger and a distal end of the barrel.
6. The electrosurgical instrument of claim 4 , wherein the barrel defines an outlet orifice.