Electrosurgical system
An electrosurgical system includes an electrosurgical instrument with a pair of opposing first and second jaw members ( 2 ), ( 3 ). A first sealing electrode ( 9 ) is located on the first jaw member ( 2 ), while a second sealing electrode ( 10 ) is located on the second jaw member ( 3 ). One or both of the sealing electrodes are provided with electrically conductive stop members ( 12 ), the one or more stop members maintaining a predetermined spacing between the first and second sealing electrodes when the jaw members are in their closed position. One or more insulating members ( 14 ), ( 17 ), ( 19 ) are present to prevent the conductive stop members from causing an electrical short between the first and second sealing electrodes when the jaw members are in their closed position. An electrosurgical generator ( 20 ) includes a controller ( 22 ) capable of supplying a sensing voltage between one or more of the conductive stop members ( 12 ) and a return electrode ( 9 ), ( 10 ), ( 18 ) present on one or other of the jaw members, the controller measuring the impedance between the one or more stop members and the return electrode in order to measure a parameter of the tissue grasped between the jaws of the instrument.
1. An electrosurgical system comprising:
an electrosurgical instrument including:
a handle including an actuating mechanism configured to move between a first position and a second position;
a pair of opposing first and second jaw members, movement of the actuating mechanism from the first position to the second position causing at least one of the first jaw member or the second jaw member to move from an open position so that the first jaw member is spaced from the second jaw member, to a closed position so that the first jaw member and the second jaw member are configured to grasp tissue;
a first sealing electrode located on the first jaw member;
a second sealing electrode located on the second jaw member;
a plurality of electrically conductive stop members disposed on at least one of the first sealing electrode or the second sealing electrode, the plurality of stop members maintaining a predetermined spacing between the first and second sealing electrodes when the first jaw member and the second jaw member are in the closed position, and at least one of a plurality of insulating members configured to prevent the plurality of conductive stop members from causing an electrical short between the first and second sealing electrodes when the first jaw member and the second jaw member are in the closed position; and
an electrosurgical generator comprising:
a source of electrosurgical energy;
a plurality of electrical connections configured to connect the electrosurgical instrument to the generator, such that when the first jaw member and the second jaw member are in the closed position, the generator is configured to supply the electrodes with an electrosurgical current to seal the tissue grasped between the jaw members; and
a controller configured to supply a sensing voltage between at least one of the plurality of conductive stop members and a return electrode, the return electrode being one of the first sealing electrode or the second sealing electrode, the sensing voltage being less than voltage required in order to modify tissue, the controller being configured to measure an impedance between the at least one of the plurality of stop members and the return electrode to measure a parameter of the tissue grasped between the first jaw member and the second jaw member, wherein the electrosurgical generator is directly connected to both the first sealing electrode and the second sealing electrode, and is separately connected to at least one of the plurality of electrically conductive stop members.
2. An electrosurgical system according to claim 1 , wherein the return electrode corresponds to one of the first sealing electrode or the second sealing electrode on which the plurality of conductive stop members are disposed.
3. An electrosurgical system according to claim 2 , wherein the parameter measured by the controller is a presence of tissue between the jaw members.
4. An electrosurgical system according to claim 2 , wherein the parameter measured by the controller is a degree of coagulation of the tissue between the jaw members.
5. An electrosurgical system according to claim 1 , wherein the return electrode corresponds to one of the first sealing electrode or the second sealing electrode on which the plurality of conductive stop members are not disposed.
6. An electrosurgical system according to claim 5 , wherein the parameter measured by the controller is a thickness of tissue between the jaw members.
7. An electrosurgical system according to claim 5 , wherein the parameter measured by the controller is a spacing between the jaw members.
8. An electrosurgical system according to claim 1 , wherein the one or more insulating members comprise a pad of insulating material located opposite a respective conductive stop member on the other sealing electrode, such that each conductive stop member contacts a respective insulating pad when the first jaw member and the second member are in the closed position.
9. An electrosurgical instrument according to claim 1 , wherein the one or more insulating members is constituted by a continuous structure of insulating material circumnavigating an island of conductive material so as to isolate the island of conductive material from the remainder of the sealing electrode on which the structure is located.
10. An electrosurgical instrument according to claim 9 , wherein the one or more insulating members are located opposite a respective conductive stop member on the other sealing electrode, such that each conductive stop member contacts a respective isolated island of conductive material when the jaw members are in their closed position.
11. An electrosurgical instrument according to claim 9 , wherein the one or more insulating members are located surrounding each conductive stop member on the same sealing electrode, such that each conductive stop member constitutes a respective isolated island of conductive material.
12. An electrosurgical instrument according to claim 1 , wherein the first sealing electrode includes a plurality of conductive stop members, and the second sealing electrode includes a plurality of insulating members.
13. An electrosurgical instrument according to claim 1 , wherein the second sealing electrode includes a plurality of conductive stop members, and the first sealing electrode includes a plurality of insulating members.
14. An electrosurgical instrument according to claim 1 , wherein the first sealing electrode includes the plurality of conductive stop members and the plurality of insulating members, and the second sealing electrode includes the plurality of conductive stop members and the plurality of insulating members.
15. An electrosurgical system according to claim 2 , wherein the conductive stop members are each individually connected to the controller.
16. An electrosurgical instrument according to claim 1 , wherein the instrument includes a knife selectively movable from a first position relative to the first and second jaw members to a second position relative to the first and second jaw members, in order to sever tissue grasped therebetween.
17. An electrosurgical system comprising:
an electrosurgical instrument including:
a handle including an actuating mechanism configured to move between a first position and a second position;
a pair of opposing first and second jaw members, movement of the actuating mechanism from the first position to the second position causing at least one of the first jaw member or the second jaw member to move relative to the other from an open position so that the first jaw member is spaced from the second jaw member, to a closed position so that the first jaw member and the second jaw member are configured to grasp tissue;
a first sealing electrode located on the first jaw member;
a second sealing electrode located on the second jaw member;
a cutting member configured to actuate to cut the tissue grasped between the first jaw member and the second jaw member;
an electrically conductive stop member disposed on at least one of the first sealing electrode or the second sealing electrode, the stop member maintaining a predetermined spacing between the first and second sealing electrodes when the first jaw member and the second jaw member are in the closed position, the conductive stop member being separate from the cutting member; and
an insulating member configured to prevent the conductive stop member from causing an electrical short between the first and second sealing electrodes when the first jaw member and the second jaw member are in the closed position;
an electrosurgical generator comprising:
a source of electrosurgical energy;
a plurality of electrical connections configured to connect the electrosurgical instrument to the generator, such that when the first jaw member and the second jaw member are in the closed position, the generator is configured to supply the electrodes with an electrosurgical current to seal the tissue grasped between the first jaw member and the second jaw member;
a controller configured to supply a sensing voltage between the conductive stop member and a return electrode, the return electrode being one of the first sealing electrode or the second sealing electrode, the sensing voltage being less than a voltage required in order to modify tissue, the controller being configured to measure an impedance between the at least one of the plurality of stop members and the return electrode in order to measure a parameter of the tissue grasped between the first jaw member and the second jaw member, wherein the electrosurgical generator is directly connected to both the first sealing electrode and the second sealing electrode, and is separately connected to the electrically conductive stop member.
18. An electrosurgical system according to claim 17 , wherein the cutting member comprises a knife selectively movable from a first position relative to the first and second jaw members to a second position relative to the first and second jaw members, in order to sever tissue grasped therebetween.
19. An electrosurgical system according to claim 17 , wherein the cutting member comprises a cutting electrode actuable by the source of electrosurgical energy in order to supply an electrosurgical current capable of cutting tissue in contact with the cutting electrode.