Electrosurgical seal and dissection systems
A bipolar electrosurgical fusion/sealer and dissector is provided that is arranged to simultaneously fuse and cut tissue captured between jaws of the instrument. The jaws include particularly positioned, shaped and/or oriented electrodes along with a compressible landing pad to perform the simultaneous fusion and cutting of tissue. An electrosurgical generator is arranged to supply RF energy through the instrument and monitors a phase angle of the supplied RF energy and adjusts or terminates the supplied RF energy based on the monitored phase angle to optimally fuse and dissect the tissue.
1. An electrosurgical system comprising:
an electrosurgical generator arranged to supply radio frequency (RF) energy through an electrosurgical instrument removably connectable thereto, the electrosurgical generator comprising a controller arranged to periodically monitor a phase angle of the supplied RF energy and configured to signal an RF amplifier to increase voltage of the supplied RF energy when the monitored phase angle is greater than zero and increasing; and
the electrosurgical instrument comprising:
a first jaw;
a second jaw opposing the first jaw, the first and second jaws pivotably arranged to grasp tissue between the first and second jaws;
a first electrode disposed on the first jaw; and
a second electrode disposed on the second jaw, the first and second electrodes of the first and second jaws being arranged to transmit radio frequency energy between the first and second electrodes to fuse and cut the tissue between the first and second jaws with a center portion of the first jaw comprising a compressible insulated landing pad extending from the first jaw and towards a center portion of the second jaw.
2. The electrosurgical system of claim 1 wherein the controller continues to signal the RF amplifier to increase voltage of the RF energy when the monitored phase angle continues to exceed a predetermined threshold angle and the RF amplifier increases voltage of the supplied RF energy at a predetermined constant rate.
3. The electrosurgical system of claim 2 wherein the controller is configured to signal the RF amplifier to halt the supplied RF energy when the monitored phase angle decreases.
4. The electrosurgical system of claim 3 wherein the controller periodically monitors a rate of change of the phase angle of the supplied RF energy and the controller signals the RF amplifier to halt the supplied RF energy when the rate of change of the phase angle falls below a predetermined threshold rate.
5. The electrosurgical system of claim 1 wherein the RF amplifier increases voltage of the supplied RF energy at a predetermined constant rate and the controller signals the RF amplifier to halt the voltage increase of the supplied RF energy when the monitored phase angle exceeds a predetermined threshold angle while the RF amplifier continues to supply RF energy.
6. The electrosurgical system of claim 1 wherein the first jaw further comprises a third electrode and the second jaw further comprises a fourth electrode and a fifth electrode, the fifth electrode extending away from the first jaw and the second jaw.
7. The electrosurgical system of claim 6 wherein the first and second electrodes are arranged to fuse tissue between the first and second jaws using radio frequency energy on one side of a longitudinal axis and the third and fourth electrodes are arranged to fuse the tissue between the first and second jaws using radio frequency energy on an opposing side of the longitudinal axis.
8. The electrosurgical system of claim 7 wherein the second and fourth electrodes are arranged to heat the tissue between the first and second jaws through radio frequency energy being conducted between the second and fourth electrodes and wherein the compressible landing pad divides tissue down a middle of the first and second jaws relative to the longitudinal axis.
9. The electrosurgical system of claim 8 wherein the fifth electrode is arranged to cut the tissue outside the second jaw through radio frequency energy being conducted between the fifth electrode and the second and fourth electrodes.
10. The electrosurgical system of claim 9 wherein the first and fourth electrodes are arranged to have a same first polarity as each other and the second and third electrodes are arranged to have a same second polarity as each other and different to the first polarity of the first and fourth electrodes to fuse and cut the tissue between the first and second jaws.
11. The electrosurgical system of claim 10 wherein the compressible landing pad on the first jaw is disposed directly above the fifth electrode and a flat portion of the second electrode and a flat portion of the fourth electrode.
12. The electrosurgical system of claim 11 wherein the compressible landing pad is flat relative to an angled surface of the first electrode and an angled surface of the third electrode.
13. The electrosurgical system of claim 1 wherein the first electrode is angled, sloping towards the second jaw and away from the compressible landing pad, the first electrode having one end near the compressible landing pad and another end at a periphery of the first jaw.
14. The electrosurgical system of claim 13 wherein the compressible landing pad deforms when the first jaw and the second jaw are in a proximate position.
15. The electrosurgical system of claim 13 wherein the second electrode protrudes up towards the first jaw to a first inner flat portion of the second electrode and the fourth electrode protrudes up towards the first jaw to a second inner flat portion of the fourth electrode adjacent to the first inner flat portion of the second electrode.