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. An end effector assembly for a surgical instrument, the end effector assembly comprising:
a pair of opposing first and second jaw members, each of the first and second jaw members including:
first and second spaced apart, electrically conductive tissue sealing surfaces extending along a length thereof; and
an insulator including a protruding portion extending beyond the first and second electrically conductive tissue sealing surfaces towards the other jaw member,
wherein the protruding portions of the insulators of the first and second jaw members are configured to pinch tissue to create a pinched tissue region therebetween when the first and second jaw members cooperate to grasp tissue, and
wherein, in a first mode, the first electrically conductive tissue sealing surfaces of the first and second jaw members are selectively energizable at a first electrical potential and the second electrically conductive tissue sealing surfaces of the first and second jaw members are selectively energizable at a second electrical potential such that, when the tissue sealing surfaces are energized in the first mode, electrosurgical energy is conducted across the pinched tissue region to facilitate electrical cutting of tissue.
2. The end effector assembly according to claim 1 , wherein the first electrically conductive tissue sealing surface of the first jaw member opposes the first electrically conductive tissue sealing surface of the second jaw member and the second electrically conductive tissue sealing surface of the first jaw member opposes the second electrically conductive tissue sealing surface of the second jaw member.
3. The end effector assembly according to claim 1 , wherein the insulator of the first jaw member is disposed in vertical registration with the insulator of the second jaw member.
4. The end effector assembly according to claim 1 , wherein the insulator of at least one of the first or second jaw members has a triangular cross section.
5. The end effector assembly according to claim 1 , wherein each of the first and second electrically conductive tissue sealing surfaces of the first and second jaw members is independently activatable.
6. The end effector assembly according to claim 1 , wherein, in a second mode, the first electrically conductive tissue sealing surfaces of the first and second jaw members are energizable at opposite potentials and the second electrically conductive tissue sealing surfaces of the first and second jaw members are energizable at opposite potentials such that, when the tissue sealing surfaces are energized in the second mode, electrosurgical energy is conducted from the first electrically conductive tissue sealing surfaces of the first and second jaw members to the second electrically conductive tissue sealing surfaces of the first and second jaw members, respectively, to seal tissue.