Surgical dissectors configured to apply mechanical and electrical energy
A surgical instrument comprising an end effector is disclosed. The end effector comprises a surgical dissector. The surgical dissector can apply mechanical and/or electrosurgical energy to treated tissue.
1. A surgical dissector, comprising:
a first jaw member, comprising:
a proximal end;
a distal end;
a first tissue contacting surface;
a second tissue contacting surface;
a metallic core, wherein said metallic core of said first jaw member is configured to transmit electrosurgical energy; and
a nonmetallic layer disposed over at least a portion of said metallic core of said first jaw member, wherein said metallic core of said first jaw member is recessed relative to said nonmetallic layer of said first jaw member, and wherein said metallic core of said first jaw member is configured to contact tissue through a tissue-receiving recess defined in said nonmetallic layer of said first jaw member;
a second jaw member, comprising:
a proximal end;
a distal end;
a first tissue contacting surface;
a second tissue contacting surface;
a metallic core, wherein said metallic core of said second jaw member is configured to transmit electrosurgical energy; and
a nonmetallic layer disposed over at least a portion of said metallic core of said second jaw member, wherein said metallic core of said second jaw member is recessed relative to said nonmetallic layer of said second jaw member, and wherein said metallic core of said second jaw member is configured to contact tissue through a tissue-receiving recess defined in said nonmetallic layer of said second jaw member; and
a joint, wherein said first jaw member and said second jaw member are rotatable about said joint between closed and open positions, wherein said first jaw member and said second jaw member are configured to separate tissue by applying:
a mechanical force to the tissue upon opening said first jaw member and said second jaw member from a said closed position to a said open position; and
an electrosurgical force to the tissue.
2. The surgical dissector of claim 1 , wherein said first tissue contacting surface of said first jaw member is positioned adjacent said first tissue contacting surface of said second jaw member when said first and said second jaw members are in said closed position.
3. The surgical dissector of claim 2 , wherein said first tissue contacting surface of said first jaw member comprises a first pattern, wherein said first tissue contacting surface of said second jaw member comprises a second pattern, and wherein said first pattern is different than said second pattern.
4. The surgical dissector of claim 2 , wherein said first tissue contacting surface of said first jaw member comprises a first pattern, wherein said first tissue contacting surface of said second jaw member comprises a second pattern, and wherein said first pattern is complementary to said second pattern.
5. The surgical dissector of claim 2 , wherein said first tissue contacting surface of said first jaw member comprises a first pattern, wherein said first tissue contacting surface of said second jaw member comprises a second pattern, wherein said first pattern comprises a plurality of first teeth, and wherein said second pattern comprises a plurality of second teeth.
6. The surgical dissector of claim 2 , wherein said first tissue contacting surface of said first jaw member comprises a first pattern, wherein said first tissue contacting surface of said second jaw member comprises a second pattern, wherein said first pattern comprises a plurality of first recesses, and wherein said second pattern comprises a plurality of second recesses.
7. The surgical dissector of claim 2 , wherein said nonmetallic layer of said first jaw member comprises a first nonmetallic layer and a second nonmetallic layer.
8. The surgical dissector of claim 7 , wherein said first nonmetallic layer is different than said second nonmetallic layer.
9. The surgical dissector of claim 7 , wherein said first nonmetallic layer comprises a first rigidity, wherein said second nonmetallic layer comprises a second rigidity, and wherein said first rigidity is different than said second rigidity.
10. The surgical dissector of claim 1 , wherein said first tissue contacting surface of said first jaw member comprises a first pattern, wherein said second tissue contacting surface of said first jaw member comprises a second pattern, and wherein said first pattern is different than said second pattern.
11. The surgical dissector of claim 10 , wherein said first pattern comprises a symmetrical pattern, and wherein said second pattern comprises an asymmetrical pattern.
12. The surgical dissector of claim 10 , wherein said first pattern comprises a plurality of teeth, and wherein said second pattern comprises a plurality of cavities.
13. The surgical dissector of claim 10 , wherein said first pattern comprises a plurality of first cavities, wherein said second pattern comprises a plurality of second cavities.
14. The surgical dissector of claim 13 , wherein said plurality of first cavities comprises a first depth, wherein said plurality of second cavities comprises a second depth, and wherein said first depth is different than said second depth.
15. A surgical instrument, comprising:
a jaw, comprising:
a metallic core; and
an outer skin, wherein said outer skin comprises:
an outer skin surface;
a plurality of first through holes exposing said metallic core to an outer skin surface, wherein said plurality of first through holes comprise a first through hole size, and wherein said first through holes define a first recessed depth between said outer skin surface and a first tissue-contacting surface of said metallic core; and
a plurality of second through holes exposing said metallic core to said outer skin surface, wherein said plurality of second through holes comprise a second through hole size, wherein said first through hole size is different than said second through hole size, and wherein said second through holes define a second recessed depth between said outer skin surface and a second tissue-contacting surface of said metallic core.
16. The surgical instrument of claim 15 , wherein said jaw further comprises:
a first region, wherein said plurality of first through holes are positioned within said first region; and
a second region, wherein said plurality of second through holes are positioned within said second region, and wherein said first region is different than said second region.
17. The surgical instrument of claim 15 , wherein said jaw comprises a tip region, wherein said first through hole size is smaller than said second through hole size, and wherein said plurality of first through holes are positioned within said tip region.
18. The surgical instrument of claim 15 , wherein said jaw comprises a tip region, wherein said first through hole size is larger than said second through hole size, and wherein said plurality of first through holes are positioned within said tip region.
19. The surgical instrument of claim 15 , wherein said plurality of first through holes and said plurality of second through holes are intermixed along said outer skin.
20. The surgical instrument of claim 15 , wherein said plurality of first through holes are round, and wherein said plurality of second through holes are round.
21. The surgical instrument of claim 15 , wherein said plurality of first through holes are round, and wherein said plurality of second through holes are non-round.
22. The surgical instrument of claim 15 , wherein said plurality of first through holes are non-round, and wherein said plurality of second through holes are non-round.
23. The surgical instrument of claim 15 , wherein said outer skin comprises an insulative plastic.
24. The surgical instrument of claim 15 , wherein said outer skin comprises a semi-conductive plastic.
25. The surgical instrument of claim 15 , wherein said outer skin is semi-conductive.
26. The surgical instrument of claim 15 , wherein said outer skin comprises intrinsically conducting polymers.
27. A surgical dissector, comprising:
a first jaw member, comprising:
a first tissue contacting surface, comprising:
a first electrically conductive portion; and
a first electrically insulative portion;
a second jaw member, comprising:
a second tissue contacting surface, comprising:
a second electrically conductive portion; and
a second electrically insulative portion;
a pivot, wherein said first jaw member and said second jaw member are rotatable about said pivot; and
means for separating tissue, comprising:
means for applying a mechanical force to tissue of a patient through rotation of at least one of said first jaw member and said second jaw member into an open configuration from a closed configuration; and
means for applying electrosurgical force to the tissue through at least one of said first electrically conductive portion and said second electrically conductive portion.
28. The surgical dissector of claim 27 , wherein said means for applying said mechanical force to the tissue comprises means for applying said mechanical force in an amount less than a separation pressure needed to separate the tissue, and wherein said means for applying electrosurgical force to the tissue comprises means for applying electrosurgical force which supplements said mechanical force to separate the tissue.
29. The surgical dissector of claim 27 , wherein said first electrically conductive portion is recessed within a tissue-receiving recess defined in said first electrically insulative portion and is configured to contact tissue through said tissue-receiving recess to apply electrosurgical force to tissue.