Granted Patent B2

US 12,239,320 · App. 18/378,520 · Granted Mar 4, 2025

Inventors: David C. Yates (Morrow, OH); Frederick E. Shelton, IV (Hillsboro, OH); Jason L. Harris (Loveland, OH)

Assignee: Cilag GmbH International

A61B17/07207A61B1/00009A61B1/000096A61B1/00045A61B1/051A61B1/0661A61B5/0066A61B5/0075A61B5/0261A61B6/5247A61B17/0682A61B17/072A61B17/1114A61B17/1155A61B17/1285A61B17/320092A61B18/1442A61B18/1445A61B34/20A61B34/32A61B34/71A61B90/35A61B90/361A61M1/73A61M1/79B25J9/1697B25J13/006G06K7/10316G06K19/07749G16H10/60G16H40/63G16H40/67G16H50/20G16H70/20H01Q1/22H04L63/1416H04L67/10H04L67/12H04N5/272H04N7/183H05K1/028H05K1/189A61B2017/00022A61B2017/00026A61B2017/0003A61B2017/00039A61B2017/00044A61B2017/00057A61B2017/00061A61B2017/00075A61B2017/00084A61B2017/00097A61B2017/00106A61B2017/0011A61B2017/00115A61B2017/00119A61B2017/00199A61B2017/00203A61B2017/00221A61B2017/00398A61B2017/00402A61B2017/00734A61B2017/00809A61B2017/00818A61B2017/07257A61B2017/07271A61B2017/07278A61B2017/07285A61B2017/1132A61B2017/32007A61B2017/320074A61B2017/320084A61B2017/320095A61B2017/320097A61B2018/00541A61B2018/00589A61B2018/00595A61B2018/00601A61B2018/00607A61B2018/0063A61B2018/00642A61B2018/00684A61B2018/00791A61B2018/00827A61B2018/00875A61B2018/00892A61B2018/00988A61B2018/00994A61B2034/2055A61B2034/2057A61B34/30A61B2034/301A61B2034/305A61B2090/309A61B2217/005A61B2217/007A61B2218/002A61B2218/007A61B2218/008A61M1/80A61M13/003A61M2205/3306A61M2205/3327A61M2205/3331A61M2205/3365A61M2205/3368G05B2219/40174G05B2219/45119

Abstract

Claims (35)

1. A method implemented by a surgical instrument comprising a first jaw, a second jaw, and a flexible electrode positioned on one of the first and second jaws, the flexible electrode including a therapeutic electrode and a sensing electrode positioned over the therapeutic electrode, the sensing electrode including a base and a plurality of fingers that extend laterally from the base, wherein the plurality of fingers cooperate to define openings between pairs of the fingers and wherein a therapeutic portion of the therapeutic electrode is exposed through each opening, the method comprising:

contacting tissue with the therapeutic electrode and the sensing electrode;

delivering, by the therapeutic portions of the therapeutic electrode, an amount of radio frequency (RF) energy to the tissue;

sensing, via the sensing electrode and in response to delivering the RF energy to the tissue, a parameter associated with the tissue.

2. The method of claim 1 , wherein sensing the parameter associated with the tissue comprises sensing impedance of the tissue positioned between the first and second jaws of the surgical instrument; electrical continuity of the tissue; a temperature transition point in the tissue; or a combination thereof.

3. The method of claim 1 , further comprising, adaptively controlling the RF energy delivered to the at least one therapeutic electrode based on the sensed parameter associated with the tissue.

4. The method of claim 1 , wherein the end effector includes a cutting member configured to transect tissue, the method further comprising creating a distinct marking, by a marking assembly of the surgical instrument, adjacent a transection line defined in the tissue by the cutting member, wherein the distinct marking is distinguishes a tissue treatment application from other tissue treatment applications.

5. The method of claim 1 , wherein each finger of the plurality of fingers of the sensing electrode is a rectangular-shaped finger, and

wherein delivering the amount of RF energy to the tissue comprises delivering, via the therapeutic portions of the therapeutic electrode exposed through the openings defined between the pairs of rectangular-shaped fingers, an amount of RF energy to the tissue.

6. The method of claim 1 , wherein each finger of the plurality of fingers of the sensing electrode is a triangular-shaped finger, and

wherein delivering the amount of RF energy to the tissue comprises delivering, via the therapeutic portions of the therapeutic electrode exposed through the openings defined between the pairs of triangular-shaped fingers, an amount of RF energy to the tissue.

7. The method of claim 1 , wherein the flexible electrode further includes an insulative layer positioned between the therapeutic electrode and the sensing electrode, and

wherein delivering the amount of RF energy to the tissue comprises delivering, by the therapeutic portions of the therapeutic electrode, an amount of radio frequency (RF) energy to the tissue while the sensing electrode is insulated from the therapeutic electrode by the insulative layer.

8. The method of claim 1 , further comprising controlling the amount of RF energy delivered to the tissue by the therapeutic electrode based on the parameter associated with the tissue.

9. A surgical instrument for use in a surgical procedure, the surgical instrument comprising:

an end effector comprising:

a first jaw,

a second jaw movable from an open position to a closed position, and

a flexible electrode position on either the first jaw or the second jaw, the flexible electrode comprising:

a therapeutic electrode, and

a sensing electrode positioned over the therapeutic electrode and including a base and a plurality of fingers that extend laterally from the base, wherein the plurality of fingers cooperate to define openings between pairs of the fingers and wherein a therapeutic portion of the therapeutic electrode is exposed through each opening; and

a control circuit configured to:

deliver, by the therapeutic portions of the therapeutic electrode, an amount of radio frequency (RF) energy to tissue positioned between the first and second jaws, and

sense, by the sensing electrode and in response to the delivery of the RF energy to the tissue, a parameter associated with tissue positioned between the first and second jaws of the surgical instrument.

10. The surgical instrument of claim 9 , wherein the parameters comprises an impedance of the tissue positioned between the first and second jaws of the surgical instrument; an electrical continuity of the tissue; a temperature transition point in the tissue; or a combination thereof.

11. The surgical instrument of claim 9 , wherein each finger of the plurality of fingers of the sensing electrode has a rectangular shape.

12. The surgical instrument of claim 11 , wherein each therapeutic portion of the therapeutic electrode has a rectangular shape.

13. The surgical instrument of claim 12 , wherein each therapeutic portion has a surface area that is greater than a surface area of each finger.

14. The surgical instrument of claim 9 , wherein each finger of the plurality of fingers has a triangular shape.

15. The surgical instrument of claim 9 , further comprising an insulative layer positioned between the therapeutic electrode and the sensing electrode.

16. The surgical instrument of claim 15 , wherein the insulative layer an insulative base and a plurality of insulative fingers that extend laterally from the insulative base.

17. The surgical instrument of claim 16 , wherein each insulative finger of the insulative layer has a rectangular shape.

18. The surgical instrument of claim 17 , wherein each insulative finger of the insulative layer is aligned with and supports a corresponding finger of the sensing electrode.

19. The surgical instrument of claim 18 , wherein each insulative finger of the plurality of insulative fingers has a width that is greater than each finger of the plurality of figures of the sensing electrode.

20. The surgical instrument of claim 15 , further comprising another insulative layer positioned under the therapeutic electrode.

Assignments (2)

Continuity (62)

References Cited (400)