Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument
The present disclosure provides a surgical instrument that includes an end effector configured to slideably receive a cutting member. The end effector includes a first and second jaw that is movable relative to the first jaw, a hot zone in a center portion of the end effector, and cool zones in both side portions of the end effector. The first and second jaws define an elongate slot therebetween, to slideably receive the cutting member within the elongate slot to cut tissue located between the first and second jaws. The first jaw includes a first insulative layer and a second insulative layer in the hot zone, a first electrode layer on the first insulative layer, a second electrode layer on the second insulative layer, and heat sink layers in the cool zones. The heat sink layers are configured to cool the tissue in the cool zones to minimize lateral thermal spread.
1. A surgical instrument comprising:
an end effector comprising:
a first jaw;
a second jaw that is movable relative to the first jaw;
a hot zone in a center portion of the end effector;
a first cool zone in a left side portion of the end effector;
a second cool zone in a right side portion of the end effector; and
an elongate slot defined between the first jaw and the second jaw, the elongate slot configured to slideably receive a cutting member within the elongate slot to cut tissue located between the first jaw and the second jaw, wherein the elongate slot is located in the center portion of the end effector; and
wherein the first jaw comprises:
a first thermally and electrically insulative layer in the hot zone, wherein a left side of the elongate slot is defined by a first insulative surface of the first thermally and electrically insulative layer;
a second thermally and electrically insulative layer in the hot zone, wherein a right side of the elongate slot is defined by a second insulative surface of the second thermally and electrically insulative layer;
a first electrode layer on the first thermally and electrically insulative layer;
a second electrode layer on the second thermally and electrically insulative layer, wherein the first electrode layer and the second electrode layer are configured for direct application of electrosurgical energy to tissue in the hot zone;
a first heat sink layer in the first cool zone;
a second heat sink layer in the second cool zone, wherein the first heat sink layer and the second heat sink layer are configured to cool tissue in the first and second cool zones to minimize lateral thermal spread; and a channel under the first heat sink layer and the second heat sink layer, wherein the channel comprises a thermally conductive material, and wherein: the first thermally and electrically insulative layer contacts an inner surface of the first heat sink layer and an inner surface of the channel; and the second thermally and electrically insulative layer contacts an inner surface of the second heat sink layer and the inner surface of the channel.
2. The surgical instrument of claim 1 , wherein each of the first and second heat sink layers comprises a thermally conductive ceramic material.
3. The surgical instrument of claim 1 , wherein each of the first electrode layer and the second electrode layer comprises a direct contact metal electrode.
4. The surgical instrument of claim 3 , wherein each of the first electrode layer and the second electrode layer further comprises a flex circuit, and wherein the direct contact metal electrode is deposited on the flex circuit.
5. The surgical instrument of claim 1 , wherein each of the first heat sink layer and the second heat sink layer comprises a tissue contacting surface.
6. The surgical instrument of claim 5 , wherein each of the first electrode layer and the second electrode layer are raised compared with the tissue contacting surfaces of the first heat sink layer and the second heat sink layer, which allows the end effector to apply a pressure to tissue by the first electrode layer and the second electrode layer in the hot zone that is greater than a pressure applied to tissue by the tissue contacting surfaces of the first heat sink layer and the second heat sink layer.
7. The surgical instrument of claim 1 , wherein the first thermally and electrically insulative layer and the second thermally and electrically insulative layer comprise a thermally and electrically non-conductive material.
8. The surgical instrument of claim 1 , wherein the first thermally and electrically insulative layer further comprises a first surface facing the first electrode layer, wherein the first surface and the first insulative surface define a first edge, and wherein the first edge is chamfered to allow steam to escape.
9. The surgical instrument of claim 8 , wherein the second thermally and electrically insulative layer further comprises a second surface facing the second electrode layer, wherein the second surface and the second insulative surface define a second edge, and wherein the second edge is chamfered to allow the steam to escape.
10. The surgical instrument of claim 1 , wherein the thermally conductive material comprises a thermally conductive metallic material, and wherein the channel is in direct contact with the first and second heat sink layers to facilitate cooling of the tissue in the first and second cool zones.
11. An end effector for use with a surgical instrument to effect a tissue treatment, the end effector comprising:
a first jaw;
a second jaw configured to cooperate with the first jaw to grasp tissue therebetween;
a hot zone in a center portion of the end effector;
a first cool zone in a first side portion of the end effector;
a second cool zone in a second side portion of the end effector opposite the first side portion; and
an elongate slot extending along a length of the end effector, wherein the elongate slot comprises a first wall and a second wall, wherein the elongate slot is configured to slideably receive a cutting member movable between the first wall and the second wall to cut the tissue located between the first jaw and the second jaw; and
wherein the first jaw comprises:
a first thermally and electrically insulative layer in the hot zone, wherein the first wall of the elongate slot is defined by the first thermally and electrically insulative layer;
a second thermally and electrically insulative layer in the hot zone, wherein the second wall of the elongate slot is defined by the second thermally and electrically insulative layer;
a first electrode layer on the first thermally and electrically insulative layer;
a second electrode layer on the second thermally and electrically insulative layer, wherein the first electrode layer and the second electrode layer are configured for direct application of electrosurgical energy to tissue in the hot zone;
a first heat sink layer in the first cool zone;
a second heat sink layer in the second cool zone, wherein the first heat sink layer and the second heat sink layer are configured to cool tissue in the first and second cool zones to minimize lateral thermal spread; and a channel under the first heat sink layer and the second heat sink layer, wherein the channel comprises a thermally conductive material, and wherein: the first thermally and electrically insulative layer contacts an inner surface of the first heat sink layer and an inner surface of the channel; and the second thermally and electrically insulative layer contacts an inner surface of the second heat sink layer and the inner surface of the channel.
12. The end effector of claim 11 , wherein each of the first and second heat sink layers comprises a thermally conductive ceramic material.
13. The end effector of claim 11 , wherein each of the first electrode layer and the second electrode layer comprises a direct contact metal electrode.
14. The end effector of claim 13 , wherein each of the first electrode layer and the second electrode layer further comprises a flex circuit, and wherein the direct contact metal electrode is deposited on the flex circuit.
15. The end effector of claim 11 , wherein each of the first heat sink layer and the second heat sink layer comprises a tissue contacting surface.
16. The end effector of claim 15 , wherein each of the first electrode layer and the second electrode layer are raised compared with the tissue contacting surfaces of the first heat sink layer and the second heat sink layer, which allows the end effector to apply a pressure to tissue by the first electrode layer and the second electrode layer in the hot zone that is greater than a pressure applied to tissue by the tissue contacting surfaces of the first heat sink layer and the second heat sink layer.
17. The end effector of claim 11 , wherein the first thermally and electrically insulative layer and the second thermally and electrically insulative layer comprise a thermally and electrically non-conductive material.
18. The end effector of claim 11 , wherein the first thermally and electrically insulative layer comprises a first surface facing the first electrode layer and a second surface facing the elongate slot, wherein the first surface and the second surface define a first edge, and wherein the first edge is chamfered to allow steam to escape.
19. The end effector of claim 18 , wherein the second thermally and electrically insulative layer comprises a third surface facing the second electrode layer and a fourth surface facing the elongate slot, wherein the third surface and the fourth surface define a second edge, and wherein the second edge is chamfered to allow the steam to escape.
20. An end effector comprising: a first jaw; a second jaw, wherein the first jaw and the second jaw are configurable relative to one another to capture tissue there between; and a channel comprising a thermally conductive material; wherein the first jaw comprises: a hot zone, comprising: an elongate slot configured to slideably receive a cutting member; a first thermally and electrically insulative layer, wherein a first side of the elongate slot is defined by a surface of the first thermally and electrically insulative layer; a first electrode layer positioned on the first thermally and electrically insulative layer; a second thermally and electrically insulative layer, wherein a second side of the elongate slot is defined by a surface of the second thermally and electrically insulative layer; and a second electrode layer positioned on the second thermally and electrically insulative layer; a first cool zone on a first lateral side of the hot zone, wherein the first cool zone comprises a first heat sink layer; and a second cool zone on a second lateral side of the hot zone, wherein the second cool zone comprises a second heat sink layer, and wherein the first heat sink layer and the second heat sink layer are configured to cool tissue to minimize lateral thermal spread; wherein the channel is under the first heat sink layer and the second heat sink layer, and wherein: the first thermally and electrically insulative layer is configured to contact an inner surface of the first heat sink layer and an inner surface of the channel; and the second thermally and electrically insulative layer is configured to contact an inner surface of the second heat sink layer and the inner surface of the channel.