Bipolar forceps with vessel seal testing
A forceps system for sealing a blood vessel can include a first jaw and an opposing second jaw. At least one of the first and second jaws includes at least a first electrode having first and second electrode portions that are laterally separated to permit electrical isolation between the first and second electrode portions, and the first and second electrode portions are independently addressable to permit individual testing by the first and second electrodes portions of a blood vessel characteristic. This can help permit individual testing of each side of a target seal region of the blood vessel.
1 . A forceps system for sealing a vessel, the forceps system comprising:
a forceps including a first jaw and a second jaw opposing the first jaw,
the first jaw including a first electrode, a second electrode, and a slot between at least a portion of the first electrode and at least a portion of the second electrode,
the second jaw including a third electrode located opposing the first electrode and a fourth electrode located opposing the second electrode; and
circuitry configured to:
direct a first current between the first electrode and the third electrode to form a first side of a seal region of the vessel;
direct a second current between the second electrode and the fourth electrode to form a second side of the seal region, the seal region extending between the first side of the seal region and the second side of the seal region;
after the first current and the second current have been directed, direct a third current between the first electrode and the third electrode and between the second electrode and the third electrode to electrically test the first side of the seal region; and
after the first current and the second current have been directed, direct a fourth current between the first electrode and the fourth electrode and between the second electrode and the fourth electrode to electrically test the second side of the seal region.
2 . The forceps system of claim 1 , further comprising a retractable blade extendable in the slot between the first electrode and the second electrode.
3 . The forceps system of claim 1 , wherein the first electrode and the second electrode each extend between a distal portion of the first jaw and a proximal portion of the first jaw.
4 . The forceps system of claim 1 , wherein the first electrode comprises a first plate electrode and the second electrode comprises a second plate electrode.
5 . The forceps system of claim 1 , wherein the first electrode is situated on or near a lateral edge of the first jaw.
6 . The forceps system of claim 1 , wherein the first electrode is situated on or near the slot.
7 . The forceps system of claim 1 , further comprising one or more sensor electrodes electrically isolated from the first electrode.
8 . The forceps system of claim 7 , wherein the one or more sensor electrodes comprise standoffs on at least one of the first jaw or the second jaw.
9 . The forceps system of claim 1 , wherein while the fourth current is directed, the third electrode is grounded or operates a floating output.
10 . The forceps system of claim 1 , wherein the circuitry is disposed on the forceps toward a distal portion of the forceps.
11 . The forceps system of claim 1 , wherein the circuitry is configured to electrically test the first side of the seal region on the vessel by, in response to the third current, determining at least one of an impedance of the first side of the seal region, a resistance of the first side of the seal region, or a phase angle imparted by the first side of the seal region.
12 . The forceps system of claim 1 , wherein:
the slot extends in a longitudinal direction; and
the first jaw further includes a fifth electrode longitudinally adjacent to the first electrode.
13 . The forceps system of claim 1 , wherein while the third current is directed, the fourth electrode is grounded or operates a floating output.
14 . The forceps system of claim 1 , wherein the forceps is configured to retain the vessel between the first jaw and the second jaw, without releasing the vessel from between the first jaw and the second jaw, while the first current, the second current, the third current, and the fourth current are directed.
15 . The forceps system of claim 1 , wherein:
the slot extends in a longitudinal direction; and
the first electrode and the second electrode are laterally adjacent.
16 . The forceps system of claim 1 , wherein the circuitry is configured to electrically test the second side of the seal region on the vessel by, in response to the fourth current, determining at least one of an impedance of the second side of the seal region, a resistance of the second side of the seal region, or a phase angle imparted by the second side of the seal region.