# US 10,499,976 B2 · Surgical instruments and methods for performing tonsillectomy and adenoidectomy procedures

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- Number: US 10,499,976 B2
- Document ID: US10499976B2
- Status: Granted
- Kind: B2
- Application number: 14/793,827
- Filed: 2015-07-08
- Published: 2016-02-11
- Granted: 2019-12-10
- Earliest claimed: 2014-08-11
- Assignees: Covidien LP
- Applicants: Covidien LP
- Inventors: David J. Van Tol; Gary M. Couture; Robert M. Sharp; John R. Twomey; Barry J. Kaup
- Web page: https://patentgrep.com/patent/US10499976B2

## CPC

- A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod}
- A61B 18/1442: {Probes having pivoting end effectors, e.g. forceps}
- A61B 18/18: by applying electromagnetic radiation, e.g. microwaves
- A61B 90/04: {Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery (protection of eyes against laser radiation A61F9/022)}
- A61B 2018/1455: {having a moving blade for cutting tissue grasped by the jaws}
- A61B 2090/0427: {Prevention of contact}
- A61B 2090/0481: {against EM radiation, e.g. microwave}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A surgical instrument includes an end effector assembly having first and second jaw members each jaw member defining an opposed surface. The jaw members are movable between a spaced-apart position and an approximated position for grasping tissue within a grasping area. First and second tissue-treating plates are disposed on the jaw members and adapted to connect to a source of energy for treating tissue disposed within a tissue-treating. Each jaw member defines a knife channel positioned within the grasping area and outside of the tissue-treating area. A knife is selectively movable between a retracted position, wherein the knife is positioned proximally of the jaw members, and an extended position, wherein the knife extends at least partially through the knife channels of the jaw members to cut tissue positioned adjacent the tissue-treating area.

## Claims

### Claim 1

A surgical instrument, comprising:
at least one shaft having a proximal end and a distal end;
an end effector assembly coupled to the distal end of the at least one shaft, the end effector assembly including:
first and second jaw members, each jaw member having an insulative housing defining outer lateral sides and an opposed surface disposed between the outer lateral sides, each of the first and second jaw members defining a knife channel through the opposed surface thereof, at least one of the first or second jaw members movable relative to the other between a spaced-apart position and an approximated position, wherein in the approximated position, the opposed surfaces cooperate to define a grasping area therebetween, the grasping area defining a length extending between proximal and distal ends of the opposed surfaces and a width extending between first and second sides of the opposed surfaces;
a first tissue-treating plate disposed on the first jaw member or the second jaw member and a second tissue-treating plate disposed on the first jaw member or the second jaw member, the first and second tissue-treating plates configured to conduct energy therebetween within a tissue-treating area defined between the first and second tissue-treating plates and extending continuously between outer lateral boundaries of the first and second tissue-treating plates, the tissue-treating area defining a width less than the width of the grasping area, wherein the tissue-treating plate of at least one of the first or second jaw members includes an arm portion positioned adjacent to and extending along the knife channel of the respective jaw member, the arm portion configured to establish a region of increased current concentration adjacent the respective knife channel such that the increased current concentration treats tissue within the tissue-treating area,
wherein each knife channel extending along at least a portion of the length of the grasping area within the grasping area at a position laterally offset from the outer lateral sides of the first and second jaw members and the tissue-treating area, the insulative housing defining the entire opposed surfaces of each of the first and second jaw members between the knife channels and one of the outer lateral sides of the first and second jaw members, and
a knife assembly including a knife slidably disposed in the at least one shaft, the knife selectively movable relative to the end effector assembly between a retracted position, wherein the knife is positioned proximally of the first and second jaw members, and an extended position, wherein the knife extends at least partially through the knife channels of the first and second jaw members such that the knife extends along the at least a portion of the length of the grasping area within the grasping area at the position laterally offset from the outer lateral sides of the first and second jaw members and the tissue-treating area.

### Claim 2 (depends on 1)

The surgical instrument according to claim 1, wherein the first tissue-treating plate is disposed on one of the first or second jaw members and the second tissue-treating plate is disposed on the other of the first or second jaw members.

### Claim 3 (depends on 1)

The surgical instrument according to claim 1, wherein at least one of the first or second jaw members includes a dam extending therefrom towards the other of the first or second jaw members, the dam positioned outside the tissue-treating area on an opposite side thereof relative to the knife channels.

### Claim 4 (depends on 1)

The surgical instrument according to claim 1, wherein each of the first and second jaw members includes a dam extending therefrom towards the other jaw member, the dams of the first and second jaw members positioned to oppose one another and positioned outside the tissue-treating area on an opposite side thereof relative to the knife channels.

### Claim 5 (depends on 4)

The surgical instrument according to claim 4, wherein the dams of the first and second jaw members each define a raised surface, the raised surfaces configured to abut one another in the approximated position of the first and second jaw members.

### Claim 6 (depends on 5)

The surgical instrument according to claim 5, wherein the dams of the first and second jaw members cooperate to define a minimum gap distance between the first and second jaw members in the approximated position.

### Claim 7 (depends on 1)

The surgical instrument according to claim 1, wherein the tissue-treating plate of each of the first and second jaw members includes an arm portion.

### Claim 8 (depends on 1)

The surgical instrument according to claim 1, further including a trigger coupled to the knife assembly, the trigger selectively actuatable for moving the knife between the retracted and extended positions.

### Claim 9 (depends on 1)

The surgical instrument according to claim 1, wherein the at least one shaft includes first and second shafts having the end effector assembly operably coupled at the distal ends thereof such that movement of the first and second shafts relative to one another effects movement of the first and second jaw members between the spaced-apart and approximated positions.

### Claim 10 (depends on 1)

The surgical instrument according to claim 1, further including a housing disposed at a proximal end of the at least one shaft, the housing including a movable handle operably coupled to the end effector such that movement of the movable handle relative to the housing effects movement of the first and second jaw members between the spaced-apart and approximated positions.