US 6,165,175 AGranted

RF bipolar mesentery takedown device including improved bipolar end effector

AssigneeEthicon Endo-Surgery, Inc.

InventorsScott D. Wampler, Trevor W. V. Speeg, David C. Yates, Kendall L. Dobler

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Abstract

The present invention is directed to a bipolar electrosurgical instrument suitable for use in mesentery tissue and other suitable tissue structures, including vessels. A bipolar electrosurgical instrument according to the present invention includes an end effector which includes a tissue slot and electrodes arranged on either side of the tissue slot. The opposing electrodes are electrically connected such that tissue passing through the slot is electrically treated with electrosurgical current passing laterally through the tissue. An end effector according to the present invention further includes a tissue separator arranged at the end of the slot to divide tissue as it is passed through the slot and after it is treated.

Claims20

Dependent claims

A bipolar electrosurgical instrument comprising:

a handle;
an elongated tube connected to a distal end of said handle;
a jaw assembly connected to a distal end of said elongated tube, said jaw assembly having a bipolar end effector which is electrically connected to said handle by a plurality of conductors, said end effector comprising:
a first tissue surface;
a first elongated electrode on a first side of said first tissue surface;
a second elongated electrode on a second side of said first tissue surface, wherein said second elongated electrode is substantially parallel to said first electrode;
a first central insulation region separating said first electrode from said second electrode;
a second tissue surface separated from said first and second electrodes by a tissue slot, said tissue slot being defined by a distance between said first tissue surface and said second tissue surface, wherein said distance is fixed;
a tissue separator positioned between said first and second tissue surfaces, wherein said tissue separator comprises:
a dividing edge at a distal end of said tissue separator;
a first tissue guide extending proximally away from said dividing edge toward said first side;
a second tissue guide extending proximally away from said dividing edge toward said second side.

9 more elements

A bipolar electrosurgical instrument comprising:

a handle
an elongated tube connected to a distal end of said handle;
a jaw assembly connected to a distal end of said elongated tube, said jaw assembly having a bipolar end effector which is electrically connected to said handle by a plurality of conductors, said end effector comprising:
a first elongated electrode on a first side of said end effector;
a second elongated electrode on said first side of said end effector, wherein said second electrode is substantially parallel to said first electrode;
a third elongated electrode on a second side of said end effector, wherein said third electrode is substantially parallel to said first and second electrodes;
a fourth elongated electrode on said second side of said end effector, wherein said fourth elongated electrode is substantially parallel to said first, second and third electrodes and wherein said first and said second electrodes are separated from said second and third electrodes by a substantially constant gap;
a first central insulation region separating said first electrode from said third electrode;
a second central insulation region separating said second electrode from said fourth electrode;
and
a tissue separator positioned between said first and said second central insulation regions proximal to the distal end of said end effector, wherein said tissue separator comprises:
a dividing edge at the distal end of said tissue separator;
a first tissue surface extending proximally away from said dividing edge toward said first side of said end effector;
and
a second tissue surface extending proximally away from said dividing edge toward said second side of said end effector.

12 more elements

A bipolar electrosurgical instrument comprising:

a handle;
an elongated tube connected to a distal end of said handle;
a jaw assembly connected to a distal end of said elongated tube, said jaw assembly having a bipolar end effector which is electrically connected to said handle by a plurality of conductors, said end effector comprising:
a first inner surface extending from a proximal end of said end effector to a distal end of said end effector;
a second inner surface wherein a space between said first and second inner surfaces forms a tissue receiving gap having a fixed height at every point along said tissue slot;
a first elongated electrode on a first side of said first inner surface;
a second elongated electrode on said first side of said second inner surface wherein said second electrode is substantially parallel to said first electrode;
a third elongated electrode on said second side of said first inner surface;
a fourth elongated electrode on a second side of said second inner surface wherein said second electrode is substantially parallel to said third electrode;
a first insulation region on said first inner surface separating said first electrode from said third electrode;
a second insulation region on said second inner surface separating said second electrode from said fourth electrode;
a tissue separator positioned in said gap between said first and second surfaces, wherein said central wedge comprises:
a leading edge at a distal end of said central wedge;
a first tissue surface extending proximally from said leading edge toward said first side of said end effector;
a second tissue surface extending proximally from said leading edge toward said second side of said end effector.

12 more elements

Dependencies are inferred from the claim text.