WO2005055846A1 - A surgical instrument - Google Patents
A surgical instrument Download PDFInfo
- Publication number
- WO2005055846A1 WO2005055846A1 PCT/GB2004/005056 GB2004005056W WO2005055846A1 WO 2005055846 A1 WO2005055846 A1 WO 2005055846A1 GB 2004005056 W GB2004005056 W GB 2004005056W WO 2005055846 A1 WO2005055846 A1 WO 2005055846A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- jaw member
- tissue
- electrosurgical instrument
- jaw
- instrument according
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2945—Curved jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00607—Coagulation and cutting with the same instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
- A61B2018/1432—Needle curved
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
Definitions
- This invention relates to a bipolar electrosurgical instrument, for use in the cutting and coagulating of tissue.
- Two well-known classes of electrosurgical instrument are forceps-type devices, and electrosurgical cutting blades.
- a forceps-type device generally comprises a pair of jaws which can be opened and closed in order to grasp tissue between the jaws.
- An electrosurgical coagulating voltage is supplied between the jaws in order to cause the coagulation of the tissue held between the jaws.
- US Patent 5,258,006 is one example of such a device. If the cutting of tissue is desired in addition to vessel sealing, a mechanical cutting blade can be added to the forceps device, as in US Patent 5,445,638.
- the present instrument can be used purely as an electrosurgical cutting blade, using the cutting electrode on the outer surface of the first jaw member.
- the instrument can be used as a coagulating forceps device, by grasping tissue between the first and second jaw members, and utilising the first and second electrodes on the first jaw member.
- the second jaw member is not electrosurgically active, and serves to provide the grasping pressure necessary to provide fast and effective coagulation of the tissue grasped between the jaws.
- the instrument is particularly suited to surgical procedures on the tonsils and adenoids, in particular the tonsils in which surgery often requires the sealing of the tonsular artery.
- the insulating member and the first and second coagulating electrodes are flush with one another along that the inner surface of the first jaw member.
- the electrically insulating second jaw member hold the tissue against the first and second electrodes, and applies pressure to the tissue in order to allow for fast and effective tissue coagulation.
- the second jaw is longitudinally movable between a first position in which the tissue contacting surface is adjacent the inner surface of the first jaw member, and a second position in which the second jaw member is retracted proximally from the first jaw member. In this way, the second jaw member can be retracted out of the way of the first jaw member, for times when the user of the instrument merely intends the device to be used as a cutting instrument.
- the second jaw member is detachably connected to the first jaw member.
- the first and second jaw members form part of first and second arms respectively.
- Figure 1 is a schematic diagram of an electrosurgical system for an electrosurgical instrument in accordance with the present invention
- Figure 2 is a perspective view of an electrosurgical instrument in accordance with the present invention
- Figure 3 is an enlarged view of a part of the instrument of Figure 2
- Figure 4 is a schematic cross-sectional view of that part of the instrument shown in Figure 3
- Figure 5 is a perspective view of an alternative embodiment of instrument in accordance with the invention
- Figure 6 is a perspective view of a further alternative embodiment of instrument in accordance with the invention
- Figures 7a and 7b are side views of the instrument of Figure 6, shown in its open and closed position respectively
- Figure 8 is a perspective view of a further alternative embodiment of instrument in accordance with the invention
- the second jaw member 5 also has an inner surface 21, and this inner surface is covered by a plate 23 formed of an electrically-insulating material such as ceramic, silicone rubber, or a silicone rubber- coated ceramic.
- a cutting mode the instrument 12 is manoeuvred such that the cutting electrode 19 is in contact with tissue.
- a cutting electrosurgical voltage is supplied from the generator 10, one pole of the generator being connected to the cutting electrode 19, and the other pole to electrodes 13 and 15. Arcing occurs between the cutting electrode 19 and the tissue, and current flows through the tissue to whichever of the electrodes 13 and 15 that is also in contact with the tissue.
- the cutting of the tissue in this way is more particularly described in our co-pending patent application WO03/055402.
Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2004296587A AU2004296587A1 (en) | 2003-12-09 | 2004-12-01 | A surgical instrument |
CA002548459A CA2548459A1 (en) | 2003-12-09 | 2004-12-01 | A surgical instrument |
EP04820083A EP1691705A1 (en) | 2003-12-09 | 2004-12-01 | A surgical instrument |
JP2006543607A JP2007513664A (en) | 2003-12-09 | 2004-12-01 | Surgical instruments |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB0328522.8 | 2003-12-09 | ||
GB0328522A GB2408936B (en) | 2003-12-09 | 2003-12-09 | A surgical instrument |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2005055846A1 true WO2005055846A1 (en) | 2005-06-23 |
Family
ID=30129901
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/GB2004/005056 WO2005055846A1 (en) | 2003-12-09 | 2004-12-01 | A surgical instrument |
Country Status (8)
Country | Link |
---|---|
US (1) | US7147637B2 (en) |
EP (1) | EP1691705A1 (en) |
JP (1) | JP2007513664A (en) |
CN (1) | CN1889893A (en) |
AU (1) | AU2004296587A1 (en) |
CA (1) | CA2548459A1 (en) |
GB (1) | GB2408936B (en) |
WO (1) | WO2005055846A1 (en) |
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US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
US8113410B2 (en) | 2008-02-14 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
US8141762B2 (en) | 2009-10-09 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical stapler comprising a staple pocket |
US8157153B2 (en) | 2006-01-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with force-feedback capabilities |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8186560B2 (en) | 2007-03-15 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8196795B2 (en) | 2008-02-14 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
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Also Published As
Publication number | Publication date |
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GB0328522D0 (en) | 2004-01-14 |
GB2408936B (en) | 2007-07-18 |
CN1889893A (en) | 2007-01-03 |
AU2004296587A1 (en) | 2005-06-23 |
EP1691705A1 (en) | 2006-08-23 |
US7147637B2 (en) | 2006-12-12 |
CA2548459A1 (en) | 2005-06-23 |
GB2408936A (en) | 2005-06-15 |
US20050124987A1 (en) | 2005-06-09 |
JP2007513664A (en) | 2007-05-31 |
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