US20260026860
2026-01-29
Human necessities
A61B18/1445
The electrosurgical instrument integrates an end effector with dual jaws capable of grasping tissue, applying therapeutic energy for sealing, and incorporating a knife for severing tissue. It features an electrode that engages tissue to emit non-therapeutic energy, allowing the controller to analyze impedance phase angle and magnitude. This analysis helps detect significant events based on the impedance measurements, enhancing the precision of surgical procedures.
Electrosurgical instruments like the ENSEAL® Tissue Sealing Device are designed to cut and transmit radio frequency (RF) energy to tissue for coagulation or sealing. However, monitoring the state of an end effector during use has been a challenge. The described invention addresses this by utilizing impedance spectroscopy to provide real-time feedback on the tissue's condition and the instrument's performance.
The technology described is adaptable, with various embodiments and combinations possible. It emphasizes that terms like "proximal" and "distal" are relative to the surgeon's position. The descriptions and illustrations are intended to be exemplary, not restrictive, allowing for modifications and variations within the claims' scope.
The electrosurgical instrument comprises a handle assembly, shaft assembly, articulation assembly, and end effector. The end effector can grasp, cut, and seal tissue using non-therapeutic bipolar RF energy to ensure correct tissue identification before applying therapeutic energy. It is connected to a waveform generator that supplies the necessary power, and the handle assembly includes controls for operating the instrument.
The handle assembly features a control unit, pistol grip, jaw closure trigger, knife trigger, activation button, and articulation control. These components allow for single-handed operation and precise control over the end effector's actions. The shaft assembly houses connectors and actuators linking the handle's controls to the end effector, enabling the opening and closing of jaws, knife actuation, and energy application.