摘要:
A system and method are provided for controlling an electrosurgical generator generating electrosurgical energy which is delivered to a patient for performing an electrosurgical procedure for sealing tissue. The system includes a control module executable on a processor for receiving sensed data corresponding to at least one physical or electrical property related to delivery of the electrosurgical energy. The control module processes the received sensed data and controls the electrosurgical generator including generating at least one corresponding control signal in accordance with the processed sensed data for regulating electrosurgical energy output from the electrosurgical generator. The controlling the electrosurgical generator further includes regulating at least one control variable, a respective control variable of the at least one control variable corresponding to sensed data corresponding to a property of the at least one physical or electrical property to follow at least one mapping for optimizing the tissue sealing.
摘要:
A closed-loop control system is disclosed for use with an electrosurgical generator that generates electrosurgical energy. The closed loop control system includes a user interface for allowing a user to select at least one pre-surgical parameter, such as the type of surgical instrument operatively connected to the generator, the type of tissue and the desired surgical effect. A sensor module is also included for continually sensing at least one of electrical and physical properties proximate a surgical site and generating at least one signal relating thereto. The system also includes a control module for continually receiving the at least one selected pre-surgical parameter from the user interface and each of the signals from the sensor module, and processing each of the signals in accordance with the at least one pre-surgical parameter using at least one of a microprocessor, computer algorithm and a mapping. The control module generates at least one corresponding control signal relating to each signal from the sensor module, and relays the control signal to the electrosurgical generator for controlling the same. A method is also disclosed for performing an electrosurgical procedure at a surgical site on a patient. The method includes the steps of: applying at least one electrical pulse to the surgical site; continually sensing electrical and physical properties proximate the surgical site; and varying pulse parameters of individual pulses of the at least one pulse in accordance with the continually-sensed properties.
摘要:
An electrosurgical instrument for performing at least one of sealing and dividing tissue includes a housing having a shaft attached thereto, the shaft defining a longitudinal axis. The electrosurgical instrument also includes a first jaw member movable relative to a second jaw member, the first jaw member attached to the shaft and being relatively movable from a first open position wherein the jaw members are disposed in spaced relation relative to one another to a second closed position wherein the jaw members cooperate to grasp tissue therebetween. The instrument also includes a drive rod assembly for imparting movement of the jaw members between the first and second positions and a rotating assembly attached to the housing for rotating the jaw members about the longitudinal axis. A knife assembly is also attached to the housing for separating tissue grasped between the jaw members and a handle assembly is attached to the housing for actuating the drive rod assembly. The instrument also includes first and second electrical leads which connect the jaw members to a source of electrical energy such that the jaw members are capable of conducting energy through tissue held therebetween. A handswitch is attached to the housing to allow a user to selectively energize the jaw members.
摘要:
A method for manufacturing an end effector assembly for sealing tissue includes the initial step of providing first and second electrically conductive sealing plates. The method also includes the steps of: encasing at least one of the electrically conductive sealing plates in a substantially moldable insulative material; applying a load to the electrically conductive sealing plates; allowing the insulative material to deform to create a gap between the sealing plates between about 0.001 inches to about 0.010 inches; and allowing the insulative material to cure.
摘要:
A method for manufacturing an end effector assembly for sealing tissue includes the initial step of providing a pair of first and second jaw members each including an inwardly facing electrically conductive sealing surface. The method also includes the steps of: coating the inwardly facing electrically conductive sealing surface of one or both jaw members with an insulative material, the coating having a thickness within the range of about 0.001 inches to about 0.010 inches; allowing the insulative material to cure onto the inwardly facing electrically conductive sealing surface; removing a portion of the insulative material from the inwardly facing electrically conductive sealing surface to form a series of stop members arranged thereacross; and assembling the pair of first and second jaw members about a pivot such that the two inwardly facing electrically conductive sealing surfaces are substantially opposed to each other in pivotal relation relative to one another.
摘要:
A method for manufacturing an end effector assembly for sealing tissue includes the initial step of providing a pair of first and second jaw members each including an inwardly facing electrically conductive sealing surface. The method also includes the steps of: coating the inwardly facing electrically conductive sealing surface of one or both jaw members with an insulative material, the coating having a thickness within the range of about 0.001 inches to about 0.010 inches; allowing the insulative material to cure onto the inwardly facing electrically conductive sealing surface; removing a portion of the insulative material from the inwardly facing electrically conductive sealing surface to form a series of stop members arranged thereacross; and assembling the pair of first and second jaw members about a pivot such that the two inwardly facing electrically conductive sealing surfaces are substantially opposed to each other in pivotal relation relative to one another.
摘要:
A bipolar forceps for sealing tissue includes at least one shaft having an end effector assembly disposed at a distal end thereof. The end effector assembly includes a pair of first and second opposing jaw members movable relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. At least the first jaw member includes proximal and distal ends which define a cavity along a length thereof which houses an insulative member therein. The insulative member includes an electrically conductive sealing surface mounted thereto which resides in substantial opposition with a second electrically conductive sealing surface disposed on the second jaw member. One end of the first jaw member which defines the cavity extends a fixed distance toward the second jaw member to form a gap between electrically conductive surfaces when the jaw members are closed to grasp tissue.
摘要:
An endoscopic bipolar forceps includes a housing having a shaft affixed thereto, the shaft including jaw members at a distal end thereof. The shaft includes jaw members adapted to connect to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. The forceps include a drive assembly that moves the jaw members relative to one another from a first position to a second position for manipulating tissue. A movable handle is included that is rotatable about a pivot. A knife assembly is also included having a movable knife rod to operatively engage a knife blade, the knife rod having a first longitudinal section having a first predetermined shape, and a second longitudinal section having a second predetermined shape. The first predetermined shape is different than the second predetermined shape.
摘要:
An endoscopic bipolar forceps includes a housing having a shaft affixed thereto, the shaft including jaw members at a distal end thereof. The shaft includes jaw members adapted to connect to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. The forceps include a drive assembly that moves the jaw members relative to one another from a first position to a second position for manipulating tissue. A movable handle is included that is rotatable about a pivot. A knife assembly is also included having a movable knife rod to operatively engage a knife blade, the knife rod having a first longitudinal section having a first predetermined shape, and a second longitudinal section having a second predetermined shape. The first predetermined shape is different than the second predetermined shape.
摘要:
A method for manufacturing an end effector assembly for sealing tissue includes the initial step of providing first and second electrically conductive sealing plates. The method also includes the steps of: encasing at least one of the electrically conductive sealing plates in a substantially moldable insulative material; applying a load to the electrically conductive sealing plates; allowing the insulative material to deform to create a gap between the sealing plates between about 0.001 inches to about 0.010 inches; and allowing the insulative material to cure.