CA2745826A1 - Combined dissecting, cauterizing, and stapling device - Google Patents
Combined dissecting, cauterizing, and stapling device Download PDFInfo
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- CA2745826A1 CA2745826A1 CA2745826A CA2745826A CA2745826A1 CA 2745826 A1 CA2745826 A1 CA 2745826A1 CA 2745826 A CA2745826 A CA 2745826A CA 2745826 A CA2745826 A CA 2745826A CA 2745826 A1 CA2745826 A1 CA 2745826A1
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- disposed
- heating element
- jaw
- staples
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- 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
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
- A61B18/082—Probes or electrodes therefor
- A61B18/085—Forceps, scissors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1152—Staplers for performing anastomosis in a single operation applying the staples on the outside of the lumen
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00084—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
-
- 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
- A61B2018/0063—Sealing
Abstract
A medical device (1) for simultaneously cutting tissue with a heating element (16), cauterizing the tissue with sealing elements (14, 15), and stapling the tissue together. The heating elements comprise bipolar RF electrodes.
Claims (23)
1. A device for cutting and sealing body tissue comprising:
an insertion rod;
a first jaw and a second jaw extending from the insertion rod, said first and second jaws being operable to allow closure of the first and second jaws relative to each other, said first jaw having a first grasping face and said second jaw having a second grasping face, said first grasping face and said second grasping face aligned to meet each other upon closure of the first and second jaws;
a cartridge disposed inside the second jaw, said cartridge comprising:
a heating element support disposed in the cartridge;
a first heating element disposed on the heating element support along a longitudinal axis;
a second heating element disposed on the heating element support, said second heating element laterally spaced from, and parallel to, the first heating element;
a third heating element disposed on the heating element support, and further disposed opposite the second heating element;
a first row of staples disposed within the cartridge, said first row of staples laterally spaced from, and parallel to, the first heating element; and a second row of staples disposed within the cartridge, and further disposed opposite the first row of staples.
an insertion rod;
a first jaw and a second jaw extending from the insertion rod, said first and second jaws being operable to allow closure of the first and second jaws relative to each other, said first jaw having a first grasping face and said second jaw having a second grasping face, said first grasping face and said second grasping face aligned to meet each other upon closure of the first and second jaws;
a cartridge disposed inside the second jaw, said cartridge comprising:
a heating element support disposed in the cartridge;
a first heating element disposed on the heating element support along a longitudinal axis;
a second heating element disposed on the heating element support, said second heating element laterally spaced from, and parallel to, the first heating element;
a third heating element disposed on the heating element support, and further disposed opposite the second heating element;
a first row of staples disposed within the cartridge, said first row of staples laterally spaced from, and parallel to, the first heating element; and a second row of staples disposed within the cartridge, and further disposed opposite the first row of staples.
2. A laparoscopic cutting and stapling device for use within a laparoscopic work space, said cutting and stapling device comprising:
a laparoscopic stapling device having a rigid insertion section characterized by a distal end adapted for insertion into a laparoscopic work space and a proximal end, and defining a long axis of the device, a handle section mounted on the proximal end of the rigid insertion section, and a stapling head comprising a first jaw and a second jaw, wherein said first jaw has a first grasping face and said second jaw has a second grasping face, and the first and second jaws are operable to close relative to each other to bring the first and second grasping faces into opposing relationship to each other;
a cartridge containing a first row of staples disposed within the first jaw, said cartridge being operable from the handle to eject the staples from the cartridge into body tissue, said first row of staples being arranged generally parallel to the long axis of the device and radially offset from the long axis of the device;
a first heating element comprising an electrically resistive wire disposed over the first grasping face, parallel to the long axis of the device, in the center of the grasping face;
a second heating element comprising an electrically resistive wire disposed over the first grasping face, parallel to the long axis of the device, radially offset from the long axis of the device;
an electric current source operably connected to the first heating element and the second heating element;
a first controller operable to control current to the first heating element to heat the first heating element to temperatures sufficient to sever body tissue; and a second controller operable to control current to the second heating element to heat the second heating element to temperatures sufficient to seal body tissue.
a laparoscopic stapling device having a rigid insertion section characterized by a distal end adapted for insertion into a laparoscopic work space and a proximal end, and defining a long axis of the device, a handle section mounted on the proximal end of the rigid insertion section, and a stapling head comprising a first jaw and a second jaw, wherein said first jaw has a first grasping face and said second jaw has a second grasping face, and the first and second jaws are operable to close relative to each other to bring the first and second grasping faces into opposing relationship to each other;
a cartridge containing a first row of staples disposed within the first jaw, said cartridge being operable from the handle to eject the staples from the cartridge into body tissue, said first row of staples being arranged generally parallel to the long axis of the device and radially offset from the long axis of the device;
a first heating element comprising an electrically resistive wire disposed over the first grasping face, parallel to the long axis of the device, in the center of the grasping face;
a second heating element comprising an electrically resistive wire disposed over the first grasping face, parallel to the long axis of the device, radially offset from the long axis of the device;
an electric current source operably connected to the first heating element and the second heating element;
a first controller operable to control current to the first heating element to heat the first heating element to temperatures sufficient to sever body tissue; and a second controller operable to control current to the second heating element to heat the second heating element to temperatures sufficient to seal body tissue.
3. The cutting and stapling device of claim 2 wherein the second heating element is disposed between the first heating element and the row of staples.
4. The cutting and stapling device of claim 2 further comprising:
a second row of staples disposed within the cartridge, said cartridge being operable from the handle to eject the second row of staples from the cartridge into body tissue, said second row of staples being arranged generally parallel to the long axis of the device, radially offset from the long axis of the device opposite the first row of staples;
a third heating element comprising an electrically resistive wire disposed over the first grasping face, parallel to the long axis of the device, radially offset from the long axis of the device opposite the second heating element, wherein the electric current source is operably connected to the third heating element; and a third controller operable to control current to the third heating element to heat the second heating element to temperatures sufficient to seal body tissue.
a second row of staples disposed within the cartridge, said cartridge being operable from the handle to eject the second row of staples from the cartridge into body tissue, said second row of staples being arranged generally parallel to the long axis of the device, radially offset from the long axis of the device opposite the first row of staples;
a third heating element comprising an electrically resistive wire disposed over the first grasping face, parallel to the long axis of the device, radially offset from the long axis of the device opposite the second heating element, wherein the electric current source is operably connected to the third heating element; and a third controller operable to control current to the third heating element to heat the second heating element to temperatures sufficient to seal body tissue.
5. The cutting and stapling device of claim 4 wherein:
the second heating element is disposed between the first heating element and the first row of staples; and the third heating element is disposed between the first heating element and the second row of staples.
the second heating element is disposed between the first heating element and the first row of staples; and the third heating element is disposed between the first heating element and the second row of staples.
6. A method of cutting and sealing tissue comprising the steps of:
providing a device for cutting and sealing tissue comprising:
an insertion rod;
a first jaw and a second jaw extending from the insertion rod, said first and second jaws being rotatably mounted to the insertion rod to allow closure of the first and second jaws, said first jaw having a first grasping face and said second jaw having a second grasping face, said first grasping face and said second grasping face aligned to meet each other upon closure of the first and second jaws;
a cartridge disposed inside the second jaw, said cartridge comprising:
a heating element support disposed in the cartridge;
a first heating element disposed on the heating element support along a longitudinal axis;
a second heating element disposed on the heating element support, said second heating element laterally spaced from, and parallel to, the first heating element;
a third heating element disposed on the heating element support, and further disposed opposite the second heating element;
a first row of staples disposed within the cartridge, said first row of staples laterally spaced from, and parallel to, the first heating element;
a second row of staples disposed within the cartridge, and further disposed opposite the first row of staples;
grasping tissue between the first and second grasping faces;
adjusting the temperature of the second heating element and the third heating element to a temperature of up to about 99° Celsius until the tissue is sealed by cauterization;
stapling the tissue together; and adjusting the temperature of the first heating element to a temperature above about 100° Celsius until the tissue is severed.
providing a device for cutting and sealing tissue comprising:
an insertion rod;
a first jaw and a second jaw extending from the insertion rod, said first and second jaws being rotatably mounted to the insertion rod to allow closure of the first and second jaws, said first jaw having a first grasping face and said second jaw having a second grasping face, said first grasping face and said second grasping face aligned to meet each other upon closure of the first and second jaws;
a cartridge disposed inside the second jaw, said cartridge comprising:
a heating element support disposed in the cartridge;
a first heating element disposed on the heating element support along a longitudinal axis;
a second heating element disposed on the heating element support, said second heating element laterally spaced from, and parallel to, the first heating element;
a third heating element disposed on the heating element support, and further disposed opposite the second heating element;
a first row of staples disposed within the cartridge, said first row of staples laterally spaced from, and parallel to, the first heating element;
a second row of staples disposed within the cartridge, and further disposed opposite the first row of staples;
grasping tissue between the first and second grasping faces;
adjusting the temperature of the second heating element and the third heating element to a temperature of up to about 99° Celsius until the tissue is sealed by cauterization;
stapling the tissue together; and adjusting the temperature of the first heating element to a temperature above about 100° Celsius until the tissue is severed.
7. The method of claim 6 wherein the steps of adjusting the temperature of the first, second, and third heating elements is performed simultaneously with the step of stapling the tissue together.
8. The method of claim 6 wherein the tissue comprises a body lumen.
9. The method of claim 8 wherein the body lumen is a section of colon.
10. The method of claim 6 wherein the tissue comprises a diseased body organ.
11. The method of claim 6 wherein the tissue comprises an injured body organ.
12. A device for cutting and sealing body tissue comprising:
an insertion rod;
a first jaw and a second jaw extending from the insertion rod, said first and second jaws being operable to allow closure of the first and second jaws relative to each other, said first jaw having a first grasping face and said second jaw having a second grasping face, said first grasping face and said second grasping face aligned to meet each other upon closure of the first and second jaws;
a cartridge disposed inside the second jaw, said cartridge comprising:
a support disposed in the cartridge;
a cutting element comprising an electrically resistive wire disposed on the support and further disposed along the longitudinal axis of the insertion rod;
a-first pair of electrodes comprising a first electrode and a second electrode, said first electrode disposed on the first jaw and laterally spaced from and parallel to the longitudinal axis of the insertion rod, and said second electrode disposed on the second jaw and laterally spaced from and parallel to the longitudinal axis of the insertion rod;
wherein the first electrode and the second electrode are aligned to face each other upon closure of the jaws; and wherein the first pair of electrodes is operable as a pair of bipolar electrodes.
an insertion rod;
a first jaw and a second jaw extending from the insertion rod, said first and second jaws being operable to allow closure of the first and second jaws relative to each other, said first jaw having a first grasping face and said second jaw having a second grasping face, said first grasping face and said second grasping face aligned to meet each other upon closure of the first and second jaws;
a cartridge disposed inside the second jaw, said cartridge comprising:
a support disposed in the cartridge;
a cutting element comprising an electrically resistive wire disposed on the support and further disposed along the longitudinal axis of the insertion rod;
a-first pair of electrodes comprising a first electrode and a second electrode, said first electrode disposed on the first jaw and laterally spaced from and parallel to the longitudinal axis of the insertion rod, and said second electrode disposed on the second jaw and laterally spaced from and parallel to the longitudinal axis of the insertion rod;
wherein the first electrode and the second electrode are aligned to face each other upon closure of the jaws; and wherein the first pair of electrodes is operable as a pair of bipolar electrodes.
13. The device of claim 12 wherein the cartridge further comprises:
a second pair of electrodes comprising a third electrode and a fourth electrode, said third electrode disposed on the first jaw and opposite the first electrode, and said fourth electrode disposed on the second jaw and opposite the second electrode;
wherein the second pair of electrodes is aligned to face each other upon closure of the first and second jaws, and wherein the second pair of electrodes is operable as a pair of bipolar electrodes.
a second pair of electrodes comprising a third electrode and a fourth electrode, said third electrode disposed on the first jaw and opposite the first electrode, and said fourth electrode disposed on the second jaw and opposite the second electrode;
wherein the second pair of electrodes is aligned to face each other upon closure of the first and second jaws, and wherein the second pair of electrodes is operable as a pair of bipolar electrodes.
14. The device of claim 13 wherein the cartridge further comprises:
a first row of staples disposed within the cartridge, wherein said first row of staples is laterally spaced from and parallel to the first electrode; and wherein said first row of staples is operable to staple tissue disposed between the first jaw and the second jaw.
a first row of staples disposed within the cartridge, wherein said first row of staples is laterally spaced from and parallel to the first electrode; and wherein said first row of staples is operable to staple tissue disposed between the first jaw and the second jaw.
15. The device of claim 14 wherein the cartridge further comprises:
a second row of staples disposed within the cartridge, wherein said second row of staples is disposed opposite the first row of staples; and wherein said second row of staples is operable to staple tissue disposed between the first jaw and the second jaw.
a second row of staples disposed within the cartridge, wherein said second row of staples is disposed opposite the first row of staples; and wherein said second row of staples is operable to staple tissue disposed between the first jaw and the second jaw.
16. The device of claim 13 further comprising an RF generator for supplying RF energy to the first pair of electrodes.
17. The device of claim 15 further comprising an RF generator for supplying RF energy to the first and second pairs of electrodes.
18. A laparoscopic cutting and stapling device for use within a laparoscopic work space, said cutting and stapling device comprising:
a laparoscopic stapling device having a rigid insertion section characterized by a distal end adapted for insertion into a laparoscopic work space and a proximal end, and defining a long axis of the device, a handle section mounted on the proximal end of the rigid insertion section, and a stapling head comprising a first jaw and a second jaw, wherein said first jaw has a first grasping face and said second jaw has a second grasping face, and the first and second jaws are operable to close relative to each other to bring the first and second grasping faces into opposing relationship to each other;
a cartridge containing a first row of staples disposed within the first jaw, said cartridge being operable from the handle to eject the staples from the cartridge into body tissue, said first row of staples being arranged generally parallel to the long axis of the device and radially offset from the long axis of the device;
a cutting element comprising an electrically resistive wire disposed over the first grasping face, parallel to the long axis of the device, in the center of the grasping face;
a first pair of electrodes comprising a first electrode and a second electrode, said first electrode disposed on the first grasping face and laterally spaced from and parallel to the long axis of the device, and said second electrode disposed on the second grasping face and laterally spaced from and parallel to the long axis of the device;
wherein the first pair of electrodes is aligned to face each other upon closure of the first and second jaws, and wherein the first pair of electrodes is operable as a pair of bipolar electrodes;
an electric current source operably connected to the cutting element and an RF generator operably connected to the first pair of bipolar electrodes;
a first controller operable to control current to the cutting element to heat the cutting element to temperatures sufficient to sever body tissue; and a second controller operable to control RF energy to the first pair of electrodes such that the first pair of electrodes is capable of transferring RF energy sufficient to heat body tissue disposed between the first pair of electrodes to temperatures sufficient to seal body tissue.
a laparoscopic stapling device having a rigid insertion section characterized by a distal end adapted for insertion into a laparoscopic work space and a proximal end, and defining a long axis of the device, a handle section mounted on the proximal end of the rigid insertion section, and a stapling head comprising a first jaw and a second jaw, wherein said first jaw has a first grasping face and said second jaw has a second grasping face, and the first and second jaws are operable to close relative to each other to bring the first and second grasping faces into opposing relationship to each other;
a cartridge containing a first row of staples disposed within the first jaw, said cartridge being operable from the handle to eject the staples from the cartridge into body tissue, said first row of staples being arranged generally parallel to the long axis of the device and radially offset from the long axis of the device;
a cutting element comprising an electrically resistive wire disposed over the first grasping face, parallel to the long axis of the device, in the center of the grasping face;
a first pair of electrodes comprising a first electrode and a second electrode, said first electrode disposed on the first grasping face and laterally spaced from and parallel to the long axis of the device, and said second electrode disposed on the second grasping face and laterally spaced from and parallel to the long axis of the device;
wherein the first pair of electrodes is aligned to face each other upon closure of the first and second jaws, and wherein the first pair of electrodes is operable as a pair of bipolar electrodes;
an electric current source operably connected to the cutting element and an RF generator operably connected to the first pair of bipolar electrodes;
a first controller operable to control current to the cutting element to heat the cutting element to temperatures sufficient to sever body tissue; and a second controller operable to control RF energy to the first pair of electrodes such that the first pair of electrodes is capable of transferring RF energy sufficient to heat body tissue disposed between the first pair of electrodes to temperatures sufficient to seal body tissue.
19. The cutting and stapling device of claim 18 wherein the first electrode is disposed between the cutting element and the first row of staples.
20. The cutting and stapling device of claim 18 further comprising:
a second row of staples disposed within the cartridge, said cartridge being operable from the handle to eject the second row of staples from the cartridge-into body tissue, said second row of staples being arranged generally parallel to the long axis of the device, radially offset from the long axis of the device opposite the first row of staples;
a second pair of electrodes comprising a third electrode and a fourth electrode, said third electrode disposed on the first grasping face, arranged generally parallel to the long axis of the device and radially offset from the long axis of the device and opposite the first electrode, and said fourth electrode disposed on the second grasping face, arranged generally parallel to the long axis of the device and radially offset from the long axis of the device and opposite the second electrode;
wherein the second pair of electrodes is aligned to face each other upon closure of the first and second jaws, and wherein the second pair of electrodes is operable as a pair of bipolar electrodes; and a third controller operable to control RF energy to the second pair of electrodes such that the second pair of electrodes is capable of transferring RF energy sufficient to heat body tissue disposed between the second pair of electrodes to temperatures sufficient to seal body tissue.
a second row of staples disposed within the cartridge, said cartridge being operable from the handle to eject the second row of staples from the cartridge-into body tissue, said second row of staples being arranged generally parallel to the long axis of the device, radially offset from the long axis of the device opposite the first row of staples;
a second pair of electrodes comprising a third electrode and a fourth electrode, said third electrode disposed on the first grasping face, arranged generally parallel to the long axis of the device and radially offset from the long axis of the device and opposite the first electrode, and said fourth electrode disposed on the second grasping face, arranged generally parallel to the long axis of the device and radially offset from the long axis of the device and opposite the second electrode;
wherein the second pair of electrodes is aligned to face each other upon closure of the first and second jaws, and wherein the second pair of electrodes is operable as a pair of bipolar electrodes; and a third controller operable to control RF energy to the second pair of electrodes such that the second pair of electrodes is capable of transferring RF energy sufficient to heat body tissue disposed between the second pair of electrodes to temperatures sufficient to seal body tissue.
21. The cutting and stapling device of claim 20 wherein:
the first electrode is disposed between the cutting element and the first row of staples; and the third electrode is disposed between the cutting element and the second row of staples.
the first electrode is disposed between the cutting element and the first row of staples; and the third electrode is disposed between the cutting element and the second row of staples.
22. A device for cutting and sealing body tissue comprising:
an insertion rod;
a first jaw and a second jaw extending from the insertion rod, said first and second jaws being operable to allow closure of the first and second jaws relative to each other, said first jaw having a first grasping face and said second jaw having a second grasping face, said first grasping face and said second grasping face aligned to meet each other upon closure of the first and second jaws;
a support disposed in first jaw;
a cutting element comprising an electrically resistive wire disposed on the support and further disposed along the longitudinal axis of the insertion rod;
a first electrode disposed on the first jaw, said first electrode operably paired with a second electrode disposed on the second jaw, said first and second electrodes aligned to face each other upon closure of the first and second jaws, said first and second electrodes laterally spaced from and parallel to the longitudinal axis of the insertion rod, and said first and second electrodes operable as bipolar electrodes;
a third electrode disposed on the first jaw, said third electrode operably paired with a fourth electrode disposed on the second jaw, said third and fourth electrodes aligned to face each other upon closure of the first and second jaws, said third and fourth electrodes laterally spaced from and parallel to the longitudinal axis of the insertion rod, said third electrode disposed opposite the first electrode and said fourth electrode disposed opposite the second electrode, and said third and fourth electrodes operable as bipolar electrodes.
an insertion rod;
a first jaw and a second jaw extending from the insertion rod, said first and second jaws being operable to allow closure of the first and second jaws relative to each other, said first jaw having a first grasping face and said second jaw having a second grasping face, said first grasping face and said second grasping face aligned to meet each other upon closure of the first and second jaws;
a support disposed in first jaw;
a cutting element comprising an electrically resistive wire disposed on the support and further disposed along the longitudinal axis of the insertion rod;
a first electrode disposed on the first jaw, said first electrode operably paired with a second electrode disposed on the second jaw, said first and second electrodes aligned to face each other upon closure of the first and second jaws, said first and second electrodes laterally spaced from and parallel to the longitudinal axis of the insertion rod, and said first and second electrodes operable as bipolar electrodes;
a third electrode disposed on the first jaw, said third electrode operably paired with a fourth electrode disposed on the second jaw, said third and fourth electrodes aligned to face each other upon closure of the first and second jaws, said third and fourth electrodes laterally spaced from and parallel to the longitudinal axis of the insertion rod, said third electrode disposed opposite the first electrode and said fourth electrode disposed opposite the second electrode, and said third and fourth electrodes operable as bipolar electrodes.
23. The device of claim 22 further comprising an RF generator for supplying RF energy to the first, second, third, and fourth electrodes.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/037,625 | 2002-01-03 | ||
US10/037,625 US6602252B2 (en) | 2002-01-03 | 2002-01-03 | Combined dissecting, cauterizing, and stapling device |
CA2472521A CA2472521C (en) | 2002-01-03 | 2003-01-02 | Combined dissecting, cauterizing, and stapling device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2472521A Division CA2472521C (en) | 2002-01-03 | 2003-01-02 | Combined dissecting, cauterizing, and stapling device |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2745826A1 true CA2745826A1 (en) | 2003-07-17 |
CA2745826C CA2745826C (en) | 2012-12-11 |
Family
ID=21895355
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2745826A Expired - Fee Related CA2745826C (en) | 2002-01-03 | 2003-01-02 | Combined dissecting, cauterizing, and stapling device |
CA2745713A Expired - Fee Related CA2745713C (en) | 2002-01-03 | 2003-01-02 | Combined dissecting, cauterizing, and stapling device |
CA2472521A Expired - Fee Related CA2472521C (en) | 2002-01-03 | 2003-01-02 | Combined dissecting, cauterizing, and stapling device |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2745713A Expired - Fee Related CA2745713C (en) | 2002-01-03 | 2003-01-02 | Combined dissecting, cauterizing, and stapling device |
CA2472521A Expired - Fee Related CA2472521C (en) | 2002-01-03 | 2003-01-02 | Combined dissecting, cauterizing, and stapling device |
Country Status (7)
Country | Link |
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US (4) | US6602252B2 (en) |
EP (1) | EP1471847B1 (en) |
JP (1) | JP4253588B2 (en) |
AU (1) | AU2003210112A1 (en) |
CA (3) | CA2745826C (en) |
ES (1) | ES2523073T3 (en) |
WO (1) | WO2003057058A1 (en) |
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2003
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- 2003-01-02 CA CA2745826A patent/CA2745826C/en not_active Expired - Fee Related
- 2003-01-02 AU AU2003210112A patent/AU2003210112A1/en not_active Abandoned
- 2003-01-02 CA CA2745713A patent/CA2745713C/en not_active Expired - Fee Related
- 2003-01-02 CA CA2472521A patent/CA2472521C/en not_active Expired - Fee Related
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- 2003-01-02 JP JP2003557424A patent/JP4253588B2/en not_active Expired - Fee Related
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- 2003-01-02 ES ES03729321.4T patent/ES2523073T3/en not_active Expired - Lifetime
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WO2003057058A1 (en) | 2003-07-17 |
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CA2472521C (en) | 2011-10-18 |
AU2003210112A1 (en) | 2003-07-24 |
US20090118730A1 (en) | 2009-05-07 |
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