The present disclosure relates to surgical instruments and, more particularly, to thermal cutting elements, electrosurgical instruments including thermal cutting elements, and methods of manufacturing thermal cutting elements.
A surgical forceps is a pliers-like instrument that relies on mechanical action between its jaw members to grasp, clamp, and constrict tissue. Electrosurgical forceps utilize both mechanical clamping action and energy to heat tissue to treat, e.g., coagulate, cauterize, or seal, tissue. Typically, once tissue is treated, the surgeon has to accurately sever the treated tissue. Accordingly, many electrosurgical forceps are designed to incorporate a knife that is advanced between the jaw members to cut the treated tissue. As an alternative to a mechanical knife, an energy-based tissue cutting element may be provided to cut the treated tissue using energy, e.g., thermal, electrosurgical, ultrasonic, light, or other suitable energy.
As used herein, the term “distal” refers to the portion that is being described which is further from a user, while the term “proximal” refers to the portion that is being described which is closer to a user. Further, to the extent consistent, any or all of the aspects detailed herein may be used in conjunction with any or all of the other aspects detailed herein.
Provided in accordance with aspects of the present disclosure is a thermal cutting element for a surgical instrument. The thermal cutting element includes a substrate, a Plasma Electrolytic Oxidation (PEO) coating disposed on the substrate, and a heating element disposed on the PEO coating and including first and second end portions adapted to connect to different potentials of electrical energy to heat the heating element.
In an aspect of the present disclosure, the heating element defines a continuous circuit trace between the first and second end portions.
In another aspect of the present disclosure, the first and second end portions of the heating element are disposed adjacent one another.
In still another aspect of the present disclosure, first and second electrical contacts are disposed on the respective first and second end portions of the heating element. The first and second electrical contacts are configured to facilitate connection of the different potentials of electrical energy to the first and second end portions, respectively.
In yet another aspect of the present disclosure, the substrate is formed from aluminum, titanium, an aluminum alloy, or a titanium alloy.
In still yet another aspect of the present disclosure, the PEO coating defines an average thickness of about 50 micrometers to about 150 micrometers; in other aspects, about 75 micrometers to about 125 micrometers; in other aspects about 100 micrometers.
In another aspect of the present disclosure, the substrate defines an elongated body and a proximal connection flange extending from the elongated body. The first and second end portions of the heating element are disposed at the proximal connection flange.
A jaw member of a surgical instrument provided in accordance with the present disclosure includes a structural frame including a proximal flange portion and a distal body portion, a jaw housing surrounding the distal body portion of the structural frame, and a tissue-treating plate disposed atop the jaw housing. The tissue-treating plate defines a longitudinal slot therethrough along at least a portion of a length thereof. The jaw member further includes a thermal cutting element disposed within the jaw housing and extending through at least a portion of the longitudinal slot along at least a portion of a length of the tissue-treating plate. The thermal cutting element may be configured similar to any of the aspects detailed above or otherwise provided herein.
In aspects, the tissue-treating plate is formed from an electrically-conductive material and is adapted to connect to a source of electrosurgical energy. In such aspects, the tissue-treating plate is electrically isolated from the heating element.
In aspects, the thermal cutting element includes an attachment flange extending therefrom into the jaw housing. The attachment flange facilitates attachment of the thermal cutting element within the jaw housing.
A method of manufacturing a thermal cutting element for a surgical instrument provided in accordance with aspects of the present disclosure includes manufacturing a substrate, coating at least a portion of the substrate via Plasma Electrolytic Oxidation (PEO), and disposing a heating element on at least a portion of the PEO-coated substrate.
In an aspect of the present disclosure, disposing the heating element includes forming a continuous circuit trace on the PEO-coated substrate. The continuous circuit trace may extend between first and second end portions of the heating element. In aspects, forming the continuous circuit trace on the PEO-coated substrate includes forming a circuit trace pattern wherein first and second end portions of the circuit trace pattern are disposed adjacent one another.
In another aspect of the present disclosure, disposing the heating element includes sputtering the heating element onto the PEO-coated substrate.
In still another aspect of the present disclosure, disposing the heating element includes screen printing the heating element onto the PEO-coated substrate.
In yet another aspect of the present disclosure, the method further includes disposing first and second electrical contacts on respective first and second end portions of the heating element. Disposing the first and second electrical contacts may be accomplished via sputtering, screen printing, or other suitable method.
In another aspect of the present disclosure, manufacturing the substrate includes die-stamping the substrate. In aspects, the substrate is one of a plurality of substrates progressively-die stamped from a carrier strip.
In yet another aspect of the present disclosure, the method further includes disposing an electrically insulative material on at least a portion of the heating element.
In aspects of the present disclosure, the PEO is controlled such that the PEO coating defines an average thickness of about 50 micrometers to about 150 micrometers; in other aspects, about 75 micrometers to about 125 micrometers; and, in still other aspects, about 100 micrometers.
In another aspect of the present disclosure, the method further includes attaching the heating element-disposed, PEO-coated substrate to a jaw member.
Attaching the heating element-disposed, PEO-coated substrate to the jaw member, in aspects, includes electrically coupling first and second end portions of the heating element to first and second electrical connectors, respectively, and/or mechanically coupling an attachment flange of the substrate to a jaw housing of the jaw member. The mechanical coupling may include overmolding the jaw housing to the attachment flange.
The above and other aspects and features of the present disclosure will become more apparent in view of the following detailed description when taken in conjunction with the accompanying drawings wherein like reference numerals identify similar or identical elements.
Referring to
Forceps 10 includes a housing 20, a handle assembly 30, a trigger assembly 60, a rotating assembly 70, a first activation switch 80, a second activation switch 90, and an end effector assembly 100. Forceps 10 further includes a shaft 12 having a distal end portion 14 configured to (directly or indirectly) engage end effector assembly 100 and a proximal end portion 16 that (directly or indirectly) engages housing 20. Forceps 10 also includes cable “C” that connects forceps 10 to an energy source, e.g., an electrosurgical generator “G.” Cable “C” includes a wire (or wires) (not shown) extending therethrough that has sufficient length to extend through shaft 12 in order to connect to one or both tissue-treating surfaces 114, 124 of jaw members 110, 120, respectively, of end effector assembly 100 (see
Handle assembly 30 of forceps 10 includes a fixed handle 50 and a movable handle 40. Fixed handle 50 is integrally associated with housing 20 and handle 40 is movable relative to fixed handle 50. Movable handle 40 of handle assembly 30 is operably coupled to a drive assembly (not shown) that, together, mechanically cooperate to impart movement of one or both of jaw members 110, 120 of end effector assembly 100 about a pivot 103 between a spaced-apart position and an approximated position to grasp tissue between tissue-treating surfaces 114, 124 of jaw members 110, 120. As shown in
Referring to
Forceps 210 includes two elongated shaft members 212a, 212b, each having a proximal end portion 216a, 216b, and a distal end portion 214a, 214b, respectively. Forceps 210 is configured for use with an end effector assembly 100′ similar to end effector assembly 100 (
One of the shaft members 212a, 212b of forceps 210, e.g., shaft member 212b, includes a proximal shaft connector 219 configured to connect forceps 210 to a source of energy, e.g., electrosurgical generator “G” (
Jaw members 110′, 120′ define a curved configuration wherein each jaw member is similarly curved laterally off of a longitudinal axis of end effector assembly 100′. However, other suitable curved configurations including curvature towards one of the jaw members 110, 120′ (and thus away from the other), multiple curves with the same plane, and/or multiple curves within different planes are also contemplated. Jaw members 110, 120 of end effector assembly 100 (
Referring to
Robotic surgical instrument 1000 includes a plurality of robot arms 1002, 1003; a control device 1004; and an operating console 1005 coupled with control device 1004. Operating console 1005 may include a display device 1006, which may be set up in particular to display three-dimensional images; and manual input devices 1007, 1008, by means of which a surgeon may be able to telemanipulate robot arms 1002, 1003 in a first operating mode. Robotic surgical instrument 1000 may be configured for use on a patient 1013 lying on a patient table 1012 to be treated in a minimally invasive manner. Robotic surgical instrument 1000 may further include a database 1014, in particular coupled to control device 1004, in which are stored, for example, pre-operative data from patient 1013 and/or anatomical atlases.
Each of the robot arms 1002, 1003 may include a plurality of members, which are connected through joints, and an attaching device 1009, 1011, to which may be attached, for example, an end effector assembly 1100, 1200, respectively. End effector assembly 1100 is similar to end effector assembly 100 (
Turning to
Referring in particular to
Regardless of the particular configuration of jaw member 110, jaw member 110 may include a longitudinally-extending insulative member 115 extending along at least a portion of the length of tissue-treating surface 114. Insulative member 115 may be transversely centered on tissue-treating surface 114 or may be offset relative thereto. Further, insulative member 115 may be disposed, e.g., deposited, coated, etc., on tissue-treating surface 114, may be positioned within a channel or recess defined within tissue-treating surface 114, or may define any other suitable configuration. Additionally, insulative member 115 may be substantially (within manufacturing, material, and/or use tolerances) coplanar with tissue-treating surface 114, may protrude from tissue-treating surface 114, may be recessed relative to tissue-treating surface 114, or may include different portions that are coplanar, protruding, and/or recessed relative to tissue-treating surface 114. Insulative member 115 may be formed from, for example, ceramic, parylene, nylon, PTFE, or other suitable material(s) (including combinations of insulative and non-insulative materials).
With reference to
Jaw housing 122 of jaw member 120 is disposed about the distal body portion of structural frame 121, e.g., via overmolding, adhesion, mechanical engagement, etc., and supports tissue-treating plate 123 thereon, e.g., via overmolding, adhesion, mechanical engagement, depositing (such as, for example, via sputtering), etc. Tissue-treating plate 123, as noted above, defines tissue-treating surface 124. A longitudinally-extending slot 125 is defined through tissue-treating plate 123 and is positioned to oppose insulative member 115 of jaw member 110 (
Thermal cutting element 130, more specifically, is disposed within longitudinally-extending slot 125 such that thermal cutting element 130 opposes insulative member 115 of jaw member 110 (
Thermal cutting element 130 may be surrounded by an insulative member 128 disposed within slot 125 to electrically isolate thermal cutting element from tissue-treating plate 123. Alternatively or additionally, thermal cutting element 130 may include an insulative coating on at least the sides thereof for similar purposes. Thermal cutting element 130 and insulative member 128 may similarly or differently be substantially (within manufacturing, material, and/or use tolerances) coplanar with tissue-treating surface 124, may protrude from tissue-treating surface 124, may be recessed relative to tissue-treating surface 124, or may include different portions that are coplanar, protruding, and/or recessed relative to tissue-treating surface 124.
In embodiments where end effector assembly 100, or a portion thereof, is curved, longitudinally-extending slot 125 and thermal cutting element 130 may similarly be curved, e.g., wherein longitudinally-extending slot 125 and thermal cutting element 130 (or corresponding portions thereof) are relatively configured with reference to an arc (or arcs) of curvature rather than a longitudinal axis. Thus, the terms longitudinal, transverse, and the like as utilized herein are not limited to linear configurations, e.g., along linear axes, but apply equally to curved configurations, e.g., along arcs of curvature. In such curved configurations, insulating member 115 of jaw member 110 (
Generally referring to
Thermal cutting element 130, on the other hand, is configured to connect to electrosurgical generator “G” (
Referring to
Turning to
With respect to manufacturing substrate 1310 at step 910, substrate 1310 may be made from aluminum, titanium, alloys thereof, combinations thereof, or other suitable material(s) that can be PEO anodized. In embodiments, a plurality of substrates 1310 are manufactured together such as, for example, as progressive-die stamped parts on a carrier strip. In other embodiments, each substrate 1310 may be manufactured individually such as, for example, via machining, casting, forging, fine-blanking, or any other suitable method. For purposes of simplicity, method 900 is detailed below with respect to a single substrate 1310 and thermal cutting element 130, although it is understood that method 900 may similarly apply to a plurality of substrates 1310 for forming a plurality of thermal cutting elements 130.
Continuing to step 920, substrate 1310 is prepared. Preparing substrate 1310 may include degreasing and/or cleaning, e.g., using any suitable methods; deburring; edge-breaking; and/or surface modifications such as one or more of tumbling, grit blasting, chemical etching, electropolishing, etc.
Once substrate 1310 is prepared, substrate 1310 is PEO anodized at step 930. More specifically, in order to PEO anodize substrate 1310, substrate 1310 is utilized as an anode in an electrochemical bath. That is, substrate 1310 is immersed in a chilled bath of electrolyte which consists of a dilute alkaline solution, e.g., containing Sodium or Potassium Silicate. Substrate 1310 is connected to an electrical energy source to define one of the electrodes in the electrochemical bath, with a counter-electrode, e.g., made from an inert material such as stainless steel, also electrically coupled to the electrochemical bath, e.g., forming the wall of the bath itself. Electrical potentials, e.g., in embodiments, of over 200V and up to 700V, are applied between the two electrodes. The potentials may be continuous or pulsed direct current (DC) or pulses of alternating current (AC). The desired resultant thickness of PEO coating 1320 may dictate the particular voltage applied and/or the time that substrate 1310 remains in the bath.
Higher voltage potentials are applied for PEO anodization as compared to standard anodization. For example, in embodiments, e.g., with respect to PEO anodization of aluminum, the voltage potentials may be at least 200V and up to 700V. These high voltages exceed the dielectric breakdown potential of the growing oxide film and allow discharges. These discharges result in localized plasma reactions, with conditions of high temperature and pressure, which modify the growing oxide, e.g., via melting, melt-flow, re-solidification, sintering and/or densification of the growing oxide. In particular, the oxide is partially converted from amorphous alumina into crystalline forms such as corundum (α-Al2O3) which has increased hardness.
Once PEO anodization of substrate 1310 at step 930 is completed to form PEO coating 1320 about at least a portion of substrate 1310, the coated substrate may be washed with water. Additionally or alternatively, in embodiments, the coated substrate may be polished to eliminate or reduce surface roughening resulting from the PEO process.
The PEO anodization process of step 930 may be controlled such that coating 1320 defines an average thickness, in embodiments, of about 50 micrometers to about 150 micrometers; in other embodiments, about 75 micrometers to about 125 micrometers; in still other embodiments, about 90 micrometers to about 110 micrometers; and, in yet other embodiments, about 100 micrometers. “About” as utilized herein takes into account material, manufacturing, measurement, environment, and other tolerances generally acceptable for the particular application and may include at least +/−10% variation.
The electrical insulation properties of a PEO coating 1320 such as detailed above are at least about 10V per micrometer. Thus, for a PEO coating 1320 having a thickness of about 100 micrometers, the PEO coating 1320 provides a dielectric barrier of at least 1000V. This allows PEO coating 1320 to withstand temperatures of up to 1000° C. and is advantageous compared to standard anodization which cannot withstand temperatures above about 150° C. without cracking.
Once PEO coating 1320 is formed about substrate 1310 as detailed above, heating layer 1330 may be affixed to the PEO-coated substrate, as indicated as step 940. With respect to affixing heating layer 1330, this may be accomplished via a deposition process such as sputtering, although other methods of affixing heating layer 1330 are also contemplated such as, for example, screen printing. These methods are advantageous in that they allows for affixation without requiring substrate 1310 to be heated above its melting point. Heating layer 1330 may be formed from, for example, nichrome, kanthal, platinum, combinations thereof, or other suitable metal(s) meeting desired heating and electrical resistance characteristics, e.g., positive thermal coefficient (PTC) resistive heating materials.
The sputtering process, more specifically, may include loading the coated substrate into a shadow mask fixture and sputtering the heating layer 1330 onto the coated substrate to affix a heating element circuit onto the PEO-coated substrate.
The screen printing process, more specifically, may include loading the coated substrate into a screen printing fixture and screen printing the heating layer 1330, along with a binder, onto the coated substrate. The result is then fired at about 850° C. to about 1000° C. to burn off the binder and sinter the heating layer 1330 to the PEO-coated substrate, thereby affixing a heating element circuit onto the PEO-coated substrate.
In embodiments, at step 950, an electrically insulative material is disposed about the heating layer 1330 to form an insulating layer 1360. The insulating layer 1360 may be silica and/or sputtered onto the heating layer 1330 to provide oxidation and/or fluid ingress protection as well as electrical insulation. Alternatively, the insulating layer 1360 may be glass and/or screen printed and fired over the heating layer 1330 to provide oxidation and/or fluid ingress protection as well as electrical insulation. Other suitable materials and/or methods of affixation are also contemplated.
As indicated at step 960, electrical connections to heating layer 1330 are established. In embodiments, electrical contacts 1340 are affixed to heating layer 1330 for connection of corresponding electrical lead wires 1350 thereto. Alternatively, electrical lead wires 1350 may be connected to heating layer 1330 without use of electrical contacts 1340.
The electrical contacts 1340, in embodiments where provided, may be formed from, for example, a material suitable for facilitating electrical connection, e.g., nickel or copper. Electrical contacts 1340 may be applied at end portions of the heating element circuit via sputtering, e.g., utilizing a second shadow mask fixture. In embodiments, the electrical contacts 1340 may be thickened using electroplating, e.g., of nickel or other suitable electroplateable metal. As an alternative to sputtering, electrical contacts 1340 in the form of electrical contact pads may be screen printed and fired onto end portions of the heating element circuit.
Electrical lead wires 1350 are connected, directly or indirectly, to the electrical contacts 1340 or the end portions of the heating element circuit via sputtering (in embodiments where electrical contacts 1340 are not provided). Electrical lead wires 1350 may be connected using mechanical connectors, e.g., spring clips 2370 (See
The formed thermal cutting element 130 may finally be integrated, attached, or otherwise incorporated into a surgical end effector assembly, e.g., end effector assemblies 100, 2100 (
With reference to
First and second contacts 2340 are affixed to first and second end portions 2331, 2332, respectively, of heating layer 2330 at proximal connection flange 234 to enable connection of electrical lead wires thereto for applying an AC voltage thereto to heat thermal cutting element 230. In embodiments, proximal connection flange 234 extends orthogonally relative to a longitudinal axis of elongated body 232, although other configurations are also contemplated.
Attachment flange 236 defines an aperture 237 configured to facilitate engagement of thermal cutting element 230 within a jaw member e.g., jaw member 2120 (
Turning to
Jaw member 2120 includes first and second spring clips 2370 disposed therein and first and second electrical lead wires 2350 connected to respective first and second spring clips 2370. Thermal cutting element 230 is seated within a longitudinally-extending slot 2125 defined within jaw member 2120 such that respective first and second spring clips 2370 engage proximal connection flange 234 and are biased to maintain electrical contact with electrical contacts 2340, thus electrically connecting electrical lead wires 2350 with heating layer 2330. Elongated body 232 of thermal cutting element 230 extends longitudinally along jaw member 210 and is positioned flush with, recessed relative to, or protruding from tissue-treating surface 2124. Elongated body 232 may terminate prior to, may extend to, or may extend beyond a distal end of tissue-treating plate 2123 and/or jaw member 2120.
Thermal cutting element 230 may be secured within jaw member 2120 via an internal jaw insert (not shown) and/or overmolding of jaw housing 2122 about structural frame 2121. With respect to overmolding jaw housing 2122 (or an internal jaw insert), aperture 237 of attachment flange 236 enables overmold material to flow therethrough, thus facilitating secure engagement. Engagement of proximal connection flange 234 with spring clips 2370 also facilitates mechanical securement of thermal cutting element 230 in position.
While several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
This application claims the benefit of, and priority to, U.S. Provisional Patent Application Nos. 62/952,232 and 62/952,234, both filed on Dec. 21, 2019, the entire contents of each of which are hereby incorporated herein by reference.
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