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US6132429A Expired / Lapsed US ⏱️ 0.0 years remaining

Radiofrequency medical instrument and methods for luminal welding

Assignee: Individual
•
Filing: 1999-02-17
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Granted: 2000-10-17
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Expires: 2019-02-17
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Abstract

Abstract Methods and apparatus are provided for welding or sealing vessels or organs by collapsing and elongating a vessel with a jaw-like structure, and then applying an RF current between first and second bi-polar electrodes to weld the approximated vessel walls together. The jaw-structure is configured to progressively collapse the section of tissue to squeeze fluids out of the lumen of the vessel. The device also may include one or more sensors providing signals to a power controller that modulates application of RF energy to the vessel based on power, temperature or tissue impedance.

Inventors

  • 👤 James A. Baker

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 10:19
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1442; A61B2018/00053; A61B2018/00273; A61B2018/00315; A61B2018/00345; A61B2018/00404; A61B2018/00571; A61B2018/00601; A61B2018/00636; A61B2018/00696; A61B2018/00702; A61B2018/00773; A61B2018/00791; A61B2018/00797; A61B2018/00827; A61B2018/00875; A61B2018/00892; A61B18/1206; A61B2018/1246; A61B2018/126

Claims Analysis

Total Claims: 22
Claim 1
Independent Claim 146 words
Apparatus for welding a vessel comprising: a first member having a first vessel engaging surface; a second member having a second vessel engaging surface and right and left lateral portions, the second vessel engaging surface disposed in opposing relation to the first vessel engaging surface, the second member operatively coupled to the first member to grasp the vessel to define an engagement plane, the right and left lateral portions deflecting outwardly away from one another to elongate the engagement plane when the first member engages the second member; and first and second bi-polar electrodes disposed in spaced apart relation on one of the first and second members and adapted to be in communication with the engagement plane, the first and second bi-polar electrodes adapted to be coupled to a source of RF energy to provide a flow of current between the first and second bi-polar electrodes.
Claim 2
Dependent Claim 146 words
Apparatus for welding a vessel comprising: a first member having a first vessel engaging surface; a second member having a second vessel engaging surface and right and left lateral portions, the second vessel engaging surface disposed in opposing relation to the first vessel engaging surface, the second member operatively coupled to the first member to grasp the vessel to define an engagement plane, the right and left lateral portions deflecting outwardly away from one another to elongate the engagement plane when the first member engages the second member; and first and second bi-polar electrodes disposed in spaced apart relation on one of the first and second members and adapted to be in communication with the engagement plane, the first and second bi-polar electrodes adapted to be coupled to a source of RF energy to provide a flow of current between the first and second bi-polar electrodes.
Claim 3
Dependent Claim 13 words
The apparatus of claim 1 wherein the engagement plane defines a curvilinear surface.
Claim 4
Dependent Claim 17 words
The apparatus of claim 1 wherein the first member forms a mating surface to the second member.
Claim 5
Dependent Claim 19 words
The apparatus of claim 3 wherein the first and second members comprise first and second opposing jaw members, respectively.
Claim 6
Dependent Claim 29 words
The apparatus of claim 4 further comprising an actuation mechanism for moving at least one of the first and second opposing jaw members towards and away from the other.
Claim 7
Dependent Claim 35 words
The apparatus of claim 5 wherein the right and left lateral portions define a gap therebetween, the second jaw member further comprising means for biasing the right and left lateral portions inwards towards one another.
Claim 8
Dependent Claim 65 words
The apparatus of claim 6 wherein the first jaw member further comprises an elongated portion that extends within the gap when the first and second jaw members close together, the means for biasing retaining the right and left lateral portions of the second jaw member in contact with the elongated portion of first jaw member when the first jaw member contacts the second jaw member.
Claim 9
Dependent Claim 18 words
The apparatus of claim 1 wherein the first and second bi-polar electrodes are disposed on the first member.
Claim 10
Dependent Claim 18 words
The apparatus of claim 1 further comprising a sensor disposed on one of the first and second members.
Claim 11
Dependent Claim 33 words
The apparatus of claim 9 wherein the sensor is a temperature sensor, the apparatus further comprising an RF power controller that modulates the RF energy responsive to an output of the temperature sensor.
Claim 12
Independent Claim 167 words
A method for welding a vessel comprising: providing an instrument comprising a first member having a first vessel engaging surface and a second member having a second vessel engaging surface and right and left lateral portions, the second vessel engaging surface disposed in opposing relation to the first vessel engaging surface; identifying a vessel to be sealed, the vessel having first and second ends; engaging the vessel at the first and second ends between the first and second members; contacting an intermediate portion of the vessel at a location between the first and second ends; longitudinally extending the intermediate portion of the vessel located between the first and second ends by deflecting the right and left lateral portions outwardly away from one another to elongate the engagement plane; contacting first and second bi-polar electrodes to the vessel in spaced apart relation; and applying an RF current between the first and second electrodes so that the RF current flows through and welds the intermediate portion of the vessel.
Claim 13
Independent Claim 167 words
A method for welding a vessel comprising: providing an instrument comprising a first member having a first vessel engaging surface and a second member having a second vessel engaging surface and right and left lateral portions, the second vessel engaging surface disposed in opposing relation to the first vessel engaging surface; identifying a vessel to be sealed, the vessel having first and second ends; engaging the vessel at the first and second ends between the first and second members; contacting an intermediate portion of the vessel at a location between the first and second ends; longitudinally extending the intermediate portion of the vessel located between the first and second ends by deflecting the right and left lateral portions outwardly away from one another to elongate the engagement plane; contacting first and second bi-polar electrodes to the vessel in spaced apart relation; and applying an RF current between the first and second electrodes so that the RF current flows through and welds the intermediate portion of the vessel.
Claim 14
Dependent Claim 35 words
The method of claim 11 further comprising, prior to contacting the first and second bi-polar electrodes to the vessel in spaced apart relation, collapsing the intermediate portion of the vessel to approximate opposing vessel walls.
Claim 15
Dependent Claim 23 words
The method of claim 11 wherein longitudinally extending the intermediate portion of the vessel further comprises altering an impedance of the intermediate portion.
Claim 16
Dependent Claim 24 words
The method of claim 13 wherein longitudinally extending the intermediate portion of the vessel further comprises reducing an extracellular fluid content of the vessel.
Claim 17
Dependent Claim 25 words
The method of claim 13 wherein longitudinally extending the intermediate portion of the vessel further comprises reducing the intermediate portion to a substantially uniform thickness.
Claim 18
Dependent Claim 33 words
The method of claim 13 wherein longitudinally extending the intermediate portion of the vessel to alter an impedance of the intermediate portion further comprises making the impedance of the intermediate portion substantially uniform.
Claim 19
Dependent Claim 17 words
The method of claim 11 further comprising contacting a sensor to the intermediate portion of the vessel.
Claim 20
Dependent Claim 40 words
The method of claim 17 wherein the sensor monitors temperature of the intermediate portion of the vessel and generates an output signal, the method further comprising modulating the RF current applied to the intermediate portion responsive to the output signal.
Claim 21
Dependent Claim 40 words
The method of claim 18 wherein the sensor monitors impedance of the intermediate portion of the vessel and generates an output signal, the method further comprising modulating the RF current applied to the intermediate portion responsive to the output signal.
Claim 22
Dependent Claim 48 words
The method of claim 11 further comprising: monitoring energy delivered to the intermediate portion of the vessel; generating an output signal corresponding to the energy delivered to the intermediate portion of the vessel; and modulating the RF current applied to the intermediate portion responsive to the output signal.

References Cited (Backward Citations)

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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2003-10-17 2004-04-17 2004-10-17 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2007-10-17 2008-04-17 2008-10-17 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2011-10-17 2012-04-17 2012-10-17 $7700.00 Window Closed / Lapsed

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