Actuation mechanisms and load adjustment assemblies for surgical instruments

• US 10,285,724 B2
• Filed: 07/31/2014
• Issued: 05/14/2019
• Est. Priority Date: 07/31/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Faller, Craig N., Gee, Jacob S., Riestenberg, Paul F., Batross, Jonathan T., Monroe, David A., Dickerson, Benjamin D., Messerly, Jeffrey D.
• Primary Examiner(s): Nguyen, Vi X
• Application Number:
  US14/448,430
• Publication Number:
  US 20160030076A1
• Time in Patent Office: 1,748 Days
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 2017/320088 with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

An ultrasonic surgical instrument includes an inner tube, an outer tube, an ultrasonic blade, and a clamp member pivotably moveable relative to the ultrasonic blade. The ultrasonic blade is acoustically coupled to an ultrasonic transducer. The clamp member pivotably movable relative to the ultrasonic blade between an open configuration and an approximated configuration with respect to the ultrasonic blade, wherein the clamp member is pivotably coupled to the inner tube, wherein the clamp member is pivotably coupled to the outer tube, and wherein movement of the outer tube relative to the inner tube between the first position and the second position transitions the clamp member between the open configuration and the approximate configuration.

Claims

1. An ultrasonic surgical instrument, comprising:

a shaft assembly, comprising;

an inner tube defining a longitudinal axis, the inner tube comprising a first alignment feature; and

an outer tube extending along the longitudinal axis, wherein the outer tube at least partially surrounds the inner tube;

an ultrasonic transducer assembly comprising an ultrasonic transducer; and

an end effector assembly, comprising;

an ultrasonic blade comprising a second alignment feature, wherein the ultrasonic blade is acoustically coupled to the ultrasonic transducer, wherein the ultrasonic blade extends through the inner tube, and wherein the first alignment feature is aligned with the second alignment feature, and wherein the first alignment feature is configured to engage the second alignment feature in an assembled configuration; and

a clamp member pivotably movable between an open configuration and an approximated configuration relative to the ultrasonic blade, wherein the clamp member is pivotably coupled to the outer tube, and wherein relative movement between the outer tube and the inner tube transitions the clamp member between the open configuration and the approximated configuration.

2. The ultrasonic surgical instrument of claim 1, wherein the second alignment feature is positioned at a distal node of the ultrasonic blade.

3. The ultrasonic surgical instrument of claim 1, wherein the inner tube comprises a distal connection member, wherein the clamp member is pivotably coupled to the distal connection member, and wherein the first alignment feature is disposed on an inner wall of the distal connection member.

4. The ultrasonic surgical instrument of claim 1, wherein the ultrasonic blade comprises a sealing member disposed at least partially around the ultrasonic blade, and wherein the sealing member comprises the second alignment feature.

5. The ultrasonic surgical instrument of claim 1, wherein the first alignment feature comprises a first flat section, wherein the second alignment feature comprises a second flat section corresponding to the first flat section.

6. The ultrasonic surgical instrument of claim 1, wherein the second alignment feature defines a plane, and wherein the first alignment feature and the clamp member are on opposite sides of the plane.

7. The ultrasonic surgical instrument of claim 1, wherein the clamp member is actuatable to generate a clamping force, and wherein the clamping force biases the second alignment feature toward the first alignment feature.

8. The ultrasonic surgical instrument of claim 1, wherein the inner tube comprises an insert, wherein the first alignment feature is disposed on a wall of the insert, wherein the ultrasonic blade partially extends along the wall.

9. An ultrasonic surgical instrument, comprising:

a shaft assembly, comprising;

an inner tube defining a longitudinal axis, the inner tube comprising a first alignment feature; and

an outer tube extending along the longitudinal axis, wherein the outer tube at least partially surrounds the inner tube;

an ultrasonic transducer assembly comprising an ultrasonic transducer;

an end effector assembly, comprising;

an ultrasonic blade comprising a second alignment feature, wherein the ultrasonic blade is acoustically coupled to the ultrasonic transducer, wherein the ultrasonic blade extends through the inner tube, and wherein the first alignment feature is aligned with the second alignment feature; and

a clamp member pivotably movable between an open configuration and an approximated configuration relative to the ultrasonic blade, wherein the clamp member is pivotably coupled to the outer tube, and wherein relative movement between the outer tube and the inner tube transitions the clamp member between the open configuration and the approximated configuration; and

wherein the first alignment feature comprises a first flat section, wherein the second alignment feature comprises a second flat section corresponding to the first flat section, and wherein the clamp member is actuatable to generate a clamping force, and wherein the clamping force is substantially perpendicular to a plane defined by the second flat section.

10. An ultrasonic surgical instrument, comprising:

a shaft assembly, comprising;

an inner tube defining a longitudinal axis, the inner tube comprising a first alignment feature; and

an outer tube extending along the longitudinal axis, wherein the outer tube at least partially surrounds the inner tube;

an ultrasonic transducer assembly comprising an ultrasonic transducer;

an end effector assembly, comprising;

an ultrasonic blade comprising a second alignment feature, wherein the ultrasonic blade is acoustically coupled to the ultrasonic transducer, wherein the ultrasonic blade extends through the inner tube, and wherein the first alignment feature is aligned with the second alignment feature; and

a clamp member pivotably movable between an open configuration and an approximated configuration relative to the ultrasonic blade, wherein the clamp member is pivotably coupled to the outer tube, and wherein relative movement between the outer tube and the inner tube transitions the clamp member between the open configuration and the approximated configuration; and

wherein the second alignment feature comprises a slot, and wherein the first alignment feature comprises a constraining member configured to be received in the slot.

11. The ultrasonic surgical instrument of claim 10, wherein the inner tube comprises a wall including a side opening, and wherein the constraining member is received by the slot through the side opening.

12. An ultrasonic surgical instrument, comprising:

a shaft assembly, comprising;

an inner tube defining a longitudinal axis, the inner tube comprising a first alignment feature; and

an outer tube extending along the longitudinal axis, wherein the outer tube at least partially surrounds the inner tube;

an ultrasonic transducer assembly comprising an ultrasonic transducer;

an end effector assembly, comprising;

an ultrasonic blade comprising a second alignment feature, wherein the ultrasonic blade is acoustically coupled to the ultrasonic transducer, wherein the ultrasonic blade extends through the inner tube, and wherein the first alignment feature is aligned with the second alignment feature; and

a clamp member pivotably movable between an open configuration and an approximated configuration relative to the ultrasonic blade, wherein the clamp member is pivotably coupled to the outer tube, and wherein relative movement between the outer tube and the inner tube transitions the clamp member between the open configuration and the approximated configuration; and

wherein the second alignment feature comprises a slot, wherein the first alignment feature comprises a constraining member configured to be received in the slot, wherein the inner tube comprises a wall including a side opening, and wherein the constraining member is received by the slot through the side opening, and wherein the constraining member is fixedly attached to the wall at the side opening.