Devices, systems, and methods for cooling a surgical instrument

• US 10,342,566 B2
• Filed: 03/18/2017
• Issued: 07/09/2019
• Est. Priority Date: 03/29/2016
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Stoddard, Robert B., Larson, Eric R., Frushour, Scott E. M., Heard, David N.
• Primary Examiner(s): Stransky, Katrina M
• Application Number:
  US15/462,815
• Publication Number:
  US 20170281216A1
• Time in Patent Office: 843 Days
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• 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 2017/00092 using thermocouples
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• 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 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

An ultrasonic surgical instrument includes a waveguide defining a blade at a distal end thereof and a lumen extending through a portion of the blade. The blade is configured to receive ultrasonic energy for treating tissue. The instrument further includes first and second conduits each defining a proximal end and a distal end. The second conduit is coaxially disposed about the first conduit. The distal ends of the first and second conduits extend into the lumen. The distal end of the first conduit extends further distally into the lumen than the distal end of the second conduit.

Claims

1. An ultrasonic surgical instrument, comprising:

a waveguide defining a blade at a distal end thereof and a lumen extending through a portion of the blade, the blade configured to receive ultrasonic energy for treating tissue; and

first and second conduits each defining a proximal end and a distal end, the second conduit coaxially disposed about the first conduit, the distal ends of the first and second conduits extending into the lumen, wherein the distal end of the first conduit extends further distally into the lumen than the distal end of the second conduit.

2. The ultrasonic surgical instrument according to claim 1, further including:

a handle assembly including a movable handle;

a jaw member positioned adjacent the blade; and

an outer tube extending distally from the handle assembly and including the waveguide extending therethrough, the outer tube operably coupling the jaw member and the movable handle such that actuation of the movable handle moves the jaw member relative to the blade from an open position to a clamping position.

3. The ultrasonic surgical instrument according to claim 1, further including first and second shaft members pivotably coupled to one another, one of the first or second shaft members having a jaw member disposed at a distal end thereof, the other of the first or second shaft members supporting the waveguide, at least one of the first or second shaft members movable relative to the other to move the jaw member relative to the blade between an open position and a clamping position.

4. The ultrasonic surgical instrument according to claim 1, wherein the blade defines a curved configuration.

5. The ultrasonic surgical instrument according to claim 1, wherein the first conduit is configured to supply fluid to the lumen, and wherein the second conduit is configured to receive the fluid from the lumen.

6. The ultrasonic surgical instrument according to claim 1, further including a splitter configured to receive the proximal ends of the first and second conduits, the splitter including a first port and a second port, the first port disposed in fluid communication with the first conduit and the second port disposed in fluid communication with the second conduit.

7. The ultrasonic surgical instrument according to claim 6, wherein the first conduit is directly coupled to the first port, and wherein the second conduit is coupled to the second port via a chamber.

8. The ultrasonic surgical instrument according to claim 7, wherein the splitter further includes a drain port disposed in fluid communication with the chamber, and a stopper closing the drain port.

9. The ultrasonic surgical instrument according to claim 1, further including a transducer assembly operably coupled to the waveguide.

10. The ultrasonic surgical instrument according to claim 9, wherein the transducer assembly is releasably engagable with the waveguide.

11. A surgical system, comprising:

an ultrasonic surgical instrument, including;

a waveguide defining a blade at a distal end thereof and a lumen extending through a portion of the blade, the blade configured to receive ultrasonic energy for treating tissue; and

first and second conduits each defining a proximal end and a distal end, the second conduit coaxially disposed about the first conduit, the distal ends of the first and second conduits extending into the lumen; and

a cooling module including a pump operably coupled to the first and second conduits, the pump configured to circulate fluid through the first and second conduits and the lumen to cool the blade.

12. The surgical system according to claim 11, wherein the distal end of the first conduit extends further distally into the lumen than the distal end of the second conduit, wherein the pump is configured to supply fluid to the first conduit, and wherein the pump is configured to receive fluid from the second conduit.

13. The surgical system according to claim 11, wherein the ultrasonic surgical instrument further includes:

a handle assembly including a movable handle;

a jaw member positioned adjacent the blade; and

an outer tube extending distally from the handle assembly and including the waveguide extending therethrough, the outer tube operably coupling the jaw member and the movable handle such that actuation of the movable handle moves the jaw member relative to the blade from an open position to a clamping position.

14. The surgical system according to claim 11, wherein the ultrasonic surgical instrument further includes first and second shaft members pivotably coupled to one another, one of the first or second shaft members having a jaw member disposed at a distal end thereof, the other of the first or second shaft members supporting the waveguide, at least one of the first or second shaft members movable relative to the other to move the jaw member relative to the blade between an open position and a clamping position.

15. The surgical system according to claim 11, wherein the blade defines a curved configuration.

16. The surgical system according to claim 11, wherein the ultrasonic surgical instrument further includes a splitter supported by the body portion, the splitter configured to receive the proximal ends of the first and second conduits, the splitter including a first port and a second port, the first port disposed in fluid communication with the first conduit and configured to receive fluid from the cooling module, and the second port disposed in fluid communication with the second conduit and configured to return fluid to the cooling module.

17. The surgical system according to claim 16, wherein the first conduit is directly coupled to the first port, and wherein the second conduit is coupled to the second port via a chamber.

18. The surgical system according to claim 17, wherein the splitter further includes a drain port disposed in fluid communication with the chamber, and a stopper closing the drain port.

19. The surgical system according to claim 11, wherein the cooling module further includes a controller configured to control the circulation of fluid through the first and second conduits and the lumen to cool the blade.

20. The surgical system according to claim 11, wherein the controller is configured for feedback-based control of the circulation of fluid through the first and second conduits and the lumen to cool the blade.