Ultrasonic surgical instrument with cooling system

• US 10,363,060 B2
• Filed: 03/07/2017
• Issued: 07/30/2019
• Est. Priority Date: 09/11/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Stoddard, Robert B., Larson, Eric R.
• Primary Examiner(s): Stransky, Katrina M
• Application Number:
  US15/451,590
• Publication Number:
  US 20170172616A1
• Time in Patent Office: 875 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00092 using thermocouples
• CPC Class Codes: A61B 2017/320075 single edge blade, e.g. for cutting
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means

Abstract

An ultrasonic surgical instrument includes a cooling system having a blade conduit disposed within the blade and a cooling fluid. The cooling fluid configured to absorb heat from the blade as the cooling fluid flows through the blade conduit. A surgical system having an ultrasonic surgical instrument and a cooling system is also disclosed. The cooling system can include a fluid control system that automatically pumps a cooling fluid through a blade conduit disposed within the blade of the surgical instrument based on feedback received from sensors.

Claims

1. An ultrasonic surgical instrument, comprising:

a handle assembly;

an outer tube extending distally from the handle assembly, the outer tube defining a first passage along a longitudinal axis;

a middle tube positioned along the longitudinal axis coaxial with the outer tube within the first passage, the middle tube defining a second passage;

a waveguide positioned along the longitudinal axis within the second passage of the middle tube;

a blade supported by a distal end of the waveguide and configured to oscillate with respect to the middle and outer tubes to ultrasonically treat tissue; and

a blade cooling system including a blade conduit extending at least partially through the blade, the blade conduit including;

a blade inlet defined in a proximal portion of the blade and disposed in fluid communication with the second passage to receive a fluid from the second passage;

a blade outlet defined in the proximal portion of the blade and in fluid communication with the first passage to expel the fluid into the first passage;

a first segment defined and extending distally within the blade from the blade inlet to a distal portion of the blade; and

a second segment defined within the blade and disposed in fluid communication with the first segment, and extending proximally from a distal portion of the blade to the blade outlet.

2. The instrument according to claim 1, wherein the first and second segments extend in directions parallel to the longitudinal axis.

3. The instrument according to claim 1, wherein the blade conduit includes a distal segment interconnecting the first and second segments, the distal segment extending between the first and second segments in a direction orthogonal to the longitudinal axis.

4. The instrument according to claim 3, wherein the distal segment of the blade conduit is spaced-apart from a distal surface of the blade a distance in the range of 0.005 mm to 0.025 mm.

5. The instrument according to claim 1, wherein the blade cooling system further includes a cooling fluid configured to flow through the second passage into the blade conduit through the blade inlet and out the blade conduit through the blade outlet into the first passage.

6. The instrument according to claim 1, wherein the blade cooling system is a closed-loop system.

7. The instrument according to claim 1, wherein the blade cooling system includes an inflow conduit defined in the second passage between the middle tube and the waveguide, the inflow conduit in fluid communication with the blade inlet.

8. The instrument according to claim 1, wherein the blade cooling system includes an outflow conduit defined in the first passage between the middle tube and the outer tube, the outflow conduit in fluid communication with the blade outlet.

9. The instrument according to claim 1, wherein the second passage has a proximal portion and a distal portion, wherein the proximal portion of the second passage is an inflow conduit in fluid communication with the blade inlet, and wherein the distal portion of the second passage provides fluid communication between the blade outlet and the first passage.

10. The instrument according to claim 9, further comprising an annular abutment disposed about the blade, the annular abutment forming a seal between the proximal and distal portions of the second passage.

11. The instrument according to claim 9, further comprising a deformable ring disposed about the distal portion of the blade, the deformable ring sealing a distal end of the second passage.

12. The instrument according to claim 9, wherein the middle tube defines a slot adjacent the blade outlet, the blade outlet configured to provide fluid communication between the distal portion of the second passage and the first passage.

13. The instrument according to claim 1, further comprising an O-ring positioned in the first passage to form a seal adjacent a distal end of the first passage.

14. A surgical system, comprising:

an ultrasonic instrument including;

a handle assembly;

an outer tube extending distally from the handle assembly, the outer tube defining a first passage along a longitudinal axis;

a middle tube positioned along the longitudinal axis coaxial with the outer tube within the first passage, the middle tube defining a second passage;

a waveguide positioned along the longitudinal axis within the second passage of the middle tube;

a blade supported by a distal portion of the waveguide and configured to oscillate with respect to the middle and outer tubes to ultrasonically treat tissue;

a blade cooling system including a blade conduit extending at least partially through the blade, the blade conduit including;

a blade inlet defined in a proximal portion of the blade and disposed in fluid communication with the second passage to receive a fluid from the second passage;

a blade outlet defined in the proximal portion of the blade such that the blade outlet is positioned beyond a distal end of the waveguide and in fluid communication with the first passage to expel fluid into the first passage;

a first segment defined and extending distally within the blade from the blade inlet to a distal portion of the blade; and

a second segment defined within the blade and disposed in fluid communication with the first segment and extending proximally from a distal portion of the blade to the blade outlet; and

a fluid control system including a pump configured to pump a cooling fluid through the blade conduit.

15. The system according to claim 14, wherein the blade cooling system further includes a fluid reservoir storing the cooling fluid therein.

16. The system according to claim 15, wherein the pump is configured to draw the cooling fluid from the fluid reservoir and to pump the cooling fluid through the blade conduit.

17. The system according to claim 14, wherein the fluid control system controls activation and deactivation of the pump in accordance with at least one property or condition of the ultrasonic instrument.

18. The system according to claim 14, wherein the ultrasonic instrument further includes a first sensor operably coupled to the blade and configured to sense a temperature of the blade, the fluid control system configured to activate the pump when the temperature of the blade exceeds an upper temperature limit, the fluid control system configured to deactivate the pump when the temperature of the blade is less than a lower temperature limit.

19. The system according to claim 14, wherein the ultrasonic instrument further includes a second sensor operably coupled to an activation button of the handle assembly and configured to sense a position of the activation button, the fluid control system configured to activate and deactivate the pump for predetermined periods of time according to the position of the activation button.

20. An ultrasonic surgical instrument, comprising:

a handle assembly;

an outer tube extending distally from the handle assembly, the outer tube defining a first passage along a longitudinal axis;

a middle tube positioned along the longitudinal axis coaxial with the outer tube within the first passage, the middle tube defining a second passage;

a waveguide positioned along the longitudinal axis within the second passage of the middle tube;

a blade supported by a distal portion of the waveguide and configured to oscillate with respect to the middle and outer tubes to ultrasonically treat tissue; and

a closed loop blade cooling system including a blade conduit extending at least partially through the blade, the blade conduit including;

a blade inlet defined in a proximal portion of the blade and disposed in fluid communication with the second passage to receive a fluid from the second passage;

a blade outlet defined in the proximal portion of the blade and in fluid communication with the first passage to expel the fluid into the first passage;

a first segment defined and extending distally within the blade from the blade inlet to a distal portion of the blade; and

a second segment defined within the blade and disposed in fluid communication with the first segment, and extending proximally from a distal portion of the blade to the blade outlet.