Ultrasonic surgical instrument

• US 10,368,898 B2
• Filed: 04/25/2017
• Issued: 08/06/2019
• Est. Priority Date: 05/05/2016
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brown, Michael J., Craig, Jason L.
• Primary Examiner(s): Eastwood, David C
• Assistant Examiner(s): Gabr, Mohamed G
• Application Number:
  US15/496,241
• Publication Number:
  US 20170319229A1
• Time in Patent Office: 833 Days
• 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 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2017/320074 blade
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2090/031 torque limiting
• CPC Class Codes: A61B 2560/0431 Portable apparatus, e.g. comprising a handle or case

Abstract

An ultrasonic surgical instrument includes an elongated assembly releasably engagable with an ultrasonic transducer and including a waveguide having a blade at a distal end and a torque adapter towards a proximal end. Fixed and movable sleeves are disposed about the waveguide and support and operably couple to a jaw member at the respective distal ends thereof. A drive tube is fixed to the movable sleeve such that translation of the drive tube pivots the jaw member relative to the blade. A torque housing is slidably disposed about the drive tube, longitudinally fixed about the fixed sleeve, and fixedly about the torque adapter. A rotation knob is longitudinally fixed about the torque housing and operably coupled to the torque housing such that the torque housing and the rotation knob cooperate to define a torque wrench inhibit application of additional torque to the waveguide above a torque limit.

Claims

1. An elongated assembly configured to releasably engage an ultrasonic transducer of an ultrasonic surgical instrument, the elongated assembly comprising:

a waveguide defining a blade at a distal end, an engagement member at a proximal end, and including a torque adapter fixedly engaged thereabout towards the proximal end;

a fixed sleeve disposed within a movable sleeve, each sleeve disposed about the waveguide and defining a proximal end and a distal end;

a jaw member pivotably supported at the distal end of the fixed sleeve and operably coupled to the movable sleeve such that translation of the movable sleeve relative to the fixed sleeve pivots the jaw member relative to the blade between an open position and a clamping position;

a drive assembly including a drive tube longitudinally fixed about the proximal end of the movable sleeve and slidably disposed about the fixed sleeve such that translation of the drive tube pivots the jaw member between the open position and the clamping position, the drive tube slidably receiving the torque adapter therethrough;

a torque housing slidably disposed about the drive tube, longitudinally fixed about the proximal end of the fixed sleeve, and fixedly engaged about the torque adapter; and

a rotation knob longitudinally fixed about the torque housing and operably coupled to the torque housing such that the torque housing and the rotation knob cooperate to define a torque wrench configured to impart rotation to the waveguide in response to rotation of the rotation knob to facilitate engagement of the engagement member of the waveguide with a complementary engagement member of an ultrasonic transducer up to a torque limit, and to decouple the rotation knob from the torque housing to inhibit application of additional torque to the waveguide above the torque limit.

2. The elongated assembly according to claim 1, wherein:

the torque housing includes at least one cantilever arm extending outwardly therefrom; and

the rotation knob defines a plurality of spaced-apart channels disposed radially about an annular interior surface thereof, wherein each of the at least one cantilever arms is configured for receipt within one of the plurality of spaced-apart channels to impart rotation to the waveguide in response to rotation of the rotation knob up to the torque limit, and wherein, each of the at least one cantilever arms is configured to cam out of the one of the plurality of spaced-apart channels to decouple the rotation knob from the torque housing to inhibit application of additional torque to the waveguide above the torque limit.

3. The elongated assembly according to claim 1, wherein the fixed sleeve defines a proximal collar at the proximal end thereof and wherein the torque housing defines an annular channel configured to receive the proximal collar of the fixed sleeve to longitudinally fix the torque housing about the proximal end of the fixed sleeve.

4. The elongated assembly according to claim 1, wherein the movable sleeve defines a proximal collar at the proximal end thereof and wherein the drive tube is configured to engage the proximal collar of the movable sleeve to longitudinally fix the drive tube about the proximal end of the movable sleeve.

5. The elongated assembly according to claim 1, wherein the movable sleeve is coaxially disposed about the fixed sleeve.

6. The elongated assembly according to claim 1, wherein the torque housing includes first and second housing parts configured to engage one another via snap-fitting to form the torque housing.

7. The elongated assembly according to claim 1, wherein the torque housing defines a receiver block configured to receive the torque adapter to fixedly engage the torque adapter and, thus, the waveguide relative to the torque housing.

8. The elongated assembly according to claim 1, wherein the drive assembly further includes a collar fixedly engaged about the drive tube towards a proximal end thereof, a washer fixed engaged about the drive tube towards a distal end thereof, a ferrule slidably disposed about the drive tube between the washer and the collar, and a spring disposed about the drive tube between the washer and the ferrule so as to bias the ferrule proximally.

9. The elongated assembly according to claim 8, wherein the drive assembly is configured such that urging the ferrule proximally urges the drive tube proximally to pivot the jaw member from the open position to the clamping position to grasp tissue therebetween up to a clamping pressure limit, and such that further proximal urging of the ferrule compresses the spring while maintaining the drive tube in position to inhibit application of additional clamping pressure above the clamping pressure limit.

10. The elongated assembly according to claim 9, wherein the ferrule and the collar define an annular gap therebetween configured to receive a driving portion of a movable handle for urging the ferrule proximally.

11. An ultrasonic surgical instrument, comprising:

an ultrasonic transducer coupled to the housing, the ultrasonic transducer including a horn having a first engagement member disposed at a free end thereof; and

a movable handle pivotably coupled to the housing, the movable handle including a grasping portion extending from the housing and a driving portion extending into the housing; and

an elongated assembly configured to releasably engage the handle assembly, the elongated assembly including;

a waveguide defining a blade at a distal end, a second engagement member at a proximal end, and including a torque adapter fixedly engaged thereabout towards the proximal end;

a fixed sleeve disposed within a movable sleeve, each sleeve disposed about the waveguide and defining a proximal end and a distal end;

a jaw member pivotably supported at the distal end of the fixed sleeve and operably coupled to the movable sleeve such that translation of the movable sleeve relative to the fixed sleeve pivots the jaw member relative to the blade between an open position and a clamping position;

a drive assembly configured to operably couple to the driving portion of the movable handle and including a drive tube longitudinally fixed about the proximal end of the movable sleeve and slidably disposed about the fixed sleeve such that translation of the drive tube pivots the jaw member between the open position and the clamping position, the drive tube slidably receiving the torque adapter therethrough;

a torque housing slidably disposed about the drive tube, longitudinally fixed about the proximal end of the fixed sleeve, and fixedly engaged about the torque adapter; and

a rotation knob longitudinally fixed about the torque housing and operably coupled to the torque housing such that the torque housing and the rotation knob cooperate to define a torque wrench configured to impart rotation to the waveguide in response to rotation of the rotation knob to facilitate engagement of the first and second engagement members up to a torque limit, and to decouple the rotation knob from the torque housing to inhibit application of additional torque to the waveguide above the torque limit.

12. The ultrasonic surgical instrument according to claim 11, further comprising a generator engaged with the ultrasonic transducer to define a transducer and generator assembly, the transducer and generator assembly configured to releasably couple to the housing.

13. The ultrasonic surgical instrument according to claim 12, further comprising a battery assembly configured to releasably couple to the housing, the battery assembly configured to power the generator for driving the ultrasonic transducer.

14. The ultrasonic surgical instrument according to claim 11, wherein, with the elongated assembly engaged with the handle assembly, the proximal end of the waveguide, at least a portion of the drive assembly, and at least a portion of the torque housing extend into the housing, while the rotation knob is disposed distally adjacent the housing.

15. The ultrasonic surgical instrument according to claim 11, wherein the drive assembly further includes a collar fixedly engaged about the drive tube towards a proximal end thereof, a washer fixed engaged about the drive tube towards a distal end thereof, a ferrule slidably disposed about the drive tube between the washer and the collar, and a spring disposed about the drive tube between the washer and the ferrule so as to bias the ferrule proximally.

16. The ultrasonic surgical instrument according to claim 15, wherein the drive assembly is configured such that urging the ferrule proximally urges the drive tube proximally to pivot the jaw member from the open position to the clamping position to grasp tissue therebetween up to a clamping pressure limit, and such that further proximal urging of the ferrule compresses the spring while maintaining the drive tube in position to inhibit application of additional clamping pressure above the clamping pressure limit.

17. The ultrasonic surgical instrument according to claim 16, wherein the ferrule and the collar define an annular gap therebetween, and wherein, with the elongated assembly engaged with the handle assembly, the driving portion of the movable handle is engaged within the annular gap such that actuation of the movable handle urges the ferrule proximally.

18. The ultrasonic surgical instrument according to claim 11, wherein:

the torque housing includes at least one cantilever arm extending outwardly therefrom; and

the rotation knob defines a plurality of spaced-apart channels disposed radially about an annular interior surface thereof, wherein each of the at least one cantilever arms is configured for receipt within one of the plurality of spaced-apart channels to impart rotation to the waveguide in response to rotation of the rotation knob up to the torque limit, and wherein, each of the at least one cantilever arms is configured to cam out of the one of the plurality of spaced-apart channels to decouple the rotation knob from the torque housing to inhibit application of additional torque to the waveguide above the torque limit.

19. The ultrasonic surgical instrument according to claim 11, wherein:

the fixed sleeve defines a proximal collar at the proximal end thereof and wherein the torque housing defines an annular channel configured to receive the proximal collar of the fixed sleeve to longitudinally fix the torque housing about the proximal end of the fixed sleeve; and

the movable sleeve defines a proximal collar at the proximal end thereof and wherein the drive tube is configured to engage the proximal collar of the movable sleeve to longitudinally fix the drive tube about the proximal end of the movable sleeve.

20. The ultrasonic surgical instrument according to claim 11, wherein, with the elongated assembly engaged with the handle assembly, rotation of the rotation knob rotates the elongated assembly and the ultrasonic transducer relative to the housing.