Devices, systems, and methods for cooling a surgical instrument

• US 10,456,156 B2
• Filed: 03/18/2017
• Issued: 10/29/2019
• 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:
  US15/462,812
• Publication Number:
  US 20170281215A1
• Time in Patent Office: 955 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 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• 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 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

A surgical system includes an ultrasonic surgical instrument and a cooling module. The instrument includes a waveguide defining a blade and having a lumen, an inflow conduit disposed in communication with the lumen and configured to supply fluid to the lumen, and a return conduit disposed in communication with the lumen and configured to receive fluid from the lumen. The cooling module includes a pump assembly operably coupled to the inflow and return conduits and configured to pump fluid through the inflow conduit, into the lumen, and back through the return conduit for cooling the blade. The cooling module also includes at least one sensor configured to sense a property of the fluid pumped into the inflow conduit and/or a property of the fluid returned from the return conduit, and a controller configured to control the pump assembly according to the sensed property(s).

Claims

1. 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,

an inflow conduit disposed in communication with the lumen, the inflow conduit configured to supply fluid to the lumen, and

a return conduit disposed in communication with the lumen, the return conduit configured to receive fluid from the lumen;

wherein the inflow conduit and the return conduit each define a proximal end and a distal end, the return conduit coaxially disposed about the inflow conduit, the distal ends of the inflow and return conduits extending into the lumen such that the distal end of the inflow conduit extends further distally into the lumen than the distal end of the return conduit; and

a cooling module, including;

a pump assembly operably coupled to the inflow and return conduits, the pump assembly configured to pump fluid through the inflow conduit, into the lumen, and back through the return conduit for cooling the blade,

at least one sensor configured to sense at least one of a property of the fluid pumped into the inflow conduit or a property of the fluid returned from the return conduit, and

a controller configured to control the pump assembly according to the at least one sensed property.

2. The surgical system according to claim 1, wherein the at least one sensor is configured to sense a temperature of the fluid returned from the return conduit.

3. The surgical system according to claim 2, wherein the controller is configured to determine whether the blade has been cooled below a threshold temperature based upon the temperature of the fluid returned from the return conduit and to turn the pump assembly off when the blade is determined to have been cooled below the threshold temperature.

4. The surgical system according to claim 2, wherein the at least one sensor is further configured to sense a temperature of the fluid pumped into the inflow conduit, wherein the controller is configured to determine a differential between the temperature of the fluid pumped into the inflow conduit and the temperature of the fluid returned from the return conduit and to turn the pump assembly off when the differential is below a threshold differential.

5. The surgical system according to claim 1, wherein the at least one of the property of the fluid pumped into the inflow conduit or the property of the fluid returned from the return conduit indicates whether an error exists.

6. The surgical system according to claim 5, wherein the at least one sensor is configured to sense at least one of a rate of flow of the fluid returned from the return conduit or a rate of flow of the fluid pumped into the inflow conduit, and wherein the controller is configured to determine whether an error exists based upon the at least one rate of flow.

7. The surgical system according to claim 5, wherein the at least one sensor is configured to sense gas bubbles in the fluid returned from the return conduit or gas bubbles in the fluid pumped into the inflow conduit, and wherein the controller is configured to determine whether an error exists based upon the presence of gas bubbles.

8. The surgical system according to claim 1, wherein the pump assembly includes a pull pump configured to pull fluid through the return conduit, the lumen, and the inflow conduit.

9. The surgical system according to claim 1, wherein the ultrasonic surgical instrument further includes an indicator, and wherein the controller is configured to activate the indicator during blade cooling.

10. The surgical system according to claim 1, 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.

11. The surgical system according to claim 1, 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 thereon, 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.

12. A method of cooling an end effector assembly of a surgical instrument, comprising:

circulating fluid from a cooling module through an inflow conduit extending distally into a lumen defined within a blade of an end effector assembly of a surgical instrument and back to the cooling module through a return conduit extending distally into the lumen, wherein a distal end of the inflow conduit extends further distally into the lumen than a distal end of the return conduit such that the fluid flows out the distal end of inflow conduit, proximally through the lumen, and into the distal end of the return conduit;

sensing at least one of a property of fluid output from the cooling module to the lumen of the blade or a property of fluid input to the cooling module from the lumen of the blade; and

controlling the circulation of fluid based upon the at least one sensed property.

13. The method according to claim 12, wherein the at least one sensed property is a temperature of the fluid input to the cooling module from the lumen of the blade, and wherein controlling the circulation of fluid includes stopping the circulation of fluid when the blade is sufficiently cool as determined by the temperature of the fluid input to the cooling module from the lumen of the blade.

14. The method according to claim 12, wherein the at least one sensed property is a differential between a temperature of the fluid input to the cooling module from the lumen of the blade and a temperature of the fluid output from the cooling module to the lumen of the blade, and wherein controlling the circulation of fluid includes stopping the circulation of fluid when the blade is sufficiently cool as determined by the differential.

15. The method according to claim 12, wherein the at least one sensed property indicates whether an error exists, and wherein controlling the circulation of fluid includes stopping the circulation of fluid if an error exists.

16. The method according to claim 15, wherein the at least one sensed property is at least one of a rate of flow of the fluid output from the cooling module to the lumen of the blade or a rate of flow of the fluid input to the cooling module from the lumen of the blade, and wherein the at least one rate of flow indicates whether an error exists.

17. The method according to claim 15, wherein the at least one sensed property is at least one of a presence of gas bubbles in the fluid output from the cooling module to the lumen of the blade or a presence of gas bubbles in the fluid input to the cooling module from the lumen of the blade, and wherein the at least one presence of gas bubbles indicates whether an error exists.

18. The method according to claim 15, further comprising providing an indicator when it is determined that an error exists.

19. The method according to claim 12, further comprising providing an indicator when fluid is circulating.

20. The method according to claim 12, further comprising:

determining whether energy is being supplied to the blade; and

controlling the circulation of fluid based upon whether energy is being supplied to the blade.