Ultrasonic surgical instruments

• US 10,688,321 B2
• Filed: 09/13/2017
• Issued: 06/23/2020
• Est. Priority Date: 07/15/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Wiener, Eitan T., Wan, Shan, Price, Daniel W., Norvell, David K., Giordano, James R.
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Vahdat, Khadijeh A
• Application Number:
  US15/703,577
• Publication Number:
  US 20180064961A1
• Time in Patent Office: 1,014 Days
• Field of Search: 606 27- 52, 606169
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00393 with means for switching between functions
• 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
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

In one general aspect, various embodiments are directed to a surgical instrument that can supply mechanical energy and electrical energy to an end effector of the surgical instrument. The surgical instrument may be operated in a first operating mode in which a transducer of the surgical instrument produces mechanical energy, or vibrations, that are transmitted to the end effector and a second operating mode in which electrical energy, or current, can flow through the end effector to perform electrosurgery. In another general aspect, the surgical instrument may comprise a clamp, or jaw, which can be moved into a closed position to hold tissue against a waveguide, or blade, of the end effector. In the second operating mode of the surgical instrument, current can flow from a power source, through the waveguide, and return to the power source through a path comprising the jaw.

Claims

1. A surgical instrument, comprising:

a housing;

an acoustic assembly supported within the housing, wherein the acoustic assembly is configured to produce vibrations;

a waveguide comprising a proximal end and a distal end, wherein the proximal end is mounted to the acoustic assembly to transmit the vibrations produced by the acoustic assembly to the waveguide;

an ultrasonic blade coupled to the distal end of the waveguide;

a clamp, comprising;

a distal abutment surface comprising an electrode; and

an electrically non-conductive pad terminating at a distal end, wherein the distal abutment surface is distal to the distal end of the electrically non-conductive pad; and

a conductor in electrical communication with the electrode, wherein the conductor and the ultrasonic blade are configured to be placed in electrical communication with a power source to conduct current through tissue positioned adjacent to the distal abutment surface and the ultrasonic blade.

2. The surgical instrument of claim 1, wherein the ultrasonic blade extends along a blade axis, wherein the clamp extends along a clamp axis, and wherein, in a clamp closed position, the clamp axis is parallel to the blade axis.

3. The surgical instrument of claim 2, wherein, in the clamp closed position, the electrically non-conductive pad is positioned adjacent to the ultrasonic blade.

4. The surgical instrument of claim 1, wherein the ultrasonic blade comprises a return electrode.

5. The surgical instrument of claim 1, wherein the clamp is rotatable.

6. The surgical instrument of claim 1, wherein the ultrasonic blade comprises a supply electrode.

7. The surgical instrument of claim 1, wherein the surgical instrument is configured to toggle between a first operating mode, in which the acoustic assembly is configured to produce vibrations, and a second operating mode, in which the power source is configured to supply current to the electrode.

8. The surgical instrument of claim 1, further comprising a sheath assembly at least partially surrounding the waveguide, wherein the sheath assembly comprises an inner sheath and an outer sheath.

9. The surgical instrument of claim 8, wherein the conductor extends between the inner sheath and the outer sheath.

10. The surgical instrument of claim 8, wherein the conductor comprises a conductive insert positioned intermediate the inner sheath and the outer sheath.

11. A surgical instrument, comprising:

a housing;

an acoustic assembly supported within the housing, wherein the acoustic assembly is configured to produce vibrations;

a waveguide comprising a proximal end and a distal end, wherein the proximal end is configured to receive the vibrations produced by the acoustic assembly;

an ultrasonic blade extending from the distal end of the waveguide; and

a movable clamp arm, comprising;

a distal abutment surface comprising an electrode; and

an electrically non-conductive pad terminating at a distal end, wherein the distal abutment surface is distal to the distal end of the electrically non-conductive pad;

wherein the surgical instrument is configured to toggle between a first operating mode, in which the acoustic assembly is configured to produce vibrations, and a second operating mode, in which a power source is configured to supply current to the electrode.

12. The surgical instrument of claim 11, further comprising a conductor in electrical communication with the electrode, wherein the conductor and the ultrasonic blade are configured to be placed in electrical communication with the power source to conduct current through tissue positioned adjacent to the electrode and the ultrasonic blade.

13. The surgical instrument of claim 11, wherein the ultrasonic blade extends along a blade axis, wherein the movable clamp arm extends along a clamp axis, and wherein, in a clamp closed position, the clamp axis is parallel to the blade axis.

14. The surgical instrument of claim 13, wherein, in the clamp closed position, the electrically non-conductive pad is positioned adjacent to the ultrasonic blade.

15. The surgical instrument of claim 11, wherein the ultrasonic blade comprises a return electrode.

16. The surgical instrument of claim 11, wherein the movable clamp arm is rotatable.

17. The surgical instrument of claim 11, wherein the ultrasonic blade comprises a supply electrode.

18. The surgical instrument of claim 11, further comprising:

a first button actuatable to select the first operating mode; and

a second button actuatable to select the second operating mode.

19. The surgical instrument of claim 18, further comprising a handpiece comprising the first button and the second button.

20. A surgical instrument, comprising:

a housing;

an acoustic assembly supported within the housing, wherein the acoustic assembly is configured to produce vibrations;

a waveguide comprising a proximal end and a distal end, wherein the proximal end is configured to receive the vibrations produced by the acoustic assembly;

an ultrasonic blade extending from the distal end of the waveguide; and

a movable clamp arm, comprising;

a distal abutment surface comprising an electrode; and

an electrically non-conductive pad terminating at a distal end, wherein the distal abutment surface is distal to the distal end of the electrically non-conductive pad; and

means for selectively conducting current to tissue abutting the distal abutment surface and a distal portion of the ultrasonic blade.