THERMALLY-ACTIVATED COUPLING ARRANGEMENTS AND METHODS FOR ATTACHING TOOLS TO ULTRASONIC SURGICAL INSTRUMENTS

• US 20100298743A1
• Filed: 05/20/2009
• Published: 11/25/2010
• Est. Priority Date: 05/20/2009
• Status: Abandoned Application

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Nield, Scott A., Krumanaker, David T., Wan, Shan, Voegele, Aaron C.
• Application Number:
  US12/469,308
• Publication Number:
  US 20100298743A1
• Time in Patent Office: Days
• US Class Current: 601/2
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• 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 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 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320089 node location

Abstract

An ultrasonic surgical instrument that has a waveguide that protrudes distally from the handpiece and a surgical tool that is configured to be coupled to the waveguide upon application of thermal energy to the waveguide or the surgical tool.

Claims

1. An ultrasonic surgical instrument having a handpiece operably supporting at least one ultrasonic transducer therein, said ultrasonic surgical instrument comprising:

a waveguide protruding distally from the handpiece and operably interacting with the at least one ultrasonic transducer; and

a surgical tool having a coupling portion configured to be coupled to a distal end of said waveguide such that upon application of thermal energy to one of said distal end of said waveguide or said coupling portion of said surgical tool, said surgical tool is coupled to said waveguide and, upon discontinuing the application of said thermal energy, said surgical tool may be detached from said waveguide.

2. The ultrasonic surgical instrument of claim 1 wherein said waveguide is fabricated from at least a first material such that at least a distal end portion of said waveguide has a first coefficient of thermal expansion and wherein said coupling portion of said surgical tool comprises a proximal end portion fabricated from at least a second material such that said proximal end portion of said surgical tool has a second coefficient of thermal expansion that is less than said first coefficient of thermal expansion, said proximal end portion of said surgical tool having a cavity therein for receiving said distal end portion of said waveguide therein, said cavity sized and shaped relative to said distal end portion of said waveguide such that upon application of said thermal energy to said distal end portion when said distal end portion is received in said cavity, said distal end portion expands to retain said distal end portion within said cavity.

3. The ultrasonic surgical instrument of claim 2 further comprising a heat applicator communicating with said waveguide.

4. The ultrasonic surgical instrument of claim 3 wherein said heat applicator selected from the group of heat applicators consisting essentially of:

a radio frequency induction coil or a resistive thermoelectric heat element.

5. The ultrasonic surgical instrument of claim 2 wherein said cavity is in said distal end of said waveguide and is sized and shaped to receive said proximal end portion of said surgical tool therein and wherein said second coefficient of thermal expansion is greater than said first coefficient of thermal expansion.

6. The ultrasonic surgical instrument of claim 1 wherein said coupling arrangement comprises:

a proximal end portion configured to mate with said distal end of said waveguide; and

at least one selectively expandable latch member on said surgical tool configured to retainingly engage a corresponding portion of said handpiece to retain said distal end of said surgical tool in mating engagement with said distal end portion of said waveguide upon application of an actuation signal to said at least one selectively expandable latch member.

7. The ultrasonic surgical instrument of claim 6 wherein said corresponding portion of said handpiece comprises a tapered surface configured to interact with said at least one selectively expandable latch member such that, when said at least one selectively expandable latch member expands into contact with said tapered surface, said proximal end of said surgical tool is urged into mating engagement with said distal end portion of said waveguide.

8. The ultrasonic surgical instrument of claim 7 wherein said at least one selectively expandable latch member is mounted to a proximally extending shroud portion coupled to said surgical tool.

9. The ultrasonic surgical instrument of claim 8 further comprising:

at least one electrical contact supported in said proximally extending shroud portion and electrically coupled to said at least one expandable latch member; and

at least one activation contact supported on said handpiece and in electrical communication with a source of electrical current, said at least one activation contact oriented to engage said at least one electrical contact when said surgical tool is moved to a coupled position such that said electrical current is permitted to flow to said at least one selectively expandable latch member from said source of said electrical current.

10. The ultrasonic surgical instrument of claim 8 wherein said surgical tool may be decoupled from said distal end of said waveguide upon discontinuing the flow of electrical current to each of said at least one selectively expandable latch members.

11. The ultrasonic surgical instrument of claim 6 wherein each said at least one selectively expandable latch member is fabricated from a shape memory alloy.

12. An ultrasonic surgical instrument having a handpiece operably supporting at least one ultrasonic transducer therein, said ultrasonic surgical instrument comprising:

a waveguide protruding distally from the handpiece and operably interacting with the at least one ultrasonic transducer such that upon activation of said at least one ultrasonic transducer, said waveguide transmits thermal and vibratory energy to a distal end portion thereof, said distal end portion comprising a meltable alloy material; and

a surgical tool having a proximal end portion having a cavity sized to receive said distal end portion therein such that upon activation of said at least one ultrasonic transducer when said distal end portion is received within said cavity, said meltable alloy forms a welded connection between said surgical tool and said waveguide.

13. The ultrasonic surgical instrument of claim 12 wherein said at least one ultrasonic transducer is activated at a predetermined level of power for a predetermined length of time, wherein said predetermined level of power is greater than a normal power level used during operation of said surgical instrument.

14. An ultrasonic surgical instrument having a handpiece operably supporting at least one ultrasonic transducer therein, said surgical instrument comprising:

elongated means for transmitting ultrasonic energy from the at least one ultrasonic transducer;

a surgical tool; and

means for coupling said surgical tool to said elongated means upon application of a coupling signal to one of said elongated means and said surgical tool, said coupling means configured to permit said surgical tool to be decoupled from said elongated means when said application of said coupling signal is discontinued.

15. The ultrasonic surgical instrument of claim 14 wherein said coupling signal comprises the application of electrical current to at least one means for latching supported on one of said surgical tool and said elongated means.

16. The ultrasonic surgical instrument of claim 14 wherein said coupling signal comprises the application of thermal energy to one of said elongated means and said surgical tool.

17. An ultrasonic surgical instrument having a handpiece operably supporting at least one ultrasonic transducer therein, said ultrasonic surgical instrument comprising:

a waveguide protruding distally from the handpiece and operably interacting with the at least one ultrasonic transducer, said waveguide being fabricated from at least a first material such that at least a distal end portion of said waveguide has a first coefficient of thermal expansion; and

a surgical tool having a proximal end portion, said surgical tool fabricated from at least a second material such that at least the proximal end portion of said surgical tool has a second coefficient of thermal expansion that is less than said first coefficient of thermal expansion, said proximal end portion of said surgical tool having a cavity therein for receiving said distal end portion of said waveguide therein, said cavity sized and shaped relative to said distal end portion of said waveguide such that upon application of thermal energy to said distal end portion when said distal end portion is received in said cavity, said distal end portion expands to retain said distal end portion within said cavity.

18. A method for coupling a surgical tool to a waveguide of an ultrasonic surgical instrument that has a handpiece that operably supports at least one ultrasonic transducer therein that operably interacts with the waveguide, said method comprising:

positioning a proximal end of the surgical tool in mating contact with a distal end of the waveguide;

applying a coupling signal to one of the waveguide and the proximal end of the surgical tool to cause the proximal end of the surgical tool to be coupled to the distal end of the waveguide; and

discontinuing the application of the coupling signal to permit the surgical tool to be decoupled from the distal end of the waveguide.

19. The method of claim 18 wherein said applying a coupling signal comprises applying thermal energy to one of the waveguide and the surgical tool.

20. A method for coupling a surgical tool to a waveguide of an ultrasonic surgical instrument that has a housing that operably supports at least one ultrasonic transducer therein that operably interacts with the waveguide, said method comprising:

positioning a proximal end of the surgical tool in mating contact with a distal end of the waveguide; and

operating the at least one ultrasonic transducer at a predetermined power level that is greater than a normal operating power level for a period of time sufficient to cause at least a portion of the distal end of the waveguide to be welded to the proximal end of the surgical tool and thereafter operating the at least one ultrasonic transducer at the normal operating power to complete a surgical task with the surgical tool.

21. An ultrasonic surgical instrument having a handpiece operably supporting at least one ultrasonic transducer therein, said surgical instrument comprising:

a waveguide protruding distally from the handpiece and operably interacting with the at least one ultrasonic transducer, said waveguide having a distal end that has a tool-receiving cavity therein;

a surgical tool having a proximal end portion configured to be received within said tool-receiving cavity in said distal end of said waveguide upon application of thermal energy to said distal end and a shroud portion surrounding said proximal end and protruding proximally therefrom;

a coupling arrangement for selectively retaining the proximal end of the surgical tool within said tool-receiving cavity, said coupling arrangement comprising;

a locking member supported on said distal end of said waveguide adjacent said cavity, said locking member configured to expand from an unexpanded state to an expanded state when ultrasonic energy is applied to said waveguide from said at least one ultrasonic transducer and to return to the unexpanded state when said application of ultrasonic energy is discontinued; and

at least one heat generating and cooling unit movably coupled to said handpiece and interacting with said locking member, said at least one heat generating and cooling unit configured for locking engagement and disengagement with corresponding portions of said shroud.

22. The ultrasonic surgical instrument of claim 21 wherein when said locking member is in said unexpanded state, said proximal end of said surgical tool cannot be seated within said tool-receiving cavity.

23. The ultrasonic surgical instrument of claim 21 wherein each of said at least one heat generating and cooling units is pivotally coupled to said handpiece and is configured to pivot into frictional contact with said locking member as said corresponding portions of said shroud are brought into axial mounting engagement with said at least one heat generating and cooling units.

24. The ultrasonic surgical instrument of claim 21 wherein said at least one heat generating and cooling units each contain an evaporative liquid.