Ultrasonic surgical devices

• US 5,938,633 A
• Filed: 07/09/1997
• Issued: 08/17/1999
• Est. Priority Date: 07/09/1997
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Beaupre, Jean
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US08/890,262
• Time in Patent Office: 769 Days
• Field of Search: 604/22, 604/53, 604/114, 606/169, 606/167, 606/171, 606/178
• US Class Current: 604/22
• 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 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• 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 2017/320074 blade
• CPC Class Codes: A61B 2017/320088 with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
• CPC Class Codes: A61B 2017/320089 node location

Abstract

The present invention relates to surgical devices. A surgical instrument in accordance with the present invention includes a transducer assembly adapted to vibrate at an ultrasonic frequency. An end effector is adapted to receive ultrasonic vibration from the transducer assembly and to propagate the ultrasonic vibration from a first end to a second end. The end effector is rotatable with respect to the handpiece assembly while the transducer assembly vibrates at the ultrasonic frequency. A method of applying ultrasonic energy to tissue of a patient is also provided. The method includes the steps of providing a handpiece assembly carrying an acoustic assembly having a transducer assembly and an end effector, and energizing the transducer to cause the end effector to vibrate. The method further includes the steps of rotating the end effector with respect to the handpiece assembly while the transducer assembly is vibrating, and contacting the tissue of the patient with the end effector.

Claims

1. An ultrasonic surgical instrument for use with a handpiece assembly comprising:

a transducer assembly adapted to vibrate at an ultrasonic frequency, the transducer assembly rotatable with respect to the handpiece assembly while vibrating at the ultrasonic frequency;

a mounting device having a first end and a second end, the mounting device adapted to receive ultrasonic vibration from the transducer assembly and to propagate the ultrasonic vibration from the first end to the second end of the mounting device, the first end of the mounting device being coupled to the transducer assembly the mounting device being adapted to rotate on one end of the handpiece assembly;

a transmission rod having a first end and a second end, the transmission rod adapted to receive ultrasonic vibration from the transducer assembly and to propagate the ultrasonic vibration from the first end to the second end of the transmission rod, the first end of the transmission rod being coupled to the second end of the mounting device; and

an end effector having a first end and a second end, the end effector adapted to receive the ultrasonic vibration from the transmission rod and propagate the ultrasonic vibration from the first end to the second end of the end effector, the first end of the end effector coupled to the second end of the transmission rod.

2. The surgical instrument of claim 1 wherein the end effector is rotatable at the same rate as the transducer assembly when the transducer is rotated.

3. The device of claim 1 wherein the collar member includes a detachable mount to allow the transducer assembly be be removed from the handpiece assembly during a surgical operation.

4. A surgical instrument for use with a handpiece assembly comprising:

a transducer assembly adapted to vibrate at an ultrasonic frequency;

a transmission rod having a first end and a second end, the transmission rod adapted to receive ultrasonic vibration from the transducer assembly and to propagate the ultrasonic vibration from the first end to the second end, the first end of the transmission rod coupled to the transducer assembly; and

an end effector having a first end and a second end, the end effector adapted to receive ultrasonic vibration from the transmission rod and to propagate the ultrasonic vibration from the first end to the second end, the first end of the end effector being coupled to the second end of the transmission rod, the end effector being rotatable with respect to the handpiece assembly while the transducer assembly vibrates at the ultrasonic frequency.

5. The surgical instrument of claim 4 wherein the transducer assembly includes one of a magnetostrictive transducer, an electromagnetic transducer, an electrostatic transducer, a piezoelectric transducer, and a magnet.

6. The surgical instrument of claim 4 further comprising an energizing device to generate an electric field to excite the transducer assembly.

7. The surgical instrument of claim 6 wherein the energizing device comprises a coil.

8. The surgical instrument of claim 4 wherein the transducer assembly is rotatable with respect to the handpiece assembly while the transducer assembly is vibrating at the ultrasonic frequency.

9. The surgical instrument of claim 4 further including a coaxial plug mounted to the transducer assembly.

10. The surgical instrument of claim 4 wherein the surgical instrument can be attached to the handpiece assembly without the use of a torque limiting device.

11. The surgical instrument of claim 4 further comprising a generator coupled to the handpiece assembly.

12. The surgical instrument of claim 4 wherein the transducer assembly includes at least one piezoelectric element disposed between a first and second end bell.

13. The surgical instrument of claim 12 further comprising a washer disposed between the first and second end bells.

14. The surgical instrument of claim 12 further comprising a connecting rod coupled between the end bells.

15. The surgical instrument of claim 4 wherein the transmission rod is permanently attached to the transducer assembly.

16. The surgical instrument of claim 4 further comprising a sensor responsive to the displacement of one of the transducer assembly, the transmission rod, and the end effector.

17. The surgical instrument of claim 4 further comprising a mounted device coupled between the transmission rod and the transducer assembly.

18. A surgical instrument for use with a handpiece assembly comprising:

a transducer assembly adapted to vibrate at an ultrasonic frequency;

an end effector having a first end and a second end, the end effector adapted to receive ultrasonic vibration from the transducer assembly and to propagate the ultrasonic vibration from the first end to the second end, the end effector being rotatable with respect to the handpiece assembly while the transducer assembly vibrates at the ultrasonic frequency.

19. A method of applying ultrasonic energy to tissue of a patient comprising the steps of:

providing a handpiece assembly carrying an acoustic assembly, the acoustic assembly having a transducer assembly and an end effector;

energizing the transducer to cause the end effector to vibrate;

rotating the end effector with respect to the handpiece assembly while the transducer assembly is vibrating; and

contacting the tissue of the patient with the end effector.

20. The method of claim 19 further comprising the step of:

rotating the transducer assembly with the transducer is energized.

21. The method of claim 19 further comprising the step of:

detaching the acoustic assembly by a surgeon with one hand while holding the handpiece assembly with the other hand during an operation.

22. The method of claim 20 further comprising the step of:

attaching a different acoustic assembly by a surgeon with the one hand while still holding the handpiece assembly with the other hand.

23. The method of claim 19 further comprising the step of:

adjusting the distance of the distal end of the end effector from the distal end of the handpiece assembly.

24. An ultrasonic surgical instrument for use with a handpiece assembly, comprising

a transducer assembly adapted to rotate at an ultrasonic frequency, the transducer assembly rotatable with respect to the handpiece assembly while vibrating at the ultrasonic frequency;

a mounting device having a first end and a second end, the mounting device adapted to receive ultrasonic vibration from the transducer assembly and to propagate the ultrasonic vibration from the transducer assembly and to propagate the ultrasonic vibration from the first end to the second end of the mounting device, the first end of the mounting device coupled to the transducer assembly and rotatable on one end of the handpiece assembly; and

an end effector having a first end and a second end, the end effector adapted to receive ultrasonic vibration propagated by the mounting device and to propagate the ultrasonic vibration from the first end to the second end effector.

25. The surgical instrument of claim 24 further comprising a transmission rod coupling the end effector to the mounting device, the transmission rod adapted to propagate ultrasonic vibration from the second end of the mounting device to the first end of the end effector.