Method and devices for increasing ultrasonic effects

• US 5,957,943 A
• Filed: 03/05/1997
• Issued: 09/28/1999
• Est. Priority Date: 03/05/1997
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Vaitekunas, Jeffrey J.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/811,704
• Time in Patent Office: 937 Days
• Field of Search: 606/1, 606/169, 606/170, 604/22, 604/41, 604/48, 607/95, 607/105, 607/154
• US Class Current: 606/169
• 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

Abstract

A surgical device in accordance with the present invention includes a plurality of transducer assemblies carried by the housing and a plurality of end effectors. Each end effector is operatively coupled to one of the transducer assemblies. One method in accordance with the present invention includes the steps of providing a plurality of end effectors, each end effector being driven by a transducer assembly. The method further includes the steps of placing the end effectors in close proximity to the tissue of a patient, energizing the plurality of end effectors to vibrate at a predetermined frequency, and contacting the tissue with the end effectors.

Claims

1. An ultrasonic surgical device comprising:

a first transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a second transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

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

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

a first end effector having a first end and a second end, the first end effector being adapted to receive the ultrasonic vibrations from the first transmission rod and to transmit the vibration from the first end to the second end of the first end effector, the first end of the first end effector being coupled to the second end of the transmission rod, the second end of the first end effector disposed; and

a second end effector having a first end and a second end, the second end effector being adapted to receive the ultrasonic vibration from the second transmission rod and to transmit the vibration from the first end to the second end of the second end effector, the first end of the second end effector being coupled to the second end of the transmission rod, the second end of the second end effector being disposed near an antinode.

2. The device of claim 1 wherein the first end effector is vibrated at a different frequency than the second end effector.

3. The device of claim 1 wherein the first end effector is vibrated 180°

out of phase with the second end effector.

4. The device of claim 1 further comprising a generator to energize the first and second transducer assemblies.

5. An ultrasonic surgical device comprising:

a first transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a second transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a first transmission component having a first end and a second end, the first transmission component being adapted to receive the ultrasonic vibration from the first transducer assembly and to transmit the ultrasonic vibration from the first end to the second end of the first transmission component; and

a second transmission component having a first end and a second end, the second transmission component being adapted to receive the ultrasonic vibration from the second transducer assembly and to transmit the ultrasonic vibration from the first end to the second end of the second transmission component,

said first and second transmission components being respectively coupled to said first and second transducer assemblies.

6. The device of claim 5 wherein at least one of the acoustic assemblies has a substantially circular cross-section.

7. The device of claim 5 wherein at least one of the acoustic assemblies has a substantially semi-circular cross-section.

8. The device of claim 5 wherein at least one of the acoustic assemblies has a substantially square cross-section.

9. The device of claim 5 further including a generator to energize the transducer assemblies.

10. The device of claim 5 wherein the first and second transmission components are operated independently of one another.

11. The device of claim 5 wherein the first and second transmission components are adapted to vibrate at different frequencies.

12. The device of claim 5 wherein the first transmission component vibrates 180°

out of phase with the second transmission component.

13. A surgical device comprising:

a housing carrying a first transducer assembly and a second transducer assembly;

the first and second transducers each including a plurality of piezoelectric elements;

a first end effector adapted to receive ultrasonic vibrations from the first transducer assembly; and

a second end effector adapted to receive ultrasonic vibrations from the second transducer.

14. The device of claim 13 wherein the piezoelectric elements of the first transducer have opposite polarity of the respective piezoelectric elements of the second transducer assembly.

15. The device of claim 13 wherein the first and second transducer assemblies each have four piezoelectric elements.

16. The device of claim 13 wherein the piezoelectric elements of the first transducer assembly have the opposite polarity of the piezoelectric elements of the second transducer assembly.

17. The device of claim 13 wherein the first end effector vibrates 180°

out of phase with the second end effector.

18. A surgical device comprising:

a first transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a second transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a first transmission wire having a first end and a second end, the first transmission wire having the first end thereof coupled to said first transducer assembly to receive ultrasonic vibration from the first transducer assembly and to transmit the ultrasonic vibration from the first end to the second end of the first transmission wire; and

a second transmission wire having a first end and a second end, the second transmission wire having the first end thereof coupled to said second transducer assembly to receive ultrasonic vibration from the second transducer assembly and to transmit the ultrasonic vibration from the first end to the second end of the second transmission wire.

19. The surgical device of claim 18 further comprising

a first end effector having a first end and a second end, the end effector being adapted to receive the ultrasonic vibration from the first transmission wire and to transmit the ultrasonic vibration from the first end to the second end of the first end effector;

and

a second end effector having a first end and a second end, the second end effector adapted to receive the ultrasonic vibration from the second transmission wire and to transmit the ultrasonic vibration from the first end to the second end of the second end effectors.

20. The device of claim 19 wherein the first and second end effector have a diameter between 0.1 mm and 5 mm.

21. The device of claim 19 wherein the transmission wire extends through a lumen of a catheter.

22. The device of claim 19 further comprising a generator to send electrical energy to the transducer assemblies.

23. A method of producing ultrasonic effects to tissue of a patient comprising the steps of:

providing a plurality of end effectors, each end effector being driven by a respective transducer assembly;

placing the end effectors in close proximity to the tissue of a patient;

vibrating the plurality of end effectors at a predetermined frequency; and

contacting the tissue with the end effectors.

24. A method of producing ultrasonic effects to tissue of a patient comprising the steps of:

providing a plurality of end effectors and a plurality of transducer assemblies, each said end effector being driven by a respective one of said transducer assemblies;

placing the end effectors in close proximity to the tissue of a patient;

vibrating each of the plurality of end effectors at a respective predetermined frequency by operation of the respective one of said transducer assemblies; and

contacting the tissue with the end effectors.

25. The method of claim 24 further repeating the steps of advancing, dissecting and withdrawing.

26. An ultrasonic surgical device comprising:

a housing;

first and second transducer assemblies carried by the housing, the transducer assemblies adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a catheter body couplable to the housing, the catheter body having a first end, a second end and at least one lumen extending longitudinally therethrough, the catheter body configured to be placed within a vessel of a patient'"'"'s vascular system;

first and second flexible transmission rods extending longitudinally through the catheter, the first and second transmission rods having a first end and a second end, the first and second transmission rods adapted to receive ultrasonic vibration from the first and second transducer assemblies, respectively, and to transmit the ultrasonic vibration from the first end to the second end of each transmission rod; and

a first and second end effector coupled to the second ends of the first and second transmission rods, respectively, the first and second end effector adapted to receive the ultrasonic vibration from the first and second transmission rods, respectively, and to transmit the vibrations from a first end to a second end of the end effectors wherein the first and second end effectors are extendable beyond the second end of the catheter to contact the tissue.

27. A surgical device comprising:

a catheter defining a lumen;

a plurality of transducer assemblies carried by the catheter and positioned therein along a lengthwise dimension of the catheter; and

a plurality of end effectors, each end effector being coupled to a respective one of the transducer assemblies for ultrasonically driving said end effectors, said end effectors extending distally relative to the transducer assemblies, each end effector having a vibrating distal end extending distally of a distal end of said catheter.

28. The surgical device of claim 27, wherein

said transducer assemblies are positioned generally at a proximal portion of said catheter, said device including a plurality of flexible transmission components extending through said lumen and coupling each said end effector to the respective one of said transducer assemblies.

29. The surgical device of claim 27, wherein

said transducer assemblies are positioned generally at a distal portion of said catheter.

30. A method of breaking up tissue comprising the steps of:

providing a surgical device including a plurality of acoustic assemblies, each having a transducer assembly and an end effector coupled to the respective transducer assembly;

energizing the surgical device to cause the end effectors of the acoustic assemblies to vibrate; and

contacting the end effectors of the acoustic assemblies with tissue of a patient.

31. The method of claim 30, wherein

said energizing step includes vibrating said end effectors out of phase with each other.

32. A surgical device comprising:

a housing which carries a plurality of end effectors, each said end effector extending from a distal end of said housing;

the plurality of end effectors being operable at the same or different ultrasonic frequencies, phases, or amplitudes by transmission of ultrasonic energy thereto for performing a surgical procedure.

33. The surgical device of claim 32, wherein

said housing comprises a catheter.

34. An ultrasonic surgical device comprising:

a first transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a second transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a generator to energize the first and second transducer assemblies;

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

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

a first end effector having a first end and a second end, the first end effector being adapted to receive the ultrasonic vibrations from the first transmission rod and to transmit the vibration from the first end to the second end of the first end effector, the first end of the first end effector being coupled to the second end of the transmission rod, the second end of the first end effector disposed; and

a second end effector having a first end and a second end, the second end effector being adapted to receive the ultrasonic vibration from the second transmission rod and to transmit the vibration from the first end to the second end of the second end effector, the first end of the second end effector being coupled to the second end of the transmission rod, the second end of the second end effector being disposed near an antinode.

35. The device of claim 34, wherein the first end effector is vibrated out of phase with the second end effector.

36. An ultrasonic surgical device comprising:

a first transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a second transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy;

a first transmission component having a first end and a second end, the first transmission component being adapted to receive the ultrasonic vibration from the first transducer assembly and to transmit the ultrasonic vibration from the first end to the second end of the first transmission component;

a second transmission component having a first end and a second end, the second transmission component being adapted to receive the ultrasonic vibration from the second transducer assembly and to transmit the ultrasonic vibration from the first end to the second end of the second transmission component; and

a third transducer assembly adapted to vibrate at an ultrasonic frequency in response to electrical energy; and

a third transmission component having a first end and a second end, the third transmission component adapted to receive ultrasonic vibration from the third transducer assembly and to transmit the ultrasonic vibration from the first end to the second end of the third transmission component.

37. A method of breaking up tissue within a patient'"'"'s body comprising the steps of:

inserting a catheter having a plurality of end effectors, each driven by a transducer assembly, in a cardiovascular system of the patient;

advancing the catheter through the cardiovascular system until a desired area is reached;

vibrating the distal ends of the end effectors;

directing the end effectors into a position in close proximity with the tissue;

withdrawing the end effectors from the tissue; and

repeating the steps of advancing, directing and withdrawing.