Reusable ultrasonic surgical instrument with removable outer sheath

• US 6,206,844 B1
• Filed: 06/25/1999
• Issued: 03/27/2001
• Est. Priority Date: 02/28/1997
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Beaupre, Jean M., Reichel, Lee E.
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): MANTIS MERCADER, ELENI M
• Application Number:
  US09/344,582
• Time in Patent Office: 641 Days
• Field of Search: 600/437, 600/462, 600/464, 600/439, 600/121, 600/459, 601/2, 601/3, 601/4, 604/22
• US Class Current: 601/2
• 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 2017/320088 with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2090/031 torque limiting
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

The present invention is directed to an ultrasonic surgical instrument including an improved outer sheath which is removable and which rotateably engages the ultrasonic waveguide to facilitate attachment of the ultrasonic instrument to a handpiece. In particular, in one embodiment of the present invention, an improved sheath includes a first and second sheath pin slots extending from the proximal end of the sheath to first and second sheath pinholes respectively. An ultrasonic surgical instrument according to the present invention further includes a connector pin, the connector pin extending through the first sheath pinhole, a waveguide pinhole and the second sheath pinhole and an attachment hub surrounding the outer sheath, wherein the attachment hub is slideable over the outer sheath. A first pin slot may be positioned on an inner surface of the attachment hub wherein the connector pin engages the first pin slot when the attachment hub is in its proximal most position.

Claims

1. An ultrasonic surgical instrument comprising:

an outer sheath wherein said outer sheath comprises;

a first opening at a distal end of said outer sheath;

a second opening at a proximal end of said outer sheath;

first and second sheath pinholes through said outer sheath proximal to said first opening;

a first sheath pin slot extending from said proximal end of said sheath to said first sheath pinhole;

a second sheath pin slot extending from said proximal end of said sheath to said second sheath pinhole;

an ultrasonic waveguide positioned within said outer sheath, said ultrasonic waveguide comprising;

an end-effector extending from said opening of said outer sheath;

a waveguide pinhole through said ultrasonic waveguide proximal to said end-effector;

a connector pin, said connector pin extending through said first sheath pinhole, said waveguide pinhole and said second sheath pinhole; and

an attachment hub surrounding said outer sheath, wherein said attachment hub is slidable over said outer sheath;

a first pin slot on an inner surface of said attachment hub, wherein said connector pin engages said first pin slot when said attachment hub is in its proximal most position.

2. An ultrasonic surgical instrument according to claim 1, further comprising:

an engagement hub protruding from the proximal end of said outer sheath; and

sheath slots on said inner surface of said attachment hub wherein said engagement hub engages said sheath slot when said attachment hub is in its proximal most position.

3. An ultrasonic surgical instrument according to claim 2, wherein said first and second sheath pin slots have a width which is smaller than the diameter of said connector pin.

4. An ultrasonic surgical instrument according to claim 3, wherein said surgical instrument further comprises at least one acoustic isolation element surrounding said ultrasonic waveguide, whereby said acoustic isolation element separates said ultrasonic waveguide from said outer sheath when said ultrasonic surgical instrument is assembled.

5. An ultrasonic surgical instrument according to claim 4 wherein said attachment hub further comprises wrench flats on the outer surface of said attachment hub.

6. An ultrasonic surgical instrument comprising:

outer sheath which comprises;

an opening at the distal end of said outer sheath;

a sheath pinhole through said outer sheath proximal to said opening;

a sheath pin slot extending from said sheath pinhole to a proximal end of said outer sheath;

an ultrasonic waveguide positioned within said outer sheath, said ultrasonic waveguide comprising;

an end-effector extending from said opening of said outer sheath;

a waveguide pinhole through said ultrasonic waveguide proximal to said end-effector;

a connector pin insertable through said sheath pin hole into said waveguide pinhole; and

an attachment hub surrounding said outer sheath, wherein said attachment hub is slidable over said outer sheath;

at least one pin slot on an inner surface of said attachment hub, wherein said connector pin engages said pin slot when said attachment hub is in iits most proximal position.

7. An ultrasonic surgical instrument according to claim 6, wherein said outer sheath further comprises:

hub engagements protruding from the proximal end of said outer sheath; and

said attachment hub further includes hub sheath slots on said inner surface of said attachment hub wherein said hub engagements engage said hub sheath slots when said attachment hub is in its most proximal position.

8. An ultrasonic surgical instrument according to claim 7, wherein said sheath pin slot has a width which is smaller than the diameter of said connector pin.

9. An ultrasonic surgical instrument according to claim 8, wherein said surgical instrument further comprises at least one acoustic isolation element surrounding said ultrasonic waveguide, whereby said acoustic isolation element separates said ultrasonic waveguide from said outer sheath when said ultrasonic surgical instrument is assembled.

10. An ultrasonic surgical instrument according to claim 9 wherein said attachment hub further comprises wrench flats on the outer surface of said attachment hub.

11. A sheath for an ultrasonic surgical instrument, wherein said sheath comprises:

an outer sheath;

a first opening at a distal end of said outer sheath;

a second opening at a proximal end of said outer sheath;

first and second sheath pinholes through said outer sheath proximal to said first opening;

a first sheath pin slot extending from said proximal end of said sheath to said first sheath pinhole;

a second sheath pin slot extending from said proximal end of said sheath to said second sheath pinhole.

12. A sheath for an ultrasonic surgical instrument according to claim 11, further comprising:

an attachment hub surrounding said outer sheath, wherein said attachment hub is slidable over said outer sheath; and

a first pin slot on an inner surface of said attachment hub.

13. A sheath for an ultrasonic surgical instrument according to claim 12, said sheath further comprising:

a hub engagement protruding from the proximal end of said outer sheath; and

sheath slots on said inner surface of said attachment hub wherein said attachment hub engages said sheath slot when said attachment hub is in its proximal most position.

14. An ultrasonic surgical instrument according to claim 13, wherein said first and second pin slots have a width which is smaller than the diameter of said connector pin.

15. An ultrasonic surgical instrument according to claim 14, wherein said surgical instrument further comprises at least one acoustic isolation element surrounding said ultrasonic waveguide, whereby said acoustic isolation element separates said ultrasonic waveguide from said outer sheath when said ultrasonic surgical instrument is assembled.

16. An ultrasonic surgical instrument according to claim 15 wherein said attachment hub further comprises wrench flats on the outer surface of said attachment hub.

17. An ultrasonic surgical instrument comprising:

an outer sheath wherein said outer sheath comprises;

a first opening at a distal end of said outer sheath;

a second opening at a proximal end of said outer sheath;

first and second sheath pinholes through said outer sheath proximal to said first opening;

an ultrasonic waveguide positioned within said outer sheath, said ultrasonic waveguide comprising;

an end-effector extending from said opening of said outer sheath;

a waveguide pinhole through said ultrasonic waveguide proximal to said end-effector;

a connector pin, said connector pin extending through said first sheath pinhole, said waveguide pinhole and said second sheath pinhole; and

an attachment hub surrounding said outer sheath, wherein said attachment hub is slidable over said outer sheath;

a first pin slot on an inner surface of said attachment hub, wherein said connector pin engages said first pin slot when said attachment hub is in its proximal most position.

18. An ultrasonic surgical instrument according to claim 17, further comprising:

an engagement hub protruding from the proximal end of said outer sheath; and

hub sheath slots on said inner surface of said attachment hub wherein said engagement hub engages said sheath slot when said attachment hub is in its proximal most position.

19. An ultrasonic surgical instrument according to claim 18, wherein said first and second hub pin slots are L shaped, with a locking slot at their distal end.

20. An ultrasonic surgical instrument according to claim 19, wherein said surgical instrument further comprises at least one acoustic isolation element surrounding said ultrasonic waveguide, whereby said acoustic isolation element separates said ultrasonic waveguide from said outer sheath when said ultrasonic surgical instrument is assembled.

21. An ultrasonic surgical instrument according to claim 20 wherein said attachment hub further comprises wrench flats on the outer surface of said attachment hub.