Ultrasonic dissection and coagulation system

• US 6,280,407 B1
• Filed: 03/07/2000
• Issued: 08/28/2001
• Est. Priority Date: 08/14/1997
• Status: Expired due to Term

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Manna, Ronald, Stone, Corbett W., Aranyi, Ernie, Mastri, Dominick L., Isola, Scott, Tovey, H. Jonathan
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US09/521,440
• Time in Patent Office: 539 Days
• Field of Search: 604/22, 606/169-171, 606/174, 606/45, 606/46, 606/52, 606/37-40, 601/2
• US Class Current: 604/22
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/2944 Translation of jaw members
• CPC Class Codes: A61B 2017/2948 Sealing means, e.g. for sealing the interior from fluid entry
• CPC Class Codes: A61B 2017/320075 single edge blade, e.g. for cutting
• 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 2090/031 torque limiting
• CPC Class Codes: A61B 2090/066 for measuring torque

Abstract

An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.

Claims

1. An ultrasonic surgical instrument comprising:

a housing including an elongated body portion and a handle portion;

a vibration coupler having a proximal and a distal end, the vibration coupler being positioned within the housing and extending between the elongated body portion and the handle portion;

a tool member supported on the distal end of the vibration coupler; and

a transducer adapted to be removably supported on the handle portion of the housing, the transducer having a transducer horn adapted to be removably coupled to the proximal end of the vibration coupler.

2. An ultrasonic surgical instrument according to claim 1, wherein the transducer includes a transducer housing having a proximal housing portion configured to engage a torque wrench assembly.

3. An ultrasonic surgical instrument according to claim 2, wherein the proximal housing portion has a scalloped configuration.

4. An ultrasonic surgical instrument according to claim 2, wherein the transducer includes a plurality of piezoelecric crystals operably associated with the transducer horn.

5. An ultrasonic surgical instrument according to claim 2, wherein the transducer includes a pair of O-rings positioned between the transducer housing and the transducer horn to provide radial support for the transducer horn.

6. An ultrasonic surgical instrument according to claim 1, wherein the transducer horn includes a threaded bore dimensioned to receive the proximal end of the vibration coupler.

7. An ultrasonic surgical instrument according to claim 1, wherein the tool member includes a blade member.

8. An ultrasonic surgical instrument according to claim 2, wherein the blade member includes a linear cutting surface.

9. An ultrasonic surgical instrument according to claim 8, wherein the tool member further includes a clamp member, the clamp member being movable from an open position spaced from the cutting surface to a clamped position in juxtaposed alignment with the cutting surface.