Ultrasonic curved blade

• US 6,682,544 B2
• Filed: 09/11/2002
• Issued: 01/27/2004
• 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: Stone, Corbett W., Mastri, Dominick L.
• Primary Examiner(s): Reip, David O
• Application Number:
  US10/241,936
• Publication Number:
  US 20030009186A1
• Time in Patent Office: 503 Days
• Field of Search: 606/37, 606/39, 606/52, 606/167, 606/169, 606/170, 606/171, 606/174, 606/205, 606/206, 606/207
• US Class Current: 606/169
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/295 combined with cutting implements
• 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 2017/2825 Inserts of different material in jaws
• CPC Class Codes: A61B 2017/320075 single edge blade, e.g. for cutting
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means

Abstract

An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument 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 jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.

Claims

1. An ultrasonic instrument comprising:

an outer tube defining a longitudinal axis and having a proximal end and a distal end;

an actuation member positioned within the outer tube;

a vibration coupler positioned within the outer tube, the vibration coupler having a distal end and a proximal end;

a jaw member extending from the distal end of the vibration coupler;

a clamp pivotally mounted adjacent the distal end of the outer tube, the clamp being movable in relation to the jaw member between open and clamped positions, the clamp including a camming member which operatively engages the actuation member such that movement of the actuation member pivots the clamp between the open and clamped positions.

2. An ultrasonic instrument according to claim 1, wherein the actuation member includes a slot for receiving the camming member of the clamp.

3. An ultrasonic instrument according to claim 2, wherein the clamp includes a pair of caniming members and the actuation member includes a pair of slots, each one of the pair of slots being positioned to receive one of the pair of camming members.

4. An ultrasonic instrument according to claim 3, wherein the pair of camming members includes a pair of protrusions extending outwardly from the clamp.

5. An ultrasonic instrument according to claim 2, wherein the slot includes an angled cam slot.

6. An ultrasonic instrument according to claim 1, wherein the jaw member includes a curved blade surface.

7. An ultrasonic instrument according to claim 6, wherein the curved blade is convex.

8. An ultrasonic instrument according to claim 6, wherein the curved blade surface includes a longitudinally extending cutting edge.

9. An ultrasonic instrument according to claim 1, further including a handle assembly, the proximal end of the outer tube being supported adjacent the handle assembly.

10. An ultrasonic instrument according to claim 9, further including a rotatable collar operatively associated with the vibration coupler, the clamp and the jaw member such that rotation of the vibration coupler causes corresponding rotation of the clamp and the jaw member.

11. An ultrasonic instrument according to claim 10, wherein the clamp and the jaw member are rotatable about the longitudinal axis of the outer tube.

12. An ultrasonic instrument according to claim 10, wherein the rotatable collar is positioned adjacent the handle assembly.

13. An ultrasonic instrument according to claim 9, further including a transducer removably supported on the handle assembly.

14. An ultrasonic instrument according to claim 13, wherein the transducer includes an outer housing configured to be engaged by a torque wrench.

15. An ultrasonic instrument according to claim 14, wherein the outer housing of the transducer is scallop-shaped.

16. An ultrasonic instrument according to claim 13, wherein the transducer includes a transducer horn adapted to engage a proximal end of the vibration coupler.

17. An ultrasonic instrument according to claim 16, wherein the transducer horn includes a threaded bore and the vibration coupler includes a threaded proximal end.

18. An ultrasonic instrument according to claim 1, wherein the outer tube is dimensioned to be received within a 5 mm trocar assembly.

19. An ultrasonic instrument according to claim 1, wherein the clamp includes a body portion and a tissue contact member, the tissue contact member being removably supported on the body portion.

20. An ultrasonic instrument according to claim 19, wherein the tissue contact member is formed at least partially from a fluorine-containing resin.

21. An ultrasonic instrument according to claim 20, wherein the fluorine-containing resin is polytetrafluoroethylene.

22. An ultrasonic instrument according to claim 19, wherein the tissue contact member includes a longitudinally extending concavity for receiving tissue.

23. An ultrasonic instrument according to claim 1, wherein the clamp includes at least one tissue receiving stop which is positioned adjacent the jaw member.

24. An ultrasonic instrument according to claim 23, wherein the jaw member includes a blade surface having a proximal end and a distal end, the at least one tissue receiving stop being positioned adjacent the proximal end of the blade surface.

25. An ultrasonic instrument according to claim 1, wherein the clamp is pivotally mounted on the distal end of the outer tube.

26. An ultrasonic instrument according to claim 1, wherein the actuation member is substantially cylindrical.