Thumb pad actuator for an ultrasonic surgical instrument

• US 6,719,776 B2
• Filed: 03/01/2001
• Issued: 04/13/2004
• Est. Priority Date: 03/01/2001
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Baxter, Chester O., Harper, Richard M.
• Primary Examiner(s): Bennett, Henry
• Assistant Examiner(s): Dagostino, Sabrina
• Application Number:
  US09/796,855
• Publication Number:
  US 20020123742A1
• Time in Patent Office: 1,139 Days
• Field of Search: 606/205, 606/144, 606/142, 606/41, 606/96, 606/169, 606/1, 227/175.2
• US Class Current: 606/205
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/00424 ergonomic, e.g. fitting in fist
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation

Abstract

An ultrasonic surgical instrument includes a large thumb slide actuator and a handle which is held in to the palm of a surgeon operator to balance the weight of the instrument during usage. The surgeon'"'"'s thumb is placed upon the thumb slide actuator, thereby facilitating actuation with a pulling-pushing motion of the thumb slide. When the thumb slide is pushed forward in a distal direction, a rotational clamp arm is opened relative to a stationary blade, and when the thumb slide is pulled rearward in a proximal direction, the clamp arm is closed. This arrangement eliminates a problem with steadying the instrument, with the entire thumb resting on the thumb slide, and also eliminates pressure points on the thumb during long transection times. The large thumb slide features a ribbed texture on its upper surface to prevent thumb slippage. The thumb slide is optimized for ergonomic usage with all size hands, with the user being able to initiate an open or close movement from any point on the thumb slide. The thumb slide has a horizontal S shaped design which fits the normal curvature of the thumb to provide greater comfort and control. The thumb slide is actuated proximally and distally along the same arc which the thumb follows naturally when bent proximally and distally at the first knuckle, which provides the surgeon with a natural and familiar actuating movement for greater ease and control.

Claims

1. An ultrasonic surgical instrument which is ergonomically designed to be comfortable and reduce fatigue in a surgeon operator'"'"'s hand and arm, comprising:

a. a housing body shroud for the ultrasonic surgical instrument which defines a handle which is held in the palm of a surgeon user to balance the weight of the instrument during usage;

b. a thumb pad actuator translationally mounted on the upper surface of the body shroud for distal and proximal movements along substantially the same arc that the thumb naturally follows when bending proximally and distally at the first knuckle, thereby providing an actuating movement by the thumb along a familiar and natural arc which facilitates a coordinated easy actuation with very little major muscle movement;

c. an ultrasonic waveguide for transferring ultrasonic vibrations to the distal end of the surgical instrument to perform a useful surgical procedure thereat;

d. wherein a clamp arm is rotationally mounted relative to a blade which is stationarily supported at the distal end of the ultrasonic surgical instrument, and when the thumb pad actuator is pushed forward in a distal direction, the rotational clamp arm is opened relative to the stationary blade, and when the thumb pad actuator is pulled rearward in a proximal direction, the clamp arm is closed relative to the stationary blade.

2. An ultrasonic surgical instrument which is ergonomically designed to be comfortable and reduce fatigue in a surgeon operator'"'"'s hand and arm, comprising:

a. a housing body shroud for the ultrasonic surgical instrument which defines a handle which is held in the palm of a surgeon user to balance the weight of the instrument during usage;

b. a thumb pad actuator translationally mounted on the upper surface of the body shroud for distal and proximal movements along substantially the same arc that the thumb naturally follows when bending proximally and distally at the first knuckle, thereby providing an actuating movement by the thumb along a familiar and natural arc which facilitates a coordinated easy actuation with very little major muscle movement;

c. an ultrasonic waveguide for transferring ultrasonic vibrations to the distal end of the surgical instrument to perform a useful surgical procedure thereat;

d. wherein a rotational coupler is rotationally mounted within the instrument housing to provide for complete rotational movement and freedom thereof within the surgical instrument.

3. The ultrasonic surgical instrument of claim 2, wherein a translationally-fixed, distal portion of the rotational coupler is rotationally mounted within the instrument housing by an annular retainer ring which is positioned between first and second annular collar retainers of the rotational coupler, to secure the distal portion of the rotational coupler within the housing against movements in a translational direction, while providing 360°

angular rotational movement and freedom for the rotational coupler within the instrument housing.

4. The ultrasonic surgical instrument of claim 2, wherein an exterior rotational knob is positioned around and locked to the rotational coupler, such that the rotational knob can be rotated by the surgeon operator to rotate the rotational coupler and an attached angularly-extending clamp arm and angularly-extending blade relative to the surgical instrument.

5. The ultrasonic surgical instrument of claim 2, wherein an outer support tube is fixedly mounted to a translationally-fixed distal portion of the rotational coupler, and an inner actuating tube is mounted to a translationally-movable proximal end of the rotational coupler for limited distal and proximal translational movement within the outer support tube, to couple an actuating translating movement of the thumb pad actuator to an actuating rotational movement of a clamp arm relative to a blade at a stationary distal end of the surgical instrument.

6. The ultrasonic surgical instrument of claim 5, wherein the translationally-movable proximal portion of the rotational coupler is positioned around and secured to the proximal end of the inner actuating tube.

7. The ultrasonic surgical instrument of claim 6, wherein the translationally-movable proximal portion of the rotational coupler includes a plurality of longitudinally extending prongs which mount around and surround the proximal end of the inner actuating tube, securing the two components together for common rotational and translational movements.

8. The ultrasonic surgical instrument of claim 2, wherein the thumb-pad actuator extends downwardly at its distal end in a wishbone construction having downwardly-depending, spaced-apart resilient wishbone legs, each of which supports an inwardly projecting drive pin, which pins are positioned on opposite sides of a tubular collar which is mounted around the translationally-movable proximal portion of the rotational coupler which is mounted for limited distal and proximal translational movements relative to the translationally-fixed distal portion of the rotational coupler.

9. The ultrasonic surgical instrument of claim 8, wherein the tubular collar includes first and second spaced annular collar retainers which extend circumferentially around the rotational coupler, and a series of ridged detents is defined between the first and second collar retainers which extend circumferentially around the rotational coupler to provide a positive detent action against the resiliently mounted drive pins during rotation of the rotational coupler.

10. The ultrasonic surgical instrument of claim 9, wherein a pin extends through diametrically-opposed holes in a cylindrical sleeve of the translationally-fixed distal portion of the rotational coupler, through aligned diametrically-opposed holes in the proximal end of the outer support tube, and also through aligned longitudinally-extending, diametrically-opposed slots near the proximal end of the inner actuating tube, such that the cylindrical sleeve and the outer support tube are locked together by the pin for common rotational movement, and translational movements of the tubular collar caused by actuation of the thumb pad actuator result limited translational movement of the inner drive tube, with the elongated slot moving relative to the pin until the pin contacts ends of the elongated slots, and the translational movements of the inner tube within the outer support tube open or close the rotationally-mounted clamp arm relative to the end blade which is fixedly mounted to the distal end of the outer support tube.

11. The ultrasonic surgical instrument of claim 2, wherein Belleville washer springs are mounted at the proximal end of the rotational coupler to absorb an extra force applied to the thumb pad actuator, with the Belleville washer springs being compressed after the clamp arm is closed against the blade.

12. The ultrasonic surgical instrument of claim 5, wherein inwardly-projecting, diametrically-opposed pivot mount pins on the moveable clamp arm are rotationally mounted within diametrically-opposed apertures on opposite sides of the distal end of the outer tube, to rotate the clamp arm relative to the blade which is fixedly mounted at the distal end of the outer support tube.

13. The ultrasonic surgical instrument of claim 12, wherein inwardly-projecting, diametrically-opposed pivot legs on the moveable clamp arm are rotationally mounted within diametrically-opposed slots on opposite sides of the distal end of the inner actuating tube, to rotate the clamp arm relative to the blade which is fixedly mounted at the distal end of the outer support tube.

14. An ultrasonic surgical instrument which is ergonomically designed to be comfortable and reduce fatigue in a surgeon operator'"'"'s hand and arm, comprising:

a. a housing body shroud for the ultrasonic surgical instrument which defines a handle which is held in the palm of a surgeon user to balance the weight of the instrument during usage;

b. a thumb pad actuator translationally mounted on the upper surface of the body shroud for distal and proximal movements along substantially the same arc that the thumb naturally follows when bending proximally and distally at the first knuckle, thereby providing an actuating movement by the thumb along a familiar and natural arc which facilitates a coordinated easy actuation with very little major muscle movement;

c. an ultrasonic waveguide for transferring ultrasonic vibrations to the distal end of the surgical instrument to perform a useful surgical procedure thereat;

d. wherein the upper central surface of thumb pad actuator has a horizontal S shaped design which fits the normal curvature of the thumb to provide greater comfort and control, and the upper surface also has a ribbed texturing to prevent thumb slippage.

15. A surgical instrument which is ergonomically designed to be comfortable and reduce fatigue in a surgeon operator'"'"'s hand and arm, comprising:

a. a housing body shroud for the surgical instrument which defines a handle which is held in the palm of a surgeon user to balance the weight of the instrument during usage;

b. a thumb pad actuator translationally mounted on the upper surface of the body shroud for distal and proximal movements along substantially the same arc that the thumb naturally follows when bending proximally and distally at the first knuckle, thereby providing an actuating movement by the thumb along a familiar and natural arc which facilitates a coordinated easy actuation with very little major muscle movement;

c. a rotational coupler rotationally mounted within the instrument housing to provide for complete rotational movement and freedom thereof within the surgical instrument.

16. The surgical instrument of claim 15, wherein a clamp arm is rotationally mounted relative to a blade which is stationarily supported at the distal end of the surgical instrument, and when the thumb pad actuator is pushed forward in a distal direction, the rotational clamp arm is opened relative to the stationary blade, and when the thumb pad actuator is pulled rearward in a proximal direction, the clamp arm is closed relative to the stationary blade.

17. The surgical instrument of claim 15, wherein a translationally-fixed, distal portion of the rotational coupler is rotationally mounted within the instrument housing by an annular retainer ring which is positioned between first and second annular collar retainers of the rotational coupler, to secure the distal portion of the rotational coupler within the housing against movements in a translational direction, while providing 360°

angular rotational movement and freedom for the rotational coupler within the instrument housing.

18. The surgical instrument of claim 15, wherein an exterior rotational knob is positioned around and locked to the rotational coupler, such that the rotational knob can be rotated by the surgeon operator to rotate the rotational coupler and an attached angularly-extending clamp arm and angularly-extending blade relative to the surgical instrument.

19. The surgical instrument of claim 15, wherein an outer support tube is fixedly mounted to a translationally-fixed distal portion of the rotational coupler, and an inner actuating tube is mounted to a translationally-movable proximal end of the rotational coupler for limited distal and proximal translational movement within the outer support tube, to couple an actuating translating movement of the thumb pad actuator to an actuating rotational movement of a clamp arm relative to a blade at a stationary distal end of the surgical instrument.

20. The surgical instrument of claim 19, wherein the translationally-movable proximal portion of the rotational coupler is positioned around and secured to the proximal end of the inner actuating tube.

21. The surgical instrument of claim 20, wherein the translationally-movable proximal portion of the rotational coupler includes a plurality of longitudinally extending prongs which mount around and surround the proximal end of the inner actuating tube, securing the two components together for common rotational and translational movements.

22. The surgical instrument of claim 15, wherein the thumb-pad actuator extends downwardly at its distal end in a wishbone construction having downwardly-depending, spaced-apart resilient wishbone legs, each of which supports an inwardly projecting drive pin which are positioned on opposite sides of a tubular collar which is mounted around the translationally-movable proximal portion of the rotational coupler, which is mounted for limited distal and proximal translational movements relative to the translationally-fixed distal portion of the rotational coupler.

23. The surgical instrument of claim 22, wherein the tubular collar includes first and second spaced annular collar retainers which extend circumferentially around the rotational coupler, and a series of ridged detents is defined between the first and second collar retainers which extend circumferentially around the rotational coupler to provide a positive detent action against the resiliently mounted drive pins during rotation of the rotational coupler.

24. The surgical instrument of claim 23, wherein a pin extends through diametrically-opposed holes in a cylindrical sleeve of the translationally-fixed distal portion of the rotational coupler, through aligned diametrically-opposed holes in the proximal end of the outer support tube, and also through aligned longitudinally-extending, diametrically-opposed slots near the proximal end of the inner actuating tube, such that the cylindrical sleeve and the outer support tube are locked together by the pin for common rotational movement, and translational movements of the tubular collar caused by actuation of the thumb pad actuator result in limited translational movement of the inner drive tube, with the elongated slot moving relative to the pin until the ends of the elongated slots contact the pin, and the translational movements of the inner tube within the outer support tube open or close the rotationally-mounted clamp arm relative to the end blade which is fixedly mounted to the distal end of the outer support tube.

25. The surgical instrument of claim 15, wherein Belleville washer springs are mounted at the proximal end of the rotational coupler to absorb an extra force and movement applied to the thumb pad actuator, with the Belleville washer springs being compressed after the clamp arm is closed against the blade.

26. The surgical instrument of claim 19, wherein inwardly-projecting, diametrically-opposed pivot mount pins on the moveable clamp arm are rotationally mounted within diametrically-opposed apertures on opposite sides of the distal end of the outer tube, to rotate the clamp arm relative to the blade which is fixedly mounted at the distal end of the outer support tube.

27. The ultrasonic surgical instrument of claim 26, wherein inwardly-projecting, diametrically-opposed pivot legs on the moveable clamp arm are rotationally mounted within diametrically-opposed slots on opposite sides of the distal end of the inner actuating tube, to rotate the clamp arm relative to the blade which is fixedly mounted at the distal end of the outer support tube.

28. The surgical instrument of claim 17, wherein the upper central surface of thumb pad actuator has a horizontal S shaped design which fits the normal curvature of the thumb to provide greater comfort and control, and the upper surface also has a ribbed texturing to prevent thumb slippage.

29. The surgical instrument of claim 15, wherein the thumb-pad actuator is mounted on top of the surgical instrument for distal and proximal movements by first and second slide pins which are mounted for distal and proximal movements in first and second slide grooves defined in opposed body half shrouds of the surgical instrument, the first slide pin is mounted on the distal end of the thumb pad actuating, and the second slide pin is mounted on the proximal end of the thumb pad actuator, and the first slide groove extends distally and proximally in a generally horizontal direction, and the second slide groove extends distally and proximally in both a generally horizontal direction and also a rearward-downwardly extending direction, such that movement of the thumb pad actuator as guided by the first and second slide grooves follows the natural movement of an extending and retracting thumb of a surgeon operator.

30. A surgical instrument which is ergonomically designed to be comfortable and reduce fatigue in a surgeon operator'"'"'s hand and arm, comprising:

a. a housing body shroud for the surgical instrument which defines a handle which is held in the palm of a surgeon user to balance the weight of the instrument during usage;

b. a thumb pad actuator translationally mounted on the upper surface of the body shroud for distal and proximal movements along substantially the same arc that the thumb naturally follows when bending proximally and distally at the first knuckle, thereby providing an actuating movement by the thumb along a familiar and natural arc which facilitates a coordinated easy actuation with very little major muscle movement;

c. a surgical tip at the distal end of the surgical instrument for performing a useful surgical procedure thereat;

d. wherein a clamp arm is rotationally mounted relative to a blade which is stationarily supported at the distal end of the surgical instrument, and when the thumb pad actuator is pushed forward in a distal direction, the rotational clamp arm is opened relative to the stationary blade, and when the thumb pad actuator is pulled rearward in a proximal direction, the clamp arm is closed relative to the stationary blade.

31. A surgical instrument which is ergonomically designed to be comfortable and reduce fatigue in a surgeon operator'"'"'s hand and arm, comprising:

a. a housing body shroud for the surgical instrument which defines a handle which is held in the palm of a surgeon user to balance the weight of the instrument during usage;

b. a thumb pad actuator translationally mounted on the upper surface of the body shroud for distal and proximal movements along substantially the same arc that the thumb naturally follows when bending proximally and distally at the first knuckle, thereby providing an actuating movement by the thumb along a familiar and natural arc which facilitates a coordinated easy actuation with very little major muscle movement;

c. a surgical tip at the distal end of the surgical instrument for performing a useful surgical procedure thereat;

d. wherein a rotational coupler is rotationally mounted within the instrument housing to provide for complete rotational movement and freedom thereof within the surgical instrument.

32. The surgical instrument of claim 31, wherein a translationally-fixed, distal portion of the rotational coupler is rotationally mounted within the instrument housing by an annular retainer ring which is positioned between first and second annular collar retainers of the rotational coupler, to secure the distal portion of the rotational coupler within the housing against movements in a translational direction, while providing 360°

angular rotational movement and freedom for the rotational coupler within the instrument housing.

33. The surgical instrument of claim 31, wherein an exterior rotational knob is positioned around and locked to the rotational coupler, such that the rotational knob can be rotated by the surgeon operator to rotate the rotational coupler and an attached angularly-extending clamp arm and angularly-extending blade relative to the surgical instrument.

34. The surgical instrument of claim 31, wherein an outer support tube is fixedly mounted to a translationally-fixed distal portion of the rotational coupler, and an inner actuating tube is mounted to a translationally-movable proximal end of the rotational coupler for limited distal and proximal translational movement within the outer support tube, to couple an actuating translating movement of the thumb pad actuator to an actuating rotational movement of a clamp arm relative to a blade at a stationary distal end of the surgical instrument.

35. The surgical instrument of claim 34, wherein the translationally-movable proximal portion of the rotational coupler is positioned around and secured to the proximal end of the inner actuating tube.

36. The surgical instrument of claim 35, wherein the translationally-movable proximal portion of the rotational coupler includes a plurality of longitudinally extending prongs which mount around and surround the proximal end of the inner actuating tube, securing the two components together for common rotational and translational movements.

37. The surgical instrument of claim 31, wherein the thumb-pad actuator extends downwardly at its distal end in a wishbone construction having downwardly-depending, spaced-apart resilient wishbone legs, each of which supports an inwardly projecting drive pin, which pins are positioned on opposite sides of a tubular collar which is mounted around the translationally-movable proximal portion of the rotational coupler which is mounted for limited distal and proximal translational movements relative to the translationally-fixed distal portion of the rotational coupler.

38. The surgical instrument of claim 37, wherein the tubular collar includes first and second spaced annular collar retainers which extend circumferentially around the rotational coupler, and a series of ridged detents is defined between the first and second collar retainers which extend circumferentially around the rotational coupler to provide a positive detent action against the resiliently mounted drive pins during rotation of the rotational coupler.

39. The surgical instrument of claim 38, wherein a pin extends through diametrically-opposed holes in a cylindrical sleeve of the translationally-fixed distal portion of the rotational coupler, through aligned diametrically-opposed holes in the proximal end of the outer support tube, and also through aligned longitudinally-extending, diametrically-opposed slots near the proximal end of the inner actuating tube, such that the cylindrical sleeve and the outer support tube are locked together by the pin for common rotational movement, and translational movements of the tubular collar caused by actuation of the thumb pad actuator result limited translational movement of the inner drive tube, with the elongated slot moving relative to the pin until the pin contacts ends of the elongated slots, and the translational movements of the inner tube within the outer support tube open or close the rotationally-mounted clamp arm relative to the end blade which is fixedly mounted to the distal end of the outer support tube.

40. The surgical instrument of claim 31, wherein Belleville washer springs are mounted at the proximal end of the rotational coupler to absorb an extra force applied to the thumb pad actuator, with the Belleville washer springs being compressed after the clamp arm is closed against the blade.

41. The surgical instrument of claim 34, wherein inwardly-projecting, diametrically-opposed pivot mount pins on the moveable clamp arm are rotationally mounted within diametrically-opposed apertures on opposite sides of the distal end of the outer tube, to rotate the clamp arm relative to the blade which is fixedly mounted at the distal end of the outer support tube.

42. The surgical instrument of claim 41, wherein inwardly-projecting, diametrically-opposed pivot legs on the moveable clamp arm are rotationally mounted within diametrically-opposed slots on opposite sides of the distal end of the inner actuating tube, to rotate the clamp arm relative to the blade which is fixedly mounted at the distal end of the outer support tube.

43. A surgical instrument which is ergonomically designed to be comfortable and reduce fatigue in a surgeon operator'"'"'s hand and arm, comprising:

a. a housing body shroud for the surgical instrument which defines a handle which is held in the palm of a surgeon user to balance the weight of the instrument during usage;

b. a thumb pad actuator translationally mounted on the upper surface of the body shroud for distal and proximal movements along substantially the same arc that the thumb naturally follows when bending proximally and distally at the first knuckle, thereby providing an actuating movement by the thumb along a familiar and natural arc which facilitates a coordinated easy actuation with very little major muscle movement;

c. a surgical tip at the distal end of the surgical instrument for performing a useful surgical procedure thereat;

d. wherein the upper central surface of thumb pad actuator has a horizontal S shaped design which fits the normal curvature of the thumb to provide greater comfort and control, and the upper surface also has a ribbed texturing to prevent thumb slippage.

44. A surgical instrument which is ergonomically designed to be comfortable and reduce fatigue in a surgeon operator'"'"'s hand and arm, comprising:

a. a housing body shroud for the surgical instrument which defines a handle which is held in the palm of a surgeon user to balance the weight of the instrument during usage;

b. a thumb pad actuator translationally mounted on the upper surface of the body shroud for distal and proximal movements along substantially the same arc that the thumb naturally follows when bending proximally and distally at the first knuckle, thereby providing an actuating movement by the thumb along a familiar and natural arc which facilitates a coordinated easy actuation with very little major muscle movement;

c. a surgical tip at the distal end of the surgical instrument for performing a useful surgical procedure thereat;

d. wherein the thumb-pad actuator is mounted on top of the surgical instrument for distal and proximal movements by first and second slide pins which are mounted for distal and proximal movements in first and second slide grooves defined in opposed body half shrouds of the surgical instrument, the first slide pin is mounted on the distal end of the thumb pad actuating, and the second slide pin is mounted on the proximal end of the thumb pad actuator, and the first slide groove extends distally and proximally in a generally horizontal direction, and the second slide groove extends distally and proximally in both a generally horizontal direction and also a rearward-downwardly extending direction, such that movement of the thumb pad actuator as guided by the first and second slide grooves follows the natural movement of an extending and retracting thumb of a surgeon operator.