Ultrasonic surgical instrument and cartilage and bone shaping blades therefor

• US 8,236,019 B2
• Filed: 03/26/2010
• Issued: 08/07/2012
• Est. Priority Date: 03/22/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Houser, Kevin L.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Cronin, Ashley
• Application Number:
  US12/732,702
• Publication Number:
  US 20100179577A1
• Time in Patent Office: 865 Days
• Field of Search: 604/22, 606167-171, 600/564, 600/565, 600/568
• US Class Current: 606/169
• 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 2017/1602 Mills
• CPC Class Codes: A61B 2017/22079 with suction of debris
• CPC Class Codes: A61B 2017/320008 Scrapers
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320073 probe
• CPC Class Codes: A61B 2017/320078 Tissue manipulating surface
• CPC Class Codes: A61B 2017/32008 preventing clogging of suction channel
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2217/005 with suction drainage system

Abstract

An ultrasonic surgical blade that includes a blade body that has a treatment region. At least one indentation can be formed in the treatment region of the blade body wherein each indentation forms a tissue cutting edge with an outer surface of the blade body. The indentation may comprise one or more holes, lumens, grooves or dimples or a combination of such structures. In various embodiments, one or more aspiration lumens are provided in the surgical blade which may ultimately communicate with an aspiration lumen or passage in an ultrasonic surgical instrument.

Claims

1. An ultrasonic surgical blade comprising:

an ultrasonic transmission member;

a substantially spherically-shaped blade body protruding from said ultrasonic transmission member and having a treatment region;

at least one endless groove formed around a circumference of said spherically-shaped blade body in said treatment region thereof wherein each said groove forms at least one tissue cutting edge with an outer surface of said blade body;

a first lumen extending at least partially through said ultrasonic transmission member and at least a portion of said blade body; and

at least one second lumen extending at least partially through another portion of said blade body and intersecting said first lumen for fluid communication therewith, each said second lumen forming at least one opening into one of said at least one endless groove.

2. An ultrasonic surgical blade according to claim 1 wherein said at least one second lumen forms diametrically opposed openings in said one of said at least one endless groove.

3. The ultrasonic blade of claim 2 wherein at least one of said diametrically opposed opening has a tapered distal portion that has a first diameter that opens into said endless groove and wherein said first diameter is less than a second diameter of said second lumen.

4. An ultrasonic surgical blade according to claim 1 wherein said at least one second lumen extends along an axis that is substantially perpendicular to said longitudinal axis.

5. An ultrasonic surgical blade according to claim 1 further comprising an aspiration member communicating with said first lumen.

6. An ultrasonic surgical blade according to claim 1 wherein said first lumen is in fluid communication with at least one of an aspiration module and an irrigation module.

7. An ultrasonic surgical blade according to claim 1 wherein said ultrasonic transmission member is configured to transmit at least one of a longitudinal motion, transverse motion and torsional motion from a corresponding source of said longitudinal motion, transverse motion, and torsional motion communicating therewith to said blade body.

8. The ultrasonic surgical blade according to claim 7 wherein said ultrasonic transmission member is configured to transmit a combination of said longitudinal motion, transverse motion and torsional motion to said blade body.

9. A method for processing an ultrasonic surgical blade, the method comprising:

obtaining the ultrasonic surgical blade of claim 1;

detaching the blade body from the distal end of the ultrasonic transmission member; and

performing one of the following actions;

reforming at least one of said grooves in said blade body, resterilizing said blade body and reattaching the resterilized blade body to the distal end of the ultrasonic transmission member;

or

attaching another sterilized ultrasonically actuated blade to the distal end of the ultrasonic transmission member.

10. A method for processing an ultrasonic surgical blade for surgery, the method comprising:

obtaining the ultrasonic surgical blade of claim 1;

sterilizing the ultrasonic surgical blade; and

storing the ultrasonic surgical blade in a sterile container.

11. The ultrasonic blade of claim 1 wherein said at least one opening comprises a tapered distal portion that has a first diameter that opens into said endless groove and wherein said first diameter is less than a second diameter of said second lumen.