Multiple end effectors ultrasonic surgical instruments

• US 8,257,377 B2
• Filed: 07/27/2007
• Issued: 09/04/2012
• Est. Priority Date: 07/27/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Wiener, Eitan T., Miller, Matthew C.
• Primary Examiner(s): Houston, Elizabeth
• Assistant Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US11/881,654
• Publication Number:
  US 20090030351A1
• Time in Patent Office: 1,866 Days
• Field of Search: 606/37, 606/39, 606/40, 606/45, 606/49, 606/169, 606/170, 606/171, 601/2, 604/22, 433/43, 433/51, 433/52, 433/86, 433/118, 433/119, 433/141, 433/142, 433/143, 433/144, 301/62, 301/40
• 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 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/22015 with details of the transmission member
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320074 blade
• 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

Abstract

A surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. The transducer includes a first end and a second end. A first resonator portion includes a first end coupled to the first end of the transducer. The first resonator includes a second end adapted to receive a first ultrasonic transmission waveguide. A second resonator portion includes a first end coupled to the second end of the transducer. The second resonator includes a second end adapted to receive a second ultrasonic transmission waveguide.

Claims

1. A surgical instrument, comprising:

a transducer defining a longitudinal axis, the transducer comprising a first end and a second end, the transducer further comprising;

a transduction portion disposed along the longitudinal axis and comprising a first end and a second end, the transduction portion configured to produce vibration in a first direction along the longitudinal axis at a predetermined frequency, the transduction portion configured to produce vibrations in a second direction along the longitudinal axis at the predetermined frequency, wherein the second direction is substantially opposite the first direction;

a first resonator portion disposed along the longitudinal axis and configured to receive ultrasonic vibration in the first direction from the first end of the transduction portion, the first resonator portion comprising a first end coupled to the first end of the transduction portion and a second end adapted to receive the first ultrasonic transmission waveguide;

a first ultrasonic transmission waveguide disposed along the longitudinal axis and configured to receive ultrasonic vibrations in the first direction from the second end of the first resonator portion, the first ultrasonic transmission waveguide comprising a first end coupled to the second end of the first resonator portion;

a first deployable ultrasonic end effector disposed along the longitudinal axis coupled to a second end of the first ultrasonic transmission waveguide;

a second resonator portion disposed along the longitudinal axis and configured to receive ultrasonic vibration in the second direction from the second end of the transduction portion, the second resonator portion comprising a first end coupled to the second end of the transduction portion and a second end adapted to receive a second ultrasonic transmission waveguide;

a second ultrasonic transmission waveguide disposed along the longitudinal axis and configured to receive ultrasonic vibrations in the second direction from the second end of the second resonator portion, the second ultrasonic transmission waveguide comprising a first end coupled to the second end of the second resonator portion;

a second deployable ultrasonic end effector disposed along the longitudinal axis coupled to a second end of the second ultrasonic transmission waveguide;

wherein, when the first resonator portion receives ultrasonic vibrations in the first direction, the second resonator portion receives ultrasonic vibrations in the second direction;

wherein, when one of the deployable ultrasonic end effectors is deployed, the other deployable ultrasonic end effector is non-deployed to prevent contact with unwanted objects; and

wherein, when the deployed deployable ultrasonic end effector is loaded by tissue the non-deployed deployable ultrasonic end effector is unloaded by tissue and consumes less power and generates less heat than the deployed ultrasonic end effector.

2. The surgical instrument of claim 1, comprising:

a transducer housing; and

an instrument housing having a first end and a second end, the instrument housing is slideably attached to the transducer housing, wherein the transducer housing bears against a bearing surface of the instrument housing, the instrument housing comprising;

a first shroud formed on the first end of the instrument housing, the first shroud defining an opening to receive the first end effector therein; and

a second shroud formed on the second end of the instrument housing, the second shroud defining an opening to receive the second end effector therein.

3. The surgical instrument of claim 2, wherein the instrument housing is slideable to:

a first position to contain the second end effector within the second shroud and expose the first end effector through the opening defined by the first shroud; and

wherein the instrument housing is slideable to;

a second position to contain the first end effector within the first shroud and expose the second end effector through the opening defined by the second shroud.

4. The surgical instrument of claim 1, wherein the surgical device is configured to receive a first end effector movable by ultrasonic vibrations propagating from first end of the transducer and further configured to receive a second end effector movable by ultrasonic vibrations propagating from the second end of the transducer.

5. A method for processing a surgical instrument for surgery, comprising:

obtaining the surgical instrument of claim 1;

attaching at least one ultrasonic transmission waveguide to the at least one of the first resonator or the second resonator portions; and

sterilizing the surgical instrument.

6. A surgical system, comprising:

a transducer housing;

a transducer coupled to the ultrasonic signal generator, the transducer defining a longitudinal axis, the transducer comprising a first end, a second end, a transduction portion, a first resonator portion, and a second resonator portion;

the transduction portion disposed along the longitudinal axis and comprising a first end, a plurality of piezoelectric elements arranged in a stack to form a piezoelectric stack, and a second end, the piezoelectric stack comprising a bore through which a coupling member extends, the piezoelectric stack configured to produce vibrations in a first direction and a second direction along the longitudinal axis at a predetermined frequency, wherein the second direction is substantially opposite to the first direction, and the transduction portion mounted to the transducer housing by at least two flanges;

the first resonator portion disposed along the longitudinal axis and configured to receive ultrasonic vibration in the first direction from the first end of the transduction portion;

the first ultrasonic transmission waveguide comprising a first end coupled to the second end of the first resonator portion;

the second resonator portion disposed along the longitudinal axis and configured to receive ultrasonic vibrations in the second direction from the second end of the transduction portion;

the second resonator portion comprises a first end coupled to the coupling member at the second end of the transduction portion and a second end adapted to receive a second ultrasonic transmission waveguide; and

a second ultrasonic transmission waveguide disposed along the longitudinal axis and configured to receive ultrasonic vibrations in the second direction from the second end of the second resonator portion, the second ultrasonic transmission waveguide comprising a first end coupled to the second end of the second resonator portion;

wherein, when one resonator portion receives ultrasonic vibrations in the first direction, the other resonator portion receives ultrasonic vibrations in the second direction.

7. The surgical system of claim 6, comprising:

a first ultrasonic end effector extending along the longitudinal axis coupled to a second end of the first ultrasonic transmission waveguide; and

a second ultrasonic end effector extending along the longitudinal axis coupled to a second end of the ultrasonic transmission waveguide.

8. The surgical system of claim 7, wherein the first and second ultrasonic end effectors are deployable in substantially opposite directions along the longitudinal axis.

9. A surgical instrument, comprising:

a transducer defining a longitudinal axis, the transducer comprising a first end and a second end, the transducer further comprising;

a transduction portion disposed along the longitudinal axis and comprising a first end and a second end, the transduction portion configured to produce vibrations in a first direction along the longitudinal axis at a predetermined frequency, the transduction portion configured to produce vibrations in a second direction along the longitudinal axis at the predetermined frequency, the second direction substantially opposite to the first direction;

a first resonator portion disposed along the longitudinal axis and configured to receive ultrasonic vibration in the first direction from the first end of the transduction portion, the first resonator portion comprising a first end coupled to the first end of the transduction portion and a second end adapted to receive a first ultrasonic transmission waveguide;

a first ultrasonic transmission waveguide disposed along the longitudinal axis and configured to receive ultrasonic vibrations in the first direction from the second end of the first resonator portion, the first ultrasonic transmission waveguide comprising a first end coupled to the second end of the first resonator portion;

a first deployable ultrasonic end effector disposed along the longitudinal axis coupled to a second end of the first ultrasonic transmission waveguide, the first deployable ultrasonic end effector movable from a deployed position to a non-deployed position;

a second resonator portion disposed along the longitudinal axis and configured to receive ultrasonic vibration in the second direction from the second end of the transduction portion, the second resonator portion comprising a first end coupled to the second end of the transduction portion and a second end adapted to receive a second ultrasonic transmission waveguide;

a second ultrasonic transmission waveguide disposed along the longitudinal axis and configured to receive ultrasonic vibrations in the second direction from the second end of the second resonator portion, the second ultrasonic transmission waveguide comprising a first end coupled to the second end of the second resonator portion;

a second deployable ultrasonic end effector disposed along the longitudinal axis coupled to a second end of the second ultrasonic transmission waveguide, the second deployable ultrasonic end effector movable from a deployed position to a non-deployed position;

wherein, when the first resonator portion receives ultrasonic vibrations in the first direction, the second resonator portion receives ultrasonic vibrations in the second direction;

wherein, when one of the deployable ultrasonic end effectors is deployed, the other deployable ultrasonic end effector is non-deployed to prevent contact with unwanted objects; and

wherein, when the deployed deployable ultrasonic end effector is loaded by tissue the non-deployed deployable ultrasonic end effector is unloaded by tissue and consumes less power and generates less heat than the deployed ultrasonic end effector.