Ultrasonic surgical instruments

• US 8,319,400 B2
• Filed: 06/24/2009
• Issued: 11/27/2012
• Est. Priority Date: 06/24/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Houser, Kevin L., Stulen, Foster B., Nield, Scott A., Wan, Shan
• Primary Examiner(s): Martin, J. San
• Application Number:
  US12/490,948
• Publication Number:
  US 20100331872A1
• Time in Patent Office: 1,252 Days
• Field of Search: 310/323.12, 310/325, 600/437, 600/459, 601/2, 604/22, 606169-171
• US Class Current: 310/334
• 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 2017/0023 disposable
• CPC Class Codes: A61B 2017/00402 Piezo electric actuators
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• 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 2017/320072 Working tips with special features, e.g. extending parts
• CPC Class Codes: A61B 2017/320078 Tissue manipulating surface
• 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
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 8/4209 by using holders, e.g. positioning frames
• CPC Class Codes: A61B 8/4494 characterised by the arrangement of the transducer elements devices for short-range imaging using particular transducer elements arrangements under G01S15/8909; arrangements of transducers in generation of mechanical vibrations of infrasonic, sonic or ultrasonic frequency B06B1/0607
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00
• CPC Class Codes: B06B 1/0607 using multiple elements B06B1/064 and B06B1/0688 take precedence
• CPC Class Codes: B06B 3/00 Methods or apparatus specially adapted for transmitting mechanical vibrations of infrasonic, sonic, or ultrasonic frequency
• CPC Class Codes: H10N 30/202 using longitudinal or thickness displacement combined with bending, shear or torsion displacement
• CPC Class Codes: H10N 30/503 with non-rectangular cross-section orthogonal to the stacking direction, e.g. polygonal, circular
• CPC Class Codes: H10N 30/505 Annular cross-section
• CPC Class Codes: Y10T 29/42 Piezoelectric device making
• CPC Class Codes: Y10T 29/49005 : Acoustic transducer
• CPC Class Codes: Y10T 29/49155 : Manufacturing circuit on or in base

Abstract

In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer.

Claims

1. A surgical instrument, comprising:

a handle;

a transducer configured to produce vibrations, wherein said transducer comprises;

at least one piezoelectric element;

a gripping portion; and

a mounting portion configured to be operably coupled with an end effector, wherein said transducer is configured to produce a standing wave of vibrations in said transducer and the end effector, wherein said standing wave comprises a node and an anti-node, wherein said handle is configured to be placed in a first configuration in which it is disengaged from said gripping portion and a second configuration in which it is engaged with said gripping portion, and wherein said handle is configured to hold said gripping portion in position when said handle is in said second configuration and when the end effector is being mounted to said mounting portion of said transducer.

2. The surgical instrument of claim 1, wherein said handle comprises a flexible portion configured to be flexed between said first configuration and said second configuration.

3. The surgical instrument of claim 1, wherein said gripping portion is configured to receive torque applied thereto.

4. The surgical instrument of claim 1, wherein said handle is movable between said first configuration and said second configuration.

5. The surgical instrument of claim 1, wherein said handle comprises interlocking features configured to engage said gripping portion.

6. The surgical instrument of claim 1, wherein said gripping portion is positioned at said anti-node.

7. The surgical instrument of claim 1, further comprising said end effector.

8. A surgical instrument, comprising:

a transducer configured to produce vibrations, wherein said transducer comprises;

at least one piezoelectric element; and

a transducer housing at least partially surrounding said at least one piezoelectric element;

a waveguide mounted to said transducer and an end effector extending from said waveguide, wherein said transducer is configured to produce a standing wave of vibrations in said transducer, said waveguide and said end effector, wherein said standing wave comprises a node and an anti-node; and

an end effector housing at least partially surrounding said waveguide, wherein said end effector housing is mounted to said waveguide at or near said node, and wherein said transducer housing is mounted to said end effector housing.

9. The surgical instrument of claim 8, further comprising a dampening member positioned intermediate said transducer housing and said end effector housing.

10. The surgical instrument of claim 8, wherein said standing wave has more than one node, and wherein at least a portion of said transducer is positioned at a said node.

11. The surgical instrument of claim 8, wherein said end effector housing comprises a handle portion.

12. A surgical instrument, comprising:

a transducer configured to produce vibrations, wherein said transducer comprises;

at least one piezoelectric element; and

an at least partially threaded aperture; and

an end effector, wherein said end effector comprises an at least partially threaded portion configured to be threadably inserted into said aperture and mount said end effector to said transducer, wherein said transducer is configured to produce a standing wave of vibrations in said transducer and said end effector, wherein the position of said transducer is adjustable relative to said end effector in order to tune said standing wave, and wherein said standing wave comprises a node and an anti-node.

13. The surgical instrument of claim 12, wherein said end effector comprises a distal tip, and wherein said transducer is movable relative to said end effector such that an anti-node of said standing wave is located at said distal tip.

14. The surgical instrument of claim 12, wherein said transducer comprises a proximal mounting portion and a distal mounting portion, wherein said at least one piezoelectric element is secured intermediate said proximal mounting portion and said distal mounting portion, and wherein said aperture extends through at least said distal mounting portion.

15. A surgical instrument, comprising:

a transducer configured to produce vibrations, wherein said transducer comprises;

at least one piezoelectric element; and

an aperture; and

an end effector, wherein at least a portion of said end effector is configured to be inserted into said aperture and mount said end effector to said transducer, wherein said transducer is configured to produce a standing wave of vibrations in said transducer and said end effector, and wherein said standing wave comprises a node and an anti-node; and

adjustment means for moving said transducer relative to said end effector and tuning said standing wave.

16. The surgical instrument of claim 15, wherein said adjustment means comprises at least one of a thread means, a press-fit means, and a thermal interference fit means.

17. The surgical instrument of claim 15, wherein said end effector comprises a distal tip, and wherein said transducer is movable relative to said end effector such that an anti-node of said standing wave is located at said distal tip.

18. A surgical instrument assembly, comprising:

an elongate shaft comprising a distal end effector, a proximal end, and a stop flange positioned intermediate said proximal end and said distal end effector;

at least one piezoelectric element configured to produce a standing wave of vibrations in said end effector, wherein said standing wave comprises a node and an anti-node, wherein said at least one piezoelectric element comprises an aperture, wherein said elongate shaft is configured to be received within said aperture, and wherein said piezoelectric element is configured to be slid along said shaft until it abuts said stop flange; and

an end member configured to compress said piezoelectric element against said stop flange.

19. The surgical instrument assembly of claim 18, wherein said distal end effector, said proximal end, and said stop flange are integrally formed.

20. A surgical instrument for use with an end effector, said surgical instrument comprising:

a handle;

a first transducer configured to produce vibrations, wherein said first transducer comprises at least one piezoelectric element, wherein said first transducer is configured to produce a standing wave of vibrations in said first transducer and the end effector, wherein said standing wave comprises a node and an anti-node;

a mounting portion, wherein said first transducer and the end effector are operably engageable with said mounting portion; and

a second transducer configured to produce vibrations, wherein said second transducer is operably engageable with said mounting portion, wherein said second transducer comprises at least one piezoelectric element, wherein said second transducer is configured to produce a standing wave of vibrations in said second transducer and the end effector comprising a node and an anti-node.

21. The surgical instrument of claim 20, wherein said handle comprises:

a first aperture configured to receive said first transducer; and

a second aperture configured to receive said second transducer.

22. The surgical instrument of claim 20, wherein said first transducer and said second transducer are selectively actuatable.

23. A surgical instrument for use with an end effector, said surgical instrument comprising:

a handle;

a first transducer configured to produce vibrations, wherein said first transducer comprises;

at least one piezoelectric element, wherein said first transducer is configured to produce a first standing wave of vibrations in said first transducer and the end effector, wherein said first standing wave comprises a node and an anti-node;

a distal mounting portion configured to be operably connected to the end effector; and

a proximal mounting portion; and

a second transducer configured to produce vibrations, wherein said second transducer is selectively engageable with said first transducer, wherein said second transducer comprises;

at least one piezoelectric element, wherein said second transducer is configured to produce a second standing wave of vibrations in said second transducer, said first transducer, and the end effector, said second standing wave comprising a node and an anti-node; and

a second mounting portion operably engageable with said proximal mounting portion of said first transducer.

24. The surgical instrument of claim 23, wherein said second standing wave is configured to be superimposed onto said first standing wave.

25. The surgical instrument of claim 23, wherein said first transducer and said second transducer are selectively actuatable.