Ultrasonic end effectors with increased active length

• US 8,523,889 B2
• Filed: 07/27/2007
• Issued: 09/03/2013
• 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: Stulen, Foster B., Houser, Kevin L., Battaglia, Vincent P. Jr., Bertke, Brian D.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Cronin, Ashley
• Application Number:
  US11/881,662
• Publication Number:
  US 20090030311A1
• Time in Patent Office: 2,230 Days
• Field of Search: 600/459, 604/22, 606169-170, 606/167
• 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 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• 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 2017/320094 additional movable means performing clamping operation

Abstract

An end effector includes a first portion having a first specific acoustic impedance value, and a second portion having a second specific acoustic impedance value less than the first specific acoustic impedance value. The first portion includes a proximal end segment of the end effector and a distal end segment of the end effector, and the proximal end segment and the distal end segment are composed of a first material. The second portion includes an insert segment of the end effector composed of a second material. The insert segment is located between the proximal end segment and the distal end segment along the longitudinal axis of the end effector. The insert segment functions to bridge or fill the nodal energy gap. A surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis as a predetermined frequency. An ultrasonic blade extends along the longitudinal axis coupled to the transducer. An insert segment or a pad is positioned adjacent to the blade such that it engages the blade when the surgical instrument is in a closed position and generates heat filling the nodal energy gap.

Claims

1. An ultrasonic surgical instrument, comprising:

an end effector having a length extending along a longitudinal axis, the end effector configured to transmit ultrasonic vibrations along the length, and the end effector having a discontinuous acoustic impedance along the length, the end effector comprising;

a first portion having a first specific acoustic impedance, the first portion disposed along the longitudinal axis and comprising a proximal end and a distal end; and

a second portion having a second specific acoustic impedance different than the first specific acoustic impedance, the second portion disposed between the proximal end and the distal end of the first portion along the longitudinal axis to increase an active length of the end effector relative to an active length of an end effector without the second portion, wherein the active length is the distance from the distal end of the end effector where ultrasonic displacement is a predetermined level to a proximal location along the end effector where ultrasonic displacement has decreased below the predetermined level.

2. The ultrasonic surgical instrument of claim 1, wherein the second specific acoustic impedance value is less than the first specific acoustic impedance value.

3. The ultrasonic surgical instrument of claim 1, wherein:

the proximal end comprises a proximal end segment and the distal end comprises a distal end segment; and

the second portion comprises an insert segment.

4. The ultrasonic surgical instrument of claim 3, wherein the proximal end segment and the distal end segment both comprise a first material and the insert segment comprises a second material.

5. The ultrasonic surgical instrument of claim 3, wherein the distal end segment, the proximal end segment and the insert segment have matching cross-sectional areas.

6. The ultrasonic surgical instrument of claim 3, wherein the insert segment has a cross-sectional area less than a cross-sectional area of the proximal end segment and the distal end segment.

7. The ultrasonic surgical instrument of claim 3, wherein the insert segment is positioned at a location corresponding to the location of a nodal energy gap.

8. The ultrasonic surgical instrument of claim 3, wherein the insert segment comprises aluminum or alloys thereof, and the proximal end segment and the distal end segment comprise stainless steel.

9. The ultrasonic surgical instrument of claim 3, wherein the insert segment comprises aluminum or alloys thereof, and the proximal end segment and the distal end segment comprise titanium or alloys thereof.

10. The ultrasonic surgical instrument of claim 3, wherein the insert segment comprises one or more holes open to an external surface of the end effector.

11. The ultrasonic surgical instrument of claim 1, wherein the second portion comprises a coating of material associated with the second portion.

12. The ultrasonic surgical instrument of claim 1, wherein the second portion comprises an internal cavity.

13. The ultrasonic surgical instrument of claim 1, wherein the end effector comprises an ultrasonic surgical blade.

14. The ultrasonic surgical instrument of claim 13, wherein the ultrasonic surgical blade comprises:

a body defining the longitudinal axis, the body comprising a proximal end and a distal end, wherein the distal end is movable along the longitudinal axis by the transmitted ultrasonic vibrations produced by a transducer;

a treatment region extending from the proximal end to the distal end;

a substantially flat broad top surface; and

a bottom surface.

15. An ultrasonic surgical instrument, comprising:

an end effector comprising a distal end segment, a distal insert segment, an intermediate insert segment, a proximal insert segment, and a proximal end segment;

the segments disposed along a longitudinal axis having a length and configured to transmit ultrasonic vibrations along the length;

the distal end segment comprised of a first acoustic impedance material;

the distal insert segment comprised of a second acoustic impedance material;

the intermediate insert segment comprised of a third acoustic impedance material;

the proximal insert segment comprised of a fourth acoustic impedance material; and

the proximal end segment comprised of a fifth acoustic impedance material.

16. The ultrasonic surgical instrument of claim 15, wherein the second acoustic impedance material is the same as the fourth acoustic impedance material.

17. The ultrasonic surgical instrument of claim 15, wherein the second acoustic impedance material is different than the fourth acoustic impedance material.

18. The ultrasonic surgical instrument of claim 15, wherein the first acoustic impedance material is the same as the fifth acoustic impedance material.

19. The ultrasonic surgical instrument of claim 15, wherein the first acoustic impedance material is different than the fifth acoustic impedance material.

20. The ultrasonic surgical instrument of claim 15, wherein the third acoustic impedance material has a greater acoustic impedance value than the first acoustic impedance material, the second acoustic impedance material, the fourth acoustic impedance material and the fifth acoustic impedance material.

21. The ultrasonic surgical instrument of claim 15, wherein the first acoustic impedance material, the third acoustic impedance material and the fifth acoustic impedance material each have greater acoustic impedance values than the second acoustic impedance material and the fourth acoustic impedance material.

22. The ultrasonic surgical instrument of claim 15, wherein the third acoustic impedance material has a greater acoustic impedance value than the first acoustic impedance material and the fifth acoustic impedance material, and wherein the second acoustic impedance material and the fourth acoustic impedance material have lower acoustic impedance values than the first acoustic impedance material and the fifth acoustic impedance material.

23. The ultrasonic surgical instrument of claim 15, wherein the intermediate insert segment is positioned at a location corresponding to a location of a node.

36. The ultrasonic surgical instrument of claim 15, wherein the intermediate segment comprises one or more holes open to an external surface of the end effector.

24. An ultrasonic surgical blade comprising a plurality of segments, wherein at least one of the segments narrows a nodal gap along the blade.

25. The ultrasonic surgical blade of claim 24, wherein at least one of the segments is configured to narrow the nodal gap by increasing ultrasonic displacement in a nodal region.

26. The ultrasonic surgical blade of claim 24, wherein at least one of the segments is configured to narrow the nodal energy gap by increasing at least one of the longitudinal motion, transverse motion, and torsional motion of the surgical blade in a nodal region.

27. The ultrasonic surgical blade of claim 24, wherein at least one of the segments is configured to fill the nodal gap by frictionally generating heat due to at least one of longitudinal motion, transverse motion, and torsional motion of the surgical blade.

28. The ultrasonic surgical blade of claim 24, wherein at least one of the segments is configured to fill and narrow the nodal gap by frictionally generating heat due to at least one of longitudinal motion, transverse motion, and torsional motion of the surgical blade and by increasing ultrasonic displacement in a nodal region.

29. The ultrasonic surgical blade of claim 24, wherein at least one of the segments comprises a portion of the blade coated with a material having a high coefficient of friction.

30. The ultrasonic surgical blade of claim 24, wherein at least one of the segments comprises a portion of the blade coated with an acoustically lossy material.

31. The ultrasonic surgical blade of claim 24, wherein at least one of the segments comprises a portion of the blade that has been cold worked.

32. The ultrasonic surgical blade of claim 24, wherein at least one of the segments comprises a portion of the blade having a smaller cross-sectional area due to an enclosed internal cavity in the blade.

33. The ultrasonic surgical blade of claim 24, further comprising:

a proximal end segment;

a distal end segment; and

an insert segment;

wherein the insert segment is located between the proximal end segment and the distal end segment and the insert segment narrows the nodal gap.

34. The ultrasonic surgical blade of claim 33, wherein the insert segment comprises a material having a specific acoustic impedance value less than the specific acoustic impedance value of the proximal end segment and the specific acoustic impedance value of the distal end segment.

35. The ultrasonic surgical blade of claim 24, wherein the at least one segment comprises one or more holes open to an external surface of the end effector.

37. An ultrasonic surgical blade comprising a single material and having a length, wherein the specific acoustic impedance of the blade changes along the length, and wherein the change in acoustic impedance narrows a nodal gap.

38. The ultrasonic surgical blade of claim 37, wherein the specific acoustic impedance of the blade changes abruptly due to an internal cavity in the surgical blade.

39. The ultrasonic surgical blade of claim 37, wherein the specific acoustic impedance of the blade changes abruptly in a region of the surgical blade that has been cold worked.

40. The ultrasonic surgical blade of claim 37, wherein the specific acoustic impedance of the blade changes gradually due to an internal cavity in the surgical blade.

41. The ultrasonic surgical blade of claim 37, wherein the specific acoustic impedance of the blade changes gradually due to cold working of the surgical blade.

42. The ultrasonic surgical blade of claim 37, wherein the specific acoustic impedance of the blade changes gradually along the length and is at a local minimum at a location along the length corresponding to a nodal gap.

43. The ultrasonic surgical blade of claim 37, wherein the specific acoustic impedance of the blade changes gradually along the length and is at a local maximum at a location along the length corresponding to a nodal gap.

44. An ultrasonic surgical blade comprising a plurality of segments, wherein at least one of the segments is configured to fill a nodal energy gap.

45. The ultrasonic surgical blade of claim 44, wherein at least one segment comprises an acoustically lossy material;

and wherein the at least one segment is positioned at a location corresponding to the location of the nodal energy gap; and

wherein the at least one segment is configured to generate and conduct heat to fill the nodal energy gap.

46. The ultrasonic surgical blade of claim 44, wherein at least one of the segments comprises a portion of the blade coated with a material having a high coefficient of friction.

47. The ultrasonic surgical blade of claim 44, wherein at least one of the segments comprises an internal cavity.

48. The ultrasonic surgical blade of claim 44, wherein at least one of the segments comprises a portion of the blade coated with an acoustically lossy material.