Outer sheath and blade arrangements for ultrasonic surgical instruments

• US 8,579,928 B2
• Filed: 02/11/2010
• Issued: 11/12/2013
• Est. Priority Date: 02/11/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Robertson, Galen C., Miller, Matthew C., Malaviya, Prasanna
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US12/703,885
• Publication Number:
  US 20110196403A1
• Time in Patent Office: 1,370 Days
• Field of Search: 606/167, 606169-171, 606/180, 604/22, 600562-568
• US Class Current: 606/169
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• 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 17/320783 through side-hole, e.g. sliding or rotating cutter inside catheter
• CPC Class Codes: A61B 2017/00261 Discectomy
• 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 2017/320074 blade
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2017/320791 with cutter extending outside the cutting window
• CPC Class Codes: A61B 2217/005 with suction drainage system

Abstract

In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath, a blade disposed at least partially within the hollow sheath and extending through an opening in the sheath, and at least one ultrasonic transducer operably coupled to the blade. The blade may include a polygonal cross-sectional shape and the tip may project away from the sheath'"'"'s longitudinal axis. In another embodiment, the surgical instrument may include a blade with suction disposed therethrough and at least one ultrasonic transducer operably coupled to the blade. The blade may include a cutting edge that is positioned over a blade opening. Also, the cutting edge may project away from the blade'"'"'s longitudinal axis.

Claims

1. A surgical instrument, comprising:

a hollow sheath including an outer perimeter and an opening, wherein the hollow sheath defines a longitudinal axis;

a blade disposed at least partially within the hollow sheath and extending through the opening, wherein the blade comprises a tip and a cross-sectional shape adjacent to the tip that is a polygon, and wherein the tip projects away from the longitudinal axis and radially extends beyond the outer perimeter; and

at least one ultrasonic transducer operably coupled to the blade.

2. The surgical instrument of claim 1, wherein the opening defines a plane that intersects the longitudinal axis and that is not transverse to the longitudinal axis.

3. The surgical instrument of claim 1, wherein the opening defines a first plane and a second plane intersecting the first plane, wherein the blade extends through the first plane.

4. The surgical instrument of claim 1, wherein the tip curves towards a first side of the blade, wherein the hollow sheath further comprises a protective lip extending along a second side of the blade and towards the tip, and wherein the second side is substantially opposite to the first side.

5. The surgical instrument of claim 1, wherein the blade further includes a tip that is at least 0.25 inches away from the longitudinal axis but not more than 0.75 inches away from the longitudinal axis.

6. The surgical instrument of claim 1, wherein the blade is curved adjacent to the tip, wherein the blade defines a first axis within the hollow sheath and a second axis through the tip, wherein the first and second axes define an angle, and wherein the angle is equal to or greater than 60 degrees but equal to or less than 90 degrees.

7. The surgical instrument of claim 1, wherein the tip comprises a pyramidal shape.

8. The surgical instrument of claim 1, wherein the polygon is a quadrilateral.

9. The surgical instrument of claim 8, wherein the quadrilateral is a rhombus.

10. The surgical instrument of claim 9, wherein the rhombus defines an angle between a side of the rhombus and a centerline of the rhombus, wherein the angle is equal to or greater than 10 degrees but equal to or less than 25 degrees.

11. The surgical instrument of claim 9, wherein the rhombus comprises four vertices, wherein two of the vertices define an axis that is coplanar with the blade'"'"'s longitudinal axis.

12. The surgical instrument of claim 1, further comprising:

a suction port communicating with the hollow sheath, wherein the hollow sheath is configured to allow suction to be applied from the suction port to the opening.

13. The surgical instrument of claim 1, wherein the tip tapers to a point, and wherein the polygon comprises sharp vertices.

14. A surgical instrument, comprising:

a hollow sheath including an opening, wherein the hollow sheath defines a longitudinal axis;

a blade disposed at least partially within the hollow sheath and extending through the opening, wherein the blade comprises;

a pyramidal end comprising a plurality of planar faces, a plurality of non-rounded corners, and a pointed tip, wherein the pyramidal end projects away from the longitudinal axis; and

a cross-sectional shape adjacent to the pyramidal end that is a polygon; and

at least one ultrasonic transducer operably coupled to the blade.

15. The surgical instrument of claim 14, wherein the pointed tip curves towards a first side of the blade, wherein the hollow sheath further comprises a protective lip extending along a second side of the blade and towards the tip, and wherein the second side is substantially opposite to the first side.

16. The surgical instrument of claim 14, wherein the polygon comprises a parallelogram, and wherein the parallelogram comprises non-rounded corners.

17. A surgical instrument, comprising:

a hollow sheath including an opening, wherein the hollow sheath defines a longitudinal axis;

a blade disposed at least partially within the hollow sheath and extending through the opening, wherein the blade comprises a tip and a cross-sectional shape adjacent to the tip that is a quadrilateral, wherein the tip projects away from the longitudinal axis, and wherein the quadrilateral comprises pointed vertices; and

at least one ultrasonic transducer operably coupled to the blade.

18. The surgical instrument of claim 17, wherein the tip tapers to a point.

19. The surgical instrument of claim 18, wherein the tip comprises a pyramidal shape.

20. The surgical instrument of claim 17, wherein the quadrilateral is a rhombus.

21. The surgical instrument of claim 20, wherein the quadrilateral defines an angle between adjacent sides, and wherein the angle is equal to or greater than 20 degrees but equal to or less than 50 degrees.