Ultrasonic surgical instruments

• US 8,882,791 B2
• Filed: 07/27/2007
• Issued: 11/11/2014
• 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.
• Primary Examiner(s): FISHBACK, ASHLEY LAUREN
• Application Number:
  US11/881,645
• Publication Number:
  US 20090030439A1
• Time in Patent Office: 2,664 Days
• Field of Search: 600/184, 604/22, 604/46, 606/39, 606/167, 606169-171, 606/32, 606/45, 606/159, 433/86, 433118-121, 433/165, 433/224, 601 2- 4
• 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 17/3203 Fluid jet cutting instruments
• CPC Class Codes: A61B 2017/22082 after introduction of a substance
• 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 2017/320089 node location
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2017/32035 with gas or air

Abstract

A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. The transducer is configured to produce vibrations at a predetermined frequency. An ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. The ultrasonic blade includes a body having a proximal end and a distal end. The distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. The body includes a treatment region that extends from the proximal end to the distal end. The body includes surface coatings to prevent the formation of a thin layer of fluid on the body which may be atomized thus creating a mist. The body may also include a bore configured to emit a spray which will also prevent the formation of thin layer of fluid on the body.

Claims

1. A surgical instrument, comprising:

a transducer configured to produce vibrations at a predetermined frequency; and

an ultrasonic blade extending along a longitudinal axis coupled to the transducer, wherein the ultrasonic blade comprises;

a substantially solid, substantially cylindrical body without a channel formed from a first metallic electrically conductive material, the 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;

at least one annular layer of a second metallic electrically conductive material formed on at least a first portion of the body, the second metallic material being suitable to carry an electric charge from a direct current electrical source, wherein the first metallic material is different than the second metallic material; and

at least one annular layer of a third electrically insulative material formed on at least a second portion of the body, wherein the third electrically insulative material is located intermediate the first metallic material and the second metallic material, wherein the third electrically insulative material is different than the second metallic material, wherein the third electrically insulative material comprises an electret material, and wherein the third electrically insulative material entirely encloses the first metallic material to electrically isolate the first metallic material from the second metallic material.

2. The surgical instrument of claim 1, wherein the electric charge carried by the at least one annular layer of the second metallic material is a positive charge, and wherein the ultrasonic blade is configured to be positioned by a fluid at a treatment site that has a positive electrical charge.

3. The surgical instrument of claim 1, wherein the at least one annular layer of the third electrically insulative material is to electrically insulate the blade from electrical charges.

4. The surgical instrument of claim 1, wherein the electrical charge carried by the at least one annular layer of the second metallic material is a negative charge, and wherein the ultrasonic blade is configured to be positioned by a fluid at a treatment site that has a negative electrical charge.

5. An ultrasonic surgical blade, comprising:

a substantially solid, substantially cylindrical body without a channel formed from a first metallic electrically conductive material, the body having a proximal end and a distal end, wherein the distal end is movable relative to a longitudinal axis by vibrations produced by a transducer;

at least one annular layer of a second metallic electrically conductive material formed on at least a first portion of the body, the second metallic material being suitable to carry an electric charge from a direct current electrical source, wherein the first metallic material is different than the second metallic material; and

at least one annular layer of a third electrically insulative material formed on at least a second portion of the body, wherein the third electrically insulative material is located intermediate the first metallic material and the second metallic material, wherein the third electrically insulative material is different than the second metallic material, wherein the third electrically insulative material comprises an electret material, and wherein the third electrically insulative material entirely encloses the first metallic material to electrically isolate the first metallic material from the second metallic material.

6. The ultrasonic surgical blade of claim 5, wherein the electric charge carried by the at least one annular layer of the second metallic material is a positive charge, and wherein the ultrasonic blade is configured to be positioned by a fluid at a treatment site that has a positive electrical charge.

7. The ultrasonic surgical blade of claim 5, wherein the at least one annular layer of the third electrically insulative material is to electrically insulate the blade from electrical charges.

8. The surgical instrument of claim 5, wherein the electrical charge carried by the at least one annular layer of the second metallic material is a negative charge, and wherein the ultrasonic blade is configured to be positioned by a fluid at a treatment site that has a negative electrical charge.

9. A method comprising:

providing an ultrasonic surgical blade comprising a substantially solid, substantially cylindrical body without a channel formed from a first metallic electrically conductive material, the body having a proximal end and a distal end, wherein the distal end is movable relative to a longitudinal axis by vibrations produced by a transducer;

applying at least one annular layer of a second metallic electrically conductive material onto at least a portion of the body, the second metallic material comprising a material suitable to carry an electric charge from a direct current electrical source, wherein the first metallic material is different than the second metallic material; and

applying at least one annular layer of a third electrically insulative material on at least a second portion of the body, wherein the third electrically insulative material is located intermediate the first metallic material and the second metallic material, wherein the third electrically insulative material is different than the second metallic material, wherein the third electrically insulative material comprises an electret material, and wherein the third electrically insulative material entirely encloses the first metallic material to electrically isolate the first metallic material from the second metallic material.

10. A surgical instrument, comprising:

a transducer configured to produce vibrations at a predetermined frequency; and

an ultrasonic blade extending along a longitudinal axis coupled to the transducer, wherein the ultrasonic blade comprises;

a substantially solid, substantially cylindrical body without a channel and having a first length, the body comprising 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;

at least one layer of a first material formed on at least a portion of the body, wherein the first material comprises a superhydrophobic material and wherein the first material is to globulize fluid particles in contact therewith to reduce a mist plume produced by fluid particles contacting a surface of the body of the ultrasonic blade when energized during an ultrasonic surgical procedure; and

a tapered inner concave surface forming a conical shape formed at the distal end extending inwardly into the substantially solid, substantially cylindrical blade body substantially along the longitudinal axis, wherein the conical shape comprises an apex within the substantially solid, substantially cylindrical blade body, wherein the tapered inner concave surface terminates at or before the apex of the conical shape, wherein the tapered inner concave surface comprises a second length between the distal end and the apex, wherein the first length is at least three times the second length such that vibrations produced along the substantially solid, substantially cylindrical blade body are substantially uniform to provide substantially even distribution of energy to the tissue, and wherein the tapered concave surface is configured to cause fluid droplets to converge along the longitudinal axis when the fluid droplets collide with the tapered concave surface to enhance visibility of the surgical site by reducing a mist plume produced by fluids contacting a surface of the energized ultrasonic blade during ultrasonic surgical procedures.