Surgical instruments

• US 8,900,259 B2
• Filed: 03/08/2012
• Issued: 12/02/2014
• Est. Priority Date: 03/22/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Houser, Kevin L., Zwolinski, Andrew M., Lopes, Tracy D., Malaviya, Prasanna, Price, Daniel W., DeLuca, Louis T.
• Primary Examiner(s): FISHBACK, ASHLEY LAUREN
• Application Number:
  US13/414,819
• Publication Number:
  US 20120259353A1
• Time in Patent Office: 999 Days
• Field of Search: 604/22, 606/37, 606/39, 606/40, 606/45, 606/46, 606/51, 606/52, 606167-171, 606/174, 606205-209
• 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 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/2837 with a locking ratchet
• CPC Class Codes: A61B 2017/2924 Translation movement of handle without rotating movement
• CPC Class Codes: A61B 2017/2946 Locking means
• 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 2017/320082 for incising tissue
• 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 2090/036 abutting on tissue or skin
• CPC Class Codes: A61B 2090/0807 Indication means

Abstract

A surgical instrument that may include a housing, a transducer engaged with the housing which can produce vibrations, and an end-effector engaged with the transducer. The surgical instrument can include an adjustable sheath extending from the housing where the sheath is movable relative to the distal tip of the end-effector and where the distance between the distal tip of the sheath and the distal tip of the end-effector can enable the sheath to act as a depth stop. The sheath can be adjusted such that, when the distal tip of the sheath contacts the tissue or bone being incised, the surgeon can determine that the appropriate depth of the incision has been reached. In other embodiments, the end-effector can be moved with respect to the sheath to adjust the distance between the distal tip of the end-effector and the distal tip of the sheath.

Claims

1. A surgical instrument, comprising:

an outer sheath;

a transducer configured to produce vibrations;

an end-effector engaged with said transducer, wherein said end-effector defines an axis and a distal tip, and wherein said distal tip is movable relative to said axis by vibrations produced by said transducer; and

a clamp having a jaw member movably supported relative to said end-effector, wherein said jaw member is movable between an open position and a closed position, wherein said clamp is translatable axially between a first axial position and a second axial position with respect to said distal tip of said end-effector, wherein said second axial position is distal to said first axial position, wherein said clamp is at least partially disposed within said outer sheath in said first axial position, wherein said clamp is fully outside said outer sheath in said second axial position, and wherein said jaw member is movable between said open position and said closed position while said clamp is in said second axial position.

2. The surgical instrument of claim 1, wherein said vibrations include at least one of vibrations parallel to said axis, vibrations transverse to said axis, and vibrations torsional about said axis.

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

a first actuator configured to translate said clamp between said first axial position and said second axial position; and

a second actuator configured to move said jaw member between said open position and said closed position.

4. The surgical instrument of claim 3, wherein said first actuator includes an outer tube, wherein said outer tube includes a cavity extending therethrough, and wherein said second actuator includes an inner tube configured to be received within said outer tube.

5. The surgical instrument of claim 4, wherein said inner tube includes a cavity extending therethrough configured to receive at least a portion of said end-effector.

6. The surgical instrument of claim 4, wherein said inner tube includes a distal end, wherein said jaw member includes a proximal end, and wherein said second actuator further includes a drive pin connecting said distal end of said inner tube and said proximal end of said jaw member such that relative movement between said inner tube and said outer tube causes said jaw member to rotate about a pivot.

7. The surgical instrument of claim 3, further comprising a housing, wherein said housing includes a first recess and a second recess, wherein said clamp member is positioned in said first axial position when said first actuator is engaged with said first recess, and wherein said clamp member is positioned in said second axial position when said first actuator is engaged with said second recess.

8. The surgical instrument of claim 1, wherein said end-effector is configured to be detached from said transducer, and wherein said transducer is configured to receive a different end-effector.

9. The surgical instrument of claim 1, wherein said clamp further includes a jaw connector connecting said jaw member to a pivot, and wherein said jaw member is detachable from said jaw connector.

10. The surgical instrument of claim 1, wherein said jaw member includes a distal tip, and wherein, when said clamp is in said first axial position, said distal tip of said jaw member is positionable adjacent to said distal tip of said end-effector.

11. A surgical instrument, comprising:

a housing;

an outer sheath;

a transducer engaged with said housing, wherein said transducer is configured to produce vibrations;

an end-effector engaged with said transducer, wherein said end-effector defines an axis and a distal tip, and wherein said distal tip is movable relative to said axis by vibrations produced by said transducer; and

a clamp, wherein said clamp includes a jaw member and a pivot, wherein said jaw member is rotatable with respect to said end-effector about said pivot, wherein said jaw member is detachable from said clamp, wherein said clamp is translatable axially between a proximal inoperable position and a distal operable position, wherein said clamp is at least partially surrounded by said outer sheath in said proximal inoperable position, and wherein said clamp is fully outside said outer sheath in said distal operable position.

12. The surgical instrument of claim 11, wherein said vibrations include at least one of vibrations parallel to said axis, vibrations transverse to said axis, and vibrations torsional about said axis.

13. The surgical instrument of claim 11, wherein said clamp further includes a jaw connector connecting said jaw member to said pivot, and wherein said jaw member is detachable from said jaw connector.

14. The surgical instrument of claim 13, wherein said jaw member includes at least one deflectable leg, and wherein said jaw connector includes a recess configured to receive said at least one deflectable leg and retain said jaw member to said jaw connector.

15. The surgical instrument of claim 13, wherein said jaw member includes a first deflectable leg and a second deflectable leg, wherein said first and second deflectable legs each include a projection extending therefrom, wherein said projections extend in substantially opposite directions, wherein said jaw connector includes a recess configured to receive said projections, wherein said projections are configured to engage said recess and retain said jaw member to said jaw connector, and wherein said first and second deflectable legs are configured to be deflected toward each other to disengage said projections from said recess and detach said jaw member from said jaw connector.

16. The surgical instrument of claim 11, wherein said jaw member is rotatable with respect to said end-effector between an open position and a closed position about said pivot, and wherein said clamp is translatable between a first position and a second position with respect to said distal tip of said end-effector.

17. The surgical instrument of claim 16, further comprising:

a first actuator configured to translate said clamp between said first and second positions; and

a second actuator configured to rotate said jaw member between said open and closed positions.

18. The surgical instrument of claim 11, wherein said end-effector is configured to be detached from said transducer, and wherein said transducer is configured to receive a different end-effector.

19. The surgical instrument of claim 11, wherein said jaw member includes a distal tip, and wherein, when said clamp is in a first position, said distal tip of said jaw member is positionable adjacent to said distal tip of said end-effector.

20. A surgical instrument, comprising:

a housing;

an outer sheath;

a transducer engaged with said housing, wherein said transducer is configured to produce vibrations;

an end-effector engaged with said transducer, wherein said end-effector defines an axis and a distal tip, and wherein said distal tip is movable relative to said axis by vibrations produced by said transducer;

a clamp, wherein said clamp includes a jaw member and a pivot;

rotating means for rotating said clamp between an open position and a closed position about said pivot; and

translating means for translating said clamp axially between a first proximal position and a second distal position with respect to said distal tip of said end-effector, wherein said rotating means is operable to rotate said clamp between said open position and said closed position in said second distal position, wherein said clamp is at least partially surrounded by said outer sheath in said first proximal position, and wherein said clamp is fully outside said outer sheath in said second distal position.