Ultrasonic surgical instruments

• US 8,911,460 B2
• Filed: 03/22/2007
• Issued: 12/16/2014
• 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: Neurohr, Mark A., Robertson, Galen C., DeLuca, Louis T., Stulen, Foster B., Price, Daniel W.
• Primary Examiner(s): FISHBACK, ASHLEY LAUREN
• Application Number:
  US11/726,625
• Publication Number:
  US 20080234710A1
• Time in Patent Office: 2,826 Days
• Field of Search: 433118-119, 604/22, 606/32, 606/37, 606 39- 40, 606/45, 606/167, 606169-171, 606/213
• 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 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320078 Tissue manipulating surface
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• 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
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means

Abstract

A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. The transducer is configured to produce vibrations along a longitudinal axis 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 a substantially flat broad top surface, a bottom surface, and a neck portion protruding from the proximal end adapted to couple to the transducer.

Claims

1. A surgical instrument, comprising:

a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency;

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

a body having a proximal end and a distal end defining a length along the longitudinal axis, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer;

a treatment region having a proximal end and a distal end, wherein the treatment region extends to the distal end of the body;

a substantially flat top surface comprising a broad top portion defining a width transverse to the length, wherein the broad top portion is substantially flat along the width, wherein the broad top portion is arcuate about a first axis along the length, defining a first longitudinal radius of curvature, and wherein the substantially flat top surface comprises a top distal end;

a bottom surface comprising a bottom surface portion, wherein the bottom surface portion is substantially arcuate about a second axis along the length, defining a second longitudinal radius of curvature, wherein the bottom surface portion is substantially arcuate about a third axis transverse to the length, defining a transverse radius of curvature, and wherein the bottom surface comprises a bottom distal end;

a substantially flat tip, wherein the substantially flat tip is positioned at the distal end of the body coinciding with an anti-node to provide maximum vibrational displacement of the substantially flat tip, wherein the substantially flat tip comprises a cutting edge defining a cutting surface, and wherein the substantially flat tip extends distally from the top distal end of the substantially flat top surface to the bottom distal end of the bottom surface; and

a neck portion protruding from the proximal end of the body adapted to couple to the transducer;

wherein the width of the substantially flat top surface is substantially greater than a thickness of the body between the substantially flat top surface and the bottom surface.

2. The surgical instrument of claim 1, wherein the cutting edge is substantially perpendicular to the longitudinal axis.

3. The surgical instrument of claim 2, wherein the treatment region comprises at least one coagulating edge.

4. The surgical instrument of claim 2, wherein the treatment region comprises a coagulating surface comprising the bottom surface portion.

5. The surgical instrument of claim 2, wherein the bottom surface portion is located along the distal end of the blade body.

6. The surgical instrument of claim 2, wherein the body comprises a cross-sectional portion that is substantially arcuate about the third axis.

7. The surgical instrument of claim 1, wherein a width of the broad top portion is substantially greater than the vertical thickness of the underlying body.

8. A method for processing a surgical instrument for surgery, comprising:

obtaining the surgical instrument of claim 1;

sterilizing the surgical instrument; and

storing the surgical instrument in a sterile container.

9. A method for processing a surgical instrument, the method comprising:

obtaining the ultrasonic surgical instrument of claim 1;

detaching the ultrasonic blade from a distal end of the surgical instrument; and

performing one of the following actions;

reforming any one of the body, the treatment region, the top surface, the bottom surface, and the neck portion of the ultrasonic blade, resterilizing the ultrasonic blade, and reattaching the resterilized ultrasonic blade to the distal end of the surgical instrument;

or

attaching another sterilized ultrasonic blade to the distal end of the surgical instrument.

10. An ultrasonic surgical elevator blade, comprising:

a body defining a longitudinal axis, the body having a proximal end and a distal end, the body defining a length along the longitudinal axis, wherein the distal end is movable relative to the longitudinal axis by vibrations produced by a transducer;

a treatment region having a proximal end and a distal end, wherein the treatment region extends to the distal end of the body,

a substantially flat top surface comprising a broad top portion defining a width transverse to the length, wherein the broad top portion is substantially flat along the width, wherein the broad top portion is arcuate about a first axis along the length, defining a first longitudinal radius of curvature, and wherein the substantially flat top surface comprises a top distal end;

a bottom surface comprising a bottom surface portion, wherein the bottom surface portion is substantially arcuate about a second axis along the length, defining a second longitudinal radius of curvature, wherein the bottom surface portion is substantially arcuate about a third axis transverse to the length, defining a transverse radius of curvature, and wherein the bottom surface comprises a bottom distal end;

a substantially flat tip, wherein the substantially flat tip is positioned at the distal end of the body coinciding with an anti-node to provide maximum vibrational displacement of the substantially flat tip, wherein the substantially flat tip comprises a cutting edge defining a cutting surface, wherein the substantially flat tip extends distally from the top distal end of the substantially flat top surface to the bottom distal end of the bottom surface; and

a neck portion protruding from the proximal end adapted to couple to an ultrasonic transmission waveguide to transmit vibrations at a predetermined frequency from the transducer to the distal end of the treatment region;

wherein the width of the substantially flat top surface is substantially greater than a thickness of the body between the substantially flat top surface and the bottom surface.

11. The ultrasonic surgical elevator blade of claim 10,

wherein the bottom surface portion comprises a coagulation surface;

and

wherein the body comprises a cross-sectional portion comprising a top surface and a bottom surface, wherein the top surface is substantially perpendicular to a third axis, and the bottom surface of the cross-sectional portion is substantially arcuate about the-third axis.

12. The ultrasonic surgical elevator blade of claim 10, comprising at least one atraumatic edge positioned at the distal end of the body.

13. The ultrasonic surgical elevator blade of claim 10, comprising an ultrasonic transmission waveguide coupled to the neck portion of the body and formed as a single unitary piece.

14. A method for processing a surgical blade for surgery, comprising:

obtaining an ultrasonic surgical elevator blade according to claim 10;

sterilizing the ultrasonic surgical blade; and

storing the ultrasonic surgical blade in a sterile container.

15. A method of mounting an ultrasonic surgical elevator blade onto a distal end of an ultrasonic transmission member, the method comprising providing an ultrasonic surgical elevator blade according to claim 10, and mounting said ultrasonic surgical elevator blade onto a distal end of an ultrasonic transmission member via one of the actions selected from the group of actions consisting of welding, threading, and gluing.

16. An ultrasonic surgical elevator blade, comprising:

a body defining a longitudinal axis, the body having a proximal end and a distal end, the body defining a length along the longitudinal axis, wherein the distal end is movable relative to the longitudinal axis by vibrations produced by a transducer;

a substantially flat top surface comprising a broad top portion defining a width transverse to the length, wherein the broad top portion is substantially flat along the width, wherein the broad top portion is arcuate about a first axis along the length, defining a first longitudinal radius of curvature;

a bottom surface comprising a bottom surface portion, wherein the bottom surface portion is substantially arcuate about a second axis along the length, defining a second longitudinal radius of curvature, wherein the bottom surface portion is substantially arcuate about a third axis transverse to the length, defining a transverse radius of curvature;

a substantially flat tip, wherein the substantially flat tip is positioned at the distal end of the body, wherein the substantially flat tip comprises a cutting edge defining a cutting surface; and

a neck portion protruding from the proximal end adapted to couple to an ultrasonic transmission waveguide to transmit vibrations at a predetermined frequency and wavelength from the transducer to the distal end of the distal end of the body;

wherein the ultrasonic surgical elevator blade comprises an anti-node positioned at the substantially flat tip, and wherein the anti-node provides maximum vibrational displacement of the surgical elevator blade at the substantially flat tip.

17. The ultrasonic surgical elevator blade of claim 16, wherein the anti-node is positioned an integer multiple of one-half the wavelength away from the proximal end of the body.