Ultrasonic surgical system having a fluid cooled blade and related cooling methods therefor

• US 8,974,478 B2
• Filed: 09/20/2011
• Issued: 03/10/2015
• Est. Priority Date: 09/20/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Ross, Anthony B., Stoddard, Robert B., Cunningham, James S., Dickhans, William J., Hempstead, Russell D., Larson, Eric R., Kerr, Duane E., Nau, William H. Jr., Ward, Arlen K.
• Primary Examiner(s): MCEVOY, THOMAS M
• Application Number:
  US13/236,768
• Publication Number:
  US 20130072950A1
• Time in Patent Office: 1,267 Days
• Field of Search: 606/49, 606/159, 606169-172, 604/22, 601/2
• 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 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/22021 electric leads passing through the catheter
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves

Abstract

The present disclosure is directed to a fluid cooled ultrasonic surgical instrument and related systems and methods of use therefor. In some embodiments, the disclosed ultrasonic surgical instrument is adapted for used within an insufflated cavity or pneumoperitoneum of a patient. The instrument includes a housing having an elongate shaft, a waveguide disposed at a distal end of the shaft, a coolant inlet port defined in an outer surface of the housing, and a coolant pump disposed within the housing and configured to move coolant from the coolant inlet port to the waveguide. During use, insufflation gas from within the pneumoperitoneum is drawn into the instrument shaft by the coolant pump, and blown over the waveguide to provide cooling. The delivery of ultrasonic energy and activation of the pump may be controlled by a processor in response to user input and waveguide temperature.

Claims

1. An ultrasonic surgical instrument for use in an insufflated surgical environment, comprising:

a housing having an elongated shaft extending distally therefrom, wherein the elongated shaft is configured for insertion into an insufflated surgical environment;

a waveguide extending from a distal end of the elongated shaft;

a coolant inlet port defined in an outer surface of the elongated shaft and configured to receive insufflation gas from an insufflated surgical environment;

a coolant outlet port positioned distal to the coolant inlet port; and

a coolant pump disposed within the housing and configured to move insufflation gas from the coolant inlet port to the coolant outlet port.

2. An ultrasonic surgical instrument in accordance with claim 1, further comprising a coolant outlet conduit in fluid communication at a proximal end thereof with an outlet of the coolant pump, the coolant outlet port defined at a distal end of the coolant outlet conduit.

3. An ultrasonic surgical instrument in accordance with claim 2, wherein the coolant outlet port is configured to direct coolant towards at least a portion of the waveguide.

4. An ultrasonic surgical instrument in accordance with claim 1, further comprising a sensor operably coupled to the waveguide.

5. An ultrasonic surgical instrument in accordance with claim 4, wherein the sensor is adapted to sense a property selected from the group consisting of a temperature, a frequency, an impedance, a phase, an amplitude, a rate of fluid flow, and a quantity of fluid.

6. An ultrasonic surgical instrument in accordance with claim 1, wherein the coolant inlet port is radially aligned with a coolant pump inlet.

7. An ultrasonic surgical instrument in accordance with claim 1, wherein the coolant pump includes an electric motor.

8. An ultrasonic surgical instrument in accordance with claim 1, wherein the coolant outlet port is positioned beyond a distal end of the elongate shaft.

9. An ultrasonic surgical system, comprising:

an ultrasonic surgical instrument adapted to operably couple to an ultrasonic generator and configured for use in an insufflated surgical environment, the ultrasonic surgical instrument including;

a housing having an elongated shaft extending distally therefrom, wherein the elongated shaft is configured for insertion into an insufflated surgical environment;

a waveguide extending from a distal end of the elongated shaft;

a coolant inlet port defined in an outer surface of the elongated shaft and configured to receive insufflation gas from an insufflated surgical environment;

a coolant outlet port positioned distal to the coolant inlet port; and

a coolant pump disposed within the housing and configured to move insufflation gas from the coolant inlet port to the coolant outlet port; and

an ultrasonic generator adapted to operably couple to the ultrasonic surgical instrument, the ultrasonic generator including;

an ultrasonic driver unit configured to provide ultrasonic energy to the waveguide; and

a coolant activation unit configured to provide a coolant activation signal to the coolant pump.

10. An ultrasonic surgical system in accordance with claim 9, wherein the ultrasonic surgical instrument further comprises a sensor operably coupled to the waveguide;

and wherein the ultrasonic generator further comprises a sensor interface unit configured to receive a sensor signal from the sensor.

11. An ultrasonic surgical system in accordance with claim 10, wherein the sensor is adapted to sense a property selected from the group consisting of a temperature, a frequency, an impedance, a phase, an amplitude, a rate of fluid flow, and a quantity of fluid.

12. An ultrasonic surgical system in accordance with claim 10, wherein the ultrasonic generator further comprises a processor in operable communication with at least one of the ultrasonic driver unit, the coolant activation unit, or the sensor interface unit.

13. An ultrasonic surgical system in accordance with claim 12, wherein the ultrasonic generator further comprises a memory in operable communication with the processor.

14. An ultrasonic surgical system in accordance with claim 13, wherein the memory includes a set of programmed instructions executable on the processor to perform a method of:

receiving an activation signal;

activating the ultrasonic driver unit; and

activating the coolant activation unit.

15. An ultrasonic surgical system in accordance with claim 9, wherein the coolant outlet port is positioned beyond a distal end of the elongate shaft.

16. An ultrasonic surgical system, comprising:

an ultrasonic surgical instrument adapted to operably couple to an ultrasonic generator and configured for use in an insufflated surgical environment, the ultrasonic surgical instrument including;

a housing having an elongated shaft extending distally therefrom, wherein the elongated shaft is configured for insertion into an insufflated surgical environment;

a waveguide disposed at a distal end of the elongated shaft;

a coolant inlet port defined in an outer surface of the elongated shaft and configured to receive insufflation gas from an insufflated surgical environment;

a coolant pump disposed within the housing and configured to move insufflation gas from the coolant inlet port to the waveguide; and

a sensor operably coupled to the waveguide; and

an ultrasonic generator adapted to operably couple to the ultrasonic instrument, the ultrasonic generator including;

an ultrasonic driver unit configured to provide ultrasonic energy to the waveguide;

a coolant activation unit configured to provide a coolant activation signal to the coolant pump;

a sensor interface unit configured to receive a sensor signal from the sensor;

a processor in operable communication with at least one of the ultrasonic driver unit, the coolant activation unit, or the sensor interface unit; and

a memory in operable communication with the processor and including a set of programmed instructions executable on the processor to perform a method including;

receiving an activation signal;

activating the ultrasonic driver unit

activating the coolant activation unit

receiving a sensor signal corresponding to a temperature of the ultrasonic surgical instrument; and

deactivating the ultrasonic driver unit in response to a determination that the temperature of the ultrasonic surgical instrument has exceeded a temperature threshold for a predetermined duration of time.