Ultrasonic surgical instrument blades

• US 9,066,747 B2
• Filed: 11/01/2013
• Issued: 06/30/2015
• Est. Priority Date: 11/30/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Robertson, Galen C.
• Primary Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US14/069,837
• Publication Number:
  US 20140058427A1
• Time in Patent Office: 606 Days
• Field of Search: 606/37, 606/39, 606/45, 606/169, 606/170, 606/171, 303/465.5, 303/465.7, 303/53, 303/57, 839/56
• US Class Current: 1/1
• 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 17/3205 Excision instruments
• CPC Class Codes: A61B 2017/00973 pedal-operated
• 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 2017/320072 Working tips with special features, e.g. extending parts
• CPC Class Codes: A61B 2017/320074 blade
• CPC Class Codes: A61B 2017/320082 for incising tissue
• 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: Y10S 83/956 Ultrasonic

Abstract

An ultrasonic surgical instrument including an ultrasonically actuated blade or end effector having a treatment portion. The blade can define a central axis and at least one axis which is transverse to the central axis, wherein the transverse axis can lie within a plane which is perpendicular, or normal, to the longitudinal axis and can define a cross-section of the treatment portion. Such a cross-section can include a central portion and a step extending from the central portion, wherein the central portion can comprise a width, and wherein the step can comprise a cutting edge. In at least one embodiment, the cutting edge can be defined by first and second surfaces which define an angle therebetween. In various embodiments, the position of the cutting edge and/or the angle between the cutting edge surfaces can be selected in order to balance the blade with respect to the transverse axis.

Claims

1. A surgical instrument, comprising:

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

a surgical blade, comprising;

a distal end;

a proximal end; and

a cross-section situated intermediate said distal end and said proximal end, wherein said cross-section is defined by a plane which is perpendicular to the longitudinal axis, wherein said cross-section is further defined by a centerline which lies in the plane, and wherein said cross-section comprises;

a cross-section center of gravity;

a center portion comprising a center portion center of gravity, wherein said centerline extends through said center portion center of gravity and said cross-section center of gravity; and

a first cutting portion extending from said center portion, wherein said first cutting portion comprises a first cutting portion center of gravity which is positioned along said centerline, and wherein said first cutting portion is asymmetric relative to said centerline.

2. The surgical instrument of claim 1, wherein the surgical instrument comprises an ultrasonic instrument.

3. The surgical instrument of claim 2, wherein an ultrasonic signal generator is coupled to said transducer.

4. The surgical instrument of claim 1, wherein said cross-section further comprises a curved cutting notch extending into said center portion, and wherein said curved cutting notch comprises a second cutting portion.

5. The surgical instrument of claim 4, wherein said second cutting portion comprises a center of gravity which is positioned along said centerline, and wherein said second cutting portion further comprises a second cutting edge which is not positioned along said centerline.

6. The surgical instrument of claim 5, wherein said first cutting edge is positioned on a first side of said centerline, and wherein said second cutting edge is positioned on a second side of said centerline.

7. A surgical instrument, comprising:

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

a surgical blade, comprising;

a distal end;

a proximal end; and

a cross-section situated intermediate said distal end and said proximal end, wherein said cross-section is defined by a plane which is perpendicular to the longitudinal axis, wherein the plane is at least partially defined by a transverse axis which is perpendicular to the longitudinal axis, and wherein said cross-section comprises;

a body portion, wherein said body portion is symmetric relative to said transverse axis, and wherein said body portion comprises a first mass (M_B1) positioned on a first side of said transverse axis and a second mass (M_B2) positioned on a second side of said transverse axis; and

a step portion comprising a first mass (M_S1)positioned on said first side and a second mass(M_S2) positioned on said second side, wherein M_B1+M_S1 is substantially equal to M_B2+M_S2, and wherein said step portion is asymmetrical relative to said transverse axis.

8. The surgical instrument of claim 7, wherein the surgical instrument comprises an ultrasonic instrument.

9. The surgical instrument of claim 8, wherein an ultrasonic signal generator is coupled to said transducer.

10. The surgical instrument of claim 7, further comprising a curved cutting recess, wherein said curved cutting recess at least partially includes said step portion.

11. The surgical instrument of claim 7, wherein M_B1+M_S1 is equal to M_B2+M_S2.

12. A surgical instrument, comprising:

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

a surgical blade, comprising;

a body portion comprising a center of gravity and a centerline extending through said center of gravity, wherein said body portion is symmetric relative to said centerline; and

a step portion extending from said body portion, wherein said step portion comprises a first surface, a second surface, and a cutting edge situated intermediate said first and second surfaces, wherein said first surface faces away from said centerline, wherein said second surface extends at an angle through said centerline between a first plane including said cutting edge and a second plane which is parallel to said first plane, wherein said first surface is not parallel to said second surface, and wherein said surgical blade is mass-balanced relative to said centerline.

13. The surgical instrument of claim 12, wherein the surgical instrument comprises an ultrasonic instrument.

14. The surgical instrument of claim 13, wherein an ultrasonic signal generator is coupled to said transducer.

15. A surgical instrument, comprising:

a transducer;

a waveguide; and

a cutting blade, wherein said waveguide is intermediate said transducer and said cutting blade, and wherein said cutting blade comprises;

a center of gravity and a centerline extending through said center of gravity;

a body comprising a body center of gravity, wherein said centerline extends through said body center of gravity; and

a step extending from said body, wherein said step is asymmetric to said centerline.

16. The surgical instrument of claim 15, wherein said transducer is configured to produce vibrations along a longitudinal axis, wherein said cutting blade further comprises a cross-section defined by a plane perpendicular to the longitudinal axis, and wherein said centerline lies in the plane.

17. The surgical instrument of claim 16, wherein said cross-section comprises:

a body portion having a first mass (M_B1) positioned on a first side of the plane and a second mass (M_B2) positioned on a second side of the plane; and

a step portion having a first mass (M_S) positioned on said first side and a second mass ( M_S2) positioned on said second side, wherein M_B1+M_S1 is substantially equal to M_B2+M_S2, and wherein said step portion is asymmetrical relative to the plane.

18. The surgical instrument of claim 15, wherein said cutting blade further comprises a curved cutting notch, and wherein said curved cutting notch comprises a cutting portion.

19. A surgical instrument, comprising:

a transducer;

a waveguide; and

a blade, wherein said waveguide is intermediate said transducer and said blade, and wherein said blade comprises;

a body;

a centerline, wherein said blade and said body of said blade are substantially mass-balanced relative to said centerline; and

a cutting portion extending from said body, wherein said cutting portion is asymmetric relative to said centerline.

20. The surgical instrument of claim 19, wherein said transducer is configured to produce vibrations along a longitudinal axis, wherein said blade further comprises a cross-section defined by a plane perpendicular to the longitudinal axis, and wherein said centerline lies in the plane.

21. The surgical instrument of claim 20, wherein said cross-section comprises:

said body having a first mass (M_B1) positioned on a first side of the plane and a second mass (M_B2) positioned on a second side of the plane; and

said cutting portion having a first mass (M_S1) positioned on said first side and a second mass (M_S2) positioned on said second side, wherein M_B1+M_S1 is substantially equal to M_B2+M_S2.

22. The surgical instrument of claim 19, wherein said blade further comprises a curved cutting portion, and wherein said curved cutting portion comprises a cutting surface.