Flexible harmonic waveguides/blades for surgical instruments

• US 9,095,367 B2
• Filed: 10/22/2012
• Issued: 08/04/2015
• Est. Priority Date: 10/22/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Olson, William A., Houser, Kevin L., Messerly, Jeffrey D., Stulen, Foster B.
• Primary Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US13/657,553
• Publication Number:
  US 20140114334A1
• Time in Patent Office: 1,016 Days
• Field of Search: 606/37, 606/38, 606/39, 606/40, 606/45, 606/46, 606/49, 606/50, 606/167, 606/169, 606/170, 606/171, 606/173
• 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 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• 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 2017/320075 single edge blade, e.g. for cutting
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• 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 34/30 Surgical robots
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

In one embodiment, a surgical instrument comprises an articulable harmonic waveguide. The articulable harmonic waveguide comprises a first drive section comprising a proximal end and a distal end. The proximal end of the first drive section may be configured to connect to an ultrasonic transducer. The articulable harmonic waveguide further comprises a first flexible waveguide coupled to the distal end of the first drive section. An end effector extends distally from the first flexible waveguide. The surgical instrument further comprises an articulation actuator to flex the first flexible waveguide.

Claims

1. An articulating ultrasonic surgical instrument, comprising:

an articulable harmonic waveguide, comprising;

a first drive section comprising a proximal end and a distal end, the proximal end configured to connect to an ultrasonic transducer;

a first flexible waveguide coupled to the distal end of the first drive section;

an end effector extending distally from the first flexible waveguide;

an articulation actuator to flex the first flexible waveguide; and

a total curvature limiter configured to prevent the first flexible waveguide from exceeding a predetermined condition;

wherein the predetermined condition comprises a local radius of curvature to prevent a transmission of ultrasonic energy to the articulable harmonic waveguide when the first flexible waveguide exceeds the predetermined condition.

2. The articulating ultrasonic surgical instrument of claim 1, wherein:

the distal end of the first drive section and a proximal end of the first flexible waveguide are located at an anti-node; and

wherein a distal end of the first flexible waveguide and a proximal end of the end effector are located at an anti-node.

3. The articulating ultrasonic surgical instrument of claim 1, wherein:

the distal end of the first drive section and a proximal end of the first flexible waveguide are located at a node; and

wherein a distal end of the first flexible waveguide and a proximal end of the end effector are located at a node.

4. The articulating ultrasonic surgical instrument of claim 1, wherein a center of the first flexible waveguide is located at an anti-node.

5. The articulating ultrasonic surgical instrument of claim 1, wherein the first flexible waveguide comprises a circular rod.

6. The articulating ultrasonic surgical instrument of claim 1, wherein the first flexible waveguide comprises a metal ribbon.

7. The articulating ultrasonic surgical instrument of claim 6, comprising at least one slot formed in the metal ribbon.

8. The articulating ultrasonic surgical instrument of claim 1, comprising:

a second drive section couple to a distal end of the first flexible waveguide along a longitudinal axis of the articulable harmonic waveguide; and

a second flexible waveguide coupled to a distal end of the second drive section and a proximal end of the end effector.

9. The articulating ultrasonic surgical instrument of claim 8, comprising:

a pad tine comprising a proximal end and a distal end; and

a surgical pad located at the distal end of the pad tine;

wherein, the pad tine comprises a first tine curvature and a second tine curvature, wherein the first tine curvature is equal to a curvature of the first flexible waveguide, and wherein the second tine curvature is equal to a curvature of the second flexible waveguide.

10. The articulating ultrasonic surgical instrument of claim 1, the articulation actuator comprising:

a first flange located at a distal end of the first flexible waveguide;

a second flange located at a proximal end of the first flexible waveguide; and

at least one control member coupling the first flange and the second flange.

11. The articulating ultrasonic surgical instrument of claim 10, wherein:

the at least one control member comprises at least one cable extending proximally from the first flange, the at least one cable connected to the first flange and the second flange, wherein tensioning the at least one cable in a proximal direction causes the first flexible waveguide to flex.

12. The articulating ultrasonic surgical instrument of claim 1, wherein the local radius of curvature is limited such that:

13. The articulating ultrasonic surgical instrument of claim 1, wherein the local radius of curvature is limited such that:

14. The articulating ultrasonic surgical instrument of claim 1, the total curvature limiter comprising an electrical stroke limiter to prevent the transmission of ultrasonic energy to the articulable harmonic waveguide when the first flexible waveguide exceeds the predetermined condition.

15. The articulating ultrasonic surgical instrument of claim 1, the total curvature limiter comprising a viewing window comprising one or more graduations, wherein the viewing window provides a visual indication of a current local radius of curvature with respect to the predetermined condition.

16. The articulating ultrasonic surgical instrument of claim 1, the total curvature limiter comprising a resonant frequency shift-tracker configured to generate a control signal when the first flexible waveguide exceeds the predetermined condition, wherein the control signal prevents the transmission of ultrasonic energy to the articulable harmonic waveguide.

17. The articulating ultrasonic surgical instrument of claim 1, comprising:

a flexible sheath disposed over the articulable harmonic waveguide;

a clamp arm pivotably coupled to the articulable harmonic waveguide;

wherein the articulation actuator comprises;

a first flexible strip;

a second flexible strip;

articulation member comprising a first side and a second side, wherein the first and second flexible strips are coupled to the respective first and second sides of the articulation member, wherein the first and second flexible strips are translatable in a proximal direction and a distal direction to pivot the clamp arm, and wherein the articulation member is rotatable about a center point to articulate the flexible sheath.

18. The articulating ultrasonic surgical instrument of claim 17, comprising one or more flex features configured to provide a flex bias.

19. A surgical instrument comprising:

a handle;

an ultrasonic transducer located in the handle;

an articulable harmonic waveguide coupled to the ultrasonic transducer, the articulable harmonic waveguide comprising;

a first drive section comprising a proximal end and a distal end, the proximal end configured to connect to the ultrasonic transducer;

a first flexible waveguide coupled to the distal end of the first drive section; and

an end effector extending distally from the first flexible waveguide;

an articulation actuator to flex the first flexible waveguide; and

a total curvature limiter configured to prevent the first flexible waveguide from exceeding a predetermined condition;

wherein the predetermined condition comprises a local radius of curvature to prevent a transmission of ultrasonic energy to the articulable harmonic waveguide when the first flexible waveguide exceeds the predetermined condition.

20. The articulating ultrasonic surgical instrument of claim 19, wherein:

the distal end of the first drive section and a proximal end of the first flexible waveguide are located at an anti-node; and

wherein a distal end of the first flexible waveguide and a proximal end of the end effector are located at an anti-node.

21. The articulating ultrasonic surgical instrument of claim 19, wherein a center of the first flexible waveguide is located at an anti-node.

22. A robotic surgical instrument, comprising:

an instrument mounting portion configured to mount to a robotic surgical system, the instrument mounting portion comprising an interface to mechanically and electrically interface to the robotic surgical instrument adapted for use with the robotic surgical system;

an ultrasonic transducer located in the instrument mounting portion;

an articulable harmonic waveguide coupled to the ultrasonic transducer, the articulable harmonic waveguide comprising;

a first drive section comprising a proximal end and a distal end, the proximal end configured to connect to the ultrasonic transducer;

a first flexible waveguide coupled to the distal end of the first drive section; and

an end effector extending distally from the first flexible waveguide; and

an articulation actuator to flex the first flexible waveguide; and

a total curvature limiter configured to prevent the first flexible waveguide from exceeding a predetermined condition;

wherein the predetermined condition comprises a local radius of curvature to prevent a transmission of ultrasonic energy to the articulable harmonic waveguide when the first flexible waveguide exceeds the predetermined condition.