Surgical instruments with articulating shafts

• US 9,393,037 B2
• Filed: 06/29/2012
• Issued: 07/19/2016
• Est. Priority Date: 06/29/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Olson, William A., Stulen, Foster B., Messerly, Jeffrey D., Price, Daniel W., Houser, Kevin L., Dannaher, William D., Rhee, Sora, Muhlenkamp, Tylor C.
• Primary Examiner(s): Scherbel, Todd J
• Application Number:
  US13/538,588
• Publication Number:
  US 20140005701A1
• Time in Patent Office: 1,481 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/22004 using mechanical vibrations, e.g. ultrasonic shock waves A61B17/225 takes precedence
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• CPC Class Codes: A61B 17/295 combined with cutting implements
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00331 with preformed bends
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/22014 the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire not applied in A61B17/22012
• CPC Class Codes: A61B 2017/22015 with details of the transmission member
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• 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 2017/320075 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

Abstract

Various embodiments described herein are directed to ultrasonic blades. For example, an ultrasonic blade may comprise a proximally positioned straight section extending along a longitudinal axis and a distally positioned curved section coupled to the straight section and curved away from the longitudinal axis. The curved section may define a radius of curvature and subtend a first angle. A point of tangency between the curved section and the straight section may be positioned at either a node of the ultrasonic blade or an anti-node of the ultrasonic blade.

Claims

1. An articulatable surgical instrument comprising:

an end effector to treat tissue, wherein the end effector comprises an ultrasonic blade;

a shaft extending proximally from the end effector along a longitudinal axis wherein the shaft comprises a flexible shaft portion;

a waveguide acoustically coupled to the ultrasonic blade and extending proximally through the shaft, wherein the waveguide comprises a bendable waveguide portion at about the flexible shaft portion, and wherein the waveguide comprises;

a first flange in contact with the waveguide at a first node of the waveguide distal from the bendable waveguide portion and coupled to an interior of the shaft; and

a second flange in contact with the waveguide at a second node of the waveguide proximate from the bendable waveguide portion and coupled to the interior of the shaft; and

an ultrasonic transducer acoustically coupled to the waveguide and positioned proximally from the waveguide; and

a first control member coupled to the first flange and extending proximally through the second flange and the shaft, such that proximal translation of the first control member pulls the first flange proximally, causing the shaft and the waveguide to pivot away from the longitudinal axis towards the first control member, wherein at least a portion of the first control member is positioned distally from the ultrasonic transducer.

2. The surgical instrument of claim 1, further comprising a second control member coupled to the first flange and extending proximally through the second flange and shaft, such that proximal translation of the second control member pulls the first flange proximally, causing the shaft and waveguide to pivot away from the longitudinal axis towards the second control member.

3. The surgical instrument of claim 1, wherein the waveguide has a first thickness at a first position proximate from the bendable waveguide portion and a second thickness at the bendable waveguide portion, and wherein the second thickness is less than the first thickness.

4. The surgical instrument of claim 1, wherein the flexible shaft portion of the shaft defines a plurality of slots substantially perpendicular to the longitudinal axis.

5. The surgical instrument of claim 1, wherein the waveguide and ultrasonic blade have a resonant frequency.

6. The surgical instrument of claim 5, wherein the bendable waveguide portion has a length of at least one wavelength at the resonant frequency.

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

a clamp arm mounting member mechanically coupled to the second flange; and

a clamp arm pivotably coupled to the clamp arm mounting member at a hinge interface.

8. The surgical instrument of claim 7, wherein the hinge interface is offset from the longitudinal axis and further comprising a translating member coupled to the clamp arm at a position offset from the longitudinal axis and substantially opposite the hinge interface such that distal translation of the translating member opens the clamp arm away from the ultrasonic blade and proximal translation of the translation member closes the clamp arm towards the ultrasonic blade.

9. The surgical instrument of claim 8, further comprising a spring positioned to bias the clamp arm to an open position.

10. The surgical instrument of claim 8, further comprising a spring positioned between the clamp arm mounting member and the clamp arm.

11. The surgical instrument of claim 1, wherein the waveguide further comprises a third flange positioned at a third node of the waveguide distal from the second flange, and wherein the surgical instrument further comprises:

a clevis mechanically coupled to the third flange; and

a clamp arm pivotably coupled to the clevis at a hinge interface.

12. The surgical instrument of claim 1, wherein the waveguide further comprises a third flange positioned at a third node of the waveguide positioned in the bendable waveguide portion.

13. The surgical instrument of claim 1, wherein the first control member comprises a first rack gear positioned proximate from the second flange, further comprising:

a second control member coupled to the first flange and extending proximally through the second flange and shaft, such that proximal translation of the second control member pulls the first flange proximally, causing the shaft and waveguide to pivot away from the longitudinal axis towards the second control member, wherein the second control member comprises a second rack gear positioned proximate from the second flange; and

a pinion gear enmeshed with the first rack gear and the second rack gear.

14. The surgical instrument of claim 13, wherein rotation of the pinion gear in a first direction causes proximal translation of the first control member and distal translation of the second control member, and wherein rotation of the pinion gear in a second direction causes distal translation of the first control member and proximal translation of the second control member.

15. An articulatable surgical instrument comprising:

an ultrasonic blade;

a shaft comprising a flexible shaft portion;

a handle positioned proximally from the ultrasonic blade and adapted to receive an ultrasonic transducer, wherein the shaft extends distally from the handle;

a waveguide coupled to the ultrasonic blade and extending proximally from the ultrasonic blade along a longitudinal axis, wherein the waveguide comprises a rigid waveguide portion and a flexible waveguide portion distal from the rigid waveguide portion;

an ultrasonic transducer acoustically coupled to the waveguide and positioned proximally from the waveguide;

a first flange at least partially enclosed by the shaft and in contact with the waveguide at a first node of the waveguide positioned in the rigid waveguide portion;

a second flange at least partially enclosed by the shaft and in contact with the waveguide at a second node of the waveguide distal from the rigid waveguide portion; and

a first control member coupled to the second flange at a first position offset from the longitudinal axis and extending through the first flange at a second position offset from the longitudinal axis, wherein proximal translation of the first control member exerts a proximally-directed force on the second flange, the proximally-directed force flexing the flexible shaft portion and pulling the ultrasonic blade away from the longitudinal axis and towards the first control member, and wherein at least a portion of the first control member is positioned distally from the ultrasonic transducer.