Surgical instruments with articulating shafts

• US 9,408,622 B2
• Filed: 06/29/2012
• Issued: 08/09/2016
• 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: Stulen, Foster B., Huang, Zhifan F., Weizman, Patrick A., Smolik, Steven P., Draginoff, Carl J. Jr.
• Primary Examiner(s): Eastwood, David C
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US13/538,700
• Publication Number:
  US 20140005703A1
• Time in Patent Office: 1,502 Days
• Field of Search: 606/169, 606/1
• US Class Current: 1/1
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• 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 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/22015 with details of the transmission member
• CPC Class Codes: A61B 2017/22018 segmented along its length
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• 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 2017/320078 Tissue manipulating surface
• 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 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00589 : Coagulation
• CPC Class Codes: A61B 2018/00595 : Cauterization
• CPC Class Codes: A61B 2018/00607 : Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 : Sealing
• CPC Class Codes: A61B 2018/00642 : with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/0091 : Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/00994 : combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
• CPC Class Codes: A61B 2018/1452 : including means for cutting A61B2018/146 takes precedence
• CPC Class Codes: A61B 34/30 : Surgical robots

Abstract

Various embodiments are directed to articulatable surgical instruments. Some embodiments comprise an end effector to treat tissue, where the end effector comprises an ultrasonic blade. A hollow shaft may extend proximally from the end effector along a longitudinal axis. A waveguide may extend through the shaft and may be acoustically coupled to the ultrasonic blade. The waveguide may comprise a distally positioned flange positioned within the hollow shaft proximally from the blade and may be held stationary at a first pivot point positioned within the hollow shaft proximally from the flange. A reciprocating wedge may be positioned within the hollow shaft such that distal motion of the wedge pushes the wedge between the flange and the hollow shaft, causing the ultrasonic blade to pivot about the first pivot point in a first direction.

Claims

1. An articulatable surgical instrument comprising:

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

a hollow shaft extending proximally from the end effector along a longitudinal axis, the hollow shaft having an exterior wall and an interior wall, wherein the interior wall defines a groove within the hollow shaft, wherein the groove is parallel to a plane that intersects the longitudinal axis, and wherein the groove comprises a first position and a second position proximal from the first position;

a waveguide acoustically coupled to the ultrasonic blade and extending proximally through the hollow shaft;

a first interface member coupled to either the waveguide or the ultrasonic blade at a coupling point and extending proximally, wherein the first interface member comprises a first peg member positioned within the groove; and

a second interface member coupled to either the waveguide or the ultrasonic blade at the coupling point and extending proximally, wherein the second interface member comprises a second peg member positioned within the groove, and wherein upon rotation of the hollow shaft relative to the waveguide, the first and second peg members translate within the groove, causing bending of the first and second interface members and deflection of the first and second interface members away from the longitudinal axis.

2. The surgical instrument of claim 1, wherein the first interface member has a first length between the first peg member and the coupling point, and wherein the second interface member has a second length between the second peg member and the coupling point less than the first length.

3. The surgical instrument of claim 1, wherein shifting of the first and second peg members within the groove causes distal translation of the first interface member and proximal translation of the second interface member, resulting in pivoting of the waveguide and the ultrasonic blade away from the longitudinal axis towards the second interface member.

4. The surgical instrument of claim 1, wherein the coupling point corresponds to an ultrasonic node at a resonant frequency of the waveguide and the ultrasonic blade.

5. The surgical instrument of claim 1, wherein the waveguide comprises a bendable portion.

6. The surgical instrument of claim 5, wherein, at at least one position on the bendable portion, the bendable portion comprises a cross sectional width and a cross-sectional length that is less than the cross sectional width.

7. An articulatable surgical instrument comprising:

an ultrasonic blade having a tip;

a shaft extending proximally from the ultrasonic blade along a longitudinal axis, wherein the shaft comprises an exterior wall surface and an interior wall surface, wherein the interior wall surface comprises a groove positioned at least partially about the longitudinal axis, and wherein the groove has a first position that is proximal from the tip by a first distance and a second position that is proximal from the tip by a second distance greater than the first distance; and

an interface member, wherein the interface member comprises a distal end coupled to the ultrasonic blade at a position proximal from the tip and a proximal end, and wherein the proximal end comprises a peg positioned in the groove, and wherein the shaft is rotatable relative to the ultrasonic blade to move the peg from the first position in the groove to the second position in the groove to move the interface member proximally and articulate the ultrasonic blade towards the interface member.

8. The surgical instrument of claim 7, further comprising a second interface member, wherein the second interface member comprises a second distal end and a second proximal end, the second distal end coupled to the ultrasonic blade opposite the distal end of the interface member at a second position proximal from the tip.

9. The surgical instrument of claim 7, further comprising a second interface member, wherein the second interface member comprises a second distal end and a second proximal end, the second distal end coupled to the ultrasonic blade opposite the distal end of the interface member at a second position proximal from the tip, and wherein the second proximal end comprises a second peg positioned in the groove.

10. The surgical instrument of claim 7, further comprising a second interface member, wherein the second interface member comprises a second distal end and a second proximal end, the second distal end coupled to the ultrasonic blade opposite the distal end of the interface member at a second position proximal from the tip, and the second proximal end comprising a second peg positioned in the groove, and wherein, when the peg is at the first position, the second peg is at the second position.

11. The surgical instrument of claim 7, further comprising a second interface member, wherein the second interface member comprises a second distal end and a second proximal end, the second distal end coupled to the ultrasonic blade opposite the distal end of the interface member at a second position proximal from the tip, and wherein the second interface member is longer than the interface member.

12. The surgical instrument of claim 7, wherein the ultrasonic blade is coupled to a waveguide extending proximally through the shaft, and wherein the waveguide comprises a bendable portion.

13. The surgical instrument of claim 12, wherein, at at least one position on the bendable portion, the bendable portion comprises a cross sectional width and a cross-sectional length that is less than the cross sectional width.

14. The surgical instrument of claim 7, wherein the ultrasonic blade comprises a flange, and wherein the position proximal from the tip is at the flange.

15. The surgical instrument of claim 7, wherein the groove extends completely around the longitudinal axis.

16. The surgical instrument of claim 7, wherein the groove is an ovaloid.

17. The surgical instrument of claim 7, wherein the groove is parallel to a cross-section of the shaft in a plane that intersects the longitudinal axis, and wherein the plane is not perpendicular to the longitudinal axis.

18. The surgical instrument of claim 7, wherein the first position is at an ultrasonic node at a resonant frequency of the ultrasonic blade.

19. A method of articulating the surgical instrument of claim 7, the method comprising rotating the shaft relative to the ultrasonic blade from a first shaft position in which the peg is at the first position in the groove to a second shaft position in which the peg is at the second position in the groove.