Surgical instruments

• US 9,504,483 B2
• Filed: 07/03/2012
• Issued: 11/29/2016
• Est. Priority Date: 03/22/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Houser, Kevin L., Stulen, Foster B., Zwolinski, Andrew M., Miller, Matthew C., Lopes, Tracy D.
• Primary Examiner(s): FISHBACK, ASHLEY LAUREN
• Application Number:
  US13/540,916
• Publication Number:
  US 20120269676A1
• Time in Patent Office: 1,610 Days
• Field of Search: 604/22, 606/79, 606/84, 606/167, 606169-171
• 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 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/22011 Combined types of vibration, e.g. ultrasonic and electrohydraulic
• 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 2017/320088 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: A61B 2017/320095 with sealing or cauterizing means

Abstract

A surgical instrument includes an elongated transmission waveguide defining a longitudinal axis. The transmission waveguide has a distal end and a proximal end. The at least one strike surface is formed on the proximal end and is configured to receive vibratory energy.

Claims

1. A surgical instrument, comprising:

a sheath;

an elongated vibrational transmission waveguide positioned at least partially within the sheath, the waveguide defining a longitudinal axis and configured to transmit vibrations along the longitudinal axis at a predetermined wavelength, the waveguide comprising;

a distal end;

a proximal end;

at least one node defined between the proximal end and the distal end; and

at least one anti-node defined between the proximal end and the distal end, wherein the locations of the at least one node and the at least one anti-node between the proximal end and the distal end are determined by the predetermined wavelength of the vibrations;

an end effector acoustically coupled to and extending from the distal end of the waveguide, wherein the end effector comprises;

an end; and

a distal-most anti-node positioned at the end of the end effector;

at least one strike surface formed on the proximal end, the at least one strike surface being configured to receive vibratory energy in the form of mechanical impacts;

at least one compliant member extending between the sheath and the waveguide, wherein the at least one compliant member is located at the at least one node defined along the waveguide to isolate the vibrations from the sheath; and

a cam and lobe arrangement positioned at the proximal end, wherein the cam is coupled to a generator to move the cam in a circular path, and wherein the lobe is in mechanical communication with the strike surface on at least one point on the circular path.

2. The surgical instrument of claim 1, wherein the generator comprises an electric motor.

3. The surgical instrument of claim 1, wherein the generator comprises a hydraulic motor.

4. The surgical instrument of claim 1, wherein the generator comprises a pneumatic motor.

5. The surgical instrument of claim 1, comprising a grip defining a longitudinal channel configured to engage a portion of the vibrational transmission waveguide at a distal end of the at least one strike surface.

6. A method for processing a surgical instrument for surgery, comprising:

obtaining the surgical instrument of claim 1;

sterilizing the surgical instrument; and

storing the surgical instrument in a sterile container.

7. A surgical instrument, comprising:

a sheath;

an elongated ultrasonic transmission waveguide positioned at least partially within the sheath, the waveguide defining a longitudinal axis and configured to transmit vibrations along the longitudinal axis at an ultrasonic wavelength, the waveguide comprising;

a distal end;

a proximal end;

a node defined between the proximal end and the distal end, wherein the location of the node between the proximal end and the distal end is determined by the ultrasonic wavelength of the vibrations; and

an anti-node defined between the proximal end and the distal end, wherein the location of the anti-node between the proximal end and the distal end is determined by the ultrasonic wavelength of the vibrations;

an end effector acoustically coupled to and extending from the distal end of the waveguide, wherein the end effector comprises;

an end; and

a distal-most anti-node positioned at the end of the end effector;

a strike plate coupled to the proximal end of the waveguide;

a drive plate moveably positioned adjacent to the strike plate, wherein the drive plate is configured to impart vibratory energy in the form of mechanical impacts to the strike plate, and wherein the strike plate couples the vibrations to the waveguide; and

a compliant member extending between the sheath and the waveguide, wherein the compliant member is located at the node of the waveguide to isolate the vibrations from the sheath;

wherein the drive plate comprises a cam, wherein the cam is coupled to a generator that operably moves the cam in a circular path, and wherein the cam is in mechanical communication with the strike surface on at least one point on the circular path.

8. The surgical instrument of claim 7, wherein the generator comprises a motor selected from a group of motors comprising:

an electric motor, a hydraulic motor, and a pneumatic motor.

9. The surgical instrument of claim 7, comprising:

a housing to enclose the cam;

an annular projection on the waveguide, wherein the housing is mounted to the waveguide at the annular projection; and

a bushing around a portion of the waveguide, wherein the housing fits over the bushing.

10. A surgical instrument, comprising:

a sheath;

a waveguide positioned at least partially within the sheath and comprising;

a distal end;

a proximal end;

at least one node defined between the distal end and the proximal end;

at least one anti-node defined between the distal end and the proximal end; and

a longitudinal axis extending between the proximal end and the distal end, wherein the waveguide is configured to transmit ultrasonic vibrations along the longitudinal axis at a predetermined ultrasonic wavelength that establishes the locations of the at least one node and the at least one anti-node between the distal end and the proximal end of the waveguide;

an end effector acoustically coupled to and extending from the distal end, wherein the end effector comprises;

an end; and

a distal-most anti-node positioned at the end;

a strike surface coupled to the proximal end, wherein the strike surface is configured to receive vibratory energy in the form of mechanical impacts, and wherein the strike surface imparts the vibrations to the waveguide;

at least one compliant member extending between the sheath and the waveguide, wherein the at least one compliant member is located at the at least one node of the waveguide to isolate the vibrations from the sheath; and

a driver moveably positioned adjacent to the strike surface, wherein the driver is configured to impart vibratory energy in the form of mechanical impacts to the strike surface, wherein the driver rotates about a hub, and wherein rotation of the driver generates longitudinal vibrations along the waveguide.

11. The surgical instrument of claim 10, wherein the driver comprises a projection, and wherein the projection impacts the strike surface as the driver rotates about the hub.

12. The surgical instrument of claim 10, wherein the driver is coupled to a motor that generates rotation thereof.