Ultrasonic surgical instruments

• US 9,764,164 B2
• Filed: 12/20/2013
• Issued: 09/19/2017
• Est. Priority Date: 07/15/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Wiener, Eitan T., Wan, Shan, Price, Daniel W., Norvell, David K., Giordano, James R.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US14/136,836
• Publication Number:
  US 20140107538A1
• Time in Patent Office: 1,369 Days
• Field of Search: 606 33- 42
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00393 with means for switching between functions
• 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 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

A surgical instrument comprising a housing, an acoustic assembly configured to produce vibrations, and a waveguide coupled to the acoustic assembly is disclosed. The surgical instrument further comprises an ultrasonic blade extending from the waveguide and a clamp movable between an open position and a closed position relative to the waveguide. The clamp comprises an electrically non-conductive pad, a first electrode embedded in the electrically non-conductive pad, and a second electrode embedded in the electrically non-conductive pad, wherein the first electrode and the second electrode longitudinally overlap a tissue treatment area of the ultrasonic blade when the clamp is in the closed position. The surgical instrument further comprises a first conductor and a second conductor, wherein the first conductor and the second conductor are configured to be placed in electrical communication with a power source such that current can flow from the first electrode to the second electrode.

Claims

1. A surgical instrument, comprising:

a handpiece housing;

an acoustic assembly supported within said handpiece housing, wherein said acoustic assembly is configured to produce vibrations;

a waveguide comprising a proximal end and a distal end, wherein said proximal end is mounted to said acoustic assembly such that vibrations produced by said acoustic assembly are transmitted to said waveguide;

an ultrasonic blade coupled to said distal end of said waveguide, wherein said ultrasonic blade comprises a tissue treatment portion configured to cut and coagulate tissue;

a clamp movable between an open position and a closed position relative to said waveguide, wherein said clamp comprises a first electrode and a second electrode, and wherein said first electrode and said second electrode longitudinally overlap said tissue treatment portion of said ultrasonic blade when said clamp is in said closed position;

a first conductor in electrical communication with said first electrode; and

a second conductor in electrical communication with said second electrode, wherein said first conductor and said second conductor are configured to be placed in electrical communication with a power source such that current can flow from said first electrode to said second electrode through tissue positioned intermediate said first electrode and said second electrode.

2. The surgical instrument of claim 1, wherein said clamp comprises a tissue-contacting pad, and wherein said first electrode and said second electrode are embedded in said tissue-contacting pad.

3. The surgical instrument of claim 2, wherein said first electrode comprises a first point electrode, wherein said second electrode comprises a second point electrode, and wherein said first point electrode is positioned closer to said distal end of said waveguide than said second point electrode.

4. The surgical instrument of claim 1, wherein said clamp comprises a tissue-contacting pad, wherein said tissue-contacting pad comprises a first side and a second side, wherein said first electrode is mounted to said first side, and wherein said second electrode is mounted to said second side.

5. A surgical instrument, comprising:

a housing;

an acoustic assembly supported within said housing, wherein said acoustic assembly is configured to produce vibrations;

a waveguide coupled to said acoustic assembly;

an ultrasonic blade extending from said waveguide, wherein said ultrasonic blade comprises a tissue treatment area configured to cut and coagulate tissue;

a clamp movable between an open position and a closed position relative to said waveguide, wherein said clamp comprises;

an electrically non-conductive pad;

a first electrode embedded in said electrically non-conductive pad; and

a second electrode embedded in said electrically non-conductive pad, wherein said first electrode and said second electrode longitudinally overlap said tissue treatment area of said ultrasonic blade when said clamp is in said closed position;

a first conductor in electrical communication with said first electrode; and

a second conductor in electrical communication with said second electrode, wherein said first conductor and said second conductor are configured to be placed in electrical communication with a power source such that current can flow from said first electrode to said second electrode through tissue positioned intermediate said first electrode and said second electrode.

6. The surgical instrument of claim 5, wherein said first electrode and said second electrode are laterally offset.

7. The surgical instrument of claim 5, wherein said first electrode comprises a first longitudinal electrode, and wherein said second electrode comprises a second longitudinal electrode.

8. The surgical instrument of claim 7, wherein said second electrode extends parallel to said first electrode.

9. The surgical instrument of claim 7, wherein said electrically non-conductive pad comprises a first lateral side and a second lateral side, wherein said first electrode is mounted to said first lateral side, and wherein said second electrode is mounted to said second lateral side.

10. The surgical instrument of claim 5, wherein said first electrode comprises a first point electrode, and wherein said second electrode comprises a second point electrode.