Surgical instrument with active element and suction cage

• US 9,913,655 B2
• Filed: 11/18/2013
• Issued: 03/13/2018
• Est. Priority Date: 11/18/2013
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Scheib, Charles J., Chekan, Edward G., Boudreaux, Chad P., Shelton, IV, Frederick E., Widenhouse, Tamara S. Vetro
• Primary Examiner(s): Stransky, Katrina
• Assistant Examiner(s): Rwego, Kankindi
• Application Number:
  US14/082,287
• Publication Number:
  US 20150142032A1
• Time in Patent Office: 1,576 Days
• Field of Search: 606205, 606207
• 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 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/32008 preventing clogging of suction channel
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61M 1/76 Handpieces specially for suction-irrigation A61M1/774, aspiration tips A61M1/84
• CPC Class Codes: A61M 1/84 Drainage tubes; Aspiration tips for negative pressure wound therapy A61M1/90; for surgical cutting instruments A61B17/32
• CPC Class Codes: A61M 2205/7545 for solid matter, e.g. microaggregates

Abstract

A surgical system comprises an end effector for operating on tissue and a screen positioned around the end effector. The screen is fluidly coupled with a suction source by a conduit such as a tube. The screen is configured to communicate suction through the screen while preventing tissue from contacting the end effector. The screen is further configured to retract proximally relative to the end effector to thereby expose the end effector.

Claims

1. A system comprising:

(a) an end effector operable to manipulate tissue, wherein the end effector comprises;

(i) an ultrasonic blade, and

(ii) a clamp arm configured to pivot relative to the ultrasonic blade to clamp tissue between the ultrasonic blade and the clamp arm;

(b) a blocking element positioned around the end effector, wherein the blocking element is movable relative to the end effector;

(c) a suction source;

(d) a conduit configured to provide fluid communication between the blocking element and the suction source; and

(e) an outer tube, wherein the blocking element is positioned on the outer tube, wherein the conduit is positioned within the outer tube;

wherein the blocking element includes a mesh screen and is configured to communicate suction through the mesh screen to the tissue.

2. The system of claim 1, wherein the blocking element is translatable relative to the end effector.

3. The system of claim 2, wherein the blocking element is retractable to a proximal position to expose the end effector from the blocking element.

4. The system of claim 3 further comprising a trigger, wherein the trigger is operable to retract the blocking element.

5. The system of claim 1 further comprising an outer shaft extending proximally from the blocking element, wherein the outer shaft is configured to house the conduit.

6. The system of claim 1 further comprising a valve coupled to the conduit, wherein the valve is configured to selectively apply suction through the conduit to the blocking element.

7. The system of claim 6 further comprising an actuator, wherein the actuator is configured to selectively actuate the valve.

8. The system of claim 6, wherein the valve is configured to apply suction to the blocking element when the blocking element is in an extended position such that blocking element is covering the end effector.

9. The system of claim 6, wherein the valve is configured to not apply suction to the blocking element when the blocking element is in a retracted position such that the blocking element is exposing the end effector.

10. The system of claim 1 further comprising an ultrasonic transducer assembly coupled with the end effector.

11. The system of claim 1, wherein the blocking element is operable to perform a blunt dissection of tissue.

12. The system of claim 1 further comprising a body and a shaft coupling the blocking element to the body.

13. The system of claim 12, wherein the shaft is translatable relative to the body.

14. The system of claim 1, wherein the blocking element is configured to prevent the tissue from entering through the blocking element to engage the end effector.

17. The apparatus of claim 1, wherein the conduit is in the form of a tube that extends axially within the outer tube.

18. The apparatus of claim 1, wherein the blocking element is longitudinally retractable relative to the end effector, and the clamp arm is configured to clamp tissue against the ultrasonic blade when the blocking element is in a retracted position.

15. An apparatus comprising:

(a) a shaft;

(b) an end effector coupled to the shaft, wherein the end effector includes a pivoting clamp arm configured to pivot relative to the shaft for clamping tissue at a distal end portion of the end effector;

(c) an actuator;

(d) a screen, wherein the screen is axially retractable relative to the end effector from a first position to a second position in response to actuation of the actuator, wherein the screen is configured to house the end effector in the first position, wherein the screen is configured to expose the end effector in the second position; and

(e) a suction source, wherein the screen is in fluid communication with the suction source, wherein the screen is configured to communicate suction through the screen from the suction source when the screen is in the first position, wherein the screen is configured to cease communication of suction from the suction source in response to actuation of the actuator and the screen transitioning from the first position to the second position.

19. The apparatus of claim 15, wherein the end effector includes a blade and a pivotable clamp arm configured to clamp tissue against the blade.

16. An apparatus comprising:

(a) a body;

(b) a shaft assembly, comprising;

(i) an inner shaft comprising a proximal end and a distal end, wherein the proximal end of the inner shaft is coupled to the body, wherein the inner shaft is longitudinally fixed relative to the body,

(ii) an outer shaft coupled to the body and having a proximal outer shaft portion and a distal outer shaft portion, and

(iii) an actuator member arranged between the proximal and distal outer shaft portions,

wherein a proximal end of the proximal outer shaft portion is slidably received within the body such that the outer shaft is configured to move longitudinally relative to the body and the inner shaft between an extended position and a retracted position in which at least a portion of the proximal outer shaft portion is disposed within the body;

(c) an end effector at the distal end of the inner shaft, wherein the end effector is operable to manipulate tissue; and

(d) a screen coupled to the distal outer shaft portion, wherein the screen is axially retractable relative to the end effector from a first screen position when the outer shaft is in the extended position, to a second screen position in response to proximal movement of the outer shaft to the retracted position, wherein the screen is configured to house the end effector in the first screen position, wherein the screen is configured to expose the end effector in the second screen position;

wherein the screen is in fluid communication with a suction source, wherein the screen is configured to communicate suction through the screen from the suction source when the screen is in the first screen position.

20. The apparatus of claim 16, wherein the screen comprises a mesh material.