Ultrasonic surgical instruments

• US 9,987,033 B2
• Filed: 12/09/2014
• Issued: 06/05/2018
• Est. Priority Date: 03/22/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Neurohr, Mark A., Robertson, Galen C., DeLuca, Louis T., Stulen, Foster B., Price, Daniel W.
• Primary Examiner(s): FISHBACK, ASHLEY LAUREN
• Application Number:
  US14/564,629
• Publication Number:
  US 20150119914A1
• Time in Patent Office: 1,274 Days
• 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 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320078 Tissue manipulating surface
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• 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 comprising a transducer configured to produce vibrations along a longitudinal axis. The surgical instrument further comprises an ultrasonic blade extending along the longitudinal axis. The ultrasonic blade is coupled to the transducer and comprises a body and a treatment region. The body comprises a proximal end, a distal end, and a bottom surface. The distal end of the body is movable relative to the longitudinal axis by the vibrations produced by the transducer. The treatment region extends from the proximal end to the distal end. The surgical instrument further comprises a protective sheath disposed adjacent to the bottom surface of the ultrasonic blade.

Claims

1. A surgical instrument, comprising:

a transducer configured to produce vibrations along a longitudinal axis;

an ultrasonic blade extending along the longitudinal axis coupled to the transducer, wherein the ultrasonic blade comprises;

a body comprising a proximal end, a distal end, and a bottom surface, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer; and

a treatment region extending from the proximal end to the distal end and is located opposite the bottom surface of the body; and

a protective sheath disposed adjacent to the bottom surface of the ultrasonic blade, wherein a top surface of the protective sheath is positionable directly below the treatment region when the transducer is active and the top surface of the protective sheath is positionable to face the bottom surface of the body of the ultrasonic blade, and wherein the protective sheath is attached to the bottom surface of the ultrasonic blade.

2. The surgical instrument of claim 1, wherein the protective sheath is longitudinally deployable.

3. The surgical instrument of claim 1, wherein the protective sheath comprises:

a substantially convex portion; and

a substantially concave portion.

4. The surgical instrument of claim 1, wherein the protective sheath comprises a tapered body that extends longitudinally beyond the distal end.

5. The surgical instrument of claim 1, wherein the bottom surface and the protective sheath define an air gap therebetween.

6. A surgical instrument, comprising:

a transducer configured to produce vibrations along a longitudinal axis;

an ultrasonic blade extending along the longitudinal axis coupled to the transducer, wherein the ultrasonic blade comprises;

a body comprising a proximal end, a distal end, and a bottom surface, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer; and

a treatment region extending from the proximal end to the distal end and is located opposite the bottom surface of the body; and

a protective sheath disposed adjacent to the bottom surface of the ultrasonic blade, wherein a top surface of the protective sheath is positionable directly below the treatment region when the transducer is active and the top surface of the protective sheath is positionable to face the bottom surface of the body of the ultrasonic blade, and wherein the protective sheath comprises a longitudinally and vertically extending projection that extends beyond the distal end to protect the distal end of the treatment region.

7. A surgical instrument, comprising:

a transducer configured to produce vibrations along a longitudinal axis;

an ultrasonic blade extending along the longitudinal axis coupled to the transducer, wherein the ultrasonic blade comprises;

a body comprising a proximal end, a distal end, and a bottom surface, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer; and

a treatment region extending from the proximal end to the distal end and is located opposite the bottom surface of the body; and

a protective sheath disposed adjacent to the bottom surface of the ultrasonic blade, wherein a top surface of the protective sheath is positionable directly below the treatment region when the transducer is active and the top surface of the protective sheath is positionable to face the bottom surface of the body of the ultrasonic blade, and wherein the protective sheath comprises at least one projection positioned between the bottom surface of the ultrasonic blade and the top surface of the protective sheath.

8. A surgical instrument, comprising:

a transducer configured to produce vibrations along a longitudinal axis;

an ultrasonic blade extending along the longitudinal axis coupled to the transducer, wherein the ultrasonic blade comprises;

a body comprising a proximal end, a distal end, and a bottom surface, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer; and

a treatment region extending from the proximal end to the distal end and is located opposite the bottom surface of the body; and

a protective sheath disposed adjacent to the bottom surface of the ultrasonic blade, wherein a top surface of the protective sheath is positionable directly below the treatment region when the transducer is active and the top surface of the protective sheath is positionable to face the bottom surface of the body of the ultrasonic blade, and wherein the surgical instrument further comprises a clamp arm configured to compress tissue between the clamp arm and the ultrasonic blade.

9. An end effector, comprising:

an ultrasonic surgical blade, comprising;

a body defining a longitudinal axis, the body comprising a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by vibrations produced by a transducer;

a treatment region extending from the proximal end to the distal end;

a top surface; and

a bottom surface;

a clamp arm; and

a protective sheath positionable adjacent to the bottom surface of the ultrasonic surgical blade, wherein a top surface of the protective sheath is positionable directly below the treatment region when the transducer is active and the top surface of the protective sheath is positionable to face the bottom surface of the ultrasonic blade.

10. The end effector of claim 9, wherein the protective sheath is longitudinally deployable.

11. The end effector of claim 9, wherein the protective sheath is attached to the bottom surface of the ultrasonic surgical blade.

12. The end effector of claim 9, wherein the protective sheath comprises:

a substantially convex portion; and

a substantially concave portion.

13. The end effector of claim 9, wherein the protective sheath comprises a tapered body that extends longitudinally beyond the distal end.

14. The end effector of claim 9, wherein the protective sheath comprises a longitudinally and vertically extending projection that extends beyond the distal end to protect the distal end of the treatment region.

15. The end effector of claim 9, wherein the protective sheath comprises at least one projection positioned between the bottom surface of the end effector and the top surface of the protective sheath.

16. The end effector of claim 9, wherein the bottom surface and the protective sheath define an air gap therebetween.

17. The end effector of claim 9, wherein the clamp arm is configured to compress tissue between the clamp arm and the ultrasonic surgical blade.

18. An end effector, comprising:

an ultrasonic surgical blade, comprising;

a body defining a longitudinal axis, the body comprising a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by vibrations produced by a transducer;

a treatment region extending from the proximal end to the distal end;

a top surface; and

a bottom surface;

a clamp arm configured to compress tissue between the clamp arm and the ultrasonic surgical blade; and

a protective sheath longitudinally deployable adjacent to the bottom surface of the ultrasonic surgical blade, wherein the protective sheath is configured to dissipate thermal energy generated by the ultrasonic surgical blade, wherein a top surface of the protective sheath is positionable directly below the treatment region when the transducer is active.

19. The end effector of claim 18, wherein the protective sheath comprises:

a substantially convex portion; and

a substantially concave portion.