Ultrasonic surgical blade with improved heel portion

• US 10,285,723 B2
• Filed: 08/09/2016
• Issued: 05/14/2019
• Est. Priority Date: 08/09/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Conlon, Sean P., Boyd, Benjamin M.
• Primary Examiner(s): Stransky, Katrina M
• Application Number:
  US15/232,113
• Publication Number:
  US 20180042634A1
• Time in Patent Office: 1,008 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 2017/320072 Working tips with special features, e.g. extending parts
• CPC Class Codes: A61B 2017/320074 blade
• CPC Class Codes: A61B 2017/320078 Tissue manipulating surface
• CPC Class Codes: A61B 2017/320082 for incising tissue

Abstract

An ultrasonic surgical blade with an improved heel portion is disclosed. The blade includes a solid body, a longitudinal portion having a proximal end configured to couple to an ultrasonic transmission waveguide and a transverse portion extending crosswise from the distal end of the longitudinal portion. At least one dissection edge and at least one hemostasis surface is provided on the blade. The transverse portion defines a hook having a free end configured to pull and dissect tissue. The blade further comprises a tissue plow comprising a plow edge and a distal-most vertex to increase the efficiency of heel dissection and tissue diversion.

Claims

1. An ultrasonic surgical blade, comprising:

a solid body;

a longitudinal portion having a proximal end configured to couple to an ultrasonic transmission waveguide and a distal end configured to dissect and coagulate tissue, the longitudinal portion comprising;

a substantially planar longitudinal surface; and

a distal hemostasis surface located opposite of the substantially planar longitudinal surface;

a transverse portion extending crosswise from the distal end of the longitudinal portion, the transverse portion defining a hook having a free end configured to pull and dissect tissue, the transverse portion comprising;

a curved section extending from a distal end of the substantially planar longitudinal surface;

a tip surface defined at the free end;

a substantially planar proximal inner surface extending from the curved section to the tip surface; and

a plow member extending from the tip surface to the distal hemostasis surface, the plow member comprising first and second lateral surfaces extending from a surface inflection defining a cutting edge; and

a distal dissection edge defined at a surface inflection of the first and second lateral surfaces and the distal hemostasis surface.

2. The ultrasonic surgical blade of claim 1, wherein the distal dissection edge comprises a distal-most vertex defined by the plow member and the distal hemostasis surface.

3. The ultrasonic surgical blade of claim 1, wherein the plow member is concave.

4. The ultrasonic surgical blade of claim 1, further comprising a leading, angular tip surface extending from the tip surface to the first and second lateral surfaces.

5. The ultrasonic surgical blade of claim 1, wherein the first and second lateral surfaces each comprises a surface section, and wherein each surface section is concave.

6. The ultrasonic surgical blade of claim 1, wherein the longitudinal portion comprises a proximal hemostasis surface located opposite of the substantially planar longitudinal surface.

7. The ultrasonic surgical blade of claim 6, further comprising first and second proximal lateral surfaces extending from the solid body to the proximal hemostasis surface defining first and second lateral cutting edges defined at first and second surface inflections between the first and second proximal lateral surfaces and the proximal hemostasis surface.

8. The ultrasonic surgical blade of claim 1, further comprising a beveled edge defined between the tip surface and the substantially planar proximal inner surface.

9. An ultrasonic surgical blade, comprising:

a solid body;

a longitudinal portion having a proximal end and a distal end, the longitudinal portion comprising;

a substantially planar longitudinal surface; and

a distal hemostasis surface located opposite of the substantially planar longitudinal surface;

a transverse portion extending crosswise from the distal end of the longitudinal portion, the transverse portion defining a hook having a free end, the transverse portion comprising;

a curved section extending from a distal end of the substantially planar longitudinal surface;

a tip surface defined at the free end;

a proximal inner surface extending from the curved section to the tip surface; and

a tissue diverting portion extending from the tip surface to the distal hemostasis surface, the tissue diverting portion comprising a tissue diverting edge; and

a distal dissection edge defined by a surface inflection of the distal hemostasis surface and the tissue diverting portion.

10. The ultrasonic surgical blade of claim 9, wherein the tissue diverting edge is concave.

11. The ultrasonic surgical blade of claim 9, further comprising a distal-most vertex defined by the tissue diverting portion and the distal hemostasis surface.

12. The ultrasonic surgical blade of claim 9, wherein the distal dissection edge and the tissue diverting edge comprises a substantially T-like configuration.

13. The ultrasonic surgical blade of claim 9, wherein the longitudinal portion comprises a proximal hemostasis surface located opposite of the substantially planar longitudinal surface.

14. The ultrasonic surgical blade of claim 13, comprising first and second lateral surfaces extending from the solid body to the proximal hemostasis surface defining first and second cutting edges defined at first and second surface inflections between the first and second lateral surfaces and the proximal hemostasis surface.

15. An ultrasonic surgical blade, comprising:

a hook portion having a free end portion and a distal end;

a plow member defined by the distal end of the hook portion, the plow member comprising first and second lateral surfaces extending from a first surface inflection defining a cutting edge;

a distal hemostasis surface extending from a second surface inflection defined by the first and second lateral surface; and

a distal dissection edge defined by a third surface inflection of the distal hemostasis surface and the plow member.

16. The ultrasonic surgical blade of claim 15, wherein the plow member is configured to divert tissue upon interaction therewith.

17. The ultrasonic surgical blade of claim 15, wherein the plow member cutting edge is concave.

18. The ultrasonic surgical blade of claim 15, wherein the cutting edge extends from a vertex defined at a first end of the cutting edge to a tip surface defined at a second end of the cutting edge.

19. The ultrasonic surgical blade of claim 15, further comprising an angular tip surface defined by the free end portion of the hook portion.

20. The ultrasonic surgical blade of claim 19, wherein the first and second lateral surfaces are curved.