Ultrasonic surgical blades

• US 10,433,865 B2
• Filed: 02/03/2017
• Issued: 10/08/2019
• Est. Priority Date: 11/30/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Witt, David A., Messerly, Jeffrey D., Houser, Kevin L.
• Primary Examiner(s): Stransky, Katrina M
• Application Number:
  US15/424,166
• Publication Number:
  US 20170143371A1
• Time in Patent Office: 977 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 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 2017/00849 with respect to tissue, e.g. hollow organs
• CPC Class Codes: A61B 2017/00853 low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
• CPC Class Codes: A61B 2017/0088 ceramic
• CPC Class Codes: A61B 2017/320078 Tissue manipulating surface
• 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: A61L 2400/10 Materials for lubricating medical devices
• CPC Class Codes: A61L 2420/08 Coatings comprising two or more layers
• CPC Class Codes: A61L 31/08 Materials for coatings
• CPC Class Codes: A61L 31/088 Other specific inorganic materials not covered by A61L31/084 or A61L31/086
• CPC Class Codes: A61L 31/10 Macromolecular materials
• CPC Class Codes: A61L 31/14 Materials characterised by their function or physical properties , e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
• 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
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

An ultrasonic surgical instrument including a wavequide extending along a longitudinal axis and an ultrasonic blade is disclosed. The ultrasonic blade includes a proximal end coupled to the waveguide, a distal end movable relative to the longitudinal axis in accordance with ultrasonic vibrations applied to the wavequide, and a tissue treatment region including a coated portion and an uncoated portion. The coated portion includes a distal-facing surface.

Claims

1. An ultrasonic surgical instrument, comprising:

a waveguide extending along a longitudinal axis; and

an ultrasonic blade, comprising;

a proximal end coupled to the waveguide;

a distal end movable relative to the longitudinal axis in accordance with ultrasonic vibrations applied to the waveguide; and

a tissue treatment region comprising a coated portion and an uncoated portion, wherein the coated portion comprises a distal-facing surface.

2. The ultrasonic surgical instrument of claim 1, wherein the coated portion defines a first coefficient of friction relative to a tissue, wherein the uncoated portion defines a second coefficient of friction relative to the tissue, and wherein the second coefficient of friction is greater than the first coefficient of friction.

3. The ultrasonic surgical instrument of claim 1, wherein the coated portion comprises a distal portion, and wherein the uncoated portion comprises a proximal portion.

4. The ultrasonic surgical instrument of claim 3, wherein the distal portion comprises the distal-facing surface.

5. The ultrasonic surgical instrument of claim 1, wherein the tissue treatment region further comprises a surface treatment to enhance adhesion of a coating to the coated portion.

6. The ultrasonic surgical instrument of claim 5, wherein the surface treatment comprises a roughening treatment to roughen an outer surface of the ultrasonic blade.

7. The ultrasonic surgical instrument of claim 1, wherein the ultrasonic blade is operably coupled to a generator that is susceptible to a lockout condition at power levels above a threshold power, and wherein the coated portion is configured to reduce friction at an interface between a tissue and the ultrasonic blade to avoid exceeding the threshold power draw by the generator to prevent the lockout condition.

8. The ultrasonic surgical instrument of claim 1, further comprising a clamp arm movable between an unclamped position and a clamped position, wherein the clamp arm is positioned to exert a clamping force on a tissue positioned intermediate the clamp arm and at least a portion of the coated portion when the clamp arm is in the clamped position.

9. An ultrasonic surgical instrument, comprising:

a waveguide extending along a longitudinal axis; and

an ultrasonic blade, comprising;

a proximal end coupled to the waveguide;

a distal end movable relative to the longitudinal axis in accordance with ultrasonic vibrations applied to the waveguide; and

a tissue treatment region comprising a first portion and a second portion, wherein the first portion comprises a coated distal-facing surface, wherein the first portion defines a first coefficient of friction relative to a tissue, wherein the second portion defines a second coefficient of friction relative to the tissue, and wherein the second coefficient of friction is different than the first coefficient of friction.

10. The ultrasonic surgical instrument of claim 9, wherein the first portion comprises a distal portion, and wherein the second portion comprises a proximal portion.

11. The ultrasonic surgical instrument of claim 9, wherein the ultrasonic blade further comprises a roughening surface treatment.

12. The ultrasonic surgical instrument of claim 9, wherein the ultrasonic blade is operably coupled to a generator that is susceptible to a lockout condition at power levels above a threshold power, and wherein the first portion comprises a surface treatment configured to reduce friction at an interface between the tissue and the ultrasonic blade to avoid exceeding the threshold power draw by the generator to prevent the lockout condition.

13. The ultrasonic surgical instrument of claim 12, wherein the surface treatment comprises a lubricious coating.

14. An ultrasonic surgical blade, comprising:

a solid metal body comprising a proximal end, wherein the proximal end is configured to receive ultrasonic vibrations;

a tissue treatment region defined on the solid metal body, wherein the tissue treatment region comprises a first portion and a second portion, wherein the first portion comprises a distal-facing surface; and

a coating adhered to the distal-facing surface.

15. The ultrasonic surgical blade of claim 14, wherein the second portion defines an uncoated portion.

16. The ultrasonic surgical blade of claim 14, further comprising a second coating adhered to the second portion.

17. The ultrasonic surgical blade of claim 14, wherein the second portion defines a first coefficient of friction relative to a tissue, wherein the coating defines a second coefficient of friction relative to the tissue, and wherein the second coefficient of friction is different than the first coefficient of friction.

18. The ultrasonic surgical blade of claim 14, wherein the first portion comprises a distal portion, and wherein the second portion comprises a proximal portion.

19. The ultrasonic surgical blade of claim 18, wherein the distal portion comprises the distal-facing surface.

20. The ultrasonic surgical blade of claim 14, wherein the solid metal body is configured to operably couple to a generator that is susceptible to a lockout condition at power levels above a threshold power, and wherein the coating is configured to reduce friction at an interface between a tissue and the solid metal body to avoid exceeding the threshold power draw by the generator to prevent the lockout condition.