Ultrasonic surgical instruments having offset blades

• US 10,842,522 B2
• Filed: 07/15/2016
• Issued: 11/24/2020
• Est. Priority Date: 07/15/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Messerly, Jeffrey D., Kimball, Cory G, Clem, William E., Johnson, Gregory W., Estera, Frederick, Weisenburgh, II, William B., Stulen, Foster B.
• Primary Examiner(s): Scherbel, Todd J
• Assistant Examiner(s): Mannan, Mikail A
• Application Number:
  US15/211,402
• Publication Number:
  US 20180014848A1
• Time in Patent Office: 1,593 Days
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• 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 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00738 part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
• 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 2017/320084 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 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2017/320098 with transverse or torsional motion
• CPC Class Codes: A61B 2018/00589 Coagulation
• 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

Ultrasonic surgical instruments having angularly and/or linearly off-set blades are described. The angularly and/or linearly off-set blades may facilitate increased surgical site access, visibility, and manipulability.

Claims

1. An ultrasonic surgical instrument comprising:

a handle assembly comprising a handle body and a clamp actuation member pivotably coupled to the handle body;

a shaft assembly connected to the handle assembly;

an ultrasonic transducer having a central transducer axis;

an acoustic horn acoustically coupled to the ultrasonic transducer;

an ultrasonic transmission waveguide acoustically coupled to the acoustic horn, the ultrasonic transmission waveguide having a central waveguide axis and comprising a compound curvature component, the compound curvature component comprising a proximal curved portion, a linear portion, and a distal curved portion, the linear portion positioned in between the proximal curved portion and the distal curved portion;

an ultrasonic surgical blade acoustically coupled to the distal curved portion of the ultrasonic transmission waveguide and having a central blade axis that is parallel to the central waveguide axis; and

an end-effector connected to the shaft assembly, the end-effector comprising the ultrasonic surgical blade and a clamp arm pivotably coupled to the shaft assembly, wherein the ultrasonic transducer and the acoustic horn are located within the handle body.

2. The ultrasonic surgical instrument of claim 1, wherein the central waveguide axis and the central transducer axis intersect and form an off-set angle ranging from 120-degrees to 150-degrees.

3. The ultrasonic surgical instrument of claim 1, wherein the shaft assembly comprises a reciprocating upper shaft member and a lower shaft member integrally formed with the handle body, and wherein the linear portion of the ultrasonic transmission waveguide is located between the reciprocating upper shaft member and the lower shaft member.

4. The ultrasonic surgical instrument of claim 3, wherein:

the clamp actuation member is pivotably coupled to the handle body and pivotably coupled to the reciprocating upper shaft member;

the reciprocating upper shaft member is pivotably coupled to the clamp arm; and

the clamp arm is pivotably coupled to the lower shaft member.

5. The ultrasonic surgical instrument of claim 4, wherein:

pivotal motion of the clamp actuation member toward the handle body causes distal translational motion of the reciprocating upper shaft member, and the distal translational motion of the reciprocating upper shaft member causes pivotal motion of the clamp arm toward the ultrasonic surgical blade, thereby closing the end-effector; and

pivotal motion of the clamp actuation member away from the handle body causes proximal translational motion of the reciprocating upper shaft member, and the proximal translational motion of the reciprocating upper shaft member causes pivotal motion of the clamp arm away from the ultrasonic surgical blade, thereby opening the end-effector.

6. The ultrasonic surgical instrument of claim 1, wherein the central blade axis is transversely off-set from the central waveguide axis by a linear distance greater than a width of a cross-sectional diameter of a shaft configured to house the ultrasonic transmission waveguide.

7. The ultrasonic surgical instrument of claim 6, wherein the ultrasonic surgical blade comprises a tissue-engaging surface that is parallel to the central waveguide axis, and wherein the tissue-engaging surface is transversely off-set from the central waveguide axis.

8. The ultrasonic surgical instrument of claim 7, wherein the tissue-engaging surface is a first tissue-engaging surface, and the ultrasonic surgical blade further comprises a second tissue-engaging surface positioned opposite of the first tissue-engaging surface and still parallel to the central waveguide axis, facing outwardly away from the central waveguide axis.

9. The ultrasonic surgical instrument of claim 1, wherein the shaft assembly houses the acoustic horn and the ultrasonic transmission waveguide up to a position of the proximal curved portion, wherein the ultrasonic surgical blade is transversely offset by the compound curvature component such that the central blade axis falls outside of the shaft assembly.

10. An ultrasonic surgical instrument comprising:

a handle assembly comprising a handle body and a clamp actuation member pivotably coupled to the handle body;

a shaft assembly connected to the handle assembly;

an ultrasonic transducer;

an acoustic horn acoustically coupled to the ultrasonic transducer;

an ultrasonic transmission waveguide acoustically coupled to the acoustic horn, the ultrasonic transmission waveguide having a central waveguide axis;

a compound curvature component comprising a proximal curved portion, a linear portion, and a distal curved portion, the linear portion positioned in between the proximal curved portion and the distal curved portion, the compound curvature component coupled to the ultrasonic transmission waveguide by the proximal curved portion,

an ultrasonic surgical blade acoustically coupled to the distal curved portion of the component curvature component and having a central blade axis; and

an end-effector connected to the shaft assembly, the end-effector comprising the ultrasonic surgical blade and a clamp arm pivotably coupled to the shaft assembly,

wherein the ultrasonic transducer and the acoustic horn are located within the handle body; and

wherein the compound curvature component transversely off-sets the ultrasonic surgical blade from the central waveguide axis, such that the central blade axis is parallel to the central waveguide axis.

11. The ultrasonic surgical instrument of claim 10, wherein the shaft assembly comprises an outer sheath around at least a portion of the ultrasonic transmission waveguide, wherein the ultrasonic surgical blade is transversely off-set from an outer sheath axis defined by an outer surface of the outer sheath.

12. The ultrasonic surgical instrument of claim 11, wherein the outer sheath comprises a closed and/or sealed slot extending longitudinally along at least a portion of the outer sheath length.

13. The ultrasonic surgical instrument of claim 12, wherein the closed and/or sealed slot comprises a sealing member positioned in the closed and/or sealed slot.

14. The ultrasonic surgical instrument of claim 12, wherein the closed and/or sealed slot comprises a shrunk tube positioned around the outer sheath circumference.

15. The ultrasonic surgical instrument of claim 12, wherein the closed and/or sealed slot comprises a bonded seam.

16. The ultrasonic surgical instrument of claim 10, wherein the central blade axis is transversely off-set from the central waveguide axis by a linear distance greater than a width of a cross-sectional diameter of a shaft configured to house the ultrasonic transmission waveguide.

17. The ultrasonic surgical instrument of claim 16, wherein the ultrasonic surgical blade comprises a tissue-engaging surface that is parallel to the central waveguide axis, and wherein the tissue-engaging surface is transversely off-set from the central waveguide axis.

18. The ultrasonic surgical instrument of claim 17, wherein the tissue-engaging surface is a first tissue-engaging surface, and the ultrasonic surgical blade further comprises a second tissue-engaging surface positioned opposite of the first tissue-engaging surface and still parallel to the central waveguide axis, facing outwardly away from the central waveguide axis.

19. The ultrasonic surgical instrument of claim 10, wherein the shaft assembly houses the acoustic horn and the ultrasonic transmission waveguide, wherein the ultrasonic surgical blade is transversely offset by the compound curvature component such that the central blade axis falls outside of the shaft assembly.