Ultrasonic clamp coagulator surgical instrument with improved blade geometry

• US 6,254,623 B1
• Filed: 06/30/1999
• Issued: 07/03/2001
• Est. Priority Date: 06/30/1999
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Haibel, Chester G. Jr., Bowes, William A., Witt, David A.
• Primary Examiner(s): Recla, Henry J.
• Assistant Examiner(s): NGO, LIEN M
• Application Number:
  US09/345,277
• Time in Patent Office: 734 Days
• Field of Search: 606/37, 606/39, 606/40, 606/169-172, 606/151, 604/22, D24/158, D24/144, D24/146, D24/200, D24/215, D 8/417, D 8/101, D 8/98
• US Class Current: 606/169
• 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 2017/2825 Inserts of different material in jaws
• 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

Abstract

An ultrasonic clamp coagulator assembly embodying the principles of the present invention is configured to permit selective cutting, coagulation, and clamping of tissue during surgical procedures. In an ultrasonic blade according to the present invention, the blade is constructed such that the cross-sectional area of the blade is smaller at the proximal end of the compression zone than at the distal end. This performance-enhancing feature creates a more consistent cutting and coagulation of the tissue along the length of the blade reducing the time the blade is in operation and reducing overall heat generation.

Claims

1. Ultrasonic surgical apparatus comprising:

a housing;

an ultrasonic drive unit carried by said housing and adapted to generate ultrasonic vibration;

an ultrasonic surgical blade having a central axis, wherein said ultrasonic surgical blade is operatively connected to said ultrasonic transducer, said ultrasonic blade being adapted to receive ultrasonic vibration from said ultrasonic transducer and to vibrate in a longitudinal directional substantially parallel to said central axis;

a clamp arm carried by said apparatus and movable to a closed position opposite said ultrasonic surgical blade substantially parallel to an outer surface of said ultrasonic surgical blade;

a clamp pad affixed to said clamp arm, said clamp pad having a proximal end and a distal end;

a contact region on said outer surface of said ultrasonic surgical blade comprising a portion of said outer surface which is opposite said clamp pad, wherein said contact region has a proximal end and a distal end wherein said blade has a first cross-sectional area within said contact region and adjacent to said proximal end of said contact region and a second cross-sectional area within said contact region and adjacent to said distal end of said contact region, said second cross-sectional area being larger than said first cross-sectional area.

2. An ultrasonic surgical instrument according to claim 1 wherein said proximal end of said contact region is aligned with said proximal end of said clamp pad and said distal end of said contact region is aligned with said distal end of said clamp pad.

3. An ultrasonic surgical instrument according to claim 1 wherein said second cross sectional area is substantially circular in shape.

4. An ultrasonic surgical instrument according to claim 1 wherein said first cross-sectional area is substantially circular in shape.

5. An ultrasonic surgical instrument according to claim 1 wherein said blade further comprises:

a first flat region on a first side of said blade; and

a second flat region on a second side of said blade, wherein said first and said second flat regions are symmetrical about a second axis of said blade wherein said second axis is perpendicular to said central axis and parallel to said first and second cross sectional areas.

6. An ultrasonic instrument according to claim 5 wherein said first flat region and said second flat region intersect at said outer surface of said ultrasonic surgical blade.

7. An ultrasonic surgical instrument according to claim 1 wherein said ultrasonic surgical blade has a contact surface positioned between said first and second flat regions, said contact surface being narrower at said proximal end of said contact region than at said distal end of said contact region.