Mechanism for assembly of ultrasonic instrument

• US 8,435,258 B2
• Filed: 06/18/2012
• Issued: 05/07/2013
• Est. Priority Date: 06/01/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Young, Joseph E., Witt, David A., Fortson, Reginald D., Adams, Thomas E., Weed, John A. III, Dannaher, William D.
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/525,808
• Publication Number:
  US 20120253373A1
• Time in Patent Office: 323 Days
• Field of Search: 606/169, 814/29, 814/67, 81473-477, 814/80, 814/81
• US Class Current: 606/169
• CPC Class Codes: A61B 2017/2825 Inserts of different material in jaws
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320089 node location
• 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: A61B 2090/031 torque limiting
• CPC Class Codes: A61B 2090/033 Abutting means, stops, e.g. abutting on tissue or skin
• CPC Class Codes: B25B 23/142 specially adapted for hand operated wrenches or screwdrivers
• CPC Class Codes: G10K 11/24 for conducting sound through solid bodies, e.g. wires

Abstract

An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator.

Claims

1. A torque wrench for coupling an ultrasonic surgical instrument to an ultrasonic transducer, the torque wrench comprising:

a torque receiving element defining a central axis, the torque receiving element comprising two or more of gears arranged about the central axis, each gear comprising a ramp portion and a flat portion;

a body comprising a cantilever arm arranged annularly about the gears, the cantilever arm adapted to engage the ramp portions of the gears when the body is rotated in a first rotational direction about the central axis causing the cantilever arm to flex away from the central axis thereby imparting to the torque receiving element a limited torque sufficient to operatively couple an ultrasonic surgical instrument to an ultrasonic transducer, and the cantilever arm engaging the flat portions of the gears when the body is rotated in a second rotational direction about the central axis.

2. The torque wrench of claim 1, wherein the flat portions are substantially perpendicular to the central axis.

3. The torque wrench of claim 1, whereby the torque receiving element is adapted to be coupled to the ultrasonic instrument.

4. The torque wrench of claim 1, whereby when the body is rotated in the second rotational direction, the cantilever arm engages the flat portion of one of the gears thereby imparting a non-limited torque to the torque receiving element.

5. The torque wrench of claim 1, wherein the cantilever arm comprises a ramp portion adapted to engage the ramp portion of one of the gears.

6. The torque wrench of claim 1, wherein the cantilever arm comprises a flat portion adapted to engage the flat portion of one of the gears.

7. The torque wrench of claim 1, wherein the cantilever arm comprises a distal tooth having a flat portion adapted to engage the flat portion of one of the gears and a ramp portion adapted to engage the ramp portion of one of the gears.

8. The torque wrench of claim 1, further comprising paddles on the body.

9. The torque wrench of claim 8, whereby when the body is rotated in the second rotational direction, the cantilever arm engages the flat portion of one of the gears thereby imparting to the torque receiving element a torque proportional to a force applied to the paddles.

10. The torque wrench of claim 1, wherein the torque receiving element and body define a through bore aligned with the central axis.

11. A surgical system, comprising:

an ultrasonic surgical instrument; and

the torque wrench of claim 1.

12. A torque wrench adapted to couple an ultrasonic surgical instrument to an ultrasonic transducer, the torque wrench comprising:

an inner element comprising stepped gears arranged around about a central axis;

an outer element comprising a means for engaging the stepped gears in a first rotational direction to impart to the inner element a limited torque sufficient to operatively couple an ultrasonic surgical instrument to an ultrasonic transducer, and a means for engaging the stepped gears in a second rotational direction to impart a torque proportional to a force applied to the outer element to decouple an ultrasonic surgical instrument from an ultrasonic transducer.

13. A torque wrench for coupling an ultrasonic surgical instrument to an ultrasonic transducer, the torque wrench comprising:

a) a torque receiving element comprising a centerline, an outer surface circumscribing the centerline, and ramped portions and stepped portions alternately arranged on the outer surface; and

b) a handle comprising a cantilever arm arranged concentrically with the outer surface, the cantilever arm adapted to engage;

i) the ramped portions when the handle is rotated in a first direction about the centerline causing the cantilever arm to flex away from the centerline thereby imparting to the torque receiving element a limited torque sufficient to operatively couple an ultrasonic surgical instrument to an ultrasonic transducer, and

ii) the stepped portions when the handle is rotated in a second direction about the centerline thereby imparting to the torque receiving element a torque proportional to a force applied to the handle.