Ultrasonic surgical instrument with rigidizing articulation drive members

Patent metadata

Field	Value
Publication number	US-10034683-B2
Application number	US-201514688458-A
Country	US
Kind code	B2
Filing date	Apr 16, 2015
Priority date	Apr 16, 2015
Publication date	Jul 31, 2018
Grant date	Jul 31, 2018

Abstract

A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation lock assembly. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer and includes a flexible portion. The articulation section is coupled with the shaft and encompasses the flexible portion of the waveguide. The articulation section comprises a first member and a second member. The second member is longitudinally translatable relative to the first member. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation lock comprises a tensioning feature, which is configured to selectively apply tension to at least one of the first member and the second member of the articulation section to thereby increase rigidity in the articulation section.

First claim

We claim:

1. An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly;
(b) a shaft extending distally from the body assembly, wherein the shaft defines a longitudinal axis;
(c) an acoustic waveguide, wherein the waveguide comprises a flexible portion;
(d) an articulation section coupled with the shaft, wherein a portion of the articulation section encompasses at least a portion of the flexible portion of the waveguide, wherein the articulation section further comprises:
(i) a first member, and
(ii) a second member, wherein the second member is longitudinally translatable relative to the first member;

(e) an end effector comprising an ultrasonic blade in acoustic communication with the waveguide; and
(f) an articulation lock assembly, wherein a distal portion of the articulation lock assembly encompasses a portion of the flexible portion of the waveguide, wherein a proximal portion of the articulation lock assembly comprises a tensioning feature, wherein the tensioning feature is configured to selectively apply tension to at least one of the first member and the second member of the articulation section to thereby increase rigidity in the articulation section.

2. The apparatus of claim 1 , wherein the tensioning feature of the articulation lock assembly is configured to selectively apply tension to both the first member and the second member of the articulation section.

3. The apparatus of claim 2 , further comprising an articulation control assembly in communication with the first member and the second member of the articulation section.

4. The apparatus of claim 3 , wherein the tensioning feature of the articulation lock assembly is configured to drive the articulation control assembly proximally to apply tension to both the first member and the second member of the articulation section.

5. The apparatus of claim 3 , wherein the articulation control assembly comprises a knob, wherein the knob is configured to rotate to drive the first member and second member of the articulation section in opposing directions.

6. The apparatus of claim 5 , wherein the knob is configured to translate to drive both the first member and the second member of the articulation section simultaneously in the same direction.

7. The apparatus of claim 6 , wherein the tensioning feature comprises two chamfered members extending from the knob, wherein the chamfered members are operable to apply tension to both the first member and the second member of the articulation section.

8. The apparatus of claim 5 , wherein the knob is configured to pivot to drive both the first member and the second member of the articulation section in the same direction, wherein the tensioning feature of the articulation lock assembly comprises two pins extending from the knob.

9. The apparatus of claim 1 , wherein the articulation lock assembly includes at least two asymmetrical segments disposed adjacent to each other on the articulation section.

10. The apparatus of claim 9 , wherein each asymmetrical segment comprises an articulation portion and a lock portion, wherein the articulation portion includes a chamfer, wherein the lock portion is straight relative to the chamfer of the articulation portion.

11. The apparatus of claim 10 , wherein the first member is adjacent to the articulation portion, wherein the second member is adjacent to the lock portion, wherein the tensioning feature is configured to selectively apply tension to the first member to articulate the articulation section in the direction of the articulation portion of each asymmetrical segment.

12. The apparatus of claim 11 , wherein the tensioning feature is configured to selectively apply tension to the second member to render the articulation section rigid by abutting the lock portions of each asymmetrical link with the other adjacent asymmetrical segments.

13. An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly;
(b) a shaft extending distally from the body assembly, wherein the shaft defines a longitudinal axis and includes an acoustic waveguide having a flexible portion;
(c) an articulation section coupled with the shaft, wherein the flexible portion of the acoustic waveguide extends through the articulation section;
(d) an end effector fixedly coupled with the articulation section, wherein the end effector comprises a working element configured to engage tissue;
(e) an articulation drive assembly operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis, wherein the articulation drive assembly comprises:
(i) a first translating driver, and
(ii) a second translating driver; and

(f) an articulation lock assembly, wherein a first portion of the articulation lock assembly is laterally disposed between the first and second translating drivers such that the first and second translating drivers are configured to translate external of the first portion, wherein a second portion of the articulation lock assembly is in communication with at least one of the first translating driver and the second translating driver such that the second portion engages at least one of the first and second translating drivers.

14. The apparatus of claim 13 , wherein the articulation lock assembly is configured to selectively transition the articulation section between a locked configuration and an articulatable configuration.

15. The apparatus of claim 14 , wherein the articulation lock assembly is configured to simultaneously place the first translating driver and the second translating driver in tension to thereby transition the articulation section into the locked configuration.

16. An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly;
(b) a shaft extending distally from the body assembly, wherein the shaft defines a longitudinal axis;
(c) an acoustic waveguide, wherein the waveguide comprises a flexible portion;
(d) an articulation section coupled with the shaft, wherein the articulation section encompasses the flexible portion of the waveguide, wherein the articulation section further comprises:
(i) a first member, and
(ii) a second member, wherein the second member is longitudinally translatable relative to the first member;

(e) an end effector coupled with the articulation section, wherein the first and second members are operable to actuate the articulation section to deflect the end effector from the longitudinal axis; and
(f) an articulation lock configured to inhibit deflection of the articulation section in only a single direction such that the articulation section is operable to deflect the end effector in only an opposite direction, wherein the articulation lock further comprises a tensioning feature configured to selectively apply tension to at least one of the first and second members to thereby render the articulation section rigid such that the actuated tensioning feature is configured to inhibit deflection of the articulation section in both directions.

17. The apparatus of claim 1 , wherein the body assembly is configured to be grasped by a hand of an operator.

18. The apparatus of claim 17 , wherein the body assembly comprises a handle assembly.

19. The apparatus of claim 18 , wherein the handle assembly comprises a pistol grip.

Assignees

• Ethicon Endo Surgery Llc
• Ethicon Llc

Inventors

• Monroe David A
• Timm Richard W
• Faller Craig N
• Pirozzi Kristen L
• Gee Jacob S
• Messerly Jeffrey D
• Schulte John B
• Dickerson Benjamin D
• Asher Ryan M
• Shapiro Cara L

Classifications

• A61B2017/2908

  Multiple segments connected by articulations · CPC title

• A61B2017/2946

  Locking means · CPC title

• A61B2034/715

  Cable tensioning mechanisms for removing slack · CPC title

• A61B2017/00327

  with actuating members moving in opposite directions · CPC title

• A61B17/320092

  with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw · CPC title