Rotation features for ultrasonic surgical instrument

Patent metadata

Field	Value
Publication number	US-10470792-B2
Application number	US-201715680495-A
Country	US
Kind code	B2
Filing date	Aug 18, 2017
Priority date	Dec 17, 2013
Publication date	Nov 12, 2019
Grant date	Nov 12, 2019

Abstract

An apparatus includes a shaft assembly, an ultrasonic blade, and a clamp assembly. The shaft assembly includes an acoustic waveguide operable to transmit ultrasonic vibrations to the blade. The clamp assembly includes a clamp arm pivotable toward and away from the blade about a pivot axis, to clamp tissue between the clamp arm and the blade. A rotation feature may provide rotation of the blade relative to the clamp arm about the longitudinal axis of the waveguide. Alternatively, the rotation feature may provide rotation of the clamp arm relative to the blade about the longitudinal axis. The rotation feature may be driven based on pivotal positioning of the clamp arm relative to the blade about the pivot axis. The rotation feature may selectively lock and unlock the angular position of either the blade or the clamp arm about the longitudinal axis at any of a number of predetermined angular positions.

First claim

We claim:

1. An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly;
(b) a shaft assembly extending distally from the body assembly, wherein the shaft assembly comprises an acoustic waveguide operable to transmit ultrasonic vibrations, wherein at least a proximal portion of the acoustic waveguide defines a longitudinal axis;
(c) an ultrasonic blade extending distally from the acoustic waveguide, wherein the ultrasonic blade is in acoustic communication with the acoustic waveguide;
(d) a clamp assembly, wherein the clamp assembly comprises a clamp arm pivotable toward and away from the ultrasonic blade about a pivot axis; and
(e) a rotation feature associated with the shaft assembly and the clamp assembly, wherein the rotation feature is operable to rotate the clamp assembly relative to the shaft assembly about an axis other than the pivot axis; wherein the rotation feature comprises a pair of semi-spherical projections fixed to the shaft assembly; and wherein the rotation feature comprises a pair of semi-spherical recesses defined by the clamp assembly, wherein the pair of semi-spherical projections are pivotably coupled to the semi-spherical recesses.

2. The apparatus of claim 1 , wherein the first axis is parallel with the longitudinal axis.

3. The apparatus of claim 2 , wherein the first axis coincides with the longitudinal axis.

4. The apparatus of claim 2 , wherein the rotation feature comprise a biasing member configured to bias the rotation feature in a locked position.

5. The apparatus of claim 1 , wherein the rotation feature is operable to selectively lock the clamp assembly in multiple positions about the first axis.

6. The apparatus of claim 1 , wherein the first axis is also transverse to the pivot axis.

7. The apparatus of claim 1 , wherein the body assembly further comprises a finger grip ring.

8. The apparatus of claim 1 , further comprising an ultrasonic transducer assembly configured to generate ultrasonic vibrations and transmit the ultrasonic vibrations to the acoustic waveguide.

9. The apparat of claim 8 , wherein the body assembly further comprises a first button configured to activate the ultrasonic transducer assembly at a first energy level.

10. The apparatus of claim 9 , wherein the body assembly further comprises a second button configured to activate the ultrasonic transducer assembly at a second energy level, wherein the first energy level is different than the second energy level.

11. The apparatus of claim 8 , wherein the ultrasonic transducer assembly is configured to electrically couple with an external generator.

12. The apparatus of claim 1 , wherein the clamp assembly is pivotably coupled with the shaft assembly via a pin.

13. The apparatus of claim 1 , wherein the clamp arm further comprises a clamp pad.

14. An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly;
(b) a shaft assembly extending distally from the body assembly, wherein the shaft assembly comprises an acoustic waveguide operable to transmit ultrasonic vibrations, wherein at least a proximal portion of the acoustic waveguide defines a longitudinal axis;
(c) an ultrasonic blade extending distally from the acoustic waveguide, wherein the ultrasonic blade is in acoustic communication with the acoustic waveguide;
(d) a clamp arm pivotable relative to the shaft assembly toward and away from the ultrasonic blade about a pivot axis; and
(e) a rotation feature coupling the clamp arm with the shaft assembly, wherein the rotation feature is configured to permit rotation of the clamp arm about the longitudinal axis; wherein the rotation feature is configured to selectively lock the clamp arm in a plurality of predetermined rotation positions relative to the body assembly about the longitudinal axis.

15. An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly;
(b) a shaft assembly extending distally from the body assembly, wherein the shaft assembly comprises an acoustic waveguide operable to transmit ultrasonic vibrations, wherein at least a proximal portion of the acoustic waveguide defines a longitudinal axis;
(c) an ultrasonic blade extending distally from the acoustic waveguide, wherein the ultrasonic blade is in acoustic communication with the acoustic waveguide;
(d) a clamp arm assembly operable to pivot relative to the shaft assembly toward and away from the ultrasonic blade about a pivot axis; and
(e) a rotation feature coupling the clamp arm assembly with the shaft assembly, wherein the rotation feature is configured to permit selective rotation of the clamp arm about an axis that is not aligned with the longitudinal axis and the pivot axis; wherein the clamp arm assembly further comprises a shank extending proximally from the clamp arm; wherein the clamp arm assembly further comprising a thumb grip ring extending proximally from the shank.

Assignees

• Ethicon Llc

Inventors

• Faller Craig N
• Debenedictis Elizabeth
• Kelly William D
• Lamping Michael R
• Dietz Timothy G
• Weizman Patrick A
• Gee Jacob S
• Schulte John B
• Muhlenkamp Tylor C
• Turner Douglas J
• Smith Eric B
• Conlon Sean P
• Timm Richard W
• Messerly Jeffrey D
• Bertke Brian D

Classifications

• A61B2017/320075

  single edge blade, e.g. for cutting · CPC title

• A61B2017/2947

  Pivots · CPC title

• A61B2017/320093

  additional movable means performing cutting operation · CPC title

• A61B2017/320088

  with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath · CPC title

• A61B2017/2825

  Inserts of different material in jaws · CPC title