Ultrasonic surgical instruments

Patent metadata

Field	Value
Publication number	US-10729458-B2
Application number	US-201214006601-A
Country	US
Kind code	B2
Filing date	Mar 30, 2012
Priority date	Mar 30, 2011
Publication date	Aug 4, 2020
Grant date	Aug 4, 2020

Abstract

An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration and includes a tissue contacting surface thereon. A cutting blade extends from a distal end of the shaft and operably couples to the housing and adjacent the jaw member to treat tissue. At least one sensor is configured to sense at least one operational parameter of the ultrasonic surgical instrument. At least one controller in operable communication with the at least one sensor is configured to terminate delivery of ultrasonic energy to the cutting blade when the at least one sensor senses the at least one operational parameter.

First claim

What is claimed is:

1. An ultrasonic surgical instrument, comprising: a housing having an elongated shaft extending therefrom, the elongated shaft having a jaw member disposed at a distal end thereof, the jaw member movable between an open configuration and a clamping configuration and including a tissue contacting surface; a cutting blade extending from a distal end of the elongated shaft and operably coupled to the housing and adjacent the jaw member, the cutting blade configured to receive ultrasound energy to treat tissue; an acoustic sensor configured to detect an acoustic signature of the cutting blade contacting and vibrating against the tissue contacting surface of the jaw member of the ultrasonic surgical instrument; and a controller in operable communication with the acoustic sensor, the controller including a memory storing a predefined acoustic signature, the controller configured to compare the detected acoustic signature with the stored predefined acoustic signature and terminate delivery of ultrasonic energy to the cutting blade upon the comparison to inhibit continued contact and vibration of the cutting blade against the jaw member, thereby inhibiting damage to the tissue contacting surface of the jaw member of the ultrasonic surgical instrument.

2. The ultrasonic surgical instrument according to claim 1 , wherein the acoustic sensor is operably coupled to at least one of the jaw member or cutting blade.

3. The ultrasonic surgical instrument according to claim 1 , further comprising at least one sensor configured to sense at least one operational parameter of the ultrasonic surgical instrument, the at least one sensor is one of a position sensor, a strain gauge sensor, a jaw sensor, a temperature sensor, or an impedance sensor.

4. The ultrasonic surgical instrument according to claim 3 , wherein the at least one operational parameter associated with the ultrasonic surgical instrument includes a change in tissue impedance of tissue being treated, a change in resistance associated with the cutting blade contacting the tissue contacting surface of the jaw member, a change in an amount of ultrasonic power required to treat tissue, a spatial relationship between the jaw member and cutting blade, or a change in contact pressure between the jaw member and the cutting blade.

5. The ultrasonic surgical instrument according to claim 1 , wherein the controller is a component of a generator of the ultrasonic surgical instrument.

6. The ultrasonic surgical instrument according to claim 1 , wherein the tissue contacting surface of the jaw member is coated with at least one lubricious material.

7. The ultrasonic surgical instrument according to claim 6 , wherein the at least one lubricious material is selected from a group consisting of polytetrafluoroethylene and silicone.

8. The ultrasonic surgical instrument according to claim 1 , further including a jaw interlock activatable when delivery of ultrasonic energy to the cutting blade is terminated and configured to engage at least one of the jaw member or cutting blade to prevent contact therebetween.

9. An ultrasonic surgical system, comprising:
an ultrasonic surgical instrument, comprising:
a housing having a shaft extending therefrom, the shaft having a jaw member disposed at a distal end thereof, the jaw member including a tissue contacting surface;
a cutting blade extending from a distal end of the shaft and operably coupled to the housing and adjacent the jaw member to treat tissue; and
an acoustic sensor configured to detect an acoustic signature result of the cutting blade contacting and vibrating against the tissue contacting surface of the jaw member of the ultrasonic surgical instrument; and

a controller in operable communication with the acoustic sensor, the controller including a memory storing a predefined acoustic signature, the controller configured to compare the detected acoustic signature with the stored predefined acoustic signature and terminate delivery of ultrasonic energy to the cutting blade based upon the comparison to inhibit continued contact and vibration of the cutting blade against the jaw member, thereby inhibiting damage to the tissue contacting surface of the jaw member of the ultrasonic surgical instrument.

10. The ultrasonic surgical system according to claim 9 , wherein the acoustic sensor is operably disposed on at least one of the jaw member or cutting element.

11. The ultrasonic surgical system according to claim 9 , further comprising at least one sensor configured to sense at least one operational parameter of the ultrasonic surgical instrument, the at least one sensor is one of a position sensor, a strain gauge sensor, a jaw sensor, a temperature sensor, or an impedance sensor.

12. The ultrasonic surgical system according to claim 11 , wherein the controller is configured to provide one of an audio and visual indication to a user when the operational parameter is sensed by the at least one sensor.

13. The ultrasonic surgical system according to claim 11 , wherein the at least one operational parameter associated with the ultrasonic surgical instrument includes a change in tissue impedance of tissue being treated, a change in resistance associated with the cutting blade contacting the tissue contacting surface of the jaw member, a change in an amount of ultrasonic power required to treat tissue, a spatial relationship between the jaw member and cutting blade, or a change in contact pressure between the jaw member and the cutting blade.

14. The ultrasonic surgical system according to claim 9 , wherein the controller is a component of a generator of the ultrasonic surgical instrument.

15. The ultrasonic surgical system according to claim 9 , wherein the ultrasonic surgical instrument further includes a jaw interlock activatable when delivery of ultrasonic energy to the cutting blade is terminated and configured to engage at least one of the jaw member or cutting blade to prevent physical contact therebetween.

16. The ultrasonic surgical system according to claim 15 , wherein the jaw interlock is manually activatable via a switch on the ultrasonic surgical instrument.

17. The ultrasonic surgical system according to claim 15 , wherein the jaw interlock is automatically activatable via the controller.

18. The ultrasonic surgical system according to claim 9 , wherein the controller is in operable communication with an audio detection module of the generator, the audio detection module configured to receive audio input from a speaker on the ultrasonic surgical instrument to detect a change in the acoustic signature of the ultrasonic surgical instrument.

19. The ultrasonic surgical system according to claim 9 , wherein the tissue contacting surface of the jaw member is coated with at least one lubricious material.

20. The ultrasonic surgical system according to claim 19 , wherein the at least one lubricious material is selected from a group consisting of polytetrafluoroethylene and silicone.

Assignees

• Stoddard Robert B
• Cunningham James S
• Dickhans William J
• Hempstead Russell D
• Larson Eric R
• Kerr Duane E
• Nau William H
• Ross Anthony B
• Kappus John J
• Covidien Lp

Inventors

• Stoddard Robert B
• Cunningham James S
• Dickhans William J
• Hempstead Russell D
• Larson Eric R
• Kerr Duane E
• Nau William H
• Ross Anthony B
• Kappus John J

Classifications

• A61B2017/00123

  and automatic shutdown · CPC title

• A61B2017/00022

  Sensing or detecting at the treatment site · CPC title

• A61B2090/034

  abutting on parts of the device itself · CPC title

• A61B2090/065

  for measuring contact or contact pressure · CPC title

• A61B2017/2825

  Inserts of different material in jaws · CPC title