Tissue loading of a surgical instrument

Patent metadata

Field	Value
Publication number	US-10952759-B2
Application number	US-201715679967-A
Country	US
Kind code	B2
Filing date	Aug 17, 2017
Priority date	Aug 25, 2016
Publication date	Mar 23, 2021
Grant date	Mar 23, 2021

Abstract

Various ultrasonic instruments are disclosed. The ultrasonic instruments include structures configured to indicate the cutting length of the instruments, detect when grasped tissue has extended beyond the cutting length of the instrument, and prevent tissue from extending beyond the cutting length. Several techniques for each types of structures are disclosed.

First claim

The invention claimed is:

1. An ultrasonic surgical instrument comprising:
an end effector;
a jaw movable relative to the end effector between a jaw open position and a jaw closed position;
a transducer assembly comprising at least two piezoelectric elements configured to ultrasonically oscillate the end effector;
an indicium coextensive with a portion of the jaw overlying the end effector;
a first arm;
wherein the jaw is disposed at a distal end of the first arm;
a second arm pivotably connected to the first arm;
wherein the end effector is disposed at a distal end of the second arm; and
a bar member extending from the second arm through the first arm at a position proximal to the jaw, the bar member comprising a curvature corresponding to a rotational arc of the first arm.

2. The ultrasonic surgical instrument of claim 1 , wherein the indicium comprises a color.

3. The ultrasonic surgical instrument of claim 1 , further comprising:
a first electrode; and
a second electrode;
wherein a tissue contacting both the first electrode and the second electrode generates a signal.

4. The ultrasonic surgical instrument of claim 3 , further comprising a cooperating surface disposed on the jaw, the cooperating surface aligned with the end effector, wherein the first electrode is coextensive with the cooperating surface and the second electrode is positioned proximally to the cooperating surface.

5. The ultrasonic surgical instrument of claim 1 , further comprising:
a housing enclosing the transducer assembly; and
an electrical connector disposed on the housing, the electrical connector electrically coupled to the transducer assembly and couplable to an ultrasonic signal generator;
wherein the electrical connector is configured to short when contacted by fluid within the housing.

6. An ultrasonic surgical instrument comprising:
a first arm;
a second arm pivotably connected to the first arm;
a jaw disposed at a distal end of the first arm;
an end effector disposed at a distal end of the second arm;
wherein the jaw is movable relative to the end effector between an open position and a closed position;
a transducer assembly comprising at least two piezoelectric elements configured to ultrasonically oscillate the end effector; and
a bar member extending from the second arm through the first arm at a position proximal to the jaw, the bar member comprising a curvature corresponding to a rotational arc of the first arm.

7. The ultrasonic surgical instrument of claim 6 , wherein the transducer assembly is enclosed within a housing that is removably connectable to at least one of the first arm or the second arm.

8. The ultrasonic surgical instrument of claim 6 , further comprising:
a first electrode; and
a second electrode;
wherein the first electrode and the second electrode are configured to generate a signal when both contact a tissue.

9. The ultrasonic surgical instrument of claim 6 , further comprising:
a housing enclosing the transducer assembly; and
an electrical connector disposed on the housing, the electrical connector electrically coupled to the transducer assembly and couplable to an ultrasonic signal generator;

wherein the electrical connector is configured to short when contacted by fluid within the housing.

10. The ultrasonic surgical instrument of claim 6 , wherein the bar member comprises a head stopper element positioned at a distal extremity furthest from the second arm, the head stopper element configured to limit the rotational arc of the first arm relative to the second arm.

11. The ultrasonic surgical instrument of claim 6 , wherein the first arm comprises a curved channel closed on lateral sides of the first arm and open both on a side proximal to the second arm and a side distal to the second arm and opposite the side proximal to the second arm.

12. The ultrasonic surgical instrument of claim 11 , wherein the bar member extends from the second arm through the first arm by being positioned within the curved channel of the first arm.

13. The ultrasonic surgical instrument of claim 1 , wherein the bar member comprises a head stopper element positioned at a distal extremity furthest from the second arm, the head stopper element configured to limit the rotational arc of the first arm relative to the second arm.

14. The ultrasonic surgical instrument of claim 1 , wherein the first arm comprises a curved channel closed on lateral sides of the first arm and open both on a side proximal to the second arm and a side distal to the second arm and opposite the side proximal to the second arm.

15. The ultrasonic surgical instrument of claim 14 , wherein the bar member extends from the second arm through the first arm by being positioned within the curved channel of the first arm.

Assignees

• Ethicon Llc

Inventors

• Messerly Jeffrey D
• Clem William E
• Weed Iii John A
• Stout Eric
• Davis Craig T
• Brady John E
• Dennis Joseph D
• Clauda Phillip H
• Rivard Monica L Z

Classifications

• A61B17/320092 Primary

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

• A61B17/2812

  with a single pivotal connection (A61B17/29 takes precedence) · CPC title

• A61B2017/320089

  node location · CPC title

• B06B1/0607

  using multiple elements (B06B1/064 and B06B1/0688 take precedence) · CPC title

• B06B3/00

  Methods or apparatus specially adapted for transmitting mechanical vibrations of infrasonic, sonic, or ultrasonic frequency · CPC title