Combination ultrasonic and electrosurgical instrument having clamp arm electrode

Patent metadata

Field	Value
Publication number	US-11058472-B2
Application number	US-201815967753-A
Country	US
Kind code	B2
Filing date	May 1, 2018
Priority date	May 22, 2017
Publication date	Jul 13, 2021
Grant date	Jul 13, 2021

Abstract

A surgical instrument includes an ultrasonic transducer, a distally extending shaft, and an end effector at a distal end of the shaft. The end effector includes an ultrasonic blade and a clamp arm. The ultrasonic blade includes an upper treatment side, a lower treatment side, a first lateral side, and a second lateral side. The clamp arm is movable relative to the ultrasonic blade for clamping tissue therebetween, and it provides an RF electrode operable to seal tissue with RF energy. The RF electrode includes first and second electrode side portions. The first electrode side portion is spaced laterally outward from the first lateral side of the ultrasonic blade by a first lateral gap distance. The second electrode side portion spaced from the first electrode side portion and is spaced laterally outward from the second lateral side of the ultrasonic blade by a second lateral gap distance.

First claim

We claim:

1. A surgical instrument comprising:
(a) an ultrasonic transducer;
(b) a shaft extending distally relative to the ultrasonic transducer; and
(c) an end effector arranged at a distal end of the shaft, wherein the end effector comprises:
(i) an ultrasonic blade configured to be driven by the ultrasonic transducer with ultrasonic energy, wherein the ultrasonic blade comprises:
(A) an upper treatment side,
(B) a lower treatment side arranged opposite of the upper treatment side,
(C) a first lateral side, and
(D) a second lateral side arranged opposite of the first lateral side, and

(ii) a clamp arm movable relative to the ultrasonic blade in a transverse direction from an open position to a closed position, wherein the clamp arm includes a clamp pad having a clamp pad surface defining a pad plane and facing toward the ultrasonic blade for clamping tissue therebetween, wherein the clamp arm provides an RF electrode operable to seal tissue with RF energy, wherein the RF electrode comprises:
(A) a first electrode side portion, wherein the first electrode side portion is spaced in a lateral direction transverse to the transverse direction and laterally outward from the first lateral side of the ultrasonic blade by a first lateral gap distance, wherein the first electrode side portion is spaced in the transverse direction away from the pad plane and the ultrasonic blade a first transverse gap distance, and
(B) a second electrode side portion spaced from the first electrode side portion, wherein the second electrode side portion is spaced in the lateral direction and laterally outward from the second lateral side of the ultrasonic blade by a second lateral gap distance, wherein the second electrode side portion is spaced in the transverse direction away from the pad plane and the ultrasonic blade a second transverse gap distance,
wherein the clamp pad protrudes in the transverse direction beyond the first and second electrode side portions toward the upper treatment side of the ultrasonic blade such that the first and second electrode side portions are respectively the first and second transverse gap distances from the upper treatment side of the ultrasonic blade with the clamp arm in the closed position against the ultrasonic blade.

2. The surgical instrument of claim 1 , wherein the end effector further comprises a clamp pad coupled to the clamp arm, wherein the first electrode side portion extends along a first lateral side of the clamp pad, wherein the second electrode side portion extends along a second lateral side of the clamp pad.

3. The surgical instrument of claim 1 , wherein the first lateral gap distance is equal to the second lateral gap distance along a curved distal portion of the ultrasonic blade.

4. The surgical instrument of claim 1 , wherein at least one of the first lateral gap distance or the second lateral gap distance is uniform along a curved distal portion of the ultrasonic blade.

5. The surgical instrument of claim 1 , wherein at least one of the first lateral gap distance or the second lateral gap distance is non-uniform along a curved distal portion of the ultrasonic blade.

6. The surgical instrument of claim 1 , wherein each of the first lateral gap distance and the second lateral gap distance is in the range of 0.002 inches to 0.012 inches along a curved distal portion of the ultrasonic blade.

7. The surgical instrument of claim 1 , wherein a lateral width of at least one of the first electrode side portion or the second electrode side portion is uniform along a length of at least a distal portion of the clamp arm.

8. The surgical instrument of claim 1 , wherein a lateral width of at least one of the first electrode side portion or the second electrode side portion is non-uniform along a length of at least a distal portion of the clamp arm.

9. The surgical instrument of claim 8 , wherein the lateral width of at least one of the first electrode side portion or the second electrode side portion increases distally.

10. The surgical instrument of claim 8 , wherein the lateral width of at least one of the first electrode side portion or the second electrode side portion decreases distally.

11. The surgical instrument of claim 1 , wherein a lateral width of each of the first electrode side portion and the second electrode side portion is in the range of 0.007 inches to 0.018 inches along a length of at least a distal portion of the clamp arm.

12. The surgical instrument of claim 1 , wherein the RF electrode extends distally beyond a distal tip of the ultrasonic blade and defines an electrode bridge portion that electrically couples a distal end of the first electrode side portion with a distal end of the second electrode side portion.

13. The surgical instrument of claim 1 , wherein the ultrasonic blade includes a linear proximal portion and a curved distal portion, wherein the first and second electrode side portions extend alongside the curved distal portion.

14. The surgical instrument of claim 1 , wherein the RF electrode comprises a first RF electrode, wherein the ultrasonic blade provides a second RF electrode, wherein the first and second RF electrodes are operable to seal tissue with bipolar RF energy.

15. The surgical instrument of claim 14 , wherein the upper treatment side of the ultrasonic blade includes a convexly curved surface that provides the second RF electrode.

16. A surgical instrument comprising:
(a) an ultrasonic transducer;
(b) a shaft extending distally relative to the ultrasonic transducer; and
(c) an end effector arranged at a distal end of the shaft and distally extending therefrom from a proximal end effector portion toward a distal end effector portion, wherein the end effector comprises:
(i) an ultrasonic blade configured to be driven by the ultrasonic transducer with ultrasonic energy, wherein the ultrasonic blade comprises:
(A) an upper treatment side,
(B) a lower treatment side arranged opposite of the upper treatment side,
(C) a first lateral side, and
(D) a second lateral side arranged opposite of the first lateral side, and

(ii) a clamp arm movable relative to the ultrasonic blade for clamping tissue therebetween, wherein the clamp arm provides an RF electrode operable to seal tissue with RF energy, wherein the RF electrode comprises:
(A) a first electrode side portion, wherein the first electrode side portion has a first width and is spaced laterally outward from the first lateral side of the ultrasonic blade by a first lateral gap distance, and
(B) a second electrode side portion spaced from the first electrode side portion, wherein the second electrode side portion has a second width and is spaced laterally outward from the second lateral side of the ultrasonic blade by a second lateral gap distance,
wherein at least one of the first width or the second width is non-uniform along a distal length of at least a distal portion of the clamp arm,
wherein at least one of the first lateral gap distance or the second lateral gap distance is non-uniform along the distal length of at least the distal portion of the clamp arm, and
wherein each of the first and second lateral gap distances increases distally.

17. The surgical instrument of claim 16 , wherein each of the first width and the second width decreases distally.

18. The surgical instrument of claim 16 , wherein at least one of the first width or the second width is uniform along a proximal length of at least a proximal portion of the clamp arm, wherein at least one of the first lateral gap distance or the second late

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Lesko Jason R
• Corbett Catherine A
• Davis Craig T
• Estera Frederick L

Classifications

• A61B2017/320089

  node location · CPC title

• A61B18/00 Primary

  Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body (eye surgery A61F9/007; ear surgery A61F11/00) · CPC title

• A61B17/320068 Primary

  using mechanical vibrations, e.g. ultrasonic (A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745) · CPC title

• A61B2018/00589

  Coagulation · CPC title

• A61B2017/320082

  for incising tissue · CPC title