Mechanical lockout for ultrasonic surgical instrument

Patent metadata

Field	Value
Publication number	US-11160578-B2
Application number	US-201815951811-A
Country	US
Kind code	B2
Filing date	Apr 12, 2018
Priority date	Apr 12, 2018
Publication date	Nov 2, 2021
Grant date	Nov 2, 2021

Abstract

An ultrasonic surgical instrument that includes an ultrasonic transducer, a handle assembly supporting the ultrasonic transducer, a clamp arm assembly, and a mechanical lockout assembly. The handle assembly includes a housing and an ultrasonic blade acoustically coupled with the ultrasonic transducer. The clamp arm assembly includes a clamp arm. The mechanical lockout assembly is configured to switch between at least an unlocked configuration and a locked configuration. In the locked configuration, the handle assembly and the clamp arm assembly are not completely coupled together and the operator is physically prevented from activating the instrument using an operator input feature. In the unlocked configuration, the clamp arm assembly and the shaft assembly are completely coupled together and the operator is able to activate the instrument using the operator input feature.

First claim

We claim:

1. An ultrasonic surgical instrument, comprising:
(a) an ultrasonic transducer;
(b) a handle assembly supporting the ultrasonic transducer, wherein the handle assembly includes:
(i) a housing, and
(ii) an operator input feature configured to selectively mechanically actuate from a first position to a second position to thereby activate the instrument in the second position;

(c) at least a portion of a shaft assembly distally extending from the handle assembly and including an ultrasonic blade acoustically coupled with the ultrasonic transducer;
(d) a clamp arm assembly including a clamp arm; and
(e) a mechanical lockout assembly configured to switch between at least an unlocked configuration and a locked configuration,
wherein in the locked configuration, the clamp arm assembly and the at least the portion of the shaft assembly are not completely coupled together and the mechanical lockout assembly prevents selective mechanical actuation of the operator input feature from the first position to the second position such that the operator is physically prevented from activating the instrument using the operator input feature, and
wherein in the unlocked configuration, the clamp arm assembly and the at least the portion of the shaft assembly are completely coupled together and the mechanical lockout assembly allows selective mechanical actuation of the operator input feature from the first position to the second position such that the operator is able to activate the instrument using the operator input feature.

2. The ultrasonic surgical instrument of claim 1 , wherein in the locked configuration the mechanical lockout assembly prevents the operator input feature of rotating the clamp arm relative to the ultrasonic blade, thereby preventing the operator from clamping onto tissue by rotating the clamp arm relative to the ultrasonic blade.

3. The ultrasonic surgical instrument of claim 1 , wherein the mechanical lockout assembly prevents the operator input feature of activating at least one energy control button disposed on the handle assembly preventing activation of the ultrasonic blade.

4. The ultrasonic surgical instrument of claim 1 , wherein the mechanical lockout assembly further includes at least one lockout member having a body that includes a lockout feature, wherein the lockout feature includes at least one of a curve, a change in angle, a slot, or a proximal extrusion from the body, wherein in the locked configuration, the lockout feature prevents rotation of the clamp arm relative to the ultrasonic blade, and wherein in the unlocked configuration, the lockout feature allows rotation of the clamp arm relative to the ultrasonic blade.

5. The ultrasonic surgical instrument of claim 4 , wherein the at least one lockout member uses the same rotation point as the clamp arm assembly.

6. The ultrasonic surgical instrument of claim 4 , wherein the clamp arm assembly further includes at least one cutout portion, and wherein the at least one lockout member is configured to move from the locked configuration to the unlocked configuration while being at least partially disposed within the at least one cutout portion.

7. The ultrasonic surgical instrument of claim 6 , wherein the at least one cutout portion includes a protrusion to inhibit translation of the at least one lockout member while in the locked configuration.

8. The ultrasonic surgical instrument of claim 4 , wherein in the unlocked configuration, the clamp arm assembly freely rotates relative to the at least one lockout member.

9. The ultrasonic surgical instrument of claim 1 , wherein the clamp arm assembly includes an outer sheath, wherein the mechanical lockout assembly further includes at least one projection operatively coupled with a clamp arm assembly, wherein in the locked configuration the projection is not received by a corresponding recess in the outer sheath, the locked configuration preventing the operator input feature of rotating the clamp arm relative to the ultrasonic blade as the projection provides a hard stop preventing the clamp arm from pivoting toward the ultrasonic blade, and wherein in the unlocked configuration the projection is received by the corresponding recess in the outer sheath enabling the operator input feature of rotating the clamp arm assembly relative to the ultrasonic blade.

10. The ultrasonic surgical instrument of claim 9 , wherein the projection is a curvilinear projection that in the unlocked configuration is received by a curvilinear recess in the outer sheath.

11. The ultrasonic surgical instrument of claim 1 , wherein the operator input feature includes at least one energy control button separated by a passageway from a switch within the housing, wherein the mechanical lockout assembly further includes a barrier that includes a body portion and at least one aperture that translates between the locked configuration and the unlocked configuration within the passageway, wherein in the locked configuration, the body portion is disposed within the passageway between the energy control button and the switch preventing the switch from activating the instrument, and wherein in the unlocked configuration, the aperture is disposed within the passageway between the energy control button and the switch enabling the switch to activate the instrument.

12. The ultrasonic surgical instrument of claim 11 , wherein the barrier includes a flexible member that is operatively coupled with the shaft assembly, and wherein the flexible element is pushed into the passageway such that in the locked configuration the flexible member extends between the energy control button and the switch.

13. The ultrasonic surgical instrument of claim 11 , wherein in the unlocked configuration, at least one of the energy control button or the switch extends at least partially through the aperture of the barrier and makes direct physical contact with the other of the energy control button or the switch through the aperture.

14. The ultrasonic surgical instrument of claim 11 , wherein a coupling mechanism attaches the barrier to the clamp arm assembly.

15. The ultrasonic surgical instrument of claim 1 , wherein a spring pushes the mechanical lockout assembly to the locked configuration from the unlocked configuration.

16. An ultrasonic surgical instrument, comprising:
(a) an ultrasonic transducer;
(b) a handle assembly supporting the ultrasonic transducer, wherein the handle assembly includes a housing
(c) at least a portion of a shaft assembly distally extending from the handle assembly and including an ultrasonic blade acoustically coupled with the ultrasonic transducer;
(d) a clamp arm assembly including a first clamp arm configured to be selectively actuated relative to the handle assembly by an operator and a second clamp arm configured to support a clamp pad thereon, wherein the first and second clamp arms are pivotally connected such that selective actuation of the first clamp arm directs the second clamp arm toward the ultrasonic blade; and
(e) at least one lockout member having a body that includes a lockout feature configured to move relative to the first clamp arm between at least an unlocked configuration and a locked configuration,
wherein in the locked configuration, the body of the lockout member is in a locked position that prevents movement of the first clamp arm relative to the handle assembly to thereby prevent movement of the second clamp arm relative to the ultrasonic blade,
wherein in the locked configuration, the at least the portion of the shaft assembly and the clamp arm assembly are only partially coup

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Brady John E
• Cuti Alexander R
• Harris Demetrius N
• Kuhn Matthew T
• Mclain Cameron D
• Otrembiak Candice

Classifications

• A61B2018/00994

  combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound · CPC title

• A61B2017/00398

  using powered actuators, e.g. stepper motors, solenoids · CPC title

• A61B2090/0808

  for indicating correct assembly of components, e.g. of the surgical apparatus · 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

• A61B2017/320074

  blade · CPC title