Features to promote removal of debris from within ultrasonic surgical instrument

Patent metadata

Field	Value
Publication number	US-11399861-B2
Application number	US-201916549809-A
Country	US
Kind code	B2
Filing date	Aug 23, 2019
Priority date	Jul 7, 2017
Publication date	Aug 2, 2022
Grant date	Aug 2, 2022

Abstract

An instrument includes an ultrasonic blade, a first fluid port, an irrigation member, a second fluid port, and a fluid communication assembly. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The first fluid port is in communication with the distal opening of the ultrasonic blade. The irrigation member is positioned adjacent to the distal end of the ultrasonic blade. The second fluid port is in communication with the irrigation member. The fluid communication assembly is configured to couple the first fluid port with a fluid source, couple the first fluid port with a suction source, and couple the second fluid port with the fluid source.

First claim

We claim:

1. An ultrasonic surgical instrument, comprising:
(a) an ultrasonic blade, wherein the ultrasonic blade defines a distal opening, wherein the ultrasonic blade is operable to transect and seal tissue that is transversely positioned relative to the ultrasonic blade, wherein the ultrasonic blade further defines a distal lumen portion and a proximal lumen portion, wherein the distal and proximal lumen portions are coaxially aligned and in fluid communication with the distal opening, wherein the proximal lumen portion has a larger inner diameter than the distal lumen portion;
(b) a first fluid port in fluid communication with the distal opening of the ultrasonic blade;
(c) an irrigation member having an irrigation opening positioned adjacent to a distal end of the ultrasonic blade;
(d) a second fluid port in fluid communication with the irrigation opening of the irrigation member; and
(e) a fluid communication assembly fluidly connected to the first and second fluid ports and having a fluid inlet port and a suction inlet port respectively configured to connect to a fluid source and a suction source, wherein the fluid communication assembly is configured to:
(i) couple the first fluid port with the fluid inlet port for distally directing a fluid from the fluid source from the first fluid port toward the distal opening,
(ii) couple the first fluid port with the suction inlet port for proximally directing a suction to the suction source from the distal opening toward the first fluid port, and
(iii) couple the second fluid port with the fluid inlet port for distally directing the fluid from the fluid source from the second fluid port toward the irrigation opening,
wherein the ultrasonic blade further defines a lateral opening and the proximal and distal lumen portions define a lumen, wherein the lateral opening is in fluid communication with the lumen and the distal opening, and wherein the lateral opening is spaced proximally from the distal opening, and further comprising a shaft surrounding a portion of the ultrasonic blade, wherein the shaft includes a movable hatch, wherein the hatch is movable to selectively uncover a portion of the ultrasonic blade.

2. The ultrasonic surgical instrument of claim 1 , further comprising a clamp arm, wherein the clamp arm is pivotable toward and away from the ultrasonic blade to cooperate with the ultrasonic blade.

3. The ultrasonic surgical instrument of claim 1 , wherein the fluid communication assembly further comprises a controller, wherein the controller is configured to execute a control algorithm that includes alternating between coupling the first fluid port with the fluid inlet port for a first duration and coupling the first fluid port with the suction inlet port for a second duration.

4. The ultrasonic surgical instrument of claim 3 , wherein the first duration is longer than the second duration.

5. The ultrasonic surgical instrument of claim 3 , wherein the first duration is shorter than the second duration.

6. The ultrasonic surgical instrument of claim 3 , wherein the fluid communication assembly further comprises a sensor, wherein the sensor is operable to detect a clog, wherein the sensor is in communication with the controller.

7. The ultrasonic surgical instrument of claim 6 , wherein the controller is configured to provide a first duty cycle in response to the sensor failing to detect the clog, wherein the first duration is shorter than the second duration during the first duty cycle.

8. The ultrasonic surgical instrument of claim 7 , wherein the controller is configured to provide a second duty cycle in response to the sensor detecting the clog, wherein the first duration is longer than the second duration during the second duty cycle.

9. The ultrasonic surgical instrument of claim 1 , wherein the ultrasonic blade further defines a tapered inner sidewall within the ultrasonic blade, wherein the tapered inner sidewall provides a tapered transition from the distal lumen portion defined within the ultrasonic blade to the proximal lumen portion defined within the ultrasonic blade.

10. The ultrasonic surgical instrument of claim 1 , wherein the hatch is positioned to selectively cover and uncover the lateral opening.

11. The ultrasonic surgical instrument of claim 1 , wherein the ultrasonic blade has a generally square shaped cross-sectional profile.

12. The ultrasonic surgical instrument of claim 1 , wherein the fluid communication assembly further comprises:
(i) a set of flexible conduits,
(ii) a set of pinching members, and
(iii) a set of pinching surfaces,
wherein the pinching members are operable to selectively pinch the flexible conduits against the pinching surfaces to thereby selectively control fluid flow between:
(A) the first fluid port and the fluid source,
(B) the first fluid port and the suction source, and
(C) the second fluid port and the fluid source.

13. The ultrasonic surgical instrument of claim 12 , wherein the irrigation member at least partially defines a fluid lumen extending distally to the irrigation opening, wherein the fluid lumen is fluidly connected to the second fluid port and offset apart from the ultrasonic blade.

14. The ultrasonic surgical instrument of claim 13 , further comprising a clamp arm movably secured relative to the ultrasonic blade from an open position away from the ultrasonic blade toward a closed position adjacent to the ultrasonic blade to cooperate with the ultrasonic blade, wherein the ultrasonic blade extends along a longitudinal axis in a longitudinal direction.

15. The ultrasonic surgical instrument of claim 1 , wherein the distal and proximal lumen portions are coaxially aligned with the distal opening.

16. An ultrasonic surgical instrument, comprising:
(a) an ultrasonic blade, wherein the ultrasonic blade defines a distal opening, wherein the ultrasonic blade is operable to transect and seal tissue that is transversely positioned relative to the ultrasonic blade;
(b) a first fluid port in fluid communication with the distal opening of the ultrasonic blade;
(c) an irrigation member positioned proximate to the ultrasonic blade and at least partially defining a fluid lumen distally extending to an irrigation opening positioned adjacent to a distal end of the ultrasonic blade, wherein the fluid lumen is offset apart from the ultrasonic blade;
(d) a second fluid port in fluid communication with the irrigation opening of the irrigation member via the fluid lumen extending therebetween;
(e) a fluid communication assembly, wherein the fluid communication assembly is configured to:
(i) couple the first fluid port with a fluid source,
(ii) couple the first fluid port with a suction source, and
(iii) couple the second fluid port with the fluid source; and

(f) a hatch covering a portion of the ultrasonic blade, wherein the hatch is movable relative to the ultrasonic blade to selectively uncover the portion of the ultrasonic blade.

17. The ultrasonic surgical instrument of claim 16 , further comprising a shaft surrounding at least a portion of the ultrasonic blade, and wherein the shaft includes the hatch.

18. The ultrasonic surgical instrument of claim 16 , wherein the ultrasonic blade defines a lumen and a lateral opening, wherein the lumen is in fluid communication with the distal opening, wherein the lateral opening is in fluid communication with the lumen, wherein the lateral opening is spaced proximally from the distal opening, and wherein the hatch is positioned to selectively cover and uncover the lateral opening.

Assignees

• Cilag Gmbh Int
• Cilag Gmbh Int Zug Switzerland

Inventors

• Stulen Foster B
• Weed Iii John A
• Isosaki Joseph
• Estera Frederick L
• Asher Ryan M
• Black Brian D

Classifications

• A61M3/0283

  with at least two inner passageways, a first one for irrigating and a second for evacuating (suction-irrigation systems A61M1/77; aspiration tips with fluid supply means A61M1/85; for negative pressure wound therapy A61M1/92) · CPC title

• A61M1/772

  operating alternately · CPC title

• A61M1/774

  Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently · CPC title

• A61B2017/320084

  Irrigation sleeves · CPC title

• A61M3/022

  Volume; Flow rate · CPC title