Method of operating an articulating ultrasonic surgical instrument

Patent metadata

Field	Value
Publication number	US-11484333-B2
Application number	US-201916244282-A
Country	US
Kind code	B2
Filing date	Jan 10, 2019
Priority date	Apr 22, 2014
Publication date	Nov 1, 2022
Grant date	Nov 1, 2022

Abstract

An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide comprises a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section comprises a plurality of body portions aligned along the longitudinal axis and a flexible locking member. The flexible locking member is operable to secure the body portions in relation to each other and in relation to the shaft. The end effector comprises an ultrasonic blade in acoustic communication with the waveguide. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis.

First claim

We claim:

1. A surgical instrument, comprising:
(a) an end effector comprising an ultrasonic blade; and
(b) a shaft assembly proximally extending from the end effector, including:
(i) a proximal shaft assembly portion defining a longitudinal axis,
(ii) an articulation section positioned between the proximal shaft assembly portion and the end effector and configured to bend in order to laterally deflect the ultrasonic blade relative to the longitudinal axis along a single articulation plane, wherein the articulation section includes:
(A) an articulation restriction assembly having a plurality of retention members configured to restrict deflection of the ultrasonic blade to the articulation plane and further restrict the lateral deflection of the ultrasonic blade in the articulation plane relative to the longitudinal axis, and
(B) a flexible spine connected to the plurality of retention members and offset from the articulation plane, wherein the plurality of retention members is configured to actuate relative to each other as the flexible spine bends, and

(iii) an acoustic waveguide extending from the shaft assembly to the ultrasonic blade and in acoustic communication with the ultrasonic blade, wherein the acoustic waveguide includes:
(A) a distal flange,
(B) a proximal flange, and
(C) a narrowed portion located between the distal flange and the proximal flange, wherein the narrowed portion is at least partially housed within the articulation section without contacting the articulation section, and wherein the narrowed portion is configured to bend with the articulation section and communicate ultrasonic vibrations while bent.

2. The surgical instrument of claim 1 , wherein the narrowed portion comprises a single piece of material.

3. The surgical instrument of claim 1 , wherein the plurality of retention members is configured to abut each other to restrict the lateral deflection of the ultrasonic blade to the articulation plane and in the articulation plane relative to the longitudinal axis.

4. The surgical instrument of claim 3 , wherein the plurality of retention members includes a first retention collar and a second retention collar, wherein the first retention collar comprises a first angled contact surface, wherein the second retention collar comprises a second angled contact surface, wherein the first and second angled contact surfaces are configured to abut each other to restrict the lateral deflection of the ultrasonic blade relative to the longitudinal axis.

5. The surgical instrument of claim 1 , wherein the articulation section further comprises a first band and a second band, wherein the first band is configured to translate relative to the second band in a first direction to drive articulation of the ultrasonic blade.

6. The surgical instrument of claim 5 , wherein the second band is configured to translate in a second direction to drive articulation of the ultrasonic blade.

7. The surgical instrument of claim 6 , wherein the first direction is opposite of the second direction.

8. The surgical instrument of claim 1 , further comprising an articulation drive assembly configured to bend the articulation section and the narrowed portion, wherein the articulation drive assembly comprises a first gear, a first band, and a second band, wherein rotation of the first gear in a first rotational direction is configured to simultaneously drive the first band and the second band in opposing directions to thereby bend the articulation section and the narrowed portion.

9. The surgical instrument of claim 8 , wherein the first gear comprises a bevel gear located at a proximal portion of the shaft assembly.

10. The surgical instrument of claim 9 , further comprises a motor configured to drive the bevel gear.

11. The surgical instrument of claim 9 , wherein the bevel gear is coaxially disposed on the shaft assembly.

12. The surgical instrument of claim 1 , wherein the articulation section further includes a first articulation member configured to translate relative to at least one of the plurality of retention members to drive articulation of the ultrasonic blade.

13. The surgical instrument of claim 12 , wherein the articulation section further includes a second articulation member, wherein the first articulation member is configured to translate relative to the second articulation member to drive articulation of the ultrasonic blade.

14. A surgical instrument, comprising:
(a) an end effector comprising an ultrasonic blade; and
(b) a shaft assembly extending proximally from the end effector, wherein the shaft assembly has a proximal portion defining a longitudinal axis, wherein the shaft assembly comprises:
(i) an articulation section defining a centerline and disposed between the proximal portion of the shaft assembly and the end effector, wherein the articulation section is configured to bend in order to laterally deflect the ultrasonic blade relative to the longitudinal axis, wherein the articulation section comprises a first articulation member and an articulation restriction assembly, wherein the articulation restriction assembly is configured to restrict the lateral deflection of the ultrasonic blade relative to the longitudinal axis, wherein the articulation restriction assembly includes,
(A) a first retention member having a first opening extending along the centerline, and
(B) a second retention member having a second opening extending along the centerline and movable relative to the first retention member,
wherein the first articulation member is configured to longitudinally translate relative to at least one of the first or second retention members to drive articulation of the ultrasonic blade,

(ii) an acoustic waveguide extending from the shaft assembly to the ultrasonic blade, wherein the acoustic waveguide is in communication with the ultrasonic blade, wherein the acoustic waveguide comprises a narrowed portion at least partially housed within the first and second retention members of the articulation section such that the narrowed portion extends through the first and second openings of the first and second retention members along the centerline without contacting the articulation section, wherein the narrowed portion is configured to bend with the articulation section and communicate ultrasonic vibrations while bent.

15. The surgical instrument of claim 14 , wherein the first and second retention members are configured to abut each other to restrict the lateral deflection of the ultrasonic blade relative to the longitudinal axis.

16. The surgical instrument of claim 14 , wherein the articulation section is configured to bend in order to laterally deflect the ultrasonic blade relative to the longitudinal axis along the articulation plane, wherein the articulation section further includes a flexible spine connected to the first and second retention members, and wherein the flexible spine is offset from the articulation plane.

17. The surgical instrument of claim 14 , wherein the articulation section further includes a second articulation member, wherein the first articulation member is configured to translate relative to the second articulation member to drive articulation of the ultrasonic blade.

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Worrell Barry C
• Danziger Benjamin J
• Dickerson Benjamin D
• Black Brian D
• Shapiro Cara L
• Scheib Charles J
• Faller Craig N
• Mumaw Daniel J
• Cagle David J
• Martin David T
• Monroe David A
• Labhasetwar Disha V
• Stulen Foster B
• Estera Frederick L
• Strobl Geoffrey S
• Johnson Gregory W
• Gee Jacob S
• Sullivan Jason R
• Messerly Jeffrey D
• Swayze Jeffrey S
• Hibner John A
• Schulte John B
• Hollo Joseph E
• Denzinger Kristen G
• D'Uva Kristen L
• Miller Matthew C
• Lamping Michael R
• Timm Richard W
• Nobis Rudolph H
• Asher Ryan M
• Leuck Stephen M
• Muhlenkamp Tylor C
• Weisenburgh Ii William B
• Olson William A

Classifications

• A61B2017/320071

  with articulating means for working tip · CPC title

• A61B2017/320093

  additional movable means performing cutting operation · CPC title

• A61B2017/320088

  with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath · CPC title

• A61B2017/320095

  with sealing or cauterizing means · CPC title

• A61B2018/00595

  Cauterization · CPC title