Surgical instruments with articulating shafts

Patent metadata

Field	Value
Publication number	US-11583306-B2
Application number	US-202016841322-A
Country	US
Kind code	B2
Filing date	Apr 6, 2020
Priority date	Jun 29, 2012
Publication date	Feb 21, 2023
Grant date	Feb 21, 2023

Abstract

The present disclosure is directed to end effectors. An end effector includes an outer shaft extending along a longitudinal axis and an inner shaft partially located within the outer shaft. The end effector may include an ultrasonic blade. The inner shaft may include biased and unbiased portions. The inner shaft and outer shaft may be translatable relative to one another. At one translatable position, the biased portion of the inner shaft may be located within the outer shaft and the unbiased portion may be substantially straight along the longitudinal axis. At another translatable position, the biased portion of the inner shaft may be located outside of and distally positioned from the outer shaft such that the biased portion of the inner shaft is bent away from the longitudinal axis.

First claim

What is claimed is:

1. An articulatable surgical instrument comprising:
a shaft extending along a longitudinal axis; and
an end effector configured to treat tissue, the end effector comprising a curved ultrasonic blade positioned within the shaft and translatable relative to the shaft along the longitudinal axis;
wherein the curved ultrasonic blade comprises a proximal portion that is curved in a first direction away from the longitudinal axis, an intermediate portion that is curved in a second direction away from the longitudinal axis and opposite the first direction, and a distal portion that extends from the intermediate portion in the first direction, the ultrasonic blade manufactured such that the curvature of the proximal portion and the curvature of the intermediate portion are balanced to both have a vibrational mode purely in the direction of the longitudinal axis.

2. The articulatable surgical instrument of claim 1 , wherein the curvature of the proximal portion and the curvature of the intermediate portion both comprise a node and/or anti-node that occurs at a point of tangency when the ultrasonic blade is driven at a resonant frequency.

3. The articulatable surgical instrument of claim 1 , wherein the distal portion of the ultrasonic blade extends beyond the shaft in a lateral direction relative to the longitudinal axis, when in a first configuration when the ultrasonic blade protracts distally.

4. The articulatable surgical instrument of claim 3 , wherein the distal portion of the ultrasonic blade is configured to fully retract within the shaft when in a second configuration when the ultrasonic blade retracts proximally.

5. The articulable surgical instrument of claim 4 , wherein the distal portion of the ultrasonic blade contacts an inner portion of the shaft when in the second configuration.

6. The articulatable surgical instrument of claim 4 , wherein the ultrasonic blade is resilient such that the distal portion increases upon extension distally from the shaft in the first configuration.

7. An end effector of a surgical instrument comprising:
a shaft extending along a longitudinal axis; and
a curved ultrasonic blade positioned within the shaft and translatable relative to the shaft along the longitudinal axis;
wherein the curved ultrasonic blade comprises a proximal portion that is curved in a first direction away from the longitudinal axis, an intermediate portion that is curved in a second direction away from the longitudinal axis and opposite the first direction, and a distal portion that extends from the intermediate portion in the first direction, wherein the ultrasonic blade is manufactured such that the curvature of the proximal portion and the curvature of the intermediate portion are balanced to both have a vibrational mode purely in the direction of the longitudinal axis.

8. The end effector of claim 7 , wherein the curvature of the proximal portion and the curvature of the intermediate portion both comprise a node and/or anti-node that occurs at a point of tangency when the ultrasonic blade is driven at a resonant frequency.

9. The end effector of claim 7 , wherein the distal portion of the ultrasonic blade extends beyond the shaft in a lateral direction relative to the longitudinal axis, when in a first configuration when the ultrasonic blade protracts distally.

10. The end effector of claim 9 , wherein the distal portion of the ultrasonic blade is configured to fully retract within the shaft when in a second configuration when the ultrasonic blade retracts proximally.

11. The end effector of claim 10 , wherein the distal portion of the ultrasonic blade contacts an inner portion of the shaft when in the second configuration.

12. The end effector of claim 10 , wherein the ultrasonic blade is resilient such that the distal portion increases upon extension distally from the shaft in the first configuration.

13. A system comprising:
a generator configured to delivery ultrasonic energy; and
a surgical instrument coupled to the generator, the surgical instrument comprising:
a shaft extending along a longitudinal axis; and
an end effector configured to treat tissue, the end effector comprising a curved ultrasonic blade positioned within the shaft and translatable relative to the shaft along the longitudinal axis;
wherein the curved ultrasonic blade comprises a proximal portion that is curved in a first direction away from the longitudinal axis, an intermediate portion that is curved in a second direction away from the longitudinal axis and opposite the first direction, and a distal portion that extends from the intermediate portion in the first direction, wherein the ultrasonic blade is manufactured such that the curvature of the proximal portion and the curvature of the intermediate portion are balanced to both have a vibrational mode purely in the direction of the longitudinal axis.

14. The system of claim 13 , wherein the curvature of the proximal portion and the curvature of the intermediate portion both comprise a node and/or anti-node that occurs at a point of tangency when the ultrasonic blade is driven at a resonant frequency.

15. The system of claim 13 , wherein the distal portion of the ultrasonic blade extends beyond the shaft in a lateral direction relative to the longitudinal axis, when in a first configuration when the ultrasonic blade protracts distally.

16. The system of claim 15 , wherein the distal portion of the ultrasonic blade is configured to fully retract within the shaft when in a second configuration when the ultrasonic blade retracts proximally.

17. The system of claim 16 , wherein the distal portion of the ultrasonic blade contacts an inner portion of the shaft when in the second configuration.

Assignees

• Cilag Gmbh Int

Inventors

• Olson William A
• Messerly Jeffrey D
• Price Daniel W
• Houser Kevin L
• Faller Craig N
• Dannaher William D
• Rhee Sora
• Muhlenkamp Tylor C

Classifications

• A61B2017/22018

  segmented along its length · CPC title

• A61B2017/003

  Steerable · CPC title

• A61B17/320092

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

• A61B17/295 Primary

  combined with cutting implements · CPC title

• A61B2017/320071

  with articulating means for working tip · CPC title