Articulation features for ultrasonic surgical instrument

Patent metadata

Field	Value
Publication number	US-11607240-B2
Application number	US-201816192894-A
Country	US
Kind code	B2
Filing date	Nov 16, 2018
Priority date	Sep 17, 2013
Publication date	Mar 21, 2023
Grant date	Mar 21, 2023

Abstract

A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section includes a collar that is located distal to a nodal portion of the waveguide and is operable to deflect the end effector away from the longitudinal axis. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation drive assembly is operable to drive articulation of the articulation section. The articulation drive assembly comprises at least one translating articulation driver coupled with the collar. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue even when the articulation section is in an articulated state.

First claim

We claim:

1. A surgical instrument comprising:
(a) a body, wherein the body is configured to support an ultrasonic transducer;
(b) a shaft extending distally from the body along a longitudinal axis;
(c) an articulation section at a distal end of the shaft;
(d) an articulation driver operatively coupled with the articulation section;
(e) an end effector extending distally from the articulation section, wherein the end effector includes an ultrasonic blade; and
(f) a waveguide configured to acoustically couple the ultrasonic blade with the ultrasonic transducer, wherein the waveguide extends longitudinally through the shaft and the articulation section, wherein the waveguide comprises:
(i) a proximal end configured to couple with the ultrasonic transducer,
(ii) a distal end coupled with the ultrasonic blade,
(iii) a flexible waveguide section disposed therebetween, wherein the flexible waveguide section has a lateral width that is smaller than a lateral width of the remaining portion of the waveguide extending between the body and the ultrasonic blade, and
(iv) a distal flange distally positioned relative to the flexible waveguide section, wherein the distal flange is configured to receive a laterally directed bearing force when being driven to an articulated position, wherein the articulated section is deflected from the longitudinal axis in the articulated position,
wherein the flexible waveguide section extends longitudinally through the articulation section and is configured to flex laterally with the articulation section relative to the longitudinal axis in response to actuation of the articulation driver.

2. The surgical instrument of claim 1 , wherein a distal-most acoustic node of the waveguide is arranged at a distal end of the flexible waveguide section, wherein a second to distal-most acoustic node of the waveguide is arranged at a proximal end of the flexible waveguide section.

3. The surgical instrument of claim 1 , wherein the articulation section comprises:
(i) a first lateral side having a plurality of first gaps spaced longitudinally therealong, and
(ii) a second lateral side having a plurality of second gaps spaced longitudinally therealong.

4. The surgical instrument of claim 3 , wherein the articulation section comprises a plurality of segments hingedly coupled together, wherein the segments define the first gaps and the second gaps.

5. The surgical instrument of claim 3 , wherein the articulation section comprises a spiral cut feature, wherein the spiral cut feature defines the first gaps and the second gaps.

6. The surgical instrument of claim 1 , wherein the shaft comprises an outer tube and an inner tube extending longitudinally through the outer tube.

7. The surgical instrument of claim 6 , wherein the articulation section comprises a first segmented region defined by the outer tube, and a second segmented region defined by the inner tube.

8. The surgical instrument of claim 6 , wherein the inner tube is translatable relative to the outer tube along the longitudinal axis.

9. The surgical instrument of claim 6 , wherein the outer tube is rotatable relative to the inner tube about the longitudinal axis.

10. The surgical instrument of claim 1 , wherein the articulation section and the flexible waveguide section are configured to maintain a deflected state while an outer tube rotates relative to an inner tube.

11. The surgical instrument of claim 1 , wherein a clamp arm is configured to rotate relative to the ultrasonic blade about the longitudinal axis.

12. A surgical instrument comprising:
(a) a body, wherein the body is configured to support an ultrasonic transducer;
(b) a shaft assembly extending distally from the body along a longitudinal axis, wherein the shaft assembly comprises:
(i) an outer tube,
(ii) an inner tube extending longitudinally through the outer tube, and
(iii) an articulation section defined by distal portions of the outer tube and the inner tube, wherein the articulation section includes a segmented region defined by the inner tube, wherein the segmented region comprises a plurality of segments hingedly coupled together;

(c) an articulation driver coupled with a distal portion of the shaft assembly; and
(d) a waveguide configured to acoustically couple with the ultrasonic transducer, wherein the waveguide extends longitudinally through the inner tube, wherein the waveguide includes a flexible waveguide section that extends longitudinally through the articulation section,
wherein the flexible waveguide section and the articulation section are configured to deflect laterally relative to the longitudinal axis in response to actuation of the articulation driver, and
wherein the outer tube is movable relative to the inner tube.

13. The surgical instrument of claim 12 , wherein the articulation section comprises:
(i) the segmented region including a first segmented region, and
(ii) a second segmented region defined by the outer tube, wherein the second segmented region comprises a plurality of second segments hingedly coupled together, wherein the second segmented region encircles the first segmented region.

14. The surgical instrument of claim 12 , wherein the outer tube is rotatable relative to the inner tube about the longitudinal axis, wherein the inner tube is translatable relative to the outer tube along the longitudinal axis.

15. The surgical instrument of claim 12 , wherein the outer tube is rotatable relative to the inner tube about the longitudinal axis.

16. The surgical instrument of claim 12 , wherein the inner tube is translatable relative to the outer tube along the longitudinal axis.

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Stulen Foster B
• Monroe David A
• Weisenburgh Ii William B
• Smith Richard C
• Madan Ashvani K
• Davis Craig T
• Worrell Barry C
• Dickerson Benjamin D
• Boudreaux Chad P
• Strobl Geoffrey S
• Gallmeyer Thomas C
• Benchek Amy L
• Muhlenkamp Tylor C
• Conlon Sean P
• Hibner John A

Classifications

• A61B2017/00327

  with actuating members moving in opposite directions · CPC title

• A61B2017/320071

  with articulating means for working tip · CPC title

• A61B2017/00314

  Separate linked members · CPC title

• A61B2017/00473

  Distal part, e.g. tip or head (A61B2017/00464 takes precedence) · CPC title

• A61B17/320092 Primary

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