Ultrasonic surgical instrument with articulating end effector having a curved blade

Patent metadata

Field	Value
Publication number	US-11678903-B2
Application number	US-202016791124-A
Country	US
Kind code	B2
Filing date	Feb 14, 2020
Priority date	Apr 16, 2015
Publication date	Jun 20, 2023
Grant date	Jun 20, 2023

Abstract

An apparatus comprises a body assembly and a shaft extending distally therefrom. The shaft defines a longitudinal axis. The apparatus further comprises an acoustic waveguide and an articulation section coupled with the shaft. A portion of the articulation section encompasses a flexible portion of the waveguide. The articulation section further comprises first member and a second member that is longitudinally translatable relative to the first member. The apparatus further comprises an end effector including an ultrasonic blade in acoustic communication with the waveguide. A distal portion the ultrasonic blade is disposed in a first direction away from the longitudinal axis at a bend angle. The end effector also includes a clamp arm that is coupled with the first member and the second member, and an articulation drive assembly operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis in the first direction.

First claim

We claim:

1. A surgical instrument, comprising:
(a) an end effector including an ultrasonic blade longitudinally extending from a proximal blade portion toward a distal blade portion and configured to cut a tissue from the proximal blade portion to the distal blade portion; and
(b) a shaft assembly proximally extending from the end effector, the shaft assembly including:
(i) a proximal shaft defining a longitudinal axis,
(ii) a distal shaft having the end effector distally projecting therefrom,
(iii) an acoustic waveguide in communication with the ultrasonic blade and including a single, unitarily formed flexible portion, and
(iv) an articulation section projecting between the proximal shaft and the distal shaft and configured to articulate from a straight configuration to an articulated configuration thereby deflecting the end effector a first direction away from the longitudinal axis,
wherein the articulation section receives the flexible portion of the acoustic waveguide and defines a space radially therebetween surrounding the flexible portion of the acoustic waveguide such that the articulation section does not contact the acoustic waveguide upon articulation from the straight configuration to the articulated configuration,
wherein the articulation section includes a flexible collar extending from the proximal shaft to the distal shaft and coupled to each of the proximal shaft and the distal shaft to couple the proximal shaft with the distal shaft.

2. The surgical instrument of claim 1 , wherein the acoustic waveguide further includes:
(A) a distal section in communication with the ultrasonic blade,
(B) a proximal section received within the proximal shaft, and
(C) the flexible portion extending between the distal and proximal sections, wherein the flexible portion includes a narrowed section structure narrower than the distal and proximal sections of the acoustic waveguide.

3. The surgical instrument of claim 2 , wherein the narrowed section structure defines a plane and is configured to flex in a lateral direction perpendicular to the plane upon articulation from the straight configuration to the articulated configuration.

4. The surgical instrument of claim 1 , wherein the articulation section further includes:
(A) a first drive member radially offset from the acoustic waveguide, and
(B) a second drive member radially offset from the acoustic waveguide and longitudinally translatable relative to the first drive member from a first position to a second position,
wherein the articulation section is in the straight configuration with the second drive member in the first position and radially offset from the acoustic waveguide, and
wherein the articulation section is in the articulated configuration with the second drive member in the second position and radially offset from the acoustic waveguide.

5. The surgical instrument of claim 4 , wherein the articulation section further includes a distal flex member rigidly secured to the distal shaft such that the distal flex member is configured to deflect relative to the longitudinal axis with the end effector, wherein the distal flex member at least partially defines the space radially surrounding the flexible portion of the acoustic waveguide such that the distal flex member does not contact acoustic waveguide.

6. The surgical instrument of claim 5 , wherein the first drive member is secured to the distal flex member, and wherein the second drive member is secured to the distal flex member.

7. The surgical instrument of claim 6 , wherein the first and second drive members are configured to translate simultaneously in opposite directions to thereby deflect the end effector from the longitudinal axis.

8. The surgical instrument of claim 5 , wherein the articulation section further includes a first flex member and a second flex member, wherein the first and second flex members are positioned between the proximal shaft and the distal flex member and at least partially further define the space radially surrounding the flexible portion of the acoustic waveguide.

9. The surgical instrument of claim 8 , wherein the first and second flex members are each positioned radially inward of the first and second drive members such that first and second flex members are each radially between the acoustic waveguide and the first and second drive members.

10. The surgical instrument of claim 9 , wherein the flexible collar is coupled to the first and second flex members.

11. The surgical instrument of claim 5 , wherein the distal flex member is rigidly secured to the distal shaft.

12. The surgical instrument of claim 4 , wherein the flexible collar in the straight configuration extends along a linear path from the proximal shaft to the distal shaft, and wherein the flexible collar in the articulated configuration extends along a curvilinear path from the proximal shaft to the distal shaft.

13. The surgical instrument of claim 12 , wherein the linear path and the curvilinear path are the same distance with the articulation section respectively in the straight and articulated configurations.

14. The surgical instrument of claim 12 , wherein the articulation section further includes a first flex member positioned between the proximal shaft and the distal shaft and at least partially further defines the space radially surrounding the flexible portion of the acoustic waveguide, wherein the flexible collar is further coupled to the first flex member thereby supporting the first flex member to radially surround and be radially offset from the flexible portion of the acoustic waveguide.

15. The surgical instrument of claim 1 , wherein the articulation section further includes a first flex member positioned between the proximal and distal shafts, and wherein the flexible collar is coupled to the first flex member to couple the first flex member with the proximal and distal shafts.

16. The surgical instrument of claim 15 , wherein the flexible collar has a distal leg, a first leg, and a proximal leg, wherein the distal leg extends into the distal shaft, wherein the first leg extends into he first flex member, and wherein the proximal leg extends into the proximal shaft.

17. The surgical instrument of claim 1 , wherein the proximal shaft has a proximal sidewall, wherein the distal shaft has a distal sidewall, and wherein the flexible collar extends through each of the distal and proximal sidewalls.

18. The surgical instrument of claim 17 , wherein the articulation section further includes a distal flex member and a proximal flex member, wherein the distal flex member is received at least partially within the distal shaft such that the distal sidewall is coupled between the distal flex member and the flexible collar, and wherein the proximal flex member is received at least partially within the proximal shaft such that the proximal sidewall is coupled between the proximal flex member and the flexible collar.

19. A surgical instrument, comprising:
(a) an end effector including an ultrasonic blade longitudinally extending from a proximal blade portion toward a distal blade portion and configured to cut a tissue from the proximal blade portion to the distal blade portion; and
(b) a shaft assembly proximally extending from the end effector, the shaft assembly including:
(i) a proximal shaft defining a longitudinal axis,
(ii) an acoustic waveguide in communication with the ultrasonic blade and including a flexible portion, and
(iii) an articulation section projecting between the proximal shaft and the end effe

Assignees

• Cilag Gmbh Int

Inventors

• Stulen Foster B
• Olson William A
• Weisenburgh Ii William B

Classifications

• A61B17/320092 Primary

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

• A61B2017/00327

  with actuating members moving in opposite directions · CPC title

• A61B2017/320071

  with articulating means for working tip · CPC title

• A61B2017/320089

  node location · CPC title

• A61B2017/320075

  single edge blade, e.g. for cutting · CPC title