Ultrasonic end effectors with increased active length

Patent metadata

Field	Value
Publication number	US-11690641-B2
Application number	US-201916554894-A
Country	US
Kind code	B2
Filing date	Aug 29, 2019
Priority date	Jul 27, 2007
Publication date	Jul 4, 2023
Grant date	Jul 4, 2023

Abstract

A surgical instrument is disclosed including a transducer, an ultrasonic blade, a protective sheath, and a non-vibrating clamp arm assembly. The ultrasonic blade extends along the longitudinal axis coupled to the transducer. The ultrasonic blade comprises a body having a proximal end and a distal end. The distal end is movable along the longitudinal axis by vibrations produced by the transducer. The protective sheath comprises a proximal end and a distal end and disposed adjacent to the body. The protective sheath further comprises a pad positioned toward the distal end of the protective sheath and located between the body and the distal end of the protective sheath. The non-vibrating clamp arm assembly has a proximal end and a distal end and pivotally positioned adjacent to the body. The clamp arm assembly is pivotally moveable from an open position to a closed position.

First claim

What is claimed is:

1. A surgical instrument, comprising:
a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency;
an ultrasonic blade extending along the longitudinal axis coupled to the transducer, wherein the ultrasonic blade comprises a body having a proximal end and a distal end, wherein the distal end is movable along the longitudinal axis by the vibrations produced by the transducer;
a protective sheath comprising a proximal end and a distal end and disposed adjacent to the body, wherein the protective sheath further comprises a pad positioned toward the distal end of the protective sheath and located between the body and the distal end of the protective sheath; and
a non-vibrating clamp arm assembly having a proximal end and a distal end and pivotally positioned adjacent to the body, wherein the clamp arm assembly is pivotally moveable from an open position to a closed position.

2. The surgical instrument of claim 1 , wherein the ultrasonic blade deflects and engages the pad when the clamp arm assembly is in the closed position.

3. The surgical instrument of claim 1 , wherein the pad is positioned at a location corresponding to a nodal gap when the clamp arm assembly is in the closed position.

4. The surgical instrument of claim 1 , wherein the pad is positioned at a location offset from a nodal gap when the clamp arm assembly is in the closed position.

5. The surgical instrument of claim 1 , wherein the pad comprises polyimide.

6. A surgical instrument, comprising:
a transducer configured to produce vibrations along a longitudinal axis;
an ultrasonic blade extending along the longitudinal axis and operably coupled to the transducer, wherein the ultrasonic blade comprises a body having a proximal end and a distal end, wherein the distal end is movable along the longitudinal axis based on the vibrations produced by the transducer;
a protective sheath comprising a proximal end and a distal end and disposed adjacent to the body, wherein the protective sheath further comprises a pad positioned toward the distal end of the protective sheath and located between the body and the distal end of the protective sheath; and
a clamp arm.

7. The surgical instrument of claim 6 , wherein the ultrasonic blade is deflectable toward the pad upon clamping of tissue between the clamp arm and the body.

8. The surgical instrument of claim 6 , wherein the pad is positioned at a location corresponding to a nodal gap when the clamp arm is in a closed position.

9. The surgical instrument of claim 6 , wherein the pad is positioned at a location offset from a nodal gap when the clamp arm is in a closed position.

10. The surgical instrument of claim 6 , wherein the pad comprises polyimide.

11. A surgical instrument, comprising:
a transducer configured to produce vibrations along a longitudinal axis;
an ultrasonic blade extending along the longitudinal axis and operably coupled to the transducer, wherein the ultrasonic blade comprises a body having a proximal end and a distal end, wherein the distal end is movable along the longitudinal axis based on the vibrations produced by the transducer;
a protective sheath comprising a proximal end and a distal end and disposed adjacent to the body, wherein the protective sheath further comprises a pad positioned toward the distal end of the protective sheath and located between the body and the distal end of the protective sheath, and where the protective sheath is longitudinally movable between a retracted position and a deployed position; and
a clamp arm pivotally moveable relative to the ultrasonic blade between an open position and a closed position.

12. The surgical instrument of claim 11 , wherein the ultrasonic blade is deflectable toward the pad and configured to engage the pad upon clamping of tissue between the clamp arm and the body.

13. The surgical instrument of claim 11 , wherein the pad is positioned at a location corresponding to a nodal gap when the clamp arm is in the closed position.

14. The surgical instrument of claim 11 , wherein the pad is positioned at a location offset from a nodal gap when the clamp arm is in the closed position.

15. The surgical instrument of claim 11 , wherein the pad comprises polyimide.

16. A surgical instrument, comprising:
a transducer configured to produce vibrations along a longitudinal axis;
an ultrasonic blade extending along the longitudinal axis and operably coupled to the transducer, wherein the ultrasonic blade comprises a body having a proximal end and a distal end, wherein the distal end is movable along the longitudinal axis based on the vibrations produced by the transducer;
a fixed protective sheath comprising a proximal end and a distal end and disposed adjacent to the body, wherein the protective sheath further comprises a pad positioned toward the distal end of the protective sheath and located between the body and the distal end of the protective sheath; and
a clamp arm pivotally moveable relative to the ultrasonic blade between an open position and a closed position.

17. The surgical instrument of claim 16 , wherein the ultrasonic blade is deflectable and configured to engage the pad upon clamping of tissue between the clamp arm and the body.

18. The surgical instrument of claim 16 , wherein the pad is positioned at a location corresponding to a nodal gap when the clamp arm is in the closed position.

19. The surgical instrument of claim 16 , wherein the pad is positioned at a location offset from a nodal gap when the clamp arm is in the closed position.

20. The surgical instrument of claim 16 , wherein the pad comprises polyimide.

Assignees

• Cilag Gmbh Int

Inventors

• Stulen Foster B
• Houser Kevin L
• Battaglia Jr Vincent P
• Bertke Brian D

Classifications

• A61B2017/320088

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

• A61B2017/320072

  Working tips with special features, e.g. extending parts · CPC title

• A61B17/320092 Primary

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

• A61B2017/320078

  Tissue manipulating surface · CPC title

• A61B2017/320069

  for ablating tissue · CPC title