Ultrasonic surgical instrument with articulating end effector having a curved blade

Patent metadata

Field	Value
Publication number	US-2025072928-A1
Application number	US-202418953775-A
Country	US
Kind code	A1
Filing date	Nov 20, 2024
Priority date	Apr 16, 2015
Publication date	Mar 6, 2025
Grant date	—

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

I/We claim:

1 . An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly; (b) a shaft extending distally from the body assembly, wherein the shaft defines a longitudinal axis; (c) an acoustic waveguide, wherein the waveguide comprises a flexible portion; (d) an articulation section coupled with the shaft, wherein a portion of the articulation section encompasses the flexible portion of the waveguide, wherein the articulation section further comprises:
(i) a first member, and
(ii) a second member, wherein the second member is longitudinally translatable relative to the first member;
(e) an end effector comprising an ultrasonic blade in acoustic communication with the waveguide, wherein a distal portion the ultrasonic blade is disposed in a first direction away from the longitudinal axis at a bend angle; and (f) 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.

2 . The apparatus of claim 1 , wherein the articulation section includes a positive stop, wherein the positive stop is configured to substantially prevent deflection of the end effector in a second direction, wherein the second direction is opposite to the first direction.

3 . The apparatus of claim 2 , wherein the articulation section comprises a plurality of tubular members, wherein the positive stop is disposed on at least one of the tubular members.

4 . The apparatus of claim 3 , wherein the positive stop comprises an edge of at least one of the tubular members.

5 . The apparatus of claim 4 , wherein the edge extends perpendicular relative to the longitudinal axis of the shaft when the articulation section is in an unarticulated configuration.

6 . The apparatus of claim 1 , wherein the articulation section comprises a flexible collar having a spine portion extending parallel to the longitudinal axis of the shaft, wherein the collar is configured to operably couple the shaft and the articulation section.

7 . The apparatus of claim 6 , wherein the collar comprises a plurality of legs extending transverse to the spine portion, wherein at least one of the legs is configured to engage the shaft, wherein at least one pair of legs is configured to engage the articulation section.

8 . The apparatus of claim 1 , wherein the blade extends in the first direction along a curved path.

9 . The apparatus of claim 1 , wherein the articulation section comprises a radially inner portion, wherein the articulation section further comprises a radially outer portion surrounding at least part of the radially inner portion, wherein the radially outer portion is configured to limit articulation of the articulation section to the first direction.

10 . The apparatus of claim 9 , wherein the radially outer portion comprises a plurality of adjacent, at least partially tubular members.

11 . The apparatus of claim 10 , wherein at least one of the at least partially tubular members comprises a distal edge, wherein the distal edge includes a first portion that extends at an oblique angle relative to a first plane extending perpendicular relative to the longitudinal axis, wherein the distal edge includes a second portion that extends along the first plane.

12 . The apparatus of claim 11 , wherein at least one of the at least partially tubular members comprises a proximal edge, wherein the proximal edge includes a first portion that extends at an oblique angle relative to a second plane extending perpendicular to the longitudinal axis, wherein the proximal edge includes a second portion that extends along the second plane.

13 . The apparatus of claim 12 , wherein the second portion of the proximal edge of one of the at least partially tubular members substantially abuts the second portion of the distal edge of an adjacent one of the at least partially tubular members when the articulation section is in an unarticulated configuration.

14 . The apparatus of claim 12 , wherein the first portion of the proximal edge of one of the at least partially tubular members substantially abuts the first portion of the distal edge of an adjacent one of the at least partially tubular members when the articulation section is in an articulated configuration.

15 . The apparatus of claim 9 , wherein the radially inner portion defines opposing channels for the first member and the second member, respectively, wherein the first member and the second member are each disposed between the radially inner portion and the radially outer portion.

16 . An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly; (b) a shaft extending distally from the body assembly, wherein the shaft defines a longitudinal axis; (c) an acoustic waveguide, wherein the waveguide comprises a flexible portion; (d) an articulation section coupled with the shaft; (e) an end effector coupled with the articulation section, wherein the end effector comprises an ultrasonic blade in acoustic communication with the waveguide; (f) an articulation drive assembly operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis, wherein the articulation drive assembly comprises:
(i) a first member, and
(ii) a second member;
wherein the first and second members are operable to translate simultaneously in opposite directions to thereby deflect the end effector from the longitudinal axis,
wherein the articulation section comprises a stop member configured to substantially prevent the deflection of the end effector from the longitudinal axis in a first direction but allow the deflection of the end effector in a second direction from the longitudinal axis, wherein the second direction is opposite to the first direction.

17 . The apparatus of claim 16 , wherein the stop member is configured to engage at least a portion of the shaft to prevent deflection of the end effector in the second direction.

18 . The apparatus of claim 16 , wherein the stop member is disposed perpendicularly relative to the longitudinal axis.

19 . The apparatus of claim 16 , wherein the end effector further comprises a clamp arm operable to pivot toward and away from the blade.

20 . An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly; (b) a shaft extending distally from the body assembly, wherein the shaft defines a longitudinal axis; (c) an articulation section coupled with the shaft; (d) an end effector coupled with the articulation section, wherein the end effector comprises:
(i) a working element configured to engage tissue, wherein the working element includes an elongate shaft extending through the shaft of the instrument, and
(ii) a clamp arm operable to pivot toward and away from the working element; and
(e) an articulation drive assembly operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis, wherein the articulation drive assembly comprises:
(i) a first member, and
(ii) a second member;
wherein the first and second members are operable to translate simultaneously in opposite directions to thereby deflect the end effector from the longitudinal axis,
wherein the articulation section comprises a plurality of pivotable members surrounding the elongate shaft of the working element; wherein the pivotable members include a stop on at least one side to resist pivoting in a first dire

Assignees

• Cilag Gmbh Int

Inventors

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

Classifications

• A61B2017/00327

  with actuating members moving in opposite directions · CPC title

• A61B2017/00318

  Steering mechanisms · CPC title

• A61B2017/2908

  Multiple segments connected by articulations · CPC title

• A61B2017/00314

  Separate linked members · CPC title

• A61B2017/320075

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