WO2014150169A3 - Ultrasonic surgical shears with clamping feature - Google Patents

Ultrasonic surgical shears with clamping feature Download PDF

Info

Publication number
WO2014150169A3
WO2014150169A3 PCT/US2014/022462 US2014022462W WO2014150169A3 WO 2014150169 A3 WO2014150169 A3 WO 2014150169A3 US 2014022462 W US2014022462 W US 2014022462W WO 2014150169 A3 WO2014150169 A3 WO 2014150169A3
Authority
WO
WIPO (PCT)
Prior art keywords
end effector
ultrasonic blade
longitudinal region
ultrasonic surgical
clamp arm
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2014/022462
Other languages
French (fr)
Other versions
WO2014150169A2 (en
WO2014150169A8 (en
Inventor
Jeffrey D. Messerly
David A. Witt
Foster B. Stulen
Christopher A. Papa
Vincent P BATTAGLIA, Jr.
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Priority to CN201480015361.1A priority Critical patent/CN105142550B/en
Priority to BR112015022948-4A priority patent/BR112015022948B1/en
Priority to EP19187882.6A priority patent/EP3616631B1/en
Priority to EP24157164.5A priority patent/EP4371509A3/en
Priority to EP14719402.1A priority patent/EP2967626B1/en
Priority to JP2016500975A priority patent/JP6716451B2/en
Publication of WO2014150169A2 publication Critical patent/WO2014150169A2/en
Publication of WO2014150169A3 publication Critical patent/WO2014150169A3/en
Anticipated expiration legal-status Critical
Publication of WO2014150169A8 publication Critical patent/WO2014150169A8/en
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320097—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with stapling means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Mechanical Engineering (AREA)
  • Biomedical Technology (AREA)
  • Dentistry (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

An apparatus for operating on tissue comprises a shaft, an acoustic waveguide, and an end effector. The acoustic waveguide extends along the shaft and is configured to transmit ultrasonic vibration. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The clamp arm is pivotable toward the ultrasonic blade. The end effector defines a first longitudinal region and a second longitudinal region. The end effector is configured to clamp tissue between the clamp arm and the ultrasonic blade in the first longitudinal region. The end effector is configured to sever tissue with the ultrasonic blade in the second longitudinal region.
PCT/US2014/022462 2013-03-15 2014-03-10 Ultrasonic surgical shears with clamping feature Ceased WO2014150169A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
CN201480015361.1A CN105142550B (en) 2013-03-15 2014-03-10 Ultrasonic surgical scissors with clamping structure
BR112015022948-4A BR112015022948B1 (en) 2013-03-15 2014-03-10 APPARATUS TO OPERATE ON TISSUE
EP19187882.6A EP3616631B1 (en) 2013-03-15 2014-03-10 Ultrasonic surgical shears with clamping feature
EP24157164.5A EP4371509A3 (en) 2013-03-15 2014-03-10 Ultrasonic surgical shears with clamping feature
EP14719402.1A EP2967626B1 (en) 2013-03-15 2014-03-10 Ultrasonic surgical shears with clamping feature
JP2016500975A JP6716451B2 (en) 2013-03-15 2014-03-10 Ultrasonic surgical scissors with clamping mechanism

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US13/834,248 US9895161B2 (en) 2013-03-15 2013-03-15 Ultrasonic surgical shears with clamping feature
US13/834,248 2013-03-15

Publications (3)

Publication Number Publication Date
WO2014150169A2 WO2014150169A2 (en) 2014-09-25
WO2014150169A3 true WO2014150169A3 (en) 2014-12-18
WO2014150169A8 WO2014150169A8 (en) 2015-09-24

Family

ID=50549405

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2014/022462 Ceased WO2014150169A2 (en) 2013-03-15 2014-03-10 Ultrasonic surgical shears with clamping feature

Country Status (6)

Country Link
US (5) US9895161B2 (en)
EP (3) EP2967626B1 (en)
JP (1) JP6716451B2 (en)
CN (1) CN105142550B (en)
BR (1) BR112015022948B1 (en)
WO (1) WO2014150169A2 (en)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9895161B2 (en) 2013-03-15 2018-02-20 Ethicon Llc Ultrasonic surgical shears with clamping feature
USD735855S1 (en) * 2013-09-18 2015-08-04 Ethicon Endo-Surgery, Inc. Torque wrench for a surgical instrument
CN105934210B (en) * 2013-11-26 2019-06-11 伊西康内外科有限责任公司 Features of an Ultrasonic Knife for Applying Fluid to a Surgical Instrument
JP2018113997A (en) * 2015-05-27 2018-07-26 オリンパス株式会社 Surgical operation device
CN107405162A (en) 2015-05-27 2017-11-28 奥林巴斯株式会社 Surgery device
US20170172614A1 (en) * 2015-12-17 2017-06-22 Ethicon Endo-Surgery, Llc Surgical instrument with multi-functioning trigger
US10543013B2 (en) 2016-05-19 2020-01-28 Ethicon Llc Passive dissection features for ultrasonic surgical instrument
US11039848B2 (en) 2016-11-16 2021-06-22 Cilag Gmbh International Surgical instrument with spot coagulation control and algorithm
US11540856B2 (en) * 2018-05-31 2023-01-03 Covidien Lp Methods and systems for ultrasonic vessel sealing
KR102130303B1 (en) * 2018-06-27 2020-07-08 주식회사 에이알씨코리아 Scissors for arthroscopic surgical having guide
US11786291B2 (en) * 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
GB2599101B (en) * 2020-09-23 2025-02-12 Cmr Surgical Ltd Arrangement of end effector elements
CN115317082B (en) * 2022-06-26 2024-03-08 上海睿速创生医疗科技有限公司 Method for determining standing wave node position of ultrasonic surgical instrument
CN119026278B (en) * 2024-10-28 2025-01-28 善彤医疗科技(湖南)有限公司 Ultrasonic knife head manufacturing method and device and ultrasonic knife

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US6569178B1 (en) * 1999-03-09 2003-05-27 Olympus Optical Co., Ltd. Ultrasonic coagulating/cutting apparatus
US20070198005A1 (en) * 2006-02-22 2007-08-23 Hiroshi Ichihashi Coagulating cutter
US20090030311A1 (en) * 2007-07-27 2009-01-29 Stulen Foster B Ultrasonic end effectors with increased active length
US20090099582A1 (en) * 2007-10-10 2009-04-16 Isaacs Karen K Ultrasonic device for cutting and coagulating
US20090143806A1 (en) * 2007-11-30 2009-06-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical blades

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US6669690B1 (en) * 1995-04-06 2003-12-30 Olympus Optical Co., Ltd. Ultrasound treatment system
US6056735A (en) * 1996-04-04 2000-05-02 Olympus Optical Co., Ltd. Ultrasound treatment system
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
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JP3270415B2 (en) * 1999-03-11 2002-04-02 オリンパス光学工業株式会社 Ultrasonic coagulation incision device
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US9895161B2 (en) 2013-03-15 2018-02-20 Ethicon Llc Ultrasonic surgical shears with clamping feature

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Publication number Priority date Publication date Assignee Title
US5322055A (en) * 1993-01-27 1994-06-21 Ultracision, Inc. Clamp coagulator/cutting system for ultrasonic surgical instruments
US5322055B1 (en) * 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US6569178B1 (en) * 1999-03-09 2003-05-27 Olympus Optical Co., Ltd. Ultrasonic coagulating/cutting apparatus
US20070198005A1 (en) * 2006-02-22 2007-08-23 Hiroshi Ichihashi Coagulating cutter
US20090030311A1 (en) * 2007-07-27 2009-01-29 Stulen Foster B Ultrasonic end effectors with increased active length
US20090099582A1 (en) * 2007-10-10 2009-04-16 Isaacs Karen K Ultrasonic device for cutting and coagulating
US20090143806A1 (en) * 2007-11-30 2009-06-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical blades

Also Published As

Publication number Publication date
EP3616631A1 (en) 2020-03-04
WO2014150169A2 (en) 2014-09-25
US20230404612A1 (en) 2023-12-21
US10772656B2 (en) 2020-09-15
US20140277029A1 (en) 2014-09-18
US20210007770A1 (en) 2021-01-14
JP6716451B2 (en) 2020-07-01
BR112015022948A2 (en) 2017-07-18
EP4371509A3 (en) 2024-08-28
EP3616631C0 (en) 2024-02-14
US20180153575A1 (en) 2018-06-07
EP2967626A2 (en) 2016-01-20
CN105142550A (en) 2015-12-09
BR112015022948B1 (en) 2021-11-09
EP3616631B1 (en) 2024-02-14
US9895161B2 (en) 2018-02-20
EP4371509A2 (en) 2024-05-22
US20250275784A1 (en) 2025-09-04
EP2967626B1 (en) 2019-07-24
WO2014150169A8 (en) 2015-09-24
US11786268B2 (en) 2023-10-17
CN105142550B (en) 2019-08-16
JP2016511097A (en) 2016-04-14

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