# US 11,304,721 B2 · Ultrasonic surgical instrument with torque assist feature

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- Number: US 11,304,721 B2
- Document ID: US11304721B2
- Status: Granted
- Kind: B2
- Application number: 16/774,397
- Filed: 2020-01-28
- Published: 2020-05-21
- Granted: 2022-04-19
- Earliest claimed: 2018-02-23
- Assignees: Covidien LP
- Applicants: Covidien LP
- Inventors: Kenneth E. Netzel
- Web page: https://patentgrep.com/patent/US11304721B2

## CPC

- A61B 17/320092: {with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw}
- A61B 17/22012: {in direct contact with, or very close to, the obstruction or concrement (for removing obstructions in blood vessels by laser A61B18/245)}
- A61B 17/320068: {using mechanical vibrations, e.g. ultrasonic (A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745)}
- A61B 18/1442: {Probes having pivoting end effectors, e.g. forceps}
- A61B 2017/00398: {using powered actuators, e.g. stepper motors, solenoids}
- A61B 2017/0046: {with a releasable handle; with handle and operating part separable}
- A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)}
- A61B 2017/00734: {battery operated}
- A61B 2017/2929: {with a head rotatable about the longitudinal axis of the shaft}
- A61B 2017/320093: {additional movable means performing cutting operation}
- A61B 2017/320094: {additional movable means performing clamping operation}
- A61B 2090/031: {torque limiting}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An ultrasonic surgical instrument includes a housing, an ultrasonic transducer assembly, and a waveguide. The ultrasonic transducer assembly extends through a proximal opening into the housing and includes a horn disposed within the housing defining a first engagement member. The ultrasonic transducer assembly further includes an inner housing extending through the proximal opening and an outer knob disposed externally of the housing and slidably positioned about the inner housing in fixed rotational orientation relative thereto. The outer knob is selectively translatable relative to the inner housing from a proximal, unlocked position and a distal, locked position to rotationally lock the ultrasonic transducer relative to the housing. The waveguide defines a blade at a distal end and a second engagement member at a proximal end. The second engagement member is configured to releasably engage the first engagement member to thereby engage the waveguide with the ultrasonic transducer assembly.

## Claims

### Claim 1

An ultrasonic surgical instrument, comprising:
a housing;
an ultrasonic transducer supported by the housing;
a waveguide engaged with the ultrasonic transducer and extending distally from the housing;
a knob assembly including an outer knob rotatably fixed relative to the ultrasonic transducer such that rotation of the outer knob rotates the ultrasonic transducer, the outer knob selectively translatable relative to the housing between an unlocked position and a locked position, wherein, in the locked position, the outer knob is engaged with the housing to thereby rotationally lock the ultrasonic transducer relative to the housing; and
a biasing member configured to bias the outer knob towards the unlocked position.

### Claim 2 (depends on 1)

The ultrasonic surgical instrument according to claim 1, wherein the ultrasonic transducer includes an ultrasonic horn extending distally therefrom, the ultrasonic horn having a first engagement member, and wherein the waveguide defines a second engagement member configured to releasably engage the first engagement member to thereby releasably engage the waveguide with the ultrasonic horn.

### Claim 3 (depends on 2)

The ultrasonic surgical instrument according to claim 2, wherein the first and second engagement members are configured to threadingly engage one another upon relative rotation therebetween.

### Claim 4 (depends on 1)

The ultrasonic surgical instrument according to claim 1, wherein the outer knob extends from an opening defined within the housing.

### Claim 5 (depends on 4)

The ultrasonic surgical instrument according to claim 4, wherein the housing includes a plurality of recesses defined therein and arranged about the opening, and wherein the outer knob includes a plurality of fingers extending distally therefrom, each finger configured for engagement within one of the recesses in the locked position to thereby rotationally lock the ultrasonic transducer relative to the housing.

### Claim 6 (depends on 1)

The ultrasonic surgical instrument according to claim 1, wherein the ultrasonic transducer includes a piezoelectric stack.

### Claim 7 (depends on 1)

The ultrasonic surgical instrument according to claim 1, further comprising a torque wrench assembly operably associated with the waveguide to limit application of torque thereto.

### Claim 8 (depends on 1)

The ultrasonic surgical instrument according to claim 1, further comprising a generator engaged with the ultrasonic transducer to define a transducer and generator assembly, the transducer and generator assembly configured to releasably couple to the housing.

### Claim 9 (depends on 8)

The ultrasonic surgical instrument according to claim 8, further comprising a battery assembly configured to releasably couple to the housing, the battery assembly configured to power the generator for driving the ultrasonic transducer.

### Claim 10

A surgical instrument, comprising:
a housing defining an opening;
an inner housing extending through the opening;
an outer knob disposed externally of the housing and slidably positioned about the inner housing in fixed rotational orientation relative thereto, the outer knob selectively translatable relative to the inner housing between an unlocked position, wherein the outer knob is spaced from the housing, and a locked position wherein the outer knob is rotationally locked relative to the housing, wherein the opening is a proximal opening and wherein the outer knob is disposed proximally of the housing; and
an elongated assembly extending distally from the housing and rotatably coupled to the outer knob such that rotation of the outer knob rotates the elongated assembly.

### Claim 11 (depends on 10)

The surgical instrument according to claim 10, wherein the elongated assembly includes at least one sleeve extending distally from the housing and an end effector assembly disposed at a distal end of the at least one sleeve.

### Claim 12 (depends on 11)

The surgical instrument according to claim 11, wherein the end effector assembly includes a jaw and a blade, the jaw movable relative to the blade between a spaced-apart position and a clamping position.

### Claim 13 (depends on 12)

The surgical instrument according to claim 12, wherein the at least one sleeve includes a first sleeve pivotably supporting the jaw thereon and a second sleeve operably coupled to the jaw such that sliding of the second sleeve about the first sleeve pivots the jaw relative to the blade between the spaced-apart position and the clamping position.

### Claim 14 (depends on 10)

The surgical instrument according to claim 10, further comprising:
an ultrasonic transducer supported by the housing, wherein the outer knob is rotatably fixed relative to the ultrasonic transducer such that rotation of the outer knob rotates the ultrasonic transducer.

### Claim 15 (depends on 14)

The surgical instrument according to claim 14, further comprising a waveguide coupled to the ultrasonic transducer and extending distally from the hosing through the elongated assembly.

### Claim 16

An ultrasonic surgical instrument, comprising:
a housing;
an ultrasonic transducer supported by the housing;
a waveguide engaged with the ultrasonic transducer and extending distally from the housing; and
a knob assembly including an outer knob rotatably fixed relative to the ultrasonic transducer such that rotation of the outer knob rotates the ultrasonic transducer, the outer knob selectively translatable relative to the housing between an unlocked position and a locked position, wherein, in the locked position, the outer knob is engaged with the housing to thereby rotationally lock the ultrasonic transducer relative to the housing, wherein the outer knob extends from an opening defined within the housing,
wherein the housing includes a plurality of recesses defined therein and arranged about the opening, and wherein the outer knob includes a plurality of fingers extending distally therefrom, each finger configured for engagement within one of the recesses in the locked position to thereby rotationally lock the ultrasonic transducer relative to the housing.
