# US 12,004,768 B2 · Methods and features for coupling ultrasonic surgical instrument components together > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,004,768 B2 - Document ID: US12004768B2 - Status: Granted - Kind: B2 - Application number: 17/673,219 - Filed: 2022-02-16 - Published: 2022-08-04 - Granted: 2024-06-11 - Earliest claimed: 2013-11-22 - Assignees: Cilag GmbH International - Applicants: Cilag GmbH International - Inventors: Cory G. Kimball; David A. Witt; William E. Clem; Nathan D. Grubbs; Daniel J. Prenger - Web page: https://patentgrep.com/patent/US12004768B2 ## CPC - 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 90/03: {Automatic limiting or abutting means, e.g. for safety} - A61B 50/00: Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers (drapes specially adapted for instruments A61B46/10) - A61B 2017/00402: {Piezo electric actuators} - A61B 2017/0046: {with a releasable handle; with handle and operating part separable} - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2017/320069: {for ablating tissue} - A61B 2017/320071: {with articulating means for working tip} - A61B 2017/320089: {node location} - A61B 2017/320098: {with transverse or torsional motion} - A61B 2090/031: {torque limiting} - A61B 2090/0801: {Prevention of accidental cutting or pricking} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A surgical apparatus comprises a transducer assembly and a shaft assembly. The transducer assembly is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises an ultrasonic waveguide, a sheath, a shroud, and a torque transfer assembly. The waveguide is configured to couple with the transducer assembly. The waveguide is disposed within the sheath. The sheath extends through the shroud. The torque transfer assembly is contained within the shroud. The torque transfer assembly is configured to transfer a predetermined range of torque from the shroud to the waveguide to thereby couple the waveguide with the transducer assembly. The torque transfer assembly is further configured to prevent transfer of torque from the shroud to the waveguide beyond an upper limit of the predetermined range. ## Claims ### Claim 1 A surgical kit, comprising: (a) an ultrasonic surgical instrument, comprising: (i) a transducer assembly, wherein the transducer assembly is operable to convert electrical power into ultrasonic vibrations, wherein the transducer assembly comprises a first coupling feature, (ii) an ultrasonic waveguide comprising a complementary coupling feature, wherein the ultrasonic waveguide is configured to selectively couple with the transducer assembly, wherein the ultrasonic waveguide terminates at a distal end, and (iii) an ultrasonic blade located at the distal end of the ultrasonic waveguide; (b) a torque wrench, wherein the torque wrench is operable to drive rotation of the ultrasonic waveguide to thereby couple the ultrasonic waveguide with the transducer assembly, wherein the torque wrench comprises: (i) a torque limiting feature, wherein the torque limiting feature is operable to restrict an amount of torque by which the ultrasonic waveguide may be coupled with the transducer assembly, and (ii) a cap engagement feature including a base and a latch; and (c) a cap removably disposed on the ultrasonic blade, wherein the cap is configured to transmit torque to the ultrasonic waveguide via the ultrasonic blade while the cap is disposed on the ultrasonic blade, wherein the cap engagement feature is operable to engage the cap and thereby remove the cap from the ultrasonic blade, wherein the cap engagement feature of the torque wrench defines a pocket dimensioned to at least partially house the cap, wherein the base includes a rigid base member defining at least a portion of the pocket, wherein the latch is configured to rotatably and longitudinally couple the cap to the base. ### Claim 2 (depends on 1) The surgical kit of claim 1, wherein the cap comprises a gripping tab configured to engage the ultrasonic blade to inhibit removal of the cap from the ultrasonic blade. ### Claim 3 (depends on 2) The surgical kit of claim 2, wherein the gripping tab is configured to resiliently bear against the ultrasonic blade to thereby provide a friction fit that inhibits removal of the cap from the ultrasonic blade. ### Claim 4 (depends on 1) The surgical kit of claim 1, wherein the cap engagement feature comprises a tab, wherein the cap comprises a shoulder, wherein the tab is configured to engage the shoulder in order to render the cap engagement feature operable to remove the cap from the ultrasonic blade. ### Claim 5 (depends on 1) The surgical kit of claim 1, wherein the latch includes a resilient latch member also defining the pocket. ### Claim 6 (depends on 1) The surgical kit of claim 1, wherein the ultrasonic surgical instrument further comprises a housing, wherein the transducer assembly is at least partially contained within the housing. ### Claim 7 (depends on 1) The surgical kit of claim 1, wherein the torque wrench is configured to transmit torque onto the ultrasonic waveguide via the cap and the ultrasonic blade to thereby couple the ultrasonic waveguide to the transducer assembly. ### Claim 8 (depends on 1) The surgical kit of claim 1, wherein the cap engagement feature is configured to couple to the cap to thereby remove the cap from the ultrasonic blade. ### Claim 9 (depends on 1) The surgical kit of claim 1, wherein the cap engagement feature is configured to couple to the cap via a snap fitting such that rotation of the torque wrench drives rotation of the cap. ### Claim 10 (depends on 1) The surgical kit of claim 1, wherein the first coupling feature comprises a threaded stud. ### Claim 11 (depends on 10) The surgical kit of claim 10, wherein the complementary coupling feature comprises a threaded bore dimensioned to mesh with the threaded stud. ### Claim 12 (depends on 1) The surgical kit of claim 1, wherein the ultrasonic blade comprises a scoop-like shape. ### Claim 13 (depends on 1) The surgical kit of claim 1, wherein the transducer assembly comprises a first conductive ring and a second conductive ring. ### Claim 14 A surgical kit, comprising: (a) an ultrasonic surgical instrument, comprising: (i) a transducer assembly, wherein the transducer assembly is operable to convert electrical power into ultrasonic vibrations, wherein the transducer assembly comprises a first coupling feature, (ii) an ultrasonic waveguide comprising a complementary coupling feature, wherein the ultrasonic waveguide is configured to selectively couple with the transducer assembly, wherein the ultrasonic waveguide terminates at a distal end, and (ii) an ultrasonic blade located at the distal end of the ultrasonic waveguide; (b) a torque wrench including a rigid base member defining at least a portion of a pocket, wherein the torque wrench is operable to drive rotation of the ultrasonic waveguide to thereby couple the ultrasonic waveguide with the transducer assembly; and (c) a cap including a distal cap end and a proximal cap end, wherein the cap is removably disposed on the ultrasonic blade, wherein the cap is configured to transmit torque to the ultrasonic waveguide via the ultrasonic blade while the cap is disposed on the ultrasonic blade, wherein the torque wrench is operable to selectively engage the cap to thereby transmit torque from the torque wrench to the ultrasonic blade via the cap, wherein the proximal cap end is configured to receive the ultrasonic blade therethrough, and wherein the pocket houses the distal cap end within the torque wrench with the torque wrench engaged with the cap, wherein the torque wrench further includes a resilient latch member configured to rotatably and longitudinally couple the cap to the rigid base member. ### Claim 15 (depends on 14) The surgical kit of claim 14, wherein the cap is configured to couple to the ultrasonic blade via a friction fitting. ### Claim 16 (depends on 15) The surgical kit of claim 15, wherein the torque wrench is configured to engage the cap to thereby remove the cap from the ultrasonic blade. ### Claim 17 (depends on 14) The surgical kit of claim 14, wherein the resilient latch member further defines the pocket. ### Claim 18 A method of operatively attaching an ultrasonic waveguide onto a transducer assembly of a surgical kit, the surgical kit including (a) an ultrasonic surgical instrument, comprising: (i) the transducer assembly, wherein the transducer assembly is operable to convert electrical power into ultrasonic vibrations, wherein the transducer assembly comprises a first coupling feature, (ii) the ultrasonic waveguide comprising a complementary coupling feature, wherein the ultrasonic waveguide is configured to selectively couple with the transducer assembly, wherein the ultrasonic waveguide terminates at a distal end, and (iii) an ultrasonic blade located at the distal end of the ultrasonic waveguide; (b) a torque wrench, wherein the torque wrench is operable to drive rotation of the ultrasonic waveguide to thereby couple the ultrasonic waveguide with the transducer assembly, wherein the torque wrench comprises: (i) a torque limiting feature, wherein the torque limiting feature is operable to restrict an amount of torque by which the ultrasonic waveguide may be coupled with the transducer assembly, and (ii) a cap engagement feature including a base and a latch; and (c) a cap removably disposed on the ultrasonic blade, wherein the cap is configured to transmit torque to the ultrasonic waveguide via the ultrasonic blade while the cap is disposed on the ultrasonic blade, wherein the cap engagement feature is operable to engage the cap and thereby remove the cap from the ultrasonic blade, wherein the cap engagement feature of the torque wrench defines a pocket dimensioned to at least partially house the cap, wherein the base includes a rigid base member defining at least a portion of the pocket, wherein the latch is configured to rotatably and longitudinally couple the cap to the base, the method comprising: (i) rotating the ultrasonic waveguide relative to the transducer assembly in order to initially couple a proximal end of the ultrasonic waveguide with a distal end of the transducer assembly; (ii) grasping the cap that is disposed on the ultrasonic blade and further rotating the ultrasonic waveguide relative to the transducer assembly via the cap to a first torque value; (iii) inserting the torque wrench over the cap and the ultrasonic waveguide; (vi) rotating the torque wrench to thereby further rotate the ultrasonic waveguide relative to the transducer assembly via the torque wrench and the cap to a desired torqued value; and (iv) removing the torque wrench from the ultrasonic waveguide such that the torque wrench removes the cap from the ultrasonic blade. ### Claim 19 (depends on 18) The method of claim 18, further comprising reattaching the torque wrench with the cap to the ultrasonic blade and decoupling the ultrasonic waveguide from the transducer assembly.