GB2425480A - Ultrasonic surgical tool having retro-facing cutting edge - Google Patents
Ultrasonic surgical tool having retro-facing cutting edge Download PDFInfo
- Publication number
- GB2425480A GB2425480A GB0508505A GB0508505A GB2425480A GB 2425480 A GB2425480 A GB 2425480A GB 0508505 A GB0508505 A GB 0508505A GB 0508505 A GB0508505 A GB 0508505A GB 2425480 A GB2425480 A GB 2425480A
- Authority
- GB
- United Kingdom
- Prior art keywords
- waveguide
- output
- longitudinal axis
- degrees
- angle
- 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.)
- Granted
Links
- 238000002679 ablation Methods 0.000 abstract description 3
- 238000003466 welding Methods 0.000 abstract description 3
- 230000006835 compression Effects 0.000 abstract description 2
- 238000007906 compression Methods 0.000 abstract description 2
- 238000006073 displacement reaction Methods 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/320074—Working tips with special features, e.g. extending parts blade
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 output for an ultrasonic surgical tool vibratable in torsional mode comprises a generally cylindrical waveguide 1 provided with a radially extending protrusion 3 having two grooves 6 which converge to define at their intersection a retro-facing cutting edge 7. Each groove is part cylindrical, and the two grooves may be aligned to converge at an angle, with respect to a longitudinal axis of the waveguide, of 7 to 15 degrees. The grooves may be aligned to diverge in a proximal direction from the longitudinal axis of the waveguide by 11.5 to 20 degrees. The radial extremity 4 of the tool may be used to subject tissue to high amplitude compression waves for welding and/or ablation.
Description
1 2425480 IMPROVED ULTRASONIC SURGiCAL TOOL The present invention relates
to an improved waveguide output for torsionally vibratable ultrasonic surgical tools, particularly but not exclusively, such as are known from British :.:. Patent number 2333709B. * S **** *.SS
* * The above patent describes a surgical tool comprising means to generate ultrasonic torsional *** mode vibrations, a waveguide operatively connected at a proximal end to the generating S..
: . means and extending a distance therefrom of fl2T'2 (where ?T is the wavelength of ultrasonic vibration in the material of the waveguide) to a distal end provided with an output.
Surgical tools having outputs purely for cutting purposes have been described in our British Patent No. 2365775B. However, these are not always easy to use and are not adapted to carry out welding and/or ablation procedures.
It has now been found that further improvements in the configurations of the output of such tools may be made.
It is an object of the present invention to provide an improved waveguide output for such a tool.
According to a first aspect of the present invention there is provided an output means for use with an ultrasonic surgical tool vibratable in torsional mode, said output comprising a generally cylindrical waveguide provided at a distal end with a radially extending protrusion having two groove means so converging in a proximal direction as to define at their intersection a retro- facing cutting edge.
Preferably each said groove means is part cylindrical. * S. * S S S.. S *. .. * S
* .. S The two groove means may each be aligned to converge at an angle, with respect to a S...
: longitudinal axis of the waveguide, of less than 15 degrees. S.. S..
Ideally, the two groove means may each be aligned to converge at an angle, with respect to a longitudinal axis of the waveguide, of less than 10 degrees.
In a preferred embodiment, the two groove means may each be aligned to converge at an angle, with respect to a longitudinal axis of the waveguide, in the region of 7 degrees.
In any event, both said groove means may diverge in a proximal direction from the longitudinal axis of the waveguide by an angle less than 20 degrees.
Preferably, both said groove means may diverge in a proximal direction from the longitudinal axis of the waveguide by an angle less than 15 degrees.
Optionally, both said groove means may diverge in a proximal direction from the longitudinal axis of the waveguide by an angle in the region of 11.5 degrees.
According to a second aspect of the present invention, there is provided a surgical tool comprising means to generate torsional mode ultrasonic vibrations, and a waveguide output as described above operatively connected thereto.
An embodiment of the present invention will now be more particularly described by way of example and with reference to the accompanying drawings, in which:- * : * Figure 1 is a side elevation of a hook-type output; I..
Figure 2 is an end view of the output shown in Figure 1; and S...
: Figure 3 is a view from below of the output. S.
S * S*
A torsional mode vibration provides concentric motion about the axis of the waveguide.
* Sections of the blade non-parallel with the motion provide vibrating faces capable of imparting energy directly into tissue brought to bear on such a face rather than cause friction as in conventional, parallel motion devices.
The greater the distance of a point from the longitudinal axis, the greater will be the amplitude of the vibration.
Referring now to the drawings, Figure 1 is a side elevation of a "hooktype" output at a distal end of a waveguide 1, torsionally vibratable about its longitudinal axis 2.
A single asymmetric extension 3 projects radially outwardly at a distal end from this generally cylindrical waveguide 1 and is able to generate high angular vibrational displacements at its radial extremity 4. The waveguide and the radial extension 3 are machined at their distal end to have a smoothly rounded nose 5 which continues around to the radial extremity 4 of the extension 3.
Two part cylindrical grooves 6 are milled or otherwise formed in the extension 3, and extend along lines which converge in a proximal direction, each at an angle in the region of 7 from the longitudinal axis 2 of the waveguide 1 so as to form a cutting edge 7 at their convergence.
*: :* Since the part cylindrical grooves 6 converge at an angle in the region of 7 with respect to * * the longitudinal axis 2, they will define at the edge 7 an included angle of 14 . In the normal S...
* SI direction, both part cylindrical grooves 6 diverge in a proximal direction from the I..
longitudinal axis by an angle in the region of 11.5 . S.. * * S S. S *. I * S I S **
Figure 2 shows an end elevation of the hook shaped output from the distal end, illustrating the angled grooves 6 extending beyond the curved surface 5 of the tool. These features are illustrated thore fully in Figure 3, the view from below.
Use of the output offers several critical features.
Firstly there is a high rotational displacement at the extremity 4 radially distant from the axis of vibration about axis 2, giving vibrations of increased amplitude. * 5
* Secondly, a sharp blade 7 is formed which can be used by retro-action of the waveguide for cutting tissue by pulling the hook backwardly having engaged the tissue in close proximity with the cutting edge 7.
The thickness of the web 8 formed between the hook extremity 4 and main axial body I of the waveguide represents a region of maximum displacement due to its cross section variation, having a minimum thickness along thc cutting edge 7, and greater thicknesses towards the generally cylindrical waveguide 1 and towards the radial extremity 4.
Welding and/or ablation of tissue or blood vessels may be achieved by turning the tool and *: * pressing the transverse face of the radial extremity 4 onto the target tissue so subjecting it to S... * * *
high amplitude compression waves. *5*S * S... * S..
S S.. * S S
S S
SS S * * S S 55
Claims (9)
1. An output means for use with an ultrasonic surgical tool vibratable in torsional mode, said output comprising a generally cylindrical waveguide provided at a distal end with a radially extending protrusion having two groove means so converging in a proximal direction as to define at their intersection a retro- facing cutting edge.
2. An output as claimed in claim 1, wherein each said groove means is part cylindrical.
3. An output as claimed in either claim I or claim 2, wherein two groove means may each be aligned to converge at an angle, with respect to a longitudinal axis of the waveguide, of less than 15 degrees.
4. An output as claimed in claim 3, wherein the two groove means one each aligned to converge at an angle, with respect to a longitudinal axis of the waveguide, of less than degrees.
5. An output as claimed in claim 4, wherein the two groove means are each aligned to converge at an angle, with respect to a longitudinal axis of the waveguide, in the region of 7 degrees.
6. An output as claimed in either claim I or claim 2, wherein said groove means diverge in a proximal direction from the longitudinal axis of the waveguide by an angle less than 20 degrees.
7. An output as claimed in claim 6, wherein said groove means diverge in a proximal direction from the longitudinal axis of the waveguide by an angle less than 15 degrees.
8. An output as claimed in claim 7, wherein said groove means diverge in a proximal direction from the longitudinal axis of the waveguide by an angle in the region of 11.5 degrees.
9. An output for a surgical tool comprising means to generate torsional mode ultrasonic vibrations, and a waveguide output and as claimed in any one of the preceding claims operatively connected thereto.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB0508505A GB2425480B (en) | 2005-04-27 | 2005-04-27 | Improved ultrasonic surgical tool |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB0508505A GB2425480B (en) | 2005-04-27 | 2005-04-27 | Improved ultrasonic surgical tool |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| GB0508505D0 GB0508505D0 (en) | 2005-06-01 |
| GB2425480A true GB2425480A (en) | 2006-11-01 |
| GB2425480B GB2425480B (en) | 2010-04-21 |
Family
ID=34640213
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| GB0508505A Active GB2425480B (en) | 2005-04-27 | 2005-04-27 | Improved ultrasonic surgical tool |
Country Status (1)
| Country | Link |
|---|---|
| GB (1) | GB2425480B (en) |
Cited By (38)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2442137A (en) * | 2006-09-19 | 2008-03-26 | Sra Dev Ltd | Twin bladed ultrasonic surgical tool head |
| US8242398B2 (en) | 2007-06-11 | 2012-08-14 | Sra Developments Limited | Switch for ultrasonic surgical tool |
| US8668710B2 (en) | 2008-05-21 | 2014-03-11 | Sra Developments Limited | Ultrasonic tissue dissector |
| CN104066389A (en) * | 2011-10-07 | 2014-09-24 | 米松尼克斯股份有限公司 | Ultrasonic osteotome |
| US9173672B2 (en) | 2006-05-31 | 2015-11-03 | Sra Developments Limited | Ultrasonic surgical tool |
| US9387004B2 (en) | 2005-03-03 | 2016-07-12 | Sra Developments Limited | Ultrasonic cutting tool |
| WO2017004366A3 (en) * | 2015-07-01 | 2017-02-16 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
| US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
| US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
| US10245065B2 (en) | 2007-11-30 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical blades |
| USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
| US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
| US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
| US10398466B2 (en) | 2007-07-27 | 2019-09-03 | Ethicon Llc | Ultrasonic end effectors with increased active length |
| US10420579B2 (en) | 2007-07-31 | 2019-09-24 | Ethicon Llc | Surgical instruments |
| US10420580B2 (en) | 2016-08-25 | 2019-09-24 | Ethicon Llc | Ultrasonic transducer for surgical instrument |
| US10426507B2 (en) | 2007-07-31 | 2019-10-01 | Ethicon Llc | Ultrasonic surgical instruments |
| US10441308B2 (en) | 2007-11-30 | 2019-10-15 | Ethicon Llc | Ultrasonic surgical instrument blades |
| US10531910B2 (en) | 2007-07-27 | 2020-01-14 | Ethicon Llc | Surgical instruments |
| US10537352B2 (en) | 2004-10-08 | 2020-01-21 | Ethicon Llc | Tissue pads for use with surgical instruments |
| US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
| US10709906B2 (en) | 2009-05-20 | 2020-07-14 | Ethicon Llc | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
| US10722261B2 (en) | 2007-03-22 | 2020-07-28 | Ethicon Llc | Surgical instruments |
| US10779848B2 (en) | 2006-01-20 | 2020-09-22 | Ethicon Llc | Ultrasound medical instrument having a medical ultrasonic blade |
| US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
| US10828057B2 (en) | 2007-03-22 | 2020-11-10 | Ethicon Llc | Ultrasonic surgical instruments |
| US10828059B2 (en) | 2007-10-05 | 2020-11-10 | Ethicon Llc | Ergonomic surgical instruments |
| US10835768B2 (en) | 2010-02-11 | 2020-11-17 | Ethicon Llc | Dual purpose surgical instrument for cutting and coagulating tissue |
| US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
| US10842580B2 (en) | 2012-06-29 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
| US10856896B2 (en) | 2005-10-14 | 2020-12-08 | Ethicon Llc | Ultrasonic device for cutting and coagulating |
| US10874418B2 (en) | 2004-02-27 | 2020-12-29 | Ethicon Llc | Ultrasonic surgical shears and method for sealing a blood vessel using same |
| US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
| US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
| US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
| US11033292B2 (en) | 2013-12-16 | 2021-06-15 | Cilag Gmbh International | Medical device |
| US11058447B2 (en) | 2007-07-31 | 2021-07-13 | Cilag Gmbh International | Temperature controlled ultrasonic surgical instruments |
| US11369402B2 (en) | 2010-02-11 | 2022-06-28 | Cilag Gmbh International | Control systems for ultrasonically powered surgical instruments |
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|---|---|---|---|---|
| US5324299A (en) * | 1992-02-03 | 1994-06-28 | Ultracision, Inc. | Ultrasonic scalpel blade and methods of application |
| US6254622B1 (en) * | 1996-02-20 | 2001-07-03 | Larry Hood | Blade for ultrasonically assisted cutting and hemostasis |
| GB2365775A (en) * | 1999-04-21 | 2002-02-27 | Michael John Radley Young | Waveguide output for a torsionally vibratable ultrasonic cutting/coagulating tool having a proximally facing hook shaped or re-entrant cutting edge |
-
2005
- 2005-04-27 GB GB0508505A patent/GB2425480B/en active Active
Patent Citations (3)
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|---|---|---|---|---|
| US5324299A (en) * | 1992-02-03 | 1994-06-28 | Ultracision, Inc. | Ultrasonic scalpel blade and methods of application |
| US6254622B1 (en) * | 1996-02-20 | 2001-07-03 | Larry Hood | Blade for ultrasonically assisted cutting and hemostasis |
| GB2365775A (en) * | 1999-04-21 | 2002-02-27 | Michael John Radley Young | Waveguide output for a torsionally vibratable ultrasonic cutting/coagulating tool having a proximally facing hook shaped or re-entrant cutting edge |
Cited By (72)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11730507B2 (en) | 2004-02-27 | 2023-08-22 | Cilag Gmbh International | Ultrasonic surgical shears and method for sealing a blood vessel using same |
| US10874418B2 (en) | 2004-02-27 | 2020-12-29 | Ethicon Llc | Ultrasonic surgical shears and method for sealing a blood vessel using same |
| US11006971B2 (en) | 2004-10-08 | 2021-05-18 | Ethicon Llc | Actuation mechanism for use with an ultrasonic surgical instrument |
| US10537352B2 (en) | 2004-10-08 | 2020-01-21 | Ethicon Llc | Tissue pads for use with surgical instruments |
| US9387004B2 (en) | 2005-03-03 | 2016-07-12 | Sra Developments Limited | Ultrasonic cutting tool |
| US11998229B2 (en) | 2005-10-14 | 2024-06-04 | Cilag Gmbh International | Ultrasonic device for cutting and coagulating |
| US10856896B2 (en) | 2005-10-14 | 2020-12-08 | Ethicon Llc | Ultrasonic device for cutting and coagulating |
| US10779848B2 (en) | 2006-01-20 | 2020-09-22 | Ethicon Llc | Ultrasound medical instrument having a medical ultrasonic blade |
| US9173672B2 (en) | 2006-05-31 | 2015-11-03 | Sra Developments Limited | Ultrasonic surgical tool |
| GB2442137A (en) * | 2006-09-19 | 2008-03-26 | Sra Dev Ltd | Twin bladed ultrasonic surgical tool head |
| US9358030B2 (en) | 2006-09-19 | 2016-06-07 | Sra Developments Limited | Ultrasonic surgical tool |
| US10722261B2 (en) | 2007-03-22 | 2020-07-28 | Ethicon Llc | Surgical instruments |
| US10828057B2 (en) | 2007-03-22 | 2020-11-10 | Ethicon Llc | Ultrasonic surgical instruments |
| US8242398B2 (en) | 2007-06-11 | 2012-08-14 | Sra Developments Limited | Switch for ultrasonic surgical tool |
| US10531910B2 (en) | 2007-07-27 | 2020-01-14 | Ethicon Llc | Surgical instruments |
| US10398466B2 (en) | 2007-07-27 | 2019-09-03 | Ethicon Llc | Ultrasonic end effectors with increased active length |
| US11690641B2 (en) | 2007-07-27 | 2023-07-04 | Cilag Gmbh International | Ultrasonic end effectors with increased active length |
| US11607268B2 (en) | 2007-07-27 | 2023-03-21 | Cilag Gmbh International | Surgical instruments |
| US11877734B2 (en) | 2007-07-31 | 2024-01-23 | Cilag Gmbh International | Ultrasonic surgical instruments |
| US11058447B2 (en) | 2007-07-31 | 2021-07-13 | Cilag Gmbh International | Temperature controlled ultrasonic surgical instruments |
| US10426507B2 (en) | 2007-07-31 | 2019-10-01 | Ethicon Llc | Ultrasonic surgical instruments |
| US11666784B2 (en) | 2007-07-31 | 2023-06-06 | Cilag Gmbh International | Surgical instruments |
| US10420579B2 (en) | 2007-07-31 | 2019-09-24 | Ethicon Llc | Surgical instruments |
| US10828059B2 (en) | 2007-10-05 | 2020-11-10 | Ethicon Llc | Ergonomic surgical instruments |
| US11766276B2 (en) | 2007-11-30 | 2023-09-26 | Cilag Gmbh International | Ultrasonic surgical blades |
| US10245065B2 (en) | 2007-11-30 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical blades |
| US10433865B2 (en) | 2007-11-30 | 2019-10-08 | Ethicon Llc | Ultrasonic surgical blades |
| US10441308B2 (en) | 2007-11-30 | 2019-10-15 | Ethicon Llc | Ultrasonic surgical instrument blades |
| US10463887B2 (en) | 2007-11-30 | 2019-11-05 | Ethicon Llc | Ultrasonic surgical blades |
| US11690643B2 (en) | 2007-11-30 | 2023-07-04 | Cilag Gmbh International | Ultrasonic surgical blades |
| US10265094B2 (en) | 2007-11-30 | 2019-04-23 | Ethicon Llc | Ultrasonic surgical blades |
| US10433866B2 (en) | 2007-11-30 | 2019-10-08 | Ethicon Llc | Ultrasonic surgical blades |
| US11266433B2 (en) | 2007-11-30 | 2022-03-08 | Cilag Gmbh International | Ultrasonic surgical instrument blades |
| US10888347B2 (en) | 2007-11-30 | 2021-01-12 | Ethicon Llc | Ultrasonic surgical blades |
| US11253288B2 (en) | 2007-11-30 | 2022-02-22 | Cilag Gmbh International | Ultrasonic surgical instrument blades |
| US11439426B2 (en) | 2007-11-30 | 2022-09-13 | Cilag Gmbh International | Ultrasonic surgical blades |
| US9474542B2 (en) | 2008-05-21 | 2016-10-25 | Sra Developments Ltd. | Ultrasonic transducer system |
| US8668710B2 (en) | 2008-05-21 | 2014-03-11 | Sra Developments Limited | Ultrasonic tissue dissector |
| US10709906B2 (en) | 2009-05-20 | 2020-07-14 | Ethicon Llc | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
| US11369402B2 (en) | 2010-02-11 | 2022-06-28 | Cilag Gmbh International | Control systems for ultrasonically powered surgical instruments |
| US10835768B2 (en) | 2010-02-11 | 2020-11-17 | Ethicon Llc | Dual purpose surgical instrument for cutting and coagulating tissue |
| CN104066389A (en) * | 2011-10-07 | 2014-09-24 | 米松尼克斯股份有限公司 | Ultrasonic osteotome |
| US9421028B2 (en) | 2011-10-07 | 2016-08-23 | Misonix, Incorporated | Ultrasonic osteotome |
| EP2763603A4 (en) * | 2011-10-07 | 2015-09-23 | Misonix Inc | Ultrasonic osteotome |
| US11602371B2 (en) | 2012-06-29 | 2023-03-14 | Cilag Gmbh International | Ultrasonic surgical instruments with control mechanisms |
| US10842580B2 (en) | 2012-06-29 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
| US11272952B2 (en) | 2013-03-14 | 2022-03-15 | Cilag Gmbh International | Mechanical fasteners for use with surgical energy devices |
| US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
| US11033292B2 (en) | 2013-12-16 | 2021-06-15 | Cilag Gmbh International | Medical device |
| US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
| US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
| US11553954B2 (en) | 2015-06-30 | 2023-01-17 | Cilag Gmbh International | Translatable outer tube for sealing using shielded lap chole dissector |
| EP3539489A1 (en) * | 2015-07-01 | 2019-09-18 | Ethicon LLC | Ultrasonic surgical blade with improved cutting and coagulation features |
| WO2017004366A3 (en) * | 2015-07-01 | 2017-02-16 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
| US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
| CN107735036B (en) * | 2015-07-01 | 2021-05-28 | 伊西康有限责任公司 | Ultrasonic surgical blade with improved cutting and coagulation characteristics |
| EP3539488A1 (en) * | 2015-07-01 | 2019-09-18 | Ethicon LLC | Ultrasonic surgical blade with improved cutting and coagulation features |
| US10966744B2 (en) | 2016-07-12 | 2021-04-06 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
| US11883055B2 (en) | 2016-07-12 | 2024-01-30 | Cilag Gmbh International | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
| US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
| US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
| US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
| US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
| USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
| USD924400S1 (en) | 2016-08-16 | 2021-07-06 | Cilag Gmbh International | Surgical instrument |
| US10420580B2 (en) | 2016-08-25 | 2019-09-24 | Ethicon Llc | Ultrasonic transducer for surgical instrument |
| US10779847B2 (en) | 2016-08-25 | 2020-09-22 | Ethicon Llc | Ultrasonic transducer to waveguide joining |
| US11350959B2 (en) | 2016-08-25 | 2022-06-07 | Cilag Gmbh International | Ultrasonic transducer techniques for ultrasonic surgical instrument |
| US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
| US11925378B2 (en) | 2016-08-25 | 2024-03-12 | Cilag Gmbh International | Ultrasonic transducer for surgical instrument |
| US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
| US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
Also Published As
| Publication number | Publication date |
|---|---|
| GB2425480B (en) | 2010-04-21 |
| GB0508505D0 (en) | 2005-06-01 |
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