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US5695510A Expired / Lapsed US ⏱️ 0.0 years remaining

Ultrasonic knife

Assignee: Individual
•
Filing: 1994-08-12
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Granted: 1997-12-09
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Expires: 2014-08-12
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Abstract

Abstract Disclosed is an improved ultrasonic knife of a type for incising various types of material. The knife has a reduced thermal footprint to tailor thermally induced tissue effects. Tooth configuration on the knife cooperates with the stroke of the ultrasonic drive to produce efficient cutting, as well as tactile feedback to the surgeon with respect to the rate of cutting, and changes in tissue density. Ultrasonic knife tip extenders are also disclosed for advancing the ultrasonic knife tip through the working channel of an endoscope or trocar sheath. Methods utilizing the foregoing apparatus are also disclosed.

Inventors

  • 👤 Larry L. Hood

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-05 06:43
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/32; A61B17/320068; A61B17/3209; A61B17/3211; A61B17/3213; A61B2017/00017; A61B2017/00137; A61B2017/00141; A61B2017/00146; A61B2017/0015; A61B2017/320069; A61B2017/320082; A61B2017/320088; A61B2017/320089; A61B90/00; A61B90/03; A61B2090/038

Claims Analysis

Total Claims: 30
Claim 1
Independent Claim 86 words
A blade for ultrasonic surgery, comprising: a generally planar body having at least one cutting edge thereon and a longitudinal axis; a connector for coupling the body to a source of ultrasonic vibrations which oscillates said planar body at a predetermined stroke length; and a plurality of teeth formed on said cutting edge, each tooth comprising a pair of generally parallel sidewall portions which terminate at a tooth end, said tooth end extending generally perpendicular to said sidewall portions and generally parallel to said longitudinal axis.
Claim 2
Dependent Claim 86 words
A blade for ultrasonic surgery, comprising: a generally planar body having at least one cutting edge thereon and a longitudinal axis; a connector for coupling the body to a source of ultrasonic vibrations which oscillates said planar body at a predetermined stroke length; and a plurality of teeth formed on said cutting edge, each tooth comprising a pair of generally parallel sidewall portions which terminate at a tooth end, said tooth end extending generally perpendicular to said sidewall portions and generally parallel to said longitudinal axis.
Claim 3
Dependent Claim 36 words
The ultrasonic blade of claim 1, wherein said tooth end has a width, measured in a direction parallel to the longitudinal axis, within the range of from about 30% to about 60% of the stroke length.
Claim 4
Dependent Claim 16 words
The ultrasonic blade of claim 2, wherein said width is about 50% of the stroke length.
Claim 5
Dependent Claim 39 words
The ultrasonic blade of claim 1, wherein each adjacent pair of teeth defines a recess therebetween, said recess having a generally parabolic shape formed by a curved bottom portion and the generally opposing sidewall portions of said adjacent teeth.
Claim 6
Dependent Claim 33 words
The ultrasonic blade of claim 4, wherein a distance between the bottom of said recess and said tooth end is within the range of about 20% to about 100% of the stroke length.
Claim 7
Dependent Claim 16 words
The ultrasonic blade of claim 5, wherein said distance is approximately 80% of the stroke length.
Claim 8
Dependent Claim 24 words
The ultrasonic blade of claim 1, wherein said pair of sidewalls are spaced apart from each other by no more than about 0.0015 inches.
Claim 9
Dependent Claim 32 words
The ultrasonic blade of claim 1, wherein said planar body comprises at least one shallow recess located on a side of the planar body which reduces the cross-sectional width of said blade.
Claim 10
Dependent Claim 26 words
The ultrasonic blade of claim 1, wherein said planar body comprises a pair of generally opposing flat tissue contact surfaces positioned proximate to said cutting edge.
Claim 11
Dependent Claim 37 words
The ultrasonic blade of claim 1, wherein said cutting edge has a tapered, V-shaped cross-sectional shape which increases in width away from the tooth end at an included angle ranging between from about 10° to about 90°.
Claim 12
Dependent Claim 13 words
The ultrasonic blade of claim 10, wherein said included angle is about 60°.
Claim 13
Dependent Claim 28 words
The ultrasonic blade of claim 1, wherein said cutting edge is formed by the intersection of two curved surfaces positioned on opposite side surfaces of said planar body.
Claim 14
Dependent Claim 26 words
The ultrasonic blade of claim 12, wherein the depth of each tooth is not greater than the radius of said curved surfaces forming said cutting edge.
Claim 15
Dependent Claim 26 words
The ultrasonic blade of claim 1 defined by a pair of generally opposing cutting edges and an arcuate distal cutting edge which extends between said edges.
Claim 16
Dependent Claim 23 words
The ultrasonic blade of claim 1, additionally comprising a roughened region thereon for increasing cavitation during the cutting of tissue with the blade.
Claim 17
Dependent Claim 16 words
The ultrasonic blade of claim 15, wherein said roughened region is formed on said cutting edge.
Claim 18
Dependent Claim 20 words
The ultrasonic blade of claim 1, wherein said planar body has a root-means-squared surface roughness of about 20 or greater.
Claim 19
Dependent Claim 23 words
The ultrasonic blade of claim 17, wherein the sizes of surface irregularities of said surface roughness are no greater than about 400 microns.
Claim 20
Dependent Claim 108 words
An ultrasonic knife comprising a source of ultrasonic vibrations, a knife blade coupled to said source, said knife blade having a cutting edge supporting a plurality of teeth having a spacing apart from one another of 10 microns or smaller, and a control for selecting causing said source to produce ultrasonic vibrations to induce reciprocal movement of the knife blade through a predetermined stroke length, said cutting edge of said knife blade being formed of a material having a Rockwell (c) hardness of at least about 55 and an ultimate yield strength generally about four times greater than internal stresses produced by the ultrasonic vibrations in the material.
Claim 21
Dependent Claim 108 words
An ultrasonic knife comprising a source of ultrasonic vibrations, a knife blade coupled to said source, said knife blade having a cutting edge supporting a plurality of teeth having a spacing apart from one another of 10 microns or smaller, and a control for selecting causing said source to produce ultrasonic vibrations to induce reciprocal movement of the knife blade through a predetermined stroke length, said cutting edge of said knife blade being formed of a material having a Rockwell (c) hardness of at least about 55 and an ultimate yield strength generally about four times greater than internal stresses produced by the ultrasonic vibrations in the material.
Claim 22
Dependent Claim 23 words
The ultrasonic knife of claim 19, wherein said hard material is selected from the group consisting of diamond, sapphire and a metal/ceramic composite.
Claim 23
Dependent Claim 42 words
The ultrasonic knife of claim 20, wherein said metal/ceramic composite forming said blade cutting edge comprises a titanium alloy base and a ceramic coating, said ceramic being selected from the group consisting of titanium-nitride, silicon-carbide, plasma-chrome oxide, tungsten carbide, and aluminum oxide.
Claim 24
Dependent Claim 64 words
A blade for ultrasonic surgery, comprising a generally planar body having at least one cutting edge thereon, said cutting edge being formed by the intersection of two curved surfaces extending along a portion of the length of the blade on opposite sides of the planar body, and a connector to couple the body to a source of ultrasonic vibrations which oscillate said planar body.
Claim 25
Dependent Claim 64 words
A blade for ultrasonic surgery, comprising a generally planar body having at least one cutting edge thereon, said cutting edge being formed by the intersection of two curved surfaces extending along a portion of the length of the blade on opposite sides of the planar body, and a connector to couple the body to a source of ultrasonic vibrations which oscillate said planar body.
Claim 26
Dependent Claim 17 words
The ultrasonic blade of claim 22, wherein a plurality of teeth are formed on said cutting edge.
Claim 27
Dependent Claim 16 words
The ultrasonic blade of claim 23, wherein said teeth each have a generally blunt, squared tip.
Claim 28
Dependent Claim 55 words
A blade for ultrasonic surgery, comprising a generally planar body having at least one cutting edge thereon, said cutting edge being formed by the intersection of at least one curved surface and at least one straight surface, and a connector to couple the body to a source of ultrasonic vibrations which oscillate said planar body.
Claim 29
Dependent Claim 55 words
A blade for ultrasonic surgery, comprising a generally planar body having at least one cutting edge thereon, said cutting edge being formed by the intersection of at least one curved surface and at least one straight surface, and a connector to couple the body to a source of ultrasonic vibrations which oscillate said planar body.
Claim 30
Dependent Claim 80 words
The blade of claim 25, wherein said cutting edge includes a plurality of teeth, each tooth having an end formed by the intersection of one of said at least one curved surface and one of said at least one straight surface, each tooth being arranged so that said curved surface which forms the edge of said tooth extends into the blade from a side of the blade opposite that from which curved surfaces of adjacent teeth extend into the blade.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2000-12-08 2001-06-09 2001-12-09 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2004-12-08 2005-06-09 2005-12-09 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2008-12-08 2009-06-09 2009-12-09 $7700.00 Window Closed / Lapsed

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