Ultrasonic surgical irrigation sleeve and related assemblies
An ultrasonic surgical instrument assembly including an irrigation sleeve assembly defining a lumen and an ultrasonic tip at least partially disposed within the lumen of the irrigation sleeve. The irrigation sleeve assembly may comprise a hub and an irrigation sleeve coupled to the hub. The irrigation sleeve may comprise an inner sheath and an outer sheath, both extending distally from the hub. The outer sheath may surround at least a portion of the inner sheath to define an irrigation passageway between the outer sheath and the inner sheath configured to deliver irrigation fluid to the surgical site. The distal end of the inner sheath may extend beyond the distal end of the outer sheath. Each of the inner and the outer sheath may be coupled to the hub by an annular sealing member configured to create fluid-tight seal between the hub and the respective inner and outer sheath.
1. An irrigation sleeve assembly for use with an ultrasonic tip of an ultrasonic instrument, the irrigation sleeve assembly comprising:
a hub configured to be releasably coupled to the ultrasonic instrument, the hub including an irrigation conduit;
an inner sheath extending distally from the hub, the inner sheath coupled to the hub to create a fluid-tight seal between the inner sheath and the hub, the inner sheath defining a lumen configured to at least partially surround the ultrasonic tip; and
an outer sheath extending distally from the hub, the outer sheath coupled to the hub by a first annular sealing member comprising a heat shrink material and configured to create a fluid-tight seal between the outer sheath and the hub; and
a second annular sealing member disposed at a proximal end of the inner sheath and configured to create the fluid-tight seal between the inner sheath and the hub, the second annular sealing member comprising a heat shrink material,
wherein the outer sheath is configured to surround a portion of the inner sheath to define an irrigation passageway between the outer sheath and the inner sheath that is in fluid communication with the irrigation conduit of the hub to deliver irrigation fluid to a surgical site.
2. The irrigation sleeve assembly of claim 1 , wherein at least a portion of the second annular sealing member is disposed over the inner sheath and the hub.
3. The irrigation sleeve assembly of claim 1 , wherein the inner sheath defines an inner sheath flange engaging the hub to define an inner sheath joint sealed by the second annular sealing member.
4. The irrigation sleeve assembly of claim 1 , wherein the first annular sealing member comprises a sealing sleeve at least partially surrounding the hub and the outer sheath to seal the outer sheath to the hub.
5. The irrigation sleeve assembly of claim 1 , wherein the outer sheath comprises an outer sheath flange engaging the hub to define an outer sheath joint, and the first annular sealing member at least partially surrounds the hub and the outer sheath to seal the outer sheath joint.
6. The irrigation sleeve assembly of claim 5 , wherein the hub defines a collar engaging the outer sheath flange to define the outer sheath joint.
7. The irrigation sleeve assembly of claim 5 , wherein the inner sheath is coupled to the hub by a second annular sealing member configured to create a fluid-tight seal between the inner sheath and the hub.
8. The irrigation sleeve assembly of claim 1 , wherein the inner sheath is more flexible than the outer sheath.
9. The irrigation sleeve assembly of claim 1 , wherein the inner and outer sheaths each have a bend corresponding to a bend in the ultrasonic tip.
10. The irrigation sleeve assembly of claim 1 , wherein the inner and outer sheaths are more flexible than the ultrasonic tip for positioning the irrigation sleeve assembly over the ultrasonic tip.
11. The irrigation sleeve assembly of claim 1 , wherein the outer sheath is configured to move radially independently of the inner sheath to maintain the irrigation passageway between the inner sheath and the outer sheath.
12. The irrigation sleeve assembly of claim 1 , wherein the lumen of the inner sheath is sized to define a gap between the inner sheath and the ultrasonic tip.
13. The irrigation sleeve assembly of claim 1 , further comprising an inner seal disposed within the hub and configured to seal between the hub and the ultrasonic tip.
14. The irrigation sleeve assembly of claim 1 , wherein an outer diameter of the outer sheath is seven millimeters or less.
15. The irrigation sleeve assembly of claim 1 , wherein a distal portion of the outer sheath is positioned distally of a distal end of the inner sheath.
16. A tool assembly comprising:
an ultrasonic tip; and
the irrigation sleeve assembly of claim 1 .
17. The tool assembly of claim 16 , further comprising an inner annular sealing member disposed in the hub and configured to seal between the ultrasonic tip and the hub.
18. The assembly of claim 16 , wherein the ultrasonic tip includes a shaft defining an aspiration passageway, and
wherein the shaft comprises an aperture configured to be in fluid communication with the aspiration passageway, the aperture positioned on the shaft to be proximal to a distal end of the inner sheath.
19. The assembly of claim 18 , wherein a distal portion of the outer sheath is positioned distally of a distal end of the inner sheath.
20. An ultrasonic surgical assembly comprising:
an ultrasonic instrument having a proximal end and a distal end, the ultrasonic instrument comprising:
a housing comprising a proximal portion and a distal portion,
a transducer at least partially disposed within the housing,
a horn coupled to the transducer, and
an ultrasonic tip coupled to the horn; and
the irrigation sleeve assembly of claim 1 , the hub of the irrigation sleeve assembly releasably coupled to the distal portion of the housing.