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 . A tool assembly for use with an ultrasonic instrument including a housing, a transducer at least partially disposed within the housing, and a horn coupled to the transducer, the tool assembly comprising:
an ultrasonic tip comprising a shaft configured to be releasably coupled to said horn; and
an irrigation sleeve assembly comprising:
a hub configured to be releasably coupled to a distal portion of said housing, the hub including a first hub portion and a second hub portion connected to said first hub portion to define a hub joint;
an irrigation sleeve coupled to said hub, said irrigation sleeve comprising:
an inner sheath coupled to and extending distally from said first hub portion and defining a lumen which at least partially surrounds said shaft of said ultrasonic tip;
an outer sheath coupled to and extending distally from said second hub portion,
wherein said second hub portion and said outer sheath surrounds a portion of said inner sheath to define an irrigation passageway between said outer sheath and said inner sheath, and
wherein said irrigation passageway is configured to deliver irrigation fluid to a surgical site; and
an annular sealing member that prevents egress of fluid from said hub, said annular sealing member including a sealing sleeve disposed over said hub joint and at least partially surrounding said first hub portion and said second hub portion, wherein said sealing sleeve is secured to each of said first hub portion and said second hub portion and fluidly seals said hub joint.
2 . The tool assembly of claim 1 , wherein said outer sheath comprises an outer sheath flange engaging said second hub portion to define an outer sheath joint, and said annular sealing member at least partially surrounds said second hub portion and said outer sheath at said outer sheath joint to seal said outer sheath joint.
3 . The tool assembly of claim 2 , wherein said inner sheath defines an inner sheath flange engaging said first hub portion to define an inner sheath joint, and said inner sheath joint is at least partially surrounded by said annular sealing member.
4 . The tool assembly of claim 1 , further comprising an inner annular sealing member disposed in said hub to seal between said ultrasonic tip and said hub.
5 . The tool assembly of claim 1 , wherein said shaft defines an aspiration passageway; and
wherein said shaft comprises an aperture configured to be in fluid communication with said aspiration passageway, and said aperture is positioned on said shaft to be proximal to a distal end of said inner sheath.
6 . The tool assembly of claim 1 , wherein said ultrasonic tip comprises a distal portion and an opposing proximal portion, wherein said distal portion of said ultrasonic tip bends relative to said proximal portion of said ultrasonic tip.
7 . The tool assembly of claim 6 , wherein said irrigation sleeve has a bend corresponding to said distal portion of said ultrasonic tip.
8 . The tool assembly of claim 6 , wherein said irrigation sleeve is more flexible than said ultrasonic tip for positioning said irrigation sleeve over said ultrasonic tip.
9 . The tool assembly of claim 1 , wherein said outer sheath is configured to move radially independent of said inner sheath to maintain said irrigation passageway between said inner sheath and said outer sheath.
10 . The tool assembly of claim 1 , wherein said inner sheath and said outer sheath of said irrigation sleeve assembly form an annular gap there between to define said irrigation passageway.
11 . The tool assembly of claim 1 , wherein said lumen of said inner sheath is sized to define a gap between said inner sheath and said ultrasonic tip.
12 . The tool assembly of claim 1 , wherein said sealing sleeve comprises a heat shrink material and is secured to each of said first hub portion and said second hub portion by a heat source being applied to the sealing sleeve when disposed over the hub joint and at least partially surrounding said first hub portion and second hub portion.
13 . An irrigation sleeve assembly for use with an ultrasonic tip of an ultrasonic instrument, the irrigation sleeve assembly comprising:
a hub including a first hub portion and a second hub portion connected to said first hub portion to define a hub joint; and
an irrigation sleeve coupled to said hub, said irrigation sleeve comprising:
an inner sheath coupled to and extending distally from said first hub portion and defining a lumen configured to at least partially surround a shaft of said ultrasonic tip;
an outer sheath coupled to and extending distally from said second hub portion,
wherein said second hub portion and said outer sheath surrounds a portion of said inner sheath to define an irrigation passageway between said outer sheath and said inner sheath, and
wherein said irrigation passageway is configured to deliver irrigation fluid to a surgical site; and
an annular sealing member that prevents egress of fluid from said hub, said annular sealing member including a sealing sleeve disposed over said hub joint and at least partially surrounding said first hub portion and said second hub portion, wherein said sealing sleeve is secured to each of said first hub portion and said second hub portion and fluidly seals said hub joint.
14 . The irrigation sleeve assembly of claim 13 , wherein the sealing sleeve comprises a heat shrink material and is secured to each of said first hub portion and said second hub portion by a heat source being applied to the sealing sleeve when disposed over the hub joint and at least partially surrounding said first hub portion and second hub portion.
15 . The irrigation sleeve assembly of claim 13 , wherein said outer sheath comprises an outer sheath flange engaging said second hub portion to define an outer sheath joint, and said annular sealing member at least partially surrounds said second hub portion and said outer sheath at said outer sheath joint to seal said outer sheath joint.
16 . The irrigation sleeve assembly of claim 13 , wherein said inner sheath defines an inner sheath flange engaging said first hub portion to define an inner sheath joint, and said inner sheath joint is at least partially surrounded by said annular sealing member.
17 . The irrigation sleeve assembly of claim 13 , wherein said first hub portion comprises an irrigation conduit including a distal opening disposed within a gap between said inner sheath and said second hub portion.
18 . A method of manufacturing a double lumen irrigation sleeve for use with an ultrasonic surgical instrument to perform minimally invasive surgery, the method comprising:
coupling an inner sheath to a first hub portion such that the inner sheath extends distally from said first hub portion, the inner sheath defining a lumen configured to at least partially surround an ultrasonic tip of said ultrasonic surgical instrument;
coupling an outer sheath to a second hub portion such that the outer sheath extends distally from the second hub portion;
connecting the first hub portion to the second hub portion to form a hub joint defined by the connection of the first hub portion and the second hub portion and such that the outer sheath surrounds a portion of said inner sheath to define an irrigation passageway between said outer sheath and said inner sheath, the irrigation passageway configured to deliver irrigation fluid to a surgical site; and
securing a sealing sleeve to each of said first hub portion and said second hub portion such that said sealing sleeve is disposed over said hub joint, at least partially surrounds said first hub portion and said second hub portion, and fluidly seals the hub joint.
19 . The method of claim 18 , wherein securing the sealing sleeve comprises applying a heat source to the sealing sleeve when disposed over the hub joint and at least partially surrounding said first hub portion and second hub portion.
20 . The method of claim 18 , wherein said outer sheath is coupled to said second hub portion to define an outer sheath joint, and securing said sealing sleeve comprises securing said sealing sleeve to said second hub portion and said outer sheath such that said sealing sleeve is disposed over and fluidly seals said outer sheath joint.