US009820768B2
`
`(12) United States Patent
`US 9,820,768 B2
`(10) Patent N0.:
`Gee et a1.
`
`(45) Date of Patent: Nov. 21, 2017
`
`(54)
`
`(75)
`
`ULTRASONIC SURGICAL INSTRUMENTS
`WITH CONTROL MECHANISMS
`
`Inventors: Jacob S. Gee, Cincinnati, OH (US);
`Foster B. Stulen, Mason, OH (US);
`Kevin L. Houser, Springboro, OH
`(US); Craig N. Faller, Batavia, OH
`(US); Sora Rhee, Pennsylvania
`Furnace, PA (US); William D.
`Dannaher, Cincinnati, OH (US);
`Gregory W. Johnson, Milford, OH
`(113)
`
`(73)
`
`Assignee: Ethicon LLC, Guaynabo, PR (US)
`
`(*)
`
`Notice:
`
`Subject to any disclaimer, the term of this
`patent is extended or adjusted under 35
`U.S.C. 154(b) by 824 days.
`
`(21)
`
`Appl. No.: 13/538,733
`
`(22)
`
`Filed:
`
`Jun. 29, 2012
`
`(65)
`
`Prior Publication Data
`
`US 2014/0005681 A1
`
`Jan. 2, 2014
`
`Int. Cl.
`
`(51)
`
`A613 17/32
`A61F 9/007
`A613 34/00
`A613 34/30
`A613 17/00
`A613 17/22
`A613 90/50
`U.S. Cl.
`
`(52)
`
`(2006.01)
`(2006.01)
`(2016.01)
`(2016.01)
`(2006.01)
`(2006.01)
`(2016.01)
`
`CPC ...... A613 17/320092 (2013.01); A613 34/30
`(2016.02); A613 34/71 (2016.02); A61F
`9/00745 (2013.01); A613 2017/003 (2013.01);
`A613 2017/00305 (2013.01); A613
`2017/00323 (2013.01); A613 2017/00327
`(2013.01); A613 2017/00526 (2013.01); A613
`
`2017/00734 (2013.01); A613 2017/22015
`(2013.01); A613 2017/22018 (2013.01); A613
`2090/508 (2016.02)
`
`(58) Field of Classification Search
`CPC ...... A61B 17/320092; A61B 2017/003; A61B
`2017/00323; A61B 2019/2242
`USPC ................................. 606/169, 205, 207, 208
`See application file for complete search history.
`
`(56)
`
`References Cited
`U.S. PATENT DOCUMENTS
`
`969,528 A
`1,570,025 A
`
`9/1910 Disbrow
`1/1926 Young
`(Continued)
`
`FOREIGN PATENT DOCUMENTS
`
`AU
`CN
`
`2003241752 A1
`1634601 A
`
`9/2003
`7/2005
`
`(Continued)
`
`OTHER PUBLICATIONS
`
`International Search Report for PCT/US2013/045641, dated Nov. 6,
`2013 (12 pages).
`
`(Continued)
`
`Primary Examiner 7 Gregory Anderson
`Assistant Examiner 7 Sarah Simpson
`
`(57)
`
`ABSTRACT
`
`Various embodiments are directed to surgical instruments
`for use in handheld applications or with robotic surgical
`systems. The surgical
`instruments may comprise an end
`effector to treat tissue and a shaft extending proximally from
`the end effector along a longitudinal axis. Some embodi-
`ments may be usable with an instrument mounting portion of
`a robotic surgical instrument. For example, the shaft may
`extend proximally to the instrument mounting portion.
`
`12 Claims, 76 Drawing Sheets
`
`
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`1
`
`Exhibit 1020
`Intuitive v. Ethicon
`|PR2018—01247
`
`Exhibit 1020
`Intuitive v. Ethicon
`IPR2018-01247
`
`1
`
`

`

`US 9,820,768 B2
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`Page 2
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`(56)
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`2
`
`

`

`US 9,820,768 B2
`
`Page 3
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`>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>V3>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>m>>>>>
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`>>>>>>>>>D>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>m>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
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`3
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`

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`US 9,820,768 B2
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`Page 4
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`6,589,200
`6,589,239
`6,607,540
`6,610,059
`6,616,450
`6,619,529
`6,623,500
`6,623,501
`6,626,848
`6,626,926
`6,629,974
`6,633,234
`6,644,532
`6,652,513
`6,652,539
`6,652,545
`6,656,132
`6,656,177
`6,660,017
`6,662,127
`6,663,941
`6,666,860
`6,666,875
`6,669,690
`6,669,710
`6,676,660
`6,678,621
`6,679,875
`6,679,899
`6,682,544
`6,685,701
`6,685,703
`6,689,145
`6,689,146
`6,716,215
`6,719,692
`6,719,776
`6,723,091
`D490,059
`6,731,047
`6,733,506
`6,739,872
`6,740,079
`D491,666
`6,743,245
`6,746,284
`6,746,443
`6,752,815
`6,755,825
`6,761,698
`6,762,535
`
`B2
`B2
`B1
`B2
`B2
`B2
`B1
`B1
`B2
`B2
`B1
`B1
`B2
`B2
`B2
`B1
`B1
`B1
`B2
`B2
`B1
`B2
`B2
`B1
`B1
`B1
`
`B2
`B1
`B2
`B1
`B1
`B2
`B2
`B1
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B1
`B2
`B2
`B2
`B2
`B1
`B1
`B1
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B1
`B1
`B2
`B2
`B2
`
`B2
`B1
`B1
`B1
`
`B2
`B1
`B1
`B2
`B2
`B2
`B2
`
`12/2002
`12/2002
`12/2002
`12/2002
`12/2002
`1/2003
`1/2003
`1/2003
`2/2003
`2/2003
`2/2003
`3/2003
`3/2003
`3/2003
`3/2003
`4/2003
`4/2003
`4/2003
`5/2003
`5/2003
`5/2003
`6/2003
`6/2003
`6/2003
`6/2003
`6/2003
`7/2003
`7/2003
`7/2003
`7/2003
`8/2003
`8/2003
`9/2003
`9/2003
`9/2003
`9/2003
`9/2003
`9/2003
`10/2003
`10/2003
`11/2003
`11/2003
`11/2003
`11/2003
`12/2003
`12/2003
`12/2003
`12/2003
`12/2003
`12/2003
`12/2003
`12/2003
`12/2003
`1/2004
`1/2004
`1/2004
`1/2004
`1/2004
`2/2004
`2/2004
`2/2004
`2/2004
`4/2004
`4/2004
`4/2004
`4/2004
`5/2004
`5/2004
`5/2004
`5/2004
`5/2004
`6/2004
`6/2004
`6/2004
`6/2004
`6/2004
`6/2004
`7/2004
`7/2004
`
`Madan et al.
`Satou
`Truckai et al.
`Harper et al.
`Wedekamp
`Hunt et a1.
`Burnside et al.
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`Jewett
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`4/2001
`4/2001
`5/2001
`5/2001
`5/2001
`5/2001
`6/2001
`6/2001
`7/2001
`7/2001
`7/2001
`7/2001
`7/2001
`7/2001
`7/2001
`8/2001
`8/2001
`8/2001
`8/2001
`8/2001
`8/2001
`9/2001
`9/2001
`9/2001
`10/2001
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`11/2001
`12/2001
`12/2001
`12/2001
`12/2001
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`1/2002
`1/2002
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`AAAB
`
`1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`
`SSSB
`
`1
`B1
`B1
`B1
`B2
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B2
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`
`SB
`
`1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B2
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B1
`B2
`B2
`
`6,159,175
`6,162,194
`6,165,150
`6,174,310
`6,179,853
`6,183,426
`6,204,592
`6,205,855
`6,206,844
`6,210,402
`6,210,403
`6,214,023
`6,228,080
`6,231,565
`6,233,476
`6,238,366
`6,245,065
`6,252,110
`D444,365
`D445,092
`D445,764
`6,254,623
`6,257,241
`6,258,034
`6,267,761
`6,270,831
`6,273,852
`6,274,963
`6,277,115
`6,278,218
`6,280,407
`6,283,981
`6,287,344
`6,290,575
`6,306,157
`6,309,400
`6,319,221
`6,325,795
`6,325,799
`6,325,811
`6,328,751
`6,332,891
`6,338,657
`6,340,352
`6,350,269
`6,352,532
`6,364,888
`6,379,320
`D457,958
`6,383,194
`6,384,690
`6,387,109
`6,388,657
`6,391,042
`6,398,779
`6,402,743
`6,402,748
`6,405,733
`6,416,486
`6,423,073
`6,423,082
`6,428,539
`6,432,118
`6,436,114
`6,436,115
`6,440,062
`6,443,968
`6,443,969
`6,449,006
`6,454,781
`6,454,782
`6,458,142
`6,475,215
`6,480,796
`6,485,490
`
`4
`
`

`

`US 9,820,768 B2
`
`Page 5
`
`7,101,378
`7,104,834
`7,108,695
`7,111,769
`7,112,201
`D531,311
`7,117,034
`7,118,564
`7,124,932
`7,125,409
`7,128,720
`7,131,860
`7,135,018
`7,135,030
`7,137,980
`7,144,403
`7,153,315
`D536,093
`7,156,189
`7,156,853
`7,157,058
`7,159,750
`7,160,296
`7,160,299
`7,163,548
`7,169,144
`7,169,146
`7,179,254
`7,179,271
`7,186,253
`7,189,233
`D541,418
`7,204,820
`7,207,997
`7,210,881
`7,211,079
`7,217,128
`7,217,269
`7,220,951
`7,223,229
`7,229,455
`7,235,071
`7,244,262
`7,258,688
`7,269,873
`7,273,483
`D552,241
`7,282,048
`7,285,895
`7,300,431
`7,300,435
`7,300,446
`7,303,531
`7,303,557
`7,309,849
`7,311,706
`7,311,709
`7,317,955
`7,318,831
`7,326,236
`7,331,410
`7,335,165
`7,335,997
`7,337,010
`7,353,068
`7,354,440
`7,364,577
`RE40,388
`7,380,695
`7,380,696
`7,381,209
`7,390,317
`7,404,508
`7,408,288
`7,416,101
`7,416,437
`D576,725
`7,419,490
`7,422,139
`
`B2
`B2
`B2
`B2
`B2
`
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`
`B1
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B1
`B2
`B2
`
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`
`B2
`B2
`
`9/2006
`9/2006
`9/2006
`9/2006
`9/2006
`10/2006
`10/2006
`10/2006
`10/2006
`10/2006
`10/2006
`11/2006
`11/2006
`11/2006
`11/2006
`12/2006
`12/2006
`1/2007
`1/2007
`1/2007
`1/2007
`1/2007
`1/2007
`1/2007
`1/2007
`1/2007
`1/2007
`2/2007
`2/2007
`3/2007
`3/2007
`4/2007
`4/2007
`4/2007
`5/2007
`5/2007
`5/2007
`5/2007
`5/2007
`5/2007
`6/2007
`6/2007
`7/2007
`8/2007
`9/2007
`9/2007
`10/2007
`10/2007
`10/2007
`11/2007
`11/2007
`11/2007
`12/2007
`12/2007
`12/2007
`12/2007
`12/2007
`1/2008
`1/2008
`2/2008
`2/2008
`2/2008
`2/2008
`2/2008
`4/2008
`4/2008
`4/2008
`6/2008
`6/2008
`6/2008
`6/2008
`6/2008
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`Salameh et a1.
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`
`B1
`B2
`B2
`B2
`B2
`B2
`B1
`B2
`B2
`B1
`B2
`
`SB
`
`2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B1
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`
`SB
`
`2
`B2
`B2
`B2
`B2
`
`SB
`
`2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`B2
`
`6,770,072
`6,773,409
`6,773,443
`6,773,444
`6,778,023
`6,783,524
`6,786,382
`6,786,383
`6,790,173
`6,790,216
`6,796,981
`D496,997
`6,802,843
`6,809,508
`6,810,281
`6,827,712
`6,828,712
`6,835,082
`6,849,073
`6,860,878
`6,863,676
`6,869,439
`6,875,220
`6,877,647
`6,882,439
`6,887,209
`6,887,252
`6,899,685
`6,905,497
`6,908,472
`6,913,579
`6,915,623
`6,923,804
`6,926,712
`6,926,716
`6,929,602
`6,929,632
`6,929,644
`6,933,656
`D509,589
`6,942,660
`6,942,677
`6,945,981
`6,946,779
`6,948,503
`D511,145
`6,974,450
`6,976,844
`6,976,969
`6,977,495
`6,979,332
`6,981,628
`6,984,220
`6,994,708
`7,001,335
`7,011,657
`7,014,638
`7,033,357
`7,037,306
`7,041,083
`7,041,088
`7,041,102
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