Surgical generator systems and related methods

• US 10,117,702 B2
• Filed: 04/10/2015
• Issued: 11/06/2018
• Est. Priority Date: 04/10/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Danziger, Benjamin J., Aldridge, Jeffrey L., Kemerling, Robert A.
• Primary Examiner(s): Fowler, Daniel
• Assistant Examiner(s): Demie, Tigist
• Application Number:
  US14/683,358
• Publication Number:
  US 20160296271A1
• Time in Patent Office: 1,306 Days
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00672 lower
• CPC Class Codes: A61B 2018/0072 Current
• CPC Class Codes: A61B 2018/00767 Voltage
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1286 having a specific transformer

Abstract

Surgical generator systems and related methods are disclosed herein. An exemplary generator system can include one or more auxiliary transformer stages to boost the amount of power applied to low-impedance tissue, or to adjust the output voltage and current delivered to a surgical instrument. The auxiliary transformer stage(s) can be disposed in the generator, in the surgical instrument, and/or in an intermediate component. Exemplary generator systems can also include an accessory box disposed inline between a generator and a surgical instrument to provide expanded functionality to the system. The accessory box can have a ground plane that is isolated from the ground planes of the mains supply, the generator, and/or the surgical instrument to reduce or eliminate patient leakage current.

Claims

1. A surgical generator system, comprising:

a generator configured to provide power for driving a surgical instrument;

an output circuit that includes;

a first transformer comprising a primary coil and a secondary coil and producing a first output at the secondary coil; and

an auxiliary transformer comprising an auxiliary primary coil that receives the first output and an auxiliary secondary coil at which a second output is produced;

a switching element configured to cause the output circuit to switch between outputting the first output and outputting the second output;

a sensor configured to sense a parameter of a tissue; and

a controller coupled to the sensor and the switching element, the controller configured to control the switching element according to the parameter of the tissue sensed via the sensor.

2. The generator system of claim 1, wherein the second output has one of a higher voltage than the first output and a higher current than the first output.

3. The generator system of claim 1, wherein the auxiliary transformer is disposed in a chassis of the generator.

4. The generator system of claim 1, wherein the auxiliary transformer is disposed in a chassis of the surgical instrument configured to be coupled to the generator.

5. The generator system of claim 1, wherein the auxiliary transformer is disposed in an accessory box wired between the generator and the surgical instrument.

6. The generator system of claim 1, wherein the parameter of the tissue comprises an impedance of the tissue.

7. The generator system of claim 1, wherein the auxiliary transformer is a first auxiliary transformer and wherein the generator system further comprises a second auxiliary transformer having a winding ratio that differs from the winding ratio of the first auxiliary transformer.

8. A method of delivering energy to tissue, comprising:

engaging tissue with a surgical instrument coupled to a generator configured to provide power for driving the surgical instrument;

sensing a parameter of the tissue;

selectively switching in an output path from the surgical instrument to a primary transformer disposed in the generator between a first output of the primary transformer and a second output of one or more auxiliary transformers according to the parameter of the tissue; and

delivering energy through the output path to the tissue.

9. The method of claim 8, wherein selectively switching in the output path comprises actuating a switching element to selectively include the one or more auxiliary transformers in the output path.

10. The method of claim 8, wherein selectively switching in the output path comprises selectively including the one or more auxiliary transformers in the output path based on an output of a sensor configured to sense a property of the tissue.

11. The method of claim 8, wherein selectively switching in the output path comprises including in the output path an auxiliary transformer configured to boost an output current of the generator when an impedance of the tissue is below a threshold value.

12. The method of claim 8, wherein selectively switching in the output path comprises selectively including one of a plurality of auxiliary transformers in the output path, each of the plurality of auxiliary transformers having a winding ratio that differs from the winding ratios of the others of the plurality of auxiliary transformers.