Surgical generator for ultrasonic and electrosurgical devices

• US 10,201,382 B2
• Filed: 03/13/2015
• Issued: 02/12/2019
• Est. Priority Date: 10/09/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Wiener, Eitan T., Aldridge, Jeffrey L., Noyes, Brian T., Messerly, Jeffrey D., Giordano, James R., Beetel, III, Robert J., Price, Nathan J., Miller, Matthew C., Wiley, Jeffrey P., Price, Daniel W., Koch, Robert L., Brotz, Joseph A., Hein, John E.
• Primary Examiner(s): Bertram, Eric D.
• Application Number:
  US14/657,850
• Publication Number:
  US 20150182276A1
• Time in Patent Office: 1,432 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 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2017/00486 Adaptors for coupling parts with incompatible geometries
• CPC Class Codes: A61B 2017/2934 arcuate shaped guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00684 using lookup tables
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/0072 : Current
• CPC Class Codes: A61B 2018/00732 : Frequency
• CPC Class Codes: A61B 2018/00767 : Voltage
• CPC Class Codes: A61B 2018/00779 : Power or energy
• CPC Class Codes: A61B 2018/00803 : with temperature prediction
• CPC Class Codes: A61B 2018/00827 : Current
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00892 : Voltage
• CPC Class Codes: A61B 2018/00988 : Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/00994 : combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
• CPC Class Codes: H01R 2201/12 : for medicine and surgery
• CPC Class Codes: H10N 30/802 : Circuitry or processes for operating piezoelectric or electrostrictive devices not otherwise provided for, e.g. drive circuits

Abstract

A surgical generator is disclosed including an ultrasonic generator module to provide at an ultrasonic drive signal for driving an ultrasonic surgical device and an electrosurgical generator module to provice an electrosurgical drive signal for driving an electrosurgical device. At least one of providing the ultrasonic drive signal or providing the electrosurgical drive signal includes recalling a waveform sample from a look-up table (LUT), modifying the waveform sample to generate a modified waveform based on voltage and current feedback information to pre-distort the waveform sample on a dynamic ongoing basis, indexing each stored voltage and current feedback data pair based on a corresponding LUT sample that was output when the voltage and current feedback data pair was acquired, synchronizing the LUT sample and the voltage and current feedback data pair to correct timing and stability of the pre-distorted waveform sample, and providing the modified waveform to an output stage.

Claims

1. A surgical generator for use with at least one surgical instrument, comprising:

a power supply;

an output stage;

an ultrasonic generator module to provide at the output stage an ultrasonic drive signal for driving an ultrasonic surgical device; and

an electrosurgical generator module to provide at the output stage an electrosurgical drive signal for driving an electrosurgical device, wherein at least one of providing the ultrasonic drive signal or providing the electrosurgical drive signal comprises;

recalling a waveform sample from a look-up table (LUT);

modifying the waveform sample to generate a modified waveform based on voltage and current feedback information to pre-distort the waveform sample on a dynamic ongoing basis;

indexing each stored voltage and current feedback data pair based on a corresponding LUT sample that was output when the voltage and current feedback data pair was acquired;

synchronizing the LUT sample and the voltage and current feedback data pair to correct timing and stability of the pre-distorted waveform sample; and

providing the modified waveform to the output stage.

2. A surgical generator for use with at least one surgical instrument, the surgical generator comprising:

an output stage; and

at least one programmable logic device to control the output stage, wherein the at least one programmable logic device is programmed to;

cause the output stage to provide an ultrasonic drive signal to drive an ultrasonic surgical device; and

cause the output stage to provide an electrosurgical drive signal to drive an electrosurgical device, wherein causing the output stage to provide at least one of the ultrasonic drive signal or the electrosurgical drive signal comprises;

recalling a waveform sample from a look-up table (LUT);

modifying the waveform sample to generate a modified waveform based on voltage and current feedback information to pre-distort the waveform sample on a dynamic ongoing basis;

indexing each stored voltage and current feedback data pair based on a corresponding LUT sample that was output when the voltage and current feedback data pair was acquired;

synchronizing the LUT sample and the voltage and current feedback data pair to correct timing and stability of the pre-distorted waveform sample; and

providing the modified waveform to the output stage.

3. The surgical generator of claim 2, wherein modifying the waveform sample comprises pre-distorting the waveform sample based on a feedback signal received by the at least one programmable logic device.

4. The surgical generator of claim 3, wherein causing the output stage to provide the ultrasonic drive signal further comprises determining an impedance phase of tissue being treated by at least one of the ultrasonic surgical device and the electrosurgical device, and wherein modifying the waveform sample comprises modifying a frequency of the waveform sample to reduce a difference between the impedance phase and an impedance phase set point.

5. The surgical generator of claim 3, wherein modifying the waveform sample comprises executing a control algorithm.

6. The surgical generator of claim 5, wherein the control algorithm is a proportional-integral-derivative (PID) algorithm.