Surgical instrument with orientation sensing

• US 10,327,798 B2
• Filed: 01/31/2017
• Issued: 06/25/2019
• Est. Priority Date: 05/31/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Price, Daniel W., Rhee, Sora, Kimball, Cory G., Dietz, Timothy G., Madan, Ashvani K., Korvick, Donna L., Messerly, Jeffrey D., Clem, William E., Aronhalt, Jacqueline C., Dannaher, William D., Schulte, John B., Silkaitis, Danius P., Balek, Stephen J., Lamping, Michael R.
• Primary Examiner(s): Porter, Allen
• Application Number:
  US15/420,654
• Publication Number:
  US 20170196585A1
• Time in Patent Office: 875 Days
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• 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 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00207 with hand gesture control or hand gesture recognition
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• 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 2017/320097 with stapling means
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• 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 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: F04C 2270/041 Controlled or regulated

Abstract

A surgical instrument comprises a body assembly and an end effector. The body assembly includes a control module, an orientation sensor communicatively coupled to the control module, and an energy component. The energy component is operable to activate the end effector at a plurality of energy settings. A storage device is communicatively coupled to the control module and includes a plurality of gesture profiles and corresponding energy settings. The control module is configured to set the energy setting of the energy component to a corresponding energy setting in response to a correlation between the output of the orientation sensor and a gesture profile. In some versions, the control module modifies the energy setting based upon output from a force sensor that measures the force on the end effector. The control module may also decrease the energy setting in response to an anomalous acceleration or deceleration detected by an accelerometer.

Claims

1. An apparatus comprising:

(a) an ultrasonic transducer capable of operating at a plurality of energy settings, wherein each energy setting comprises one or both a frequency or an amplitude of vibrational waves generated by the ultrasonic transducer;

(b) a waveguide operable to communicate vibrational waves generated from the ultrasonic transducer;

(c) an end effector coupled to the waveguide;

(d) a control module;

(e) a storage device communicatively coupled with the control module, wherein the storage device comprises a plurality of configuration data sets, wherein each configuration data set comprises a respective gesture profile and a corresponding energy setting, wherein the control module is configured to receive a selected configuration data from the storage device;

(f) an orientation sensor, wherein the control module is configured to receive a first output from the orientation sensor; and

(g) a force sensor configured to measure a force applied to the end effector, wherein the control module is configured to receive a second output from the force sensor;

wherein the control module is configured to compare a combination of the first output and the second output to a first gesture profile of the selected configuration data set; and

wherein the control module is configured to set the energy setting of the ultrasonic transducer to a first corresponding energy setting in response to a correlation between the combination of the first output and the second output to the first gesture profile of the selected configuration data set.

2. The apparatus of claim 1, wherein the force sensor is coupled to the waveguide.

3. The apparatus of claim 2, wherein the force sensor comprises a plurality of strain gauges.

4. The apparatus of claim 1, further comprising a body, wherein the ultrasonic transducer is coupled with the body, wherein the force sensor is located within the body.

5. The apparatus of claim 1, wherein the orientation sensor is associated with the end effector.

6. The apparatus of claim 5, further comprising a body, wherein the orientation sensor and the end effector are both configured to selectively couple with the body.

7. The apparatus of claim 1, further comprising a body, wherein the waveguide is configured to selectively attach to the body such that that waveguide may selectively couple with the ultrasonic transducer.

8. The apparatus of claim 1, wherein the orientation sensor comprises a gyroscope.

9. The apparatus of claim 8, further comprising a body, wherein the gyroscope is housed within the body.

10. The apparatus of claim 1, wherein the orientation sensor comprises a casing and a sphere, wherein the sphere is housed within the casing.

11. The apparatus of claim 10, wherein the sphere comprises a weighted end.

12. The apparatus of claim 10, wherein the sphere comprises a plurality of conductive paths on an exterior of the sphere.

13. The apparatus of claim 12, wherein the casing comprises a plurality of electrodes configured to detect contact with any one of the conductive paths in the plurality of conductive paths.

14. The apparatus of claim 13, wherein casing further comprises a plurality of sensors, wherein each sensor in the plurality of sensors in connected to at least one electrode in the plurality of electrodes.

15. The apparatus of claim 1, further comprising a body, wherein the body defines an annular channel, wherein the orientation sensor comprises a ball housed within the annular channel, wherein the ball is configured to roll within the annular channel as the orientation is changed.

16. The apparatus of claim 15, wherein the orientation sensor further comprises a plurality of sensors disposed within an interior of the annular channel.

17. The apparatus of claim 16, wherein the plurality of sensors are configured to detect a position of the ball within the annular channel.

18. A method for controlling a surgical instrument comprising a body assembly, an end effector, a force sensor operable to detect a force applied to the end effector, an orientation sensor, a storage device, and a control module, wherein the body assembly comprises an ultrasonic transducer and an interface in communication with the control module, wherein the ultrasonic transducer is capable of operating at a plurality of energy settings, wherein each energy setting in the plurality of energy settings comprises one or both of a frequency or an amplitude of vibrational waves generated by the ultrasonic transducer, wherein the control module is operable to set an energy setting for the ultrasonic transducer, wherein the orientation sensor and the force sensor are communicatively coupled to the control module, wherein the end effector is coupled to the ultrasonic transducer, wherein the storage device comprises a plurality of configuration data sets, wherein each configuration data set comprises a plurality of gesture profiles and a plurality of corresponding energy settings, wherein each gesture profile of the plurality of gesture profiles is associated with a corresponding energy setting of the plurality of energy settings, wherein the control module is configured to receive data from the orientation sensor and the force sensor, the method comprising the steps of:

(a) receiving a selection, via the interface, of a configuration data set from the plurality of configuration data sets;

(b) receiving an output of the orientation sensor and the force sensor by the control module;

(c) receiving the plurality of gesture profiles and the plurality of corresponding energy settings associated with the selected configuration data set from the storage device by the control module; and

(d) setting the ultrasonic transducer to a first corresponding energy setting associated with the first gesture profile in response to a correlation between the first gesture profile and a combined output of the orientation sensor and the force sensor, wherein the first corresponding energy setting provides a first frequency and a first amplitude of vibrational waves generated by the ultrasonic transducer.

19. The method of claim 18, further comprising adjusting the first corresponding energy setting based upon the combined output of the orientation sensor and the force sensor, wherein the act of adjusting the first corresponding energy setting comprises adjusting one or both of the frequency or the amplitude of vibrational waves generated by the ultrasonic transducer.

20. An apparatus comprising:

(a) an ultrasonic transducer capable of operating at a plurality of energy settings, wherein each energy setting comprises one or both a frequency or an amplitude of vibrational waves generated by the ultrasonic transducer;

(b) a control module;

(c) a storage device communicatively coupled with the control module, wherein the storage device comprises a plurality of configuration data sets, wherein each configuration data set comprises a respective gesture profile and a corresponding energy setting, wherein the control module is configured to receive a selected configuration data from the storage device;

(d) an end effector in communication with the ultrasonic transducer;

(e) an orientation sensor in communication with the control module; and

(f) a force sensor in communication with the control module;

wherein the control module is configured to compare a combination of data from the orientation sensor and the force sensor to a first gesture profile of the selected configuration data set; and

wherein the control module is configured to set the energy setting of the ultrasonic transducer to a first corresponding energy setting in response to a correlation between the combination of data from the orientation sensor and the force sensor to the first gesture profile of the selected configuration data set.