Finger operated switch for controlling a surgical handpiece

• US 6,945,981 B2
• Filed: 06/11/2001
• Issued: 09/20/2005
• Est. Priority Date: 10/20/2000
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Born, Jason A., Schwemberger, Richard F., Donofrio, William T., Harper, Richard M., Schramm, Mary E., Gill, Robert P.
• Primary Examiner(s): Woo, Julian W.
• Assistant Examiner(s): NGUYEN, VI X
• Application Number:
  US09/879,319
• Publication Number:
  US 20020049464A1
• Time in Patent Office: 1,562 Days
• Field of Search: 606/169, 606/166, 606/107, 606/170, 606/171, 606/180, 606/200, 606/159, 606/132, 606/39, 606/45, 604/22, 600/437, 600/471, 600/438, 600/446
• US Class Current: 606/169
• 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 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• 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 2017/320089 node location
• CPC Class Codes: H01H 2300/014 Application surgical instrument
• CPC Class Codes: H01H 2300/022 Application wake up; switches or contacts specially provided for the wake up or standby shift of a circuit

Abstract

According to the invention, a finger-operated switch for activating and operating an ultrasonic surgical handpiece is provided. The power output of the surgical handpiece is responsive and proportional to the pressure applied to the finger-operated switch. The finger-operated switch includes, but not limited to, force sensitive resistors whose resistance is proportional to the force applied by the finger of the human operator of the surgical handpiece, force sensitive capacitors whose capacitance is proportional to the pressure, deflection or compression of the insulation layer between two electrodes or is proportional to the spacing between the two conductive layers, strain gauges mounted underneath or integral to the housing of the surgical handpiece such that the pressure applied thereto results in an output change in the strain gauges, magnets or ferromagnets encased or embedded in an elastomer with a sensor inside the surgical handpiece that detects the field strength of the magnet and monitors changes relative to the force applied to the handpiece housing, and piezo film or piezo ceramic whose charge or voltage is proportional to the force applied.

Claims

1. A system for implementing surgical procedures comprising:

an ultrasonic surgical handpiece having an end-effector;

a generator console for controlling the handpiece;

an electrical connection connecting the handpiece and the console, wherein the console sends a drive current to drive the handpiece which imparts ultrasonic longitudinal movement to the end-effector; and

a finger-operated switch provided on a housing of the handpiece, the switch activating the handpiece at a first power level if a sensor monitored pressure value on the switch reaches a high threshold, deactivating the handpiece if the sensor monitored pressure value reaches a low threshold, and provides its switching functionality according to a lagging effect as the monitored pressure on the switch is changed, and the hand piece operating at a level proportional to the sensor monitored pressure value on the finger-operated switch.

2. The system of claim 1 wherein the switch is distally located on the handpiece.

3. The system of claim 1 wherein the handpiece is operated at a power level selected from a plurality of power levels if the sensor monitored pressure value reaches a specific threshold of a respective plurality of thresholds corresponding to the plurality of power levels.

4. The system of claim 1 wherein the sensor is located inside the housing of the handpiece, said sensor selected from a group consisting of an electro-mechanical switch, a force-sensitive resistor, force sensitive capacitor, strain gauge, magnet, ferromagnet, piezo film and piezo ceramic.

5. The system of claim 1 wherein the switch comprises a pair of switch button members.

6. The system of claim 5 wherein each of the switch button members comprises:

an upper surface and a lower surface;

a first post and a second post extending outwardly away from the lower surface; and

a first raised section and a second raised section on the upper surfacer said raised section being supported by a center recessed section formed therebetween.

7. The system of claim 6 wherein the first post is disposed generally opposite the first raised section and the second post is disposed generally opposite the second raised section so that the first post is directed toward the interior of the handpiece when the first raised section is depressed and the second post is directed toward the interior of the handpiece when the second raised section is depressed.

8. The system of claim 1 wherein the switch further comprises an inactive center region for resting of a finger and serving as a tactile reference.

9. The system of claim 1 wherein the switch is generally user-alignable with the end-effector.

10. The system of claim 1 wherein the switch is symmetrically aligned and indexed to the end-effector.

11. The system of claim 1 wherein the switch is a ring switch with a ring-like circumferential appendage on the handpiece that is located near a distal end of the handpiece.

12. The system of claim 11 wherein the ring switch comprises a capacitive transducer having a center ring, an outer layer of elastomer on the exterior of the center ring, and a ring electrode on top of the ring switch.

13. The system of claim 11 further including multicolor illumination and a control such that the ring switch becomes illuminated in difference colors corresponding to a plurality of pressure thresholds.

14. The system of claim 11 wherein the ring switch is a sensor comprising a piezo portion and a substrate adjacently disposed with the piezo portion, the ring switch outputting a first polarity signal when pressure is applied to the piezo portion and outputting a second opposing polarity signal when pressure is applied to the substrate.

15. The system of claim 11 wherein the ring switch is a sensor comprising a first piezo ring, a second piezo ring, and a center ring disposed between the first piezo ring and the second piezo ring, the ring switch outputting a first polarity signal when pressure is applied to the first piezo ring and outputting a second opposing polarity signal when pressure is applied to the second piezo ring.

16. The system of claim 11 wherein the ring switch comprises a first seal and a second seal, and a piezo ring disposed between the first seal and the second seal, the ring switch outputting a first polarity signal when pressure is applied in one direction to the piezo ring and outputting a second opposing polarity signal when pressure is applied in another direction to the piezo ring.

17. The system of claim 11 wherein the ring switch comprises a pair of outer rings, a center ring disposed between the outer rings, and a pair of flexible rings respectfully located on the exterior of the outer rings to support the center ring with the outer rings, and a pair of piezo rings fixed to two sides of bottom of the center ring.

18. The system of claim 11 wherein the ring switch comprises a support ring and a pair of adjacently located activation zones which are circumferential bands serially connected with the support ring.

19. The system of claim 11 wherein the ring switch further comprises a sliding barrier covering a portion of the circumferential appendage.

20. The system of claim 18 wherein the activation zones consist of one of an electro-mechanical switch, force sensitive resistors, force sensitive capacitors, strain gauges, magnets, and piezo material.

21. The system of claim 18 wherein the ring switch further comprises a middle rib disposed between the activation zones, the middle rib serving as a divider for the activation zones.

22. The system of claim 21 further including multicolor illumination and a control so that the middle rib becomes illuminated in difference colors corresponding to a plurality of pressure thresholds.

23. The system of claim 18 wherein the ring switch further comprises a distal rib located on a distal end of the activation zones.

24. The system of claim 23 further including multicolor illumination and a control so that the distal rib becomes illuminated in difference colors corresponding to a plurality of thresholds.

25. The system of claim 18 wherein the ring switch further comprises a proximal rib on a proximal end of the activation zones.

26. The system of claim 25 further including multicolor illumination and a control so that the proximal rib becomes illuminated in difference colors corresponding to a plurality of thresholds.

27. The system of claim 18 wherein each of the activation zones is further divided into subzones corresponding to variable power levels of the plurality of pressure thresholds.

28. The system of claim 1 further comprising switches on opposing sides of the handpiece that generally avoid inadvertent activation.

29. The system of claim 1 wherein the switch is a hysteresis switch.

30. The system of claim 1 wherein the switch provides its switching functionality according to a lagging effect as the monitored pressured on the switch is changed.

31. A system for implementing surgical procedures comprising:

an ultrasonic surgical handpiece having an end-effector;

a generator console for controlling the handpiece;

an electrical connection connecting the handpiece and the console, wherein the console sends a drive current to drive the handpiece which imparts ultrasonic longitudinal movement to the end-effector; and

a finger-operated switch provided on a housing of the handpiece, the switch activating the handpiece at a first power level and deactivating the handpiece if a low threshold is reached, and provides its switching functionality according to a lagging effect as the monitored pressure on the switch is changed, and the handpiece operating at a level proportional to a sensor monitored pressure value on the finger-operated switch.

32. The system of claim 31 wherein the switch is distally located on the handpiece.

33. The system of claim 31 wherein a sensor is located inside the housing of the handpiece for monitoring the switch, said sensor selected from a group consisting of an electro-mechanical switch, a force-sensitive resistor, force sensitive capacitor, strain gauge, magnet, ferromagnet, piezo film and piezo ceramic.

34. The system of claim 31 wherein the switch comprises a pair of switch button members.

35. The system of claim 34 wherein each of the switch button members comprises:

an upper surface and a lower surface;

a first post and a second post extending outwardly away from the lower surface; and

a first raised section and a second raised section on the upper surface, said raised section being supported by a center recessed section formed therebetween.

36. The system of claim 35 wherein the first post is disposed generally opposite the first raised section and the second post is disposed generally opposite the second raised section so that the first post is directed toward the interior of the handpiece when the first raised section is depressed and the second post is directed toward the interior of the handpiece when the second raised section is depressed.

37. The system of claim 31 wherein the switch further comprises an inactive center region for resting of a finger and serving as a tactile reference.

38. The system of claim 31 wherein the switch is generally user-alignable with the end-effector.

39. The system of claim 31 wherein the switch is symmetrically aligned and indexed to the end-effector.

40. The system of claim 31 wherein the switch activates the handpiece at the first power level if a monitored pressure on the switch reaches a high threshold, and deactivating the handpiece if the monitored pressure reaches the low threshold.

41. The system of claim 40 wherein the switch is a ring switch with a ring-like circumferential appendage on the handpiece that is located near a distal end of the handpiece.

42. The system of claim 41 wherein the ring switch comprises a capacitive transducer having a center ring, an outer layer of elastomer on the exterior of the center ring, and a ring electrode on top of the ring switch.

43. The system of claim 41 further including multicolor illumination and a control such that the ring switch becomes illuminated in difference colors corresponding to a plurality of pressure thresholds.

44. The system of claim 41 wherein the ring switch is a sensor comprising a piezo portion and a substrate adjacently disposed with the piezo portion, the ring switch outputting a first polarity signal when pressure is applied to the piezo portion and outputting a second opposing polarity signal when pressure is applied to the substrate.

45. The system of claim 41 wherein the ring switch is a sensor comprising a first piezo ring, a second piezo ring, and a center ring disposed between the first piezo ring and the second piezo ring, the ring switch outputting a first polarity signal when pressure is applied to the first piezo ring and outputting a second opposing polarity signal when pressure is applied to the second piezo ring.

46. The system of claim 41 wherein the ring switch comprises a first seal and a second seal, and a piezo ring disposed between the first seal and the second seal, the ring switch outputting a first polarity signal when pressure is applied in one direction to the piezo ring and outputting a second opposing polarity signal when pressure is applied in another direction to the piezo ring.

47. The system of claim 41 wherein the ring switch comprises a pair of outer rings, a center ring disposed between the outer rings, and a pair of flexible rings respectfully located on the exterior of the outer rings to support the center ring with the outer rings, and a pair of piezo rings fixed to two sides of bottom of the center ring.

48. The system of claim 41 wherein the ring switch comprises a support ring and a pair of adjacently located activation zones which are circumferential bands serially connected with the support ring.

49. The system of claim 48 wherein the activation zones consist of one of an electro-mechanical switch, force sensitive resistors, force sensitive capacitors, strain gauges, magnets, and piezo material.

50. The system of claim 48 wherein the ring switch further comprises a middle rib disposed between the activation zones, the middle rib serving as a divider for the activation zones.

51. The system of claim 50 further including multicolor illumination and a control so that the middle rib becomes illuminated in difference colors corresponding to a plurality of pressure thresholds.

52. The system of claim 48 wherein the ring switch further comprises a distal rib located on a distal end of the activation zones.

53. The system of claim 52 further including multicolor illumination and a control so that the distal rib becomes illuminated in difference colors corresponding to a plurality of thresholds.

54. The system of claim 48 wherein the ring switch further comprises a proximal rib on a proximal end of the activation zones.

55. The system of claim 54 further including multicolor illumination and a control so that the proximal rib becomes illuminated in difference colors corresponding to a plurality of thresholds.

56. The system of claim 48 wherein each of the activation zones is further divided into subzones corresponding to variable power levels if the plurality of pressure thresholds.

57. The system of claim 48 wherein the ring switch further comprises a sliding barrier covering at least one of the activation zones.

58. The system of claim 41 wherein the ring switch further comprises a sliding barrier covering a portion of the circumferential appendage.

59. The system of claim 31 further comprising switches on opposing sides of the handpiece that generally avoid inadvertent activation.

60. The system of claim 31 wherein the switch is a hysteresis switch.

61. An ultrasonic surgical handpiece having a housing with a finger-operated switch located thereon, the switch having a sensor for monitoring pressure thereon so that the handpiece is placed in an operative mode when the sensor monitors a pressure above a first threshold and is placed in another operative mode when the pressure is below a second threshold, and provides its switching functionality according to a lagging effect as the monitored pressure on the switch is changed, and the handpiece operates at a level proportional to a pressure value on the finger-operated switch that is monitored by the sensor.

62. The handpiece of claim 61 wherein the first and second thresholds are identical.

63. The handpiece of claim 61 wherein the first threshold is at a higher pressure than the second threshold.