Ultrasonic device for cutting and coagulating with stepped output

• US 8,058,771 B2
• Filed: 07/15/2009
• Issued: 11/15/2011
• Est. Priority Date: 08/06/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Abbott, Daniel J., Messerly, Jeffrey D., Giordano, James R., Beetel, Robert J., Wiener, Eitan T., DiNardo, Brian
• Primary Examiner(s): DOUGHERTY, THOMAS M
• Application Number:
  US12/503,775
• Publication Number:
  US 20100036405A1
• Time in Patent Office: 853 Days
• Field of Search: 310/317
• US Class Current: 310/317
• 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 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00146 with multiple frequencies
• CPC Class Codes: A61B 2017/00176 Two pulses, e.g. second pulse having an effect different from the first one
• 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 2018/00303 active, e.g. with a motor creating vibrations
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/6847 mounted on an invasive device
• CPC Class Codes: B06B 1/0284 with consecutive, i.e. sequential generation, e.g. with frequency sweep
• CPC Class Codes: B06B 2201/76 Medical, dental

Abstract

Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer in a surgical instrument. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period. The first drive signal is different from the second drive signal over the respective first and second periods. The first and second drive signals define a step function waveform over the first and second periods. The apparatus comprises a generator configured to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system is configured to resonate at a resonant frequency.

Claims

1. A method for driving an end effector coupled to an ultrasonic drive system of a surgical instrument, the method comprising:

generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, wherein the ultrasonic drive system comprises an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system is configured to resonate at a resonant frequency;

actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period;

generating a second ultrasonic drive signal by the generator; and

actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period;

wherein the first drive signal is different from the second drive signal over the respective first and second periods;

generating a third ultrasonic drive signal by the generator; and

actuating the ultrasonic transducer with the third ultrasonic drive signal for a third period;

wherein the third drive signal is different from the first and second drive signals over the first, second, and third periods; and

wherein the first, second, and third drive signals define a step function waveform over the first, second, and third periods.

2. The method of claim 1, wherein:

generating a first, second, and third ultrasonic drive signals comprises generating a corresponding first, second, and third drive current; and

actuating the ultrasonic transducer comprises;

actuating the ultrasonic transducer with the first drive current for the first period;

actuating the ultrasonic transducer with the second drive current for the second period; and

actuating the ultrasonic transducer with the third drive current for the third period.

3. The method of claim 1, comprising:

monitoring a measurable characteristic of the ultrasonic drive system; and

generating any one of the first, second, and third drive signals based on a measured characteristic.

4. The method of claim 3, wherein the measurable characteristic is impedance of the ultrasonic transducer.

5. The method of claim 3, wherein the measurable characteristic is impedance of a tissue portion contacting the end effector.

6. The method of claim 5, comprising:

generating a subtherapeutic radio frequency (RF) signal;

applying the RF signal to the tissue portion; and

measuring the impedance of the tissue portion.

7. A method for driving an end effector coupled to an ultrasonic drive system of a surgical instrument, the method comprising:

generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, wherein the ultrasonic drive system comprises an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system is configured to resonate at a resonant frequency;

actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period;

generating a second ultrasonic drive signal by the generator; and

actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period;

wherein the first drive signal is different from the second drive signal over the respective first and second periods;

wherein the first and second drive signals define a step function waveform over the first and second periods;

generating the first ultrasonic drive signal at a first frequency different from the resonant frequency;

actuating the ultrasonic transducer with the first ultrasonic device signal at the first frequency for the first period to provide a first level of mechanical vibration to the end effector suitable for separating a first tissue from a second tissue;

generating the second ultrasonic drive signal at the resonance frequency; and

actuating the ultrasonic transducer with the second ultrasonic drive signal at the resonant frequency for the second period subsequent to the first period to provide a second level of mechanical vibration to the end effector suitable for transecting and sealing the first tissue.

8. The method of claim 7, wherein the first frequency is substantially different from the resonant frequency, and wherein the first period is less than one second.

9. The method of claim 8, wherein the first frequency is defined by the following equation:

f₁=2*f₀;

wherein f₁ is the first frequency; and

wherein f₀ is the resonant frequency.

10. The method of claim 8, wherein the first frequency is defined by the following equation:

f₁=f₀/2;

wherein f₁ is the first frequency; and

wherein f₀ is the resonant frequency.

11. The method of claim 7, comprising automatically generating the second ultrasonic drive signal at the resonant frequency after the first period.