Ultrasonic surgical instrument with modulator

• US 8,252,012 B2
• Filed: 07/31/2007
• Issued: 08/28/2012
• Est. Priority Date: 07/31/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Stulen, Foster B.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): CRONIN, ASHLEY L
• Application Number:
  US11/888,081
• Publication Number:
  US 20090036911A1
• Time in Patent Office: 1,855 Days
• Field of Search: 606/157, 606/159, 606/167, 606169-170, 606/180, 604/22, 433/86, 433/102, 433/103, 433/118, 433/119, 433141-144, 433/166
• US Class Current: 606/169
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 2017/00146 with multiple frequencies
• CPC Class Codes: A61B 2017/0015 applied simultaneously
• CPC Class Codes: A61B 2017/00172 Pulse trains, bursts, intermittent continuous operation
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/22014 the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire not applied in A61B17/22012
• CPC Class Codes: A61B 2017/22018 segmented along its length
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means

Abstract

A surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. An end effector is adapted to couple to the transducer and extends along the longitudinal axis. The end effector includes a body having a proximal end and a distal end. The distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. A drive module is coupled to the transducer to generate a modulated drive signal. The distal end of the end effector is movable in response to the vibrations produced by the transducer in response to the modulated drive signal.

Claims

1. A surgical instrument, comprising:

a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency in response to a modulated drive signal;

an end effector coupled to the transducer extending along the longitudinal axis, the end effector comprising a body having a proximal end and a distal end, the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer; and

a multiplier-type modulator comprising a first input to receive a current set point signal and a second input to receive a modulation waveform, the multiplier-type modulator configured to generate a modulated drive signal by forming the product of the current set point signal and the modulation waveform, wherein the distal end of the end effector is movable in response to the vibrations produced by the transducer in response to the modulated drive signal.

2. The surgical instrument of claim 1, comprising:

a current control loop coupled to the multiplier-type modulator to receive the modulated signal and to control the modulated drive signal coupled to the transducer.

3. The surgical instrument of claim 1, wherein the modulation waveform is a time varying signal comprising:

a modulation amplitude (A_m) component; and

a modulation frequency (f_m) component;

wherein the modulation waveform is defined by the following relationship;

S_m=1+A_m·

sin(2π

·

f_m·

t).

4. The surgical instrument of claim 3, wherein the modulation waveform comprises a time varying modulation amplitude (A_m) component.

5. The surgical instrument of claim 3, wherein the modulation waveform comprises a time varying modulation frequency (f_m) component.

6. The surgical instrument of claim 3, wherein the modulation waveform comprises a time varying modulation amplitude (A_m) component and a time varying modulation frequency (f_m) component.

7. The surgical instrument of claim 1, wherein in response to the modulated drive signal, the distal end of the end effector is adapted to impart a radiation pressure proportional to the modulated drive signal onto a fluid droplet particle in contact with the distal end of the end effector.

8. The surgical instrument of claim 1, further comprising:

a summer comprising a first input to receive the modulated drive signal and a second input to receive a signal proportional to the current delivered to the transducer, the summer configured to generate an error signal proportional to the difference between the modulated drive signal and the current delivered to the transducer.

9. A surgical instrument, comprising:

a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency in response to a phase modulated drive signal;

an end effector coupled to the transducer extending along the longitudinal axis, the end effector comprising a body having a proximal end and a distal end, the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer; and

a phase detector to determine a phase difference between a voltage measurement signal and a current measurement signal of the phase modulated drive signal and to output a relative phase signal proportional to the difference between the phase of the voltage measurement signal and the current measurement signal;

wherein the distal end of the end effector is movable in response to the vibrations produced by the transducer in response to the phase modulated drive signal; and

a summer comprising a first input to receive the relative phase signal and a second input to receive a phase modulation waveform to vary the phase of the modulated drive signal, the summer configured to generate an error signal proportional to the difference between the relative phase signal and the phase modulation waveform signal.

10. The surgical instrument of claim 9, comprising:

a voltage measurement module coupled between the transducer and the phase detector to measure a voltage across the transducer and provide a voltage measurement signal having a voltage phase (φ

_v) component to the phase detector.

11. The surgical instrument of claim 9, comprising:

a current measurement module coupled between the transducer and the phase detector to measure a current through the transducer and provide a current measurement signal having a current phase (φ

_i) component to the phase detector.

12. The surgical instrument of claim 9, wherein the phase modulation waveform comprises:

a phase modulation (φ

_m) component; and

a modulation frequency (f_mφ

) component;

wherein the phase modulation waveform is defined by the following relationship;

S_mφ

=SetPoint+φ

_m·

sin(2π

·

f_mφ

·

t).

19. The ultrasonic generator of claim 10, wherein in response to the modulated drive signal, the distal end of the end effector is adapted to impart a radiation pressure proportional to the modulated drive signal onto a fluid droplet particle in contact with the distal end of the end effector.

13. An ultrasonic signal generator, comprising:

a multiplier-type modulator comprising a first input to receive a current set point signal and a second input to receive a modulation waveform, the multiplier-type modulator configured to generate a modulated drive signal by forming the product of the current set point signal and the modulation waveform, wherein a distal end of an end effector coupled to the multiplier-type modulator is movable in response to the modulated drive signal.

14. The ultrasonic signal generator of claim 13, comprising:

a current control loop coupled to the multiplier-type modulator to receive the modulated signal and to control the modulated drive signal coupled to the transducer.

15. The ultrasonic signal generator of claim 13, wherein the modulation waveform is a time varying signal comprising:

a modulation amplitude (A_m) component and

a modulation frequency (f_m) component;

wherein the modulation waveform is defined by the following relationship;

S_m=1+A_m·

sin(2π

·

f_m·

t).

16. The ultrasonic generator of claim 15, wherein the modulation waveform comprises a time varying modulation amplitude (A_m) component.

17. The ultrasonic generator of claim 15, wherein the modulation waveform comprises a time varying modulation frequency (f_m) component.

18. The ultrasonic generator of claim 15, wherein the modulation waveform comprises a time varying modulation amplitude (A_m) component and a time varying modulation frequency (f_m) component.

20. An ultrasonic signal generator, comprising:

a phase detector to determine a phase difference between a voltage measurement signal and a current measurement signal of a phase modulated drive signal and to output a relative phase signal proportional to the difference between the phase of the voltage measurement signal and the current measurement signal, wherein a distal end of an end effector coupled to the phase detector is movable in response to the phase modulated drive signal; and

a summer comprising a first input to receive the relative phase signal and a second input to receive a phase modulation waveform to vary the phase of the modulated drive signal, the summer configured to generate an error signal proportional to the difference between the relative phase signal and the phase modulation waveform signal.

21. The ultrasonic signal generator of claim 20, comprising:

a voltage measurement module coupled between a transducer and the phase detector to measure a voltage across the transducer and provide a voltage measurement signal having a voltage phase (φ

_v) component to the phase detector.

22. The ultrasonic signal generator of claim 20, comprising:

a current measurement module coupled between a transducer and the phase detector to measure a current through the transducer and provide a current measurement signal having a current phase (φ

_i) component to the phase detector.

23. The ultrasonic signal generator of claim 20, wherein the phase modulation waveform comprises:

a phase modulation (φ

_m) component; and

a modulation frequency (f_mφ

) component;

wherein the phase modulation waveform is defined by the following relationship;

S_mφ

=SetPoint+φ

_m·

sin(2π

·

f_mφ

·

t).