Surgical instruments

• US 8,512,365 B2
• Filed: 07/31/2007
• Issued: 08/20/2013
• 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: Wiener, Eitan T., Stulen, Foster B., Madan, Ashvani K., Kramer, Kenneth S.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Cronin, Ashley
• Application Number:
  US11/888,222
• Publication Number:
  US 20090036913A1
• Time in Patent Office: 2,212 Days
• Field of Search: 433/86, 433118-119, 604/22, 606/39, 606 45- 46, 606/159, 606167-171, 606174-180
• 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 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping
• 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: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

A surgical device. The surgical device may comprise a transducer, an end effector, a generator and a control circuit. The transducer may be configured to provide vibrations. The end effector may be coupled to the transducer and may extend from the transducer along the longitudinal axis. The generator may provide an electrical signal to the transducer. Also, the control circuit may modify a current amplitude of the electrical signal in response to a change in a vibration frequency of the end effector. Accordingly to various embodiments, the control circuit may detect a first contribution to a vibration frequency of the end effector, the first contribution originating from tissue in contact with the end effector. Also, according to various embodiments, the control circuit may indicate a change in a vibration frequency of the end effector.

Claims

1. A surgical device comprising:

a transducer to provide vibrations;

an end effector coupled to the transducer and extending from the transducer along the longitudinal axis; and

a control circuit configured to;

detect a change in a vibration frequency of the end effector;

correlate the detected change in the vibration frequency of the end effector to a change in tissue condition corresponding to the detected change in the vibration frequency of the end effector; and

generate a signal indicating the change in tissue condition corresponding to the detected change in the vibration frequency.

2. The surgical device of claim 1, wherein the detected change in the vibration frequency of the end effector comprises a reduction in a rate of reduction of the vibration frequency;

and, wherein, the control circuit is further configured to correlate the reduction in the rate of reduction of the vibration frequency to an onset of tissue coagulation.

3. The surgical device of claim 1, wherein the detected change in the vibration frequency of the end effector comprises an increase in a rate of reduction of the vibration frequency;

and, wherein, the control circuit is further configured to correlate the increase in the rate of reduction of the vibration frequency to an onset of tissue desiccation.

4. The surgical device of claim 1, wherein the control circuit is further configured to:

detect an increase in a rate of reduction of the vibration frequency;

detect the presence of a first contribution to the vibration frequency, the first contribution originating from tissue in contact with the end effector; and

upon detecting the increase in the rate of reduction of the vibration frequency and detecting the presence of the first contribution to the vibration frequency, generate a signal indicating the beginning of tissue desiccation.

5. A method for processing a surgical device for surgery, comprising:

obtaining the surgical device of claim 1; and

programming the control circuit to indicate a change in a vibration frequency of the end effector.

6. The surgical device of claim 1, wherein the control circuit is also configured to:

monitor a vibration frequency of the end effector of the surgical instrument;

identify a reduction in a rate of reduction of the vibration frequency; and

indicate an onset of coagulation in response to the reduction.

7. The surgical device of claim 6, wherein the control circuit is also configured to identify a first contribution to the vibration frequency, the first contribution originating from tissue in contact with the end effector;

and indicate an onset of desiccation in response to the first contribution.

8. The surgical device of claim 7, wherein the control circuit is also configured to indicate if the onset of coagulation occurs before the indicating the onset of desiccation.

9. The surgical device of claim 6, wherein the control circuit is also configured to identify an increase in a rate of reduction of the vibration frequency;

and indicate an onset of desiccation in response to the increase.

10. A method for processing a surgical device for surgery, comprising:

obtaining the surgical device of claim 6;

configuring the control circuit to monitor a vibration frequency of the end effector of the surgical instrument;

identify a reduction in a rate of reduction of the vibration frequency; and

indicate an onset of coagulation in response to the reduction.

11. The surgical device of claim 1, wherein the control circuit comprises at least one processor.

12. A surgical device comprising:

a transducer to provide vibrations;

an end effector coupled to the transducer and extending from the transducer along a longitudinal axis;

a clamping mechanism translatable toward the end effector; and

a control circuit configured to;

calculate a curve representing a coefficient of collagen denaturation over time considering;

a power delivered by the end effector to a portion of tissue;

a clamp force applied to the portion of tissue between the end effector and the clamping mechanism;

a displacement of the end effector; and

a vibration frequency of the end effector; and

correlate at least one property of the calculated curve to a corresponding property of tissue in contact with the end effector; and

generate a signal indicating the corresponding property of the tissue in contact with the end effector.

13. The surgical device of claim 12, wherein the coefficient of collagen denaturation is described by:

14. The surgical device of claim 13, wherein the control circuit is configured to:

identify a first region of the curve having a substantially constant slope;

calculate a region property describing the first region, wherein the region property is selected from the group consisting of a slope of the first region, a length of the first region, and a normalized value of the curve in the first region; and

derive a tissue property of the portion of tissue in contact with the end effector considering the region property, wherein the tissue property is selected from the group consisting of an outside diameter of the portion of tissue and a thickness of the portion of tissue.

15. The surgical device of claim 14, wherein the control circuit is configured to derive the tissue property of the portion of tissue by consulting a look-up table correlating the region property and the tissue property.

16. The surgical device of claim 12, wherein the at least one property of the calculated curve comprises a change in a slope of the curve from a substantially negative slope to a substantially neutral slope, and wherein the corresponding property of the tissue comprises a beginning of tissue coagulation.

17. The surgical device of claim 16, wherein the at least one property of the calculated curve comprises a change in the slope of the curve from a substantially neutral slope to a substantially positive slope, and wherein the corresponding property comprises a beginning of tissue desiccation.

18. A method for processing a surgical device for surgery, comprising:

obtaining the surgical device of claim 12; and

configuring the control circuit to calculate a curve representing a coefficient of collagen denaturation over time considering;

the power delivered by the end effector to a portion of tissue;

the clamp force applied to the portion of tissue between the end effector and the clamping mechanism;

the displacement of the end effector; and

the vibration frequency of the end effector.

19. A method, comprising:

obtaining the surgical device of claim 12; and

calculating a curve representing a coefficient of collagen denaturation over time considering;

the power delivered by the end effector to the portion of tissue;

the clamp force applied to the portion of tissue; and

the displacement of the end effector; and

the vibration frequency of the end effector.

20. The surgical device of claim 12, wherein the control circuit comprises at least one processor.

21. A surgical device comprising:

a transducer to provide vibrations;

an end effector coupled to the transducer and extending from the transducer along a longitudinal axis;

a clamping mechanism translatable toward the end effector; and

a control circuit configured to;

calculate a plurality of values over time for a coefficient of collagen denaturation considering;

a power delivered by the end effector to a portion of tissue;

a clamp force applied to the portion of tissue between the end effector and the clamping mechanism;

a displacement of the end effector; and

a vibration frequency of the end effector; and

correlate at least one property of the plurality of values over time to a corresponding property of tissue in contact with the end effector; and

generate a signal indicating the corresponding property of the tissue in contact with the end effector.