Ultrasonic device for cutting and coagulating with stepped output

• US 8,704,425 B2
• Filed: 08/13/2012
• Issued: 04/22/2014
• 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: Giordano, James R., Beetel, Robert J. III, Wiener, Eitan T., Messerly, Jeffrey D., DiNardo, Brian, Abbott, Daniel J.
• Primary Examiner(s): Dougherty, Thomas
• Application Number:
  US13/584,445
• Publication Number:
  US 20130035707A1
• Time in Patent Office: 617 Days
• Field of Search: 310/314, 31031601-319, 606/31, 606/169
• 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. 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, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal. The first drive signal is different from the second drive signal. The first and second drive signals define a step function waveform. 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 resonates at a resonant frequency.

Claims

1. A method of determining a change in tissue state in an ultrasonic surgical instrument, the method comprising:

sampling, by a processor, one or more drive signals of a generator for driving an ultrasonic transducer;

calculating, by the processor, a first weighted moving average of at least one of the sampled drive signals;

calculating, by the processor, a slope of the calculated first moving average of at least one of the sampled drive signals;

calculating, by the processor, a second weighted moving average for the slope of the sampled drive signal;

calculating, by the processor, a moving average for the slope;

comparing, by the processor, the second weighted moving average for the slope and the moving average for the slope; and

determining, by the processor, the occurrence of a change in tissue state based on the comparison.

2. The method of claim 1, comprising activating by the processor an output indicator when the change in tissue state occurs.

3. The method of claim 2, wherein activating the output indicator comprises activating any one of a visual, audible, and tactile feedback to notify a user of the ultrasonic surgical instrument of the occurrence of a change in tissue state.

4. The method of claim 2, comprising:

in response to the output indicator, disconnecting, by the processor, an output power of the generator.

5. The method of claim 2, comprising:

in response to the output indicator, reducing, by the processor, an output power of the generator.

6. The method of claim 2, comprising:

in response to the output indicator cycling, by the processor, an output power of the generator.

7. The method of claim 2, comprising:

in response to the output indicator, pulsing, by the processor, an output power of the generator and outputting a high-power momentary surge from the generator.

8. The method of claim 1, wherein calculating, by the processor, the first weighted moving average of at least one of the sampled drive signals comprises calculating, by the processor, an exponentially weighted moving average for the sampled drive signal in accordance with the following formula:

S_t=α

Y_t+(1−

α

)S<sub>t−

1</sub>

wherein,

S_t is a current moving average of the sampled drive signal;

S<sub>t−

1</sub> is a previous moving average of the sampled drive signal;

α

is a smoothing factor; and

Y_t is a current data point of the sampled drive signal.

9. The method of claim 8, wherein calculating, by the processor, the second weighted moving average for the slope of the sampled drive signal comprises calculating, by the processor, the second weighted moving average for the slope of the sampled drive signal in accordance with the following formula:

S′

_t=α

′

Y′

_t+(1−

α

′

)S′

<sub>t−

1</sub>

wherein,

S′

_t is a current moving average of a slope of the sampled drive signal;

S′

<sub>t−

1</sub> is a previous moving average of the slope of the sampled drive signal;

α

′

is a smoothing factor; and

Y′

_t is a current slope data point of the slope of the sampled drive signal.

10. The method of claim 1, wherein the sampled drive signal is a frequency signal and determining, by the processor, the occurrence of a change in tissue state based on the comparison comprises determining, by the processor, a frequency inflection point.

11. The method of claim 1, wherein the sampled drive signal is a voltage signal and determining, by the processor, the occurrence of a change in tissue state based on the comparison comprises determining, by the processor, a voltage drop point over at least two consecutive samples.

12. An ultrasonic surgical instrument configured to determine a change in tissue state, the ultrasonic surgical instrument comprising:

a processor operative to;

sample one or more drive signals output by a generator;

calculate a first weighted moving average of at least one of the sampled drive signals;

calculate a slope of the calculated first moving average of at least one of the sampled drive signals;

calculate a second weighted moving average for the slope of the sampled drive signal;

calculate a moving average for the slope;

compare the second weighted moving average for the slope and the moving average for the slope; and

determine the occurrence of a change in tissue state based on the comparison.

13. The ultrasonic surgical instrument of claim 12, wherein the processor is operative to activate an output indicator when the change in tissue state occurs.

14. The ultrasonic surgical instrument of claim 13, wherein the output indicator is any one of a visual, audible, and tactile feedback indicator operative to notify a user of the ultrasonic surgical instrument of the occurrence of a change in tissue state.

15. The ultrasonic surgical instrument of claim 13, wherein the processor is operative to disconnect an output power of the generator in response to the output indicator.

16. The ultrasonic surgical instrument of claim 13, wherein the processor is operative to reduce an output power of the generator in response to the output indicator.

17. The ultrasonic surgical instrument of claim 13, wherein the processor is operative to cycle an output power of the generator in response to the output indicator.

18. The ultrasonic surgical instrument of claim 13, wherein the processor is operative to pulse an output power of the generator and outputting a high-power momentary surge from the generator in response to the output indicator.

19. The ultrasonic surgical instrument of claim 12, wherein the processor is operative to calculate an exponentially weighted moving average for the sampled drive signal in accordance with the following formula:

S_t=α

Y_t+(1−

α

)S<sub>t−

1</sub>

wherein,

S_t is a current moving average of the sampled drive signal;

S<sub>t−

1</sub> is a previous moving average of the sampled drive signal;

α

is a smoothing factor; and

Y_t is a current data point of the sampled drive signal.

20. The ultrasonic surgical instrument of claim 19, wherein the processor is operative to calculate the second weighted moving average for the slope of the sampled drive signal in accordance with the following formula:

S′

_t=α

′

Y′

_t+(1−

α

′

)S′

<sub>t−

1</sub>

wherein,

S′

_t is a current moving average of a slope of the sampled drive signal;

S′

<sub>t−

1</sub> is a previous moving average of the slope of the sampled drive signal;

α

′

is a smoothing factor; and

Y′

_t is a current slope data point of the slope of the sampled drive signal.

21. The ultrasonic surgical instrument of claim 12, wherein the sampled drive signal is a frequency signal and the processor is operative to determine the occurrence of a change in tissue state based on the comparison and to determine a frequency inflection point.

22. The ultrasonic surgical instrument of claim 12, wherein the sampled drive signal is a voltage signal and the processor is operative to determine the occurrence of a change in tissue state based on the comparison and to determine a voltage drop point over at least two consecutive samples.