Surgical generator for ultrasonic and electrosurgical devices

• US 9,060,775 B2
• Filed: 10/01/2010
• Issued: 06/23/2015
• Est. Priority Date: 10/09/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Wiener, Eitan T., Aldridge, Jeffrey L., Giordano, James R., Stulen, Foster B., Brotz, Joseph A., Hein, John E.
• Primary Examiner(s): Stoklosa, Joseph
• Assistant Examiner(s): Ram, Jocelyn D
• Application Number:
  US12/896,360
• Publication Number:
  US 20110087256A1
• Time in Patent Office: 1,726 Days
• Field of Search: 606/34, 606/41
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2017/00486 Adaptors for coupling parts with incompatible geometries
• CPC Class Codes: A61B 2017/2934 arcuate shaped guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• 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 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00684 using lookup tables
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/0072 : Current
• CPC Class Codes: A61B 2018/00732 : Frequency
• CPC Class Codes: A61B 2018/00767 : Voltage
• CPC Class Codes: A61B 2018/00779 : Power or energy
• CPC Class Codes: A61B 2018/00803 : with temperature prediction
• CPC Class Codes: A61B 2018/00827 : Current
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00892 : Voltage
• CPC Class Codes: A61B 2018/00988 : Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/00994 : combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
• CPC Class Codes: H01R 2201/12 : for medicine and surgery
• CPC Class Codes: H10N 30/802 : Circuitry or processes for operating piezoelectric or electrostrictive devices not otherwise provided for, e.g. drive circuits

Abstract

A method for determining motional branch current in an ultrasonic transducer of an ultrasonic surgical device over multiple frequencies of a transducer drive signal. The method may comprise, at each of a plurality of frequencies of the transducer drive signal, oversampling a current and voltage of the transducer drive signal, receiving, by a processor, the current and voltage samples, and determining, by the processor, the motional branch current based on the current and voltage samples, a static capacitance of the ultrasonic transducer and the frequency of the transducer drive signal.

Claims

1. A generator to communicate a drive signal to a surgical device, the generator comprising:

a power amplifier to receive a time-varying drive signal waveform, the drive signal waveform generated by a digital-to-analog conversion of at least a portion of a plurality of drive signal waveform samples, an output of the power amplifier for generating a drive signal, the drive signal comprising one of;

a first drive signal to be communicated to an ultrasonic surgical device, a second drive signal to be communicated to an electrosurgical device;

a sampling circuit to generate samples of current and voltage of the drive signal when the drive signal is communicated to the surgical device, generation of the samples synchronized with the digital-to-analog conversion of the drive signal waveform samples such that, for each digital-to-analog conversion of a drive signal waveform sample, the sampling circuit generates a corresponding set of current and voltage samples; and

at least one programmable device programmed to, for each drive signal waveform sample and corresponding set of current and voltage samples;

store the current and voltage samples in a memory of the at least one programmable device to associate the stored samples with the drive signal waveform sample;

when the drive signal comprises the first drive signal;

determine a motional branch current sample of the ultrasonic surgical device based on the stored current and voltage samples;

compare the motional branch current sample to a target sample selected from a plurality of target samples that define a target waveform, the target sample selected based on the drive signal waveform sample;

determine an amplitude error between the target sample and the motional branch current sample; and

modify the drive signal waveform sample such that an amplitude error determined between the target sample and the motional branch current sample based on current and voltage samples associated with the modified drive signal waveform sample is reduced.

2. The generator of claim 1, comprising a power transformer to generate the drive signal based on the power amplifier output, the first drive signal to be communicated to the ultrasonic surgical device via first power transformer outputs, the second drive signal to be communicated to the electrosurgical device via second power transformer outputs.

3. The generator of claim 2, wherein the second power transformer outputs comprise a first blocking capacitor in series with a second blocking capacitor, and wherein the at least one programmable device is programmed to monitor a voltage between the first and second capacitors to determine when one of the first and second capacitors has failed.

4. The generator of claim 1, wherein the plurality of drive signal waveform samples are stored in a look-up table (LUT), and wherein the at least one programmable device is programmed to selectively recall from the LUT the at least a portion of the plurality of drive signal waveform samples used to generate the drive signal waveform.

5. The generator of claim 4, wherein the at least one programmable device is programmed to implement a direct digital synthesis (DDS) algorithm to selectively recall the at least a portion of the plurality of drive signal waveform samples used to generate the drive signal waveform.

6. The generator of claim 4, wherein the at least one programmable device is programmed to:

when the drive signal comprises the first drive signal;

determine an impedance phase of the ultrasonic surgical device based on a plurality of motional branch current samples and a plurality of voltage samples corresponding to the plurality of motional branch current samples; and

control a frequency of the drive signal waveform to regulate the impedance phase to a 0-degree impedance phase setpoint.

7. The generator of claim 4, wherein the at least one programmable device is programmed to:

control an amplitude of the drive signal current in accordance with at least one of a drive signal current setpoint, a drive signal voltage setpoint and a drive signal power setpoint, wherein the amplitude of the drive signal current is controlled by at least one of;

controlling a scale of the drive signal waveform samples stored in the LUT; and

controlling a full-scale output voltage of a digital-to-analog converter (DAC) used to perform the digital-to-analog conversion of the at least a portion of the plurality of drive signal waveform samples.

8. The generator of claim 1, wherein the at least one programmable device is programmed to:

control a rail voltage of the power amplifier based on a signal envelope of the time-varying drive signal waveform received by the power amplifier.

9. The generator of claim 1, wherein the at least one programmable device is programmed to:

determine at least one of;

root-mean-square (RMS) current of the drive signal, RMS voltage of the drive signal, real power of the drive signal, apparent power of the drive signal, and impedance magnitude of a load driven by the drive signal.

10. The generator of claim 1, wherein the at least one device is programmed to:

apply a filter to the current and voltage samples to reduce harmonic distortion content of the samples.

11. The generator of claim 1, wherein the sampling circuit comprises a first analog-to-digital converter (ADC) and a second ADC to generate samples of current and voltage of the drive signal, respectively.

12. The generator of claim 1, wherein the sampling circuit comprises a first analog-to-digital converter (ADC) and a two-way multiplexer coupled to an input of the first ADC.

13. The generator of claim 1, wherein the sampling circuit is configured to oversample at 200×

.

14. The generator of claim 1, wherein the at least one programmable device comprises a logic circuit in communication with a first processor, wherein the first processor comprises a digital signal processor.

15. The generator of claim 14, wherein the logic circuit comprises a field-programmable gate array (FPGA).

16. The generator of claim 14, wherein the at least one programmable device comprises a second processor in communication with the logic circuit and the first processor, the second processor programmed to receive user input via at least one input device and to provide user feedback via at least one output device.

17. The generator of claim 1, wherein the generator comprises an instrument interface circuit to enable communication between the generator and a control circuit of the surgical device over a conductive pair.

18. The generator of claim 17, wherein the instrument interface is to enable communication between the generator and the control circuit of the surgical device using multiple communication channels.

19. The generator of claim 18, wherein the instrument interface is to enable communication between the generator and the control circuit of the surgical device using frequency-band separated communication channels.

20. The generator of claim 19, wherein the instrument interface circuit is to communicate with a first portion of the control circuit using an interrogation signal transmitted in a first frequency band, and wherein the instrument interface circuit is configured to communicate with a second portion of the control circuit via a communication protocol transmitted in a second frequency band.

21. The generator of claim 20, wherein the communication protocol is a single-wire communication protocol.