Surgical generator for ultrasonic and electrosurgical devices

• US 9,060,776 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: Yates, David C., Killinger, Scott B., Davison, Mark A., Monson, Gavin M.
• Primary Examiner(s): Stoklosa, Joseph
• Assistant Examiner(s): Ram, Jocelyn D
• Application Number:
  US12/896,470
• Publication Number:
  US 20110087217A1
• Time in Patent Office: 1,726 Days
• Field of Search: 606/34, 606/39, 606/42
• 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 : Drive or control circuitry or methods for piezoelectric or electrostrictive devices not otherwise provided for

Abstract

In accordance with various embodiments, methods for controlling electrical power provided to tissue via a surgical device may comprise providing a drive signal. A power of the drive signal may be proportional to a power provided to the tissue via the surgical device. The methods may also comprise periodically receiving indications of an impedance of the tissue and applying a first composite power curve to the tissue, wherein applying the first composite power curve to the tissue comprises. Applying the first composite power curve to the tissue may comprise modulating a first predetermined number of first composite power curve pulses on the drive signal; and for each of the first composite power curve pulses, determining a pulse power and a pulse width according to a first function of the impedance of the tissue The methods may also comprise applying a second composite power curve to the tissue. Applying the second composite power curve to the tissue may comprise modulating at least one second composite power curve pulse on the drive signal; and for each of the at least one second composite power curve pulses, determining a pulse power and a pulse width according to a second function of the impedance of the tissue.

Claims

1. A method for controlling power provided to tissue via a surgical device, the method comprising:

providing a pulsed drive signal, wherein a power of the drive signal is proportional to a power provided to the tissue via the surgical device;

periodically receiving indications of an impedance of the tissue;

applying a first composite load curve to the tissue, wherein applying the first composite load curve to the tissue comprises;

modulating a first predetermined number of first composite load curve pulses on the drive signal; and

for each of the first composite load curve pulses, determining a pulse power and a pulse width of the first composite load curve pulses modulated on the drive signal according to a first function of the impedance of the tissue, wherein the modulating comprises modulating the first predetermined number of first composite load curve pulses according to the determined pulse powers and pulse widths; and

applying a second composite load curve to the tissue, wherein applying the second composite load curve to the tissue comprises;

modulating at least one second composite load curve pulse on the drive signal; and

for each of the at least one second composite load curve pulses, determining a pulse power and a pulse width according to a second function of the impedance of the tissue.

2. The method of claim 1, further comprising:

conditioned upon the impedance of the tissue rising above a predetermined impedance threshold, interrupting the applying of the second composite load curve.

3. The method of claim 2, further comprising:

conditioned upon the impedance of the tissue rising above the predetermined impedance threshold, modulating at least one cut-region power curve pulse on the drive signal; and

determining a pulse power for the at least one cut-region pulse according to the second function of the impedance of the tissue.

4. The method of claim 3, wherein a pulse width for the at least one cut region pulse is constant.

5. The method of claim 3, further comprising:

receiving an indication that a cut is complete; and

upon receiving the indication that the cut is complete, modulating a predetermined number of completion pulses on the drive signal.

6. The method of claim 5, further comprising determining a power of the predetermined number of completion pulses according to the second function of the impedance of the tissue.

7. The method of claim 1, further comprising terminating the drive signal when a total time of the drive signal exceeds a timeout time.

8. The method of claim 1, wherein determining a pulse power and a pulse width of a first composite load curve pulse comprises accessing a look-up table comprising indications of potential values for the impedance of the tissue and corresponding values for pulse power and pulse width.

9. The method of claim 1, wherein modulating the at least

one second composite load curve pulse on the drive signal comprises modulating a second predetermined number of second composite load curve pulses on the drive signal, and wherein the method further comprises:

applying a third composite load curve to the tissue, wherein applying the third composite load curve to the tissue comprises modulating at least one third composite load curve pulse on the drive signal, wherein each of the at least one third composite load curve pulses comprises a pulse power and a pulse width selected according to a third function of the impedance of the tissue.

10. The method of claim 1, wherein providing the drive signal comprises providing the drive signal to a harmonic transducer in mechanical communication with a harmonic end effector.

11. The method of claim 1, wherein providing the drive signal comprises providing the drive signal to first and second electrodes in electrical communication with the tissue.

12. A surgical generator for providing a drive signal to a surgical device, the generator comprising at least one processor and operatively associated memory, wherein the memory comprises instructions that, when executed by the at least one processor, cause the generator to:

generate a pulsed drive signal, wherein a power of the drive signal is proportional to a power provided to tissue via the surgical device;

periodically receive indications of an impedance of the tissue;

apply a first composite load curve to the tissue, wherein applying the first composite load curve to the tissue comprises;

modulating a first predetermined number of first composite load curve pulses on the drive signal; and

for each of the first composite load curve pulses, determine a pulse power and a pulse width of the first composite load curve pulses modulated on the drive signal according to a first function of the impedance of the tissue, wherein the modulating comprises modulating the first predetermined number of first composite load curve pulses according to the determined pulse powers and pulse widths; and

apply a second composite load curve to the tissue, wherein applying the second composite load curve to the tissue comprises;

modulating at least one second composite load curve pulse on the drive signal; and

for each of the at least one second composite load curve pulses, determining a pulse power and a pulse width according to a second function of the impedance of the tissue.

13. The surgical generator of claim 12, wherein the memory

comprises instructions that, when executed by the at least one processor, cause the generator to:

conditioned upon the impedance of the tissue rising above a predetermined impedance threshold, interrupt the applying of the second composite load curve.

14. The surgical generator of claim 13, wherein the memory comprises instructions that, when executed by the at least one processor, cause the generator to:

conditioned upon the impedance of the tissue rising above the predetermined impedance threshold, modulate at least one cut-region power curve pulse on the drive signal; and

determine a pulse power for the at least one cut-region pulse according to the second function of the impedance of the tissue.

15. The surgical generator of claim 14, wherein a pulse width for the at least one cut region pulse is constant.

16. The surgical generator of claim 14, wherein the memory comprises instructions that, when executed by the at least one processor, cause the generator to:

receive an indication that a cut is complete; and

upon receiving the indication that the cut is complete, modulate a predetermined number of completion pulses on the drive signal.

17. The surgical generator of claim 16, wherein the memory comprises instructions that, when executed by the at least one processor, cause the generator to determine a power of the predetermined number of completion pulses according to the second function of the impedance of the tissue.

18. The surgical generator of claim 12, wherein the memory comprises instructions that, when executed by the at least one processor, cause the generator to terminate the drive signal when a total time of the drive signal exceeds a timeout time.

19. The surgical generator of claim 12, wherein determining a pulse power and a pulse width of a first composite load curve pulse comprises accessing a look-up table comprising indications of potential values for the impedance of the tissue and corresponding values for pulse power and pulse width.

20. The surgical generator of claim 12, wherein modulating the at least one second composite load curve pulse on the drive signal comprises modulating a second predetermined number of second composite load curve pulses on the drive signal, and wherein the memory comprises instructions that, when executed by the at least one processor, cause the generator to:

apply a third composite load curve to the tissue, wherein applying the third composite load curve to the tissue comprises modulating at least one third composite load curve pulse on the drive signal, wherein each of the at least one third composite load curve pulses comprises a pulse power and a pulse width selected according to a third function of the impedance of the tissue.

21. The surgical generator of claim 12, wherein providing the drive signal comprises providing the drive signal to a harmonic transducer in mechanical communication with a harmonic end effector.

22. The surgical generator of claim 12, wherein providing the drive signal comprises providing the drive signal to first and second electrodes in electrical communication with the tissue.