Devices and techniques for cutting and coagulating tissue

• US 9,700,343 B2
• Filed: 11/02/2015
• Issued: 07/11/2017
• Est. Priority Date: 04/09/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Bertke, Brian D., Tellio, Karalyn R., Wiener, Eitan T., Yates, David C., Aldridge, Jeffrey L., Giordano, James R., Messerly, Jeffrey D., Stulen, Foster B.
• Primary Examiner(s): CAREY, MICHAEL JAMES
• Application Number:
  US14/929,971
• Publication Number:
  US 20160120563A1
• Time in Patent Office: 617 Days
• Field of Search: 606 27, 606 39, 606 40
• 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 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/0003 of parts of the instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00132 Setting operation time of a device A61B2017/00123 takes precedence
• CPC Class Codes: A61B 2017/00176 Two pulses, e.g. second pulse having an effect different from the first one
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• 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

Abstract

Various forms are directed to systems and methods for driving an end effector coupled to an ultrasonic drive system of a surgical instrument. A generator may generate at least one electrical signal. The at least one electrical signal may be monitored against a first set of logic conditions. When an ultrasonic impedance of the surgical instrument exceeds a threshold impedance, a resonant frequency of the at least one electrical signal may be stored as a baseline frequency. A first response of the generator may be triggered upon the occurrence of either the first set of logic conditions being met or the resonant frequency of the at least one electrical signal differing from the baseline frequency by a baseline deviation threshold.

Claims

1. A method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument, the method comprising:

providing, by a generator configured to drive the surgical instrument, a first electrical signal to an ultrasonic transducer acoustically coupled to the end effector;

detecting, by the generator, that an impedance of the ultrasonic transducer exceeds a threshold impedance;

storing, by the generator, a first local resonant frequency of the first electrical signal as a baseline resonant frequency;

monitoring, by the generator, the first electrical signal against a first set of logic conditions comprising a first logic condition and a second logic condition, wherein the first logic condition is defined by a difference between a second local resonant frequency of the first electrical signal and the baseline resonant frequency that is greater than a baseline deviation threshold;

determining, by the generator, that the first logic condition is met; and

triggering, by the generator, a first response.

2. The method of claim 1, wherein, with a clamp arm of the end effector in a closed position, the impedance exceeds the threshold impedance.

3. The method of claim 1, wherein triggering the first response comprises triggering at least one response selected from the group consisting of an audible response, a visual response and a pulsing response.

4. The method of claim 1, wherein triggering the first response comprises pulsing the first electrical signal, and wherein the pulsing comprises:

driving, by the generator, the first electrical signal to a first pulse amplitude for a first pulse time; and

driving, by the generator, the first electrical signal to a second pulse amplitude for a second pulse time.

5. The method of claim 4, wherein the first pulse amplitude is equal to the second pulse amplitude and the first pulse time is about one minute.

6. The method of claim 1, further comprising:

monitoring, by the generator, the first electrical signal against a second set of logic conditions;

determining, by the generator, that the second set of logic conditions are met; and

triggering, by the generator, a second response.

7. The method of claim 6, further comprising:

determining, by the generator, the triggering of the first response or the second response on a hierarchical basis.

8. The method of claim 1, wherein the first set of logic conditions further comprises at least one logic condition selected from the group consisting of:

the second logic condition defined by the second local resonant frequency that is less than a frequency threshold; and

a third logic condition that is defined by a local resonant frequency slope that is less than a frequency slope threshold.

9. The method of claim 1, further comprising:

before storing the first local resonant frequency of the first electrical signal as the baseline resonant frequency, determining, by the generator, that the impedance has exceeded the threshold impedance for a time above impedance period.

10. The method of claim 1, further comprising:

determining, by the generator, that the impedance is less than a reset threshold impedance; and

ceasing the first response.

11. A surgical system, comprising:

a surgical instrument, comprising;

an end effector; and

an ultrasonic transducer coupled to the end effector; and

at least one circuit configured to;

store a first resonant frequency of a drive signal provided to the ultrasonic transducer as a baseline resonant frequency after an impedance of the ultrasonic transducer exceeds a threshold impedance;

monitor the drive signal against a first set of logic conditions comprising a first logic condition and a second logic condition, wherein the first logic condition is defined by a difference between a second resonant frequency of the drive signal and the baseline resonant frequency that is greater than a baseline deviation threshold;

determine that the first logic condition is met; and

trigger a first response.

12. A method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument, the method comprising:

providing, by a generator configured to drive the surgical instrument, an electrical signal to an ultrasonic transducer coupled to the end effector;

detecting, by the generator, that an impedance of the ultrasonic transducer exceeds a threshold impedance;

capturing, by the generator, a first resonant frequency of the electrical signal as a baseline resonant frequency;

detecting, by the generator, a load event at the end effector; and

monitoring, by the generator, the electrical signal against a first set of logic conditions comprising a first logic condition and a second logic condition, wherein the first logic condition is defined by a difference between a second resonant frequency of the electrical signal and the baseline resonant frequency that is greater than a baseline deviation threshold;

determining, by the generator, that the first logic condition is met; and

triggering, by the generator, a first response.

13. The method of claim 12, wherein detecting the load event comprises:

comparing a present resonant frequency slope of the electrical signal with a past resonant frequency slope of the electrical signal offset from the present resonant frequency slope by a window offset time.

14. The method of claim 13, wherein the window offset time is about 100 milliseconds.

15. The method of claim 12, wherein detecting the load event comprises:

determining, by the generator, that a present resonant frequency slope of the electrical signal differs from a past resonant frequency slope of the electrical signal by more than a frequency slope threshold.

16. The method of claim 12, further comprising:

determining, by the generator, that the impedance has exceeded the threshold impedance for a threshold time above impedance; and

wherein detecting the load event comprises;

determining, by the generator, that a present resonant frequency slope of the electrical signal differs from a past resonant frequency slope of the electrical signal by more than a frequency slope threshold.

17. The method of claim 12, further comprising:

determining, by the generator, that the impedance is below an impedance reset threshold; and

ceasing the monitoring of the electrical signal against the first set of logic conditions.

18. The method of claim 12, wherein triggering the first response comprises pulsing the electrical signal, and wherein the pulsing comprises:

driving, by the generator, the electrical signal to a first pulse amplitude for a first pulse time; and

driving, by the generator, the electrical signal to a second pulse amplitude for a second pulse time.

19. The method of claim 18, wherein the first pulse amplitude is equal to the second pulse amplitude, and wherein the first pulse time is about one minute.

20. The method of claim 12, further comprising:

monitoring, by the generator, the electrical signal against a second set of logic conditions;

determining, by the generator, that the second set of logic conditions are met; and

triggering, by the generator, a second response.

21. The method of claim 12, wherein the first set of logic conditions further comprises at least one logic condition selected from the group consisting of:

the second logic condition defined by the second resonant frequency that is less than a frequency threshold; and

a third logic condition defined by a local resonant frequency slope that is less than a frequency slope threshold.