Medical device

• US 9,707,027 B2
• Filed: 05/20/2011
• Issued: 07/18/2017
• Est. Priority Date: 05/21/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Ruddenklau, David Ian, Green, Alan Edward, Roberts, Paul Christopher
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US13/810,865
• Publication Number:
  US 20130345689A1
• Time in Patent Office: 2,251 Days
• Field of Search: 606 34- 38
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2018/00595 Cauterization
• 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 2018/00732 Frequency
• 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 2018/1226 powered by a battery
• CPC Class Codes: A61B 2018/1452 including means for cutting A61B2018/146 takes precedence

Abstract

A medical device is described having a handle and an end effector coupled to the handle. The end effector has at least one electrode for providing electrical signals to a tissue or vessel to be treated. An RF drive circuit is provided for generating an RF drive signal that is applied to the end effector electrode. The RF drive circuit includes a resonant circuit and a frequency controller is used to vary the frequency of a signal passed through the resonant circuit in order to control the power supplied to the end effector electrode.

Claims

1. A medical device comprising:

a handle for gripping by a user, an end effector coupled to the handle and having at least one electrical contact;

a radio frequency (RF) generation circuit coupled to the handle and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, wherein the RF generation circuit comprises a resonant circuit; and

a control circuit comprising a sampling circuit, wherein the control circuit is configured to vary a frequency of the RF drive signal around a resonant frequency of the resonant circuit and configured to determine the frequency and a phase of the RF drive signal and generate a sampling frequency, and wherein the sampling circuit is configured to sample a sensed voltage signal or a sensed current signal at the sampling frequency, such that the sampling frequency is synchronized with the frequency and the phase of the RF drive signal.

2. The device according to claim 1, wherein the RF generation circuit comprises switching circuitry configured to generate a cyclically varying signal from a DC supply and wherein the resonant circuit is configured to receive the cyclically varying signal.

3. The device according to claim 2, wherein the cyclically varying signal is a square wave signal.

4. The device according to claim 1 comprising a battery compartment for holding one or more batteries for providing power to the RF generation circuit for generating the RF drive signal.

5. The device according to claim 4, wherein the battery compartment is configured to hold a module comprising the one or more batteries and the RF generation circuit.

6. The device according to claim 1, further comprising:

battery terminals for connecting to one or more batteries;

wherein the RF generation circuit is coupled to the battery terminals;

wherein the RF generation circuit further comprises;

switching circuitry for generating a cyclically varying signal from a potential difference across the battery terminals; and

the resonant circuit, being a resonant drive circuit coupled to the switching circuitry and operable to filter the cyclically varying signal generated by the switching circuitry; and

wherein the RF drive signal is controlled by an output from the resonant drive circuit.

7. The device according to claim 1, wherein the control circuit is operable to receive a measurement of the RF drive signal and is operable to vary the frequency of the RF drive signal to control a power, a voltage or a current delivered to the at least one electrical contact of the end effector.

8. The device according to claim 7, wherein the measurement is obtained from the sampling circuit.

9. The device according to claim 1, wherein the control circuit is further configured to generate the sampling frequency as an integer fraction of the frequency of the RF drive signal.

10. The device according to claim 1, wherein the resonant circuit has a resonant characteristic, the resonant characteristic varying with a load connected to the at least one electrical contact, and wherein the control circuit is configured to vary the frequency of the RF drive signal to track changes in the resonant characteristic of the resonant circuit.

11. A medical device comprising:

a handle for gripping by a user;

an end effector coupled to the handle and having at least one electrical contact;

a radio frequency (RF) generation circuit operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact;

a frequency dependent attenuator comprising a resonant circuit; and

a control circuit comprising a sampling circuit, wherein the control circuit is operable to vary a frequency of the RF drive signal around a resonant frequency of the resonant circuit to control at least one of a power, a voltage or a current provided to the at least one contact of the end effector and is configured to determine the frequency and a phase of the RF drive signal and generate a sampling frequency, and wherein the sampling circuit is configured to sample a sensed voltage signal or a sensed current signal at the sampling frequency, such that the sampling frequency is synchronized with the frequency and the phase of the RF drive signal.

12. The device according to claim 11, wherein the RF generation circuit comprises a signal generator operable to generate a cyclically varying signal at a frequency;

and the frequency dependent attenuator is configured to attenuate the cyclically varying signal in dependence upon the frequency of the cyclically varying signal.

13. The device according to claim 12, wherein the resonant frequency is at or near the frequency of the cyclically varying signal.

14. The device according to claim 11, further comprising:

an input for receiving a sensed signal that varies with the RF drive signal applied to the at least one electrical contact; and

a measurement circuit operable to make measurements of the RF drive signal using samples obtained from the sampling circuit;

wherein the control circuit is operable to control the RF generation circuit in dependence upon the measurements made by the measurement circuit, to vary the frequency of the RF drive signal.