Software algorithms for electrosurgical instruments

• US 9,913,680 B2
• Filed: 04/15/2014
• Issued: 03/13/2018
• Est. Priority Date: 04/15/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Voegele, Aaron C., Houser, Kevin L., Kemerling, Robert A., Trees, Gregory A.
• Primary Examiner(s): Hupczey, Jr., Ronald
• Application Number:
  US14/252,824
• Publication Number:
  US 20150289925A1
• Time in Patent Office: 1,428 Days
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• 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 2018/00196 reciprocating lengthwise
• 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 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations

Abstract

A surgical system includes a module for compiling a plurality of operational parameters of the surgical system during a plurality of treatment cycles performed by the surgical system. The module includes a processor and a memory unit, the processor configured to store in the memory unit values of the plurality of operational parameters associated with each of the plurality of treatment cycles, wherein the processor is configured to identify a subset of the stored values of the plurality of operational parameters temporally proximate to an intervening event.

Claims

1. A system for use with a surgical instrument, the system comprising:

an end effector comprising a first and second electrode;

a memory circuit to store computer-executable instructions for performing a biological material accumulation monitoring process; and

a processor coupled to the memory circuit, the processor configured to execute the computer-executable instructions, wherein executing the computer-executable instructions causes the processor to;

initiate a first treatment cycle;

measure a first plurality of impedance values during the first treatment cycle;

determine a first minimum impedance value for the first treatment cycle based on the measured first plurality of impedance values;

compare the first minimum impedance value to a predetermined impedance threshold; and

generate an alert in the event that the first minimum impedance value exceeds the predetermined impedance threshold.

2. The system of claim 1, wherein executing the computer-executable instructions further causes the processor to:

initiate a second treatment cycle;

measure a second plurality of impedance values during the second treatment cycle;

determine a second minimum impedance value for the second treatment cycle based on the measured second plurality of impedance values;

compare the second minimum impedance value to the predetermined impedance threshold; and

generate an alert in the event that the second minimum impedance value exceeds the predetermined impedance threshold.

3. The system of claim 2, wherein executing the computer-executable instructions further causes the processor to:

compare the first minimum impedance value and the second minimum impedance value; and

generate an alert in the event that a difference between the first and second minimum impedance values exceeds a second predetermined threshold.

4. The system of claim 2, wherein executing the computer-executable instructions further causes the processor to:

determine an average of the first minimum impedance value and the second minimum impedance value; and

generate an alert in the event that the average exceeds a second predetermined threshold.

5. The system of claim 2, wherein executing the computer-executable instructions further causes the processor to:

apply a non-therapeutic radio frequency signal to at least one of the first or second electrodes for measuring an impedance value.

6. The system of claim 2, wherein executing the computer-executable instructions further causes the processor to:

apply a therapeutic radio frequency drive signal to at least one of the first or second electrodes for initiating a treatment cycle.

7. The system of claim 2, further comprising:

a connector configured to access the memory circuit, wherein the connector is a micro-USB (universal serial bus) connector.

8. A surgical instrument comprising:

an end effector comprising a first and second electrode;

a memory circuit to store computer-executable instructions for performing a biological material accumulation monitoring process;

a connector configured to access the memory circuit; and

a processor coupled to the memory circuit, the processor configured to execute the computer-executable instructions, wherein executing the computer-executable instructions causes the processor to;

initiate a first treatment cycle;

measure a first plurality of impedance values during the first treatment cycle;

determine a first minimum impedance value for the first treatment cycle based on the measured first plurality of impedance values;

compare the first minimum impedance value to a predetermined impedance threshold; and

generate an alert in the event that the first minimum impedance value exceeds the predetermined impedance threshold.

9. The surgical instrument of claim 8, wherein executing the computer-executable instructions further causes the processor to:

initiate a second treatment cycle;

measure a second plurality of impedance values during the second treatment cycle;

determine a second minimum impedance value for the second treatment cycle based on the measured second plurality of impedance values;

compare the second minimum impedance value to the predetermined impedance threshold; and

generate an alert in the event that the second minimum impedance value exceeds the predetermined impedance threshold.

10. The surgical instrument of claim 9, wherein executing the computer-executable instructions further causes the processor to:

compare the first minimum impedance value and the second minimum impedance value; and

generate an alert in the event that a difference between the first and second minimum impedance values exceeds a second predetermined threshold.

11. The surgical instrument of claim 9, wherein the connector is a micro-USB (universal serial bus) connector.

12. The surgical instrument of claim 9, further comprising:

an ultrasonic transducer, wherein the end effector comprises an ultrasonic blade acoustically coupled to the ultrasonic transducer.

13. The surgical instrument of claim 9, wherein the first and second electrodes are configured to receive a therapeutic radio frequency drive signal.

14. A method of monitoring biological material accumulation onto an end effector of a surgical instrument, the surgical instrument comprising an end effector comprising a first and second electrode, a memory circuit, and a processor coupled to the memory circuit, the method comprising:

initiating, by the processor, a first treatment cycle;

measuring, by the processor, a first plurality of impedance values during the first treatment cycle;

determining, by the processor, a first minimum impedance value for the first treatment cycle based on the measured first plurality of impedance values;

comparing, by the processor, the first minimum impedance value to a predetermined impedance threshold; and

generating, by the processor, an alert in the event that the first minimum impedance value exceeds the predetermined impedance threshold.

15. The method of claim 14, further comprising:

initiating, by the processor, a second treatment cycle;

measuring, by the processor, a second plurality of impedance values during the second treatment cycle;

determining, by the processor, a second minimum impedance value for the second treatment cycle based on the measured second plurality of impedance values;

comparing, by the processor, the second minimum impedance value to the predetermined impedance threshold; and

generating, by the processor, an alert in the event that the second minimum impedance value exceeds the predetermined impedance threshold.

16. The method of claim 15, further comprising:

comparing, by the processor, the first minimum impedance value and the second minimum impedance value;

generating, by the processor, an alert in the event that a difference between the first and second minimum impedance values exceeds a second predetermined threshold.

17. The method of claim 15, further comprising:

determining, by the processor, an average of the first minimum impedance value and the second minimum impedance value;

generating, by the processor, an alert in the event that the average exceeds a second predetermined threshold.

18. The method of claim 15, wherein measuring an impedance value comprises applying a non-therapeutic radio frequency signal to at least one of the first or second electrodes.

19. The method of claim 15, wherein initiating a treatment cycle comprises applying a therapeutic radio frequency signal to at least one of the first or second electrodes.

20. The method of claim 15, wherein determining a minimum impedance value comprises applying a combination of a non-therapeutic radio frequency signal and a therapeutic radio frequency signal to at least one of the first or second electrodes.