Techniques for circuit topologies for combined generator

• US 10,610,286 B2
• Filed: 09/14/2016
• Issued: 04/07/2020
• Est. Priority Date: 09/30/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Wiener, Eitan T., Yates, David C., Asher, Ryan M., Hibner, John A., Hein, John E.
• Primary Examiner(s): Hupczey, Jr., Ronald
• Application Number:
  US15/265,293
• Publication Number:
  US 20170086910A1
• Time in Patent Office: 1,301 Days
• CPC Class Codes: A61B 18/1206 Generators 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 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00137 Details of operation mode
• CPC Class Codes: A61B 2017/0015 applied simultaneously
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• 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: A61B 2018/1273 including multiple generators in one device
• CPC Class Codes: A61B 2018/128 generating two or more frequencies
• CPC Class Codes: A61B 2018/1293 having means to prevent interference
• CPC Class Codes: B06B 1/0207 Driving circuits specially adapted for particular applications, see the relevant subclass, e.g. G01; circuits for steering transducer arrays G10K11/34; basic circuits H03
• CPC Class Codes: G06F 1/022 Waveform generators, i.e. devices for generating periodical functions of time, e.g. direct digital synthesizers G06F1/025, G06F1/03 take precedence
• CPC Class Codes: H03K 5/01 Shaping pulses discrimination against noise or interference H03K5/125

Abstract

Provided is a method for managing radio frequency (RF) and ultrasonic signals output by a generator that includes a surgical instrument comprising an RF energy output and an ultrasonic energy output and a circuit configured to receive a combined RF and ultrasonic signal from the generator. The method includes receiving a combined radio frequency (RF) and ultrasonic signal from a generator; generating a RF filtered signal by filtering RF frequency content from the combined signal; filtering ultrasonic frequency content from the combined signal; generating an ultrasonic filtered signal; providing the RF filtered signal to the RF energy output; and providing the ultrasonic filtered signal to the ultrasonic energy output.

Claims

1. A method, comprising:

receiving, by a surgical instrument, a first input indicating a user selection to configure the surgical instrument, the surgical instrument comprising a radio frequency (RF) energy output, an ultrasonic energy output, and a circuit;

receiving, by the surgical instrument, a second input indicating a measure of electrical impedance at the RF energy output, wherein the measure of electrical impedance indicates a tissue with staples, the tissue without staples or an open circuit condition;

receiving, by the surgical instrument a combined radio frequency (RF) and ultrasonic signal from a single output port of a generator;

selecting, by the surgical instrument, a first mode or a second mode of treating the tissue based on the first input and the second input;

wherein;

the first mode comprises;

generating, by the circuit, a RF filtered signal by filtering RF frequency content from the combined signal; and

the second mode comprises;

generating, by the circuit, an ultrasonic filtered signal by filtering ultrasonic frequency content from the combined signal; and

based on the first input and the second input;

providing, by the circuit, the RF filtered signal to the RF energy output;

or

providing, by the circuit, the ultrasonic filtered signal to the ultrasonic energy output.

2. The method of claim 1, further comprising:

tuning, by the circuit, a first resonator to a frequency of the RF energy output; and

tuning, by the circuit, a second resonator to a frequency of the ultrasonic energy output.

3. The method of claim 1, wherein the circuit comprises a high frequency band-stop filter, the method further comprising:

blocking, by a first inductor-capacitor (LC) filter circuit of the high frequency band-stop filter, the RF frequency content of the combined signal; and

blocking, by a second LC filter circuit of the high frequency band-stop filter, the ultrasonic frequency content of the combined signal.

4. The method of claim 1, wherein the circuit comprises a high frequency pass band filter, the method further comprising:

passing, by a first resistor-inductor-capacitor (RLC) filter circuit of the high frequency pass band filter, the RF frequency content of the combined signal;

blocking, by the first RLC filter, all other frequency content;

passing, by a second RLC filter circuit of the high frequency pass band filter, the ultrasonic frequency content of the combined signal; and

blocking, by the second RLC filter circuit, all other frequency content.

5. The method of claim 1, further comprising simultaneously applying, by the surgical instrument, a therapy from the RF energy output and the ultrasonic energy output.

6. The method of claim 1, further comprising switching between the RF energy output and the ultrasonic energy output according to the combined signal received from the generator.

7. The method of claim 1, wherein the surgical instrument comprises a direct current (DC) motor load, the method further comprising:

generating, by the circuit, a DC voltage by filtering the RF frequency content from the combined signal; and

providing, by the circuit, the DC voltage to the DC motor load.

8. A method, comprising:

receiving, by a surgical instrument, a combined signal comprising a radio frequency (RF) component and an ultrasonic component, from a generator;

receiving, by the surgical instrument, a first input indicating a user selection to configured the surgical instrument, the surgical instrument comprising a radio frequency (RF) energy output, an ultrasound energy output, and a circuit configured to steer the RF component to the RF energy output and steer the ultrasonic component to the ultrasonic energy output;

receiving, by the surgical instrument, a second input indicating a measure of electrical impedance at the RF energy output, wherein the measure of electrical impedance indicates tissue with staples, tissue without staples, or an open circuit condition;

measuring a frequency response of a circuit component of the circuit; and

adjusting a frequency of the RF component based on the frequency response of the circuit component, the first input and the second input.

9. The method of claim 8, wherein the measuring the frequency response of the circuit component comprises receiving, by the circuit, a ping signal to the circuit component.

10. The method of claim 8, further comprising storing a result of the measuring the frequency response in a memory component of the surgical instrument.

11. The method of claim 8, further comprising measuring the frequency response:

when the surgical instrument is manufactured;

when the surgical instrument is connected to the generator;

after the surgical instrument delivers energy to a tissue;

while the surgical instrument is delivering energy to a tissue;

or

periodically.

12. The method of claim 8, further comprising:

steering, by the circuit, the RF component to the RF energy output; and

steering, by the circuit, the ultrasonic component to the ultrasonic energy output.

13. A method, comprising:

receiving, by a surgical instrument, a first input indicating a user selection of a first option or a second option, the surgical instrument comprising a radio frequency (RF) energy output, an ultrasonic energy output, and a first jaw and a second jaw configured for pivotal movement between a closed position and an open position;

receiving, by the surgical instrument, a second input indicating whether the first jaw and the second jaw are in the closed position or in the open position;

receiving, by the surgical instrument, a third input indicating electrical impedance at the RF energy output, wherein the electrical impedance indicates a tissue with staples, the tissue without staples or an open circuit condition;

selecting, by the surgical instrument, a first mode or a second mode of treating the tissue based on the first input, the second input, and the third input, wherein;

the first mode comprises applying RF energy to the tissue, wherein the RF energy is filtered from a combined signal comprising a RF component and an ultrasonic component; and

the second mode comprises applying ultrasonic energy to the tissue, wherein the ultrasonic energy is filtered from the combined signal; and

selecting, by the surgical instrument, a level of RF energy or ultrasonic energy applied to the tissue based on the first input, second input, and the third input.

14. The method of claim 13, further comprising selecting, by the surgical instrument, a third mode or a fourth mode of treating a tissue based on the first input and the second input, wherein:

the third mode comprises applying the RF energy and the ultrasonic energy to the tissue; and

the fourth mode comprising applying no RF energy or ultrasonic energy to the tissue.

15. The method of claim 14, further comprising:

selecting the third mode when the first input indicates the second option, the second input indicates the closed position, and the third input indicates the tissue without staples; and

applying the RF energy to the tissue before applying the ultrasonic energy.

16. The method of claim 14, further comprising selecting the fourth mode when the first input indicates the first option, the second input indicates the open position, and the third input indicates the open circuit condition.

17. The method of claim 13, further comprising selecting the first mode when the first input indicates the first option, the second input indicates the closed position, and the third input indicates the tissue without staples.

18. The method of claim 13, further comprising selecting a waveform of RF energy or ultrasonic energy applied based on the first input, the second input, and the third input.