Active load control of ultrasonic surgical instruments

• US 6,352,532 B1
• Filed: 12/14/1999
• Issued: 03/05/2002
• Est. Priority Date: 12/14/1999
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Houser, Kevin L., Kramer, Kenneth S.
• Primary Examiner(s): Reip, David O.
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US09/460,698
• Time in Patent Office: 812 Days
• Field of Search: 606/32, 606/34, 606/37, 606/38, 606/41, 606/42, 606/205, 606/206, 601/2, 600/437, 600/439, 600/442
• US Class Current: 606/41
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• 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 2090/033 Abutting means, stops, e.g. abutting on tissue or skin
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension

Abstract

Ultrasonic instruments, and particularly solid core ultrasonic instruments, are advantageous because they may be used to cut and/or coagulate organic tissue using energy in the form of mechanical vibrations transmitted to a surgical end-effector at ultrasonic frequencies. The present invention provides a surgical instrument including force feedback system, in a closed loop arrangement that modulates the force applied to tissue from a surgical instrument. A generator provides electrical energy to the surgical instrument and an electrical signal representative of the generator load. The surgical instrument includes a handle that includes an actuating lever, and an end-effector located at the distal end of the handle. A force responsive element is operatively coupled to the actuating lever and the end-effector, wherein the force responsive element is adapted to alter a force on the end-effector in response to the electrical signal from the generator.

Claims

1. A system for use in surgical procedures comprising:

a generator, wherein said generator produces an electrical signal, said electrical signal having a load parameter indicative of a surgical instrument load on said generator;

a surgical instrument electrically connected to said generator, said surgical instrument comprising;

a handle comprising an actuating lever for operating an end-effector,

wherein the end-effector is located at the distal end of said handle; and

a force responsive element operatively coupled to said actuating lever and said end-effector, wherein said force responsive element is adapted to alter a force on said end-effector in response to said electrical signal from said generator.

2. A system for use in surgical procedures according to claim 1, wherein said load parameter is selected from the group consisting of voltage, current, impedance and temperature.

3. A system for use in surgical procedures according to claim 1, wherein said surgical instrument further comprises a transducer for converting electrical energy into mechanical motion at ultrasonic frequencies.

4. A system for use in surgical procedures according to claim 3, wherein said end-effector comprises a clamp arm and a blade responsive to the ultrasonic frequencies.

5. A system for use in surgical procedures according to claim 4, wherein said force responsive element is operatively coupled to said clamp arm to alter the force of said clamp arm against said blade during operation of said surgical instrument independently of said actuating lever.

6. An ultrasonic system for use in surgical procedures comprising:

an ultrasonic signal generator, wherein said ultrasonic signal generator produces an electrical signal at an ultrasonic frequency, said electrical signal having a load parameter indicative of generator load;

a transducer electrically connected to said generator, wherein said transducer is adapted to convert electrical energy from said ultrasonic signal generator into mechanical motion;

an ultrasonic surgical instrument comprising;

a handle assembly, wherein said handle assembly is operatively coupled to said transducer;

a waveguide acoustically coupled to said transducer, wherein said waveguide is adapted to transmit ultrasonic energy therethrough;

an end-effector located at the distal end of said waveguide;

an actuation element, wherein said actuation element is operatively coupled to said end-effector; and

a force responsive element electrically connected to said ultrasonic signal generator and operatively coupled to said actuation element, wherein said force responsive element is adapted to alter a force on said actuation element in response to said electrical signal from said ultrasonic signal generator.

7. A system for use in surgical procedures comprising:

a generator, wherein said generator comprises a signal means for indicating generator load;

a surgical instrument electrically connected to said generator, said surgical instrument comprising;

an actuating means for actuating an end-effector means of said surgical instrument;

wherein the end-effector means is engageable with tissue; and

a force means operatively coupled to said actuating means and said end-effector means, for altering a force on said end-effector means in response to said signal means.

8. A system for use in surgical procedures according to claim 7, wherein said surgical instrument further comprises a transducer means for converting electrical energy into mechanical motion at ultrasonic frequencies.

9. A system for use in surgical procedures according to claims 8, wherein said end-effector means comprises a clamp means for clamping tissue and a blade means for delivering ultrasonic energy to tissue.

10. A method of modifying the force exerted by an electrosurgical instrument on tissue, said method comprising the steps of:

a) clamping said tissue with an end-effector of the electrosurgical instrument;

b) applying energy to said tissue through said surgical instrument;

c) sensing the tissue load on the surgical instrument;

d) providing an electrical feedback signal to the surgical instrument, the feedback signal having at least one component representative of the tissue load; and

e) modifying the clamping force applied by the end-effector on the tissue in response to the electrical feedback signal.