Cordless hand-held ultrasonic cautery cutting device

• US 9,861,382 B2
• Filed: 07/02/2012
• Issued: 01/09/2018
• Est. Priority Date: 12/03/2007
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Smith, Kevin W., Bales, Jr., Thomas O., Palmer, Matthew A., Deville, Derek Dee
• Primary Examiner(s): SHI, KATHERINE MENGLIN
• Application Number:
  US13/539,694
• Publication Number:
  US 20120277780A1
• Time in Patent Office: 2,017 Days
• Field of Search: 606 45, 606169, 60131601, 60131602, 601317, 310956, 83 1
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 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 2017/00075 Motion
• CPC Class Codes: A61B 2017/00137 Details of operation mode
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/320089 node location
• 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 2017/320097 with stapling means
• CPC Class Codes: A61B 2017/320098 with transverse or torsional motion
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: B06B 3/00 Methods or apparatus specially adapted for transmitting mechanical vibrations of infrasonic, sonic, or ultrasonic frequency
• CPC Class Codes: Y10T 29/49005 Acoustic transducer
• CPC Class Codes: Y10T 29/49169 : Assembling electrical component directly to terminal or elongated conductor

Abstract

An ultrasonic surgical assembly includes an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer, and a current controller operable to regulate the motional current by varying an output of the variable power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads.

Claims

1. An ultrasonic surgical assembly, comprising:

a surgical instrument handle, the handle having within it;

an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide;

a measurement circuit connected in a parallel configuration with the ultrasonic transducer;

a variable power source comprising a battery and operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer;

a current controller operable to regulate the motional current by varying an output of the variable power source, thereby maintaining a resonant condition along the cutting blade in which there is a substantially constant rate of movement of the cutting blade across a variety of cutting loads; and

a clamping mechanism having a range of clamping force values and being operable to place material in physical contact with the cutting blade, the current controller communicatively coupled to the clamping mechanism and operable to vary the motional current based upon a given clamping value within the range of clamping values.

2. The ultrasonic surgical assembly according to claim 1, wherein:

the ultrasonic transducer has a first capacitance in a parallel configuration with a series configuration of a resistance, an inductance, and a second capacitance; and

the motional current flows through the series configuration.

3. The ultrasonic surgical assembly according to claim 2, wherein the measurement circuit is comprised of a third capacitance in a parallel configuration with the first capacitance.

4. The ultrasonic surgical assembly according to claim 3, wherein the variable power source is coupled to the third capacitance and the ultrasonic transducer.

5. The ultrasonic surgical assembly according to claim 4, wherein the current controller is operable to regulate the motional current by varying an output of the variable power source based upon a product of the current flowing through the third capacitance multiplied by a ratio between a value of the first capacitance and a value of the third capacitance subtracted from a total current flowing into the ultrasonic transducer.

6. The ultrasonic surgical assembly according to claim 1, wherein:

the current controller comprises a processor; and

the variable power source comprises a phase locked loop communicatively coupled to the processor and operable to determine a frequency of movement of the cutting blade; and

further comprising a memory communicatively coupled to the processor and operable to store a last frequency of blade movement.

7. The ultrasonic surgical assembly according to claim 1, wherein the variable power source comprises a removable battery.

8. The ultrasonic surgical assembly according to claim 1, further comprising a disposable handle body having:

a portion defining a battery-holding compartment having at least two battery contacts;

a waveguide attachment dock exposed to the environment and shaped to accept the ultrasonic waveguide therein;

a transducer attachment dock exposed to the environment and shaped to place the ultrasonic transducer in coaxial alignment with the ultrasonic waveguide when the ultrasonic waveguide is disposed within the waveguide attachment dock; and

an ultrasonic-signal-generator assembly dock exposed to the environment and shaped to substantially simultaneously;

selectively removably secure at least the ultrasonic transducer to the handle body;

place an end of the ultrasonic transducer within the transducer attachment dock; and

electrically couple at least the ultrasonic transducer to the at least two battery contacts.

9. An ultrasonic surgical assembly, comprising:

a surgical instrument handle, the handle having within it;

an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, the ultrasonic transducer comprised of a first capacitance in a parallel configuration with a series configuration of a resistance, an inductance, and a second capacitance, whereby the motional current flows through the series configuration;

a measurement circuit connected in a parallel configuration with the ultrasonic transducer, the measurement circuit comprised of a third capacitance in a parallel configuration with the first capacitance;

a variable power source comprising a removable battery and operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer, wherein the variable power source is coupled to the third capacitance and the ultrasonic transducer; and

a current controller operable to regulate the motional current by varying an output of the variable power source based upon a product of the current flowing through the third capacitance multiplied by a ratio between a value of the first capacitance and a value of the third capacitance subtracted from a total current flowing into the ultrasonic transducer, thereby maintaining a resonant condition along the cutting blade in which there is a substantially constant rate of movement of the cutting blade across a variety of cutting loads.

10. The ultrasonic surgical assembly according to claim 9, wherein:

the current controller comprises a processor; and

the variable power source comprises a phase locked loop communicatively coupled to the processor and operable to determine a frequency of movement of the cutting blade; and

further comprising a memory communicatively coupled to the processor and operable to store a last frequency of blade movement.

11. The ultrasonic surgical assembly according to claim 9, further comprising a clamping mechanism having a range of clamping force values and being operable to place material in physical contact with the cutting blade, the current controller communicatively coupled to the clamping mechanism and operable to vary the motional current based upon a given clamping value within the range of clamping values.