Software algorithms for electrosurgical instruments

Patent metadata

Field	Value
Publication number	US-11337747-B2
Application number	US-201815915953-A
Country	US
Kind code	B2
Filing date	Mar 8, 2018
Priority date	Apr 15, 2014
Publication date	May 24, 2022
Grant date	May 24, 2022

Abstract

A system for use with a surgical instrument includes an end effector, a memory circuit to store computer-executable instructions, and a processor. The end effector comprises a cutting member and a load cell sensor configured to sense a measure of force used to advance the cutting member through captured tissue. The processor is configured to execute the computer-executable instructions to initiate a first treatment cycle, access the measure of force used during the first treatment cycle to advance the cutting member through the captured tissue, determine that the measure of force exceeds a predetermined threshold, and generate an alert to a user of the surgical instrument based on the determination that a value of the measure of force exceeds the predetermined threshold. The predetermined threshold is based on an accumulation of biological material on the cutting member and a normal operational parameter of the first treatment cycle.

First claim

What is claimed is:

1. A system for use with a surgical instrument, the system comprising:
an end effector comprising:
a cutting member; and
a load cell sensor configured to sense a measure of force used to advance the cutting member through captured tissue;

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 to:
initiate a first treatment cycle;
access the measure of force used during the first treatment cycle to advance the cutting member through the captured tissue, using the load cell sensor;
determine that the measure of force exceeds a predetermined threshold, wherein the predetermined threshold is based on an accumulation of biological material on the cutting member; and
generate an alert to a user of the surgical instrument based on the determination that a value of the measure of force exceeds the predetermined threshold, wherein the predetermined threshold is based on a normal operational parameter of the first treatment cycle.

2. The system of claim 1 , wherein the end effector further comprises first and second electrodes, and wherein the processor is further configured to execute the computer-executable instructions to:
apply a therapeutic radio frequency drive signal to at least one of the first or second electrodes for initiating the first treatment cycle.

3. The system of claim 1 , further comprising:
a connector configured to access the memory circuit, wherein the connector is a micro-USB (universal serial bus) connector.

4. The system of claim 1 , further comprising a motor coupled to the cutting member and configured to generate rotational motions to advance the cutting member against the captured tissue;
wherein the processor is further configured to execute the computer-executable instructions to:
determine a current drawn by the motor used to advance the cutting member;
determine that the current drawn is higher than a second predetermined threshold; and
generate the alert based further on comparing the current drawn with the second predetermined threshold.

5. The system of claim 1 , wherein the cutting member is a slidable blade member configured to transition jaw members of the end effector between an open position and a closed position, and the load cell sensor is coupled to the slidable blade member and is configured to measure a second force required to retract the slidable blade member in order to transition the end effector between the open position and the closed position.

6. The system of claim 5 , wherein the processor is further configured to execute the computer-executable instructions to:
access the measure of the second force required to retract the slidable blade member;
determine that the measure of the second force exceeds a second predetermined threshold; and
generate the alert based further on comparing the measure of the second force with the second predetermined threshold.

7. A surgical instrument comprising:
an end effector comprising:
a cutting member; and
a load cell sensor configured to sense a measure of force used to advance the cutting member through captured tissue;

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 to:
initiate a first treatment cycle;
access the measure of force used during the first treatment cycle to advance the cutting member through the captured tissue, using the load cell sensor;
determine that the measure of force exceeds a predetermined threshold, wherein the predetermined threshold is based on an accumulation of biological material on the cutting member; and
generate an alert to a user of the surgical instrument based on the determination that a value of the measure of force exceeds the predetermined threshold, wherein the predetermined threshold is based on a normal operational parameter of the first treatment cycle.

8. The surgical instrument of claim 7 , wherein the connector is a micro-USB (universal serial bus) connector.

9. The surgical instrument of claim 7 , wherein the end effector further comprises first and second electrodes, and wherein the first and second electrodes are configured to receive a therapeutic radio frequency drive signal.

10. The surgical instrument of claim 7 , further comprising a motor coupled to the cutting member and configured to generate rotational motions to advance the cutting member against the captured tissue;
wherein the processor is further configured to execute the computer-executable instructions to:
determine a current drawn by the motor used to advance the cutting member;
determine that the current drawn is higher than a second predetermined threshold; and
generate the alert based further on comparing the current drawn with the second predetermined threshold.

11. The surgical instrument of claim 7 , wherein the cutting member is a slidable blade member configured to transition jaw members of the end effector between an open position and a closed position, and the load cell sensor is coupled to the slidable blade member and is configured to measure a second force required to retract the slidable blade member in order to transition the end effector between the open position and the closed position.

12. The surgical instrument of claim 11 , wherein the processor is further configured to execute the computer-executable instructions to:
access the measure of the second force required to retract the slidable blade member;
determine that the measure of the second force exceeds a second predetermined threshold; and
generate the alert based further on comparing the measure of the second force with the second predetermined threshold.

13. A method of monitoring biological material accumulation onto an end effector of a surgical instrument, the surgical instrument comprising an end effector comprising a cutting member and a load cell sensor, 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 measure of force used during the first treatment cycle to advance the cutting member through captured tissue, using the load cell sensor;
determining, by the processor, that the measure of force exceeds a predetermined threshold, wherein the predetermined threshold is based on an accumulation of biological material on the cutting member; and
generating, by the processor, an alert to a user of the surgical instrument based on the determination that a value of the measure of force exceeds the predetermined threshold, wherein the predetermined threshold is based on a normal operational parameter of the first treatment cycle.

14. The method of claim 13 , wherein initiating a first treatment cycle comprises applying a therapeutic radio frequency signal to the end effector.

15. The method of claim 13 , wherein the surgical instrument further comprises a motor coupled to the cutting member, and the method further comprises:
generating rotational motions, by the motor, to advance the cutting member against the captured tissue;
determining, by the processor, a current drawn by the motor used to advance the cutting member;
determining, by the processor, that the current drawn is higher than a second predete

Assignees

• Cilag Gmbh Int

Inventors

• Voegele Aaron C
• Clauda Phillip H
• Houser Kevin L
• Kemerling Robert A
• Davison Mark A
• Trees Gregory A

Classifications

• A61B2018/1455

  having a moving blade for cutting tissue grasped by the jaws · CPC title

• A61B2018/00196

  reciprocating lengthwise · CPC title

• A61B2018/00875

  Resistance or impedance · CPC title

• A61B2018/00791

  Temperature · CPC title

• A61B2090/065

  for measuring contact or contact pressure · CPC title