Application of smart blade technology

Patent metadata

Field	Value
Publication number	US-11399858-B2
Application number	US-201816144397-A
Country	US
Kind code	B2
Filing date	Sep 27, 2018
Priority date	Mar 8, 2018
Publication date	Aug 2, 2022
Grant date	Aug 2, 2022

Abstract

An ultrasonic device may include an electromechanical ultrasonic system having a resonant frequency, the system including a transducer coupled to an ultrasonic blade. A method of driving the blade may include determining a tissue type contacting the blade, setting current delivered to the transducer to achieve a desired blade temperature, and setting a desired period during which the desired temperature is applied to the tissue. The tissue type may be determined by measuring an impedance of the transducer, comparing an impedance measurement data point to a reference data point, and classifying the impedance measurement data point based on a result of the comparison. Alternatively, the tissue type may be determined by applying a drive signal to the transducer, sweeping the frequency of the drive signal from below to above a resonance of the ultrasonic system, measuring and recording impedance/admittance variables, and comparing the measured variables to reference variables.

First claim

The invention claimed is:

1. An ultrasonic surgical instrument comprising:
an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade via an ultrasonic waveguide; and
a generator configured to supply power to the ultrasonic transducer, wherein the generator comprises a processor or a control circuit configured to:
determine a type of a tissue in contact with the ultrasonic blade;
set a current delivered to the ultrasonic transducer to achieve a desired temperature of the ultrasonic blade;
set, by the processor or the control circuit, a desired period during which the desired temperature is applied to the tissue;
cause a drive circuit to apply a drive signal to the ultrasonic transducer, wherein the drive signal is a periodic signal defined by a magnitude and frequency;
sweep the frequency of the drive signal from below resonance to above resonance of the ultrasonic electromechanical system;
measure and record impedance/admittance circle variables R e , G e , X e , and B e ;
compare the measured impedance/admittance circle variables R e , G e , X e , and B e to reference impedance/admittance circle variables R ref , G ref , X ref , and B ref ; and
determine a state or condition of an end effector based on the result of the comparison.

2. The ultrasonic surgical instrument of claim 1 , wherein the processor or the control circuit further is configured to adjust the desired period based on the type of the tissue.

3. The ultrasonic surgical instrument of claim 1 , wherein the processor or the control circuit is further configured to adjust the desired temperature of the ultrasonic blade based on the type of the tissue.

4. The ultrasonic surgical instrument of claim 1 , wherein the processor or the control circuit is further configured to:
measure a complex impedance of the ultrasonic transducer, wherein the complex impedance is defined as

Z
g

⁡

(
t
)

=

V
g

⁡

(
t
)

I
g

⁡

(
t
)

;

receive a complex impedance measurement data point;
compare the complex impedance measurement data point to a data point in a reference complex impedance characteristic pattern;
classify by the processor or the control circuit, the complex impedance measurement data point based on a result of the comparison; and
assign the state or condition of the end effector based on the result of the comparison.

5. The ultrasonic surgical instrument of claim 1 , wherein the processor or the control circuit is further configured to set a current delivered to the ultrasonic transducer to achieve a temperature suitable to achieving a tissue seal but not a tissue transection.

6. The ultrasonic surgical instrument of claim 1 , wherein the processor or the control circuit is further configured to set a current delivered to the ultrasonic transducer to achieve a temperature suitable to achieving tissue transection.

7. The ultrasonic surgical instrument of claim 6 , wherein the processor or the control circuit is further configured to set a current delivered to the ultrasonic transducer to achieve a temperature lower than a melting point of a clamp arm pad.

8. A generator for an ultrasonic surgical instrument, the generator comprising:
a control circuit configured to:
determine a type of a tissue in contact with an ultrasonic blade;
set a current delivered to an ultrasonic transducer to achieve a desired temperature of the ultrasonic blade;
set a desired period during which the desired temperature is applied to the tissue;
cause a drive circuit to apply a drive signal to the ultrasonic transducer, wherein the drive signal is a periodic signal defined by a magnitude and frequency;
sweep the frequency of the drive signal from below resonance to above resonance of an electromechanical ultrasonic system comprising the ultrasonic transducer and the ultrasonic blade;
measure and record impedance/admittance circle variables R e , G e , X e , and B e ;
compare the measured impedance/admittance circle variables R e , G e , X e , and B e to reference impedance/admittance circle variables R ref , G ref , X ref , and B ref ; and
determine a state or condition of an end effector based on the result of the comparison.

9. The generator for the ultrasonic surgical instrument of claim 8 , wherein the control circuit is further configured to:
measure a complex impedance of the ultrasonic transducer, wherein the complex impedance is defined as

Z
g

⁡

(
t
)

=

V
g

⁡

(
t
)

I
g

⁡

(
t
)

;

receive a complex impedance measurement data point;
compare the complex impedance measurement data point to a data point in a reference complex impedance characteristic pattern;
classify the complex impedance measurement data point based on a result of the comparison; and
assign the state or condition of the end effector based on the result of the comparison.

10. The generator for the ultrasonic surgical instrument of claim 8 , wherein the control circuit is further configured to set a current delivered to the ultrasonic transducer to achieve a temperature suitable to achieving a tissue seal but not a tissue transection.

11. The generator for the ultrasonic surgical instrument of claim 8 , wherein the control circuit is further configured to set a current delivered to the ultrasonic transducer to achieve a temperature suitable to achieving tissue transection.

12. The generator for the ultrasonic surgical instrument of claim 8 , wherein the control circuit is further configured to set a current delivered to the ultrasonic transducer to achieve a temperature lower than a melting point of a clamp arm pad.

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Sawhney Amrita S
• Roberson Eric M
• Leuck Stephen M
• Black Brian D

Classifications

• A61B2018/00875

  Resistance or impedance · CPC title

• A61B2017/0084

  low friction (A61B2017/00853 takes precedence) · CPC title

• A61B2017/00221

  with wireless transmission of data, e.g. by infrared radiation or radiowaves · CPC title

• A61B18/1233

  with circuits for assuring patient safety · CPC title

• A61B2018/00827

  Current · CPC title