Determining tissue composition via an ultrasonic system

Patent metadata

Field	Value
Publication number	US-11612408-B2
Application number	US-201816115232-A
Country	US
Kind code	B2
Filing date	Aug 28, 2018
Priority date	Dec 28, 2017
Publication date	Mar 28, 2023
Grant date	Mar 28, 2023

Abstract

Various systems and methods for determining the composition of tissue via an ultrasonic surgical instrument are disclosed. A control circuit can be configured to monitor the change in resonant frequency of an ultrasonic electromechanical system of the ultrasonic surgical instrument as the ultrasonic blade oscillates against a tissue and determine the composition of the tissue accordingly. In some aspects, the control circuit can be configured to modify the operation of the ultrasonic electromechanical system or other operational parameters of the ultrasonic surgical instrument according to the detected tissue composition.

First claim

The invention claimed is:

1. An ultrasonic electromechanical system for an ultrasonic surgical instrument, the ultrasonic electromechanical system comprising:
an ultrasonic blade;
an ultrasonic transducer acoustically coupled to the ultrasonic blade, the ultrasonic transducer configured to ultrasonically oscillate or vibrate the ultrasonic blade in response to a drive signal, wherein the drive signal is generated by a generator module coupled to a modular control tower of a surgical hub system; and
a control circuit coupled to the ultrasonic transducer, the control circuit configured to:
apply the drive signal to the ultrasonic transducer to cause the ultrasonic transducer to oscillate and cause the ultrasonic blade to vibrate at a non-therapeutic frequency, wherein at the non-therapeutic frequency the ultrasonic blade does not transfer sufficient energy to cut or coagulate tissue in contact with the ultrasonic blade;
determine a first resonant frequency of the ultrasonic electromechanical system;
determine a second resonant frequency of the ultrasonic electromechanical system as the ultrasonic blade vibrates at the non-therapeutic frequency against tissue, wherein the second resonant frequency is determined based on an impedance of the ultrasonic transducer while the ultrasonic blade vibrates at the non-therapeutic frequency; and
determine a tissue composition of the tissue according to a comparison between the first resonant frequency and the second resonant frequency, wherein the tissue composition is determined based on the contact with the ultrasonic blade vibrating at the non-therapeutic frequency.

2. The ultrasonic electromechanical system of claim 1 , wherein the tissue composition comprises a tissue-to-elastin ratio.

3. The ultrasonic electromechanical system of claim 1 , wherein the control circuit is configured to adjust an operational parameter of the ultrasonic surgical instrument according to the tissue composition.

4. The ultrasonic electromechanical system of claim 3 , wherein the operational parameter comprises at least one of a tissue temperature threshold, a warming time of the ultrasonic blade, or an ultrasonic blade temperature threshold.

5. The ultrasonic electromechanical system of claim 1 , wherein the control circuit is configured to control the ultrasonic transducer to vibrate the ultrasonic blade at the non-therapeutic frequency to determine the first resonant frequency and the second resonant frequency.

6. The ultrasonic electromechanical system of claim 1 , further comprising:
a memory coupled to the control circuit, the memory storing a plurality of tissue compositions according to resonant frequency shift;
wherein the control circuit is configured to determine the tissue composition of the tissue by retrieving from the memory which of the plurality of tissue compositions corresponds to a difference between the first resonant frequency and the second resonant frequency.

7. The ultrasonic electromechanical system of claim 1 , wherein the control circuit is configured to:
apply the drive signal to the ultrasonic transducer at a plurality of frequencies over a frequency range; and
determine the first resonant frequency or the second resonant frequency according to a frequency within the frequency range at which a voltage signal and a current signal of the ultrasonic electromechanical system resulting from the drive signal are in phase.

8. An ultrasonic generator connectable to an ultrasonic electromechanical system comprising an ultrasonic blade and an ultrasonic transducer acoustically coupled to the ultrasonic blade, the ultrasonic generator comprising:
a control circuit couplable to the ultrasonic transducer, the control circuit configured to:
apply a drive signal to the ultrasonic transducer to cause the ultrasonic transducer to oscillate and cause the ultrasonic blade to vibrate at a non-therapeutic frequency, wherein at the non-therapeutic frequency, the ultrasonic blade does not transfer sufficient energy to cut or coagulate tissue in contact with the ultrasonic blade;
determine a first resonant frequency of the ultrasonic electromechanical system;
determine a second resonant frequency of the ultrasonic electromechanical system as the ultrasonic blade vibrates at the non-therapeutic frequency against a tissue, wherein the second resonant frequency is determined based on an impedance of the ultrasonic transducer while the ultrasonic blade vibrates at the non-therapeutic frequency; and
determine a tissue composition of the tissue according to a comparison between the first resonant frequency and the second resonant frequency, wherein the tissue composition is determined based on the contact with the ultrasonic blade vibrating at the non-therapeutic frequency,

wherein the ultrasonic generator is coupled to a modular control tower of a surgical hub system.

9. The ultrasonic generator of claim 8 , wherein the tissue composition comprises a tissue-to-elastin ratio.

10. The ultrasonic generator of claim 8 , wherein the control circuit is configured to adjust an operational parameter of the ultrasonic electromechanical system according to the tissue composition.

11. The ultrasonic generator of claim 10 , wherein the operational parameter comprises at least one of a tissue temperature threshold, a warming time of the ultrasonic blade, or an ultrasonic blade temperature threshold.

12. The ultrasonic generator of claim 8 , wherein the control circuit is configured to control the ultrasonic transducer to oscillate vibrate the ultrasonic blade at the non-therapeutic frequency to determine the first resonant frequency and the second resonant frequency.

13. The ultrasonic generator of claim 8 , further comprising:
a memory coupled to the control circuit, the memory storing a plurality of tissue compositions according to resonant frequency shift;
wherein the control circuit is configured to determine the tissue composition of the tissue by retrieving from the memory which of the plurality of tissue compositions corresponds to a difference between the first resonant frequency and the second resonant frequency.

14. The ultrasonic generator of claim 8 , wherein the control circuit is configured to:
apply the drive signal to the ultrasonic transducer at a plurality of frequencies across a frequency range; and
determine the first resonant frequency or the second resonant frequency according to a frequency within the frequency range at which a voltage signal and a current signal of the ultrasonic electromechanical system resulting from the drive signal are in phase.

Assignees

• Cilag Gmbh Int

Inventors

• Yates David C
• Harris Jason L
• Shelton Iv Frederick E
• Houser Kevin L
• Brady John E
• Trees Gregory A
• Scoggins Patrick J
• Jayme Madeleine C
• Denzinger Kristen G
• Nott Cameron R
• Faller Craig N
• Sawhney Amrita S
• Roberson Eric M
• Leuck Stephen M
• Black Brian D

Classifications

• A61B2018/00619

  Welding · CPC title

• A61B2018/00595

  Cauterization · CPC title

• A61B2018/00589

  Coagulation · CPC title

• A61B2017/00181

  Means for setting or varying the pulse energy · CPC title

• A61B2017/320095

  with sealing or cauterizing means · CPC title