Devices and techniques for cutting and coagulating tissue

Patent metadata

Field	Value
Publication number	US-9700343-B2
Application number	US-201514929971-A
Country	US
Kind code	B2
Filing date	Nov 2, 2015
Priority date	Apr 9, 2012
Publication date	Jul 11, 2017
Grant date	Jul 11, 2017

Abstract

Various forms are directed to systems and methods for driving an end effector coupled to an ultrasonic drive system of a surgical instrument. A generator may generate at least one electrical signal. The at least one electrical signal may be monitored against a first set of logic conditions. When an ultrasonic impedance of the surgical instrument exceeds a threshold impedance, a resonant frequency of the at least one electrical signal may be stored as a baseline frequency. A first response of the generator may be triggered upon the occurrence of either the first set of logic conditions being met or the resonant frequency of the at least one electrical signal differing from the baseline frequency by a baseline deviation threshold.

First claim

We claim:

1. A method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument, the method comprising:
providing, by a generator configured to drive the surgical instrument, a first electrical signal to an ultrasonic transducer acoustically coupled to the end effector;
detecting, by the generator, that an impedance of the ultrasonic transducer exceeds a threshold impedance;
storing, by the generator, a first local resonant frequency of the first electrical signal as a baseline resonant frequency;
monitoring, by the generator, the first electrical signal against a first set of logic conditions comprising a first logic condition and a second logic condition, wherein the first logic condition is defined by a difference between a second local resonant frequency of the first electrical signal and the baseline resonant frequency that is greater than a baseline deviation threshold;
determining, by the generator, that the first logic condition is met; and
triggering, by the generator, a first response.

2. The method of claim 1 , wherein, with a clamp arm of the end effector in a closed position, the impedance exceeds the threshold impedance.

3. The method of claim 1 , wherein triggering the first response comprises triggering at least one response selected from the group consisting of an audible response, a visual response and a pulsing response.

4. The method of claim 1 , wherein triggering the first response comprises pulsing the first electrical signal, and wherein the pulsing comprises:
driving, by the generator, the first electrical signal to a first pulse amplitude for a first pulse time; and
driving, by the generator, the first electrical signal to a second pulse amplitude for a second pulse time.

5. The method of claim 4 , wherein the first pulse amplitude is equal to the second pulse amplitude and the first pulse time is about one minute.

6. The method of claim 1 , further comprising:
monitoring, by the generator, the first electrical signal against a second set of logic conditions;
determining, by the generator, that the second set of logic conditions are met; and
triggering, by the generator, a second response.

7. The method of claim 6 , further comprising:
determining, by the generator, the triggering of the first response or the second response on a hierarchical basis.

8. The method of claim 1 , wherein the first set of logic conditions further comprises at least one logic condition selected from the group consisting of:
the second logic condition defined by the second local resonant frequency that is less than a frequency threshold; and
a third logic condition that is defined by a local resonant frequency slope that is less than a frequency slope threshold.

9. The method of claim 1 , further comprising:
before storing the first local resonant frequency of the first electrical signal as the baseline resonant frequency, determining, by the generator, that the impedance has exceeded the threshold impedance for a time above impedance period.

10. The method of claim 1 , further comprising:
determining, by the generator, that the impedance is less than a reset threshold impedance; and
ceasing the first response.

11. A surgical system, comprising:
a surgical instrument, comprising:
an end effector; and
an ultrasonic transducer coupled to the end effector; and

at least one circuit configured to:
store a first resonant frequency of a drive signal provided to the ultrasonic transducer as a baseline resonant frequency after an impedance of the ultrasonic transducer exceeds a threshold impedance;
monitor the drive signal against a first set of logic conditions comprising a first logic condition and a second logic condition, wherein the first logic condition is defined by a difference between a second resonant frequency of the drive signal and the baseline resonant frequency that is greater than a baseline deviation threshold;
determine that the first logic condition is met; and
trigger a first response.

12. A method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument, the method comprising:
providing, by a generator configured to drive the surgical instrument, an electrical signal to an ultrasonic transducer coupled to the end effector;
detecting, by the generator, that an impedance of the ultrasonic transducer exceeds a threshold impedance;
capturing, by the generator, a first resonant frequency of the electrical signal as a baseline resonant frequency;
detecting, by the generator, a load event at the end effector; and
monitoring, by the generator, the electrical signal against a first set of logic conditions comprising a first logic condition and a second logic condition, wherein the first logic condition is defined by a difference between a second resonant frequency of the electrical signal and the baseline resonant frequency that is greater than a baseline deviation threshold;
determining, by the generator, that the first logic condition is met; and
triggering, by the generator, a first response.

13. The method of claim 12 , wherein detecting the load event comprises:
comparing a present resonant frequency slope of the electrical signal with a past resonant frequency slope of the electrical signal offset from the present resonant frequency slope by a window offset time.

14. The method of claim 13 , wherein the window offset time is about 100 milliseconds.

15. The method of claim 12 , wherein detecting the load event comprises:
determining, by the generator, that a present resonant frequency slope of the electrical signal differs from a past resonant frequency slope of the electrical signal by more than a frequency slope threshold.

16. The method of claim 12 , further comprising:
determining, by the generator, that the impedance has exceeded the threshold impedance for a threshold time above impedance; and
wherein detecting the load event comprises:
determining, by the generator, that a present resonant frequency slope of the electrical signal differs from a past resonant frequency slope of the electrical signal by more than a frequency slope threshold.

17. The method of claim 12 , further comprising:
determining, by the generator, that the impedance is below an impedance reset threshold; and
ceasing the monitoring of the electrical signal against the first set of logic conditions.

18. The method of claim 12 , wherein triggering the first response comprises pulsing the electrical signal, and wherein the pulsing comprises:
driving, by the generator, the electrical signal to a first pulse amplitude for a first pulse time; and
driving, by the generator, the electrical signal to a second pulse amplitude for a second pulse time.

19. The method of claim 18 , wherein the first pulse amplitude is equal to the second pulse amplitude, and wherein the first pulse time is about one minute.

20. The method of claim 12 , further comprising:
monitoring, by the generator, the electrical signal against a second set of logic conditions;
determining, by the generator, that the second set of logic conditions are met; and
triggering, by the generator, a second response.

21. The method of claim 12 , wherein the first set of logic conditions further comprises at least one logic condition selected from the group consisting of:
the second logic condition defined by the second resonant frequency that is less than a frequency threshold; and
a third logic condition defined by a l

Assignees

• Ethicon Endo Surgery Inc
• Ethicon Endo Surgery Llc

Inventors

• Messerly Jeffrey D
• Bertke Brian D
• Tellio Karalyn R
• Wiener Eitan T
• Yates David C
• Aldridge Jeffrey L
• Stulen Foster B
• Giordano James R

Classifications

• A61B2018/00994

  combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound · CPC title

• A61B2017/320095

  with sealing or cauterizing means · CPC title

• A61B2018/00898

  Alarms or notifications created in response to an abnormal condition · CPC title

• A61B18/1206 Primary

  Generators therefor · CPC title

• A61B2017/0003

  of parts of the instruments · CPC title