Surgical instrument with tissue density sensing

Patent metadata

Field	Value
Publication number	US-9788851-B2
Application number	US-201213449837-A
Country	US
Kind code	B2
Filing date	Apr 18, 2012
Priority date	Apr 18, 2012
Publication date	Oct 17, 2017
Grant date	Oct 17, 2017

Abstract

An apparatus comprises an end effector, a body assembly, a power source, and a control module. The end effector is operable for use in a surgical procedure and can deliver energy to a surgical site. The end effector comprises at least one sensor. The sensor is able to measure at least one physical characteristic associated with the surgical site. The body assembly is in communication with the end effector. The power source is in communication with the body assembly and is operable to deliver power to the end effector. The control module is in communication with the sensor and is operable to change delivery of power to the end effector based on data from the sensor indicating a change in tissue density.

First claim

We claim:

1. An apparatus comprising:
(a) an end effector configured for use in a surgical procedure, wherein the end effector comprises an ultrasonic blade coupled to an acoustic drivetrain, the acoustic drivetrain comprising an ultrasonic transducer, wherein the end effector is configured to deliver ultrasonic energy to a surgical site via the ultrasonic blade;
(b) a body assembly in communication with the end effector;
(c) a power source, wherein the power source is operable to deliver a current to the ultrasonic transducer in order to power the ultrasonic blade; and
(d) a control module, wherein the control module is configured to determine a first resonant frequency associated with the acoustic drivetrain, wherein the control module is further configured to determine a shift from the first resonant frequency to a second resonant frequency associated with the acoustic drivetrain, wherein the control module is operable to change the current delivered from the power source to the ultrasonic transducer based on the shift from the first resonant frequency to the second resonant frequency.

2. The apparatus of claim 1 , further comprising at least one sensor, wherein the at least one sensor comprises a microphone capable of performing one or more of transmitting, receiving, or measuring sound.

3. The apparatus of claim 2 , wherein the microphone is configured to sense ultrasonic, auditory, or infrasonic vibrations associated with a unique modal coupling of the ultrasonic blade in an activated state.

4. The apparatus of claim 1 , further comprising at least one sensor, wherein the at least one sensor comprises an impedance sensor.

5. The apparatus of claim 4 , wherein the impedance sensor is configured to sense electrical impedance associated with tissue.

6. The apparatus of claim 1 , wherein the end effector is operable to produce different acoustic signals based on the density of tissue proximate to or encountered by the ultrasonic blade.

7. The apparatus of claim 1 , further comprising an audible feedback device in communication with the control module.

8. The apparatus of claim 1 , further comprising a tactile feedback device in communication with the control module.

9. The apparatus of claim 1 , further comprising at least one sensor, wherein the at least one sensor comprises an accelerometer.

10. The apparatus of claim 1 , further comprising at least one sensor, wherein the control module is configured to notify the user of changes detected by the at least one sensor.

11. The apparatus of claim 1 , further comprising at least one sensor, wherein the at least one sensor comprises a plurality of sensors configured to monitor different physical attributes.

12. The apparatus of claim 1 , wherein the control module is programmable to have at least one predefined threshold parameter.

13. The apparatus of claim 1 , wherein the control module is configured to perform simultaneous impedance and force monitoring.

14. The apparatus of claim 1 , further comprising at least one sensor, wherein the control module is configured to increase power to the end effector in response to data from the at least one sensor indicating an increase in tissue density.

15. A method of detecting a change in tissue density using a surgical device having an end effector, an ultrasonic blade, at least one sensor, and a computing module, wherein the ultrasonic blade is operable to respond to at least one physical characteristic of tissue proximate to or encountered by the ultrasonic blade, the method comprising:
(a) turning on the surgical device;
(b) processing data from the at least one sensor with the computing module when the end effector is under no load to establish a baseline of amplitudes associated with a plurality of frequencies for the ultrasonic blade;
(c) processing data from the at least one sensor with the computing module when the end effector is under a load to establish a first sample of amplitudes associated with the plurality of frequencies for the ultrasonic blade;
(d) comparing the first sample of amplitudes with the baseline of amplitudes associated with the plurality of frequencies, wherein the act of comparing the first sample of amplitudes with the baseline of amplitudes is performed by the computing module; and
(e) simultaneously notifying a user and adjusting one or both of power or surgical technique in response to the comparison of the first sample of amplitudes with the baseline of amplitudes associated with the plurality of frequencies exceeding a threshold value, wherein the act of simultaneously notifying a user and adjusting one or both of power or surgical technique in response to the comparison is performed by the computing module.

16. The method of claim 15 , wherein the act of adjusting comprises varying a current output to the end effector if the monitored physical characteristic exceeds a threshold value.

17. A method of detecting changes in tissue density using a surgical instrument with a computing module, an end effector, and a power supply, the method comprising:
(a) actuating the end effector, wherein the act of actuating the end effector produces a resonant frequency within at least a portion of the end effector;
(b) determining an initial value for the resonant frequency;
(c) using the surgical instrument;
(d) monitoring a rate of change of the resonant frequency within the end effector;
(e) determining if the rate of change deviates beyond a predetermined value; and
(f) altering the amount of current produced by the power supply if the rate of change deviates beyond the predetermined value.

18. The method of claim 17 , wherein the end effector comprises an ultrasonic blade, wherein the act of actuating the end effector comprises activating the ultrasonic blade and engaging the blade with tissue, wherein the tissue modifies an acoustic signal associated with the ultrasonic blade, wherein the act of monitoring rate of change of the physical characteristic comprises detecting the modification of the acoustic signal by the tissue.

Assignees

• Dannaher William D
• Price Daniel W
• Kimball Cory G
• Kelly William D
• Rhee Sora
• Gee Jacob S
• Bertke Brian D
• Welling Alissa L
• Ethicon Llc

Inventors

• Dannaher William D
• Price Daniel W
• Kimball Cory G
• Kelly William D
• Rhee Sora
• Gee Jacob S
• Bertke Brian D
• Welling Alissa L

Classifications

• A61B2017/00119

  alarm; indicating an abnormal situation · CPC title

• A61B2017/00084

  Temperature · CPC title

• A61B2017/00075

  Motion · CPC title

• A61B2017/00026

  Conductivity or impedance, e.g. of tissue · CPC title

• A61B17/320092 Primary

  with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw · CPC title