WO2011044338A3 - Surgical generator for ultrasonic devices and for electrosurgical devices - Google Patents

Surgical generator for ultrasonic devices and for electrosurgical devices Download PDF

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Publication number
WO2011044338A3
WO2011044338A3 PCT/US2010/051787 US2010051787W WO2011044338A3 WO 2011044338 A3 WO2011044338 A3 WO 2011044338A3 US 2010051787 W US2010051787 W US 2010051787W WO 2011044338 A3 WO2011044338 A3 WO 2011044338A3
Authority
WO
WIPO (PCT)
Prior art keywords
drive signal
generator
signals
devices
ultrasonic
Prior art date
Application number
PCT/US2010/051787
Other languages
French (fr)
Other versions
WO2011044338A2 (en
Inventor
Eitan T. Weiner
Jeffrey L. Aldridge
Brian T. Noyes
Jeffrey D. Messerly
James R. Giordano
Robert J. Beetel
Nathan J. Price
Foster B. Stulen
Matthew C. Miller
Jeffrey P. Wiley
Daniel W. Price
Robert L. Koch
Joseph A. Brotz
John E. Hein
Aaron C. Voegele
Daniel J. Abbott
Scott B. Killinger
Mark A. Davison
David C. Yates
Gavin M. Monson
Original Assignee
Ethicon Endo-Surgery, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to JP2012533312A priority Critical patent/JP5766705B2/en
Priority to ES10768130T priority patent/ES2531014T3/en
Priority to EP20100768130 priority patent/EP2485670B1/en
Priority to EP14194795.2A priority patent/EP2901940B1/en
Priority to IN2986DEN2012 priority patent/IN2012DN02986A/en
Priority to CN201080056086.XA priority patent/CN102665585B/en
Application filed by Ethicon Endo-Surgery, Inc. filed Critical Ethicon Endo-Surgery, Inc.
Priority to BR112012009383A priority patent/BR112012009383B8/en
Priority to CA2777103A priority patent/CA2777103C/en
Priority to AU2010303385A priority patent/AU2010303385B2/en
Publication of WO2011044338A2 publication Critical patent/WO2011044338A2/en
Publication of WO2011044338A3 publication Critical patent/WO2011044338A3/en
Priority to AU2015238883A priority patent/AU2015238883B2/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B18/1233Generators therefor with circuits for assuring patient safety
    • HELECTRICITY
    • H10SEMICONDUCTOR DEVICES; ELECTRIC SOLID-STATE DEVICES NOT OTHERWISE PROVIDED FOR
    • H10NELECTRIC SOLID-STATE DEVICES NOT OTHERWISE PROVIDED FOR
    • H10N30/00Piezoelectric or electrostrictive devices
    • H10N30/80Constructional details
    • H10N30/802Drive or control circuitry or methods for piezoelectric or electrostrictive devices not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • A61B2017/00482Coupling with a code
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • A61B2017/00486Adaptors for coupling parts with incompatible geometries
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • A61B2017/2934Transmission of forces to jaw members camming or guiding means arcuate shaped guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936Pins in guiding slots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320071Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00172Connectors and adapters therefor
    • A61B2018/00178Electrical connectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063Sealing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678Sensing and controlling the application of energy using a threshold value upper
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00684Sensing and controlling the application of energy using lookup tables
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/0072Current
    • AHUMAN NECESSITIES
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00732Frequency
    • AHUMAN NECESSITIES
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00767Voltage
    • AHUMAN NECESSITIES
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    • A61B2018/00636Sensing and controlling the application of energy
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    • A61B2018/00779Power or energy
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    • A61B2018/00791Temperature
    • A61B2018/00803Temperature with temperature prediction
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    • A61B2018/00875Resistance or impedance
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    • A61B2018/00773Sensed parameters
    • A61B2018/00892Voltage
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00988Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00994Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01RELECTRICALLY-CONDUCTIVE CONNECTIONS; STRUCTURAL ASSOCIATIONS OF A PLURALITY OF MUTUALLY-INSULATED ELECTRICAL CONNECTING ELEMENTS; COUPLING DEVICES; CURRENT COLLECTORS
    • H01R2201/00Connectors or connections adapted for particular applications
    • H01R2201/12Connectors or connections adapted for particular applications for medicine and surgery

Abstract

A surgical generator (102) that may produce a drive signal or signals of particular voltages, currents, and frequencies, e.g. 55,500 cycles per second (Hz). The drive signal or signals may be provided to an ultrasonic surgical device (104), and specifically to a transducer. In one embodiment, the generator may be configured to produce a drive signal of a particular voltage, current, and/or frequency that can be stepped with high resolution, accuracy, and repeatability. Additionally, the surgical generator may generate a drive signal or signals with output power sufficient to perform bipolar electrosurgery using radio frequency (RF) energy. The drive signal may be provided, for example, to electrodes of the electrosurgical device (106). Accordingly, the generator may be configured for therapeutic purposes by applying electrical signals to an ultrasonic transducer or electrical energy to the tissue sufficient for treating the tissue (e.g., cutting, coagulation, cauterization, tissue welding).
PCT/US2010/051787 2009-10-09 2010-10-07 Surgical generator for ultrasonic and electrosurgical devices WO2011044338A2 (en)

Priority Applications (10)

Application Number Priority Date Filing Date Title
ES10768130T ES2531014T3 (en) 2009-10-09 2010-10-07 Surgical generator for ultrasonic devices and electrosurgery devices
EP20100768130 EP2485670B1 (en) 2009-10-09 2010-10-07 Surgical generator for ultrasonic devices and for electrosurgical devices
EP14194795.2A EP2901940B1 (en) 2009-10-09 2010-10-07 Surgical generator for ultrasonic devices and for electrosurgical devices
IN2986DEN2012 IN2012DN02986A (en) 2009-10-09 2010-10-07
CN201080056086.XA CN102665585B (en) 2009-10-09 2010-10-07 For Vltrasonic device and the electrosurgical generator for electro-surgical device
JP2012533312A JP5766705B2 (en) 2009-10-09 2010-10-07 Surgical generator for ultrasonic devices and electrosurgical devices
BR112012009383A BR112012009383B8 (en) 2009-10-09 2010-10-07 SURGICAL GENERATOR, SURGICAL INSTRUMENT AND SURGICAL INSTRUMENT SYSTEM
CA2777103A CA2777103C (en) 2009-10-09 2010-10-07 Surgical generator for ultrasonic and electrosurgical devices
AU2010303385A AU2010303385B2 (en) 2009-10-09 2010-10-07 Surgical generator for ultrasonic devices and for electrosurgical devices
AU2015238883A AU2015238883B2 (en) 2009-10-09 2015-10-09 Surgical generator for ultrasonic devices and for electrosurgical devices

Applications Claiming Priority (16)

Application Number Priority Date Filing Date Title
US25021709P 2009-10-09 2009-10-09
US61/250,217 2009-10-09
US12/896,360 2010-10-01
US12/896,470 2010-10-01
US12/896,467 2010-10-01
US12/896,467 US9050093B2 (en) 2009-10-09 2010-10-01 Surgical generator for ultrasonic and electrosurgical devices
US12/896,451 2010-10-01
US12/896,451 US9039695B2 (en) 2009-10-09 2010-10-01 Surgical generator for ultrasonic and electrosurgical devices
US12/896,360 US9060775B2 (en) 2009-10-09 2010-10-01 Surgical generator for ultrasonic and electrosurgical devices
US12/896,384 US8951248B2 (en) 2009-10-09 2010-10-01 Surgical generator for ultrasonic and electrosurgical devices
US12/896,479 2010-10-01
US12/896,470 US9060776B2 (en) 2009-10-09 2010-10-01 Surgical generator for ultrasonic and electrosurgical devices
US12/896,384 2010-10-01
US12/896,345 US8986302B2 (en) 2009-10-09 2010-10-01 Surgical generator for ultrasonic and electrosurgical devices
US12/896,479 US8956349B2 (en) 2009-10-09 2010-10-01 Surgical generator for ultrasonic and electrosurgical devices
US12/896,345 2010-10-01

Publications (2)

Publication Number Publication Date
WO2011044338A2 WO2011044338A2 (en) 2011-04-14
WO2011044338A3 true WO2011044338A3 (en) 2011-10-27

Family

ID=43855415

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2010/051787 WO2011044338A2 (en) 2009-10-09 2010-10-07 Surgical generator for ultrasonic and electrosurgical devices

Country Status (11)

Country Link
US (11) US8986302B2 (en)
EP (2) EP2901940B1 (en)
JP (1) JP5766705B2 (en)
KR (1) KR20120093273A (en)
CN (1) CN102665585B (en)
AU (2) AU2010303385B2 (en)
BR (1) BR112012009383B8 (en)
CA (1) CA2777103C (en)
ES (1) ES2531014T3 (en)
IN (1) IN2012DN02986A (en)
WO (1) WO2011044338A2 (en)

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