IP Library Granted Patent US 11,229,474
Granted Patent B2
US 11,229,474 · App. 15/967,775 · Granted Jan 25, 2022

Combination ultrasonic and electrosurgical instrument with adjustable energy modalities and method for limiting blade temperature

View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 11,229,474
App. No.
15/967,775
Granted
Jan 25, 2022
Kind
B2
Abstract

An ultrasonic surgical instrument and method of limiting an ultrasonic blade temperature includes adjusting at least one power parameter of the ultrasonic energy in response to reaching a predetermined frequency parameter change threshold in the ultrasonic blade limiting the temperature of the ultrasonic blade to an upper temperature limit. The ultrasonic surgical instrument further includes an end effector having an ultrasonic blade, a jaw, and a controller. The jaw is movably positioned relative to the ultrasonic blade and configured to move between an open position and a closed position. The controller operatively connects to the ultrasonic blade and is configured to measure an ultrasonic frequency of the ultrasonic blade. The controller has a memory including a plurality of predetermined data correlations that correlate changes in measured ultrasonic frequency of the ultrasonic blade to a blade temperature of the ultrasonic blade.

Claims (49)

1. A method of limiting an ultrasonic blade temperature of a surgical instrument with an ultrasonic blade configured to apply ultrasonic energy to tissue, the method comprising:

(a) increasing the temperature of the ultrasonic blade toward an upper temperature limit;

(b) in response to determining that the temperature of the ultrasonic blade has reached the upper temperature limit, setting a predetermined frequency parameter change threshold;

(c) adjusting at least one power parameter of the ultrasonic energy in response to reaching the predetermined frequency parameter change threshold in the ultrasonic blade to limit the ultrasonic energy to the predetermined frequency parameter change threshold; and

(d) limiting the temperature of the ultrasonic blade to the upper temperature limit.

2. The method of claim 1 , further comprising:

(a) measuring a first ultrasonic frequency of the ultrasonic blade;

(b) measuring a second ultrasonic frequency of the ultrasonic blade after measuring the first ultrasonic frequency; and

(c) calculating a frequency parameter change between the measured first and second ultrasonic frequencies of the ultrasonic blade.

3. The method of claim 2 , wherein the first ultrasonic frequency of the ultrasonic blade is an initial ultrasonic frequency of the ultrasonic blade.

4. The method of claim 2 , further comprising correlating the frequency parameter change of the ultrasonic blade to the temperature of the ultrasonic blade.

5. The method of claim 4 , wherein correlating the frequency parameter change further includes correlating the frequency parameter change of the ultrasonic blade to the temperature of the ultrasonic blade based on a plurality of predetermined data correlations of blade temperature to frequency parameter stored on a controller of the surgical instrument.

6. The method of claim 4 , further comprising determining that the temperature of the ultrasonic blade has increased to the upper temperature limit.

7. The method of claim 6 , wherein limiting the temperature of the ultrasonic blade further includes limiting the temperature of the ultrasonic blade to thereby inhibit transection of a tissue.

8. The method of claim 6 , further comprising measuring a third ultrasonic frequency of the ultrasonic blade.

9. The method of claim 8 , further comprising determining that a tissue engaged with the ultrasonic blade is not sealed.

10. The method of claim 9 , further comprising:

(a) determining that the third ultrasonic frequency of the ultrasonic blade reached the predetermined frequency parameter change threshold; and

(b) further adjusting the at least one power parameter of the ultrasonic energy in response to reaching the predetermined frequency parameter change threshold in the ultrasonic blade.

11. The method of claim 9 , further comprising:

(a) determining that the third ultrasonic frequency of the ultrasonic blade is less than the predetermined frequency parameter change threshold; and

(b) remeasuring the third ultrasonic frequency of the ultrasonic blade.

12. The method of claim 8 , further comprising determining that a tissue engaged with the ultrasonic blade is sealed.

13. The method of claim 12 , further comprising terminating the ultrasonic energy based on the determination that the tissue engaged with the ultrasonic blade is sealed.

14. The method of claim 1 , wherein limiting the temperature of the ultrasonic blade further includes inhibiting damage to a clamp arm configured to compress a tissue against the ultrasonic blade.

15. The method of claim 1 , further comprising setting the predetermined frequency parameter change threshold.

16. A method of determining an ultrasonic blade temperature of a surgical instrument having an ultrasonic blade configured to be driven by an ultrasonic energy, the method comprising:

(a) measuring a first ultrasonic frequency of the ultrasonic blade;

(b) measuring a second ultrasonic frequency of the ultrasonic blade after measuring the first ultrasonic frequency;

(c) calculating a frequency parameter change between the measured first and second ultrasonic frequencies of the ultrasonic blade;

(d) correlating the frequency parameter change of the ultrasonic blade to the temperature of the ultrasonic blade to thereby determine the temperature of the ultrasonic blade;

(e) in response to determining that the temperature of the ultrasonic blade has reached a predetermined temperature limit, setting a predetermined frequency parameter change threshold; and

(f) adjusting at least one power parameter of the ultrasonic energy based on the determined temperature of the ultrasonic blade to limit the ultrasonic energy to the predetermined frequency parameter change threshold.

17. The method of claim 16 , wherein correlating the frequency parameter change further includes correlating the frequency parameter change of the ultrasonic blade to the temperature of the ultrasonic blade based on a plurality of predetermined data correlations of blade temperature to frequency parameter stored on a controller of the surgical instrument.

18. A method of limiting an ultrasonic blade temperature of a surgical instrument with an ultrasonic blade configured to apply ultrasonic energy to tissue, the method comprising:

(a) activating the ultrasonic energy to initiate sealing of the tissue;

(b) measuring an initial ultrasonic frequency of the ultrasonic blade;

(c) measuring a first interrogation ultrasonic frequency of the ultrasonic blade;

(d) calculating a frequency parameter change based on the measured initial ultrasonic frequency and the measured first interrogation ultrasonic frequency;

(e) correlating the calculated frequency parameter change to a current temperature of the ultrasonic blade based on a plurality of predetermined data correlations of blade temperature to frequency parameter change;

(f) determining whether the current temperature of the ultrasonic blade has reached a predetermined temperature limit;

(g) in response to determining that the current temperature of the ultrasonic blade has reached the predetermined temperature limit, setting a predetermined frequency parameter change threshold; and

(h) adjusting at least one power parameter of the ultrasonic energy to limit the ultrasonic energy to the predetermined frequency parameter change threshold.

19. The method of claim 18 , further comprising:

(a) measuring a second interrogation ultrasonic frequency of the ultrasonic blade;

(b) determining whether the tissue is sealed;

(c) in response to determining that the tissue is not sealed, determining whether the measured second interrogation ultrasonic frequency exceeds the predetermined frequency parameter change threshold; and

(d) in response to determining that the measured second interrogation ultrasonic frequency exceeds the predetermined frequency parameter change threshold, readjusting the at least one power parameter of the ultrasonic energy to limit the ultrasonic energy to the predetermined frequency parameter change threshold.

20. The method of claim 19 , further comprising in response to determining that the tissue is sealed, terminating the ultrasonic energy.

Assignments (2)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 27, 2021
From: ETHICON LLC
To: CILAG GMBH INTERNATIONAL
Reel/Frame 056601/0339 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jun 4, 2018
From: NOTT, CAMERON R.; SAWHNEY, AMRITA S.
To: ETHICON LLC
Reel/Frame 045974/0827 →