IP Library Granted Patent US 11,389,164
Granted Patent B2
US 11,389,164 · App. 16/209,427 · Granted Jul 19, 2022

Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices

Inventors: David C. Yates (West Chester, OH); Frederick E. Shelton, IV (Hillsboro, OH); Jason L. Harris (Lebanon, OH)
Assignee: Cilag GmbH International
A61B17/1155A61B1/00009A61B1/00045A61B1/051A61B1/0661A61B5/0066A61B5/0075A61B5/0261A61B6/5247A61B17/0682A61B17/072A61B17/1114A61B17/1285A61B17/320092A61B18/1442A61B18/1445A61B34/20A61B34/32A61B34/71A61B90/35A61B90/361A61M1/73A61M1/79B25J9/1697B25J13/006G06K7/10316G06K19/07749G16H10/60G16H40/63G16H40/67G16H50/20G16H70/20H01Q1/22H04L63/1416H04L67/10H04L67/12H04N5/272H04N7/183H05K1/028H05K1/189A61B34/30A61B2017/0003A61B2017/0011A61B2017/00022A61B2017/00026A61B2017/00039A61B2017/00044A61B2017/00057A61B2017/00061A61B2017/00075A61B2017/00084A61B2017/00097A61B2017/00106A61B2017/00115A61B2017/00119A61B2017/00199A61B2017/00203A61B2017/00221A61B2017/00398A61B2017/00402A61B2017/00734A61B2017/00809A61B2017/00818A61B2017/07257A61B2017/07271A61B2017/07278A61B2017/07285A61B2017/1132A61B2017/32007A61B2017/320074A61B2017/320084A61B2017/320095A61B2017/320097A61B2018/0063A61B2018/00541A61B2018/00589A61B2018/00595A61B2018/00601A61B2018/00607A61B2018/00642A61B2018/00684A61B2018/00791A61B2018/00827A61B2018/00875A61B2018/00892A61B2018/00988A61B2018/00994A61B2034/2055A61B2034/2057A61B2034/301A61B2034/305A61B2090/309A61B2217/005A61B2217/007A61B2218/002A61B2218/007A61B2218/008A61M1/80A61M13/003A61M2205/3306A61M2205/3327A61M2205/3331A61M2205/3365A61M2205/3368G05B2219/40174G05B2219/45119
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Quick Facts
Patent No.
US 11,389,164
App. No.
16/209,427
Granted
Jul 19, 2022
Kind
B2
Abstract

A method implemented by a surgical instrument is disclosed. The surgical instrument includes first and second jaws and a flexible circuit including multiple sensors to optimize performance of a radio frequency (RF) device. The flexible circuit includes at least one therapeutic electrode couplable to a source of RF energy, at least two sensing electrodes, and at least one insulative layer. The insulative layer is positioned between the at least one therapeutic electrode and the at least two sensing electrodes. The method includes contacting tissue positioned between the first and second jaws of the surgical instrument with the at least one therapeutic electrode and at the least two sensing electrodes; sensing signals from the at least two sensing electrodes; and controlling RF energy delivered to the at least one therapeutic electrode based on the sensed signals.

Claims (23)

1. A method implemented by a surgical instrument comprising first and second jaws and a flexible circuit comprising multiple sensors to optimize performance of a radio frequency (RF) device, the flexible circuit comprising at least one therapeutic electrode couplable to a source of RF energy, at least two sensing electrodes, and at least one insulative layer, the at least one insulative layer positioned between the at least one therapeutic electrode and the at least two sensing electrodes, the method comprising:

contacting tissue positioned between the first and second jaws of the surgical instrument with the at least one therapeutic electrode and the at least two sensing electrodes;

sensing signals from the at least two sensing electrodes;

controlling RF energy delivered to the at least one therapeutic electrode based on the sensed signals; and

applying a distinct marking to the tissue unique to a tissue treatment application applied to the tissue between the first and second jaws.

2. The method of claim 1 , further comprising sensing, by the at least two sensing electrodes, impedance of the tissue positioned between the first and second jaws of the surgical instrument; electrical continuity of the tissue; or a temperature transition point in the tissue; or a combination thereof.

3. The method of claim 1 , further comprising, sensing, by the at least two sensing electrodes, a parameter associated with tissue positioned between first and second jaws of the surgical instrument.

4. The method of claim 3 , further comprising, adaptively controlling the RF energy delivered to the at least one therapeutic electrode based on the parameter sensed by the at least two sensing electrodes.

5. A method implemented by a surgical instrument comprising an end effector, a marking assembly, and a control circuit, the end effector comprising a first jaw, a second jaw movable relative to the first jaw to grasp tissue therebetween, a plurality of sensors, and a tissue-treatment mechanism configured to apply a tissue treatment to tissue grasped between the first jaw and the second jaw, the method comprising:

receiving, by the control circuit, a plurality of sensor signals from the plurality of sensors indicative of application of a tissue treatment to the tissue;

controlling, by the control circuit, radiofrequency (RF) energy to the end effector to treat the tissue; and

applying, by the marking assembly, a distinct marking to the tissue unique to the tissue treatment application, wherein the distinct marking distinguishes the tissue treatment application from other tissue treatment applications.

6. The method of claim 5 , wherein the end effector includes a cutting member configured to transect tissue, the method further comprising creating the distinct marking, by the marking assembly, adjacent a transection line defined in the tissue by the cutting member.

7. The method of claim 5 , further comprising, sensing, by the plurality of sensors, a parameter associated with tissue positioned between first and second jaws of the surgical instrument.

8. The method of claim 7 , further comprising, adaptively controlling the RF energy delivered to the end effector based on the parameter sensed by the plurality of sensors.

9. A method implemented by a surgical instrument comprising a control circuit, a multi-level flexible electrode, the multi-level flexible electrode comprises first, second, and third insulative layers, the multi-level flexible electrode further comprises at least one therapeutic electrode and at least two sensing electrodes, the at least one therapeutic electrode positioned between the first and second insulative layers, wherein the at least one therapeutic electrode is couplable to a source of radiofrequency (RF) energy, the at least two sensing electrodes positioned between the second and third insulative layers, the method comprising:

contacting tissue by the at least one therapeutic electrode and the at least two sensing electrodes;

delivering RF energy to the contacted tissue by the at least one therapeutic electrode;

sensing, by the at least two sensing electrodes, a parameter associated with tissue positioned between first and second jaws of the surgical instrument;

controlling, by the control circuit, RF energy delivered to the at least one therapeutic electrode based on the sensed parameter;

applying a tissue treatment, by the at least one therapeutic electrode, to the tissue grasped between the first jaw and the second jaw; and

receiving, by control circuit, sensor signals indicative of application of the tissue treatment to the tissue; and applying, by a marking assembly, a distinct marking to the tissue unique to the tissue treatment application; wherein the distinct marking distinguishes the tissue treatment application from other tissue treatment applications.

10. The method of claim 9 , further comprising sensing, by the at least two sensing electrodes, impedance of the tissue positioned between the first and second jaws of the surgical instrument; electrical continuity of the tissue; or a temperature transition point in the tissue; or a combination thereof.

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 Apr 1, 2019
From: YATES, DAVID C.; SHELTON, FREDERICK E., IV; HARRIS, JASON L.
To: ETHICON LLC
Reel/Frame 048752/0183 →
Continuity (60)
Provisional Application 62773778 · Nov 30, 2018
Provisional Application 62773728 · Nov 30, 2018
Provisional Application 62773741 · Nov 30, 2018
Provisional Application 62773742 · Nov 30, 2018
Provisional Application 62750529 · Oct 25, 2018
Provisional Application 62750539 · Oct 25, 2018
Provisional Application 62750555 · Oct 25, 2018
Provisional Application 62729183 · Sep 10, 2018
Provisional Application 62729177 · Sep 10, 2018
Provisional Application 62729176 · Sep 10, 2018
Provisional Application 62729185 · Sep 10, 2018
Provisional Application 62729184 · Sep 10, 2018
Provisional Application 62729182 · Sep 10, 2018
Provisional Application 62729191 · Sep 10, 2018
Provisional Application 62729195 · Sep 10, 2018
Provisional Application 62729186 · Sep 10, 2018
Provisional Application 62721995 · Aug 23, 2018
Provisional Application 62721998 · Aug 23, 2018
Provisional Application 62721999 · Aug 23, 2018
Provisional Application 62721994 · Aug 23, 2018
Provisional Application 62721996 · Aug 23, 2018
Provisional Application 62692747 · Jun 30, 2018
Provisional Application 62692748 · Jun 30, 2018
Provisional Application 62692768 · Jun 30, 2018
Provisional Application 62691228 · Jun 28, 2018
Provisional Application 62691227 · Jun 28, 2018
Provisional Application 62691230 · Jun 28, 2018
Provisional Application 62691219 · Jun 28, 2018
Provisional Application 62691257 · Jun 28, 2018
Provisional Application 62691262 · Jun 28, 2018
Provisional Application 62691251 · Jun 28, 2018
Provisional Application 62665129 · May 1, 2018
Provisional Application 62665139 · May 1, 2018
Provisional Application 62665177 · May 1, 2018
Provisional Application 62665128 · May 1, 2018
Provisional Application 62665192 · May 1, 2018
Provisional Application 62665134 · May 1, 2018
Provisional Application 62659900 · Apr 19, 2018
Provisional Application 62650898 · Mar 30, 2018
Provisional Application 62650887 · Mar 30, 2018
Provisional Application 62650882 · Mar 30, 2018
Provisional Application 62650877 · Mar 30, 2018
Provisional Application 62649302 · Mar 28, 2018
Provisional Application 62649294 · Mar 28, 2018
Provisional Application 62649300 · Mar 28, 2018
Provisional Application 62649309 · Mar 28, 2018
Provisional Application 62649310 · Mar 28, 2018
Provisional Application 62649291 · Mar 28, 2018
Provisional Application 62649296 · Mar 28, 2018
Provisional Application 62649333 · Mar 28, 2018
Provisional Application 62649327 · Mar 28, 2018
Provisional Application 62649315 · Mar 28, 2018
Provisional Application 62649313 · Mar 28, 2018
Provisional Application 62649320 · Mar 28, 2018
Provisional Application 62649307 · Mar 28, 2018
Provisional Application 62649323 · Mar 28, 2018
Provisional Application 62611341 · Dec 28, 2017
Provisional Application 62611340 · Dec 28, 2017
Provisional Application 62611339 · Dec 28, 2017
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