IP Library Granted Patent US 11,911,063
Granted Patent B2
US 11,911,063 · App. 16/887,568 · Granted Feb 27, 2024

Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade

Inventor: Geoffrey S. Strobl (Williamsburg, OH)
Assignee: Cilag GmbH International
A61B17/320068A61B18/1206A61B18/1445A61B2017/320075A61B2017/320094A61B2018/0063A61B2018/00083A61B2018/00601A61B2018/00607A61B2018/00875A61B2018/00994A61B2018/126A61B2018/1465A61B2090/065
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Quick Facts
Patent No.
US 11,911,063
App. No.
16/887,568
Granted
Feb 27, 2024
Kind
B2
Abstract

An end-effector and a surgical instrument including the end-effector are disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a cantilever electrode configured to electrically couple to an opposite pole of the electrical generator and an electrically non-conductive clamp arm pad including a plurality of teeth. The surgical instrument includes a control circuit to detect a distal conductive element contact with the ultrasonic blade and adjust power applied to the ultrasonic blade based on detection of the contact.

Claims (45)

1. An end-effector, comprising:

a clamp arm; and

an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator;

wherein the clamp arm comprises:

a clamp jaw; and

a cantilever electrode configured to electrically couple to an opposite pole of the electrical generator, wherein the cantilever electrode is fixed to a proximal end of the clamp jaw and is free to deflect at a distal end of the clamp jaw, wherein the cantilever electrode comprises a distal conductive element attached to a distal end of the cantilever electrode, wherein the distal conductive element is configured to generate a signal to indicate contact between the distal conductive element and the ultrasonic blade.

2. The end-effector of claim 1 , wherein the signal is impedance over time.

3. The end-effector of claim 1 , further comprising an electrically non-conductive clamp arm pad comprising a plurality of teeth.

4. A surgical instrument, comprising:

a housing;

an ultrasonic transducer;

a control circuit configured to execute logic; and

an end-effector, comprising:

a clamp arm; and

an ultrasonic blade acoustically coupled to the ultrasonic transducer and electrically coupled to a pole of an electrical generator;

wherein the clamp arm comprises:

a clamp jaw;

a cantilever electrode coupled to an opposite pole of the electrical generator, wherein the cantilever electrode is fixed to a proximal end of the clamp jaw and is free to deflect at a distal end of the clamp jaw, wherein the cantilever electrode comprises a distal conductive element attached to a distal end of the cantilever electrode; and

wherein the control circuit is configured to:

detect contact between the distal conductive element and the ultrasonic blade; and

adjust power applied to the ultrasonic blade based on detection of the contact.

5. The surgical instrument of claim 4 , further comprising an electrically non-conductive clamp arm pad comprising a plurality of teeth.

6. The surgical instrument of claim 4 , wherein the control circuit is configured to detect a signal generated by the distal conductive element and reduce power applied to the ultrasonic blade to minimize damage to the electrode and/or the ultrasonic blade.

7. The surgical instrument of claim 4 , wherein the control circuit is configured to detect impedance to indicate contact between the ultrasonic blade and the cantilever electrode.

8. The surgical instrument of claim 7 , wherein the control circuit is configured to reduce power applied to the ultrasonic blade based the detected impedance.

9. The surgical instrument of claim 7 , wherein when the detected impedance is above a predefined threshold, the control circuit is configured to apply a power level to the ultrasonic blade optimized for cutting.

10. The surgical instrument of claim 7 , wherein when the detected impedance is at or below a predefined threshold, the control circuit is configured to apply a power level to the ultrasonic blade to reduce an amount of time that the ultrasonic blade is active while in contact with the distal conductive element.

11. A surgical instrument, comprising:

a housing;

an ultrasonic transducer; and

an end-effector comprising:

a clamp arm; and

an ultrasonic blade configured to acoustically couple to the ultrasonic transducer and to electrically couple to a pole of an electrical generator; and

wherein the clamp arm comprises:

a clamp jaw; and

a cantilever electrode configured to electrically couple to an opposite pole of the electrical generator, wherein the cantilever electrode is fixed to a proximal end of the clamp jaw and is free to deflect at a distal end of the clamp jaw, wherein the cantilever electrode comprises a distal conductive element attached to a distal end of the cantilever electrode, wherein the distal conductive element is configured to generate a signal to indicate contact between the ultrasonic blade and the distal conductive element.

12. The surgical instrument of claim 11 , wherein the signal is impedance over time.

13. The surgical instrument of claim 11 , further comprising an electrically non-conductive clamp arm pad comprising a plurality of teeth.

14. An end-effector, comprising:

a clamp arm; and

an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator;

wherein the clamp arm comprises:

a clamp jaw; and

a cantilever electrode configured to electrically couple to an opposite pole of the electrical generator, wherein the cantilever electrode is fixed to a proximal end of the clamp jaw and is free to deflect at a distal end of the clamp jaw, wherein the cantilever electrode comprises a distal conductive element formed on a distal end of the cantilever electrode, wherein the distal conductive element is configured to generate a signal to indicate contact between the distal conductive element and the ultrasonic blade.

15. The end-effector of claim 14 , further comprising an electrically non-conductive clamp arm pad comprising a plurality of teeth.

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 Jul 1, 2020
From: STROBL, GEOFFREY S.
To: ETHICON LLC
Reel/Frame 053097/0701 →
Continuity (2)
Provisional Application 62955292 · Dec 30, 2019
Related Publication 20210196305A1 · Jul 1, 2021
Cited By (6)
US 12,213,670 US 12,343,011 US 12,383,263 US 12,599,379 US 12,622,721 US 12,702,409