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Detection of large vessels during parenchymal dissection using smart blade

A vascular and ultrasonic scalpel technology, applied in anatomical instruments, applications, general control systems, etc., can solve the problems of patients exposed to leakage current and limited ability

Pending Publication Date: 2020-10-30
ETHICON LLC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Additionally, in situations where instruments are disposable or interchangeable with handpieces, ultrasound and electrosurgical generators are limited in their ability to identify the specific instrument configuration being used and optimize control and diagnostic procedures accordingly
Additionally, capacitive coupling between the generator's non-isolated and patient-isolated circuits, especially when using higher voltages and frequencies, can result in patient exposure to unacceptable levels of leakage current

Method used

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  • Detection of large vessels during parenchymal dissection using smart blade
  • Detection of large vessels during parenchymal dissection using smart blade
  • Detection of large vessels during parenchymal dissection using smart blade

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0541] Embodiment 1. A method of delivering energy to an ultrasound device comprising an electromechanical ultrasound system defined by a predetermined resonant frequency, the electromechanical ultrasound system further comprising an ultrasound transducer coupled to an ultrasound blade, the method include:

[0542] applying energy, by a processor or a control circuit, to the ultrasonic blade via the ultrasonic transducer coupled to the ultrasonic blade at a first power level P1;

[0543] measuring, by the processor or the control circuit, a complex impedance of the ultrasound transducer;

[0544] receiving complex impedance feedback data points by the processor or the control circuit;

[0545] comparing, by the processor or the control circuit, the complex impedance feedback data points to a reference complex impedance signature pattern; and

[0546] It is determined, by the processor or the control circuit, that the ultrasonic blade is contacting a blood vessel based on a r...

Embodiment 2

[0546] It is determined, by the processor or the control circuit, that the ultrasonic blade is contacting a blood vessel based on a result of the comparison. Embodiment 2. The method according to embodiment 1, further comprising:

[0547] disabling, by the processor or the control circuit, power to the ultrasound transducer; and

[0548] Switching by the processor or the control circuit to a second power level P2 lower than the first power level P1.

Embodiment 3

[0549] Embodiment 3. The method of any one or more of embodiments 1-2, further comprising generating, by the processor or the control circuit, a warning that the ultrasonic scalpel is contacting a blood vessel.

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Abstract

An ultrasonic device may include an electromechanical ultrasonic system defined by a predetermined resonant frequency and include an ultrasonic transducer coupled to an ultrasonic blade, A method of delivering energy to the device may include applying energy to the blade at a first power level via the transducer coupled to the blade, measuring a complex impedance of the transducer, receiving a complex impedance feedback data point, comparing the complex impedance feedback data point to a reference complex impedance characteristic pattern, and determining that the blade is contacting a vessel based on the comparison. The method may also include disabling the power applied to the transducer and switching to a lower power level. The method may further include generating a warning that the blade is contacting a vessel, such as a light or a sound. An ultrasonic surgical instrument may effect the method.

Description

[0001] Cross References to Related Applications [0002] This application claims the benefit of U.S. Nonprovisional Patent Application Serial No. 16 / 144,472, filed September 27, 2018, entitled "DETECTION OF LARGE VESSELSDURING PARENCHYMAL DISSECTION USING A SMART BLADE," the disclosure of which is reproduced in its entirety as Incorporated herein by reference. [0003] This application also claims the benefit of U.S. Provisional Patent Application Serial No. 62 / 640,415, filed March 8, 2018, entitled "ESTIMATING STATE OF ULTRASONICEND EFFECTOR AND CONTROL SYSTEM THEREFOR," the disclosure of which is incorporated by reference in its entirety into this article. Background technique [0004] In a surgical environment, smart energy devices may need to be within a smart energy architecture environment. Ultrasonic surgical devices, such as ultrasonic scalpels, are used in a variety of applications in surgery because of their unique performance characteristics. Depending on the pa...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/32A61B17/00
CPCA61B17/320092A61B2017/00017A61B2017/0003A61B2017/00154A61B2017/320094A61B2017/00022A61B17/320068A61B2017/00106A61B2017/00119A61B2017/00477A61B2017/00482A61B2090/0807A61B2090/0808A61B2090/0809A61B2017/2927A61B2017/320071A61B18/1206A61B2018/126A61B18/1442A61B17/3211A61B2017/320074A61B2017/00398A61B2018/0063A61B2018/1253A61B2018/00791A61B2018/00619A61B2018/00595A61B2017/0084A61B17/282A61B34/30A61B2018/00601A61B2217/005A61B2017/320095A61B2018/128A61B8/4483A61B8/56B06B1/0644H03H9/0004A61B90/08A61B2090/0804A61B2017/0023G05B19/058G05B2219/14074A61B2017/32007A61B2017/320097A61B18/1445A61B2017/00039A61B2017/00061A61B2017/00199A61B2017/00221A61B2017/320084A61B2018/00589A61B2018/00684A61B2018/00827A61B2018/00875A61B2018/00892A61B2018/00994A61B2018/1455A61B2218/002A61B2218/008A61B17/00234A61B2017/00185
Inventor J·E·布拉迪G·A·特里斯
Owner ETHICON LLC