Isolated DC Supply Circuit for Dual-Energy Surgical Instruments

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Solution Overview

Problem

Current surgical instruments lack full control and customization over the simultaneous use of ultrasonic and radio frequency (RF) energies, limiting their precision and versatility in surgical procedures.

Innovation Solution

A mixed energy surgical instrument that utilizes both ultrasonic and RF energy modalities, with a circuit topology enabling simultaneous or switched operation, and a circuit configuration to provide isolated DC voltage for charging energy storage devices, allowing for multiple functionalities such as motor drive, LED illumination, and sensor operation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If ultrasonic and RF energies are used simultaneously in surgical instruments, then surgical precision and versatility are enhanced, but device complexity increases

Engineering Contradiction:
Improvesurgical versatilityVSAvoiddevice complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The patent combines ultrasonic and RF energy delivery systems into a single surgical instrument, integrating two different energy modalities to perform multiple surgical functions (cutting, coagulation, sealing) with one device rather than requiring separate instruments for each function

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The surgical instrument is designed with universal capability to deliver both ultrasonic energy for cutting and RF energy for coagulation and sealing through a single end effector assembly, allowing the same instrument to perform multiple surgical tasks across different tissue types and procedural needs

Inventive Principle:
Principle #6Universality (Multi-functionality)

2Adaptability or versatility

If isolated DC voltage is provided to surgical instruments for multiple functionalities, then functional versatility is improved, but circuit complexity increases

Engineering Contradiction:
Improvefunctional versatilityVSAvoidcircuit complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The patent introduces an isolated DC voltage generation circuit as an intermediary system that converts RF energy into isolated DC voltage, which then serves as a common power source for multiple instrument functions (motor drive, LED illumination, sensor operation) rather than requiring separate power supplies for each function

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The isolated DC voltage circuit provides universal power support for multiple instrument components including the drive motor, LED lights, and various sensors, allowing a single power generation system to enable diverse functionalities across different operational modes

Inventive Principle:
Principle #6Universality (Multi-functionality)

3Reliability

If RF energy is applied to tissue for heating, then tissue sealing effectiveness is improved, but risk of excessive heating increases

Engineering Contradiction:
Improvesealing effectivenessVSAvoidexcessive heating
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent incorporates tissue impedance sensing that provides real-time feedback on tissue heating conditions, allowing the system to monitor and adjust RF energy delivery to achieve effective sealing while preventing excessive temperature rise that could damage surrounding tissue

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system dynamically adjusts RF energy parameters (power level, pulse duration, frequency) based on tissue response and heating rate, modifying energy delivery characteristics during the sealing process to maintain optimal temperature for coagulation without causing thermal injury to adjacent structures

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables precise tissue dissecting, cutting, and coagulation during surgical procedures by effectively managing both ultrasonic and RF energies, enhancing surgical precision and versatility.

Implementation Method 1

rectify RF and/or ultrasonic outputs supplied from a generator to a surgical instrument to charge an energy storage device

Methodology Applied
Scientific EffectRectification:

Implementation Method 2

Vibrating at high frequencies (e.g., 55,500 times per second), the ultrasonic blade denatures protein in the tissue to form a sticky coagulum

Methodology Applied
Scientific EffectUltrasonic vibration: Ultrasonic Vibration

Implementation Method 3

RF energy is a form of electrical energy that may be in the frequency range of 200 kilohertz (kHz) to 1 megahertz (MHz). In application, an electrosurgical device can transmit low frequency RF energy through tissue, which causes ionic agitation, or friction, in effect resistive heating, thereby increasing the temperature of the tissue

Methodology Applied
Scientific EffectResistive heating: Joule Heating

Data Source

PatentUS10687884B2Circuits for supplying isolated direct current (DC) voltage to surgical instruments
Publication Date: 2020.06.23 CILAG GMBH INTERNATIONAL
  • US10687884B2 patent drawing
  • US10687884B2 patent drawing
  • US10687884B2 patent drawing

AI summary

Provided is an apparatus, system, and method for managing radio frequency (RF) and ultrasonic signals output by a generator that includes a surgical instrument comprising an RF energy output and an ultrasonic energy output and a circuit configured to receive a combined RF and ultrasonic signal from the generator. The circuit may be configured to isolate a direct current (DC) voltage from the combined RF and ultrasonic signal. The DC voltage may then be used to power various electrical components of the surgical instrument while still providing RF energy and ultrasonic energy for surgical application.