Surgical Instrument Activation Surface with Resistive Capacitive Sensing

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Solution Overview

Problem

Conventional ultrasonic surgical devices face challenges such as surgeon distraction and leg fatigue due to the need to operate a foot pedal for power activation, lack of sensory feedback indicating active states, and potential unintentional activation of capacitive switches, particularly in delicate procedures like plastic surgery.

Innovation Solution

The design incorporates a handpiece with integrated control and activation surfaces that provide tactile feedback and precise energy level selection through resistive and capacitive sensing technologies, allowing for intuitive and controlled ultrasonic energy application without the need for a foot pedal, and includes features to differentiate between intentional and unintentional activations.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If a foot pedal is used for power activation, then the surgeon's hands are free to manipulate the instrument, but the surgeon experiences distraction and leg fatigue

Engineering Contradiction:
Improvehand freedomVSAvoidsurgeon distraction and leg fatigue
Core Design Contradiction:
Ease of operationVSObject-affected harmful factors

Solution Approach 1:

The patent combines the power activation function with the handpiece itself, integrating the activation surface directly into the grip area. This merging eliminates the need for a separate foot pedal, allowing surgeons to activate power using hand/finger movements on the handpiece while maintaining hand freedom and avoiding leg fatigue.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The patent introduces an activation surface with resistive and capacitive sensing technologies as an intermediary between the surgeon's hand and the power activation system. This intermediary enables precise control through tactile feedback while eliminating the need for foot pedal operation.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Speed

If conventional capacitive switches are used for activation, then the activation response is immediate, but unintentional activation may occur from fluid spill or surface contact

Engineering Contradiction:
Improveactivation responseVSAvoidunintentional activation risk
Core Design Contradiction:
SpeedVSReliability

Solution Approach 1:

The patent changes the activation parameters by combining resistive sensing (requiring pressure) with capacitive sensing (detecting finger proximity). This dual-parameter approach ensures that activation occurs only when both conditions are met, preventing accidental activation from fluid spill or unintended surface contact while maintaining immediate response when intentionally activated.

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The patent incorporates tactile feedback through the resistive sensing mechanism, which provides sensory confirmation to the surgeon that activation has occurred. This feedback loop enhances reliability by ensuring the surgeon can distinguish between intentional and unintentional activation attempts.

Inventive Principle:
Principle #23Feedback

3Device complexity

If no sensory feedback is provided, then the device structure remains simple, but the surgeon lacks indication of active states

Engineering Contradiction:
Improvefeedback mechanismVSAvoidactivation status indication
Core Design Contradiction:
Device complexityVSLoss of information

Solution Approach 1:

The patent incorporates tactile feedback through the resistive sensing mechanism, which provides sensory confirmation to the surgeon that activation has occurred. This feedback loop enhances reliability by ensuring the surgeon can distinguish between intentional and unintentional activation attempts.

Inventive Principle:
Principle #23Feedback

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

Enhances surgical precision and reduces fatigue by allowing surgeons to focus on the procedure with improved tactile feedback and controlled energy delivery, minimizing the risk of unintentional activations during delicate surgeries.

Implementation Method 1

resistive and capacitive sensing technologies

Methodology Applied
Scientific EffectResistive sensing: Electrical Resistance

Implementation Method 2

resistive and capacitive sensing technologies

Methodology Applied
Scientific EffectCapacitive sensing: Capacitance

Implementation Method 3

Capacitive actuation occurs when a sensor recognizes a change in the dielectric constant of its immediate environment

Methodology Applied
Scientific EffectDielectric constant change: Dielectric

Implementation Method 4

Vibrating at high frequencies (e.g., 55,500 times per second), the ultrasonic blade may denature protein in the tissue

Methodology Applied
Scientific EffectUltrasonic vibration: Ultrasonic Vibration

Data Source

PatentEP2641550B1Activation feature for surgical instrument with pencil grip
Publication Date: 2019.04.24 ETHICON INC
  • EP2641550B1 patent drawingFigure 1
  • EP2641550B1 patent drawingFigure 2
  • EP2641550B1 patent drawingFigure 3

AI summary

An exemplary surgical instrument comprises a handpiece, an end effector, and an activation and control feature that is operable to selectively activate an end effector and select an energy level for the end effector. One version of the activation and control feature includes a "floating" button feature where activation and control is accomplished based on the displacement of the button from a home position. In some versions the activation and control feature is sealed within the handpiece, but controllable by the user's touch with the handpiece. The sealed configuration can allow the handpiece to be sterilizable, e.g., using steam sterilization. The activation and control feature may comprise capacitive switches, resistive sensors, resonant cavity switching technology, infrared sensing technology, technology that uses a resonant standing wave on a surface that is perturbed by the presence of a finger, and/or any other suitable type of technology.