CA2359403A1 - Apparatus and method for altering generator functions in an ultrasonic surgical system - Google Patents

Apparatus and method for altering generator functions in an ultrasonic surgical system Download PDF

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Publication number
CA2359403A1
CA2359403A1 CA002359403A CA2359403A CA2359403A1 CA 2359403 A1 CA2359403 A1 CA 2359403A1 CA 002359403 A CA002359403 A CA 002359403A CA 2359403 A CA2359403 A CA 2359403A CA 2359403 A1 CA2359403 A1 CA 2359403A1
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CA
Canada
Prior art keywords
hand piece
memory
console
handicap
limit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002359403A
Other languages
French (fr)
Other versions
CA2359403C (en
Inventor
Eitan T. Wiener
William T. Donofrio
Robert A. Kemerling
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Ethicon Endo Surgery Inc
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Ethicon Endo Surgery Inc
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Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CA2359403A1 publication Critical patent/CA2359403A1/en
Application granted granted Critical
Publication of CA2359403C publication Critical patent/CA2359403C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • A61B2017/00482Coupling with a code
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320071Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320089Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0803Counting the number of times an instrument is used
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0804Counting number of instruments used; Instrument detectors
    • A61B2090/0805Counting number of instruments used; Instrument detectors automatically, e.g. by means of magnetic, optical or photoelectric detectors

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Mechanical Engineering (AREA)
  • Biomedical Technology (AREA)
  • Dentistry (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

A system for implementing surgical procedures includes an ultrasonic surgical hand piece having an end-effector. A console having a digital signal processor (DSP) is also provided for controlling the hand piece. An electrical connection connects the hand piece and the console, wherein the console sends a drive current to drive the hand piece which imparts ultrasonic longitudinal movement to the end-effector. A memory is disposed in the electrical connection, wherein the console reads information stored in the memory to authenticate the hand piece for use with the console.

Claims (34)

1. A system for implementing surgical procedures comprising:
an ultrasonic surgical hand piece having an end-effector;
a console having a digital signal processor (DSP) for controlling the hand piece;
an electrical connection connecting the hand piece and the console, wherein the console sends a drive current to drive the hand piece which imparts ultrasonic longitudinal movement to the end-effector; and a memory disposed in the electrical connection, wherein the console reads information stored in the memory to authenticate the hand piece for use with the console.
2. The system of claim 1 wherein the information stored in the memory includes a cyclical redundancy check (CRC) code, and the information stored in the memory is in the form of a data implemented in firmware.
3. The system of claim 1 wherein the information is an encrypted code, and the hand piece is authenticated for use with the console by decoding a corresponding encryption algorithm in the console and providing for a corresponding data pattern.
4. The system of claim 1 wherein:
the memory stores a handicap limit and a disable limit;
the console instructs the hand piece to operate in a handicap mode if the system exceeds the handicap limit, and the console disables the hand piece if the system exceeds the disable limit.
5. The system of claim 4 wherein handicap and disable limits relate to temperature and the handicap mode is appropriate for temperature conditions.
6. The system of claim 4 wherein the handicap limit and the disable limit relate to the number of defective blades found in a time period of operating the hand piece, and the handicap mode is appropriate for the number of defective blade conditions.
7. The system of claim 4 wherein the handicap limit and the disable limit relate to the time the hand piece has been active, and the handicap mode is appropriate for the time conditions.
8. The system of claim 4 wherein the handicap limit and the disable limit relate to the number of activations for the hand piece within a time period, and the handicap mode is appropriate for the number of activation conditions.
9. The system of claim 4 wherein the handicap mode involves one of operations below a certain speed or vibrational frequency, operating below a certain vibrational displacement, and in a limited mode such as coagulation or cutting.
10. The system of claim 1 wherein the memory includes a reprogram code, wherein said DSP reads the reprogram code stored in the memory and alters at least one function of said console based on said reprogram code.
11. The system of claim 10 further comprising storage and upgrade code, whereon said DSP stores the storage and upgrade code which is read with its operating program.
12. The system of claim 11 wherein the reprogram code and the upgrade code are read from a non-volatile memory of a non-hand piece device plugged into the electrical connection.
13. The system of claim 12 wherein said function of said console is a diagnostic hierarchy.
14. The system of claim 12 wherein said function of said console is a duty-cycle.
15. The system of claim 12 wherein said function of said console redefines power level settings.
16. The system of claim 12 wherein said function of said console redefines the console function assigned to a switch.
17. The system of claim 1 wherein the information stored in the memory correlates energy level information and corresponding output displacement, wherein the console reads the energy level information and drives the hand piece according to the corresponding output displacement.
18. The system of claim 1 wherein the information stored in the memory includes a start sweep point and a stop sweep point delimiting a frequency range, and wherein a frequency sweep is effected under control of the DSP in the frequency range loaded on the nominal resonate frequency, the start and stop sweep points for detecting a resonant frequency for operating the hand piece.
19. The system of claim 1 wherein the information stored in the memory includes a nominal resonant frequency, a bias amount and a margin amount from which a frequency range is calculated, and wherein a frequency sweep is effected under control of the DSP in the frequency range based on the nominal resonate frequency, bias current and margin current for detecting a resonant frequency for operating the hand piece.
20. The system of claim 1 wherein the memory consists of at least one of an Electrically Erasable Programmable Read Only Memory (EEPROM), Read Only Memory (ROM), Erasable Programmable Read Only Memory (EPROM), Random Access Memory (RAM), Programmable Array Logic (PAL), Programmable Logic Array (PLA), analog serial storage device, sound storage integrated circuit, a memory device in conjunction with a numeric manipulation device including a microprocessor for the purpose of encryption, and volatile memory which is powered by a device consisting of a cell, battery and capacitor.
21. The system of claim 1 wherein the memory is in a location consisting of one of the electrical connection, the housing of the hand piece, and an in-line location in a cable connecting the electrical connection with the console and the hand piece.
22. A method for implementing surgical procedures in a system including an ultrasonic surgical hand piece, a console having a microprocessor for controlling the hand piece, an electrical connection connecting the hand piece and the console, and a memory disposed in the electrical connection, the method comprising the steps of:
reading information stored in the memory;
determining whether particular data is present in the memory;
authenticating use of the hand piece with the console if the particular data is present; and sending a drive current to drive the hand piece to impart ultrasonic movement to the blade.
23. The method of claim 22 wherein the data is stored in memory in encrypted form further comprising the steps of:
decoding the encrypted data with an encryption algorithm in the console;
providing a corresponding data pattern; and authenticating the hand piece on the basis of the data pattern.
24. The method of claim 22 further comprising the steps of:
instructing the hand piece to operate in a handicap mode if temperature of the hand piece exceeds a handicap limit; and disabling the hand piece if the temperature of the hand piece exceeds a disable limit.
25. The method of claim 22 further comprising the steps of:
instructing the hand piece to operate in a handicap mode if number of defective blades found in a time period of operating the hand piece exceeds a handicap limit; and disabling the hand piece if the number of defective blades found in the time period exceeds a disable limit.
26. The method of claim 22 further comprising the steps of:
instructing the hand piece to operate in a handicap mode if time the hand piece has been active exceeds a handicap limit; and disabling the hand piece if the number of defective blades found in the time the hand piece has been active exceeds a disable limit.
27. The method of claim 22 further comprising the steps of:
instructing the hand piece to operate in a handicap mode if number of activations for the hand piece within a time period exceeds a handicap limit; and disabling the hand piece if the number of activations for the hand piece within the time period exceeds a disable limit.
28. The method of claim 22 further comprising the step of re-initializing the handicap limit and the disable limit based on varied operational conditions of the hand piece.
29. The method of claim 22 further comprising the steps of:
determining whether a reprogram of the console is needed by reading an upgrade code stored in the memory; and reading a reprogram code stored in the memory and reprogramming the console using the reprogram code, if it is determined that an upgrade of the console is needed.
30. The method of claim 22 further comprising the steps of:
reading energy level information stored in the memory; and driving the hand piece according to a corresponding output displacement;
wherein the energy level information stored in the memory is correlated with corresponding output displacement for driving the hand piece.
31. The method of claim 22 further comprising the steps of:
reading a nominal resonant frequency, a start sweep point and a stop sweep point delimiting a frequency range from the memory;
effecting a frequency sweep in the frequency range based on the reading; and detecting a resonant frequency for operating the hand piece.
32. The method of claim 22 further comprising the steps of:
reading a nominal resonant frequency, a bias amount and a margin amount from the memory;
calculating a frequency range based on the nominal resonant frequency, the bias amount and the margin amount;
effecting a frequency sweep in the frequency range; and detecting a resonant frequency for operating the hand piece.
33. The method of claim 22 further comprising the steps of:
keeping track of a number of uses for the hand piece; and keeping track of a number of remaining uses allowed for the hand piece.
34 34. The method of claim 22 further comprising the steps of:
providing an alert mode corresponding to the particular data;
alerting conditions meeting criteria for the alert mode.
CA2359403A 2000-10-20 2001-10-17 Apparatus and method for altering generator functions in an ultrasonic surgical system Expired - Lifetime CA2359403C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US24217100P 2000-10-20 2000-10-20
US60/242,171 2000-10-20

Publications (2)

Publication Number Publication Date
CA2359403A1 true CA2359403A1 (en) 2002-04-20
CA2359403C CA2359403C (en) 2010-12-14

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8258886B2 (en) 2010-03-30 2012-09-04 Tyco Healthcare Group Lp System and method for improved start-up of self-oscillating electro-mechanical surgical devices
US8444664B2 (en) 2011-05-16 2013-05-21 Covidien Lp Medical ultrasound instrument with articulated jaws
US8662745B2 (en) 2011-11-11 2014-03-04 Covidien Lp Methods of measuring conditions of an ultrasonic instrument
US9351753B2 (en) 2012-01-30 2016-05-31 Covidien Lp Ultrasonic medical instrument with a curved waveguide

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8258886B2 (en) 2010-03-30 2012-09-04 Tyco Healthcare Group Lp System and method for improved start-up of self-oscillating electro-mechanical surgical devices
US8665031B2 (en) 2010-03-30 2014-03-04 Covidien Lp System and method for improved start-up of self-oscillating electro-mechanical surgical devices
US8444664B2 (en) 2011-05-16 2013-05-21 Covidien Lp Medical ultrasound instrument with articulated jaws
US8894674B2 (en) 2011-05-16 2014-11-25 Covidien Lp Medical ultrasound instrument with articulated jaws
US8662745B2 (en) 2011-11-11 2014-03-04 Covidien Lp Methods of measuring conditions of an ultrasonic instrument
US9351753B2 (en) 2012-01-30 2016-05-31 Covidien Lp Ultrasonic medical instrument with a curved waveguide

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Publication number Publication date
CA2359403C (en) 2010-12-14

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Effective date: 20211018