RU2014145013A - Устройства и методики для рассечения и коагуляции ткани - Google Patents

Устройства и методики для рассечения и коагуляции ткани Download PDF

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RU2014145013A
RU2014145013A RU2014145013A RU2014145013A RU2014145013A RU 2014145013 A RU2014145013 A RU 2014145013A RU 2014145013 A RU2014145013 A RU 2014145013A RU 2014145013 A RU2014145013 A RU 2014145013A RU 2014145013 A RU2014145013 A RU 2014145013A
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pulse
generator
amplitude
response
electrical signal
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Джеффри Д. МЕССЕРЛИ
Брайн Д. БЕРТКЕ
Карэлин Р. ТЕЛЛИО
Эйтан Т. ВИНЕР
Дэвид К. ЙЭЙТС
Джеффри Л. ЭЛДРИДЖ
Фостер Б. СТАЛЕН
Джеймс Р. ДЖИОРДАНО
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Этикон Эндо-Серджери, Инк.
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Abstract

1. Способ возбуждения концевого эффектора, соединенного с системой ультразвукового возбуждения хирургического инструмента, включающий:генерацию генератором по меньшей мере одного электрического сигнала;контроль по меньшей мере одного электрического сигнала на соответствие первому набору логических условий;сохранение резонансной частоты по меньшей мере одного электрического сигнала в качестве базовой частоты; изапуск первого отклика генератора при наступлении по меньшей мере одного события, выбранного из группы, состоящей из: выполнения первого набора логических условий и отличия резонансной частоты по меньшей мере одного электрического сигнала от базовой частоты на величину порога отклонения от базового значения.2. Способ по п. 1, в котором закрытие браншей обнаруживают, когда ультразвуковой импеданс хирургического инструмента превышает пороговый импеданс.3. Способ по п. 1, в котором первый отклик содержит запуск по меньшей мере одного отклика, выбранного из группы, состоящей из звукового отклика, визуального отклика и импульсного отклика.4. Способ по п. 1, в котором первый отклик включает импульсный отклик и в котором запуск импульсного отклика включает:генерацию генератором амплитуды первого импульса в течение длительности первого импульса, причем длительность первого импульса представляет собой период, в течение которого генератор вырабатывает амплитуду первого импульса; игенерацию генератором амплитуды второго импульса в течение длительности второго импульса, причем длительность второго импульса представляет собой период, в течение которого генератор вырабатывает амплитуду второго импульса.5. Способ по

Claims (31)

1. Способ возбуждения концевого эффектора, соединенного с системой ультразвукового возбуждения хирургического инструмента, включающий:
генерацию генератором по меньшей мере одного электрического сигнала;
контроль по меньшей мере одного электрического сигнала на соответствие первому набору логических условий;
сохранение резонансной частоты по меньшей мере одного электрического сигнала в качестве базовой частоты; и
запуск первого отклика генератора при наступлении по меньшей мере одного события, выбранного из группы, состоящей из: выполнения первого набора логических условий и отличия резонансной частоты по меньшей мере одного электрического сигнала от базовой частоты на величину порога отклонения от базового значения.
2. Способ по п. 1, в котором закрытие браншей обнаруживают, когда ультразвуковой импеданс хирургического инструмента превышает пороговый импеданс.
3. Способ по п. 1, в котором первый отклик содержит запуск по меньшей мере одного отклика, выбранного из группы, состоящей из звукового отклика, визуального отклика и импульсного отклика.
4. Способ по п. 1, в котором первый отклик включает импульсный отклик и в котором запуск импульсного отклика включает:
генерацию генератором амплитуды первого импульса в течение длительности первого импульса, причем длительность первого импульса представляет собой период, в течение которого генератор вырабатывает амплитуду первого импульса; и
генерацию генератором амплитуды второго импульса в течение длительности второго импульса, причем длительность второго импульса представляет собой период, в течение которого генератор вырабатывает амплитуду второго импульса.
5. Способ по п. 4, в котором амплитуда первого импульса равна амплитуде второго импульса, а длительность первого импульса составляет приблизительно одну минуту.
6. Способ по п. 1, включающий:
контроль по меньшей мере одного электрического сигнала на соответствие второму набору логических условий; и
запуск второго отклика генератора при
выполнении второго набора логических условий.
7. Способ по п. 6, включающий определение запуска первого или второго откликов в иерархическом порядке.
8. Способ по п. 1, в котором первый набор логических условий включает по меньшей мере одно условие, выбранное из группы, состоящей из:
резонансной частоты ниже порога частоты; и
наклона характеристики резонансной частоты меньше параметра наклона частотной характеристики.
9. Способ по п. 1, в котором сохранение резонансной частоты по меньшей мере одного электрического сигнала в качестве базовой частоты происходит, когда ультразвуковой импеданс хирургического инструмента превышает пороговый импеданс в течение времени превышения импеданса.
10. Способ по п. 1, дополнительно включающий блокирование первого отклика генератора, когда ультразвуковой импеданс хирургического инструмента меньше заранее заданного порогового импеданса.
11. Способ по п. 1, в котором базовую частоту сохраняют, когда обнаруживают закрытие браншей, и в котором закрытие браншей обнаруживают, когда ультразвуковой импеданс системы ультразвукового возбуждения превышает предварительно заданное значение.
12. Хирургическая система для возбуждения концевого эффектора, соединенного с системой ультразвукового возбуждения хирургического инструмента, причем система содержит по меньшей мере одну схему, выполненную с возможностью:
контролировать по меньшей мере один генерируемый генератором электрический сигнал на соответствие первому набору логических условий;
сохранять резонансную частоту по меньшей мере одного электрического сигнала в качестве базовой частоты, когда ультразвуковой импеданс хирургического инструмента превышает пороговый импеданс; и
запускать первый отклик при наступлении по меньшей мере одного события, выбранного из группы, состоящей из: выполнения первого набора логических условий и отличия резонансной частоты по меньшей мере одного электрического сигнала от базовой частоты на величину порога отклонения от базового значения.
13. Способ возбуждения концевого эффектора, соединенного с системой ультразвукового возбуждения хирургического инструмента, включающий:
генерацию генератором по меньшей мере одного электрического сигнала;
контроль по меньшей мере одного электрического сигнала на соответствие первому набору логических условий;
обнаружение события нагружения концевого эффектора;
запуск первого отклика генератора при обнаружении события нагружения и при выполнении первого набора логических условий.
14. Способ по п. 13, в котором обнаружение события нагружения включает:
сравнение текущего наклона характеристики резонансной частоты по меньшей мере одного электрического сигнала с предшествующим наклоном характеристики резонансной частоты по меньшей мере одного электрического сигнала, смещенного относительно текущей резонансной частоты по меньшей мере одного электрического сигнала на ширину временного окна.
15. Способ по п. 13, в котором обнаружение события нагружения дополнительно включает сравнение ультразвукового импеданса хирургического инструмента с порогом импеданса.
16. Способ по п. 15, в котором событие нагружения обнаруживают, когда ультразвуковой импеданс хирургического инструмента превышает порог импеданса и текущий наклон характеристики резонансной частоты отличается от предшествующего наклона характеристики резонансной частоты больше чем на величину параметра порога наклона частотной характеристики.
17. Способ по п. 15, в котором событие нагружения обнаруживают, когда ультразвуковой импеданс хирургического инструмента превышает порог импеданса в течение по меньшей мере времени превышения порога импеданса, а текущий наклон характеристики резонансной частоты отличается от предшествующего наклона характеристики резонансной частоты больше чем на величину параметра порога наклона частотной характеристики.
18. Способ по п. 15, в котором событие нагружения обнаруживают до тех пор, пока ультразвуковой импеданс хирургического инструмента не опустится ниже порогового импеданса сброса.
19. Способ по п. 15, в котором первый отклик включает импульсный отклик и в котором запуск первого отклика включает:
генерацию генератором амплитуды первого импульса в течение длительности первого импульса, причем длительность первого импульса представляет собой период, в течение которого генератор вырабатывает амплитуду первого импульса; и
генерацию генератором амплитуды второго импульса в течение длительности второго импульса, причем длительность второго импульса представляет собой период, в течение которого генератор вырабатывает амплитуду второго импульса.
20. Способ по п. 19, в котором амплитуда первого импульса равна амплитуде второго импульса и в котором длительность первого импульса составляет приблизительно одну минуту.
21. Способ по п. 13, включающий:
контроль по меньшей мере одного электрического сигнала на соответствие второму набору логических условий; и
запуск второго отклика генератора при
выполнении второго набора логических условий.
22. Способ по п. 13, в котором первый набор логических условий включает по меньшей мере одно условие, выбранное из группы, состоящей из:
резонансной частоты ниже порога наклона частотной характеристики; и
наклона характеристики резонансной частоты меньше параметра наклона частотной характеристики.
23. Хирургическая система для возбуждения концевого эффектора, соединенного с системой ультразвукового возбуждения хирургического инструмента, причем система содержит по меньшей мере одну схему, выполненную с возможностью:
контролировать по меньшей мере один генерируемый генератором электрический сигнал на соответствие первому набору логических условий;
обнаруживать событие нагружения концевого эффектора;
запускать первый отклик генератора при обнаружении события нагружения и при выполнении первого набора логических условий.
24. Способ возбуждения концевого эффектора, соединенного с системой ультразвукового возбуждения хирургического инструмента, включающий:
генерацию генератором по меньшей мере одного электрического сигнала, причем генерация по меньшей мере одного электрического сигнала включает:
генерацию генератором амплитуды первого импульса в течение длительности первого импульса, причем длительность первого импульса представляет собой период времени, в течение которого генератор вырабатывает амплитуду первого импульса; и
генерацию генератором амплитуды второго импульса в течение длительности второго импульса, причем длительность второго импульса представляет собой период, в течение которого генератор вырабатывает амплитуду второго импульса.
25. Способ по п. 24, в котором амплитуда первого импульса равна амплитуде второго импульса.
26. Способ по п. 24, в котором амплитуда первого импульса больше амплитуды второго импульса.
27. Способ по п. 24, в котором амплитуда первого импульса меньше амплитуды второго импульса.
28. Способ по п. 24, в котором длительность первого импульса составляет приблизительно одну минуту.
29. Хирургический генератор для возбуждения по меньшей мере одного концевого эффектора, соединенный по меньшей мере с одним хирургическим инструментом, причем генератор содержит схему, выполненную с возможностью:
обеспечивать первый электрический сигнал по меньшей мере на один хирургический инструмент, причем первый электрический сигнал представляет собой ультразвуковой сигнал возбуждения, поступающий на ультразвуковой преобразователь; и
одновременно с обеспечением первого электрического сигнала обеспечивать второй электрический сигнал по меньшей мере на один хирургический инструмент, причем второй электрический сигнал представляет собой электрохирургический сигнал, поступающий по меньшей мере на один электрод.
30. Генератор по п. 29, в котором второй электрический сигнал представляет собой сигнал терапевтического уровня.
31. Генератор по п. 29, в котором второй электрический сигнал представляет собой сигнал субтерапевтического уровня.
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US20160120563A1 (en) 2016-05-05
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