WO2013062978A4 - Medical instrument - Google Patents
Medical instrument Download PDFInfo
- Publication number
- WO2013062978A4 WO2013062978A4 PCT/US2012/061504 US2012061504W WO2013062978A4 WO 2013062978 A4 WO2013062978 A4 WO 2013062978A4 US 2012061504 W US2012061504 W US 2012061504W WO 2013062978 A4 WO2013062978 A4 WO 2013062978A4
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- medical instrument
- battery
- instrument according
- coupled
- circuit
- Prior art date
Links
- 239000012636 effector Substances 0.000 claims abstract 9
- 230000001939 inductive effect Effects 0.000 claims abstract 4
- 230000004913 activation Effects 0.000 claims 59
- 238000000034 method Methods 0.000 claims 26
- 230000000007 visual effect Effects 0.000 claims 19
- 239000007787 solid Substances 0.000 claims 8
- 238000005070 sampling Methods 0.000 claims 6
- 238000005259 measurement Methods 0.000 claims 4
- 230000003287 optical effect Effects 0.000 claims 4
- 238000007599 discharging Methods 0.000 claims 3
- 230000006870 function Effects 0.000 claims 3
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 claims 2
- 238000012544 monitoring process Methods 0.000 claims 2
- 229910052710 silicon Inorganic materials 0.000 claims 2
- 239000010703 silicon Substances 0.000 claims 2
- 238000004804 winding Methods 0.000 claims 2
- 229910000859 α-Fe Inorganic materials 0.000 claims 2
- 230000005355 Hall effect Effects 0.000 claims 1
- 235000014676 Phragmites communis Nutrition 0.000 claims 1
- 230000000994 depressogenic effect Effects 0.000 claims 1
- 230000005669 field effect Effects 0.000 claims 1
- 238000010304 firing Methods 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 claims 1
- 230000000452 restraining effect Effects 0.000 claims 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B18/1233—Generators therefor with circuits for assuring patient safety
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
- F16B2/00—Friction-grip releasable fastenings
- F16B2/20—Clips, i.e. with gripping action effected solely by the inherent resistance to deformation of the material of the fastening
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- H—ELECTRICITY
- H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
- H02J—CIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
- H02J7/00—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
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- A—HUMAN NECESSITIES
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- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
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- A61B2018/00184—Moving parts
- A61B2018/00196—Moving parts reciprocating lengthwise
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- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
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- A—HUMAN NECESSITIES
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- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/00922—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by switching or controlling the treatment energy directly within the hand-piece
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1226—Generators therefor powered by a battery
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- A—HUMAN NECESSITIES
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A61B2018/1286—Generators therefor having a specific transformer
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- A—HUMAN NECESSITIES
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T74/00—Machine element or mechanism
- Y10T74/20—Control lever and linkage systems
- Y10T74/20576—Elements
- Y10T74/20636—Detents
- Y10T74/20666—Lever engaging
Abstract
A medical instrument is disclosed. The medical instrument includes a housing and a handle for gripping by a user, an end effector coupled to the handle and having at least one electrical contact, a battery, and a radio frequency (RF) generation circuit coupled to and operated by the battery. The RF generation circuit is operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, wherein the RF generation circuit is supported by the housing. The RF generation circuit includes a resonant circuit that includes at least one inductive element constructed of litz wire.
Claims
1
AMENDED CLAIMS
received by the International Bureau on 02 July 2013 (02.07.2013)
1. A medical instrument comprising:
a housing and a handle for gripping by a user, an end effector coupled to the handle and having at least one electrical contact;
a battery;
a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, wherein the RF generation circuit is supported by the housing;
wherein the RF generation circuit comprises a resonant circuit comprising at least one inductive element constructed of litz wire.
2. The medical instrument of claim 1 , wherein the resonant circuit comprises a transformer and an inductor, wherein the transformer comprises a primary coil and a secondary coil constructed of litz wire.
3. The medical instrument of claim 2, wherein the primary coil is constructed of 300 strand 46 gauge litz wire wound at 24 turns per foot (TPF).
4. The medical instrument of claim 3, wherein the primary coil has an inductance of 270nH, an AC resistance of less than 46mQ, and a DC resistance less than or equal to 5mQ.
5. The medical instrument of claim 2, wherein the secondary coil is constructed of 105 strand 44 gauge litz wire wound at 24 TPF.
6. The medical instrument of claim 5, wherein the secondary coil has an inductance of 22uH at 430kHz, an AC resistance of less than 2.5Ω, and a DC resistance less than or equal to 80mQ.
7. The medical instrument of claim 2, wherein the inductor comprises a coil constructed of litz wire.
8. The medical instrument of claim 7, wherein the inductor coil is constructed of 300 strand 46 gauge litz wire wound at 24 turns per foot (TPF).
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9. The medical instrument of claim 8, wherein the inductor coil has an inductance of 345nH at 430kHz, an AC resistance of less than 50mQ, and a DC resistance less than or equal to 7mO.
10. The medical instrument of claim 2, wherein the transformer comprises a ferrite core.
11. The medical instrument of claim 2, wherein the inductor comprises a ferrite core.
12. The medical instrument of claim 2, wherein the inductor and the primary coil of the transformer form a resonant circuit.
13. A medical instrument comprising:
a battery operated radio frequency (RF) generation circuit operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, wherein the RF generation circuit comprises a resonant circuit comprising at least one inductive element constructed of litz wire.
14. The medical instrument according to claim 13, wherein the RF generation circuit comprises switching circuitry that generates a cyclically varying signal, such as a square wave signal, from a direct current (DC) supply and wherein the resonant circuit is configured to receive the cyclically varying signal and wherein the cyclically varying signal is duty cycle modulated.
15. The medical instrument according to claim 13, comprising a battery compartment for holding one or more batteries for providing power to the RF generation circuit for generating said RF drive signal. 6. The medical instrument according to claim 13, further comprising:
battery terminals for connecting to one or more batteries;
wherein the RF generation circuit is coupled to the battery terminals;
wherein the frequency generation circuit comprises:
switching circuitry for generating a cyclically varying signal from a potential difference across the battery terminals; and
the resonant circuit, being a resonant drive circuit coupled to the switching circuitry and operable to filter the cyclically varying signal generated by the switching circuitry; and
wherein the RF drive signal is controlled by an output from said resonant drive circuit.
17. The medical instrument according to 13, comprising a control circuit configured to vary the frequency of the RF drive signal.
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18. The medical instrument according to 13, comprising a control circuit configured to vary the amplitude of the RF drive signal.
19. The medical instrument of claim 3, wherein the resonant circuit comprises a transformer and an inductor, wherein the transformer comprises a primary coil and a secondary coil constructed of lite wire.
20. A medical instrument comprising:
a battery operated radio frequency (RF) generation circuit operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact; and
a control circuit configured to vary the duty cycle of the RF drive signal;
wherein the RF generation circuit comprises a resonant circuit comprising at least one inductive element constructed of litz wire.
21 . The medical instrument according to claim 20, wherein the control circuit is operable to receive a measurement of the RF drive signal and is operable to vary the frequency of the of the RF drive signal to control the power, voltage and/or current delivered to the at least one electrical contact of the end effector.
22. The medical instrument according to claim 21 , wherein the measurement is obtained from a sampling circuit that samples a sensed voltage or current signal at a sampling frequency that varies in synchronism with the frequency and phase of the RF drive signal.
23. The medical instrument according to claim 22, wherein the frequency at which the sampling circuit is operable to sample the sensed signal is an integer fraction of the frequency of the RF drive signal.
24. The medical instrument according to claim 20, wherein the control circuit is configured to vary the frequency of the RF drive signal around the resonant frequency of the resonant circuit.
25. The medical instrument according to claim 24, wherein the resonant characteristic of the resonant circuit varies with a load connected to the at least one electrical contact and wherein the control circuit is configured to vary the RF drive frequency to track changes in the resonant characteristic of the resonant circuit
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26. A medical instrument comprising:
a handle for gripping by a user;
an end effector coupled to the handle and having at least one electrical contact;
a radio frequency (RF) generation circuit coupled to the handle and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact; wherein the RF generation circuit comprises a parallel resonant circuit.
27. The medical instrument according to claim 26, wherein the RF generation circuit comprises switching circuitry that generates a cyclically varying signal, such as a square wave signal, from a direct current (DC) supply and wherein the resonant circuit is configured to receive the cyclically varying signal and wherein the cyclically varying signal is duty cycle modulated.
28. The medical instrument according to claim 26, comprising a battery compartment for holding one or more batteries for providing power to the RF generation circuit for generating said RF drive signal. '
29. The medical instrument according to claim 28, wherein the battery compartment is configured to hold a module comprising the one or more batteries and the RF generation circuit.
30. The medical instrument according to claim 26, further comprising:
battery terminals for connecting to one or more batteries;
wherein the RF generation circuit is coupled to the battery terminals;
wherein the frequency generation circuit comprises:
switching circuitry for generating a cyclically varying signal from a potential difference across the battery terminals; and
the resonant circuit, being a resonant drive circuit coupled to the switching circuitry and operable to filter the cyclically varying signal generated by the switching circuitry; and
wherein the RF drive signal is controlled by an output from said resonant drive circuit.
31. The medical instrument according to claim 26, comprising a control circuit configured to vary the frequency of the RF drive signal.
32. The medical instrument according to claim 26, comprising a control circuit configured to vary the amplitude of the RF drive signal.
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33. The medical instrument according to claim 26, comprising a control circuit configured to vary the duty cycle of the RF drive signal.
34. The medical instrument according to claim 33, wherein the control circuit is operable to receive a measurement of the RF drive signal and is operable to vary the frequency of the of the RF drive signal to control the power, voltage and/or current delivered to the at least one electrical contact of the end effector.
35. The medical instrument according to claim 34, wherein the measurement is obtained from a sampling circuit that samples a sensed voltage or current signal at a sampling frequency that varies in synchronism with the frequency and phase of the RF drive signal.
36. The medical instrument according to claim 35, wherein the frequency at which the sampling circuit is operable to sample the sensed signal is an integer fraction of the frequency of the RF drive signal.
37. The medical instrument according to claim 33, wherein the control circuit is configured to vary the frequency of the RF drive signal around the resonant frequency of the resonant circuit.
38. The medical instrument according to claim 37, wherein the resonant characteristic of the resonant circuit varies with a load connected to the at least one electrical contact and wherein the control circuit is configured to vary the RF drive frequency to track changes in the resonant characteristic of the resonant circuit.
39. The medical instrument according to claim 26, wherein the handle comprises:
a control lever to operate the end effector, and
an activation button to operate the RF generation circuit and deliver RF energy to the end effector.
40. The medical instrument according to claim 39, comprising a rotation knob coupled to end effector to rotate the end effector an angle greater than 360°.
41. The medical instrument according to claim 39, comprising at least one visual feedback element to indicate a state of the medical instrument.
42. The medical instrument according to claim 39, comprising an audio feedback element to indicate a state of the medical instrument.
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43. The medical instrument according to claim 42, comprising an aperture formed in the handle to provide a path for audio waves to escape an interior portion of the handle.
44. The medical instrument according to claim 39, comprising a knife lockout mechanism.
45. The medical instrument according to claim 39, comprising a clip coupled to the control lever.
46. The medical instrument according to claim 45, comprising a magnet located within the clip.
47. The medical instrument according to claim 46, comprising a magnetically operated element coupled to an electronics system of the medical instrument and a battery of the medical instrument, wherein when the magnet is located within the clip and the clip is coupled to the control lever, the magnetically operated element disconnects the battery from the system electronics.
48. A medical instrument comprising:
at least one electrical contact;
a battery;
a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact;
a battery discharge circuit coupled to the battery;
a processor coupled to the battery discharge circuit;
a memory coupled to the processor, the memory stores machine executable instructions that when executed cause the processor to:
monitor activation of the RF generation circuit; and
disable the RF generation circuit when the RF drive signal is fired a predetermined number of times.
49. The medical instrument according to claim 48, wherein execution of the machine executable instructions cause the processor to disable the RF generation circuit when the RF drive signal is fired five consecutive times.
50. The medical instrument according to claim 49, wherein execution of the machine executable instructions cause the processor:
monitor the battery voftage; and
7 disable the RF generation circuit when the RF drive signal is fired five consecutive times after the battery voltage drops below a predetermined threshold.
51. The medical instrument according to claim 50, wherein the battery voltage threshold is 10.848V.
52. The medical instrument according to claim 48, wherein execution of the machine executable instructions cause the processor to deactivate the RF generation circuit when the battery voltage drops below the predetermined threshold.
53. The medical instrument according to claim 48, wherein execution of the machine executable instructions cause the processor to deactivate the RF generation circuit after a predetermined number of consecutive RF drive signal firings that are over or under a predetermined load curve extreme.
54. The medical instrument according to claim 48, wherein execution of the machine executable instructions causes the processor to send a signal to the battery discharge circuit to discharge the battery.
55. A medical instrument comprising:
a housing and a handle for gripping by a user and at least one electrical contact;
an activation switch supported by the housing;
a battery;
a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, wherein the RF drive circuit is activated by the activation switch;
a battery discharge circuit coupled to the battery;
a processor coupled to the battery discharge circuit;
a memory coupled to the processor, the memory stores machine executable instructions that when executed cause the processor to:
monitor the activation switch; and
disable the RF generation circuit based on the state of the activation switch.
56. The medical instrument according to claim 55, wherein execution of the machine executable instructions cause the processor to deactivate the RF generation circuit when the RF generation circuit is activated without activation of the switch.
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57. The medical instrument according to claim 55, wherein the medical instrument further comprises an audible feedback element and execution of the machine executable instructions cause the processor to deactivate the RF generation circuit when the RF generation circuit is activated without activation of the audible feedback element.
58. The medical instrument according to claim 55, wherein the machine executable instructions cause the processor to deactivate the RF generation circuit when the switch is activated for a period exceeding a predetermined time.
59. The medical instrument according to claim 58, wherein the predetermined time exceeds 30 seconds.
60. The medical instrument according to claim 55, wherein the machine executable instructions cause the processor to deactivate the RF generation circuit when the RF generation circuit is activated for a predetermined period of at least eight hours and not activated between hours six through eight.
61. The medical instrument according to claim 55, wherein the machine executable instructions cause the processor to deactivate the RF generation circuit and discharge the battery when the RF generation circuit is activated for a predetermined period of at least eight hours and activated at least once between hours six and eight, the processor will extend the time limit to at least ten hours and then shutdown.
62. The medical instrument according to claim 55, wherein execution of the machine executable instructions causes the processor to send a signal to the battery discharge circuit to discharge the battery.
63. A medical instrument comprising:
a housing and a handle for gripping by a user and at least one electrical contact;
a disposal switch supported by the housing;
a battery; a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, wherein the RF drive circuit is activated by the activation switch; a battery discharge circuit coupled to the battery;
a processor coupled to the battery discharge circuit;
a memory coupled to the processor, the memory stores machine executable instructions that when executed cause the processor to monitor the disposal switch.
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64. The medical instrument according to claim 63, wherein execution of the machine executable instructions causes the processor to send a signal to the battery discharge circuit to discharge the battery when the disposal switch is depressed for a predetermined period.
65. The medical instrument according to claim 64, wherein the predetermined period is at least four seconds.
66. A medical instrument comprising:
a housing;
at least one electrical contact;
a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact; and
a user interface supported by the housing, the user interface comprising visual and audible feedback elements, wherein the state of the instrument can be determined by the state of the visual and audible feedback elements.
67. The medical instrument according to claim 66, wherein the visual feedback elements provide at least three different color states to indicate the state of the instrument, wherein a first color indicates that the instrument is functioning normally, a second color indicates that the RF drive signal is being delivered to the at least one electrical contact, and a third color indicates that a failure occurred.
68. The medical instrument according to claim 67, wherein at least one of the visual feedback elements is operable to generate each of the three different color states .
69. The medical instrument according to claim 66, wherein at least one of the visual feedback elements is operable in a solid mode and a flashing mode.
70. The medical instrument according to claim 66, wherein the audible feedback elements provide at least three different tones to indicate the state of the instrument, wherein a first tone indicates that the instrument is turned on, a second tone indicates that the RF drive signal is being delivered to the at least one electrical contact, and a third tone indicates that an impedance threshold has been reached.
10
71. The medical instrument according to claim 70, wherein at least one of the audible feedback elements is operable to generate each of the three different tones.
72. The medical instrument according to claim 66, wherein at least one of the audible feedback elements is operable in a solid tone mode and intermittent tone mode.
73. A medical instrument comprising:
a housing;
at least one electrical contact;
a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact; and ·
a user interface supported by the housing, the user interface comprising visual and audible feedback elements, wherein the state of the instrument can be determined by the state of the visual and audible feedback elements;
wherein the visual feedback elements provide a plurality of different color states to indicate the state of the instrument; and
wherein the audible feedback elements provide a plurality of different tones to indicate the state of the instrument.
74. The medical instrument according to claim 73, wherein at least one visual feedback element provides at least one color that when solid indicates that the medical instrument is ready for use and when flashing indicates that the medical instrument is ready for use but has energy sufficient for a limited number of operations.
75. The medical instrument according to claim 74, wherein at least one visual feedback element provides at least one color that when solid indicates that the RF drive signal is being delivered to the at least one electrical contact.
76. The medical instrument according to claim 75, wherein at least one visual feedback element provides at least one color that when solid indicates a terminal unrecoverable failure of the medical instrument and when flashing indicates that the failure may be recoverable and to wait until the at least one color changes before operation of the instrument can be resumed.
77. The medical instrument according to claim 76, wherein at least one audible feedback element provides at least one tone to indicate that the instrument has been powered on.
11
78. The medical instrument according to claim 77, wherein the at least one tone indicates that the instrument has been powered on when an initialization clip coupled to a trigger element supported by the housing has been removed.
79. The medical instrument according to claim 78, wherein at least one audible feedback element provides at least one tone to indicate that the RF drive signal is being delivered to the at least one electrical contact.
80. The medical instrument according to claim 79, wherein at least one audible feedback element provides at least one tone to indicate that an upper impedance threshold has been reached.
81. The medical instrument according to claim 80, wherein at least one audible feedback element provides at least one tone to indicate that an activation cycle is complete.
82. The medical instrument according to claim 81 , wherein at least one audible feedback element provides at least one tone to inidicate an alert.
83. The medical instrument according to claim 82, wherein at least one audible feedback element provides at least one tone to indicate an activation cycle timeout.
84. The medical instrument according to claim 83, wherein at least one audible feedback element provides at least one tone to indicate that a user disable switch has been activated for a predetermined period.
85. A method of determining the state of a medical instrument, the medical instrument comprising a housing, at least one electrical contact, a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, and a user interface supported by the housing, the user interface comprising visual and audible feedback elements, wherein the state of the instrument can be determined by the state of the visual and audible feedback elements, the method comprising:
indicating that the medical instrument is ready for use by illuminating at least one visual feedback element in solid color; and
indicating that the medical instrument is ready for use but has energy sufficient for a limited number of operations by illuminating the at least one visual feedback element in flashing color.
12
86. The method according to claim 85, comprising indicating that the RF drive signal is being delivered to the at least one electrical contact by illuminating at least one visual feedback element in solid color.
87. The method according to claim 85, comprising:
indicating that a terminal unrecoverable failure of the medical instrument has occurred by illuminating at least one visual feedback element in solid color; and
indicating that the failure may be recoverable and to wait until the at least one color changes before operation of the instrument can be resumed by illuminating the at least one visual feedback element in flashing color.
88. The method according to claim 85, comprising indicating that the instrument has been powered on by sounding at least one tone with at least one audible feedback element.
89. The method according to claim 85, indicating that the instrument has been powered on when an initialization clip Coupled to a trigger element supported by the housing has been removed.
90. The method according to claim 85, indicating that the RF drive signal is being delivered to the at least one electrical contact by sounding at least one tone by the audible feedback element.
91. The method according to claim 85, indicating that an upper impedance threshold has been reached by sounding at least one tone by at least one audible feedback element.
92. The method according to claim 85, indicating that an activation cycle is complete by sounding at least one tone by at least one audible feedback element.
93. The method according to claim 85, indicating an alert by sounding at least one tone by at least one audible feedback element.
94. The method according to claim 85, indicating an activation cycle timeout by sounding at least one tone by at least one audible feedback element.
95. The method according to claim 85, indicating that a user disable switch has been activated for a predetermined period by sounding at least one tone by at least one audible feedback element.
13
96. A medical instrument comprising:
a housing;
a control lever rotatably coupled to the housing;
at least one electrical contact; a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact; and
an initialization clip coupled to housing and the control lever to prevent operation of the RF generation circuit and movement of the control lever.
97. The medical instrument according to claim 96, wherein the initialization clip comprises a first half and a second half fastened by at least one mechanical fastening element.
98. The medical instrument according to claim 97, comprising:
a battery; and
a battery connection circuit coupled to the battery;
wherein when the initialization clip is attached to the housing, the battery connection circuit electrically disconnects the battery from the RF generation circuit.
99. The medical instrument according to claim 98, wherein when the initialization clip is removed from the housing, the battery connection circuit electrically couples the battery to the RF generation circuit.
100. The medical instrument according to claim 98, comprising: a remotely activated switch element coupled between the battery and the battery connection circuit; and a remote switch activation element supported by the initialization clip.
101. The medical instrument according to claim 100, wherein the remotely activated switch element electrically disconnects the battery from the RF generation circuit when the remote switch activation element is in proximity to the remotely activated switch element.
102. The medical instrument according to claim 100, wherein the remotely activated switch element electrically connects the battery from the RF generation circuit when the remote switch activation element is not in proximity to the remotely activated switch element.
103. The medical instrument according to claim 100, wherein the remotely activated switch element is a magnetically operated element and the remote switch activation element is a magnet.
14
104. The medical instrument according to claim 103, wherein the magnetically operated element is any one of a reed switch and a Hall-effect sensor.
105. The medical instrument according to claim 100, wherein the battery connection circuit comprises a field effect transistor (FET), wherein when the initialization clip is removed from the housing, the remotely activated switch element closes, enabling current to flow through the FET to couple the RF generation circuit to a return (-) terminal of the battery.
106. The medical instrument according to claim 100, wherein the battery connection circuit comprises a relay comprising a primary winding that controls a switch, wherein when the initialization clip is removed from the housing , the remotely activated switch element closes, enabling current to flow through the primary winding and closing the switch to couple the RF generation circuit to a return (^) terminal of the battery.
107. The medical instrument according to claim 97, wherein the mechanical fastening element is a snap button.
108. The medical instrument according to claim 98, wherein the initialization clip comprises a chamber to contain a remote switch activation element.
109. The medical instrument according to claim 108, wherein the chamber is tilted.
110. A method of configuring a medical instrument comprising a housing, a control lever rotatably coupled to the housing, at least one electrical contact, a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, a memory, and a processor coupled to the memory, the method comprising:
fitting an initialization clip on the housing and the control lever;
storing an application code in the memory, the application code comprising a set of computer instructions to be executed by the processor;
turning the instrument in an off state;
removing the initialization clip; placing the instrument in production mode; and fitting the initialization clip on the housing and the control lever.
111. The method according to claim 110, comprising removing the initialization clip to activated the RF generation circuit.
15
112. The method according to claim 111 , comprising:
disabling the RF generation circuit when the initialization clip is refitted to the housing and the control lever; and
discharging the battery.
113. A medical instrument comprising:
a housing;
a control lever rotatably coupled to the housing;
at least one electrical contact;
a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact;
a battery supported by the housing;
a battery connection circuit coupled to the battery; and
a remotely activated switch element coupled between the battery and the battery connection circuit;
wherein when an initialization clip is attached to the housing, the battery connection circuit electrically disconnects the battery from the RF generation circuit; and
wherein when the initialization clip is removed from the housing, the battery connection circuit electrically couples the battery to the RF generation circuit.
114. The medical instrument according to claim 113, wherein the remotely activated switch element electrically disconnects the battery from the RF generation circuit when a remote switch activation element is in proximity to the remotely activated switch element.
115. The medical instrument according to claim 113, wherein the remotely activated switch element electrically connects the battery from the RF generation circuit when a remote switch activation element is not in proximity to the remotely activated switch element.
1 16. The medical instrument according to claim 113, wherein the remotely activated switch element is a magnetically operated element responsive to a magnet.
117. An initialization clip configured to couple to a housing and a control lever rotatably coupled to the housing, the initialization clip comprising a first half and a second half fastened by at least one mechanical fastening element.
16
118. The initialization clip according to claim 117, wherein the mechanical fastening element is a snap button.
1 9. The medical instrument according to claim 1 7, wherein the initialization clip comprises a chamber to contain a remote switch activation element.
120. The medical instrument according to claim 119, wherein the chamber is tilted.
121. A medical instrument, comprising:
at least one electrical contact;
a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact;
a battery discharge circuit coupled to the RF generation circuit;
a processor coupled to the battery discharge circuit; and
a memory coupled to the processor, the memory stores computer instructions that when executed cause the processor to:
monitor battery capacity; and
send a signal to the battery discharge circuit to discharge a battery coupled to the battery discharge circuit when the battery capacity falls below a predetermined threshold.
122. The medical instrument according to claim 121, herein the processor is configured to: monitor capacity of a battery coupled to the battery discharge circuit; and
determine when the battery capacity is below a predetermined threshold;
wherein, when the processor determines that the battery capacity is below the predetermined threshold, the processor outputs the signal to the battery discharge circuit to controllably discharge the battery.
123. The medical instrument according to claim 21 , wherein the battery discharge circuit comprises an electronic switch element coupled to the processor and coupled to a battery coupled to the battery discharge load resistor, wherein when the processor applies the signal to the electronic switch element, the electronic switch element conducts current from the battery to controllably discharge the battery.
124. The medical instrument according to claim 123, wherein the electronic switch element is selected from the group consisting of a transistor, relay, silicon controlled rectifier, optical isolator, optical coupler.
17
125. The medical instrument according to claim 121 , further comprising an output sensing circuit coupled to the processor, wherein the output sensing circuit is configured to verify output current and output voltage sensing functions.
126. The medical instrument according to claim 125, wherein the output sensing circuit comprises a dummy load, and wherein the processor is configured to: measure a first battery voltage; apply a dummy load; measure a second battery voltage after dummy load is applied; remove the dummy load; calculate the voltage drop between the first battery voltage measured and the second battery voltage measured; and determine if there is sufficient energy to proceed based on the voltage drop.
127. A medical instrument, comprising:
a battery discharge circuit;
a processor coupled to the battery discharge circuit; and
a memory coupled to the processor, the memory stores computer instructions that when executed cause the processor to send a signal to the battery discharge circuit to discharge a battery coupled to the battery discharge circuit.
128. The medical instrument according to claim 127, wherein the processor is configured to: monitor capacity of a battery coupled to the battery discharge circuit; and
determine when the battery capacity is below a predetermined threshold; wherein, when the processor determines that the battery capacity is below the predetermined threshold, the processor outputs the signal to the battery discharge circuit to controllably discharge the battery.
129. The medical instrument according to claim 127, wherein the battery discharge circuit comprises an electronic switch element coupled to the processor and coupled to a battery coupled to the battery discharge load resistor, wherein when the processor applies the signal to the electronic switch element, the electronic switch element conducts current from the battery to controllably discharge the battery.
130. The medical instrument according to claim 129, wherein the electronic switch element is selected from the group consisting of a transistor, relay, silicon controlled rectifier, optical isolator, optical coupler.
18
131. The medical instrument according to claim 127, further comprising an output sensing circuit coupled to the processor, wherein the output sensing circuit is configured to verify output current and output voltage sensing functions.
132. The medical instrument according to claim 131, wherein the output sensing circuit comprises a dummy load, and wherein the processor is configured to:
meas u re a first battery voltage;
apply a dummy load;
measure a second battery voltage after dummy load is applied;
remove the dummy load;
calculate the voltage drop between the first battery voltage measured and the second battery voltage measured; and
determine if there is sufficient energy to proceed based on the voltage drop.
133. A method of discharging a battery in a medical instrument comprising a battery discharge circuit, a processor coupled to the battery discharge circuit, and a memory coupled to the processor, the memory stores computer instructions that when executed control the operation of the processor, the method comprising:
monitoring battery capacity by a processor; and
sending a signal by the processor to a battery discharge circuit to discharge a battery coupled to the battery discharge circuit when the battery capacity falls below a predetermined threshold.
134. The method according to claim 133, comprising:
monitoring capacity by the processor of a battery coupled to the battery discharge circuit;
determining by the processor when the battery capacity is below a predetermined threshold;
determining by the processor that the battery capacity is below the predetermined threshold;
outputting the signal by the processor to the battery discharge circuit; and
controllably discharging the battery by the battery discharge circuit.
135. The method according to claim 134, comprising conducting by the electronic switch element current from the battery to controllably discharge the battery.
136. The method according to claim 133, comprising verifying output current and output voltage sensing functions by an output sensing circuit coupled to the processor.
19
137. The method according to claim 136, wherein the output sensing circuit comprises a dummy load, and wherein the method comprises;
measuring by the processor a first battery voltage;
applying by the processor a dummy load;
measuring by the processor a second battery voltage after dummy load is applied; removing by the processor the dummy load;
calculating by the processor the voltage drop between the first battery voltage measured and the second battery voltage measured; and
determining by the processor if there is sufficient energy to proceed based on the voltage drop.
138. A medical instrument, comprising:
a housing;
at least one electrical contact;
a radio frequency (RF) generation circuit coupled to and operated by a battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact;
an activation button coupled to an activation button lever supported by the housing, the activation button controls the activation of the RF generation circuit to apply the RF drive signal to the at least one electrical contact, the activation button lever comprising a top surface, the activation button lever rotatable about an activation button pivot point;
a cutting blade operably coupled to a sheath; and
a control lever supported by the housing and pivotally coupled to a trigger lever comprising a projection to engage the top surface of the activation button lever, the control lever is operable to control the actuation of the cutting blade by actuating the sheath in a distal direction when the control lever is rotatably moved proximally about a trigger pivot point;
wherein the top surface of the activation button lever and the projection of the trigger lever remain engaged to prevent actuation of the cutting blade until the activation button is fully rotatably moved proximally about the activation button pivot to activate the RF generation circuit such that the cutting blade is locked out until the RF generation circuit is activated.
139. The medical instrument according to claim 138, wherein when the activation button is fully engaged in the proximal direction, the activation button lever rotates about the activation button pivot to release the top surface from the projection allowing the projection to slidably rotate past a surface of the activation button lever as the trigger lever slidably rotates about the trigger pivot point as the control lever is squeezed proximally.
20
140. The medical instrument according to claim 138, further comprising a torsion spring coupled to the activation button lever to apply a distal force to the activation button.
141. The medical instrument according to claim 140, comprising a second trigger lever supported by the housing, the second trigger lever comprising a first end that defines a pin slot and a second end that defines a tab, wherein the pin slot engages a pin portion of the second trigger lever such that as the second trigger lever rotates about a second trigger lever pivot point the pin moves within the pin slot to apply a rotational motion to the second trigger lever.
142. The medical instrument according to claim 141 , wherein the second trigger lever comprises a tab to engage an aperture to mechanically couple the second trigger lever to a proximal end of the sheath, wherein as the trigger lever rotates about the trigger pivot point the second trigger lever rotates about the second trigger lever pivot point to apply a linear motion to the inner sheath in the distal direction.
143. The medical instrument according to claim 142, comprising a second torsion spring to engage the second trigger lever at a notch formed in the second trigger tever, wherein the second torsion spring torque balances the force applied to the second trigger lever through the control lever about the trigger pivot point.
144. The medical instrument according to claim 138, wherein the activation button actuates a switch to enable electrical actuation of the RF generation circuit without unlocking the cutting blade.
145. The medical instrument according to claim 138, comprising a tang to prevent the activation button from being removed by pulling distally on it.
146. A medical instrument, comprising:
a housing;
at least one electrical contact means;
energy means for generating an RF drive signal and providing the RF drive signal to the at least one electrical; contact means;
an electrical activation means coupled to a first lever supported by the housing, the activation means for controlling the activation of the energy means, the first lever rotatable about a first pivot point; a cutting means operably coupled to a sheath;
a control means supported by the housing and pivotally coupled to a second lever comprising; and
21 a lockout means for preventing the actuation of the cutting means until the electrical activation means activates the energy means.
147. The medical instrument according to claim 146, wherein when the electrical activation means is fully engaged in the proximal direction, the first lever rotates about the activation button pivot to disengage the lockout means.
148. The medical instrument according to claim 146, further comprising a torsion means coupled to the first lever to apply a distal force to the electrical activation means.
149. The medical instrument according to claim 148, comprising a third lever supported by the housing, the third lever comprising a first end that defines a pin slot and a second end that defines a tab, wherein the pin slot engages a pin portion of the third lever such that as the third lever rotates about a third pivot point the pin moves w'rthin the pin slot to apply a rotational motion to the third lever;
150. The medical instrument according to claim 149, wherein the third lever comprises a tab to engage an aperture to mechanically couple the third lever to a proximal end of the sheath, wherein as the second lever rotates about the second pivot point the third lever rotates about the third pivot point to apply a linear motion to the inner sheath in the distal direction.
151. The medical instrument according to claim 150, comprising a second torsion means to engage the third lever at a notch formed in the third lever, wherein the second torsion means torque balances the force applied to the third lever through the control means about the second point.
152. The medical instrument according to claim 146, wherein the electrical activation means actuates a switch to enable electrical actuation of the energy means without unlocking the cutting means.
153. The medical instrument according to claim 146, comprising a restraining means to prevent the activation button from being removed by pulling distally on it.
154. A method of operating a medical instrument, comprising a housing, at least one electrical contact, a radio frequency (RF) generation circuit coupled to and operated by a battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, an activation button coupled to an activation button lever supported by the housing, the activation button controls the activation of the RF generation circuit to apply the RF
22 drive signal to the at least one electrical contact, the activation button lever comprising a top surface, the activation button lever rotatable about an activation button pivot point; a cutting blade operably coupled to a sheath, and a control lever supported by the housing and pivotally coupled to a trigger lever comprising a projection to engage the top surface of the activation button lever, the control lever is operable to control the actuation of the cutting blade by actuating the sheath in a d'tstal direction when the control lever is rotatabiy moved proximally about a trigger pivot point, the method comprising locking out the cutting blade until the activation button is fully engaged to activate the RF generation circuit.
155. The method according to claim 154, comprising:
fully engaging the activation button; and
squeezing the control lever to actuate the cutting blade.
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US20130103024A1 (en) | 2013-04-25 |
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JP6234932B2 (en) | 2017-11-22 |
US20130103023A1 (en) | 2013-04-25 |
EP2770932A2 (en) | 2014-09-03 |
US20170056097A1 (en) | 2017-03-02 |
WO2013062978A2 (en) | 2013-05-02 |
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