Methods and systems for advanced harmonic energy
First Claim
1. A surgical system comprising:
- an end effector comprising at least one energy delivery component configured to transmit electrosurgical energy to tissue at a surgical site; and
a control circuit communicatively coupled to the at least one energy delivery component and programmed to;
for a first application period, cause the at least one energy delivery component to transmit the electrosurgical energy at a first power level, the first application period comprising a point in time where impedance of the tissue reaches a minimum impedance value;
for a second application period after the first application period, cause the at least one energy delivery component to transmit the electrosurgical energy, starting from a predetermined proportion of a transition impedance threshold level and decreasing the electrosurgical energy at a steady rate from the first power level until a second power level is reached, wherein the second power level is lower than the first power level and the second application period comprises a point in time where the impedance of the tissue rises above the minimum impedance value; and
for a third application period after the second application period, directly after reaching the second power level, cause the at least one energy delivery component to reduce the second power level to a third power level while maintaining a constant level of the impedance of the tissue to transmit the electrosurgical energy at the third power level upon the impedance of the tissue reaching the transition impedance threshold level, the third power level lower than the second power level and the third application period comprising a point in time where the impedance of the tissue rises above the transition impedance threshold level.
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Accused Products
Abstract
Aspects of the present disclosure are presented for a medical instrument configured to adjust the power level for sealing procedures to account for changes in tissue impedance levels over time. In some aspects, a medical instrument may be configured to apply power according to a power algorithm to seal tissue by applying a gradually lower amount of power over time as the tissue impedance level begins to rise out of the “bathtub region,” which is the time period during energy application where the tissue impedance is low enough for electrosurgical energy to be effective for sealing tissue. In some aspects, the power is then cut once the tissue impedance level exceeds the “bathtub region.” By gradually reducing the power, a balance is achieved between still applying an effective level of power for sealing and prolonging the time in which the tissue impedance remains in the “bathtub region.”
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Citations
20 Claims
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1. A surgical system comprising:
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an end effector comprising at least one energy delivery component configured to transmit electrosurgical energy to tissue at a surgical site; and a control circuit communicatively coupled to the at least one energy delivery component and programmed to; for a first application period, cause the at least one energy delivery component to transmit the electrosurgical energy at a first power level, the first application period comprising a point in time where impedance of the tissue reaches a minimum impedance value; for a second application period after the first application period, cause the at least one energy delivery component to transmit the electrosurgical energy, starting from a predetermined proportion of a transition impedance threshold level and decreasing the electrosurgical energy at a steady rate from the first power level until a second power level is reached, wherein the second power level is lower than the first power level and the second application period comprises a point in time where the impedance of the tissue rises above the minimum impedance value; and for a third application period after the second application period, directly after reaching the second power level, cause the at least one energy delivery component to reduce the second power level to a third power level while maintaining a constant level of the impedance of the tissue to transmit the electrosurgical energy at the third power level upon the impedance of the tissue reaching the transition impedance threshold level, the third power level lower than the second power level and the third application period comprising a point in time where the impedance of the tissue rises above the transition impedance threshold level. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A method for transmitting electrosurgical energy to tissue at a surgical site by a surgical system, the method comprising:
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causing, by an energy delivery component of a surgical system, electrosurgical energy to be applied to the tissue; measuring, by at least one sensor of the surgical system, a benchmark level of impedance of the tissue; and determining, among a plurality of power load curve algorithms, a power load curve algorithm to be applied to the energy delivery component, based on the measured benchmark level of impedance of the tissue; based on the determined power load curve algorithm; for a first application period, causing the energy delivery component to transmit the electrosurgical energy at a first power level, the first application period comprising a point in time where impedance of the tissue reaches a minimum impedance value; for a second application period after the first application period, causing the energy delivery component to transmit the electrosurgical energy, starting from a predetermined proportion of a transition impedance threshold level and decreasing the electrosurgical energy at a steady rate from the first power level until a second power level is reached, wherein the second power level is lower than the first power level and the second application period comprises a point in time where the impedance of the tissue rises above the minimum impedance value; and for a third application period after the second application period, directly after reaching the second power level, causing the energy delivery component to reduce the second power level to a third power level while maintaining a constant level of the impedance of the tissue to transmit the electrosurgical energy at the third power level upon the impedance of the tissue reaching the transition impedance threshold level, the third power level lower than the second power level and the third application period comprising a point in time where the impedance of the tissue rises above the transition impedance threshold level. - View Dependent Claims (10, 11, 12, 13, 14, 15, 16)
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17. A surgical instrument comprising:
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a handle assembly; a shaft coupled to a distal end of the handle assembly; an end effector coupled to a distal end of the shaft and comprising at least one energy delivery component configured to transmit electrosurgical energy to tissue at a surgical site; and a control circuit communicatively coupled to the at least one energy delivery component and programmed to; for a first application period, cause the at least one energy delivery component to transmit the electrosurgical energy at a first power level, the first application period comprising a point in time where impedance of the tissue reaches a minimum impedance value; for a second application period after the first application period, cause the at least one energy delivery component to transmit the electrosurgical energy, starting from a predetermined proportion of a transition impedance threshold level and decreasing the electrosurgical energy at a steady rate from the first power level until a second power level is reached, wherein the second power level is lower than the first power level and the second application period comprises a point in time where the impedance of the tissue rises above the minimum impedance value; and for a third application period after the second application period, directly after reaching the second power level, cause the at least one energy delivery component to reduce the second power level to a third power level while maintaining a constant level of the impedance of the tissue to transmit the electrosurgical energy at the third power level upon the impedance of the tissue reaching the transition impedance threshold level, the third power level lower than the second power level and the third application period comprising a point in time where the impedance of the tissue rises above the transition impedance threshold level. - View Dependent Claims (18, 19, 20)
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Specification