Thermally adjustable surgical system and method

• US 10,405,914 B2
• Filed: 02/22/2016
• Issued: 09/10/2019
• Est. Priority Date: 04/17/2009
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: Manwaring, Kim, McNally, David
• Primary Examiner(s): Della, Jaymi E
• Application Number:
  US15/050,437
• Publication Number:
  US 20160166308A1
• Time in Patent Office: 1,296 Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/085 Forceps, scissors
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00141 continuous, e.g. wave
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320082 for incising tissue
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00095 high, i.e. heat conducting
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/0013 non-sticking
• CPC Class Codes: A61B 2018/00577 : Ablation
• CPC Class Codes: A61B 2018/00589 : Coagulation
• CPC Class Codes: A61B 2018/00595 : Cauterization
• CPC Class Codes: A61B 2018/00601 : Cutting
• CPC Class Codes: A61B 2018/00619 : Welding
• CPC Class Codes: A61B 2018/00642 : with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00654 : with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00714 : Temperature
• CPC Class Codes: A61B 2018/00755 : Resistance or impedance
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00803 : with temperature prediction
• CPC Class Codes: A61B 2018/00958 : for switching between different working modes of the main function
• CPC Class Codes: A61B 2018/128 : generating two or more frequencies
• CPC Class Codes: A61B 2018/1407 : Loop
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61M 25/00 : Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/0082 : Catheter tip comprising a tool
• CPC Class Codes: Y10T 29/49124 : On flat or curved insulated base, e.g., printed circuit, etc.

Abstract

A power source delivers oscillating electrical energy to an electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region. With high frequency electrical energy, the ferromagnetic material has a quick response in heating and cooling adjustable by the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Claims

1. A thermally adjustable surgical tool comprising:

an electrical conductor having a curved portion;

a ferromagnetic coating extending along a central axis and covering at least the curved portion of the electrical conductor, the ferromagnetic coating including an interior surface adjacent the electrical conductor and an exterior surface spaced outwardly from the interior surface with respect to the central axis, the ferromagnetic coating extending directly between a first end and a second end such that at least a portion of the central axis has a curvature between the first end and the second end, and the exterior surface of the ferromagnetic coating-in II. 8-9 defines at least a part of an opening; and

a power supply disposed in communication with the electrical conductor and configured to deliver oscillating electrical energy to the electrical conductor,

wherein the power supply is configured to adjust the oscillating electrical energy.

2. The thermally adjustable surgical tool of claim 1, further comprising a sensor configured to conduct a measurement.

3. The thermally adjustable surgical tool of claim 2, wherein the sensor is configured to conduct the measurement proximate to the ferromagnetic coating.

4. The thermally adjustable surgical tool of claim 2, wherein the oscillating electrical energy comprises at least one signal characteristic, and wherein the thermally adjustable surgical tool is configured to monitor the signal characteristic to achieve a desired temperature of the ferromagnetic coating.

5. The thermally adjustable surgical tool of claim 2, wherein the power supply is configured to adjust the oscillating electrical energy delivered to the electrical conductor in response to the measurement of the sensor.

6. The thermally adjustable surgical tool of claim 1, wherein the electrical conductor comprises a plurality of electrical conductors and the ferromagnetic coating comprises a plurality of ferromagnetic coatings-in II. 2, wherein each of the plurality of ferromagnetic coatings covers at least a portion of a respective one-in II. 3 of the plurality of electrical conductors.

7. The thermally adjustable surgical tool of claim 6, wherein the power supply is configured to individually adjust the oscillating electrical energy delivered to at least one of the plurality of electrical conductors.

8. The thermally adjustable surgical tool of claim 6, wherein the power supply is configured to adjust the oscillating electrical energy jointly delivered to at least two or more of the plurality of electrical conductors.

9. The thermally adjustable surgical tool of claim 6, wherein at least a portion of the plurality of ferromagnetic coatings are configured to provide different tissue effects.

10. The thermally adjustable surgical tool of claim 1, further comprising a user control for adjusting the oscillating electrical energy delivered to the electrical conductor.

11. The thermally adjustable surgical tool of claim 1, comprising a load prediction circuit communicatively coupled to the power supply and configured to predict a load characteristic of the electrical conductor and the ferromagnetic coating, wherein the power supply is configured to adjust the oscillating electrical energy in response to the predicted load characteristic.

12. The thermally adjustable surgical tool of claim 1, further comprising a handle and a plug, wherein the handle is configured to receive the plug and the plug is configured to receive the electrical conductor, and wherein the plug includes a data module configured to store a predicted load characteristic of the electrical conductor and to communicate the predicted load characteristic to the power supply.

13. The thermally adjustable surgical tool of claim 12, wherein the power supply is further configured to adjust the oscillating electrical energy delivered to the electrical conductor based on the predicted load characteristic to achieve a desired temperature of the ferromagnetic coating.

14. The thermally adjustable surgical tool of claim 2, wherein the sensor comprises a temperature sensor.

15. The thermally adjustable surgical tool of claim 1, further comprising an impedance matching circuit configured to match an impedance of the electrical conductor and the ferromagnetic coating to an impedance of the power supply.

16. The thermally adjustable surgical tool of claim 1, wherein the power supply is configured to adjust the oscillating electrical energy by at least one of:

pulse width modulation, amplitude modulation, frequency modulation, and detuning an impedance matching circuit.

17. A surgical tool, comprising:

a handpiece;

a heating element physically coupled to the handpiece, the heating element including;

an electrical conductor; and

a ferromagnetic coating extending along a central axis and covering at least a portion of the electrical conductor, the ferromagnetic coating including an interior surface adjacent the electrical conductor and an exterior surface spaced outwardly from the interior surface with respect to the central axis; and

a sensor physically coupled to the handpiece and spaced apart from the electrical conductor and the ferromagnetic coating by a gap such that;

     1) at least a portion of the sensor is positioned within an opening at least partially defined by the exterior surface of the ferromagnetic coating, and

     2) no portion of the sensor is in direct contact with either the electrical conductor or the ferromagnetic coating, the sensor, when in use, senses at least one parameter associated with the heating element.

18. The surgical tool of claim 17 wherein the sensor comprises a temperature sensor which, when in use, senses a temperature associated with the heating element.

19. The surgical tool of claim 18 wherein the temperature sensor comprises a thermocouple.

20. The surgical tool of claim 17, further comprising a sensor stem, which couples the sensor to the handpiece.