System and methods for identifying tissue and vessels

• US 10,413,349 B2
• Filed: 03/04/2011
• Issued: 09/17/2019
• Est. Priority Date: 03/04/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Chernov, Boris, Misuchenko, Igoris, Martsinovskiy, Georgy, Verbitsky, Mikhail
• Primary Examiner(s): Jang, Christian
• Assistant Examiner(s): Toth, Karen E
• Application Number:
  US13/040,347
• Publication Number:
  US 20120226272A1
• Time in Patent Office: 3,119 Days
• Field of Search: 600300, 600481
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00636 Sensing and controlling the application of energy
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00648 using more than one sensed parameter
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body

Abstract

A surgical system and corresponding methods for identifying tissue or vessels and assessing their conditions includes a probing signal source for applying a probing signal to the tissue and a response signal monitor for monitoring a response signal that varies according to the level of blood circulation in the tissue or vessels. The response signal monitor monitors the response signal over an interval equal to or longer than an interval between two successive cardiac contractions. The surgical system includes a microprocessor that analyzes the amplitude and/or phase of the response signal to determine the level of blood circulation in the tissue or in different portions of the tissue, and determines a tissue parameter based upon the level of blood circulation. The surgical system may monitor a cardiac signal related to cardiac contractions and correlate the response signal and the cardiac signal to determine a level of blood circulation in the tissue.

Claims

1. A method of determining a tissue parameter for an energy-based tissue-sealing system, comprising:

grasping tissue using two jaw members;

applying a probing signal to the tissue, the probing signal being configured to interact with the tissue;

over an interval longer than an interval between two successive cardiac contractions, monitoring a response signal in response to the probe signal and changes in distance between the two jaw members caused by the cardiac contractions;

processing, using a processor, the monitored cardiac contractions, the changes in distance, and the response signal to determine a tissue parameter by;

determining amplitudes of the response signal in the tissue over the interval longer than the interval between two successive cardiac contractions;

determining levels of blood circulation in the tissue based upon the amplitudes of the response signal and the changes in distance between the two jaw members over the interval longer than the interval between two successive cardiac contractions; and

determining a tissue parameter based upon the levels of blood circulation; and

adjusting energy output from an energy output stage of the energy-based tissue-sealing system based on the tissue parameter.

2. The method of claim 1, wherein the tissue parameter is a tissue type.

3. The method of claim 2, wherein the tissue type is selected from the group consisting of connective tissue, muscle tissue, nervous tissue, and epithelial tissue.

4. The method of claim 2, wherein the tissue type includes a vessel type.

5. The method of claim 4, wherein the vessel type is selected from the group consisting of an artery, an arteriole, a capillary, a venule, and a vein.

6. The method of claim 1, wherein the tissue parameter is a tissue condition.

7. The method of claim 6, wherein the tissue condition is whether the tissue is damaged.

8. The method of claim 1, wherein applying the probing signal to tissue includes applying the probing signal to different portions of the tissue,

wherein determining the amplitudes of the response signal includes determining the amplitudes of each response signal at the frequencies of cardiac contractions to determine the levels of blood circulation in each different portion of the tissue, and

wherein determining the tissue parameter includes determining the tissue parameter based on the levels of blood circulation in each different portion of the tissue.

9. The method of claim 1, wherein the probing signal is selected from the group consisting of an acoustical signal, an optical signal, and an RF signal.

10. The method of claim 1, wherein the probing signal is an RF signal, and

wherein monitoring the response signal includes monitoring the response signal at a sampling frequency within a range from 10 kHz to 10 MHz.

11. The method of claim 1, wherein monitoring the response signal includes monitoring the response signal with an energy-based tissue sealing instrument.

12. The method of claim 1, wherein determining the amplitudes of the response signal includes determining a phase of the response signal.

13. The method of claim 1, wherein the response signal is the probe signal that has been scattered or transmitted by the tissue.