Methods and systems related to an electrosurgical controller

• US 10,420,607 B2
• Filed: 02/14/2014
• Issued: 09/24/2019
• Est. Priority Date: 02/14/2014
• Status: Active Grant

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Woloszko, Jean, Armstrong, Scott A., Bozeman, Michael, Wallis, Christopher A.
• Primary Examiner(s): Della, Jaymi E
• Application Number:
  US14/181,281
• Publication Number:
  US 20150230861A1
• Time in Patent Office: 2,048 Days
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00761 Duration
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00892 Voltage

Abstract

An electrosurgical controller and related methods. At least some of the illustrative embodiments are methods including: placing a distal end of an electrosurgical wand in operational relationship with biological tissue; delivering energy to an active electrode of the electrosurgical wand. During delivering energy, the method may comprise: measuring a value indicative of flow of the energy to the active electrode; summing, over a first predetermined window of time, to create a first value indicative of energy provided to the active electrode; summing, over a second predetermined window of time, to create a second value indicative of energy provided to the active electrode. The method may further comprise: ceasing delivering energy responsive to the first value meeting or exceeding a predetermined value; and ceasing delivering energy responsive to the second value meeting or exceeding a threshold value.

Claims

1. An electrosurgical method comprising:

placing an active electrode of an electrosurgical wand adjacent biological tissue;

delivering energy to the active electrode and while delivering the energy;

measuring a value indicative of flow of the energy to the active electrode;

summing the value, over a first predetermined window of time, to create a first value indicative of a summed energy delivered to the active electrode;

ceasing delivering the energy responsive to the first value meeting or exceeding a predetermined value;

while ceasing delivering the energy calculating a first quiescent time, the first quiescent time representing an amount of time remaining in the first predetermined window of time; and

resuming delivering the energy to the active electrode once the first quiescent time is complete.

2. The electrosurgical method of claim 1 further comprising:

summing the value, over a second predetermined window of time, to create a second value indicative of a second summed energy provided to the active electrode, the second predetermined window being of shorter length than the first predetermined window, and the second predetermined window coextensive with the first predetermined window;

wherein ceasing the step of delivering the energy is responsive to the second value meeting or exceeding a threshold value.

3. The electrosurgical method of claim 1 wherein measuring the value further comprises measuring at least one value selected from the group consisting of:

a value indicative of electrical current provided to the active electrode, a value indicative of root mean square (RMS) electrical current provided to the active electrode, a value indicative of voltage provided to the active electrode, and a value indicative of RMS voltage provided to the active electrode.

4. The electrosurgical method of claim 1 further comprising:

decreasing the threshold value during periods when plasma resides proximate the active electrode; and

increasing the threshold value during periods when plasma is initiating proximate the active electrode.

5. The electrosurgical method of claim 2 further comprising:

wherein summing the value, over the first predetermined window, further comprises summing the value over a one second window; and

wherein summing, over the second predetermined window, further comprises summing over a 20-500 millisecond window.

6. The electrosurgical method of claim 2 wherein the step of ceasing delivering the energy responsive to the second value exceeding the second predetermined value further comprises:

calculating a second quiescent time representing an amount of time within which delivering the energy should cease; and

ceasing delivering the energy for the second quiescent time.

7. The electrosurgical method of claim 2 or 6 further comprising resuming delivering the energy to the active electrode after the step of ceasing delivering the energy for the first or second quiescent time.

8. The electrosurgical method of claim 5 further comprising:

wherein the predetermined value is 400 Joules; and

wherein the threshold value is 5-400 Joules.

9. An electrosurgical controller comprising:

a processor;

a memory coupled to the processor;

a voltage generator operatively coupled to the processor, the voltage generator comprising an active terminal also coupled to the processor;

the memory configured to store a program that, when executed by the processor, is configured to cause the processor to;

command delivery of energy to the active terminal of the voltage generator;

measure a value indicative of flow of the energy along the active terminal while commanding delivery of the energy;

sum the value over a first predetermined window of time during delivery of the energy, to create a first value indicative of a first sum of the energy delivered along the active terminal; and

sum the value over a second predetermined window of time during the delivery of the energy, to create a second value indicative of a second sum of the energy delivered from the active terminal, the second predetermined window being of shorter length than the first predetermined window, and the second predetermined window coextensive with the first predetermined window; and

command the voltage generator to cease delivery of the energy responsive to the first value meeting or exceeding a predetermined value or the second value meeting or exceeding a threshold value.

10. The electrosurgical controller of claim 9 wherein the value indicative of flow of the energy is at least one value selected from the group consisting of:

a value indicative of electrical current flow along the active terminal, a value indicative of root mean square (RMS) electrical current along the active electrode, a value indicative of voltage provided by the active terminal, and a value indicative of RMS voltage provided by the active terminal.

11. The electrosurgical controller of claim 9:

wherein the first predetermined window has a length of one second; and

wherein the second predetermined window has a length of 20-500 milliseconds.

12. The electrosurgical controller of claim 11:

wherein the predetermined value is equal to or greater than 400 Joules; and

wherein the threshold value is equal to or greater than 5-400 Joules.

13. The electrosurgical controller of claim 9 wherein the program is further configured to cause the processor to:

calculate a quiescent time while commanding the voltage generator to cease delivery of the energy, the quiescent time representing an amount of time within which the step of commanding delivery of the energy should cease; and

cease delivering the energy for the quiescent time.

14. The electrosurgical controller of claim 9 wherein, the program is further configured to cause the processor to:

calculate a quiescent time upon commanding the voltage generator to cease delivery of the energy responsive to the second value meeting or exceeding a threshold value, the quiescent time representing an amount of time within which the delivery of the energy should cease; and

command the voltage generator to cease delivery of the energy for the quiescent time.

15. The electrosurgical controller of claim 9 wherein the program is further configured to cause the processor to:

decrease the threshold value during periods when plasma resides proximate an active electrode coupled to the active terminal; and

increase the threshold value during periods when plasma does not reside proximate the active electrode.

16. A non-transitory computer-readable medium configured to store a program that, when executed by a processor is configured to cause the processor to:

command delivery of energy to an active terminal of a voltage generator;

measure a value indicative of flow of the energy along the active terminal, while delivering the energy;

sum the value over a first predetermined window of time while delivering the energy, resulting in a first value indicative of a summed energy provided along the active terminal;

command the voltage generator to cease delivering the energy responsive to the first value meeting or exceeding a predetermined value; and

calculate a first quiescent time while commanding the voltage generator to cease delivering, the first quiescent time representing an amount of time remaining in the first predetermined window of time; and

command the processor to resume delivering the energy once the first quiescent time is complete.

17. The non-transitory computer-readable medium of claim 16:

wherein the program is further configured to cause the processor to sum the value over a second predetermined window of time while delivering the energy to result in a second value indicative of a second summed energy delivered along the active terminal, the second predetermined window of shorter length than the first predetermined window, and the second predetermined window coextensive with the first predetermined window; and

wherein the program causes the processor to command the voltage generator to cease delivering the energy responsive to the second value meeting or exceeding a threshold value.

18. The non-transitory computer-readable medium of claim 16 wherein the value indicative of flow of the energy is at least one value selected from the group consisting of:

a value indicative of electrical current flow along the active terminal, a value indicative of root mean square (RMS) electrical current along the active electrode, a value indicative of voltage provided to the active terminal, and a value indicative of RMS voltage provided to the active terminal.

19. The non-transitory computer-readable medium of claim 17:

wherein the first predetermined window is a one second window; and

wherein the second predetermined window is a 20-500 millisecond window.

20. The non-transitory computer-readable medium of claim 19:

wherein the first value is equal or greater than 400 Joules; and

wherein the second value is equal or greater than 5-400 Joules.

21. The non-transitory computer-readable medium of claim 17 wherein the processor is further configured to:

calculate a second quiescent time while commanding the voltage generator to cease delivering the energy responsive to the second value meeting or exceeding the threshold value, the second quiescent time representing an amount of time within which the delivery of the energy should cease; and

command the processor to resume delivering the energy on the completion of the second quiescent time.

22. The non-transitory computer-readable medium of claim 16 wherein the program is further configured to cause the processor to:

decrease the threshold value during periods when plasma resides proximate an active electrode coupled to the active terminal; and

increase the threshold value during periods when plasma does not reside proximate the active electrode.

23. An electrosurgical method comprising:

delivering energy to an active electrode of an electrosurgical wand, and during the step of delivering energy;

measuring a value indicative of flow of the energy to the active electrode;

summing the value over a first predetermined window of time, to create a first value indicative of a sum of the energy delivered to the active electrode; and

summing the value over a second predetermined window of time, to create a second value indicative of a second sum of the energy provided to the active electrode, the second predetermined window being of shorter length than the first predetermined window, and the second predetermined window coextensive with the first predetermined window; and

ceasing the step of delivering the energy responsive to either the first value meeting or exceeding a predetermined value or the second value meeting or exceeding a threshold value.