System and methods of controlling temperature related to electrosurgical procedures

• US 10,675,080 B2
• Filed: 11/03/2016
• Issued: 06/09/2020
• Est. Priority Date: 11/25/2015
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Woloszko, Jean, Gaspredes, Jonathan L., Ryan, Thomas P.
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Zink, Amanda L
• Application Number:
  US15/342,413
• Publication Number:
  US 20170143401A1
• Time in Patent Office: 1,314 Days
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/00732 Frequency
• CPC Class Codes: A61B 2018/00744 Fluid flow
• CPC Class Codes: A61B 2018/00767 Voltage
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2218/001 having means for irrigation and/or aspiration of substances to and/or from the surgical site A61B2018/00029 and A61B2018/1472 take precedence
• CPC Class Codes: A61B 2218/007 Aspiration

Abstract

Electrosurgical procedures. At least some of the example methods for detecting that an electrosurgical wand is effected by a blockage, including supplying a high frequency energy to an active electrode of an electrosurgical wand; drawing an electrically conductive fluid from the vicinity of the active electrode; sensing a temperature signal indicative of a temperature of the electrically conductive fluid drawn from the vicinity of the active electrode; and cycling the high frequency energy supplied upon the temperature of the electrically conductive fluid drawn from the vicinity of the active electrode exceeding a first threshold temperature.

Claims

1. An electrosurgical system comprising:

a controller comprising

a processor;

a memory coupled to the processor;

a voltage generator operatively coupled to the processor

a fluid flow pump operatively coupled to the processor and configured to control a fluid flow through a fluid aspiration element; and

an electrosurgical wand operatively coupled to an output of the voltage generator, the wand having a temperature sensor in operational relationship with the fluid aspiration element;

the temperature sensor communicatively coupled to the processor;

wherein the memory stores a program that, when executed by the processor, causes the controller to;

deliver a first high frequency voltage to an active electrode of the electrosurgical wand;

control the fluid flow pump to draw an electrically conductive fluid through the fluid aspiration element at a first flow rate range, away from the vicinity of the active electrode;

sense a temperature signal indicative of a temperature of the electrically conductive fluid drawn from the vicinity of the active electrode with the temperature sensor; and

initiate a first over-temperature cycle, including controlling the fluid flow pump and voltage generator so as to deliver a pulsed voltage and a pulsed fluid flow rate, upon the processor receiving a signal indicative that the temperature exceeds a first threshold temperature;

wherein the first threshold temperature is configured to detect a temperature indicative of an inadequate fluid flow condition through the fluid aspiration element and the first over-temperature cycle is configured to regulate said temperature.

2. The system of claim 1 wherein a pulsed fluid flow rate comprises modulating between the first flow rate range and a cooling flow rate.

3. The system of claim 2 wherein the cooling flow rate is configured to reduce the temperature of the fluid aspiration element while minimally aspirating debris relative to the first flow rate range.

4. The system of claim 1, wherein the first high frequency energy and the first flow rate range are configured to cooperate with each other to form a plasma adjacent the active electrode, the plasma configured to treat tissue.

5. The system of claim 2 wherein the

pulsed voltage comprises modulating the high frequency voltage between the first high frequency voltage and a second lower high frequency voltage, so as to continue to treat tissue and wherein the first over-temperature cycle comprises a constant frequency cycle switching between a first portion of the cycle wherein the energy is delivered at the first high frequency voltage simultaneously with the aspiration flow rate drawn at the first flow rate range and a second portion of the cycle wherein the energy is delivered at the second lower high frequency voltage simultaneously with the aspiration flow rate at the cooling flow rate.

6. The system of claim 1, wherein the memory stores a program that, when executed by the processor, causes the controller to pulse the voltage generator and fluid flow pump to

pulse at a rate between 0.25-2 pulses per second.

7. The system of claim 1, wherein the memory stores a program that, when executed by the processor, further causes the controller to:

suspend delivering high frequency energy upon the temperature exceeding a second threshold temperature, higher than the first threshold temperature.

8. The system of claim 7 wherein the memory stores a program that, when executed by the processor, further causes the controller to:

maintain a cooling flow rate until the temperature cools to a lower threshold temperature, upon the temperature of the electrically conductive fluid exceeding the second threshold temperature, the lower threshold temperature lower than the first threshold temperature.

9. The system of claim 7 wherein the memory stores a program that, when executed by the processor, further causes the controller to:

maintain the step of suspending delivering the high frequency energy until the temperature reaches a lower threshold temperature, the lower threshold temperature lower than the first threshold temperature.

10. The system of claim 1 wherein the temperature sensor is disposed on an outer surface of the fluid aspiration element and within a handle of the electrosurgical wand.

11. The system of claim 10 wherein the temperature sensor is directly coupled to an external surface of the fluid aspiration element.

12. An electrosurgical system comprising:

a controller comprising

a processor;

a memory communicably coupled to the processor;

a voltage generator operatively coupled to the processor

a fluid flow pump operatively coupled to the processor and configured to control a fluid flow through a fluid aspiration element; and

an electrosurgical wand operatively coupled to an output of the voltage generator;

a temperature sensor operatively coupled to the fluid aspiration element the temperature sensor for detecting an inadequate fluid flow condition through the fluid aspiration element and communicatively coupled to the processor;

wherein the memory stores a program that, when executed by the processor, causes the controller to;

deliver a first high frequency voltage to an active electrode of the electrosurgical wand;

control the pump to draw an electrically conductive fluid through the fluid aspiration element at a first flow rate range from the vicinity of the active electrode;

receive a signal from the temperature sensor; and

control the fluid pump and voltage generator so as to synchronously pulse both the voltage supplied and the fluid flow rate upon the processor receiving a signal indicative that a temperature exceeds a first threshold temperature and thereby an inadequate fluid flow condition.

13. The system of claim 12 wherein pulsing the fluid flow rate modulates the fluid flow rate between the first flow rate range and a cooling flow rate.

14. The system of claim 13 wherein the cooling flow rate is configured to aid in cooling the temperature while minimally aspirating debris through the fluid aspiration element.

15. The system of claim 12, wherein the first high frequency energy and the first flow rate range are configured to cooperate with each other to ablate tissue.

16. The system of claim 12 wherein the memory stores a program that, when executed by the processor, causes the controller to:

control the voltage generator to pulse the high frequency voltage between the first high frequency voltage and a second lower high frequency voltage, while continuing to ablate tissue.

17. The system of claim 12, wherein the memory stores a program that, when executed by the processor, causes the controller to:

control the voltage generator and fluid flow rate to synchronously pulse at a rate between 0.25-2 pulses per second.

18. The system of claim 12, wherein the memory stores a program that, when executed by the processor, further causes the controller to:

suspend the high frequency energy delivery upon the temperature reaching or exceeding a second threshold temperature, higher than the first threshold temperature; and

maintain the step of suspending until the temperature cools to a lower threshold temperature, the lower threshold temperature lower than the first threshold temperature.

19. The system of claim 18 wherein the memory stores a program that, when executed by the processor, further causes the controller to:

maintain a cooling flow rate upon the temperature reaching or exceeding the second threshold temperature, and maintain the cooling flow rate until the processor receives a signal indicative of a temperature at or below a lower threshold temperature, the lower threshold temperature lower than the first threshold temperature.

20. An electrosurgical system comprising:

a controller comprising

a processor,

a memory communicably coupled to the processor;

a voltage generator for delivering a high frequency voltage output, operatively coupled to the processor

a fluid flow pump operatively coupled to the processor and configured to control a fluid flow through a fluid suction tube; and

an electrosurgical wand operatively coupled to an output of the voltage generator;

a temperature sensor directly coupled to an external surface of the fluid suction tube and communicatively coupled to the processor, for detecting high temperature conditions of the external surface;

wherein the memory stores a program that, when executed by the processor, causes the controller to;

deliver a first high frequency voltage to an active electrode of the electrosurgical wand;

control the pump to draw an electrically conductive fluid through the fluid suction tube at a first flow rate range from the vicinity of the active electrode;

receive a signal from the temperature sensor; and

upon the processor receiving a signal indicative that a temperature meets or exceeds a first threshold temperature, control the fluid pump to modulate the fluid flow and the voltage generator to modulate the output voltage so as to regulate the temperature of the fluid suction tube external surface.

21. The system of claim 20 wherein the processor controls the fluid pump to modulate the fluid flow between a first and second flow rate at a first frequency and also modulate the output voltage between a first and second output voltage at the first frequency.