System and method for controlling tissue heating rate prior to cellular vaporization

• US 20070282320A1
• Filed: 05/30/2006
• Published: 12/06/2007
• Est. Priority Date: 05/30/2006
• Status: Abandoned Application

• Current Assignee: Sherwood Services AG
• Original Assignee: Sherwood Services AG
• Inventors: Buysse, Steven P., Weinberg, Craig
• Application Number:
  US11/442,785
• Publication Number:
  US 20070282320A1
• Time in Patent Office: Days
• US Class Current: 606/34
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• 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 18/20 using laser
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance

Abstract

A system and method for performing electrosurgical procedures are disclosed. The system includes an electrosurgical generator adapted to supply energy at an output level to tissue and to transmit an interrogatory signal to obtain initial tissue impedance to derive a starting impedance value. The electrosurgical generator includes a microprocessor adapted to generate a desired impedance trajectory as a function of either of the initial tissue impedance or the starting impedance value. The desired impedance trajectory includes a plurality of target impedance values. The electrosurgical generator is further adapted to drive tissue impedance along the desired impedance trajectory by adjusting the output level to match tissue impedance to a corresponding target impedance value. The system also includes an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue.

Claims

1. An electrosurgical system comprising:

an electrosurgical generator adapted to supply electrosurgical energy to tissue and to transmit an interrogatory signal to obtain initial tissue impedance and to derive a starting impedance value, the electrosurgical generator including;

a microprocessor adapted to generate a desired impedance trajectory as a function of at least one of the initial tissue impedance and the starting impedance value, wherein the desired impedance trajectory includes a plurality of target impedance values, the microprocessor being adapted to drive tissue impedance along the desired impedance trajectory by adjusting the output level to substantially match tissue impedance to a corresponding target impedance value; and

an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue.

2. An electrosurgical system according to claim 1, wherein the electrosurgical generator is further adapted to monitor a target error representing the difference between a tissue impedance and the corresponding target impedance value.

3. An electrosurgical system according to claim 1, wherein the electrosurgical generator further includes sensor circuitry adapted to monitor tissue impedance to obtain a minimum impedance value.

4. An electrosurgical system according to claim 1, wherein the slope of the desired impedance trajectory includes a positive slope.

5. An electrosurgical system according to claim 1, wherein the slope of the desired impedance trajectory includes a negative slope.

6. An electrosurgical system according to claim 1, wherein the slope of the desired impedance trajectory is at least one of a linear, quasi-linear, and non-linear trajectory.

7. An electrosurgical system according to claim 1, wherein the desired impedance trajectory represents a pre-desiccation phase of an electrosurgical procedure.

8. A method for performing an electrosurgical procedure comprising the steps of:

applying electrosurgical energy at an output level to tissue from an electrosurgical generator;

transmitting an interrogatory signal to obtain initial tissue impedance to derive a starting impedance value;

generating a desired impedance trajectory as a function of at least one of the initial tissue impedance and the starting impedance value, wherein the desired impedance trajectory includes a plurality of target impedance values; and

driving tissue impedance along the desired impedance trajectory by adjusting the output level to match tissue impedance to a corresponding target impedance value.

9. A method according to claim 8, further comprising the step of monitoring a target error representing the difference between a tissue impedance and the corresponding target impedance value.

10. A method according to claim 8, further comprising the step of monitoring tissue impedance to obtain a minimum impedance value.

11. A method according to claim 8, wherein the step of generating a desired impedance trajectory further includes the step of generating a positively sloping impedance trajectory.

12. A method according to claim 8, wherein the step of generating a desired impedance trajectory further includes the step of generating a negatively sloping impedance trajectory.

13. A method according to claim 8, wherein the step of generating a desired impedance trajectory further includes the step of generating the slope of the impedance trajectory to be at least one of a linear, quasi-linear, and non-linear trajectory.

14. A method according to claim 8, wherein the step of generating a desired impedance trajectory further includes the step of generating the slope of the impedance trajectory to be reflective of a pre-desiccation phase of an electrosurgical procedure.

15. An electrosurgical generator comprising sensor circuitry adapted to supply energy at an output level to tissue, the electrosurgical generator being adapted to transmit an interrogatory signal to obtain initial tissue impedance to derive a starting impedance value;

and

a microprocessor adapted to generate a desired impedance trajectory as a function of at least one of the initial tissue impedance and the starting impedance value, wherein the desired impedance trajectory includes a plurality of target impedance values, the electrosurgical generator being adapted to drive tissue impedance along the desired impedance trajectory by adjusting the output level to match tissue impedance to a corresponding target impedance value.

16. An electrosurgical generator according to claim 15, wherein the electrosurgical generator is further adapted to monitor a target error representing the difference between a tissue impedance and the corresponding target impedance value.

17. An electrosurgical generator according to claim 15, wherein the electrosurgical generator further includes sensor circuitry adapted to monitor tissue impedance to obtain a minimum impedance value.

18. An electrosurgical generator according to claim 15, wherein the slope of the desired impedance trajectory includes a positive slope.

19. An electrosurgical generator according to claim 15, wherein the slope of the desired impedance trajectory includes a negative slope.

20. An electrosurgical generator according to claim 15, wherein the desired impedance trajectory represents a pre-desiccation phase of an electrosurgical procedure.