System and method for controlling RF output during tissue sealing

• US 20080039836A1
• Filed: 08/08/2006
• Published: 02/14/2008
• Est. Priority Date: 08/08/2006
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Weinberg, Craig, Denham, Amy, Odom, Darren
• Granted Patent: US 7,731,717 B2
• Time in Patent Office: Days
• US Class Current: 606/51
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00684 using lookup tables
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/033 Abutting means, stops, e.g. abutting on tissue or skin
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length

Abstract

An electrosurgical system for sealing tissue is disclosed which includes an electrosurgical forceps having a shaft member and a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members including a sealing plate which communicates electrosurgical energy through tissue held therebetween. The jaw members are adapted to connect to an electrosurgical generator. The system also includes one or more sensors which determine a gap distance between the sealing plates of the jaw members and a microprocessor which is adapted to communicate with the sensor and measure an initial gap distance between the sealing plates as well as to generate a desired gap distance trajectory based on the initial gap distance. The microprocessor is further adapted to communicate with the at least one sensor in real time to adjust output level of the electrosurgical generator as a function of the measured gap distance during the sealing process.

Claims

1. An electrosurgical system for sealing tissue, comprising:

a forceps including at least one shaft member having an end effector assembly disposed at a distal end thereof, the end effector assembly including jaw members movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween; and

each of the jaw members including a sealing plate which communicates electrosurgical energy through tissue held therebetween, the jaw members being adapted to connect to an electrosurgical generator;

at least one sensor which determines a gap distance between the sealing plates of the jaw members; and

a microprocessor adapted to communicate with the at least one sensor to measure an initial gap distance between the sealing plates and to generate a desired gap distance trajectory based on the initial gap distance, the microprocessor being further adapted to communicate with the at least one sensor in real-time to adjust output level of the electrosurgical generator as a function of the measured gap distance during the sealing process.

2. An electrosurgical system as in claim 1, wherein the desired gap distance trajectory includes a plurality of desired target gap distance values and the microprocessor substantially matches measured gap distance to a corresponding desired target gap distance value and adjusts the generator to deliver the appropriate energy to the tissue.

3. An electrosurgical system as in claim 1, wherein the microprocessor generates the desired gap distance trajectory as a function of at least one of a desired slope, starting gap distance value and desired ending gap distance value.

4. An electrosurgical system as in claim 3, wherein the desired slope, the starting gap distance value and the ending gap distance value are selected as a function of the initial gap distance.

5. An electrosurgical system for sealing tissue as in claim 1, further comprising:

a knife channel defined along a length of at least one of the sealing plates of one of the jaw members, the knife channel being dimensioned to reciprocate a cutting mechanism therealong; and

an actuator operatively connected to one of the shaft members which selectively advances the cutting mechanism from a first position wherein the cutting mechanism is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting mechanism is disposed distal to tissue held between the jaw members.

6. An electrosurgical system as in claim 1 further comprising:

a second sensor which determines at least one pre-surgical tissue parameter and transmits data pertaining to at least one tissue parameter to the microprocessor.

7. The electrosurgical system as in claim 6, wherein the at least one tissue parameter is selected from a group consisting of boundary conditions, jaw fill and hydration.

8. A method for sealing tissue comprising the steps of:

providing an electrosurgical forceps for sealing tissue, the forceps including at least one shaft member having an end effector assembly disposed at a distal end thereof, the end effector assembly including jaw members movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween, each of the jaw members including a sealing plate adapted to connect to an electrosurgical generator and communicate electrosurgical energy through tissue held therebetween and at least one of the jaw members including a sensor which determines a gap distance between jaw members;

grasping tissue between the sealing plates and measuring an initial gap distance between the sealing plates;

generating a desired gap distance trajectory based on the initial gap distance, wherein the desired gap distance trajectory includes a plurality of desired target gap distance values; and

adjusting the output of the electrosurgical generator as a function of the real-time changes in gap distance by the sensor.

9. A method as in claim 8, wherein the step of generating the desired gap trajectory further includes substantially matching measured gap distance to a corresponding desired target gap distance value.

10. A method as in claim 8, wherein the step of generating the desired gap trajectory further includes generating the desired gap trajectory as a function of at least one of a desired slope, starting gap distance value and desired ending gap distance value.

11. A method as in claim 10, wherein the step of generating the desired gap trajectory further includes selecting the desired slope, the starting gap distance value and the ending gap distance value as a function of the initial gap distance.

12. A method as in claim 8, wherein the step of providing the electrosurgical forceps further includes providing the electrosurgical forceps having:

a knife channel defined along a length of at least one of the sealing plates of one of the jaw members, the knife channel being dimensioned to reciprocate a cutting mechanism therealong; and

an actuator operatively connected to one of the shaft members which selectively advances the cutting mechanism from a first position wherein the cutting mechanism is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting mechanism is disposed distal to tissue held between the jaw members.

13. A method as in claim 8, further comprising the step of:

determining at least one pre-surgical tissue parameter and transmiting data pertaining to at least one tissue parameter to the microprocessor.

14. A method as in claim 13, wherein the step of determining at least one pre-surgical parameter further includes selecting the least one tissue parameter from a group consisting of boundary conditions, jaw fill and hydration.