Arc Generation in a Fluid Medium

• US 20090254077A1
• Filed: 03/20/2009
• Published: 10/08/2009
• Est. Priority Date: 04/08/2008
• Status: Abandoned Application

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Craig, Jason L.
• Application Number:
  US12/407,896
• Publication Number:
  US 20090254077A1
• Time in Patent Office: Days
• US Class Current: 606/33
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/1213 creating an arc
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 90/96 using barcodes
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders

Abstract

An electrosurgical generator is disclosed. The generator includes a radio frequency output stage configured to generate a frequency waveform to an active electrode of an electrosurgical instrument when the active electrode is disposed in a fluid medium. The generator also includes a sensor circuit configured to measure tissue impedance and a controller configured to increase power of the radio frequency waveform to a predetermined electrical arcing level in response to the tissue impedance being within an open circuit impedance range and tissue contact impedance range. The controller is further configured to lower the power of the radio frequency waveform to a lower level when the tissue impedance is outside the open circuit impedance range and the tissue contact impedance range.

Claims

1. An electrosurgical generator, comprising:

a radio frequency output stage configured to generate at least one radio frequency waveform to an active electrode of an electrosurgical instrument when the active electrode is disposed in a fluid medium;

a sensor circuit configured to measure tissue impedance; and

a controller configured to increase power of the at least one radio frequency waveform to a predetermined electrical arcing level in response to the tissue impedance being within an open circuit impedance range and tissue contact impedance range, the controller being further configured to lower the power of the at least one radio frequency waveform to a lower level when the tissue impedance is outside the open circuit impedance range and the tissue contact impedance range.

2. The electrosurgical generator according to claim 1, wherein the electrosurgical generator includes an identifying element reader configured to interface with an identifying element disposed on the electrosurgical instrument, the identifying element identifying the electrosurgical instrument to the generator such that the generator automatically programs preset electrosurgical parameters associated with the predetermined electrical arcing level, open circuit impedance range, tissue contact impedance range, and the lower level.

3. The electrosurgical generator according to claim 2, wherein the identifying element is selected from the group consisting of a barcode, a radio frequency identification tag, a resistor and a magnetic identifier.

4. The electrosurgical generator according to claim 1, wherein the controller is further configured to increase power of the at least one radio frequency waveform to the predetermined electrical arcing level in response to the tissue impedance returning to the open circuit impedance range and the tissue contact impedance range to reinitialize arcing.

5. The electrosurgical generator according to claim 1, wherein the controller is further configured to terminate output of the radio frequency output stage in response to the tissue impedance returning to the open circuit impedance range and the tissue contact impedance range.

6. The electrosurgical generator according to claim 1, wherein the open circuit impedance range is from about 5000 Ohms to about infinite impedance and the tissue contact impedance range is from about 20 Ohms to about 5000 Ohms.

7. A method for operating an electrosurgical generator, comprising the steps of:

providing an electrosurgical instrument having at least one electrode;

submerging the at least one active electrode into a fluid medium

generating at least one radio frequency waveform to the at least one active electrode of the electrosurgical instrument;

measuring tissue impedance;

increasing power of the at least one radio frequency waveform to a predetermined electrical arcing level in response to the tissue impedance being within an open circuit impedance range and tissue contact impedance range to commence electrical arcing; and

lowering the power of the at least one radio frequency waveform to a lower level to maintain arcing after initialization of the electrical arc.

8. The method according to claim 7, further comprising the step of:

interfacing with an identifying element disposed on the electrosurgical instrument to identify the electrosurgical instrument to the generator such that the generator automatically programs preset electrosurgical parameters associated with the predetermined electrical arcing level, open circuit impedance range, tissue contact impedance range, and the lower level.

9. The method according to claim 7, wherein the identifying element of the interfacing step is selected from the group consisting of barcode, a radio frequency identification tag, a resistor and a magnetic identifier.

10. The method according to claim 7, further comprising the step of:

increasing power of the at least one radio frequency waveform to the predetermined electrical arcing level in response to the tissue impedance returning to the open circuit impedance range and the tissue contact impedance range to reinitialize arcing.

11. The method according to claim 7, further comprising the step of:

terminating output of the radio frequency output stage in response to the tissue impedance returning to the open circuit impedance range and the tissue contact impedance range.

16. The electrosurgical system according to claim 11, wherein the open circuit impedance range is from about 5000 Ohms to about infinite impedance and the tissue contact impedance range is from about 20 Ohms to about 5000 Ohms.

12. An electrosurgical system comprising:

an electrosurgical generator comprising;

a radio frequency output stage configured to generate at least one radio frequency waveform;

a sensor circuit configured to measure tissue impedance; and

a controller configured to increase power of the at least one radio frequency waveform to a predetermined electrical arcing level in response to the tissue impedance being within an open circuit impedance range and tissue contact impedance range, the controller being further configured to lower the power of the at least one radio frequency waveform to a lower level when the tissue impedance is outside the open circuit impedance range and the tissue contact impedance range; and

an electrosurgical instrument coupled to the radio frequency output stage, the electrosurgical instrument including at least one active electrode being disposed in a fluid medium and adapted to apply the at least one radio frequency therein, the electrosurgical instrument further including an identifying element disposed on the electrosurgical instrument, the identifying element identifying the electrosurgical instrument to the generator such that the generator automatically programs preset electrosurgical parameters associated with the predetermined electrical arcing level, open circuit impedance range, tissue contact impedance range, and the lower level.

13. The electrosurgical system according to claim 12, wherein the identifying element is selected from the group consisting of barcode, a radio frequency identification tag, a resistor and a magnetic identifier.

14. The electrosurgical system according to claim 12, wherein the controller is further configured to increase power of the at least one radio frequency waveform to the predetermined electrical arcing level in response to the tissue impedance returning to the open circuit impedance range and the tissue contact impedance range to reinitialize arcing.

15. The electrosurgical system according to claim 12, wherein the controller is further configured to terminate output of the radio frequency output stage in response to the tissue impedance returning to the open circuit impedance range and the tissue contact impedance range.