System and Method for DC Tissue Impedance Sensing

• US 20130053840A1
• Filed: 08/30/2011
• Published: 02/28/2013
• Est. Priority Date: 08/30/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Krapohl, James E., Smith, Robert B., Johnston, Mark A.
• Granted Patent: US 9,033,973 B2
• Time in Patent Office: Days
• US Class Current: 606/33
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition

Abstract

A system and method for transmitting electrosurgical energy from a generator to an electrosurgical instrument are provided. The electrosurgical system includes a generator adapted to generate electrosurgical energy for treating tissue. The generator includes one or more active output terminals which supply energy to the tissue. The active output terminals are operatively connected to one or more active leads. The generator also includes one or more return output terminals which returns energy from the tissue. The return output terminals are operatively connected to at least one return lead. The system also includes an electrosurgical instrument operatively connected to the one or more active leads and one or more return electrodes operatively connected to one or more return leads. The system further includes an electrosurgical cable including one or more active leads and one or more return leads. The one or more active leads and one or more return leads are wound in a double helix fashion such that the electrical field along the cable is mitigated along the length thereof.

Claims

1. An electrosurgical system, comprising:

a direct current power supply configured to supply direct current;

a radio frequency output stage electrically coupled to the direct current power supply, the radio frequency output stage configured to transform direct current into a radio frequency waveform;

a direct current voltage sensor coupled to the direct current power supply and configured to measure direct current voltage;

a direct current current sensor coupled to the direct current power supply and configured to measure direct current; and

a controller coupled to the direct current voltage and current sensors, the controller configured to determine at least one of voltage and current of the radio frequency waveform based on the measured voltage and current of the direct current.

2. The electrosurgical system according to claim 1, wherein the radio frequency output stage includes at least one active output terminal and at least one return output terminal.

3. The electrosurgical system according to claim 2, further comprising:

a radio frequency voltage sensor coupled to the at least one active output terminal and the at least one return output terminal and configured to measure radio frequency voltage therebetween; and

a radio frequency current sensor coupled to the at least one active output terminal and configured to measure radio frequency current therethrough.

4. The electrosurgical system according to claim 3, wherein the controller is configured to compare at least one of calculated voltage and calculated current of the radio frequency waveform with at least one of measured voltage and measured current of the radio frequency waveform.

5. The electrosurgical system according to claim 4, wherein the controller is configured to determine a dosage error based on the comparison.

6. The electrosurgical system according to claim 1, wherein the radio frequency output stage is disposed within a housing of a handheld electrosurgical instrument.

7. The electrosurgical system according to claim 1, wherein the handheld electrosurgical instrument is an electrosurgical forceps including at least one shaft member having an end effector assembly disposed at a distal end thereof, the end effector assembly including two 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 an electrically conductive sealing surface.

8. The electrosurgical system according to claim 1, wherein the controller determines at least one of the voltage and the current of the radio frequency waveform based on the direct current voltage and direct current using a transfer function that correlates the direct current voltage and direct current to at least one of the voltage and the current of the radio frequency waveform.

9. A method for delivering radio frequency energy to tissue, the method comprising:

generating direct current at a direct current power supply;

transforming direct current into a radio frequency waveform at a radio frequency output stage electrically coupled to the direct current power supply;

measuring voltage and current of the direct current supplied to the radio frequency output stage; and

determining at least one of voltage and current of the radio frequency waveform based on the measured voltage and current of the direct current.

10. The method according to claim 9, further comprising:

measuring voltage and current of the radio frequency waveform.

11. The method according to claim 9, further comprising:

comparing calculated voltage and current of the radio frequency waveform based on the measured voltage and current of the direct current with measured voltage and current of the radio frequency waveform.

12. The method according to claim 11, further comprising:

calculating a dosage error based on the comparison, wherein the dosage error is a difference between the calculated voltage and current of the radio frequency waveform and the measured voltage and current of the radio frequency waveform, respectively.

13. The method according to claim 11, further comprising:

performing at least one of issuing an alarm, adjusting or terminating output of at least one of the power supply and the radio frequency output stage based on the dosage error.

14. The method according to claim 9, wherein the determining includes calculating at least one of voltage and current of the radio frequency waveform based on the measured voltage and current of the direct current using a transfer function that correlates the direct current voltage and direct current to at least one of the voltage and the current of the radio frequency waveform.

15. An electrosurgical system, comprising:

an electrosurgical generator including;

a direct current power supply configured to supply direct current;

a direct current voltage sensor coupled to the direct current power supply and configured to measure direct current voltage;

a direct current current sensor coupled to the direct current power supply and configured to measure direct current; and

a controller coupled to the direct current voltage and current sensors; and

an electrosurgical instrument coupled to the electrosurgical generator, the electrosurgical instrument including a radio frequency output stage electrically coupled to the direct current power supply, the radio frequency output stage configured to transform direct current into a radio frequency waveform, wherein the controller is configured to determine at least one of voltage and current of the radio frequency waveform based on the measured voltage and current of the direct current.

16. The electrosurgical system according to claim 15, wherein the electrosurgical instrument is an electrosurgical forceps including at least one shaft member having an end effector assembly disposed at a distal end thereof, the end effector assembly including two 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 an electrically conductive sealing surface.

17. The electrosurgical system according to claim 16, wherein the radio frequency output stage includes at least one active output terminal and at least one return output terminal, each of which is coupled to one of the electrically conductive sealing surfaces.

18. The electrosurgical system according to claim 17, further comprising:

a radio frequency voltage sensor coupled to the at least one active output terminal and the at least one return output terminal and configured to measure radio frequency voltage therebetween; and

a radio frequency current sensor coupled to the at least one active output terminal and configured to measure radio frequency current therethrough.

19. The electrosurgical system according to claim 18, wherein the controller is configured compare at least one of calculated voltage and calculated current of the radio frequency waveform with at least one of measured voltage and measured current of the radio frequency waveform, respectively.

20. The electrosurgical system according to claim 19, wherein the controller is configured to determine a dosage error based on the comparison.