Fluid cooled electrosurgical cauterization system

• US 5,342,357 A
• Filed: 11/13/1992
• Issued: 08/30/1994
• Est. Priority Date: 11/13/1992
• Status: Expired due to Term

• Current Assignee: American Cardiac Ablation Company Incorporated
• Original Assignee: American Cardiac Ablation Company Incorporated
• Inventors: Nardella, Paul C.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/975,801
• Time in Patent Office: 655 Days
• Field of Search: 606/34, 606/37-40, 606/42, 606/45, 606/46, 606/48, 606/49, 606/50
• US Class Current: 606/40
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1435 Spiral

Abstract

An electrosurgical probe is disclosed which provides the ability to both cut and cauterize tissue. The probe includes at least one cauterization electrode mounted upon a distal portion of the electrode and adapted to deliver electrosurgical energy to tissue. Further, a central lumen is disposed within the probe. The lumen is adapted to accommodate the flow of fluid from a remote source to tissue through an outlet port in the distal end of the probe. Also, the lumen houses a cutting electrode which is selectively deployable. Both cauterization and coagulation can be conducted in a bipolar mode. The flow of fluid through the lumen serves to limit the heat transfer from the cauterization electrode to adjacent tissue to an extent sufficient to prevent the sticking of tissue to the probe. A feedback system is also provided to optimize the electrode temperature.

Claims

1. A method for controlling the temperature of an energy delivering, cauterizing electrode, comprising:

providing an elongate electrosurgical probe member having disposed at a distal portion of an outer surface thereof at least one energy delivering cauterization electrode, the probe member having a fluid delivering lumen associated therewith and being in electrical communication with an electrosurgical generator unit;

delivering electrosurgical energy from the generator unit through the probe member to the energy delivering electrode and adjacent tissue;

measuring the temperature of the energy delivering electrode and generating a signal representative thereof;

comparing the measured temperature of the energy delivering electrode to a predetermined maximum temperature value and generating a signal representative of the difference between the measured temperature and the predetermined temperature;

passing a fluid through the lumen at a selected flow rate to regulate the temperature of the energy delivering electrode; and

adjusting the rate of flow of the fluid through the lumen of the probe member based on the difference between measured temperature and the predetermined temperature to maintain the measured temperature at or below the predetermined temperature.

2. The method of claim 1 wherein the fluid flows with the lumen and through the probe, exiting the probe at a distal portion thereof.

3. The method of claim 2 wherein the step of adjusting the flow rate is effected by a pump means for controlling fluid flow rate, the pump means operating in response to a signal representative of the difference between the measured temperature and the predetermined temperature.

4. The method of claim 1 wherein the step of passing a fluid through the lumen is effected at a fluid flow rate in the range of from 1 to 50 ml/minute.

5. The method of claim 1 further comprising the step of controlling the energy output of the generator unit in conjunction with controlling the temperature of the energy delivering electrode by:

measuring the impedance of the tissue based on the energy applied thereto and generating a signal representative of the tissue impedance;

comparing the measured tissue impedance value with a predetermined maximum impedance value; and

transmitting to the generator unit a signal to case further energy delivery if the measured tissue impedance exceeds the predetermined maximum impedance value.

6. A system for controlling the temperature of an energy delivering, cauterizing electrode, comprising:

an elongate electrosurgical probe member having a central lumen disposed therein to enable fluid to be conveyed through the probe member for discharge at a distal portion of the probe member, the probe member having at least one energy delivering electrode disposed at a distal portion of the probe member;

an electrosurgical generator unit in electrical communication with the probe member for supplying electrosurgical energy to the electrode for delivery to tissue adjacent the electrode;

a fluid supply source in communication with the lumen;

temperature sensing means associated with the probe member for sensing the temperature of the energy delivering electrode and generating a signal representative of a measured electrode temperature;

comparator means for comparing the measured electrode temperature to a predetermined maximum temperature value and generating a signal representative of a difference between the measured electrode temperature and the predetermined maximum temperature value; and

a fluid control means for regulating the rate of flow of fluid through the lumen in response to the signal from the comparator means representative of the temperature difference to maintain the measured electrode temperature at or below the predetermined temperature.

7. The system of claim 6 wherein the temperature sensing means comprises a thermistor or a thermocouple.

8. The system of claim 6, further comprising a subsystem for controlling the energy output of the generator unit, the subsystem comprising:

impedance measuring means for measuring the impedance of tissue based on the energy applied thereto;

impedance comparing means for comparing the measured impedance of tissue to a predetermined maximum impedance value, the impedance comparing means generating a disabling signal if the measured impedance value exceeds the predetermined maximum impedance value; and

means for communicating the disabling signal to the generator unit to cease further delivery of energy from the generator unit to the probe member.

9. A system for controlling the temperature of an energy delivering, cauterizing electrode, comprising:

an elongate electrosurgical probe member having a central lumen disposed therein to enable fluid to be conveyed through the probe member for discharge at a distal portion of the probe member, the probe member having at least one energy delivering electrode disposed at a distal portion of the probe member;

an electrosurgical generator unit in electrical communication with the probe member for supplying electrosurgical energy to the electrode for delivery to tissue adjacent the electrode;

a fluid supply source in communication with the lumen;

impedance measuring means for measuring the impedance of tissue based on the energy applied thereto;

impedance comparing means for comparing the measured impedance of tissue to a predetermined maximum impedance value, the impedance comparing means generating a signal representative of the difference between the measured impedance value and the predetermined maximum impedance value; and

a fluid control means for regulating a rate of fluid flow through the lumen in response to the signal from the impedance comparing means representative of the impedance difference to maintain the electrode temperature at an acceptable temperature level.