Fluid cooled electrosurgical cauterization system

• US 5,437,662 A
• Filed: 02/17/1994
• Issued: 08/01/1995
• Est. Priority Date: 11/13/1992
• Status: Expired due to Fees

• 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:
  US08/197,959
• Time in Patent Office: 530 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 tissue impedance based on the energy applied thereto and generating a signal representative of measured tissue impedance;

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

transmitting to the electrosurgical generator unit a signal to cease or limit further energy delivery if the measured tissue impedance exceeds the predetermined maximum impedance value;

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

regulating the flow rate to maintain the tissue impedance at or below the predetermined maximum impedance value.

2. The method of claim 1 wherein the flow rate is in the range of 1 to 50 ml/minute.

3. The method of claim 1 further including the step of increasing the flow rate when the measured tissue impedance value exceeds the predetermined maximum impedance value.

4. 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 to the electrode;

a fluid supply source in communication with the lumen;

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

impedance comparing means for comparing the measured tissue impedance 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;

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

fluid control means for regulating the rate of flow of fluid through the lumen to maintain the measured tissue impedance at or below a predetermined maximum impedance value.