Impedance feedback monitor for electrosurgical instrument

• US 5,558,671 A
• Filed: 09/23/1994
• Issued: 09/24/1996
• Est. Priority Date: 07/22/1993
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: David C. Yates
• Inventors: Yates, David C.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/311,297
• Time in Patent Office: 732 Days
• Field of Search: 606/32-35, 606/37-42, 606/45-50
• US Class Current: 606/38
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• 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 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• 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 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00672 lower
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00684 using lookup tables
• 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 2018/00761 Duration
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00886 : Duration
• CPC Class Codes: A61B 2018/1273 : including multiple generators in one device
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/032 : pressure limiting, e.g. hydrostatic

Abstract

An impedance monitoring device is provided for monitoring the electrical impedance of tissue as it is treated with electrosurgical energy. Based on a predicted model of tissue impedance and a number of initial impedance readings, the impedance at which tissue treatment is completed is predicted. More particularly, a minimum impedance level is measured and a function of the minimum impedance is used to determine impedance at which coagulation is completed. A control device is provided for bringing the output of the generator within an optimum range based on a system load curve. In one embodiment the impedance monitoring device is used in conjunction with a bipolar electrosurgical instrument. Preferably, the instrument comprises electrically opposite electrodes located on one or more tissue engaging surfaces for engaging tissue to be treated.

Claims

1. An electrosurgical device for treating tissue during a surgical procedure, said device comprising:

a surgical instrument having a tissue treating portion including an end effector adapted to engage tissue to be treated;

electrically isolated first and second poles comprised of tissue contacting first and second electrodes adapted to receive electrosurgical energy from an energy source connected to said electrodes, said first and second electrodes being capable of conducting electrical energy therebetween, at least one of said first and second electrodes being connected to said tissue treating portion of said instrument;

an energy control signal generated by an energy control signal generator for controlling RF energy supplied from said energy source to said electrodes;

impedance measurement circuitry coupled to said electrodes for measuring the impedance of tissue engaged by said end effector, wherein said impedance measuring circuitry is adapted to determine a minimum impedance value, to determine a target impedance value as a function of said minimum impedance value and to compare measured impedance values to said target impedance value and alter said control signal when said measured impedance value exceeds said target impedance value.

2. The electrosurgical device of claim 1 further comprising:

an energy source arranged to supply electrosurgical energy to said electrodes, wherein said energy source is responsive to said control signal to supply said energy to said electrodes.

3. The electrosurgical device of claim 1 wherein said impedance measuring circuitry includes:

a first device for determining the minimum impedance value;

a target determining device coupled to said first device, for determining the target impedance value as a function of said minimum impedance value; and

a first comparison device for comparing measured impedance values to said target impedance value and generating a signal indicating whether said measured impedance value exceeds said target impedance value.

4. The electrosurgical device of claim 1 wherein said end effector includes first and second elements moveable relative to each other for engaging tissue therebetween, wherein said first electrode is located on at least one of said first and second elements.

5. The electrosurgical device of claim 4 wherein said second electrode is located on at least one of said first and second elements.

6. The electrosurgical device of claim 5 wherein said impedance measuring circuitry is adapted to measure the impedance of the tissue between said first and second electrodes and engaged by said first and second elements.

7. The electrosurgical device of claim 4, wherein:

said first and second elements comprise first and second interfacing surfaces for engaging tissue to be electrosurgically treated;

wherein said first pole is comprised of one or more first electrodes located on at least one of said first and second interfacing surfaces;

wherein said second pole is comprised of one or more second electrodes located on at least one of said first and second interfacing surfaces; and

wherein each of said one or more first electrodes is offset from each of said one or more second electrodes with respect to said interfacing surfaces.

8. The electrosurgical device of claim 1 wherein said impedance measurement circuitry comprises a microprocessor controller.

9. A method of operating a device for electrosurgically treating tissue during a surgical procedure, said method comprising the steps of:

applying RF energy to tissue to be electrosurgically treated by means of an electrosurgical instrument;

measuring the impedance of the tissue treated by said electrosurgical instrument;

generating an impedance signal representative of the measured impedance value of said tissue;

determining a representative minimum impedance value;

determining a representative target impedance value as a function of said minimum impedance value;

comparing measured impedance values to said target impedance value; and

generating a control signal to control the RF energy to said electrosurgical instrument in response to said measured impedance value exceeding said target impedance value.

10. The method of claim 9 further comprising;

providing a tissue engaging instrument for engaging tissue to be electrosurgically treated, wherein said instrument includes electrically opposite tissue contacting electrodes;

engaging tissue to be electrosurgically treated between said electrodes; and

applying electrical energy to tissue engaged between said electrodes.

11. An electrosurgical impedance feedback control device, said device comprising:

impedance measurement circuitry adapted to be coupled to tissue contacting electrodes connected to a tissue treating portion of a surgical instrument and to an energy source arranged to supply therapeutic electrosurgical energy to said electrodes, wherein said impedance measurement circuitry is adapted to measure the impedance of tissue engaged by the tissue treating portion of the surgical instrument;

said impedance measuring circuitry comprising;

a first device for determining a minimum impedance value;

a target determining device coupled to said first device, for determining the target impedance value as a function of said minimum impedance value; and

a first comparison device for comparing measured impedance values to said target impedance value and generating a signal indicating whether said measured impedance value exceeds said target impedance value.