Method and apparatus for detecting tube occlusion in argon electrosurgery system

• US 5,908,402 A
• Filed: 02/03/1997
• Issued: 06/01/1999
• Est. Priority Date: 02/03/1997
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Valleylab Inc. (Medtronic Plc)
• Inventors: Blythe, Robert Lewis
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/792,054
• Time in Patent Office: 848 Days
• Field of Search: 606/1, 606/41, 606/42, 606/45, 606/46, 606/48-50, 604/23, 604/26, 604/27, 604/28, 600/560
• US Class Current: 604/26
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing
• CPC Class Codes: A61M 5/16859 Evaluation of pressure response, e.g. to an applied pulse

Abstract

A method and apparatus detect occlusion in a tube to a passage into a body cavity. An argon gas supply output received by plural selectable flow orifices so one or more of the orifices delivers predetermined metered gas. A duct with a volume of gas selectively provides metered gas to the passage. The tube connects the passage and the duct periodically so a duct pressure transducer can signal. A circuit tests signals of tube equalization with a back pressure. A three way valve controlled by the circuit connects the duct transducer to gas metered to the cavity. The valve alternatively connects the duct transducer to the tube to equalize the tube with metered gas to the back pressure. A monitor of the signals determines the rate of pressure change after the valve connection. The monitor indicates pressure equalization after a timed interval with a timer to establish intervals for checking back pressure. The monitor remembers cavity pressure before connecting the duct transducer to the metered gas and compares remembered pressure with the back pressure after each test interval. Plural orifices provide specific gas flows to the handset and the valve for equalizing them with metered gas as a function of the flow. Connecting plural orifices to meter gas output, delivering the metered gas output with one or more of the orifices, containing the volume of gas in the duct connected to the metered gas output, selectively connecting the duct to the passage, connecting the tube to the passage with the duct and the transducer to periodically signal are steps. Coupling the circuit to one or more orifices, equalizing the tube with back pressure in response to the signals and coupling the transducer to the metered gas output are steps. Connecting the duct transducer to the tube permits periodic back pressure equalization with metered gas output, signaling the monitor with the transducer, determining periodically the rate of pressure change in the tube by the transducer, indicating in the interval with the monitor equalized tube pressure and remembering cavity pressure before connecting the metered gas output and the transducer for intervals and providing specific flows to the handset and the valve to make the back pressure a function of the selectable flow are steps.

Claims

1. An apparatus within an argon electrosurgery delivery system, the apparatus for detecting an occlusion in a monitored pressure tube connected to a percutaneous passageway into the abdominal cavity of a patient, the apparatus comprising:

an argon gas supply output;

a plurality of selectable flow orifices connected to receive the argon gas supply output, one or more of the plurality of selectable flow orifices for delivery of a predetermined metered argon gas output;

a duct for containing a volume of argon gas, the duct selectively connected in fluid communication with the predetermined metered argon gas output, the duct selectively connectable in fluid communication with the percutaneous passageway into the abdominal cavity;

a tube adapted to be connected in fluid communication between the percutaneous passageway into the abdominal cavity and connected to the duct;

a pressure transducer connected in fluid communication with the duct and the duct periodically connected to the tube, the pressure transducer connected for periodically receiving and responding with pressure signals from the tube;

a control circuit coupled electrically to one or more of the plurality of selectable flow orifices for receipt of the predetermined metered argon gas output, the control circuit connected for equalizing within the tube with a back pressure in response to the pressure signals from the pressure transducer, the control circuit electrically coupled to the pressure transducer for receiving the tube pressure signals to test equalization;

an electrically operable a three way normally closed valve electrically coupled to the control circuit for connecting the pressure transducer and duct to the predetermined metered argon gas output to the abdominal cavity, the electrically operable three way normally closed valve coupled to the control circuit for alternatively connecting the pressure transducer and duct to the tube to selectively permit periodic fluid communication with the tube to equalize the tube with the predetermined metered argon gas output to the back pressure; and

a monitor electrically coupled to the pressure transducer to receive signals from the pressure transducer, the monitor for periodically determining the rate of pressure change in the tube after the electrically operable three way normally closed valve connects the tube to the pressure transducer and duct, the monitor for indicating if the pressure in the tube is equalized after a timed interval.

2. The apparatus of claim 1 wherein the monitor includes a timer for establishing time intervals for the periodic checking changes in the back pressure in the tube to test equalization.

3. The apparatus of claim 2 wherein an alarm is coupled to the monitor to indicate lack of pressure equalization between the abdominal cavity and the duct after a time interval of the timer.

4. The apparatus of claim 3 wherein the monitor includes a computer to remember the abdominal cavity pressure before connecting the duct and the pressure transducer to the predetermined metered argon gas output, the computer to compare the remembered abdominal cavity pressure with the back pressure after the time interval and following the equalization of the tube to the back pressure.

5. The apparatus of claim 2 wherein the tube has a volume selected to maximize any monitored pressure difference between the duct and the tube.

6. The apparatus of claim 1 wherein the predetermined metered argon gas output connected to the electrically operated three way normally closed valve also connects to an argon electrosurgical handset for laparoscopic application within the abdominal cavity.

7. The apparatus of claim 6 wherein the plurality of selectable flow orifices includes one or more metering orifices to provide specific gas flows to the argon handset and the electrically operable three way normally closed valve.

8. The apparatus of claim 7 wherein the computer makes the back pressure equalization with the predetermined metered argon gas output a function of the selectable flow rate.

9. The apparatus of claim 1 wherein an audible alarm is coupled to the monitor.

10. A method for use of an apparatus within an argon electrosurgery delivery system, the method for detecting an occlusion in a monitored pressure tube connected to a percutaneous passageway into the abdominal cavity of a patient, the method comprising the steps of:

supplying argon gas to an output;

connecting a plurality of selectable flow orifices to receive the argon gas supply output;

delivering with one or more of the plurality of selectable flow orifices a predetermined metered argon gas output;

containing within a duct a volume of argon gas by selectively connecting the duct in fluid communication with the predetermined metered argon gas output;

selectively connecting the duct in fluid communication with the percutaneous passageway into the abdominal cavity;

connecting a tube in fluid communication between the percutaneous passageway into the abdominal cavity by connecting the tube to the duct;

connecting a pressure transducer in fluid communication with the duct and periodically connected to the tube and the pressure transducer for periodically receiving and responding with pressure signals from tube;

coupling electrically a control circuit to one or more of the plurality of selectable flow orifices;

equalizing within the tube with a back pressure in response to the pressure signals from the pressure transducer;

connecting the pressure transducer for receiving the tube pressure signals to test equalization;

coupling electrically an electrically operable three way normally closed valve to the control circuit for connecting the pressure transducer and duct to the predetermined metered argon gas output to the abdominal cavity;

coupling electrically the electrically operable three way normally closed valve to the control circuit for alternatively connecting the pressure transducer and duct to the tube to selectively permit periodic fluid communication with the tube to equalize the tube with the predetermined metered argon gas output to the back pressure;

coupling electrically a monitor to the pressure transducer to receive signals from the pressure transducer;

determining periodically with the monitor the rate of pressure change in the tube after the electrically operable three way normally closed valve connects the tube to the pressure transducer and duct; and

indicating with the monitor if the pressure in the tube is equalized during a timed interval.

11. The method of claim 10 with the step of establishing with a timer in the monitor time intervals for the periodic checking changes in the back pressure in the tube to test equalization.

12. The method of claim 11 with the step of coupling an alarm to the monitor to indicate lack of pressure equalization between the abdominal cavity and the duct after a time interval of the timer.

13. The method of claim 12 with the step of including a computer in the monitor to remember the abdominal cavity pressure before connecting the predetermined metered argon gas output and the pressure transducer to the predetermined metered argon gas output, the computer to compare the remembered abdominal cavity pressure with the back pressure following the equalization of the tube to the back pressure.

14. The method of claim 11 with the step of maximizing with a selected volume for the tube any monitored pressure difference between the duct and the tube.

15. The method of claim 10 with the step of connecting an argon electrosurgical handset for laparoscopic application within the abdominal cavity to the predetermined metered argon gas output to the electrically operated three way normally closed valve.

16. The method of claim 15 with the step of including one or more metering orifices in the plurality of selectable flow orifices to provide specific gas flows to the argon handset and the electrically operable three way normally closed valve.

17. The method of claim 16 with the step of making the predetermined metered argon gas output back pressure a function of the selectable flow with the computer.

18. The method of claim 10 with the step of coupling an audible alarm to the monitor.