Systems and methods for controlling power in an electrosurgical probe

• US 6,123,702 A
• Filed: 09/10/1998
• Issued: 09/26/2000
• Est. Priority Date: 09/10/1998
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Panescu, Dorin, Swanson, David K., Whayne, James G., Burnside, Robert
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US09/150,830
• Time in Patent Office: 747 Days
• Field of Search: 606/34, 606/38, 606/41-42, 606/49, 606/50
• US Class Current: 606/34
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/0069 using fuzzy logic
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/00726 Duty cycle
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00803 with temperature prediction
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/128 generating two or more frequencies
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

Systems and methods for controlling the power supplied to an electrosurgical probe are disclosed. The systems and methods may be used to monitor electrode-tissue contact, adjust power in response to a loss of contact, and apply power in such a manner that charring, coagulum formation and tissue popping are less likely to occur.

Claims

1. An apparatus for coagulating tissue, comprising:

a support element;

at least one operative element on the support element; and

a control system, operably connected to the operative element, and adapted to measure impedance and determine whether the operative element is in contact with tissue and whether tissue in proximity to the operative element is viable tissue or non-viable tissue, at least one of the determinations being based on an impedance versus frequency profile.

2. An apparatus as claimed in claim 1, wherein the contact determination is based on the impedance versus frequency profile.

3. An apparatus as claimed in claim 1, wherein the viability determination is based on the impedance versus frequency profile.

4. An apparatus as claimed in claim 1, wherein the operative element comprises an electrode.

5. An apparatus as claimed in claim 1, wherein the control system is adapted to generate at least one of an audio alarm and a visual alarm in response to at least one of a non-viable tissue determination and a loss of contact determination.

6. An apparatus as claimed in claim 1, wherein the support element comprises a relatively stiff shaft.

7. An apparatus as claimed in claim 1, wherein the control system determines whether the operative element is in contact with viable tissue prior to initiating a coagulation procedure.

8. An apparatus for coagulating tissue, comprising:

a support element;

at least one operative element on the support element; and

a control system, operably connected to the operative element, that measures temperature at the operative element and determines whether the operative element is in contact with tissue and whether tissue in proximity to the operative element is viable tissue or non-viable tissue, at least one of the determinations being based on the temperature measurement.

9. An apparatus as claimed in claim 8, wherein the operative element comprises an electrode.

10. An apparatus as claimed in claim 8, wherein the control system is adapted to generate at least one of an audio alarm and a visual alarm in response to at least one of a non-viable tissue determination and a loss of contact determination.

11. An apparatus as claimed in claim 8, wherein the support element comprises a relatively stiff shaft.

12. An apparatus as claimed in claim 8, wherein the control system determines whether the operative element is in contact with viable tissue prior to initiating a coagulation procedure.

13. An apparatus for coagulating tissue, comprising:

a support element;

at least one electrode on the support element;

a source of tissue coagulating energy operably connected to the electrode and adapted to supply energy at a first level suitable for tissue coagulation and at a second, non-zero level lower than the first level; and

a control system, operably connected to the electrode, and adapted to determine whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue and to reduce the energy level from the first level to the second level in response to the loss of contact determination.

14. An apparatus as claimed in claim 13, wherein the energy source comprises a radio frequency energy source.

15. An apparatus as claimed in claim 13, wherein the control system causes the energy source to ramp down to the second level in response to the loss of contact determination.

16. An apparatus as claimed in claim 13, wherein the control system causes the energy source to ramp up to the first level in response a determination that contact between the at least one electrode and tissue has been reestablished.

18. A method as claimed in claim 13, wherein the impedance data is used to determine whether the operative element is in contact with tissue.

19. A method as claimed in claim 13, wherein the impedance data is used to determine whether the tissue is viable tissue or non-viable tissue.

22. An apparatus as claimed in claim 13, wherein the control system is adapted to cause the energy source to provide energy to the at least one tissue heating element at the second level, receive a temperature signal from the at least one temperature sensor, and determine whether the tissue heating element is in contact with the tissue by determining whether the temperature has reached the predetermined temperature.

23. An apparatus as claimed in claim 22, wherein the control system is adapted to cause the energy source to provide energy at the first level in response a determination that the tissue has reached the predetermined temperature.

24. An apparatus as claimed in claim 22, wherein the control system will not cause the energy source to provide energy at the first level until a determination that the tissue has reached the predetermined temperature.

25. An apparatus as claimed in claim 22, wherein the control system is adapted to generate at least one of an audio alarm and a visual alarm in response to a determination that tissue did not reach the predetermined temperature in response to an application of energy at the second level.

17. A method of coagulating tissue, comprising the steps of:

attempting to place an operative element in at least close proximity to tissue;

performing a first data sensing operation to sense impedance data at various frequencies;

comparing the impedance data to an impedance versus frequency profile to determine one of whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue;

performing a second data sensing operation; and

using the data sensed during the second data sensing operation to determine the other of whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue.

20. A method of coagulating tissue, comprising the steps of:

attempting to place an operative element in at least close proximity to tissue;

performing a first data sensing operation to sense temperature data;

using the temperature data to determine whether the tissue is viable tissue or non-viable tissue; and

performing a second data sensing operation to determine whether the operative element is in contact with the tissue.

21. An apparatus for coagulating tissue, comprising:

a support element;

at least one tissue heating element on the support element;

at least one temperature sensor on the support element;

a source of tissue heating energy operably connected to the tissue heating element and adapted to supply energy at a first level suitable for tissue coagulation and at a second, non-zero level lower than the first level, the second level being suitable to heat tissue with a predetermined rate of temperature rise when the tissue heating element is in contact with the tissue; and

a control system, operably connected to the at least one temperature sensor, and adapted to determine whether the tissue heating element is in contact with the tissue based on feedback from the temperature sensor.

26. An apparatus as claimed in claim 21, wherein the support element comprises a relatively stiff shaft.

27. An apparatus as claimed in claim 21, wherein the tissue heating element comprises an electrode.

28. An apparatus as claimed in claim 21, wherein the source of tissue heating energy comprises a source of RF energy.

31. A method as claimed in claim 21, wherein the step of determining whether the tissue heating element is in contact with tissue comprises determining whether the temperature of the tissue rises at a predetermined rate.

29. A method of coagulating tissue, comprising the steps of:

attempting to place a tissue heating element in contact with tissue;

supplying the tissue heating element with energy at a first level insufficient to coagulate the tissue and sufficient to cause the tissue to rise to a predetermined temperature level when the tissue heating element is in contact with the tissue;

sensing the temperature of the tissue; and

determining whether the tissue heating element is in contact with tissue based on the sensed temperature of the tissue.

30. A method as claimed in claim 29, further comprising the step of:

supplying the tissue heating element with energy at a second level sufficient to coagulate tissue in response to a determination that the tissue heating element is in contact with tissue.

32. An apparatus for coagulating tissue, comprising:

a support element;

at least one electrode on the support element;

a source of tissue coagulating energy operably connected to the electrode and adapted to supply energy at a first voltage suitable for tissue coagulation and at a second, non-zero voltage lower than the first voltage; and

a control system, operably connected to energy source, and adapted to determine when there is a loss of contact between the at least one electrode and tissue and to reduce the voltage level from the first voltage to the second voltage in response to the loss of contact determination.

33. An apparatus as claimed in claim 32, wherein the control system causes the energy source to ramp down to the second voltage in response to the loss of contact determination.