Devices and methods for controlling initial movement of an electrosurgical electrode

• US 7,060,063 B2
• Filed: 11/13/2003
• Issued: 06/13/2006
• Est. Priority Date: 11/13/2002
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Smith, Jeffrey A., Marion, Duane W., Scholl, John A., Morrison, George A.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): Toy, Alex B.
• Application Number:
  US10/714,126
• Publication Number:
  US 20040172017A1
• Time in Patent Office: 943 Days
• Field of Search: 606/34, 606/41, 606 45- 48
• 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 2018/00208 actively driven, e.g. by a motor
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/1213 creating an arc
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter

Abstract

An electrosurgical electrode assembly having a cutting device including a catheter with a proximal and distal end, and an electrode carried on the distal end of the catheter. A controller is connected to the cutting device. A data acquisition system is connected to the controller and is capable of monitoring voltage and current output. A microprocessor may also be connected to the data acquisition system for processing voltage and current data from the data acquisition system. A generator is also connected to the data acquisition system. The controller initiates movement of the electrode upon arc initiation at the electrode. Methods of using the devices herein are also disclosed.

Claims

1. A method for controlling the initial movement of an electrosurgical electrode of an electrosurgical device comprising:

initiating the delivery of energy to an electrode;

monitoring an electrical characteristic associated with the electrosurgical electrode;

determining when an arc has been initiated based upon the monitoring step; and

moving the electrosurgical electrode once the arc has been detected.

2. The method according to claim 1, wherein the monitoring step is carried out by monitoring a change in electrical impedance.

3. The method according to claim 1, wherein the monitoring step is carried out by monitoring a change in voltage.

4. The method according to claim 1, wherein the monitoring step is carried out by monitoring a change in current.

5. The method according to claim 1, wherein the monitoring step is carried out by monitoring electrical impedance.

6. The method according to claim 1, wherein the monitoring step is carried out by monitoring voltage.

7. The method according to claim 1, wherein the monitoring step is carried out by monitoring current.

8. The method according to claim 5, wherein the monitoring step is carried out by monitoring for an electrical impedance over 500 ohms.

9. The method according to claim 1, wherein the moving step comprises automatically beginning moving the electrosurgical electrode once the arc has been detected.

10. The method of claim 1, further comprising the step of adjusting the energy delivered to the electrosurgical electrode based upon the monitoring step so to at least help maintain an effective arc.

11. The method of claim 1, further comprising the step of adjusting the speed of the electrosurgical electrode based upon the monitoring step so to at least help maintain an effective arc.

12. An electrosurgical assembly comprising:

a cutting device comprising a catheter having a proximal end and a distal end and an electrode carried by the distal end of the catheter;

a controller connected to the cutting device;

a data acquisition system connected to the controller, wherein the data acquisition system is capable of monitoring voltage and current output;

a microprocessor connected to the data acquisition system for processing voltage and current data from the data acquisition system; and

an electrosurgical generator connected to the data acquisition system,

wherein the controller initiates movement of the electrode upon arc initiation at the electrode.

13. The electrosurgical assembly of claim 12, further comprising an electrically isolated switch connecting the data acquisition system and controller.

14. The electrosurgical assembly of claim 13, wherein the electrically isolated switch is an optical switch.

15. The electrosurgical assembly of claim 12, further comprising a return electrode connected to the electrosurgical generator.

16. The electrosurgical assembly of claim 12, wherein the electrode has a proximal part and a distal part, the distal part connected to the distal portion of the catheter and movable between a retracted state and an outwardly extending, operational state.

17. The electrosurgical assembly of claim 12, wherein the cutting device further comprises a proximal end assembly, wherein the proximal end assembly comprises a first driver operably coupled to the electrode, constructed to (1) move the electrode from the retracted state, and (2) rotate the electrode about the axis, whereby a tissue section is separable from surrounding tissue by the moving electrode.

18. The electrosurgical assembly of claim 12, wherein the movement comprises rotation of the electrode about its axis.

19. The electrosurgical assembly of claim 12, wherein the microprocessor comprises logic to calculate the electrical impedance and determine the presence of an arc based on a change in electrical impedance.

20. The electrosurgical assembly of claim 12, wherein the microprocessor determines the presence of an arc based on a change in voltage.

21. The electrosurgical assembly of claim 12, wherein the microprocessor determines the presence of an arc based on a change in current.

22. The electrosurgical assembly of claim 12, wherein the microprocessor determines the presence of an arc base on electrical impedance.

23. The electro surgical assembly of claim 12, wherein the microprocessor determines the presence of an arc based on voltage.

24. The electrosurgical assembly of claim 12, wherein the microprocessor determines the presence of an arc based on current.

25. The electrosurgical assembly of claim 22, wherein the presence of the arc is determined by an electrical impedance over 500 ohms.

26. The electrosurgical assembly of claim 12, wherein the controller, data acquisition system, electrosurgical generator, and microprocessor are integrated into a single control unit.

27. An electrosurgical assembly comprising:

a cutting device comprising a catheter having a proximal end and a distal end and an electrode carried by the distal end of the catheter;

a controller connected to the cutting device;

a data acquisition system connected to the controller, wherein the data acquisition system is capable of monitoring voltage and current output;

an arc detection cable connecting the data acquisition system to the controller; and

an electrosurgical generator connected to the data acquisition system,

wherein the controller initiates movement of the electrode upon arc initiation at the electrode.

28. The electrosurgical assembly of claim 27, further comprising a microprocessor connected to the data acquisition system for processing voltage and current data from the data acquisition system.

29. The electrosurgical assembly of claim 27, further comprising an electrically isolated switch connecting the data acquisition system and controller.

30. The electrosurgical assembly of claim 27, wherein the electrically isolated switch is an optical switch.

31. The electrosurgical assembly of claim 27, further comprising a return electrode connected to the electrosurgical generator.

32. The electrosurgical assembly of claim 27, wherein the electrode has a proximal part and a distal part, the distal part connected to the distal portion of the catheter and movable between a retracted state and an outwardly extending, operational state.

33. The electrosurgical assembly of claim 27, wherein the cutting device further comprises a proximal end assembly, wherein the proximal end assembly comprises a first driver operably coupled to the electrode, constructed to (1) move the electrode from the retracted state, and (2) rotate the electrode about the axis, whereby a tissue section is separable from surrounding tissue by the moving electrode.

34. The electrosurgical assembly of claim 27, wherein the movement comprises rotation of the electrode about its axis.

35. The electrosurgical assembly of claim 28, wherein the controller, data acquisition system, electrosurgical generator, and microprocessor are integrated into a single control unit.

36. The electrosurgical assembly of claim 28, wherein the microprocessor comprises logic to calculate the electrical impedance and determine the presence of an arc based on a change in electrical impedance.

37. The electrosurgical assembly of claim 28, wherein the microprocessor determines the presence of an arc based on a change in voltage.

38. The electrosurgical assembly of claim 28, wherein the microprocessor determines the presence of an arc based on a change in current.

39. The electrosurgical assembly of claim 28, wherein the microprocessor comprises logic to calculate the electrical impedance and determine the presence of an arc based on electrical impedance.

40. The electrosurgical assembly of claim 28, wherein the microprocessor determines the presence of an arc based on voltage.

41. The electrosurgical assembly of claim 28, wherein the microprocessor determines the presence of an arc based on current.

42. The electrosurgical assembly of claim 39, wherein the presence of the arc is determined by an electrical impedance over 500 ohms.

43. An electrosurgical assembly comprising:

a cutting device comprising a catheter having a proximal end and a distal end, and an electrode carried by the distal end of the catheter;

a control unit connected to the cutting device comprising

an electrosurgical generator connected to the cutting device;

a data acquisition system connected to the electrosurgical generator, wherein the data acquisition system is capable of monitoring the RF voltage and current output;

a microprocessor connected to the data acquisition system for collecting the voltage and current data from the data acquisition system; and

a controller connected to the data acquisition system, wherein the controller initiates movement of the electrode upon arc initiation at the electrode.

44. The electrosurgical assembly of claim 43, wherein the movement comprises rotation of the electrode about its axis.

45. The electrosurgical assembly of claim 43, wherein the microprocessor comprises logic to calculate the electrical impedance and determine the presence of an arc based on a change in electrical impedance.

46. The electrosurgical assembly of claim 43, wherein the microprocessor determines the presence of an arc based on a change in voltage.

47. The electrosurgical assembly of claim 43, wherein the microprocessor determines the presence of an arc based on a change in current.

48. The electrosurgical assembly of claim 43, wherein the microprocessor comprises logic to calculate the electrical impedance and determine the presence of an arc based on electrical impedance.

49. The electrosurgical assembly of claim 43, wherein the microprocessor determines the presence of an arc based on voltage.

50. The electro surgical assembly of claim 43, wherein the microprocessor determines the presence of an arc based on current.

51. The electrosurgical assembly of claim 48, wherein the presence of the arc is determined by an electrical impedance over 500 ohms.

52. The electrosurgical assembly of claim 43, wherein the control unit further comprises a power supply in communication with the controller.

53. The electrosurgical assembly of claim 43, wherein the controller controls a DC motor.