Electrosurgical control system

• US 7,217,269 B2
• Filed: 10/28/2004
• Issued: 05/15/2007
• Est. Priority Date: 10/28/2003
• Status: Active Grant

• Current Assignee: Stryker Corporation
• Original Assignee: UAB Research Foundation (University of Alabama System)
• Inventors: Hawn, Mary, Alexander, David Austin, El-Galley, Rizk
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US10/978,218
• Publication Number:
  US 20050143724A1
• Time in Patent Office: 929 Days
• Field of Search: 606/42, 606/1, 606 31- 34, 606/41, 606 47- 50, 607/101, 607/102
• US Class Current: 606/34
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00225 Systems for controlling multiple different instruments, e.g. microsurgical systems
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2218/008 for smoke evacuation

Abstract

An electrosurgical control system includes a selector by which a user can select any of a number of electrosurgical devices or similar devices for use, and a processor system responsive to user actuation of a foot control or other central control by controlling the selected device. Each device has an associated intelligent adapter that communicates information relating to device with which the adapter is associated. The processor system uses the information communicated by the adapter to properly interface the associated device with the control system and its central control.

Claims

1. A control system for a plurality of independent electrosurgical devices wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic, each device controllable by an associated device user control, comprising:

a central user control operable by a user to control any of the electrosurgical devices;

a device selector operable by a user to select one of the electrosurgical devices;

a plurality of intelligent adapters, each associated with one of the electrosurgical devices and programmed or adapted to communicate information relating to the associated electrosurgical device; and

a processor system responsive to operation of the central user control, each intelligent adapter removably connectable to the processor system, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter such that the central user control can be used to control at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic.

2. The control system claimed in claim 1, wherein:

the central user control has a plurality of central user inputs operable by a user to control functions of the electrosurgical devices, wherein each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated device user control; and

the device selector is operable by a user to selectably associate each central user input with one of the functions of a selected electrosurgical device.

3. The control system claimed in claim 2, wherein:

the plurality of central user inputs comprises a left foot pedal and a right foot pedal;

the device selector is operable by a user to selectably associate the left foot pedal with one of the functions of a first electrosurgical device and associate the right foot pedal with one of the functions of a second electrosurgical device.

4. The control system claimed in claim 3, wherein the functions include a cut function and a coagulate function.

5. The control system claimed in claim 1, wherein:

the device user control associated with each electrosurgical device of the plurality of electrosurgical devices is a foot control; and

the central user control is a foot control.

6. The control system claimed in claim 5, wherein:

the device user control associated with each electrosurgical device of the plurality of electrosurgical devices has two foot pedals; and

the central user control associated with each electrosurgical device of the plurality of electrosurgical devices has two foot pedals.

7. The control system claimed in claim 1, wherein the communicated information characterizes operation of the device user control associated with the selected electrosurgical device.

8. The control system claimed in claim 1, wherein each intelligent adaptor includes a cable with a first connector removably connectable to the associated electrosurgical device and a second connector removably connectable to an enclosure housing the processor system.

9. The control system claimed in claim 1, further comprising a display, wherein the processor system is programmed or adapted to display information communicated by the associated intelligent adapter.

10. The control system claimed in claim 9, wherein:

the communicated information identifies a device type of the selected electrosurgical device; and

the processor system is programmed or adapted to display an indication of the device type of the selected electrosurgical device.

11. The control system claimed in claim 9, wherein:

the communicated information identifies a manufacturer and model of the selected electrosurgical device; and

the processor system is programmed or adapted to display indications of the manufacturer and model of the selected electrosurgical device.

12. The control system claimed in claim 9, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the processor system is programmed or adapted to display an indication of the function of the selected electrosurgical device.

13. The control system claimed in claim 9, wherein the communicated information identifies a function of the selected electrosurgical device;

the display comprises at least one verification status indicator and at least one verification command button;

wherein

the processor system is programmed or adapted to display an indication of the device verification status of the selected electrosurgical device.

14. The control system claimed in claim 1, wherein the device selector includes a display, and wherein the processor system is programmed or adapted to display information communicated by the associated intelligent adapter.

15. The control system claimed in claim 14, wherein:

the communicated information identifies a device type of the selected electrosurgical device; and

the processor system is programmed or adapted to display an indication of the device type of the selected electrosurgical device.

16. The control system claimed in claim 14, wherein:

the communicated information identifies a manufacturer and model of the selected electrosurgical device; and

the processor system is programmed or adapted to display indications of the manufacturer and model of the selected electrosurgical device.

17. The control system claimed in claim 14, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the processor system is programmed or adapted to display an indication of the function of the selected electrosurgical device.

18. The control system claimed in claim 1, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the control unit engages a smoke evacuation system upon activation of the electrosurgical device when said function is a surgical function.

19. The control system claimed in claim 18, wherein:

the smoke evacuation system comprises;

(a) a smoke evacuator, and

(b) an insufflator.

20. The control system claimed in claim 18 wherein:

the smoke evacuation system remains activated for a predetermined amount of time.

21. The control system claimed in claim 1 wherein the processor system is programmed or adapted to record surgical activity, thereby creating recorded information.

22. The control system claimed in claim 21 wherein the processor system stores said recorded information.

23. The control system claimed in claim 1 wherein one or more of said intelligent adapters comprises a cable.

24. The control system claimed in claim 23 wherein one or more of said intelligent adapters further comprises an adapter module.

25. The control system claimed in claim 23 wherein said intelligent adapter connects to a computer communication port on said electrosurgical device.

26. A method for controlling a plurality of independent electrosurgical devices wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic, each device controllable by an associated device user control, comprising the steps of:

connecting each electrosurgical device to an associated intelligent adapter programmed or adapted to communicate information relating to the associated electrosurgical device;

connecting each electrosurgical device and connected intelligent adapter to a processor system instead of to an associated device user control to which the electrosurgical device is connectable;

operating a device selector in communication with the processor system to select one of the electrosurgical devices; and

operating a central user control to control the selected electrosurgical device, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter such that the central user control can be used to control at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic.

27. The method claimed in claim 26, wherein the step of operating a device selector comprises operating a device selector housed in an enclosure disposed remotely from the processor system.

28. The method claimed in claim 26, wherein:

the central user control has a plurality of central user inputs operable by a user to control functions of the electrosurgical devices, and each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated electrosurgical device; and

the step of operating a device selector comprises selectably associating each central user input with one of the functions of a selected electrosurgical device.

29. The method claimed in claim 28, wherein:

the plurality of central user inputs comprises a left foot pedal and a right foot pedal;

the step of operating a device selector comprises selectably associating the left foot pedal with one of the functions of a first electrosurgical device and associating the right foot pedal with one of the functions of a second electrosurgical device.

30. The method claimed in claim 29, wherein the functions include a cut function and a coagulate function.

31. The method claimed in claim 26, wherein:

the device user control associated with each electrosurgical device of the plurality of electrosurgical devices is a foot control; and

the step of operating a central user control comprises operating a foot control.

32. The method claimed in claim 31, wherein the step of operating a central user control comprises operating two foot pedals.

33. The method claimed in claim 26, further comprising the step of displaying information communicated by the intelligent adapter associated with the selected electrosurgical device.

34. The method claimed in claim 33, wherein the step of displaying information communicated by the intelligent adapter comprises displaying information at a location in a surgical field of view.

35. The method claimed in claim 33, wherein:

the communicated information identifies a device type of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying an indication of the device type of the selected electrosurgical device.

36. The method claimed in claim 33, wherein:

the communicated information identifies a manufacturer and model of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying indications of the manufacturer and model of the selected electrosurgical device.

37. The method claimed in claim 33, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying an indication of the function of the selected electrosurgical device.

38. The method claimed in claim 27, wherein the device selector includes a display, and wherein information communicated by the associated intelligent adapter is displayed on the device selector.

39. The method claimed in claim 38, wherein:

the communicated information identifies a device type of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying an indication of the device type of the selected electrosurgical device.

40. The method claimed in claim 38, wherein:

the communicated information identifies a manufacturer and model of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying indications of the manufacturer and model of the selected electrosurgical device.

41. The method claimed in claim 38, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying an indication of the function of the selected electrosurgical device.

42. The method of claim 26 wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the step of engaging the smoke evacuation system upon activation of the electrosurgical device when said function is a surgical function.

43. The method of claim 26 wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the step of verifying the status of at least one electrosurgical device.

44. The method of claim 26 comprising the step of recording surgical activity.

45. The method of claim 44 comprising the step of storing said recorded surgical activity.

46. The method of claim 26 wherein:

the communicated information identifies a function of the selected electrosurgical devices; and

the step of selecting a power level for said electrosurgical device.

47. A control system for a plurality of independent electrosurgical devices, each controllable by an associated device user control, comprising:

a central user control operable by a user to control any of the electrosurgical devices;

a device selector operable by a user to select one of the electrosurgical devices wherein the device selector is disposed separately and remotely from the processor system in an enclosure in communication with the processor system and wherein the device selector includes a disposable anti-static sheath on the enclosure;

a plurality of intelligent adapters, each associated with one of the electrosurgical devices and programmed or adapted to communicate information relating to the associated electrosurgical device; and

a processor system responsive to operation of the central user control, each intelligent adapter removably connectable to the processor system, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter.

48. A method for controlling a plurality of independent electrosurgical devices, comprising the steps of:

connecting each electrosurgical device to an associated intelligent adapter programmed or adapted to communicate information relating to the associated electrosurgical device;

connecting each electrosurgical device and connected intelligent adapter to a processor system instead of to an associated device user control to which the electrosurgical device is connectable;

operating a device selector in communication with the processor system to select one of the electrosurgical devices wherein the device selector is housed in an enclosure disposed remotely from the processor system and the enclosure is placed in a disposable anti-static sheath; and

operating a central user control to control the selected electrosurgical device, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter.

49. A control system for a plurality of independent electrosurgical devices, wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic, the control system comprising:

a device selector operable by a user to select one of the electrosurgical devices;

a central user control operable by a user to activate the selected device; and

a plurality of adaptors, wherein at least one adaptor is configured to couple with the electrosurgical device having the first output function or operating characteristic and wherein at least one adaptor is configured to couple with the electrosurgical device having the second output function or operating characteristic, wherein each adaptor is configured to communicate information regarding the associated electrosurgical device to a processor system that is responsive to operation of the central user control, and wherein the processor system is programmed or configured to respond to operation of the central user control by activating the selected electrosurgical device in accordance with information communicated by the associated adapter.

50. The control system of claim 49, wherein at least one adaptor is removably connectable to the processor system.

51. The control system of claim 50, wherein the adaptor further comprises a cable and a connector for removeable connection to the processor system.

52. The control system of claim 49, wherein the central user control is configured to send a control signal initiating the operation a smoke evacuation system upon selection or activation of an given electrosurgical device.

53. The control system of claim 49, wherein:

the central user control has a plurality of central user inputs operable by a user to control functions of the electrosurgical devices, wherein each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated device user control; and

the device selector is operable by a user to selectably associate each central user input with one of the functions of a selected electrosurgical device.

54. The control system of claim 53, wherein:

the plurality of central user inputs comprises a left foot pedal and a right foot pedal;

the device selector is operable by a user to selectably associate the left foot pedal with one of the functions of a first electrosurgical device and associate the right foot pedal with one of the functions of a second electrosurgical device.

55. A system, comprising:

a plurality of independent electrosurgical devices, wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic;

a device selector operable by a user to select one of the electrosurgical devices;

a central user control operable by a user to activate the selected device; and

a plurality of adaptors, wherein at least one adaptor is configured to couple with the electrosurgical device having the first output function or operating characteristic and wherein at least a second adaptor is configured to couple with the electrosurgical device having the second output function or operating characteristic, wherein each adaptor is configured to communicate information regarding the associated electrosurgical device to a processor system that is responsive to operation of the central user control, and wherein the processor system is programmed or configured to respond to operation of the central user control by activating the selected electrosurgical device in accordance with information communicated by the associated adapter.

56. The system of claim 55, wherein at least one adaptor is removably connectable to the processor system.

57. The system of claim 56, wherein the adaptor further comprises a cable and a connector for removeable connection to the processor system.

58. The system of claim 55, wherein the central user control is configured to send a control signal initiating the operation a smoke evacuation system upon selection or activation of an given electrosurgical device.

59. The system of claim 55, wherein:

the central user control has a plurality of central user inputs operable by a user to control functions of the electrosurgical devices, wherein each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated device user control; and

the device selector is operable by a user to selectably associate each central user input with one of the functions of a selected electrosurgical device.

60. The system of claim 59, wherein:

the plurality of central user inputs comprises a left foot pedal and a right foot pedal;

the device selector is operable by a user to selectably associate the left foot pedal with one of the functions of a first electrosurgical device and associate the right foot pedal with one of the functions of a second electrosurgical device.

61. A control system for a plurality of independent electrosurgical devices wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least one device having a second output function or operating characteristic that differs from the first output function or operating characteristic, each device controllable by an associated device user control, comprising:

a central user control operable by a user to control any of the electrosurgical devices;

a device selector operable by a user to select one of the electrosurgical devices;

a plurality of intelligent adapters, each associated with one of the electrosurgical devices and programmed or adapted to communicate information relating to the associated electrosurgical device; and

a processor system responsive to operation of the central user control, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter such that the central user control can be used to control at least one device having a first output function or operating characteristic and least one device having a second output function or operating characteristic that differs from the first output function or operating characteristic.

62. The control system of claim 61, wherein at least one intelligent adaptor is removably connectable to the processor system.

63. The control system claimed in claim 61, wherein the central user control is configured to send a control signal initiating the operation a smoke evacuation system upon selection or activation of an given electrosurgical device.

64. A system, comprising:

a plurality of independent electrosurgical devices, wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic;

a device selector operable by a user to select one of the electrosurgical devices;

a central user control operable by a user to activate the selected device; and

a first means for coupling the electrosurgical device having the first output function or operating characteristic and a second means for coupling the electrosurgical device having the second output function or operating characteristic to a processor system that is responsive to the operation of the central user control, wherein the first and second means for coupling are configured to communicate information regarding the associated electrosurgical device to the processor system, and wherein the processor system is programmed or configured to respond to operation of the central user control by activating the selected electrosurgical device in accordance with information communicated by the coupling means such that the central user control can be used to control at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic.

65. A system, comprising:

a plurality of independent electrosurgical devices, wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic;

a device selector operable by a user to select one of the electrosurgical devices;

a central user control operable by a user to activate the selected device; and

a control unit comprising a processing system wherein the processing system is programmed or configured to respond to operation of the central user control to activate at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic.

66. The system of claim 65, wherein the central user control is configured to send a control signal initiating the operation a smoke evacuation system upon selection or activation of an given electrosurgical device.

67. The system of claim 65, wherein:

the central user control has a plurality of central user inputs operable by a user to control functions of the electrosurgical devices, wherein each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated device user control; and

the device selector is operable by a user to selectably associate each central user input with one of the functions of a selected electrosurgical device.

68. The system of claim 67, wherein:

the plurality of central user inputs comprises a left foot pedal and a right foot pedal;

the device selector is operable by a user to selectably associate the left foot pedal with one of the functions of a first electrosurgical device and associate the right foot pedal with one of the functions of a second electrosurgical device.

69. The system of claim 65, wherein the plurality of electrosurgical devices comprises surgical devices selected from the group consisting of unipolar, bipolar, harmonic and laser devices.

70. A control system for a plurality of independent electrosurgical devices, wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic, the control system comprising;

a device selector operable by a user to select one of the electrosurgical devices;

a central user control operable by a user to activate the selected device; and

a control unit comprising a processing system wherein the processing system is programmed or configured to respond to operation of the central user control to activate at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic.

71. The control system of claim 70, wherein the central user control is configured to send a control signal initiating the operation a smoke evacuation system upon selection or activation of an given electrosurgical device.

72. The control system of claim 70, wherein:

the central user control has a plurality of central user inputs operable by a user to control functions of the electrosurgical devices, wherein each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated device user control; and

the device selector is operable by a user to selectably associate each central user input with one of the functions of a selected electrosurgical device.

73. The control system of claim 72, wherein:

the plurality of central user inputs comprises a left foot pedal and a right foot pedal;

the device selector is operable by a user to selectably associate the left foot pedal with one of the functions of a first electrosurgical device and associate the right foot pedal with one of the functions of a second electrosurgical device.

74. The control system of claim 70, wherein the plurality of electrosurgical devices comprises surgical devices selected from the group consisting of unipolar, bipolar, harmonic and laser devices.