Vessel sealing system

• US 7,303,557 B2
• Filed: 12/27/2004
• Issued: 12/04/2007
• Est. Priority Date: 10/23/1998
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Buysse, Steven P., Orszulak, James H., Wham, Robert
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US10/919,613
• Publication Number:
  US 20050101951A1
• Time in Patent Office: 1,072 Days
• Field of Search: 606 32- 35, 606 38- 42
• US Class Current: 606/34
• CPC Class Codes: A61B 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• 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 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00684 using lookup tables
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00726 Duty cycle
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance

Abstract

A method for electrosurgically sealing a tissue includes steps of: (A) applying a first pulse of RF energy to the tissue; and (B) applying at least one subsequent RF energy pulse to the tissue and keeping constant or varying RF energy parameters of individual pulses in accordance with at least one characteristic of an electrical transient that occurs during the individual RF energy pulses. The method terminates the generation of subsequent RF pulses upon a determination that the electrical transient has passed a predetermined limit.

Claims

1. A system for electrosurgically sealing tissue, comprising an electrosurgical generator comprising an RF energy source and a controller for controlling the operation of an electrosurgical generator, said electrosurgical generator having an output for coupling to a surgical instrument comprising electrodes for coupling RF energy generated by said electrosurgical generator to tissue to be sealed;

said controller being operable for causing said electrosurgical generator to apply an initial pulse of RF energy to the tissue and for measuring a value of an electrical characteristic of the tissue in response to the applied initial pulse, said controller being responsive to the measured electrical characteristic for determining an initial set of pulse parameters for at least one subsequent pulse and for then controlling the pulse parameters of individual pulses of further subsequent RF energy pulses in accordance with a change in the electrical characteristic of the tissue as determined from at least one characteristic of an electrical transient that occurs during at least one RF energy pulse.

2. A system as in claim 1, wherein the electrical characteristic is comprised of an electrical impedance.

3. A system as in claim 1, wherein the at least one characteristic of the electrical transient is the rate of change of the electrical transient.

4. A system as in claim 1, wherein said initial set of pulse parameter comprise a magnitude of starting power and a magnitude of a starting voltage.

5. A system as in claim 1, wherein said subsequent RF energy pulses are each varied in amplitude by a controlled amount from a previous RF energy pulse.

6. A system as in claim 1, further comprising one of a plurality of pulse parameter lookup tables that is readably coupled to said controller, and wherein said controller, when determining said initial set of pulse parameters, uses said impedance value to readout said initial set of pulse parameters from said one of the plurality of pulse parameter lookup tables.

7. A system as in claim 6, wherein said one of a plurality of pulse parameter lookup tables is selected manually or automatically, based on a choice of an electrosurgical tool or instrument.

8. A system as in claim 1, wherein said controller is responsive to a control input from an operator for modifying any one of said pulse parameters.

9. A system as in claim 1, wherein said controller is responsive to a determination that said electrical transient is absent for terminating a generation of subsequent RF energy pulses.

10. A system for electrosurgically sealing tissue comprising:

means for applying a first pulse of RF energy to the tissue;

means for measuring at least one electrical characteristic of the tissue in response to the applied first pulse of RF energy; and

means for applying at least one subsequent RF energy pulse to the tissue and controlling RF energy parameters of individual pulses of further subsequent individual RF energy pulses in accordance with at least one characteristic of an electrical current transient that occurs during the individual RF energy pulses, said RF energy parameters of said at least one subsequent RF energy pulse being controlled according to the at least one measured electrical characteristic of the tissue in response to the applied first pulse of RF energy, wherein said means for applying at least one subsequent RF energy pulse to the tissue and controlling RF energy parameters of individual pulses of further subsequent individual RF energy pulses allows said system to electrosurgically seal tissue without measuring tissue impedance.

11. A system as in claim 10, wherein the means for applying the first pulse includes means for selecting characteristics of the first pulse so as not to excessively heat the tissue.

12. A system as in claim 10, wherein the means for applying the first pulse comprises:

means for continuously measuring at least one characteristic of a response of the tissue to the applied first pulse; and

means for determining whether to change a set of RF energy parameters, in accordance with the measured characteristic.

13. A system as in claim 12, further comprising a default set of RF energy parameters selected from the group consisting of a magnitude of a starting power, a magnitude of a starting voltage, a magnitude of a starting current, and pulse width.

14. A system as in claim 10, wherein the at least one characteristic is selected from the group consisting of a current value, a voltage value, a current phase angle, and a tissue impedance value.

15. A system as in claim 10, wherein the RF energy parameters that are controlled for individual pulses of the RF energy pulses are selected from the group consisting of RF power output, current, voltage, pulse width and duty cycle.

16. A system as in claim 10, further comprising means for determining if the tissue responded to the first pulse of RF energy prior to activating the means for applying at least one subsequent RF energy pulse.

17. A system as in claim 16, wherein the means for applying at least one subsequent RF energy pulse includes means for varying at least one of RF starting power, a magnitude of starting current, pulse width, and a magnitude of starting voltage for the at least one subsequent RF energy pulse.

18. A system as in claim 10, further comprising:

means for measuring the at least one characteristic of the electrical current transient that occurs at the end of the first pulse and subsequent RF energy pulses;

means for determining whether to terminate the system for electrosurgically sealing tissue, in accordance with the measured characteristic; and

means for using the measured characteristic to determine a set of RF energy parameters for a subsequent RF energy pulse if the means for determining determines not to terminate the system for electrosurgically sealing tissue.

19. A system as in claim 18, wherein the set of RF energy parameters for the subsequent RF energy pulse comprise a magnitude of a starting RF power, a magnitude of a starting current, a magnitude of a starting pulse width, a magnitude of a starting voltage, and a duty cycle.

20. A system as in claim 18, wherein the means for using the measured characteristic to determine the set of RF energy parameters for the subsequent RF energy pulse comprises means for using the measured at least one characteristic to readout the set of RF energy parameters from an entry in one of a plurality of lookup tables.

21. A system as in claim 20, wherein said one of the plurality of lookup tables is selected manually or automatically, based on a choice of an electrosurgical tool or instrument.

22. A system as in claim 12, further comprising means for modifying predetermined parameters of the set of RF energy parameters in accordance with a control input from an operator.

23. A system as in claim 10, further comprising means for combining an RF energy pulse with at least one subsequent RF energy pulse.

24. A system as in claim 10, further comprising means for terminating a generation of subsequent RF energy pulses upon a determination that the electrical current transient is absent.