Electrosurgical system employing multiple electrodes and method thereof

• US 7,699,842 B2
• Filed: 08/29/2008
• Issued: 04/20/2010
• Est. Priority Date: 10/08/2004
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Heard, David N., Buysse, Steven P., McPherson, James W., Gay, Brandon, Dobbins, Gary
• Primary Examiner(s): Peffley; Michael
• Assistant Examiner(s): HUPCZEY, JR, RONALD JAMES
• Application Number:
  US12/201,291
• Publication Number:
  US 20090054891A1
• Time in Patent Office: 599 Days
• Field of Search: 606 32- 52, 128/898
• US Class Current: 606/34
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00827 Current
• 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 2018/1425 Needle
• CPC Class Codes: A61B 2018/143 multiple needles

Abstract

A system and method for heat ablation of tissue in which energy is sequentially applied to at least two electrodes inserted into tissue. The system is comprised of a radiofrequency (RF) source for supplying RF energy, at least two electrodes configured to apply RF energy to tissue, at least one return electrode for returning the RF energy to the RF source, and a controller configured to sequentially apply the RF energy to each of the at least two electrodes. The sequential delivery of energy is determined by the measured current and voltage, the calculated impedance at each of the electrodes and the timing for each electrode. An internal load may be activated with the previously activated channel and remain on until the next channel is activated to avoid the generator from having an open circuit.

Claims

1. A system for heat ablation of tissue in a patient comprising:

a radiofrequency (RF) source for supplying RF energy;

at least two electrodes configured to apply RF energy to tissue;

at least one return electrode for returning the RF energy to the RF source; and

a controller configured to sequentially apply the RF energy to each of the said at least two electrodes for a pre-determinable period of time, wherein said pre-determinable period of time is determined by at least a surgical procedure and the number of electrodes, the controller further including;

a determiner configured to determine an off time for a next electrode in sequence;

a comparator configured to compare the off time for the next electrode in sequence to a predetermined minimum off time;

wherein the controller skips the next electrode in sequence if the off time for the next electrode in sequence is less than the predetermined minimum time off.

2. The system as in claim 1, further comprising:

current and voltage measuring circuitry at one of the at least two electrodes;

wherein the impedance is calculated based on the measured current and voltage.

3. The system as in claim 1, further comprising:

an internal load; and

circuitry configured to switch the RF energy to the internal load;

wherein the RF energy is switched to the internal load when the determined off time is less than the predetermined minimum off time.

4. The system as in claim 2, comprising:

circuitry which;

restricts the flow of RF energy to an electrode when the calculated impedance exceeds a threshold impedance; and

allows the flow of RF energy to an electrode when the calculated impedance does not exceed a threshold impedance;

wherein said threshold impedance relates to a baseline impedance and a pre-determined differential impedance.

5. The system as in claim 4, in which the baseline impedance comprises the lowest calculated impedance obtained in the initial about 10 seconds of RF energy delivery.

6. The system as in claim 4, in which the baseline impedance comprises the lowest average of consecutive calculated impedances obtained during the initial about 30 seconds of operation.

7. The system as in claim 4, in which the pre-determined differential impedance is about 30 ohms if the baseline impedance is less than about 100 ohms.

8. The system as in claim 4, in which the pre-determined differential impedance is about 30% of the baseline impedance if the baseline is greater than about 100 ohms.

9. The system in claim 4, comprising:

circuitry to sequence the delivery of RF energy between the at least two electrodes, wherein electrodes are skipped if the calculated impedance is above a predetermined threshold.

10. The system as in claim 4, further comprising:

an internal load; and

circuitry to direct the RF energy;

wherein the RF energy is directed to said internal load when the calculated impedance is above a predetermined threshold.

11. The system as in claim 1, further comprising:

an internal load; and

circuitry configured to switch the RF energy to said internal load;

wherein RF energy is applied simultaneously to said internal load and one of said at least two electrodes.

12. The system as in claim 1, further comprising a means to continuously cool an electrode.

13. The system as in claim 1, further comprising:

circuitry to measure current at the individual electrodes, wherein said controller reduces the duty cycle if said measured current exceeds a predetermined current limit.

14. The system as in claim 13, in which the predetermined current limit is about 2 amps.

15. The system as in claim 1, further comprising:

temperature measuring circuitry at one of the at least two electrodes;

wherein the applied energy at the current electrode is switched to the next electrode when the temperature at said current electrode is greater than a predetermined temperature.