System and method for tissue sealing

• US 7,972,328 B2
• Filed: 01/24/2007
• Issued: 07/05/2011
• Est. Priority Date: 01/24/2006
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Schechter, David A., Coulson, Rebecca, Leidich, Kari, Shields, Chelsea, Wham, Robert H., Weinberg, Craig, Sturm, Thomas A.
• Primary Examiner(s): Gibson; Roy D
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US11/657,170
• Publication Number:
  US 20070173804A1
• Time in Patent Office: 1,623 Days
• Field of Search: 606 32- 52
• US Class Current: 606/34
• 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 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance

Abstract

An electrosurgical system is disclosed. The electrosurgical system includes an electrosurgical generator adapted to supply electrosurgical energy to tissue. The electrosurgical generator includes impedance sensing circuitry which measures impedance of tissue, a microprocessor configured to determine whether a tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid, and an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue.

Claims

1. An electrosurgical system comprising:

an electrosurgical generator adapted to supply electrosurgical energy to tissue, the electrosurgical generator including;

impedance sensing circuitry which measures impedance of tissue; and

a microprocessor configured to determine whether a tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid; and

an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue,

wherein when measured impedance is greater than the predetermined rise in impedance, the microprocessor is configured to generate a target impedance trajectory as a function of the measured impedance and a predefined rate of change of impedance based on the tissue reaction determination, the target impedance trajectory including a plurality of target impedance values.

2. An electrosurgical system according to claim 1, wherein the microprocessor is configured to drive tissue impedance along the target impedance trajectory by adjusting the output level of the electrosurgical generator to substantially match tissue impedance to a corresponding target impedance value.

3. An electrosurgical system according to claim 1, wherein the microprocessor is adapted to generate a threshold impedance value as a function of an offset impedance value and an ending impedance value, wherein the offset impedance value is obtained after an initial impedance measurement.

4. An electrosurgical system according to claim 3, wherein the microprocessor is configured to determine whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

5. An electrosurgical system according to claim 4, wherein the microprocessor is configured to adjust output of the electrosurgical generator in response to the determination whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

6. An electrosurgical system according to claim 1, wherein the microprocessor is further configured to detect a hysteresis identifier to determine whether the tissue reaction is stable.

7. A method for performing an electrosurgical procedure comprising the steps of:

applying electrosurgical energy at an output level to tissue from an electrosurgical generator;

determining whether tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid;

determining whether measured impedance is greater than the predetermined rise in impedance; and

generating a target impedance trajectory as a function of the measured impedance and a predefined rate of change of impedance based on the tissue reaction determination, the target impedance trajectory including a plurality of target impedance values.

8. A method according to claim 7, further comprising the step of

driving tissue impedance along the target impedance trajectory by adjusting the output level to substantially match tissue impedance to a corresponding target impedance value.

9. A method according to claim 7, further comprising the step of:

generating a threshold impedance value as a function of an offset impedance value and an ending impedance value, wherein the offset impedance value is obtained after an initial impedance measurement.

10. A method according to claim 9, further comprising the step of:

determining whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

11. A method according to claim 10, further comprising the step of:

adjusting output of the electrosurgical generator in response to the determination whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

12. A method according to claim 7, detecting a hysteresis identifier to determine whether the tissue reaction is stable.

13. An electrosurgical generator comprising:

an RF output stage adapted to supply electrosurgical energy to tissue;

impedance sensing circuitry which measures impedance of tissue;

a microprocessor configured to determine whether tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid, wherein when measured impedance is greater than the predetermined rise in impedance the microprocessor being configured to generate a target impedance trajectory as a function of measured impedance and a predefined rate of change of impedance based on the tissue reaction determination, wherein the target impedance trajectory includes a plurality of target impedance values; and

an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue.

14. An electrosurgical generator according to claim 13, wherein the microprocessor is configured to drive tissue impedance along the target impedance trajectory by adjusting the output level to substantially match tissue impedance to a corresponding target impedance value.

15. An electrosurgical generator according to claim 13, wherein the microprocessor is adapted to generate a threshold impedance value as a function of an offset impedance value and an ending impedance value, wherein the offset impedance value is obtained after an initial impedance measurement.

16. An electrosurgical generator according to claim 15, wherein the microprocessor is further configured to determine whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

17. An electrosurgical generator according to claim 16, wherein the microprocessor is configured to adjust output of the electrosurgical generator in response to the determination whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

18. An electrosurgical generator according to claim 13, wherein the microprocessor is configured to detect a negative deviation between tissue impedance and a corresponding target impedance value associated with an unexpected drop in tissue impedance, wherein the microprocessor verifies the negative deviation is stable.

19. An electrosurgical generator according to claim 18, wherein in response to detection of the negative deviation, the microprocessor is configured to determine whether a subsequent tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid, the microprocessor being configured to generate a subsequent target impedance trajectory as a function of measured impedance and desired rate of change based on the tissue reaction determination.