System and method for controlling electrosurgical snares

• US 7,972,332 B2
• Filed: 12/16/2009
• Issued: 07/05/2011
• Est. Priority Date: 03/03/2006
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Craig, Jason L., Schmaltz, Dale F., Arts, Gene H.
• Primary Examiner(s): Peffley; Michael
• Assistant Examiner(s): HUPCZEY, JR, RONALD JAMES
• Application Number:
  US12/639,243
• Publication Number:
  US 20100094285A1
• Time in Patent Office: 566 Days
• Field of Search: 606 32- 50
• US Class Current: 606/47
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 18/14 Probes or electrodes 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 2018/1407 Loop
• CPC Class Codes: A61B 2018/141 Snare
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension

Abstract

A system and method for controlling electrosurgical snares are disclosed. The system includes an electrosurgical instrument having an elongate tubular sheath having proximal and distal ends, the sheath having a longitudinal axis defined therethrough and a shaft having proximal and distal ends. The shaft extends through and is axially movable relative to the sheath. A snare loop is provided at the distal end of the shaft and is configured for encircling tissue. Movement of the shaft relative to the tubular sheath changes the diameter of the exposed snare loop. A feedback sensor operatively connected to the elongated tubular sheath which determines at least one condition of the snare loop, and an electrosurgical generator provides electrosurgical energy to the electrosurgical snare instrument. The generator is configured to receive feedback measurements from the electrosurgical snare instrument and to adjust electrosurgical energy as a function of the measurements.

Claims

1. An electrosurgical instrument comprising:

a tubular sheath having proximal and distal ends;

a snare loop coupled to the distal end of the tubular sheath, the snare loop configured to encircle tissue; and

a feedback sensor operatively coupled to the tubular sheath and configured to provide feedback to a generator, the feedback sensor including;

a position sensor configured to measure a position of the snare loop, the position sensor including a potentiometer; and

a pressure sensor configured to measure pressure exerted by the snare loop on the encircled tissue.

2. The electrosurgical instrument according to claim 1, wherein the tubular sheath is an elongated flexible tubular sheath having a longitudinal axis defined therethrough.

3. The electrosurgical instrument according to claim 1, further comprising a shaft having proximal and distal ends, the shaft extending through and axially moveable relative to the sheath.

4. The electrosurgical instrument according to claim 3, wherein the snare loop is coupled at the distal end of the shaft such that the movement of the shaft relative to the tubular sheath adjusts a diameter of the snare loop.

5. The electrosurgical instrument according to claim 3, further comprising a nub disposed on the shaft, wherein the potentiometer is disposed on an inner surface of the sheath and is at least in partial contact with the nub.

6. The electrosurgical instrument according to claim 1, wherein the pressure sensor includes a piezoelectric crystal.

7. The electrosurgical instrument according to claim 1, wherein the feedback sensor determines whether the snare loop is fully retracted and the tissue is severed.

8. The electrosurgical instrument according to claim 1, wherein the generator is an electrosurgical generator configured to provide electrosurgical energy to the electrosurgical instrument, the generator configured to receive feedback from the feedback sensors and to adjust electrosurgical energy as a function of the feedback.

9. The electrosurgical instrument according to claim 8, wherein the generator automatically controls the movement of a shaft and diameter of the snare loop.

10. The electrosurgical instrument according to claim 8, further including identifying means readable by the generator, the identifying means comprising instructions to configure the generator.

11. A method for performing electrosurgical procedures, the method comprising the steps of

inserting an electrosurgical instrument into a body cavity, the instrument including:

a tubular sheath having proximal and distal ends; and

a snare loop disposed at the distal end of the tubular sheath;

positioning the snare loop to encircle a portion of the tissue;

collecting feedback indicative of at least one condition of the snare loop through a feedback sensor operatively coupled to the tubular sheath;

transmitting the feedback to an electrosurgical generator that provides electrosurgical energy; and

adjusting electrosurgical energy and the diameter of the snare loop as a function of the feedback.

12. The method according to claim 11, wherein the tubular sheath is an elongated flexible tubular sheath having a longitudinal axis defined therethrough.

13. The method according to claim 11, wherein the instrument further includes a shaft having proximal and distal ends, the shaft extending through and axially moveable relative to the sheath.

14. The method according to claim 13, wherein the snare loop is coupled at the distal end of the shaft and is configured to encircle the tissue.

15. The method according to claim 14, wherein the positioning step further includes the step of moving the shaft relative to the tubular sheath to adjust a diameter of the snare loop.

16. The method according to claim 11, wherein the feedback is selected from the group consisting of snare loop diameter, pressure exerted on the snare loop and impedance.

17. The method according to claim 11, wherein the feedback sensor includes a position sensor having a potentiometer disposed on an inner surface of the sheath and a nub disposed on the shaft, the nub being at least in partial contact with the potentiometer.

18. The method according to claim 11, further comprising the step of determining whether the snare loop is fully retracted and the tissue is severed.

19. The method according to claim 11, further comprising the step of determining whether the snare loop is in contact with the tissue.