Electrosurgical power control

• US 8,052,675 B2
• Filed: 01/21/2010
• Issued: 11/08/2011
• Est. Priority Date: 06/22/2005
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Drucker, Karen, Iki, Kobi, Mitchell, Mathew E., Lorang, Douglas M.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US12/691,610
• Publication Number:
  US 20100121317A1
• Time in Patent Office: 656 Days
• Field of Search: 606/32, 606/34, 606 38- 40
• US Class Current: 606/32
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• 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 2018/00875 Resistance or impedance

Abstract

A method and apparatus include determining a value of a parameter associated with operation of an electrosurgical probe having a particular probe design, and determining whether the value of the parameter is within a range of values that has been predetermined for the particular probe design to indicate that the probe is treating tissue in a desired manner. Power is delivered to the probe according to an algorithm based upon a determination that the value of the parameter is outside the range of values The algorithm delivers power in a pulsed profile including portions of low power and portions of high power. In one embodiment, the tissue treatment is ablation, the parameter is impedance, and the method limits tissue necrosis to less than 200 microns. In another embodiment, the tissue treatment is shrinkage, the parameter is temperature, and the method limits power delivery when the probe is not shrinking tissue.

Claims

1. A method comprising:

determining a rate at which a temperature of a probe approaches a range of temperatures that has been predetermined to enable shrinkage of tissue;

determining whether the rate is within a range of rates that has been predetermined to indicate that a distance from the probe to tissue is small enough to enable shrinkage of tissue at a temperature in the range of temperatures; and

delivering power to the probe according to an algorithm based upon a determination that the rate is outside the range of rates, the algorithm comprising a pulsed profile including portions of low power and portions of high power.

2. The method of claim 1, wherein the range of rates has been predetermined based on the probe design.

3. The method of claim 1, wherein the portions of low power include a low power alternating waveform and the portions of high power include a high power alternating waveform.

4. The method of claim 3, wherein the low power alternating waveform in the pulsed profile comprises a power setting between approximately 0 watts and approximately 5 watts.

5. The method of claim 3, further comprising providing the high power alternating waveform with a duration that is greater than a time needed for the temperature to reach a lower limit of the range when the probe is shrinking tissue and that is less than a time needed for the temperature to reach a lower limit of the range when the probe is not shrinking tissue.

6. The method of claim 3, wherein the low power alternating waveform has a low average power output and the high power alternating waveform has a high average power output, the high average power output being greater than the low average power output.

7. An apparatus comprising:

one or more processors; and

a computer-readable medium storing instructions executable by the one or more processors to perform operations comprising;

determining a rate at which a temperature of a probe approaches a range of temperatures that has been predetermined to enable shrinkage of tissue;

determining whether the rate is within a range of rates that has been predetermined to indicate that a distance from the probe to tissue is small enough to enable shrinkage of tissue at a temperature in the range of temperatures; and

delivering power to the probe according to an algorithm based upon a determination that the rate is outside the range of rates, the algorithm comprising a pulsed profile including portions of low power and portions of high power.

8. The apparatus of claim 7, wherein the range of rates has been predetermined based on the probe design.

9. The apparatus of claim 7, wherein the portions of low power include a low power alternating waveform and the portions of high power include a high power alternating waveform.

10. The apparatus of claim 9, wherein the low power alternating waveform in the pulsed profile comprises a power setting between approximately 0 watts and approximately 5 watts.

11. The apparatus of claim 7, the operations further comprising providing the high power alternating waveform with a duration that is greater than a time needed for the temperature to reach a lower limit of the range when the probe is shrinking tissue and that is less than a time needed for the temperature to reach a lower limit of the range when the probe is not shrinking tissue.

12. The apparatus of claim 7, wherein the low power alternating waveform has a low average power output and the high power alternating waveform has a high average power output, the high average power output being greater than the low average power output.

13. The apparatus of claim 7, wherein delivering the power comprises delivering the power based one a power setting and a temperature setting.

14. The apparatus of claim 13, wherein the power setting is 20 watts, the temperature setting is 75°

C., and wherein the determination that the rate is outside the range of rates comprises a determination that the rate is below approximately 20°

C./second.

15. The apparatus of claim 13, wherein the power setting is 10 watts and the temperature setting is 75°

C., and wherein the determination that the rate is outside the range of rates comprises a determination that the rate is below approximately 40°

C./second.

16. The apparatus of claim 7, the operations further comprising delivering power to the probe according to a second algorithm based upon a determination that the rate is within the range of rates, the second algorithm being different from the algorithm and enabling shrinkage of tissue.

17. The apparatus of claim 16, wherein the second algorithm causes constant delivery of the high power alternating waveform to the probe.

18. The apparatus of claim 16, the operations further comprising switching from the algorithm to the second algorithm based on determining that the rate is greater than a lower limit of the range of rates by a margin.

19. The apparatus of claim 16, the operations further comprising switching from the second algorithm to the algorithm based on determining that the rate is less than a lower limit of the range of rates by a margin.

20. The apparatus of claim 7, the operations further comprising:

determining a specific number of values of the rate, the specific number being greater than one; and

determining, for less than all of the specific number of values, whether the values of the parameter are within the predetermined range of values.