Electrosurgical power control

• US 8,348,934 B2
• Filed: 09/23/2011
• Issued: 01/08/2013
• 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: Lorang, Douglas M., Mitchell, Mathew E., Drucker, Karen, Iki, Kobi
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US13/242,913
• Publication Number:
  US 20120010613A1
• Time in Patent Office: 473 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:

making one or more determinations that an impedance value encountered by an electrosurgical probe is less than a threshold value; and

limiting tissue necrosis to less than 200 microns by delivering power to the electrosurgical probe, in response to at least one of the one or more determinations that the impedance is less than the threshold value, according to an algorithm that generates a signal with a pulsed power profile having low power portions and high power portions, wherein the high power portions have sufficient power to treat tissue in the desired manner.

2. The method of claim 1 wherein the desired manner of tissue treatment comprises ablation.

3. The method of claim 2 further comprising limiting the low power portions to a duration that causes substantially no noticeable delay in initiating ablation.

4. The method of claim 3 wherein the duration of the low power portions is between approximately 50 milliseconds and approximately 500 milliseconds.

5. The method of claim 2 wherein the low power portions comprise power between approximately 0 watts and approximately 50 watts.

6. The method of claim 2 further comprising providing the high power portions with a duration substantially equal to a minimum length sufficient to initiate ablation.

7. The method of claim 2 wherein the high power portions comprise power between approximately 40 watts and approximately 300 watts.

8. An apparatus comprising:

an electrosurgical probe configured to deliver power to tissue; and

a control module configured to make one or more determinations that an impedance value encountered by the electrosurgical probe is less than a threshold value, and to limit tissue necrosis to less than 200 microns by delivering power to the electrosurgical probe in response to at least one of the one or more determinations that the impedance is less than the threshold value according to an algorithm that generates a signal with a pulsed power profile having low power portions and high power portions, wherein the high power portions have sufficient power to treat tissue in the desired manner.

9. The apparatus of claim 8 wherein the desired manner of tissue treatment comprises ablation.

10. The apparatus of claim 9 wherein the control module is configured to limit the low power portions to a duration that causes substantially no noticeable delay in initiating ablation.

11. The apparatus of claim 10 wherein the duration of the low power portions is between approximately 50 milliseconds and approximately 500 milliseconds.

12. The apparatus of claim 9 wherein the low power portions comprise power between approximately 0 watts and approximately 50 watts.

13. The apparatus of claim 9 wherein the control module is configured to providing the high power portions with a duration substantially equal to a minimum length sufficient to initiate ablation.

14. The apparatus of claim 9 wherein the high power portions comprise power between approximately 40 watts and approximately 300 watts.