Electrosurgical system employing multiple electrodes

• US 8,398,626 B2
• Filed: 11/17/2011
• Issued: 03/19/2013
• Est. Priority Date: 10/08/2004
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Buysse, Steven P., Dobbins, Gary, Gay, Brandon, Heard, David N., McPherson, James W.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): HUPCZEY, JR, RONALD JAMES
• Application Number:
  US13/298,461
• Publication Number:
  US 20120059367A1
• Time in Patent Office: 488 Days
• Field of Search: 606 32- 35, 606 37- 42, 606 44- 52
• 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 for heat ablation of tissue, the system comprising a radiofrequency source configured to supply RF energy to at least two electrodes for treating tissue, at least one return electrode configured to return the RF energy to the radiofrequency source, a controller configured to sequentially apply the RF energy to each of the at least two electrodes for a pre-determinable period of time and circuitry configured to switch the RF energy to an internal load. The RF energy is applied simultaneously to the internal load and at least one of the at least two electrodes. The controller is configured to apply the RF energy to the next electrode in the sequence when the amount of time the applied RF energy is off is greater than a predetermined minimum off time.

Claims

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

a radiofrequency source configured to supply RF energy to at least two electrodes for treating tissue;

at least one return electrode configured to return the RF energy to the radiofrequency source;

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

circuitry configured to switch the RF energy to an internal load,

wherein the controller is further configured to simultaneously apply RF energy to the internal load and one of the at least two electrodes and the controller is configured to apply the RF energy to the next electrode in the sequence when the off time of the next electrode in sequence is greater than a predetermined minimum off time.

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

current and voltage measuring circuitry operably associated with at least 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,

wherein the circuitry is configured to switch the RF energy to the internal load when the off time for the next electrode in the sequence is less than a predetermined minimum off time.

4. The system as in claim 3, wherein the circuitry is further configured to switch at least a portion of the RF energy to the internal load and a portion of the RF energy to one of the at least two electrodes.

5. The system as in claim 1, wherein the circuitry restricts the flow of RF energy to at least one of the at least two electrodes when a calculated impedance of the at least one of the at least two electrode exceeds a threshold impedance, and

wherein the circuitry allows the flow of RF energy to the at least one of the at least two electrodes when the calculated impedance is less than the threshold impedance

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

6. The system as in claim 5, wherein the baseline impedance includes the lowest calculated impedance obtained in the initial 10 seconds of RF energy delivery.

7. The system as in claim 5, wherein the baseline impedance includes the lowest average of consecutive calculated impedances obtained during the initial 30 seconds of operation.

8. The system as in claim 5, wherein the pre-determined differential impedance is 30 ohms if the baseline impedance is less than 100 ohms.

9. The system as in claim 5, wherein the pre-determined differential impedance is 30% of the baseline impedance if the baseline is greater than 100 ohms.

10. The system in claim 5, wherein the circuitry is configured to sequence the delivery of RF energy between the at least two electrodes, wherein an electrode of the at least two electrodes is skipped if the calculated impedance is above a predetermined threshold.

11. The system as in claim 5,

wherein the circuitry is further configured to direct the RF energy to the internal load when the calculated impedance is above a predetermined threshold.

12. The system as in claim 1, further comprising a means to continuously cool an electrode, wherein the means to continuously cool and electrode includes:

a coolant supply that supplies a coolant to at least one of the at least two electrodes via a supply connection; and

a return connection that discharges the coolant from the at least one of the at least two electrodes.

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

current measuring circuitry operably associated with at least one of the at least two electrodes, wherein the controller reduces the duty cycle if a measured current exceeds a predetermined current limit.

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

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

temperature measuring circuitry operably associated with at least one of the at least two electrodes, wherein the applied energy at the energized electrode is switched to the next electrode when the temperature at the energized electrode is greater than a predetermined temperature.