Thermally adjustable surgical tool system

• US 8,523,852 B2
• Filed: 12/24/2009
• Issued: 09/03/2013
• Est. Priority Date: 04/17/2009
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: Manwaring, Kim, McNally, David, Manwaring, Mark
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): DELLA, JAYMI E
• Application Number:
  US12/647,371
• Publication Number:
  US 20100268210A1
• Time in Patent Office: 1,349 Days
• Field of Search: 606/47, 606/113, 607/103
• US Class Current: 606/31
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/085 Forceps, scissors
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1206 Generators 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 2017/00141 continuous, e.g. wave
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320082 for incising tissue
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00095 high, i.e. heat conducting
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/0013 non-sticking
• CPC Class Codes: A61B 2018/00577 : Ablation
• CPC Class Codes: A61B 2018/00589 : Coagulation
• CPC Class Codes: A61B 2018/00595 : Cauterization
• CPC Class Codes: A61B 2018/00601 : Cutting
• CPC Class Codes: A61B 2018/00619 : Welding
• CPC Class Codes: A61B 2018/00642 : with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00654 : with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00714 : Temperature
• CPC Class Codes: A61B 2018/00755 : Resistance or impedance
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00803 : with temperature prediction
• CPC Class Codes: A61B 2018/00958 : for switching between different working modes of the main function
• CPC Class Codes: A61B 2018/128 : generating two or more frequencies
• CPC Class Codes: A61B 2018/1407 : Loop
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61M 25/00 : Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/0082 : Catheter tip comprising a tool
• CPC Class Codes: Y10T 29/49124 : On flat or curved insulated base, e.g., printed circuit, etc.

Abstract

A power source delivers oscillating electrical energy to an electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region. With high frequency electrical energy, the ferromagnetic material has a quick response in heating and cooling adjustable by the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Claims

1. A thermally adjustable surgical tool system comprising:

an electrical conductor;

a ferromagnetic coating covering at least a portion of the electrical conductor, the ferromagnetic coating being sufficiently thin so as to not fracture when heated in air and then immersed in liquid while heated; and

a power supply disposed in communication with the electrical conductor configured to produce oscillating electrical energy to be delivered to the electrical conductor;

a sensor configured to conduct a measurement along or adjacent the electrical conductor; and

wherein the power supply is configured to adjust the oscillating electrical energy in response to the measurement.

2. The thermally adjustable surgical tool system of claim 1, wherein the oscillating electrical energy is adjusted to correspond with a desired tissue effect.

3. The thermally adjustable surgical tool system of claim 1, wherein the measurement is selected from at least one of the group consisting of tissue color, tissue temperature range, electrical conductor temperature range, tissue water content, proximity between the electrical conductor and the tissue, tissue type, transferred heat, resistance, impedance, voltage, return current, standing wave ratio, reflected power, reactance, center frequency, current and visual feedback.

4. The thermally adjustable surgical system of claim 1, wherein the ferromagnetic coating is between 0.05 micrometers and 500 micrometers and wherein the power supply is configured to deliver the oscillating electrical energy at a frequency which will quickly heat the ferromagnetic coating.

5. The thermally adjustable surgical tool system of claim 1, wherein the electrical conductor has a cross-sectional thickness and the ferromagnetic coating has a cross-sectional thickness which is less than 10 percent that of the electrical conductor.

6. The thermally adjustable surgical tool system of claim 1, wherein ferromagnetic coating has a cross-sectional thickness between 1 and 50 micrometers.

7. A thermally adjustable surgical tool system comprising:

an electrical conductor having a first portion and a second portion;

a ferromagnetic coating covering at least a portion of the electrical conductor between the first portion and the second portion; and

a generator configured to deliver a waveform to the electrical conductor and thereby heat the ferromagnetic coating, the ferromagnetic coating being sufficiently thin that, when heated, the ferromagnetic coating will not fracture when transitioning between contact with air and contact with liquid.

8. The thermally adjustable surgical tool system of claim 7, wherein the generator is further configured to impedance match the electrical conductor by causing a standing wave consisting of a minimum of voltage and a maximum of current to occur at the ferromagnetic coating.

9. The thermally adjustable surgical tool system of claim 7, wherein the generator is further configured to provide at least one waveform within the industrial, scientific and medical (ISM) frequency bands.

10. The thermally adjustable surgical tool system of claim 7, wherein the generator is further configured to provide at least one waveform between the frequencies of 5 megahertz and 24 gigahertz.

11. The thermally adjustable surgical tool system of claim 7, wherein the generator is further configured to provide at least one waveform between the frequencies of 40 megahertz and 928 megahertz.

12. The thermally adjustable surgical tool system of claim 7, wherein the generator is further configured to provide a waveform in a frequency band selected from the group consisting of center frequencies of 6.78 MHz, 13.56 MHz, 27.12 MHz, 40.68 MHz, 433.92 MHz, 915 MHz, 2.45 GHz, 5.80 GHz, 24.125 GHz, 61.25 GHz, 122.5 GHz, and 245 GHz.

13. The thermally adjustable surgical tool system of claim 7, further comprising a sensor disposed proximate to the ferromagnetic coating.

14. The thermally adjustable surgical tool system of claim 13, wherein the sensor is configured to measure temperature.

15. The thermally adjustable surgical tool system of claim 14, wherein the generator is configured to receive signals from the sensor and adjust the waveform to correspond to a set temperature.

16. The thermally adjustable surgical tool system of claim 7, wherein the generator is configured to respond to an indicator related to the electrical conductor, the indicator being correlated with temperature, and the generator being configured to observe the indicator and adjust the waveform to correspond to a desired temperature.

17. The thermally adjustable surgical tool system of claim 16, wherein the indicator is selected from at least one of the group consisting of impedance, voltage, current, reflected energy, standing wave ratio (SWR), and phase shift.

18. The thermally adjustable surgical tool system of claim 7, wherein the generator further comprises a module configured to predict load characteristics of the electrical conductor with the ferromagnetic coating.

19. The thermally adjustable surgical tool system of claim 18, wherein the module is further configured to use the predicted load characteristics to predict a necessary waveform to output to achieve a temperature within a desired temperature range.

20. The thermally adjustable surgical tool system of claim 7, wherein the generator is configured to continuously receive measurements of inductive reactance during heating and further configured to continuously adjust the waveform to achieve a predetermined therapeutic temperature range at the ferromagnetic coating.

21. The thermally adjustable surgical tool system of claim 7, wherein the electrical conductor and the ferromagnetic coating form a first, ferromagnetic tip and further comprising a second tip positioned proximate to the first, ferromagnetic tip.

22. The thermally adjustable surgical tool system of claim 21, wherein the second tip is configured to measure transferred temperature.

23. The thermally adjustable surgical tool system of claim 21, wherein the second tip is configured to measure tissue properties.

24. The thermally adjustable surgical tool system of claim 21, wherein the second tip is configured to provide visual observation of tissue.

25. The thermally adjustable surgical tool system of claim 7, wherein the generator is configured to adjustably deliver power from the waveform to the electrical conductor.

26. The thermally adjustable surgical tool system of claim 25, wherein the generator is configured to adjustably deliver power through the use of one or more of the group consisting of:

pulse width modulation, amplitude modulation, frequency modulation, and adjusting a circuit which includes at least one of the electrical conductor and the generator or is disposed between the electrical conductor and the generator to detune the circuit.

27. The thermally adjustable surgical tool system of claim 7, wherein the electrical conductor and ferromagnetic coating are part of a surgical tool and wherein the generator is configured to detect a fault in the surgical tool.

28. The thermally adjustable surgical tool system of claim 27, wherein the generator is configured to stop the delivery of the waveform after detecting the fault.

29. The thermally adjustable surgical tool system of claim 27, wherein the generator is configured to detect an undesired impedance as a result of the fault in the surgical tool.

30. The thermally adjustable surgical tool system of claim 7, wherein the ferromagnetic coating has a cross-sectional thickness that is less than 500 micrometers and is less than about 10 percent a cross-sectional thickness of the electrical conductor and wherein the generator is configured to supply the waveform as an oscillating electrical signal to the electrical conductor at a frequency which causes the ferromagnetic coating to heat to a temperature which cuts tissue.

31. The thermally adjustable surgical tool system of claim 7, wherein the ferromagnetic coating has a cross-sectional thickness of between 0.05 micrometer and 500 micrometers.

32. The thermally adjustable surgical tool system of claim 31, wherein the electrical conductor has a cross-sectional thickness and wherein the cross-sectional thickness of the ferromagnetic coating is between 1 micrometer and 50 micrometers and is less than 20 percent of the cross-sectional thickness of the electrical conductor.

33. A thermally adjustable surgical tool system comprising:

an electrical conductor;

a ferromagnetic coating covering at least a portion of the electrical conductor;

a handle configured to direct the electrical conductor; and

a generator configured to deliver power to the electrical conductor to thereby heat the ferromagnetic coating; and

wherein the ferromagnetic coating is sufficiently thin so as to not fracture when heated in air and then immersed in liquid.

34. The thermally adjustable surgical tool system of claim 33, further comprising a receptacle associated with the handle, the receptacle configured for accepting the electrical conductor.

35. The thermally adjustable surgical tool system of claim 34, further comprising a plug having the electrical conductor attached thereto and the plug being configured to attach to the receptacle.

36. The thermally adjustable surgical tool system of claim 35, wherein the plug is configured for a single use.

37. The thermally adjustable surgical tool system of claim 35, wherein the thermally adjustable surgical tool system further comprises a load prediction module configured to predict load characteristics of the electrical conductor with the ferromagnetic coating.

38. The thermally adjustable surgical tool system of claim 37, wherein the plug further comprises a data module configured to communicate the load characteristics to the load prediction module.

39. The thermally adjustable surgical tool system of claim 38, wherein the load prediction module is further configured to use the predicted load characteristics to predict a necessary power output to achieve a desired temperature.

40. The thermally adjustable surgical tool system of claim 35, wherein the plug further comprises a temperature sensor proximate to the ferromagnetic coating.

41. The thermally adjustable surgical tool system of claim 33, wherein the generator is contained within the handle.

42. The thermally adjustable surgical tool system of claim 33, further comprising a connector configured to provide electrical connection between the handle and the generator.

43. The thermally adjustable surgical tool system of claim 42 wherein the connector is configured for a single use.

44. The thermally adjustable surgical tool system of claim 42, wherein the thermally adjustable surgical tool system further comprises a load prediction module configured to predict load characteristics of the electrical conductor with the ferromagnetic coating.

45. The thermally adjustable surgical tool system of claim 44, wherein the thermally adjustable surgical tool system further comprises a data module configured to communicate the load characteristics to the load prediction module.

46. The thermally adjustable surgical tool system of claim 45, wherein the load prediction module is further configured to use the predicted load characteristics to predict a necessary power output to achieve a desired temperature.

47. The thermally adjustable surgical tool system of claim 33, wherein the electrical conductor has a thickness and the ferromagnetic coating has a thickness which is between about 0.1% and 20 percent the thickness of the electrical conductor.

48. The thermally adjustable surgical tool system of claim 47, wherein the thickness of the ferromagnetic coating is between 0.05 micrometer and 500 micrometers.

49. The thermally adjustable surgical tool system of claim 48, wherein the thickness of the ferromagnetic coating is between 1 micrometer and 50 micrometers.

50. A thermally adjustable surgical tool system comprising:

a plurality of electrical conductors;

a plurality of ferromagnetic coatings, each covering at least a portion of one of the plurality of electrical conductors at least one of the plurality of ferromagnetic coatings being sufficiently thin that the at least one of the plurality of ferromagnetic coatings will not fracture when heated and exposed to a temperature differential sufficiently large to cause a ferrite bead to fracture; and

a generator system configured to deliver power to the plurality of electrical conductors.

51. The thermally adjustable surgical tool system of claim 50, wherein the generator system is configured to individually adjust the power delivered to at least one of the plurality of electrical conductors.

52. The thermally adjustable surgical tool system of claim 50 wherein the generator system is configured to adjust the power jointly delivered to at least two or more of the plurality of electrical conductors.

53. The thermally adjustable surgical tool system of claim 50 further comprising a user control configured to direct the generator system.

54. The thermally adjustable surgical tool system of claim 53, wherein the user control is configured to direct the generator system to adjust the power delivered to at least two of the plurality of electrical conductors.

55. The thermally adjustable surgical tool system of claim 54, wherein the user control is configured to direct the generator system to adjust the power delivered to at least two or more of the plurality of electrical conductors to different settings.

56. The thermally adjustable surgical tool system of claim 50, wherein at least one of the plurality of ferromagnetic coatings has a cross-sectional thickness of 0.5 to 500 micrometers and is disposed on an electrical conductor which has a cross-sectional thickness which is at least five times as thick.

57. The thermally adjustable surgical tool system of claim 50, wherein the plurality of ferromagnetic coatings comprises at least one coating having a cross-sectional thickness of between 1 micrometer and 50 micrometers.

58. A thermally adjustable surgical tool system comprising:

an electrical conductor;

a ferromagnetic coating covering at least a portion of the electrical conductor, the ferromagnetic coating, when heated, being movable between air and liquid without causing fracturing of the ferromagnetic coating;

a power source disposed in communication with the electrical conductor and configured to impedance match the ferromagnetic coating and further configured to deliver oscillating electrical energy to the electrical conductor; and

a user adjustable control in communication with the power source and configured to select the amount of power delivered to the electrical conductor.

59. The thermally adjustable surgical tool of claim 58 wherein the power delivery is controlled by at least one of consisting of:

pulse width modulation, amplitude modulation, frequency modulation and detuning an impedance matching circuit.

60. The thermally adjustable surgical tool system of claim 58, wherein the user adjustable control is wirelessly coupled to the power source.

61. The thermally adjustable surgical tool system of claim 60, wherein the power source further comprises a wireless module and the user adjustable control further comprises a wireless module.

62. The thermally adjustable surgical tool system of claim 61, wherein:

the power source is further configured to transmit data about a current status to the user adjustable control; and

the user adjustable control is further configured to receive the data about a current status and transmit control data to the power source.

63. The thermally adjustable surgical tool system of claim 62, wherein the user adjustable control is configured to display the current status.

64. The thermally adjustable surgical tool system of claim 58, wherein the ferromagnetic coating has a cross-sectional thickness of less than 500 micrometers.

65. The thermally adjustable surgical tool system of claim 64, wherein the ferromagnetic material has a cross-sectional thickness of between 1 micrometer and 50 micrometers.

66. The thermally adjustable surgical tool system of claim 58, wherein the electrical conductor has a cross-sectional thickness and wherein the ferromagnetic coating has a cross-sectional thickness which is less than 10 percent the cross-sectional thickness of the electrical conductor.

67. A thermally adjustable surgical system comprising:

a surgical tip having a load comprising;

a small diameter electrical conductor having a proximal and distal end, wherein the proximal end is configured for connection to an electrical circuit providing radiofrequency energy;

a thin plating of ferromagnetic material disposed circumferentially about the electrical conductor, wherein the thin plating of ferromagnetic material is configured with a Curie point sufficiently high to encompass a desired set of therapeutic temperature ranges; and

a controllable power source configured to deliver radiofrequency energy to the electrical conductor and further configured to impedance match the load,

wherein the thin plating of ferromagnetic material, when heated, is movable between a first environment and a second environment without causing the thin plating of ferromagnetic material to fracture even when the first environment and the second environment have a large temperature differential.

68. The thermally adjustable surgical system of claim 67, wherein the small diameter electrical conductor has a cross-sectional diameter which is between 5 and 10,000 times as thick as the thin plating of ferromagnetic material.

69. The thermally adjustable surgical system of claim 67, wherein the thin plating of ferromagnetic material is between 0.5 and 500 micrometers.

70. The thermally adjustable surgical system of claim 69, wherein the thin plaiting of ferromagnetic material is between 1 and 50 micrometers.