Electrosurgical system

• US 8,562,598 B2
• Filed: 04/01/2009
• Issued: 10/22/2013
• Est. Priority Date: 03/31/2008
• Status: Active Grant

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Falkenstein, Zoran, Cappello, Christopher J., Johnson, Gary M., Gianneschi, Benjamin A., Tran, Olivia J., Wixey, Matthew A., Pravongviengkham, Kennii, Pravong, Boun, Yawata, Haruyasu, Becerra, Matthew M., Brustad, John R., Cohen, Adam J., Hilal, Nabil, Pingleton, Edward D., Hilal, Said S., Hart, Charles C., Wikoff, Chris R.
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): Anderson, Michael J
• Application Number:
  US12/416,668
• Publication Number:
  US 20090248007A1
• Time in Patent Office: 1,665 Days
• Field of Search: 606/33, 606/41, 606/42, 606/45, 606/49, 606/34, 606/37, 606/38, 606/39, 606/40, 606/48, 606/50, 606/51, 606/52, 606/32
• US Class Current: 606/33
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00041 Heating, e.g. defrosting
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00208 actively driven, e.g. by a motor
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00494 Stomach, intestines or bowel
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 : using a threshold value
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00869 : Phase
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00892 : Voltage
• CPC Class Codes: A61B 2018/00898 : Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/00916 : with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00922 : by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/00988 : Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1266 : with DC current output
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61B 2018/1432 : curved
• CPC Class Codes: A61B 2018/144 : Wire
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1467 : using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/162 : located on the probe body
• CPC Class Codes: A61B 90/90 : Identification means for patients or instruments, e.g. tags

Abstract

An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.

Claims

1. An electrosurgical system for performing surgical procedures on body tissue of a patient comprising:

an electrosurgical generator; and

an electrosurgical tool comprising a memory module storing tool data; and

wherein the electrosurgical generator is configured to receive the tool data from the memory module and apply an electrosurgical signal profile to the electrosurgical tool based on the tool data and comprises a RF amplifier circuit configured to supply radiofrequency energy to the electrosurgical tool and a relay circuit configured to measure tool impedance before radiofrequency energy is supplied by the RF amplifier circuit;

wherein the electrosurgical tool comprises pivotably connected jaws arranged to compress tissue therebetween with at least one jaw having at least two electrodes configurable to operate in a coagulation state and a cutting state and the tool data comprises electrode configuration data indicating which of the at least two electrodes are used in the coagulation state and reconfiguring the at least two electrodes to be used in the cutting state.

2. The system of claim 1, wherein the tool data is stored in an encrypted format.

3. The system of claim 1, wherein the tool data comprises tool usage data.

4. The system of claim 1, wherein the electrosurgical generator comprises an analysis module configured to receive the tool data from the memory module.

5. The system of claim 4, wherein the analysis module is configured to monitor operational data from the electrosurgical tool.

6. The system of claim 5, wherein the operational data comprises complex impedance of the body tissue of the patient.

7. The system of claim 5, wherein the operational data comprises a phase angle between voltage and current.

8. The system of claim 7, wherein the electrosurgical generator comprises predetermined phase angle end-point data, and wherein the analysis module is configured to compare monitored phase angle with predetermined phase angle end-point data indicating fusion of tissue in contact with the electrosurgical tool and being a phase angle between 10 and 40 degrees.

9. The system of claim 8 wherein the monitored phase angle is a relative measurement between two sinusoidal signals provided by the electrosurgical generator to the electrosurgical tool.

10. The system of claim 1 further comprising:

a controller for electrosurgical tools comprising;

a first actuator movable between an on position and an off position for actuating a first electrosurgical action when in the on position;

a second actuator movable between an on position and an off position for actuating a second electrosurgical action when in the on position; and

a tool selector having a first state wherein the controller is adapted to be operatively coupled to a first electrosurgical tool being the electrosurgical tool and a second state wherein the controller is adapted to be operatively coupled to a second electrosurgical tool, the first electrosurgical tool having pivotably connected jaws coupled to an elongate shaft and the second electrosurgical tool being separate from the first electrosurgical tool and having separate second pivotably connected jaws arranged to compress tissue therebetween and coupled to a separate second elongate shaft with at least one jaw having at least one electrode.

11. The controller of claim 10, wherein the first actuator comprises a coagulation switch for actuating a coagulation operation of the first electrosurgical tool with the tool selector being in the first state and for actuating a coagulation operation of the second electrosurgical tool with the tool selector being in the second state.

12. The controller of claim 11, wherein the coagulation switch comprises a foot pedal.

13. The controller of claim 11, wherein the second actuator comprises a cut switch for actuating a cutting operation of the first electrosurgical tool with the tool selector being in the first state and for actuating a cutting operation of the second electrosurgical tool with the tool selector being in the second state.

14. The controller of claim 13, wherein the cut switch comprises a cut foot pedal.

15. The controller of claim 10, wherein the tool selector comprises a toggle switch.

16. The system of claim 1 wherein the relay circuit measures a phase angle between a current and voltage applied to tissue between the jaws before radiofrequency energy is supplied by the RF amplifier.

17. The system of claim 16 wherein the phase angle is a relative measurement between two sinusoidal signals provided by the electrosurgical generator to the electrosurgical tool.

18. The system of claim 16 wherein the memory module stores tool scripts that comprises operational commands and parameters and the electrosurgical generator receiving the operational commands and parameters controls timing of both output of radiofrequency energy from the electrosurgical generator to the electrosurgical tool and measuring of the phase angle.

19. The system of claim 18 wherein the operational commands includes keywords and the electrosurgical generator parses the keywords to extract commands and data to control operation of the electrosurgical tool based on events detected by the electrosurgical generator.

20. An electrosurgical generator for performing surgical procedures on body tissue of a patient comprising:

a power supply;

a signal generation module electrically coupled to the power supply, the signal generation module configured to generate a radiofrequency signal;

a first tool port configured to interface with an electrosurgical tool having tool data stored therein;

the first tool port adapted to receive the tool data stored on the electrosurgical tool and to supply the radiofrequency signal from the signal generation module to the tool;

a power port adapted to couple the generator to a direct current device and to supply direct current voltage to the direct current device, the power port having a micro switch that when activated causes a tool interface circuit to update a user interface display indicating that a direct current device has been coupled to the generator and status of the direct current device; and

a microcontroller configured to monitor the phase angle between a voltage and a current of the radiofrequency signal by continuously supplying a measurement signal having a frequency different form the radiofrequency signal and to determine an electrosurgical procedure endpoint indicating fusion of tissue in contact with the electrosurgical tool based on the monitored phase angle, the microcontroller disrupting the supply of the radiofrequency signal and the measurement signal when the monitored phase angle equals or exceeds the electrosurgical procedure endpoint indicating fusion of the tissue.

21. The electrosurgical generator of claim 20, further comprising a second tool port configured to interface with a second electrosurgical tool having tool data stored therein;

the second tool port adapted to receive the tool data stored on the second electrosurgical tool and to supply the radiofrequency signal from the signal generation module to the second tool.

22. The electrosurgical generator of claim 21, further comprising a bipolar tool port adapted to couple the generator to a bipolar electrosurgical tool, the bipolar electrosurgical tool not having a memory module.

23. The electrosurgical generator of claim 20, further comprising a bipolar tool port adapted to couple the generator to a bipolar electrosurgical tool, the bipolar electrosurgical tool not having a memory module.

24. The electrosurgical generator of claim 20, further comprising an actuator port electrically coupled to the first tool port.

25. The electrosurgical generator of claim 24, wherein the actuator port comprises a foot pedal controller port.

26. The electrosurgical generator of claim 21, further comprising an actuator port electrically coupled to the first tool port and the second tool port.

27. The electrosurgical generator of claim 26, wherein the actuator port comprises a foot pedal controller port.

28. The electrosurgical generator of claim 21 wherein the first tool port and the second tool port each have a tool interface circuit and a microswitch and each micro switch when activated causes the corresponding tool interface circuit to update a user interface display indicating that the corresponding tool has been coupled to the generator and status of the tool.

29. The electrosurgical generator of claim 28 wherein the tool interface circuits are coupled to each other and to the microcontroller through a network within the electro surgical generator.