Bipolar electrode probe for ablation monitoring

• US 8,568,404 B2
• Filed: 02/19/2010
• Issued: 10/29/2013
• Est. Priority Date: 02/19/2010
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brannan, Joseph D.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US12/708,974
• Publication Number:
  US 20110208184A1
• Time in Patent Office: 1,348 Days
• Field of Search: 606/34, 606/41
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• 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 2018/1869 with an instrument interstitially inserted into the body, e.g. needles

Abstract

An electromagnetic surgical ablation system having a generator adapted to selectively provide surgical ablation energy to an ablation probe, and methods of operating same, are disclosed. The system includes a controller operatively coupled to the generator, and at least one tissue sensor probe operatively coupled to the controller. The at least one tissue sensor provides a tissue impedance measurement to the controller. A sensor probe may be designated a threshold probe adapted to sense when tissue is sufficiently ablated, or, a critical structure probe adapted to protect an adjacent anatomical structure from undesired ablation. During an electromagnetic tissue ablation procedure, the controller monitors tissue impedance to determine tissue status, to activate an indicator associated therewith, and, additionally or alternatively, to activate and deactivate the generator accordingly.

Claims

1. A method of operating an ablation system, comprising the steps of:

activating a generator to deliver ablative energy to tissue;

sensing a tissue impedance parameter from each of a plurality of tissue sensing probes;

designating each of the plurality of tissue sensing probes as a threshold probe or a critical structure probe;

determining whether the sensed tissue impedance parameter from each of the plurality of tissue sensing probes exceeds a predetermined tissue impedance parameter threshold, wherein, for each of the plurality of tissue sensing probes designated as a critical structure probe, the predetermined tissue impedance parameter threshold is indicative of a pre-denaturation state of tissue and, for each of the plurality of tissue sensing probes designated as a threshold probe, the predetermined tissue impedance parameter threshold is indicative of a denaturation state of tissue; and

responding to a determination that the sensed tissue impedance parameter exceeds the predetermined tissue impedance parameter threshold by causing to be performed an action selected from the group consisting of automatically deactivating the generator and presenting an indication.

2. The method of operating an ablation system in accordance with claim 1, wherein the designation is performed in accordance with an identifier included in each of the plurality of tissue sensing probes.

3. The method of operating an ablation system in accordance with claim 2, further comprising the step of overriding the designation.

4. The method of operating an ablation system in accordance with claim 1, wherein the tissue impedance parameter threshold is selected from the group consisting of an absolute impedance value, a relative impedance value, and a rate of change of impedance value.

5. The method of operating an ablation system in accordance with claim 1, further comprising the step of deactivating the generator in response to a deactivation signal received from a user-actuatable device operably coupled to the generator.

6. The method of operating an ablation system in accordance with claim 1, wherein the predetermined tissue impedance parameter threshold indicative of a pre-denaturation state of tissue is an initial slight or gradual rise in impedance.

7. The method of operating an ablation system in accordance with claim 1, wherein the predetermined tissue impedance parameter threshold indicative of a denaturation state of tissue is a rate of change of impedance exceeding a predetermined rate.

8. A non-transitory computer-readable medium storing a set of instructions configured for being executed by at least one processor for performing a method for operating an electromagnetic surgical ablation system, comprising:

activating a generator to deliver ablative energy to tissue;

sensing a tissue impedance parameter from each of a plurality of tissue sensing probes;

designating each of the plurality of tissue sensing probes as a threshold probe or a critical structure probe;

determining whether the sensed tissue impedance parameter from each of the plurality of tissue sensing probes exceeds a predetermined tissue impedance parameter threshold, wherein, for each of the plurality of tissue sensing probes designated as a critical structure probe, the predetermined tissue impedance parameter threshold is indicative of a pre-denaturation state of tissue and, for each of the plurality of tissue sensing probes designated as a threshold probe, the predetermined tissue impedance parameter threshold is indicative of a denaturation state of tissue; and

responding to a determination that the sensed tissue impedance parameter exceeds the predetermined tissue impedance parameter threshold by causing to be performed an action selected from the group consisting of automatically deactivating the generator and presenting an indication.

9. The non-transitory computer-readable medium in accordance with claim 8, wherein the designation is performed in accordance with an identifier included in each of the plurality of tissue sensing probes.

10. The non-transitory computer-readable medium in accordance with claim 8, the method further comprising the step of overriding the designation.

11. The non-transitory computer-readable medium in accordance with claim 8, wherein the tissue impedance parameter threshold is selected from the group consisting of an absolute impedance value, a relative impedance value, and a rate of change of impedance value.