Electrosurgical power control

• US 8,603,082 B2
• Filed: 12/05/2012
• Issued: 12/10/2013
• 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: Iki, Kobi, Mitchell, Mathew, Drucker, Karen, Lorang, Douglas
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US13/705,836
• Publication Number:
  US 20130096556A1
• Time in Patent Office: 370 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:

determining whether a probe is delivering power in an ablative mode or a non-ablative mode;

delivering power to the probe according to a first algorithm when in the ablative mode;

delivering power to the probe according to a second algorithm different from the first algorithm when in the non-ablative mode, the second algorithm comprising a pulsed profile including portions of low power and portions of high power, the portions of high power being of sufficient durations to initiate the ablative mode and the durations being less than 250 milliseconds.

2. The method of claim 1 further comprising limiting the portions of low power to a duration that causes substantially no noticeable delay in initiating ablation.

3. The method of claim 1 wherein the duration of the portions of low power is between approximately 50 milliseconds and approximately 500 milliseconds.

4. The method of claim 1 wherein the portions of low power comprise power between approximately 0 watts and approximately 50 watts.

5. The method of claim 1 wherein the portions of high power have a duration substantially equal to a minimum length sufficient to initiate ablation.

6. The method of claim 1 wherein the portions of high power comprise power between approximately 40 watts and approximately 300 watts.

7. An apparatus comprising:

an electrosurgical probe configured to deliver power to tissue; and

a control module configured to determine whether the probe is delivering power in an ablative mode or a non-ablative mode, deliver power to the probe according to a first algorithm when in the ablative mode, and deliver power to the probe according to a second algorithm different from the first algorithm when in the non-ablative mode, wherein the second algorithm comprises a pulsed profile including portions of low power and portions of high power, the portions of high power being of sufficient durations to initiate the ablative mode and the durations being less than 250 milliseconds.

8. The apparatus of claim 7 wherein the control module is configured to limit the portions of low power to a duration that causes substantially no noticeable delay in initiating ablation.

9. The apparatus of claim 7 wherein the duration of the portions of low power is between approximately 50 milliseconds and approximately 500 milliseconds.

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

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

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