Method and system for controlling delivery of energy to divide tissue

• US 8,882,766 B2
• Filed: 01/24/2006
• Issued: 11/11/2014
• Est. Priority Date: 01/24/2006
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Couture, Gary M., Johnson, Kristin D., Sharp, Robert, Unger, Jeff, Weinberg, Craig, Wham, Robert H.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GOOD, SAMANTHA M
• Application Number:
  US11/338,552
• Publication Number:
  US 20070173811A1
• Time in Patent Office: 3,213 Days
• Field of Search: 606/42, 606/45, 606 48- 52, 606/34, 606/37, 606/41
• US Class Current: 606/42
• 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 2017/00154 pulsed
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance

Abstract

System and method for controlling delivery of energy to divide tissue are disclosed. The system comprises an electrosurgical instrument having an electrically energizable cutting element which communicates electrical energy to the tissue and a generator to supply the energy to the electrosurgical instrument which supplies the energy to the tissue in a first pulse to react the tissue, in slow pulses to create a desiccation line until impedance at the tissue has reached a threshold, and in rapid pulses to divide tissue across the desiccation line.

Claims

1. A system for controlling delivery of energy to divide tissue comprising:

an electrosurgical instrument having an electrically energizable electrode which communicates energy to the tissue; and

a generator configured to supply the energy to the electrosurgical instrument which supplies the energy to the tissue in a first phase such that the energy is supplied at a continuous rate to pre-heat or seal the tissue until the tissue reaches a first predetermined threshold, in a second phase such that the energy is supplied at a first rate of pulsing to create a desiccation line until impedance at the tissue has reached a second predetermined threshold, and in a third phase such that the energy is supplied at a second rate of pulsing to divide the tissue across the desiccation line, the second rate of pulsing being greater than the first rate of pulsing, the generator including a sensor configured to monitor impedance of the tissue, wherein the energy is terminated at the first phase, second phase, or third phase when the impedance at the tissue has reached the first predetermined threshold, the second predetermined threshold, or the tissue is substantially divided.

2. A system as in claim 1, wherein the electrosurgical instrument is a bipolar forceps comprising an end effector assembly disposed at a distal end thereof, the end effector assembly including jaw members movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween, the end effector assembly further includes the electrically energizable electrode.

3. A system as in claim 2, wherein the bipolar forceps is configured for endoscopic surgery.

4. A system as in claim 2, wherein the bipolar forceps is configured for open surgery.

5. A system as in claim 1, wherein the electrosurgical instrument is a monopolar instrument.

6. A system as in claim 1, wherein the second predetermined threshold is from about 50 Ohms to about 2500 Ohms.

7. A system as in claim 1, further comprising:

a sensor module for measuring at least one of a tissue property and an energy property; and

a processor for determining when the tissue has been divided as a function of the tissue property.

8. A system as in claim 7, wherein the tissue property is selected from the group consisting of impedance and temperature.

9. A system as in claim 7, wherein the energy property is selected from the group consisting of voltage phase, current phase, and power.

10. A system as in claim 1, wherein the first predetermined threshold is from about 1 Ohms to about 200 Ohms.