Electrosurgical monopolar apparatus with arc energy vascular coagulation control

• US 9,044,238 B2
• Filed: 04/10/2012
• Issued: 06/02/2015
• Est. Priority Date: 04/10/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Orszulak, James H.
• Primary Examiner(s): Stice, Paula J
• Application Number:
  US13/443,710
• Publication Number:
  US 20130267947A1
• Time in Patent Office: 1,148 Days
• Field of Search: 606/32, 606/34, 606 37- 40, 606/45, 606 48- 52
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• 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 18/1815 using microwaves
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 Sealing
• 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 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/1213 creating an arc

Abstract

A system for delivering electrosurgical energy is provided. The system includes an electrosurgical instrument comprising at least one electrode and an electrosurgical generator coupled to the electrosurgical instrument. The electrosurgical generator includes an output stage configured to generate electrosurgical energy; and a controller coupled to the output stage, the controller configured to control the output stage to output electrosurgical energy at a predetermined power level to generate an arc between the at least one electrode and tissue and to output electrosurgical energy at a predetermined current level once the arc is generated to sustain the arc.

Claims

1. A system for delivering electrosurgical energy, comprising:

an electrosurgical instrument comprising at least one electrode; and

an electrosurgical generator coupled to the electrosurgical instrument, the electrosurgical generator comprising;

an output stage configured to generate electrosurgical energy; and

a controller coupled to the output stage, the controller configured to control the output stage to output electrosurgical energy at a predetermined power control mode having a first current level to generate an arc between the at least one electrode and tissue and to output electrosurgical energy at a predetermined current level control mode having a second current level different from the first current level once the arc is generated to sustain the arc.

2. The system according to claim 1, wherein the electrosurgical generator further comprises:

a sensor configured to measure at least one of a tissue or an energy property.

3. The system according to claim 2, wherein the at least one of the tissue or the energy property is selected from the group consisting of impedance, root-mean-square voltage, average voltage, instantaneous voltage, current, power, root-mean-square current, average current, instantaneous current, root-mean-square power, average power, instantaneous power, and combinations thereof.

4. The system according to claim 2, wherein the controller is coupled to the sensor, the controller configured to switch between a power control mode and a current control mode in response to the at least one of the tissue or the energy property, wherein during the power control mode the output stage is delivering electrosurgical energy at the predetermined power level to generate the arc between the at least one electrode and tissue and during the current control mode the output stage is delivering electrosurgical energy at the predetermined current level once the arc is generated to sustain the arc.

5. The system according to claim 4, wherein the sensor is further configured to measure voltage applied to the tissue and the controller is configured to determine whether the voltage is below a predetermined voltage threshold.

6. The system according to claim 5, wherein the controller is configured to maintain the current control mode in response to the voltage being below the predetermined voltage threshold.

7. A system for delivering electrosurgical energy, comprising:

an electrosurgical instrument comprising at least one electrode; and

an electrosurgical generator coupled to the electrosurgical instrument, the electrosurgical generator comprising;

an output stage configured to generate electrosurgical energy;

a sensor configured to measure at least one of a tissue or an energy property; and

a controller coupled to the output stage and the sensor, the controller configured to switch between a power control mode and a current control mode in response to the at least one of the tissue or the energy property, wherein during the power control mode the output stage is delivering electrosurgical energy at a predetermined power level having a first current amplitude to generate an arc between the at least one electrode and tissue and during the current control mode the output stage is delivering electrosurgical energy at a predetermined current level having a second current amplitude different from the first current amplitude once the arc is generated to sustain the arc.

8. The system according to claim 7, wherein the sensor is further configured to measure voltage applied to the tissue and the controller is configured to determine whether the voltage is below a predetermined voltage threshold.

9. The system according to claim 8, wherein the controller is configured to maintain the current control mode in response to the voltage being below the predetermined voltage threshold.

10. The system according to claim 7, wherein the at least one of the tissue or the energy property is selected from the group consisting of impedance, root-mean-square voltage, average voltage, instantaneous voltage, current, power, root-mean-square current, average current, instantaneous current, root-mean-square power, average power, instantaneous power, and combinations thereof.

11. A method for delivering electrosurgical energy, comprising:

delivering electrosurgical energy at a predetermined power control mode having a first current level to generate an arc between at least one electrode and tissue during a power control mode; and

delivering electrosurgical energy at a predetermined current control mode having a second current level different from the first current level once the arc is generated to sustain the arc during a current control mode.

12. The method according to claim 11, further comprising:

measuring at least one of a tissue or an energy property.

13. The method according to claim 12, further comprising:

switching between the power control mode and the current control mode in response to the at least one of the tissue or the energy property.

14. The method according to claim 12, wherein the at least one of the tissue or the energy property is selected from the group consisting of impedance, root-mean-square voltage, average voltage, instantaneous voltage, current, power, root-mean-square current, average current, instantaneous current, root-mean-square power, average power, instantaneous power, and combinations thereof.

15. The method according to claim 13, further comprising:

measuring a voltage applied to the tissue and determining whether the voltage is below a predetermined voltage threshold.

16. The method according to claim 15, further comprising:

maintaining the current control mode in response to the voltage being below the predetermined voltage threshold.