Thermally adjustable surgical system and method

• US 9,265,554 B2
• Filed: 03/14/2013
• Issued: 02/23/2016
• Est. Priority Date: 04/17/2009
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: Manwaring, Kim, McNally, David
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US13/830,037
• Publication Number:
  US 20130197502A1
• Time in Patent Office: 1,076 Days
• Field of Search: 606/47, 606/113, 606/98, 607/103
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/085 Forceps, scissors
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00141 continuous, e.g. wave
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320082 for incising tissue
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00095 high, i.e. heat conducting
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/0013 non-sticking
• CPC Class Codes: A61B 2018/00577 : Ablation
• CPC Class Codes: A61B 2018/00589 : Coagulation
• CPC Class Codes: A61B 2018/00595 : Cauterization
• CPC Class Codes: A61B 2018/00601 : Cutting
• CPC Class Codes: A61B 2018/00619 : Welding
• CPC Class Codes: A61B 2018/00642 : with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00654 : with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00714 : Temperature
• CPC Class Codes: A61B 2018/00755 : Resistance or impedance
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00803 : with temperature prediction
• CPC Class Codes: A61B 2018/00958 : for switching between different working modes of the main function
• CPC Class Codes: A61B 2018/128 : generating two or more frequencies
• CPC Class Codes: A61B 2018/1407 : Loop
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61M 25/00 : Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/0082 : Catheter tip comprising a tool
• CPC Class Codes: Y10T 29/49124 : On flat or curved insulated base, e.g., printed circuit, etc.

Abstract

A power source delivers oscillating electrical energy to an electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region. With high frequency electrical energy, the ferromagnetic material has a quick response in heating and cooling adjustable by the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Claims

1. A thermally adjustable surgical tool comprising:

an electrical conductor;

a ferromagnetic coating covering at least a part of the electrical conductor and being in electrical connectivity with the electrical conductor, the ferromagnetic coating having a thickness being between 0.5 μ

m and 500 μ

m;

a power supply disposed in communication with the electrical conductor and configured to produce an oscillating electrical energy to be delivered to the electrical conductor; and

wherein the power supply is configured to adjust the oscillating electrical energy.

2. The thermally adjustable surgical tool of claim 1, further comprising a sensor configured to conduct a measurement.

3. The thermally adjustable surgical tool of claim 2, wherein the sensor is configured to conduct the measurement proximate to the ferromagnetic coating.

4. The thermally adjustable surgical tool of claim 2, wherein the power supply is configured to adjust the oscillating electrical energy to be delivered to the electrical conductor in response to the measurement of the sensor.

5. The thermally adjustable surgical tool of claim 2, wherein the sensor comprises a temperature sensor proximate to the ferromagnetic coating.

6. The thermally adjustable surgical tool of claim 1, further comprising a user control for adjusting the oscillating electrical energy to be delivered to the electrical conductor.

7. The thermally adjustable surgical tool of claim 1, wherein the power supply is configured to respond to a load prediction module configured to calculate a predicted load characteristic of the electrical conductor with the ferromagnetic coating.

8. The thermally adjustable surgical tool of claim 1, further comprising a handle and a plug, wherein the handle is configured to receive the plug and the plug is configured to receive the electrical conductor covered by the ferromagnetic coating, and wherein the plug includes a data module configured to communicate a predicted load characteristic of the electrical conductor to the power supply.

9. The thermally adjustable surgical tool of claim 8, wherein the power supply is further configured to use the predicted load characteristic to adjust the oscillating electrical energy to be delivered to the electrical conductor to achieve a desired temperature of the ferromagnetic coating.

10. The thermally adjustable surgical tool of claim 8, wherein the power supply is further configured to use the predicted load characteristic to adjust the oscillating electrical energy to be delivered to the electrical conductor.

11. The thermally adjustable surgical tool of claim 1, wherein the thermally adjustable surgical tool is configured to impedance match the ferromagnetic coating covering at least the part of the electrical conductor.

12. The thermally adjustable surgical tool of claim 1, further comprising an impedance matching circuit.

13. The thermally adjustable surgical tool of claim 1, wherein the power supply is configured to adjust the oscillating electrical energy by at least one of:

pulse width modulation, amplitude modulation, frequency modulation, and detuning an impedance matching circuit.

14. The thermally adjustable surgical tool of claim 13 wherein the thermally adjustable tool includes a handpiece and wherein the electrical conductor extends out of and returns to the handpiece to form a portion of a continuous circuit.

15. The thermally adjustable surgical tool of claim 13, wherein the electrical conductor has a thickness and wherein the ferromagnetic coating thickness is less than 10 percent of the thickness of the electrical conductor.

16. The thermally adjustable surgical tool of claim 1, wherein the electrical conductor has a thickness and wherein the thickness of the ferromagnetic coating is less than 10 percent of the thickness of the electrical conductor.

17. The thermally adjustable surgical tool of claim 1, wherein the ferromagnetic coating thickness is between 1 μ

m and 50 μ

m.

18. A thermally adjustable surgical tool comprising:

an electrical conductor;

a ferromagnetic coating covering at least a part of and in electrically conductive communication with the electrical conductor;

at least one second electrical conductor and at least one second ferromagnetic coating disposed on and in electrically conductive communication with the at least one second electrical conductor, wherein the ferromagnetic coating and the at least one second ferromagnetic coating each have a thickness between 1 μ

m and 50 μ

m;

a power supply disposed in communication with the electrical conductor and the at least one second electrical conductor and configured to produce an oscillating electrical energy to be delivered to the electrical conductor and the at least one second electrical conductor; and

wherein the power supply is configured to adjust the oscillating electrical energy between a first energy level and a second energy level.

19. The thermally adjustable surgical tool of claim 18, wherein the power supply is disposed in communication with the electrical conductor and the at least one second electrical conductor and is configured to produce the oscillating electrical energy to be delivered to the electrical conductor and the at least one second electrical conductor, and wherein the power supply is further configured to individually adjust the oscillating electrical energy to be delivered to at least one of the electrical conductor and the at least one second electrical conductor.

20. The thermally adjustable surgical tool of claim 18, wherein the power supply is configured to produce the oscillating electrical energy to be jointly delivered to the electrical conductor and the at least one second electrical conductor, and wherein the power supply is further configured to adjust the oscillating electrical energy to be jointly delivered to the electrical conductor and the at least one second electrical conductor.

21. The thermally adjustable surgical tool of claim 18, wherein at least one of the ferromagnetic coating and the at least one second ferromagnetic coating is configured to provide a first tissue effect and the other of the ferromagnetic coating and the at least one second ferromagnetic coating is configured to provide a different tissue effect when the oscillating electrical energy is passed through the electrical conductor and the at least one second electrical conductor.

22. The thermally adjustable surgical tool of claim 18 wherein the thermally adjustable tool includes a handpiece and wherein the electrical conductor and the at least one second electrical conductor extend out of and return to the handpiece.

23. A thermally adjustable surgical tool comprising:

a plurality of electrical conductors including at least a first electrical conductor and a second electrical conductor;

a plurality of ferromagnetic coatings disposed on and in electrically conductive communication with the plurality of the electrical conductors such that the first electrical conductor has a first ferromagnetic coating of the plurality of ferromagnetic coatings covering at least a portion of the first electrical conductor and the second electrical conductor has a second ferromagnetic coating of the plurality of ferromagnetic coatings covering at least a portion of the second electrical conductor, wherein at least one of the plurality of ferromagnetic coatings has a thickness between 1 μ

m and 50 μ

m;

a power supply disposed in communication with the plurality of electrical conductors configured to produce an oscillating electrical energy, and further configured to deliver the oscillating electrical energy to the plurality of electrical conductors; and

wherein the power supply is configured to adjust the oscillating electrical energy.

24. The thermally adjustable surgical tool of claim 23, wherein the power supply is configured to adjust the oscillating electrical energy by at least one of:

pulse width modulation, amplitude modulation, frequency modulation, and detuning an impedance matching circuit.

25. The thermally adjustable surgical tool of claim 23, further comprising an impedance matching circuit.

26. A thermally adjustable surgical tool comprising:

an electrical conductor extending from a handpiece and returning to the handpiece so as to form a conductive loop;

a ferromagnetic coating covering at least a part of and in electrically conductive communication with the electrical conductor which extends from the hand piece;

a power supply disposed in communication with the electrical conductor and configured to produce an oscillating electrical energy having at least one signal characteristic, the oscillating electrical energy being configured to be delivered to the electrical conductor and the power supply being configured to receive the oscillating electrical energy back from the electrical conductor; and

wherein the power supply is configured to adjust the oscillating electrical energy between a first energy level and a second energy level; and

wherein the thermally adjustable surgical tool is configured to monitor the at least one signal characteristic to achieve a desired temperature of the ferromagnetic coating.

27. The thermally adjustable surgical tool of claim 26, wherein the ferromagnetic coating has a thickness between 1 μ

m and 50 μ

m.