Ablation performance indicator for electrosurgical devices

• US 9,358,063 B2
• Filed: 02/14/2008
• Issued: 06/07/2016
• Est. Priority Date: 02/14/2008
• Status: Active Grant

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Marion, Duane W.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GOOD, SAMANTHA M
• Application Number:
  US12/031,231
• Publication Number:
  US 20090209956A1
• Time in Patent Office: 3,036 Days
• Field of Search: 606/34, 606 37- 40
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00827 Current

Abstract

Ablation performance indicator for electrosurgical devices is described where ablation is typically characterized by the generation of a plasma discharge at the electrode assembly of an electrosurgical probe. When the electrode begins firing, the current waveform assumes a distinct appearance characterized by a spike at the leading edge of each half cycle followed by a lower level for the remaining period of the half cycle. A calculation of the waveform'"'"'s Crest Factor can be used to determine the state at the electrode, e.g., whether the ablative energy is causing a desirable ablative effect on the electrode. This provides real-time measurements of the RMS and peak current amplitudes along with the Crest Factor and may also be used as limits or inputs to control algorithms or as inputs to indicate whether the device is in its ablative or non-ablative state.

Claims

1. A method of determining a mode of an electrosurgical instrument, comprising:

supplying a first high frequency square waveform voltage input to the instrument;

sensing a measured current waveform generated at an electrode of the instrument;

determining a peak amplitude and a time-averaged amplitude of the measured current waveform;

calculating a peak-to-average ratio based upon the peak and the time-averaged amplitudes; and

determining whether the electrode of the instrument is in an ablative mode or non-ablative mode based upon the calculated peak-to-average ratio, wherein while supplying the first high frequency voltage input, the calculated peak-to-average ratio of the measured current waveform increases significantly when the instrument is in the ablative mode as compared to the non-ablative mode and wherein during the ablative mode a plasma is generated at the electrode.

2. The method of claim 1 further comprising activating an indicator disposed on the instrument when the instrument is determined to be operating in the ablative mode.

3. The method of claim 1 wherein the sensing of the measured current waveform comprises sensing the measured current waveform via a current sensing transformer.

4. The method of claim 3 further comprising adding a DC bias to the measured current waveform.

5. The method of claim 4 wherein calculating further comprises removing a DC bias from the measured current waveform.

6. The method of claim 1 wherein the calculating comprises calculating via a digital signal processor in electrical communication with the instrument.

7. The method of claim 1 further comprising sampling the measured current waveform at some frequency slightly below the fundamental frequency of the measured current waveform so that the sampling is performed over a multiple number of successive cycles of the measured current waveform.

8. The method of claim 1 wherein the measured current waveform is characterized by a spike at a leading edge of a half cycle followed by a relatively lower level for a remainder of the half cycle when the instrument is in the ablative mode.

9. The method of claim 1 wherein the peak-to-average ratio of the measured current waveform increases as an ablative load is applied by the instrument.

10. The method of claim 1 further comprising utilizing the peak-to-average ratio as an input for a control algorithm of the instrument.

11. The method of claim 1 wherein the peak-to-average ratio approximates the value 1 when in non-ablative mode.

12. The method of claim 1 wherein the measured current waveform is characterized by a square waveform when in non-ablative mode.

13. The method of claim 1 wherein during the step of supplying the first high frequency voltage input, the electrode of the instrument is initially in the non-ablative mode and transitions to the ablative mode as a plasma discharge is initiated.

14. The method of claim 1 wherein when the electrode is the non-ablative mode, the measured current waveform and the voltage waveform are similar in shape, and when the electrode is in the ablative mode, the measured current waveform and the voltage waveform look significantly dissimilar in shape.

15. A method of determining a state of an electrosurgical instrument, comprising:

supplying a fixed high frequency square waveform voltage input to the instrument;

sensing a measured current waveform generated at an electrode assembly of the instrument;

determining a peak amplitude and a time-averaged amplitude of the measured current waveform;

calculating a peak-to-average ratio based upon the peak and the time-averaged amplitudes; and

determining whether the electrode assembly is generating a plasma, based upon the calculated peak-to-average ratio, wherein the initiation of the plasma at the electrode assembly causes the calculated peak-to-average ratio to increase significantly compared to when no plasma is present.

16. A method of determining a tissue effect mode of an electrosurgical instrument, comprising:

supplying a high frequency square waveform voltage input to the instrument;

sensing a measured current waveform generated at an electrode of the instrument;

determining a peak amplitude and a time-averaged amplitude of the measured current waveform;

calculating a peak-to-average ratio based upon the peak and the time-averaged amplitude; and

wherein during the supplying step, the tissue effect mode at the electrode may transition between an ablative mode and non-ablative mode while continuing to maintain the high frequency square waveform voltage input;

the tissue effect mode detected based upon the calculated peak-to-average ratio wherein the calculated peak-to-average ratio is significantly higher when the instrument is in the ablative mode as compared to the non-ablative mode.