Seal and separate algorithm

• US 9,375,254 B2
• Filed: 09/25/2008
• Issued: 06/28/2016
• Est. Priority Date: 09/25/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Heard, David N.
• Primary Examiner(s): Berdichevsky, Aarti B
• Assistant Examiner(s): SCHELL, LAURA C
• Application Number:
  US12/237,515
• Publication Number:
  US 20100076427A1
• Time in Patent Office: 2,833 Days
• Field of Search: 606/49, 606/51, 606/34
• US Class Current: 1/1
• CPC Class Codes: A61B 17/04 for suturing wounds; Holders or packages for needles or suture materials suture materials A61L17/00
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00648 using more than one sensed parameter
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/0072 Current
• CPC Class Codes: A61B 2018/00767 Voltage
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00869 Phase
• CPC Class Codes: A61B 2018/00875 Resistance or impedance

Abstract

A method for controlling delivery of energy to seal and divide tissue includes applying energy to tissue in a first phase through an electrosurgical forceps having at least one electrically energizable electrode. The method also includes detecting a predetermined condition based on the application of energy to tissue during the first phase. The method also includes applying energy to tissue during a second phase upon detection of the predetermined condition and providing tension to the tissue during the second phase to separate the tissue.

Claims

1. A method for controlling delivery of energy to seal and divide tissue, the method comprising:

applying energy to tissue in a first phase through an electrosurgical forceps having a first electrically energizable electrode and a second electrically energizable electrode;

detecting a predetermined condition based on the application of energy to tissue during the first phase;

applying energy to tissue during a second phase through the first and second electrically energizable electrodes upon detection of the predetermined condition;

manipulating the first and second electrically energizable electrodes relative to the tissue to provide tension on the tissue during the second phase to separate the tissue;

detecting a predetermined change in the energy applied to the tissue during the second phase, the predetermined change being indicative of tissue separation; and

terminating the second phase upon detection of the predetermined change.

2. A method for controlling delivery of energy to seal and divide tissue according to claim 1, wherein manipulating the first and second electrically energizable electrodes includes manipulating the electrosurgical forceps relative to the tissue during the second phase.

3. A method for controlling delivery of energy to seal and divide tissue according to claim 1, further comprising providing a first audible tone during the first phase and a second audible tone during the second phase, the second audible tone being distinct from the first audible tone.

4. A method for controlling delivery of energy to seal and divide tissue according to claim 3, further comprising providing a third audible tone based on the detection of the predetermined condition, the third audible tone being distinct from at least one of the first audible tone and the second audible tone.

5. A method for controlling delivery of energy to seal and divide tissue according to claim 1, further comprising repeating the first phase upon detection of the predetermined condition.

6. A method for controlling delivery of energy to seal and divide tissue according to claim 1, further comprising terminating the delivery of energy to tissue based on the failure to detect the predetermined condition.

7. A method for controlling delivery of energy to seal and divide tissue according to claim 1, further comprising terminating the delivery of energy to tissue upon the expiration of a predetermined time period.

8. A method for controlling delivery of energy to seal and divide tissue according to claim 1, further comprising terminating the delivery of energy to tissue for a predetermined time period between the first phase and the second phase.

9. A method for controlling delivery of energy to seal and divide tissue according to claim 1, further comprising:

measuring at least one of an energy property and a tissue property during the first phase; and

determining the completion of the first phase as a function of at least one of the energy property and the tissue property.

10. A method for controlling delivery of energy to seal and divide tissue according to claim 9, wherein the tissue property is selected from the group consisting of impedance and temperature.

11. A method for controlling delivery of energy to seal and divide tissue according to claim 10, wherein tension to the tissue occurs substantially simultaneously with the second phase.

12. A method for controlling delivery of energy to seal and divide tissue according to claim 9, wherein the energy property is selected from the group consisting of voltage phase, current phase, and power.

13. A method for controlling delivery of energy to seal and divide tissue according to claim 9, further comprising applying energy to tissue during the second phase based on the energy property of tissue as measured during the first phase.

14. A method for controlling delivery of energy to seal divide tissue according to claim 1, further comprising:

measuring at least one of an energy property and a tissue property during the second phase; and

terminating the delivery of energy to tissue as a function of at least one of the energy property and the tissue property.

15. A method for controlling delivery of energy to seal and divide tissue according to claim 14, wherein the tissue property is selected from the group consisting of impedance and temperature.

16. A method for controlling delivery of energy to seal and divide tissue according to claim 14, wherein the energy property is selected from the group consisting of voltage phase, current phase, and power.

17. A method for controlling delivery of energy to seal and divide tissue according to claim 1, wherein the predetermined change is at least one of a phase change between a voltage and a current of the energy applied to the tissue during the second phase, a phase change between the voltage and an impedance of the energy applied to the tissue during the second phase, a phase change between the current and the impedance of the energy applied to the tissue during the second phase, a change between a phase angle of the voltage and the current of the energy applied to the tissue during the second phase, and a change in a power level of the energy applied to the tissue during the second phase.

18. A method for controlling delivery of energy to seal and divide tissue, the method comprising:

applying energy to tissue through an electrosurgical forceps having a first electrically energizable electrode and a second electrically energizable electrode which communicate the energy to the tissue in a first phase;

detecting a predetermined condition based on the application of energy to tissue during the first phase;

applying energy to tissue during a second phase through the first and second electrically energizable electrodes upon detection of the predetermined condition;

manipulating the first and second electrically energizable electrodes relative to the tissue to provide tension on the tissue during the second phase to initiate separation of the tissue;

determining the completion of the separation of the tissue based on a predetermined change in the energy applied to the tissue during the second phase; and

terminating the application of energy to tissue upon determination of the completion of the separation of the tissue.

19. A method for controlling delivery of energy to seal and divide tissue according to claim 18, wherein manipulating the first and second electrically energizable electrodes includes manipulating the electrosurgical forceps relative to the tissue during the second phase.

20. A method for controlling delivery of energy to seal and divide tissue according to claim 18, wherein the predetermined change is at least one of a phase change between a voltage and a current of the energy applied to the tissue during the second phase, a phase change between the voltage and an impedance of the energy applied to the tissue during the second phase, a phase change between the current and the impedance of the energy applied to the tissue during the second phase, a change between a phase angle of the voltage and the current of the energy applied to the tissue during the second phase, and a change in a power level of the energy applied to the tissue during the second phase.

21. A method for controlling delivery of energy to seal and divide tissue, the method comprising:

applying energy to tissue through an electrosurgical forceps having a first electrically energizable electrode and a second electrically energizable electrode which communicate the energy to the tissue during a first phase;

detecting at least one of a tissue property and an energy property based on the application of energy to tissue during the first phase;

applying energy to tissue during a second phase through the first and second electrically energizable electrodes, at least one property of the energy applied to tissue during the second phase based on at least one of the tissue property and the energy property;

manipulating the first and second electrically energizable electrodes relative to the tissue to provide tension to on the tissue during the second phase to separate the tissue;

detecting a predetermined change in at least one of a property of the tissue and a property of the energy applied to the tissue during the second phase, the predetermined change being indicative of tissue separation; and

terminating the application of energy to tissue upon detection of the predetermined change.

22. A method for controlling delivery of energy to seal and divide tissue according to claim 21, wherein the energy property is one of a terminal voltage phase measured during the first phase and a terminal power measured during the first phase.

23. A method for controlling delivery of energy to seal and divide tissue according to claim 21, wherein the energy property is a maximum power measured during the first phase.

24. A method for controlling delivery of energy to seal and divide tissue according to claim 21, wherein the predetermined change is at least one of a change in a temperature of the tissue during the second phase, a phase change between a voltage and a current of the energy applied to the tissue during the second phase, a phase change between the voltage and an impedance of the energy applied to the tissue during the second phase, a phase change between the current and the impedance of the energy applied to the tissue during the second phase, a change between a phase angle of the voltage and the current of the energy applied to the tissue during the second phase, and a change in a power level of the energy applied to the tissue during the second phase.