System and method of controlling power delivery to a surgical instrument

• US 9,549,774 B2
• Filed: 11/15/2013
• Issued: 01/24/2017
• 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: Denis, Scott, Manwaring, Preston, Eggers, Phil, Manwaring, Kim
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US14/081,936
• Publication Number:
  US 20140074082A1
• Time in Patent Office: 1,166 Days
• US Class Current: 1/1
• 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 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/10 Power sources therefor
• 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 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/0072 Current
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/141 Snare
• 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

Abstract

A thermal surgical instrument having a system to control the delivery of power from an energy source to active element located on a tip. The system for controlling delivery to the tip may include a control algorithm which uses one or more measurements, such as tip current, SWR, and rapid changes in reflected power, to manage power without affecting cutting efficacy, and in a manner that may be imperceptible by a surgeon. The system may utilize a state machine to determine the current environment in which the tip may be in. Power delivered to the tip may be selectively managed according to a fixed power index or a repeatedly executed power profile.

Claims

1. A method of controlling a thermal cutting or coagulating instrument, comprising:

delivering an oscillating electrical energy to a thermal element, the thermal element comprising a conductor having a ferromagnetic material covering at least a portion of the conductor, the conductor in electrically conductive communication with the ferromagnetic material, and the ferromagnetic material having a thickness being between 0.5 μ

m and 500 μ

m;

sensing a behavior characteristic associated with the thermal element; and

adjusting delivery of the oscillating electrical energy in response to the behavior characteristic associated with the thermal element.

2. The method according to claim 1, wherein the behavior characteristic associated with the thermal element includes at least one of impedance, current, or standing wave ratio.

3. The method of claim 1, wherein the behavior characteristic is impedance of the thermal element and wherein the method comprises adjusting the delivery of the oscillating electrical energy in response to the impedance of the thermal element to control temperature of the thermal element.

4. The method according to claim 1, wherein the step of delivering the oscillating electrical energy comprises delivering a first oscillating electrical energy;

and

further comprises the step of sending a pulse of a second oscillating electrical energy to the thermal element, wherein the second oscillating electrical energy is greater in power than the first oscillating electrical energy, and monitoring an effect of the pulse on the behavior characteristic of the thermal element.

5. The method according to claim 1, further comprising the step of intermittently increasing a power of the oscillating electrical energy delivered to the thermal element to periodically increase a temperature of the thermal element.

6. The method according to claim 1, wherein the method comprises storing information relative to a configuration parameter of the thermal element.

7. The method according to claim 6, wherein adjusting the delivery of the oscillating electrical energy further comprises adjusting the delivery of the oscillating electrical energy to control a temperature of the ferromagnetic material.

8. The method according to claim 7, wherein the ferromagnetic material comprises a ferromagnetic sleeve disposed on an insulated conductor.

9. The method according to claim 6, wherein the method further comprises accessing the information relative to the configuration parameter of the thermal element and wherein adjusting the delivery of the oscillating electrical energy further comprises adjusting the delivery of the oscillating electrical energy based on the information.

10. The method of claim 1, wherein the ferromagnetic material has a thickness between 1 μ

m and 50 μ

m.

11. A method for regulating a thermal surgical instrument comprising:

selecting a body having a thermal element disposed thereon and disposed in communication with an energy source so as to receive oscillating electrical energy to heat the thermal element, the thermal element comprising a conductor and a layer of ferromagnetic material disposed on the conductor, wherein the layer of ferromagnetic material is in electrically conductive communication with the conductor, the layer of ferromagnetic material having a thickness between 1 μ

m and 50 μ

m; and

sensing a change in an impedance of the thermal element and generating a signal to adjust the oscillating electrical energy received by the thermal element.

12. The method of claim 11, wherein the method comprises using a power control system having a power control algorithm configured to consistently provide a desired power to the thermal element in response to the signal.

13. The method according to claim 12, wherein the thermal element has a Curie temperature, and wherein the method includes using the power control algorithm to prevent the thermal element of the surgical instrument from exceeding the Curie temperature.

14. The method according to claim 12, wherein the method includes using the power control algorithm to prevent overheating of the thermal surgical instrument at a location other than the thermal element.

15. The method according to claim 12, wherein the method includes using the power control algorithm to control heating of the thermal element to a substantially specific temperature within a range of about plus or minus 30 degrees Centigrade.

16. The method according to claim 12, wherein the power control algorithm is used to regulate a temperature of the ferromagnetic material.

17. The method of claim 11, further comprising using a microcontroller for receiving the signal on a substantially continuous basis.

18. The method of claim 11, wherein the thermal element forms a loop, and wherein the ferromagnetic material covers a portion of the loop.