Detecting short circuits in electrosurgical medical devices

• US 9,554,854 B2
• Filed: 03/18/2014
• Issued: 01/31/2017
• Est. Priority Date: 03/18/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Yates, David C., Wiener, Eitan T., Kemerling, Robert A., Danziger, Benjamin J., Monson, Gavin M.
• Primary Examiner(s): Fowler, Daniel
• Application Number:
  US14/218,558
• Publication Number:
  US 20150265347A1
• Time in Patent Office: 1,050 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/00154 pulsed
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/0069 using fuzzy logic
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/162 located on the probe body

Abstract

Various embodiments are directed to an electrosurgical systems and methods for providing an electrosurgical signal to a patient. An electrosurgical signal defining a plurality of pulses may be provided to first and second electrodes. A first reading may be received indicating an impedance between the first and second electrodes taken at a first point of a first pulse of the electrosurgical signal. A second reading may indicate the impedance a first point of a second pulse of the electrosurgical signal, where the first point of the first pulse and the first point of the second pulse are at equivalent positions within the first and second pulses. Based on a comparison of the first reading and the second reading, a short circuit may be determined and a signal indicating the short circuit may be generated.

Claims

1. An electrosurgical system for providing an electrosurgical signal to a patient, the system comprising:

a control circuit, wherein the control circuit is programmed to;

provide the electrosurgical signal to first and second electrodes, wherein the electrosurgical signal defines a plurality of pulses;

receive a first reading of an impedance between the first and second electrodes, wherein the first reading is taken at a first point of a first pulse of the electrosurgical signal;

receive a second reading of the impedance between the first and second electrodes, wherein the second reading is taken at a first point of a second pulse of the electrosurgical signal, wherein the first point of the first pulse and the first point of the second pulse are at equivalent positions within the first and second pulses;

based on comparing the first reading with the second reading, determine that a short circuit is present between the first and second electrodes, wherein comparing the first reading with the second reading comprises computing a difference in impedance between the first reading and the second reading, and the determination that the short circuit is present between the first and second electrodes is based further on determining that a magnitude of the difference is less than a predetermined impedance threshold value;

generate a signal indicating the short circuit between the first and second electrodes.

2. The electrosurgical system of claim 1, wherein the first pulse and the second pulse are adjacent pulses within the electrosurgical signal.

3. The electrosurgical system of claim 1, wherein the control circuit is further programmed to:

receive a third reading of the impedance between the first and second electrodes at a second point of the first pulse;

receive a fourth reading of the impedance between the first and second electrodes at a second point of the second pulse, wherein the second point of the first pulse and the second point of the second pulse are at equivalent positions within the first and second pulses, and wherein the determination that the short circuit is present between the first and second electrodes is also based on the third reading and the fourth reading.

4. The electrosurgical system of claim 3, wherein the control circuit is further programmed to:

compute a first average of the first and third readings and a second average of the second and fourth readings, and

compare the first average with the second average by computing a difference between the first average and the second average,

wherein the determination that the short circuit is present between the first and second electrodes is further based on determining that the difference between the first average and the second average is less than the predetermined impedance threshold value.

5. The electrosurgical system of claim 1, wherein the control circuit is programmed to, prior to receiving the first and second readings, determine that the impedance between the first and second electrodes has fallen below a threshold impedance for a threshold amount of time.

6. The electrosurgical system of claim 1, wherein the electrosurgical signal is a measurement electrosurgical signal, and wherein the control circuit is further programmed to:

provide a first electrosurgical signal to the first and second electrodes;

receive an indication of the impedance between the first and second electrodes during the provision of the first electrosurgical signal; and

provide the measurement electrosurgical signal when the impedance between the first and second electrodes during the provision of the first electrosurgical signal drops below a threshold impedance for a threshold amount of time.

7. The electrosurgical system of claim 1, wherein the control circuit is further programmed to:

receive a third reading of the impedance between the first and second electrodes taken at a first point of a third pulse of the electrosurgical signal;

receive a fourth reading of the impedance between the first and second electrodes taken at a first point of a fourth pulse of the electrosurgical signal, wherein the first point of the third pulse and the first point of the fourth pulse are at positions within the third and fourth pulses equivalent to the positions of the first point of the first pulse and the first point of the second pulse, and wherein the determination that the short circuit is present between the first and second electrodes is also based on a comparison of the first, second, third and fourth readings.

8. The electrosurgical system of claim 7, wherein the determination that the short circuit is present between the first and second electrodes comprises:

counting a first number of tissue impedances selected from the first, second, third and fourth readings that are within a threshold impedance value of one another; and

when the first number of tissue impedances exceeds a threshold value, indicate a short circuit between the first and second electrodes.

9. The electrosurgical system of claim 1, wherein the control circuit is further programmed to terminate the electrosurgical system in responsive to the determination that the short circuit is present.