Method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm

• US 9,642,665 B2
• Filed: 02/27/2014
• Issued: 05/09/2017
• Est. Priority Date: 01/24/2006
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Weinberg, Craig, Leidich, Kari
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US14/192,112
• Publication Number:
  US 20140180275A1
• Time in Patent Office: 1,167 Days
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• 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 2018/00726 Duty cycle
• CPC Class Codes: A61B 2018/00767 Voltage
• 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 2018/00892 Voltage

Abstract

A system for performing an electrosurgical procedure at a surgical site is disclosed. The system includes a sensor configured to continually sense an electrical and/or a physical property of tissue at a surgical site and to generate a sensor signal as a function thereof. The system also includes a control module configured to process the sensor signal using a processor, an algorithm, and a map having one or more predetermined values. The control module is further configured to compare the sensor signal to a predetermined level to determine reliability of the sensor signal and to signal an electrosurgical generator in response to a reliable sensor signal such that the electrosurgical generator enters energy control mode, wherein the electrosurgical generator matches an output of the control signal with a predetermined value from the map.

Claims

1. A control system, comprising:

a sensor configured to sense at least one parameter related to tissue and to generate at least one sensor signal in response thereto; and

a controller configured to execute a control algorithm to process the at least one sensor signal to determine parameter data, the controller further configured to determine whether an initial reaction with the tissue has occurred based on a change in the at least one parameter and whether the parameter data is reliable or unreliable based on whether the initial reaction with the tissue has occurred, the parameter data being determined to be unreliable until the initial reaction occurs.

2. The control system according to claim 1, wherein the controller is operatively connected to an electrosurgical generator.

3. The control system according to claim 2, wherein, if the parameter data is reliable, the controller is configured to enter an energy control mode.

4. The control system according to claim 3, wherein the energy control mode controls the electrosurgical generator to output RF energy that matches at least one sensed parameter to a preset slope trajectory.

5. The control system according to claim 1, wherein the controller is configured to compare the at least one sensor signal to a predetermined level to determine reliability of the at least one sensor signal.

6. The control system according to claim 1, wherein the controller is prevented from sending unreliable parameter data to the control algorithm.

7. The control system according to claim 6, wherein the unreliable parameter data includes parameters having values above predetermined maximum values.

8. The control system according to claim 6, wherein the unreliable parameter data includes parameters having values below predetermined minimum values.

9. The control system according to claim 1, wherein the control system further includes a user interface for allowing a user to at least select and control the parameter data received from the sensor.

10. A method for performing an electrosurgical procedure, the method comprising:

sensing, via a sensor, at least one parameter related to tissue and generating at least one sensor signal in response thereto; and

executing, via a controller, a control algorithm to process the at least one sensor signal, to determine whether an initial reaction with the tissue at a surgical site has occurred based on a change in the at least one parameter, and to determine whether parameter data received from the sensor is reliable or unreliable based on whether the initial reaction with tissue has occurred at a surgical site, the parameter data being determined to be unreliable until the initial reaction occurs.

11. The method according to claim 10, further comprising operatively connecting the controller to an electrosurgical generator.

12. The method according to claim 11, further comprising allowing the controller to enter an energy control mode if the parameter data received from the sensor is reliable.

13. The method according to claim 12, further comprising regulating the electrosurgical generator, via the controller, to output RF energy that matches at least one sensed parameter to a preset slope trajectory.

14. The method according to claim 10, further comprising comparing the at least one sensor signal to a predetermined level, via the controller, to determine reliability of the at least one sensor signal.

15. The method according to claim 10, further comprising preventing the controller from sending unreliable parameter data to the control algorithm.

16. The method according to claim 15, wherein the unreliable parameter data includes parameters having values above predetermined maximum values.

17. The method according to claim 15, wherein the unreliable parameter data includes parameters having values below predetermined minimum values.

18. The method according to claim 10, further comprising providing a user interface for allowing a user to at least select and control the parameter data received from the sensor.

19. A method for performing an electrosurgical procedure, the method comprising:

sensing, via a sensor, at least one parameter related to tissue and generating at least one sensor signal in response thereto;

executing, via a controller, a control algorithm to process the at least one sensor signal, to determine whether an initial reaction with the tissue at a surgical site has occurred based on a change in the at least one parameter, and to determine whether parameter data received from the sensor is reliable or unreliable based on whether the initial tissue reaction has occurred at a surgical site, the parameter data being determined to be unreliable until the initial reaction occurs;

detecting, via the control algorithm, whether the at least one parameter related to tissue has increased at an initial time of operation to determine whether the initial tissue reaction has occurred at the surgical site; and

compensating and preventing, via the controller, the initial data from entering the control algorithm if the initial tissue reaction at the surgical site has not occurred.

20. The method according to claim 19, further comprising allowing a user to at least select and control, via a user interface, the parameter data received from the sensor.