Bipolar electrode probe for ablation monitoring

• US 9,839,477 B2
• Filed: 10/29/2013
• Issued: 12/12/2017
• Est. Priority Date: 02/19/2010
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brannan, Joseph D.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US14/065,782
• Publication Number:
  US 20140058378A1
• Time in Patent Office: 1,505 Days
• Field of Search: 606 34- 42, 607 98-102
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2018/00702 Power or energy
• 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 2018/1869 with an instrument interstitially inserted into the body, e.g. needles

Abstract

An electromagnetic surgical ablation system having a generator adapted to selectively provide surgical ablative energy to an ablation probe, and methods of operating same, are disclosed. The system includes a controller operatively coupled to the generator, and at least one tissue sensor probe operatively coupled to the controller. The at least one tissue sensor provides a tissue impedance measurement to the controller. A sensor probe may be designated a threshold probe adapted to sense when tissue is sufficiently ablated, or, a critical structure probe adapted to protect an adjacent anatomical structure from undesired ablation. During an electromagnetic tissue ablation procedure, the controller monitors tissue impedance to determine tissue status, to activate an indicator associated therewith, and, additionally or alternatively, to activate and deactivate the generator accordingly.

Claims

1. An ablation system, comprising:

a generator adapted to selectively provide ablative energy;

an ablation probe operably coupled to the generator and adapted to receive the ablative energy from the generator and to deliver the ablative energy to tissue;

a controller operatively coupled to the generator, the controller including;

a processor;

a memory operatively coupled to the processor;

a user interface operatively coupled to the processor; and

a sensor interface circuit operatively coupled to the processor and adapted to receive at least one impedance sensor signal from at least one tissue sensor probe, the at least one tissue sensor probe operatively coupled to the controller, and including;

a shaft having a proximal end and a distal end and adapted for insertion into tissue;

a first electrode and a second electrode disposed on an outer surface of the shaft and adapted to operably couple to the sensor interface circuit to sense tissue impedance; and

an identifier configured to transmit an electrical signal to the controller to identify the at least one tissue sensor probe as either a critical structure probe or a threshold probe.

2. The ablation system in accordance with claim 1, wherein the controller includes an indicator that activates when a sensed tissue impedance parameter exceeds a predetermined threshold.

3. The ablation system in accordance with claim 2, wherein the indicator is selected from the group consisting of a visual indicator, an audible indicator, and a haptic indicator.

4. The ablation system in accordance with claim 1, wherein the controller is operable to deactivate the generator when a sensed tissue impedance parameter exceeds a predetermined threshold.

5. The ablation system in accordance with claim 1, wherein the controller is configured to receive identification data from the identifier.

6. The ablation system in accordance with claim 1, wherein at least one of the first and second electrodes is annular in shape and disposed coaxially about the shaft.

7. The ablation system in accordance with claim 1, further including an actuator operatively coupled to the controller and configured to selectively activate the generator.

8. The ablation system in accordance with claim 1, wherein the identifier includes at least one of an RFID tag, a semiconductor memory device and an encoded electrical component.

9. An ablation system, comprising:

a generator adapted to selectively provide energy;

an ablation probe operably coupled to the generator and adapted to deliver energy to tissue;

a plurality of tissue sensing probes, each of the plurality of tissue sensing probes including an identifier that identifies each of the plurality of tissue sensing probes as either a threshold probe or a critical structure probe;

a controller configured to transmit an electrical signal to the identifier and determine whether each of the plurality of tissue sensing probes is a threshold probe or a critical structure probe and whether a sensed tissue impedance parameter from each of the plurality of tissue sensing probes exceeds a predetermined tissue impedance parameter threshold, wherein, for the critical structure probe, the predetermined tissue impedance parameter threshold is indicative of a pre-denaturation state of tissue and, for the threshold probe, the predetermined tissue impedance parameter threshold is indicative of denaturation of tissue.

10. The ablation system in accordance with claim 9, wherein the controller is configured to automatically deactivate the generator in response to a determination that the sensed tissue impedance parameter from each of the plurality of tissue sensing probes exceeds the predetermined tissue impedance parameter threshold.

11. The ablation system in accordance with claim 9, wherein the predetermined tissue impedance parameter threshold indicative of a pre-denaturation state of tissue is an initial rise in impedance.

12. The ablation system in accordance with claim 9, wherein the predetermined tissue impedance parameter threshold indicative of denaturation of tissue is a rate of change of impedance exceeding a predetermined rate.

13. The ablation system in accordance with claim 9, further comprising an actuator operatively coupled to the controller and configured to selectively activate the generator.

14. The ablation system in accordance with claim 9, wherein the controller is configured to receive identification data from the identifier.

15. The ablation system in accordance with claim 9, wherein the identifier includes at least one of an RFID tag, a semiconductor memory device and an encoded electrical component.