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

• US 10,582,964 B2
• Filed: 05/04/2017
• Issued: 03/10/2020
• Est. Priority Date: 01/24/2006
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Weinberg, Craig, Leidich, Kari
• Primary Examiner(s): Peffley, Michael F
• Application Number:
  US15/586,871
• Publication Number:
  US 20170231685A1
• Time in Patent Office: 1,041 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 method for controlling a surgical energy supplied to tissue using a surgical instrument, the method comprising:

applying a low power pulse of energy to tissue;

determining tissue impedance based on a reaction of the tissue to the low power pulse;

determining an initial set of parameters based on the tissue impedance;

applying a pulse of energy to the tissue according to the initial set of parameters;

measuring a transient pulse width of the pulse of energy; and

determining whether an amplitude of the pulse of energy is less than an ending amplitude.

2. The method of claim 1, further comprising:

comparing the transient pulse width to a threshold; and

adjusting a dwell time of the surgical instrument based on the comparison of the transient pulse width and the threshold.

3. The method of claim 2, wherein adjusting the dwell time of the surgical instrument includes increasing the dwell time of the surgical instrument in response to the transient pulse width being above the threshold.

4. The method of claim 2, wherein adjusting the dwell time of the surgical instrument includes decreasing the dwell time of the surgical instrument in response to the transient pulse width being below a threshold.

5. The method of claim 1, further comprising:

preventing further pulses of energy from being supplied to the tissue in response to the amplitude of the pulse of energy being less than the ending amplitude.

6. The method of claim 1, further comprising:

determining whether the tissue impedance is less than a low impedance threshold.

7. The method of claim 6, further comprising:

preventing further pulses of energy from being supplied to the tissue in response to the tissue impedance being less than a low impedance threshold.

8. The method of claim 1, further comprising:

determining whether the tissue impedance is greater than a high impedance threshold.

9. The method of claim 8, preventing further pulses of energy from being supplied to the tissue in response to the tissue impedance being greater than a high impedance threshold.

10. The method of claim 1, further comprising:

applying one or more further pulses of energy to the tissue.

11. The method of claim 10, further comprising:

measuring an application time, the application time being a time period during which the one or more further pulses of energy are applied to the tissue.

12. The method of claim 11, further comprising:

determining whether the application time exceeds a max energy application time.

13. The method of claim 12, further comprising:

discontinuing application of the one or more further pulses of energy to the tissue in response to the application time exceeding a max energy application time.

14. The method of claim 10, further comprising:

measuring a transient pulse width of the one or more further pulses of energy.