System and method for output control of electrosurgical generator

• US 8,226,639 B2
• Filed: 06/10/2008
• Issued: 07/24/2012
• Est. Priority Date: 06/10/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Podhajsky, Ronald J., Johnson, Kristin D., Case, Jason
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): FOWLER, DANIEL WAYNE
• Application Number:
  US12/136,620
• Publication Number:
  US 20090306648A1
• Time in Patent Office: 1,505 Days
• Field of Search: 606/34
• US Class Current: 606/34
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1206 Generators therefor
• 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 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance

Abstract

An electrosurgical system and method are disclosed. The system includes an electrosurgical generator adapted to supply electrosurgical energy to tissue. The generator includes sensor circuitry adapted to continuously monitor tissue impedance to generate a variance impedance curve and a microprocessor adapted to calculate a slope of a segment of the variance impedance curve. The microprocessor also calculates a bubble factor that represents the rate of formation and absorption of bubbles within tissue to determine minimum tissue impedance and maximum tissue conductance. The system further includes an electrosurgical instrument which includes one or more active electrodes adapted to apply electrosurgical energy to tissue.

Claims

1. An electrosurgical system comprising:

an electrosurgical generator adapted to supply electrosurgical energy to tissue, the generator including;

sensor circuitry adapted to continuously monitor tissue impedance to generate a variance impedance curve; and

a microprocessor programmed to calculate a slope of at least one segment of the variance impedance curve and a bubble factor representing rate of formation and absorption of bubbles within tissue to determine minimum tissue impedance and maximum tissue conductance; and

an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue;

wherein the microprocessor is further programmed to generate a moving time window to select the at least one segment of the variance impedance curve and divide the at least one segment into a first half and a second half, the first half representing a downward slope having a minimum impedance and the second half representing an upward slope advancing toward a maximum impedance.

2. A system according to claim 1, wherein the microprocessor is further adapted to adjust output of the electrosurgical generator as a function of the bubble factor to maintain minimum tissue impedance and maximum tissue conductance.

3. A system according to claim 1, wherein the microprocessor is further adapted to calculate a first average impedance value for the first half of the at least one segment and a second average impedance value for the second half of the at least one segment and compare the first and second average impedance values.

4. A system according to claim 1, wherein the microprocessor is further adapted to calculate a first variance of impedance values for the first half of the at least one segment and a second variance of impedance values for the second half of the at least one segment and subtract the first variance of impedance values from the second variance of impedance values.

5. A system according to claim 4, wherein the microprocessor is further adapted to adjust output of the electrosurgical generator as a function of the bubble factor, wherein if the calculated bubble factor is positive, output is decreased, if the bubble factor is negative, output is increased, and if the bubble factor is approximately zero, the output is unchanged.

6. A method for performing electrosurgical procedures:

applying electrosurgical energy to tissue from an electrosurgical generator;

continuously monitoring tissue impedance to generate a variance impedance curve;

calculating a slope of at least one segment of the variance impedance curve;

calculating a bubble factor representing rate of formation and absorption of bubbles within tissue to determine minimum tissue impedance and maximum tissue conductance;

generating a moving time window to select the at least one segment of the variance impedance curve; and

dividing the at least one segment into a first half and a second half the first half representing a downward slope having a minimum impedance and the second half representing an upward slope advancing toward a maximum impedance.

7. A method according to claim 6, further comprising the step of:

adjusting output of the electrosurgical generator as a function of the bubble factor to maintain minimum tissue impedance and maximum tissue conductance.

8. A method according to claim 6, wherein the step of calculating a slope comprises:

calculating a first average impedance value for the first half of the at least one segment and a second average impedance value for the second half of the at least one segment; and

comparing the first and second average impedance values.

9. A method according to claim 6, wherein the step of calculating a bubble factor comprises:

calculating a first variance of impedance values for the first half of the at least one segment and a second variance of impedance values for the second half of the at least one segment; and

subtracting the first variance of impedance values from the second variance of impedance values.

10. A method according to claim 9, further comprising the step of:

adjusting output of the electrosurgical generator as a function of the bubble factor, wherein if the calculated bubble factor is positive, output is decreased, if the bubble factor is negative, output is increased, and if the bubble factor is approximately zero, the output is unchanged.

11. An electrosurgical generator adapted to supply electrosurgical energy to tissue comprising:

sensor circuitry adapted to continuously monitor tissue impedance to generate a variance impedance curve; and

a microprocessor programmed to calculate a slope of at least one segment of the variance impedance curve and a bubble factor representing rate of formation and absorption of bubbles within tissue to determine minimum tissue impedance and maximum tissue conductance;

wherein the microprocessor is further programmed to generate a moving time window to select the at least one segment of the variance impedance curve and divide the at least one segment into a first half and a second half, the first half representing a downward slope having a minimum impedance and the second half representing an upward slope advancing toward a maximum impedance.

12. An electrosurgical generator according to claim 11, wherein the microprocessor is further adapted to adjust output of the electrosurgical generator as a function of the bubble factor to maintain minimum tissue impedance and maximum tissue conductance.

13. An electrosurgical generator according to claim 11, wherein the microprocessor is further adapted to calculate a first average impedance value for the first half of the at least one segment and a second average impedance value for the second half of the at least one segment and comparing the first and second average impedance values.

14. An electrosurgical generator according to claim 11, wherein the microprocessor is further adapted to calculate a first variance of impedance values for the first half of the at least one segment and a second variance of impedance values for the second half of the at least one segment and subtracting the first variance of impedance values from the second variance of impedance values.

15. An electro surgical generator according to claim 14, wherein the microprocessor is further adapted to adjust output of the electrosurgical generator as a function of the bubble factor, wherein if the calculated bubble factor is positive, output is decreased, if the bubble factor is negative, output is increased, and if the bubble factor is approximately zero, the output is unchanged.