Electrosurgical system with suction control apparatus, system and method

• US 8,870,866 B2
• Filed: 04/27/2012
• Issued: 10/28/2014
• Est. Priority Date: 01/05/2007
• Status: Active Grant

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Woloszko, Jean
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US13/457,654
• Publication Number:
  US 20120215221A1
• Time in Patent Office: 914 Days
• Field of Search: 606 32- 45
• US Class Current: 606/50
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00583 Coblation, i.e. ablation using a cold plasma
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/007 Aspiration

Abstract

System and method for selectively applying electrical energy to structures within or on the surface of a patient'"'"'s body and controlling the flow of an electrically conductive fluid from the application site to provide or maintain a desired operating condition of the electrosurgical device. An electrosurgical probe is in communication with a fluid transport apparatus through a fluid transport lumen having an opening at an end proximate the application site and disposed proximate the electrosurgical probe. A controller in communication with the fluid transport apparatus provides control signals to the fluid transport apparatus in response to at least one operating parameter associated with the system. Based on the received control signals, the fluid transport apparatus adjusts a flow rate of the electrically conductive fluid at the application site through the fluid transport lumen in response to at least one operating parameter associated with the system.

Claims

1. A surgical method for treating tissue using an electrosurgical probe, the electrosurgical probe having a distal end including at least one active electrode, and a fluid transport lumen having an opening proximate the at least one active electrode, the method comprising:

positioning the distal end of the electrosurgical probe adjacent a target tissue;

generating a high frequency voltage between the at least one active electrode and a return electrode;

measuring at least one operating parameter associated with the high frequency voltage delivered by the electrosurgical probe, wherein the at least one operating parameter is indicative of an operating condition;

processing an operating parameter input indicative of the operating condition; and

controlling a fluid transport apparatus in communication with the fluid transport lumen based upon the operating parameter input;

wherein controlling the fluid transport apparatus further comprises adjusting a fluid flow through the opening in response to the operating condition to create a desired effect at the at least one active electrode.

2. The method of claim 1 wherein the operating condition is at least one selected from the group consisting of:

a status of a generator in communication with the electrosurgical probe;

a condition of a plasma field proximate the at least one active electrode; and

a condition of a vapor layer proximate the at least one active electrode.

3. The method of claim 2, wherein the condition of the plasma field provides input data indicative of a plasma field stability.

4. The method of claim 2 wherein the status of a generator in communication with the electrosurgical probe is indicative of the activation of the generator.

5. The method of claim 1, wherein generating the high frequency voltage comprises generating a first high frequency voltage at the at least one active electrode in a first operating mode, and controlling the fluid transport apparatus comprises activating the fluid transport apparatus.

6. The method of claim 5, wherein the first operating mode comprises an ablation mode.

7. The method of claim 1, wherein generating the high frequency voltage comprises generating a second high frequency voltage at the at least one active electrode in a second operating mode, and controlling the fluid transport apparatus comprises deactivating the fluid transport apparatus.

8. The method of claim 7, wherein the second operating mode comprises a coagulation mode.

9. The method of claim 1, wherein measuring the at least one operating parameter comprises measuring impedance.

10. The method of claim 1, wherein measuring the at least one operating parameter comprises measuring current.

11. The method of claim 1, wherein controlling the fluid transport apparatus comprises adjusting the fluid flow through the fluid transport apparatus.

12. The method of claim 11, wherein adjusting the fluid flow further comprises dynamically adjusting the fluid flow through the fluid transport apparatus.

13. The method of claim 11, wherein adjusting the fluid flow comprises initiating the fluid flow through the fluid transport apparatus.

14. The method of claim 11, wherein adjusting the fluid flow comprises ceasing the fluid flow through the fluid transport apparatus.

15. The method of claim 11, wherein adjusting the fluid flow comprises decreasing the fluid flow through the fluid transport apparatus.

16. The method of claim 11, wherein adjusting the fluid flow comprises increasing the fluid flow through the fluid transport apparatus.

17. The method of claim 11, wherein adjusting the fluid flow comprises maintaining a preselected fluid flow through the fluid transport apparatus.

18. The method of claim 1, wherein the operating condition is at least one selected from the group consisting of:

a condition at the distal end of the electrosurgical probe; and

a condition at a treatment surface of the electrosurgical probe.

19. The method of claim 18, wherein the operating condition provides input indicative of the presence of an obstruction at the distal end of the electrosurgical probe.

20. The method of claim 18, wherein the operating condition provides input indicative of a stability of a plasma field at the at least one active electrode.

21. A surgical method for treating tissue using an electrosurgical probe, the electrosurgical probe having a distal end including at least one active electrode, and a fluid transport lumen having an opening proximate the at least one active electrode, the method comprising:

positioning the distal end of the electrosurgical probe adjacent a target tissue;

generating a high frequency voltage between the at least one active electrode and a return electrode;

measuring at least one operating parameter, wherein the at least one operating parameter is indicative of an operating condition;

processing an operating parameter input indicative of the operating condition; and

controlling a fluid transport apparatus in communication with the fluid transport lumen based upon the operating parameter input;

wherein controlling the fluid transport apparatus further comprises adjusting a fluid flow through the opening in response to the operating condition to create a desired effect at the at least one active electrode, and wherein the operating condition is at least one selected from the group consisting of;

a status of a generator in communication with the electrosurgical probe;

a condition of a plasma field proximate the at least one active electrode; and

a condition of a vapor layer proximate the at least one active electrode.

22. The method of claim 21, wherein the condition of the plasma field provides input data indicative of a plasma field stability.

23. The method of claim 22, wherein the input data is derived by measuring one of current or impedance at the distal end of the electrosurgical probe.

24. A surgical method for treating tissue using an electrosurgical probe, the electrosurgical probe having a distal end including at least one active electrode, and a fluid transport lumen having an opening proximate the at least one active electrode, the method comprising:

positioning the distal end of the electrosurgical probe adjacent a target tissue;

generating a high frequency voltage between the at least one active electrode and a return electrode;

measuring at least one operating parameter, wherein the at least one operating parameter is indicative of an operating condition;

processing an operating parameter input indicative of the operating condition; and

controlling a fluid transport apparatus in communication with the fluid transport lumen based upon the operating parameter input;

wherein controlling the fluid transport apparatus further comprises adjusting a fluid flow through the opening in response to the operating condition to create a desired effect at the at least one active electrode, and wherein the operating condition is at least one selected from the group consisting of;

a condition at the distal end of the electrosurgical probe; and

a condition at a treatment surface of the electrosurgical probe.

25. The method of claim 24, wherein the operating condition provides input data indicative of the presence of an obstruction at the distal end of the electrosurgical probe.

26. The method of claim 24, wherein the operating condition provides input data indicative of a stability of a plasma field at the at least one active electrode.

27. The method of claim 26, wherein the input data is derived by measuring one of current or impedance at the distal end of the electrosurgical probe.