Electrosurgical apparatus with integrated energy sensing at tissue site

• US 9,693,816 B2
• Filed: 01/30/2012
• Issued: 07/04/2017
• Est. Priority Date: 01/30/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Orszulak, James H.
• Primary Examiner(s): Wehrheim, Lindsey G
• Application Number:
  US13/360,925
• Publication Number:
  US 20130197503A1
• Time in Patent Office: 1,982 Days
• Field of Search: 606 33, 606 34, 607 33, 607 34
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2018/00095 high, i.e. heat conducting
• CPC Class Codes: A61B 2018/00755 Resistance or impedance
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00892 Voltage
• 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

Abstract

An electrosurgical system is disclosed. The system includes an electrosurgical instrument having at least one electrode configured as a first sensor for measuring a voltage drop therethrough and a temperature sensor for a thermal sensor configured to measure a temperature difference across the at least one electrode; and a generator including an output stage coupled to the at least one electrode, the output stage configured to generate radio frequency energy; and a controller configured to determine actual radio frequency current based on the voltage drop and electrical resistivity of the at least one electrode and radio frequency power based on the measured temperature difference and the thermal conductivity of the at least one electrode.

Claims

1. An electrosurgical system, comprising:

an electrosurgical instrument including an electrode having a first connection, a second connection, and an active lead, each of which is electrically coupled to the electrode, the first and second connections configured to measure a voltage drop across the electrode; and

a generator including;

an output stage coupled to the electrode via the active lead, the output stage configured to generate radio frequency energy; and

a controller configured to calculate actual radio frequency current supplied to the tissue based on the measured voltage drop of the electrode and an electrical resistivity of the electrode.

2. The electrosurgical system according to claim 1, wherein the generator further includes a non-transitory storage medium readable by the controller, the non-transitory storage medium configured to store the electrical resistivity of the electrode.

3. The electrosurgical system according to claim 2, wherein the electrosurgical instrument further includes a thermal sensor coupled to the electrode, the thermal sensor configured to measure a temperature difference across electrode.

4. The electrosurgical system according to claim 3, wherein the non-transitory storage medium is configured to store thermal conductivity of the electrode.

5. The electrosurgical system according to claim 4, wherein the controller is further configured to determine power based on the measured temperature difference and the thermal conductivity of the electrode.

6. The electrosurgical system according to claim 5, wherein the controller is further configured to determine tissue impedance based on the calculated power and current.

7. The electrosurgical system according to claim 1, wherein the generator further includes at least one active output terminal coupled to the active lead and a return output terminal coupled to a return lead, the electrosurgical instrument is coupled to the active lead and the return lead, and the electrode is coupled to the generator through sensor leads electrically coupled to the first and second connections.

8. The electrosurgical system according to claim 7, further comprising:

an electrosurgical cable including a dielectric core, wherein the sensor leads are disposed within the dielectric core and at least a portion of each of the active lead and the return lead are wound in a double helix about the dielectric core to minimize an electrical field generated thereby.

9. An electrosurgical system, comprising:

an electrosurgical instrument including;

an electrosurgical instrument including an electrode having a first connection, a second connection, and an active lead, each of which is electrically coupled to the electrode, the first and second connections configured to measure a voltage drop across the electrode; and

a thermal sensor coupled to the electrode, the thermal sensor configured to measure a temperature difference across the electrode; and

a generator including;

an output stage coupled to the electrode via the active lead, the output stage configured to generate radio frequency energy; and

a controller configured to calculate actual radio frequency current supplied to the tissue based on the measured voltage drop of the electrode and an electrical resistivity of the electrode.

10. The electrosurgical system according to claim 9, wherein the generator further includes a non-transitory storage medium readable by the controller, the non-transitory storage medium configured to store the electrical resistivity value and thermal conductivity of the electrode.

11. The electrosurgical system according to claim 10, wherein the controller is further configured to determine power based on the measured temperature difference and the thermal conductivity of the electrode.

12. The electrosurgical system according to claim 11, wherein the controller is further configured to determine tissue impedance based on the calculated power and current.

13. The electrosurgical system according to claim 9, wherein the generator further includes at least one active output terminal coupled to the active lead and a return output terminal coupled to a return lead, the electrosurgical instrument is coupled to the active lead and the return lead, and each of the voltage and thermal sensors is coupled to the generator through a sensor lead.

14. The electrosurgical system according to claim 13, further comprising:

an electrosurgical cable including a dielectric core, wherein the sensor leads are disposed within the dielectric core and at least a portion of each of the active lead and the return lead are wound in a double helix about the dielectric core to minimize an electrical field generated thereby.

15. The electrosurgical system according to claim 9, wherein the electrosurgical instrument is an electrosurgical forceps including at least one shaft member having an end effector disposed at a distal end thereof, the end effector including two jaw members movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween, each of the jaw members including an electrically conductive sealing surface forming the electrode, wherein one electrically conductive sealing surface is coupled to the active lead and another electrically conductive sealing surface is coupled to the return lead.

16. The electrosurgical system according to claim 15, wherein the voltage and thermal sensors are disposed within at least one of the jaw members.

17. A method comprising:

measuring a voltage drop across an electrode of an electrosurgical instrument through a first connection electrically coupled to the electrode and a second connection electrically coupled the electrode, the electrosurgical instrument being coupled to a generator;

storing an electrical resistivity value of the electrode in a non-transitory storage medium readable by a controller; and

calculating actual radio frequency current supplied to the tissue based on the measured voltage drop of the electrode and the electrical resistivity of the electrode.

18. The method according to claim 17, further comprising:

storing a thermal conductivity value of the electrode in a non-transitory storage medium readable by a controller;

measuring temperature of the electrode; and

determining power based on the measured temperature difference and the thermal conductivity of the electrode.

19. The method according to claim 18, further comprising:

determining tissue impedance based on the calculated power and current.