Electrosurgical instrument for delivering blended energy modalities to tissue

Patent metadata

Field	Value
Publication number	US-12023086-B2
Application number	US-202016885900-A
Country	US
Kind code	B2
Filing date	May 28, 2020
Priority date	Dec 30, 2019
Publication date	Jul 2, 2024
Grant date	Jul 2, 2024

Abstract

An electrosurgical system comprising an end effector and a control circuit is disclosed. The end effector comprises a first jaw and a second jaw. At least one of the first jaw and the second jaw is movable to transition the end effector from an open configuration to a closed configuration to grasp tissue therebetween. The control circuit is configured to cause an application of two different energy modalities to the tissue simultaneously and separately during a tissue treatment cycle comprising a tissue coagulation stage and a tissue transection stage.

First claim

What is claimed is:

1. An electrosurgical system, comprising:
an end effector, comprising:
a first jaw; and
a second jaw, wherein at least one of the first jaw and the second jaw is movable to transition the end effector from an open configuration to a closed configuration to grasp tissue therebetween;

a motor to transition the at least one of the first jaw and the second jaw from the open configuration to the closed configuration; and
a control circuit comprising a processor and a storage medium, wherein the control circuit is configured to cause an application of two different energy modalities to the tissue simultaneously and separately during a tissue treatment cycle comprising a tissue coagulation stage and a tissue transection stage, wherein the application of the two different energy modalities is based on a predetermined power scheme stored in the storage medium wherein the predetermined power scheme defines activation of both of the two different energy modalities during the tissue coagulation stage and activation of only one of the two different energy modalities during the tissue transection stage, and wherein the control circuit is to adjust the predetermined power scheme based on a parameter of the motor.

2. The electrosurgical system of claim 1 , wherein the two different energy modalities comprises a monopolar energy modality.

3. The electrosurgical system of claim 2 , wherein the two different energy modalities comprises a bipolar energy modality.

4. The electrosurgical system of claim 3 , wherein the control circuit is configured to activate an application of the monopolar energy modality to the tissue prior to a completion of the tissue coagulation stage by the bipolar energy modality.

5. The electrosurgical system of claim 3 , wherein the control circuit is configured to activate an application of the monopolar energy modality to the tissue prior to deactivation of a bipolar energy modality application to the tissue.

6. The electrosurgical system of claim 3 , wherein the control circuit is configured to cause a simultaneous application of the monopolar energy modality and the bipolar energy modality to the tissue during the tissue coagulation stage.

7. The electrosurgical system of claim 1 , further comprising at least one sensor, and wherein the control circuit is configured to modify the predetermined power scheme based on one more sensor readings of the at least one sensor.

8. The electrosurgical system of claim 1 , wherein the parameter comprises one of a velocity of the motor, a torque of the motor, or a current draw of the motor.

9. An electrosurgical instrument, comprising:
an end effector, comprising:
a first jaw; and
a second jaw, wherein at least one of the first jaw and the second jaw is movable to transition the end effector from an open configuration to a closed configuration to grasp tissue therebetween;

a motor to transition the at least one of the first jaw and the second jaw from the open configuration to the closed configuration; and
a control circuit comprising a processor and a storage medium, wherein the control circuit is configured to cause an application of three different energy modalities to the tissue during a tissue treatment cycle comprising a tissue coagulation stage and a tissue transection stage, wherein the application of the three different energy modalities is based on a default power scheme wherein the default power scheme defines activation of a first energy modality and a second energy modality during the tissue coagulation stage and activation of a third energy modality during the tissue transection stage, and wherein the control circuit is to modify the default power scheme based on a parameter of the motor.

10. The electrosurgical instrument of claim 9 , wherein the first energy modality comprises a bipolar energy.

11. The electrosurgical instrument of claim 10 , wherein the second energy modality comprises an energy blend of a monopolar energy and the bipolar energy.

12. The electrosurgical instrument of claim 11 , wherein the third energy modality comprises the monopolar energy but not the bipolar energy.

13. The electrosurgical instrument of claim 12 , wherein an activation of a monopolar energy application to the tissue is configured to begin prior to a completion of the tissue coagulation stage.

14. The electrosurgical instrument of claim 12 , wherein an activation of a monopolar energy application to the tissue is configured to begin prior to a deactivation of an application of the bipolar energy to the tissue.

15. The electrosurgical instrument of claim 9 , wherein the default power scheme is stored in the storage medium.

16. The electrosurgical instrument of claim 15 , further comprising at least one sensor, wherein the control circuit is configured to adjust the default power scheme during the tissue treatment cycle based on one more sensor readings of the at least one sensor.

17. The electrosurgical instrument of claim 9 , wherein the parameter comprises one of a velocity of the motor, a torque of the motor, or a current draw of the motor.

18. An electrosurgical system, comprising:
a first generator configured to output a bipolar energy;
a second generator configured to output a monopolar energy;
a surgical instrument electrically coupled to the first generator and the second generator, wherein the surgical instrument comprises:
an end effector, comprising:
a first jaw; and
a second jaw, wherein at least one of the first jaw and the second jaw is movable to transition the end effector from an open configuration to a closed configuration to grasp tissue therebetween; and

a control circuit, comprising:
a processor; and
a storage medium comprising program instructions that, when executed by the processor, causes the processor to cause the first generator and the second generator to apply a predetermined power scheme to the end effector, wherein the predetermined power scheme comprises a simultaneous application and a separate application of the bipolar energy and the monopolar energy to the tissue in a tissue treatment cycle;

wherein the power scheme comprises:
an application of the bipolar energy but not the monopolar energy to the tissue in a feathering segment of the tissue treatment cycle; and
a simultaneous application of the bipolar energy and the monopolar energy to the tissue in a tissue warming segment and a tissue sealing segment of the tissue treatment cycle.

19. The electrosurgical system of claim 18 , wherein the power scheme further comprises an application of the monopolar energy but not the bipolar energy to the tissue in a tissue transection segment of the tissue treatment cycle.

20. The electrosurgical system of claim 18 , further comprising at least one sensor, wherein the control circuit is configured to adjust the power scheme during the tissue treatment cycle based on one more sensor readings of the at least one sensor.

Assignees

• Cilag Gmbh Int

Inventors

• Shelton Iv Frederick E
• Fiebig Kevin M
• Eckert Chad E
• Aronhalt Taylor W

Classifications

• A61B2018/124

  switching the output to different electrodes, e.g. sequentially · CPC title

• A61B2018/00982

  combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes · CPC title

• A61B18/1206 Primary

  Generators therefor · CPC title

• A61B2018/0063

  Sealing · CPC title

• A61B2018/00589

  Coagulation · CPC title