Terminating drying cycles by monitoring impedance in electrosurgical systems

Patent metadata

Field	Value
Publication number	US-12059191-B2
Application number	US-202016874376-A
Country	US
Kind code	B2
Filing date	May 14, 2020
Priority date	May 9, 2019
Publication date	Aug 13, 2024
Grant date	Aug 13, 2024

Abstract

Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.

First claim

The invention claimed is:

1. A surgical generator configured to generate and provide controlled electrical power of a therapeutic signal to biological tissue in electrical communication with a surgical instrument, the surgical generator comprising:
a measurement circuit coupled to a control circuit and configured to measure a first impedance, a second impedance, and a third impedance of the biological tissue during a therapeutic phase; and
the control circuit in communication with an electrical-energy source, the electrical-energy source electrically coupled to the surgical instrument and configured to generate the therapeutic signal, the control circuit configured to:
store the first impedance measurement as a minimum impedance measurement;
store the second impedance measurement as the minimum impedance measurement when the second impedance measurement is less than the first impedance measurement;
control an energy delivery of the therapeutic signal provided to the biological tissue during a therapeutic phase; and
in response to the third impedance measurement changing by a predetermined delta impedance value, reduce but continue the energy delivery during the therapeutic phase, wherein the predetermined delta impedance is a change in impedance relative to the minimum impedance measurement during a pulse of the therapeutic signal.

2. The surgical generator of claim 1 , wherein the control circuit is configured to:
control an electrical power of the therapeutic signal provided to the biological tissue.

3. The surgical generator of claim 1 , wherein the control circuit is configured to:
control a voltage of the therapeutic signal provided to the biological tissue.

4. The surgical generator of claim 3 , wherein the control circuit is configured to:
monitor the voltage of the therapeutic signal; and
maintain the voltage when the voltage meets a voltage threshold.

5. The surgical generator of claim 1 , wherein the therapeutic phase is a drying phase.

6. The surgical generator of claim 5 , wherein the measurement circuit is configured to measure the first impedance conducted by the biological tissue and measure the third impedance conducted by the biological tissue during the drying phase, and wherein the control circuit is configured to:
control the electrical-energy source to provide a drying signal to the biological tissue during the drying phase; and
reduce the drying phase in response to a comparison between minimum impedance measurement and the third impedance measurement indicating a phase change of liquid in the biological tissue.

7. The surgical generator of claim 6 , wherein the control circuit is configured to control the drying signal according to a drying schedule.

8. A surgical generator configured to generate and provide controlled electrical power of a therapeutic signal to biological tissue in electrical communication with a surgical instrument, the surgical generator comprising:
a measurement circuit coupled to a control circuit and configured to measure a first impedance, a second impedance, and a third impedance of the biological tissue during a therapeutic phase; and
the control circuit in communication with an electrical-energy source, the electrical-energy source electrically coupled to the surgical instrument and configured to generate the therapeutic signal, the control circuit configured to:
store the first impedance measurement as a minimum impedance measurement;
store the second impedance measurement as the minimum impedance measurement when the second impedance measurement is less than the first impedance measurement;
control an energy delivery of the therapeutic signal provided to the biological tissue during a therapeutic phase; and
in response to the third impedance measurement changing by a predetermined delta impedance value, reduce but continue the energy delivery during the therapeutic phase, wherein the predetermined delta impedance is a change in impedance relative to the minimum impedance measurement taken at a set time interval after the therapeutic phase has begun.

9. The surgical generator of claim 8 , wherein the control circuit is configured to:
control an electrical power of the therapeutic signal provided to the biological tissue.

10. The surgical generator of claim 8 , wherein the control circuit is configured to:
control a voltage of the therapeutic signal provided to the biological tissue.

11. The surgical generator of claim 10 , wherein the control circuit is configured to:
monitor the voltage of the therapeutic signal; and
maintain the voltage when the voltage meets a voltage threshold.

12. The surgical generator of claim 8 , wherein the therapeutic phase is a drying phase.

13. The surgical generator of claim 12 , wherein the measurement circuit is configured to measure the first impedance conducted by the biological tissue and measure the third impedance conducted by the biological tissue during the drying phase, and wherein the control circuit is configured to:
control the electrical-energy source to provide a drying signal to the biological tissue during the drying phase; and
reduce the drying phase in response to a comparison between minimum impedance measurement and the third impedance measurement indicating a phase change of liquid in the biological tissue.

14. The surgical generator of claim 13 , wherein the control circuit is configured to control the drying signal according to a drying schedule.

15. A method of generating and providing controlled electrical power of a therapeutic signal to biological tissue in electrical communication with a surgical instrument, the method comprising:
measuring a first impedance, a second impedance, and a third impedance of the biological tissue during a therapeutic phase;
storing the first impedance measurement as a minimum impedance measurement;
storing the second impedance measurement as the minimum impedance measurement when the second impedance measurement is less than the first impedance measurement;
generating the therapeutic signal;
controlling an energy delivery of the therapeutic signal provided to the biological tissue during a therapeutic phase; and
in response to the third impedance measurement changing by a predetermined delta impedance value, reducing but continuing the energy delivery during the therapeutic phase, wherein the predetermined delta impedance is a change in impedance relative to the first impedance measurement during a pulse of the therapeutic signal.

16. The method of claim 15 , comprising:
controlling an electrical power of the therapeutic signal provided to the biological tissue.

17. The method of claim 15 , comprising:
controlling a voltage of the therapeutic signal provided to the biological tissue.

18. The method of claim 17 , comprising:
monitoring the voltage of the therapeutic signal; and
maintaining the voltage when the voltage meets a voltage threshold.

Assignees

• Gyrus Acmi Inc

Inventors

• Batchelor Kester Julian
• Williams Wayne

Classifications

• A61B2018/1467

  using more than two electrodes on a single probe · CPC title

• A61B2018/00767

  Voltage · CPC title

• A61B2018/00714

  Temperature · CPC title

• A61B2017/00154

  pulsed · CPC title

• A61B18/1442

  Probes having pivoting end effectors, e.g. forceps · CPC title