Heat-distribution indicators, thermal zone indicators, electrosurgical systems including same and methods of directing energy to tissue using same

Patent metadata

Field	Value
Publication number	US-9439712-B2
Application number	US-201313920411-A
Country	US
Kind code	B2
Filing date	Jun 18, 2013
Priority date	Jul 12, 2012
Publication date	Sep 13, 2016
Grant date	Sep 13, 2016

Abstract

An electrosurgical system includes an electrosurgical power generating source, an energy applicator operably associated with the electrosurgical power generating source, a heat-distribution indicator adapted to change echogenic properties in response to heat generated by energy delivered by the energy applicator, and a processor unit configured to generate at least one electrical signal for controlling at least one operating parameter associated with the electrosurgical power generating source. The system also includes an imaging system capable of acquiring image data. The imaging system is communicatively-coupled to the processor unit. The processor unit is adapted to determine an ablation rate at least in part based on analysis of one or more images acquired by the imaging system.

First claim

What is claimed is:

1. A method of directing energy to tissue, comprising:
determining target tissue location and target tissue margins;
positioning an energy applicator for delivery of energy to target tissue;
positioning at least one heat-distribution indicator including at least one heat-sensitive element formed of a material having an echogenic property and adapted to phase transition at a predetermined temperature and in response thereto change the echogenic property;
transmitting energy from an electrosurgical power generating source through the energy applicator to the target tissue;
acquiring at least one ultrasound image including data representative of a change in the echogenic property of the at least one heat sensitive element of the at least one heat-distribution indicator in response to heat generated by the energy transmitted to the target tissue; and
determining at least one operating parameter associated with the electrosurgical power generating source based on a tissue ablation rate determined based at least in part on the response of the at least one heat sensitive element of the at least one heat-distribution indicator.

2. The method of directing energy to tissue of claim 1 , wherein acquiring the at least one ultrasound image includes:
acquiring at least one ultrasound image using a real-time ultrasonic scanner; and
acquiring at least one ultrasound image from a library.

3. The method of directing energy to tissue of claim 1 , wherein the energy applicator is mechanically-coupled to the at least one heat-distribution indicator.

4. The method of directing energy to tissue of claim 1 , wherein the at least one operating parameter associated with the electrosurgical power generating source is selected from the group consisting of temperature, impedance, power, current, voltage, mode of operation, and duration of application of electromagnetic energy.

5. The method of directing energy to tissue of claim 1 , wherein determining the at least one operating parameter associated with the electrosurgical power generating source includes:
determining a tissue ablation rate based at least in part on the response of the at least one heat sensitive element of the at least one heat-distribution indicator; and
determining the at least one operating parameter associated with the electrosurgical power generating source based at least in part on the tissue ablation rate.

6. A method of directing energy to tissue, comprising:
positioning an energy applicator for delivery of energy to target tissue, the energy applicator operably associated with an electrosurgical power generating source;
positioning at least one heat-distribution indicator including at least one heat-sensitive element formed of a material having an echogenic property and adapted to phase transition at a predetermined temperature and change the echogenic property;
transmitting energy from the electrosurgical power generating source through the energy applicator to the target tissue;
capturing a series of sequential ultrasound images of at least a portion of the target tissue including data representative of a change in the echogenic property of the at least one heat-sensitive element of the at least one heat-distribution indicator in response to heat generated by the energy transmitted to the target tissue;
analyzing the series of sequential ultrasound images to determine a tissue ablation rate based at least in part on the response of the at least one heat-sensitive element of the at least one heat-distribution indicator; and
determining at least one operating parameter associated with the electrosurgical power generating source based on the tissue ablation rate.

7. The method of directing energy to tissue of claim 6 , wherein capturing a series of sequential ultrasound images includes acquiring at least one ultrasound image using a real-time ultrasonic scanner.

8. The method of directing energy to tissue of claim 6 , wherein capturing a series of sequential ultrasound images further includes acquiring at least one ultrasound image from a library.

9. The method of directing energy to tissue of claim 6 , wherein the at least one heat-distribution indicator is positioned relative to at least one of the energy applicator and the target tissue.

10. The method of directing energy to tissue of claim 7 , wherein at least one of the at least one heat-distribution indicators is mechanically-coupled to the energy applicator.

11. The method of directing energy to tissue of claim 6 , wherein the at least one operating parameter associated with the electrosurgical power generating source is selected from the group consisting of temperature, impedance, power, current, voltage, mode of operation, and duration of application of electromagnetic energy.

12. A method of directing energy to tissue, comprising:
determining target tissue location and target tissue margins;
transmitting energy from an electrosurgical power generating source through an energy applicator to target tissue;
heating at least one heat-sensitive element of at least one heat-distribution indicator to a predetermined temperature, thereby changing at least one of a volume or a density of the at least one heat-sensitive element, the change in the at least one of the volume or the density of the at least one heat-sensitive element effecting a change of an echogenic property of the at least one heat-sensitive element;
capturing a series of sequential images of at least a portion of the target tissue including data representative of the change in the echogenic property of the at least one heat-sensitive element of the at least one heat-distribution indicator; and
analyzing the series of sequential images to assess proximity of margins of ablated tissue to the target tissue margins based at least in part on the change in the echogenic property of the at least one heat-sensitive element of the at least one heat-distribution indicator.

13. The method of directing energy to tissue of claim 12 , wherein the series of sequential images is a series of sequential ultrasound images.

14. The method of directing energy to tissue of claim 12 , further comprising determining at least one operating parameter associated with the electrosurgical power generating source based on the proximity of the margins of ablated tissue to the target tissue margins.

15. The method of directing energy to tissue of claim 14 , wherein the at least one operating parameter associated with the electrosurgical power generating source is selected from the group consisting of temperature, impedance, power, current, voltage, mode of operation, and duration of application of electromagnetic energy.

Assignees

• Covidien Lp

Inventors

• Sharonov Alexey

Classifications

• A61B34/25

  User interfaces for surgical systems · CPC title

• A61B5/0036 Primary

  including treatment, e.g., using an implantable medical device, ablating, ventilating · CPC title

• A61B2090/378

  using ultrasound · CPC title

• A61B2090/3925

  ultrasonic · CPC title

• G16H50/30

  for calculating health indices; for individual health risk assessment · CPC title