Electro-surgical system, an electro-surgical device, and a method for operating an electro-surgical system

Patent metadata

Field	Value
Publication number	US-9861427-B2
Application number	US-201314372777-A
Country	US
Kind code	B2
Filing date	Jan 16, 2013
Priority date	Jan 20, 2012
Publication date	Jan 9, 2018
Grant date	Jan 9, 2018

Abstract

An electro-surgical system ( 100 ) with an optical feedback functionality for performing electro-surgery on tissue ( 200 ) of patient. An electro-surgical device ( 105 ) has an electrode portion ( 110 ) with an optical guide ( 114 ) integrated therein. An optical unit ( 160 ) performs optical characterization of tissue type and/or condition, and is arranged for performing an analysis of the tissue type and/or condition. A control unit ( 170 ) generates a feedback control signal (FEEDCON) based on the analysis of the tissue type and/or condition, optical guide allows inspecting the tissue that is e.g. just a few millimeters ahead of the electrode portion ( 110 ) performing e.g. the cutting. As a result of the fast and reliable analysis performed by the spectrometer in the optical unit according to the present invention, the system can proactively react to what kind of tissue is in front of the electro-surgical portion i.e. the ‘blade’ of the electro-surgical device or the electro-surgical ‘knife’.

First claim

The invention claimed is:

1. An electro-surgical system ( 100 ) with an optical feedback functionality for performing electro-surgery on an associated subject, the system comprising:
an electro-surgical power source ( 150 ) capable of providing a high frequency (HF) signal,
an electro-surgical device ( 105 ), the device comprising:
a handling portion ( 130 ), and
an electrode portion ( 110 ), the electrode portion being electrically connected to the electro-surgical power source for receiving said high frequency (HF) signal so as to perform electro-surgery upon bringing the electrode portion into contact and/or proximity of said subject, and
an optical guide ( 114 ), wherein the optical guide comprises at least two or three optical sub guides, at least one optical sub guide for transmitting optical radiation for irradiation of tissue, and at least one optical sub guide for receiving optical radiation from the tissue, the optical guide being integrated into said electrode portion so that an optical exit position ( 115 a ) from the optical guide, and/or an optical entry position ( 115 b ) into the optical guide, are positioned with at least a part of said electrode portion between the handling portion and at least one of said optical entry and exit positions,

an optical unit ( 160 ) for optical characterization of tissue type and/or condition based on diffuse reflectance spectroscopy technique, the exit and entry positions being positioned with sufficient relative distance for diffusive reflectance spectrometry to be performed, the optical unit being optically connected to the optical guide for transmitting optical radiation ( 120 ), and receiving corresponding optical radiation, to and from, respectively, the tissue of the subject, the optical unit comprising:
an optical radiation source ( 160 a ) capable of emitting radiation,
a corresponding spectrometer ( 160 b ) capable of receiving corresponding radiation from the tissue and further arranged for performing an analysis of the tissue type and/or condition, and

a control unit ( 170 ) connected to the optical unit, the control unit being capable of generating a feedback control signal (FEEDCON) based on the analysis of the tissue type and/or condition.

2. The electro-surgical system according to claim 1 , wherein the feedback control signal is arranged for providing a feedback to the surgeon while using the electro-surgical system, such as a tactile, audible, and/or visible feedback.

3. The electro-surgical system according to claim 1 , wherein the feedback control signal is communicated to the electro-surgical power source, and, in dependency on an operation mode of the electro-surgical system, the feedback control signal is capable of changing and/or terminating the current operation mode of the electro-surgical system.

4. The electro-surgical system according to claim 1 , wherein the feedback control signal related to a specific portion of tissue is generated prior to performing electro-surgical surgery on said specific portion of tissue.

5. The electro-surgical system according to claim 1 , wherein the electrode portion has an elongated shape with a proximal end nearest the handle portion, and a distal end relative to the handling portion, the optical exit and/or entry positions being positioned at the distal end of the electrode portion.

6. The electro-surgical system according to claim 1 , wherein the optical guide and the optical unit are arranged for providing spatial information and/or positions of the tissue relative to the exit and entry positions of the optical guide.

7. The electro-surgical system according to claim 6 , wherein the feedback control signal (FEEDCON) based on the analysis of the tissue type and/or condition is further dependent on the said spatial information and/or positions of the tissue relative to the exit and entry positions of the optical guide.

8. The electro-surgical system according to claim 1 , wherein the optical unit for optical characterization of tissue type and/or condition is based on one, or more, of the optical techniques: diffuse reflectance, fluorescence, Raman, OCT, and multiple photon imaging.

9. The electro-surgical system according to claim 1 , wherein the optical unit comprises a dedicated processor and database with tissue specific absorption coefficients for performing tissue type and/or condition analysis.

10. The electro-surgical system according to claim 1 , wherein the electro-surgical device is further arranged for performing conductivity measurements of tissue, the result of said measurements being communicated to the control unit and applied in generating the feedback control signal.

11. The electro-surgical system according to claim 1 , wherein the electro-surgical device is further arranged for performing optical imaging of tissue through the optical guide, the optical image being communicated to the control unit and applied in generating the feedback control signal.

12. A method for operating an electro-surgical system ( 100 ) with an optical feedback functionality for performing electro-surgery on an associated subject, the method comprising:
providing an electro-surgical power source ( 150 ) capable of providing a high frequency (HF) signal,
providing an electro-surgical device ( 105 ), the device comprising:
a handling portion ( 130 ), and
an electrode portion ( 110 ), the electrode portion being electrically connected to the electro-surgical power source for receiving said high frequency (HF) signal so as to perform electro-surgery upon bringing the electrode portion into contact and/or proximity of said subject,
an optical guide ( 114 ), wherein the optical guide comprises at least two or three optical sub guides, at least one optical sub guide for transmitting optical radiation for irradiation of tissue, and at least one optical sub guide for receiving optical radiation from the tissue, the optical guide being integrated into said electrode portion so that an optical exit position ( 115 a ) from the optical guide, and/or an optical entry position ( 115 b ) into the optical guide, are positioned with least a part of said electrode portion between the handling portion and at least one of said optical entry and exit positions,

providing an optical unit ( 160 ) for optical characterization of tissue type and/or condition based on diffuse reflectance spectroscopy technique, the exit and entry positions being positioned with sufficient relative distance for diffusive reflectance spectrometry to be performed, the optical unit being optically connected to the optical guide for transmitting optical radiation ( 120 ), and receiving corresponding optical radiation, to and from, respectively, the tissue of the subject, the optical unit comprising:
an optical radiation source ( 160 a ) capable of emitting radiation,
a corresponding spectrometer ( 160 b ) capable of receiving corresponding radiation from the tissue and further arranged for performing an analysis of the tissue type and/or condition, and

providing a control unit ( 170 ) connected to the optical unit, the control unit being capable of generating a feedback control signal (FEEDCON) based on the analysis of the tissue type and/or condition.

Assignees

• Koninklijke Philips Nv

Inventors

• Hendriks Bernardus Hendrikus Wilhelmus
• Ruers Theodoor Jacques Marie
• Lucassen Gerhardus Wilhelmus
• Mueller Manfred
• Horikx Jeroen Jan
• Bierhoff Waltherus Cornelis Jozef
• Klewer Jasper
• Van Der Voort Marjolein
• Kahya Neriman Nicoletta
• Reich Christian

Classifications

• A61B2018/0091

  Handpieces of the surgical instrument or device · CPC title

• A61B2017/00061

  spectrum · CPC title

• A61B2018/00648

  using more than one sensed parameter · CPC title

• A61B2017/00057

  Light · CPC title

• A61B2018/00642

  with feedback, i.e. closed loop control · CPC title