The present application is related to surgical devices and methods. More specifically, the application is related to an electrosurgery system console and user interface.
Surgical devices that use energy to treat tissue in the body are used for a wide variety of procedures, to treat many different conditions and injuries. The assignee of the present application, for example, has developed a number of devices, systems and methods for treating airway tissue, specifically nasal upper airway tissue in some embodiments, by delivering energy to the tissue. For example, in some embodiments, an energy delivery device is inserted into a patient's nostril to deliver energy (and sometimes mechanical force) to tissue in the nose. This type of energy delivery treatment, for example radiofrequency (RF) energy delivery, may be used to reshape cartilage and/or other structures in the nose and/or to change other properties of tissues such as nasal mucosa. The treatments may address any of a wide variety of conditions, just two examples of which are nasal valve insufficiency (which may cause difficulty breathing through the nose) and chronic rhinitis (runny nose).
Electrosurgical devices typically include some type of stylus, wand, applicator or other handheld component for applying the energy to the patient (i.e., for performing the surgical procedure) and a generator, which may sometimes be referred to as a “box” or “console.” The generator is attached to the applicator via a cord, to provide energy to the applicator. In some cases, the generator may also send and/or receive signals to and from the applicator (for example, treatment algorithms, tissue temperature measurements, etc.). Although many different electrosurgical consoles have been developed over the years, it would still be advantageous to have an improved console. For example, an improved console might be specifically designed for a particular type of energy delivery device or a particular set of procedures.
This application describes various aspects and embodiments of an energy delivery system console (or “box”). More particularly, this application describes an improved user interface for an electrosurgical console/generator, which allows a physician user to monitor and alter treatment parameters for a particular treatment stylus, applicator, catheter or the like. The console is primarily described herein as a radiofrequency (RF) electrosurgical generator with a user interface/display. In alternative embodiments, however, the console, or a modified version thereof, may be part of a system that delivers other types of energy, such as but not limited to heat, laser, microwave, cryogenic cooling, DC current or ultrasound.
In one aspect of the present disclosure, a console for an electrosurgical device may include: a housing; an energy generator in the housing; a computer processor in the housing; a connector on the housing, for connecting the console with an energy delivery treatment device; a touchscreen display on the housing; and a non-transitory computer readable medium in the computer processor, containing computer-executable programming instructions for providing an active display on the touchscreen display. The active display includes a central circle, a countdown timer in the central circle for counting down a total time remaining in an energy delivery procedure, and an outer ring around the central circle. The outer ring indicates the total time remaining in the energy delivery procedure, a remaining time in an energy delivery stage of the energy delivery procedure, and a remaining time in a cooling stage of the energy delivery procedure.
In one embodiment, the energy generator is a radiofrequency (RF) generator, configured to deliver monopolar and/or bipolar RF energy to the energy delivery treatment device. In some embodiments, the outer ring changes colors in a clockwise direction to indicate elapsed time of the energy delivery procedure. Optionally, the active display may further include a start/stop button and a custom treatment button, both of which are configured to be activated by touch. Optionally, the active display may further include a temperature display, an energy on indicator, and/or a procedure count indicator, indicating a number of procedures completed using the energy delivery treatment device.
In some embodiments, the active display may further include a custom treatment button that, when activated, causes the display screen to display a custom treatment screen. The custom treatment screen may include, for example, a set cooling time window, a set power window, a set temperature window and/or a set procedure time window.
In some embodiments, the connector on the housing is configured to accept only one predefined type of energy delivery treatment device. Optionally, the non-transitory computer readable medium in the computer processor may include an energy delivery treatment device identifier for identifying the energy delivery treatment device that is connected to the console.
In another aspect of the present disclosure, an active display on a touchscreen of an electrosurgical device may include a central circle, a countdown timer in the central circle for counting down a total time remaining in an energy delivery procedure, and an outer ring around the central circle. The outer ring indicates the total time remaining in the energy delivery procedure, a remaining time in an energy delivery stage of the energy delivery procedure, and a remaining time in a cooling stage of the energy delivery procedure. The outer ring may change colors in a clockwise direction to indicate elapsed time of the energy delivery procedure and/or may include a line that moves around the outer ring in a clockwise direction to count down the total time remaining in the energy delivery procedure. All optional features described above may be included in the active display, according to various embodiments.
In another aspect of the present disclosure, a method for performing an energy delivery therapy on nasal airway tissue in a patient may involve: activating a console attached to an energy delivery stylus; advancing a distal end of the energy delivery stylus into a nostril of the patient; delivering energy from the energy delivery stylus to treat the nasal airway tissue; and watching a display on a display screen of the console. The display on the console may include a central circle, a countdown timer in the central circle for counting down a total time remaining in the energy delivery therapy, and a moving outer ring around the central circle, configured to indicate the total time remaining in the energy delivery therapy, a remaining time in an energy delivery stage of the energy delivery therapy, and a remaining time in a cooling stage of the energy delivery therapy. Finally, the method involves removing the energy delivery stylus from the nostril after completion of the cooling stage.
In some embodiments, delivering energy involves delivering radiofrequency energy, and the energy delivery stylus is a radiofrequency stylus. In some embodiments, delivering energy involves starting the delivery of energy by touching a start/stop button on the display screen and/or depressing a foot pedal coupled with the console.
The method may also involve observing a displayed temperature, a displayed number of procedures performed with the energy delivery stylus, an energy on indicator, and/or a stylus identifier on the display screen. The method may optionally involve touching a custom treatment button on the display screen to switch to a custom treatment display and setting a temperature, a power, a therapy time, and/or a cooling time, by touching at least one control button on the custom treatment display. Ion some embodiments, the method may include viewing an error display on the display screen and touching a back button on the display screen to return to a previous screen. The method may also optionally include viewing a settings display on the display screen and adjusting brightness and/or volume of the console by touching at least one controller on the display screen.
Optionally, the method may include, before removing the energy delivery stylus from the nostril: moving the distal end of the energy delivery stylus to a different location in the nasal airway; delivering energy from the energy delivery stylus to treat nasal airway tissue at the different location; and watching the display on the display screen of the console. The method may further include repeating the moving, delivering and watching steps as often as desired to perform the energy delivery therapy on the nasal airway tissue. In some embodiments, the method may include attaching the energy delivery stylus to the console and waiting for the console to confirm that the energy delivery stylus is approved for use, where the console activates after it confirms the energy delivery stylus is approved.
These and other aspects and embodiments of the disclosure are described in further detail below, in relation to the attached drawing figures.
Referring to
The RF ON indicator light 112 indicates when RF energy is being delivered through the stylus connection port 110 to the stylus 104. The bottom ring 114, in this embodiment, lights up when the console 102 is powered on. This lighted ring 114 is an optional feature. Both the RF ON indicator light 112 and the lighted bottom ring 114 may have any color or colors of light. In one embodiment, for example, the RF ON indicator light 112 is blue, and the bottom ring 114 lights up with a white light. This is merely one example, however, and any suitable lighting configuration and combination of colors may be used in alternative embodiments.
Referring now to
As mentioned above, in some embodiments, the console 102 may be programmed to identify the stylus 104 inserted into its connection port 110 and accept only specified styluses 104, for security and patient safety purposes. For example, the console 102 may accept only one specific brand of stylus 104. The console 102 may also be capable of determining whether a stylus 104 is new or used and may only work or activate when a new stylus 104 is inserted. This feature may be very helpful in protecting patients, since used styluses 104 may provide substandard performance. In some embodiments, the console 102 may monitor the use of a particular inserted stylus 104, determine when the stylus 104 has completed a predetermined amount of usage, and deactivate the stylus 104 and/or the console 102 when the predetermined amount is achieved.
In some embodiments, the console 102 may permanently deactivate the stylus 104 when it has reached its maximum number of uses. For example, in a given procedure on a nasal airway of a patient, the stylus 104 might be designed to deliver 10-20 treatments of RF delivery, or more specifically in some embodiments 12-15 treatments. Each treatment may last, for example, 15-20 seconds, or more specifically 18 seconds, with 10-15 seconds of cool-down time. If a doctor administers a maximum number of treatments with a given stylus 104, such as 15 treatments in one example, the console 102 will turn off or go into a deactivated mode and may also permanently deactivate the stylus or permanently mark it as “used.” If a user tries to insert a used stylus 104 into the console 102, the console 102 will not turn on or activate, and it may also provide the user with a signal on the screen 108, such as “Error” or “Used Stylus” or “Unusable Stylus” or the like.
In some embodiments, as will be described further below, the console 102 may be designed for use with different types of styluses 104 for different procedures. For example, one embodiment of the console 102 may be used with one type of stylus 104 for a nasal valve remodeling procedure, a second type of stylus 104 for a chronic rhinitis treatment procedure, a third type of stylus 104 for a soft palate procedure and/or the like. When each specific type of stylus 104 is inserted, the console 102 is programmed to identify the stylus 104 and provide a treatment algorithm designed for that particular stylus type. Again, if a used or incompatible stylus 104 is inserted, the console 102 will not activate or provide energy to the stylus 104.
Referring now to
The graphical treatment progress display 514 has several portions, according to the embodiment shown in
Other indicators on the screenshot image 500 also show that the treatment has not yet started. For example, the RF ON indicator light 509 is not illuminated yet, because the console 102 is not yet delivering RF energy to the stylus 104. The treatment number indicator 504 shows that zero (“0”) treatments have been performed with the stylus 104 that is currently plugged into the console 102. And the temperature indicator 501 shows a stylus temperature of 26 degrees Celsius. To begin a treatment, the physician user will touch the start/stop button 510 on the touchscreen display 108.
In the embodiment of
Referring now to
Other indicators that the treatment is in progress include the temperature indicator 501, showing a temperature of 60 degrees Celsius, and the treatment number indicator 504 showing that this is the first treatment being performed with the stylus 104 currently plugged into the console 102.
In some embodiments, the console 102 may be activated, and RF energy delivered to the stylus 104 in either of two ways—the start/stop button 510 may be touched, or a foot pedal coupled with the console 102 may be depressed. The RF ON indicator 509 lights up when the console 102 is delivering RF power. The stylus type connected indicator 506 indicates what type of stylus 104 is connected to the console 102, which in the example shown is a VivAer® Stylus. This indicator 506 may be useful in embodiments where the console 102 is configured for use with multiple different types of styluses. The stylus temperature indicator 501 shows the actual temperature of the distal, treatment end of the stylus 104. The treatment number indicator 504 displays the number of the treatment currently being completed with the stylus 104 that is attached to the console 102. Finally, the custom treatment button 507 allows the user to customize one or more treatment parameters. Touching the custom treatment button 507 will lead the user to a new display screen with different options. In alternative embodiments, the various icons and/or indicators on the default display 520 may be changed or moved. In some embodiments, one or more of the icons and/or indicators may be eliminated and/or additional indicators and/or buttons may be added.
Referring now to
In the screenshot of the main screen image 530 shown in
In various embodiments, any colors, shades, shapes, graphics and/or the like may be used for the various segments 511, 505 of the outer ring 513. In one embodiment, for example, the RF ON timer indicator 511 is navy blue, the cool down timer indicator 505 is gray, and the total treatment time remaining portion 513 is light blue. Any other colors may be used, however, in alternative embodiments. In another alternative embodiment, the entire ring 513 may be one color, and a line that acts as a timer may move clockwise around the ring 513, similar to a long hand on a clock. In a variation on such an embodiment, the color of the ring 513 behind the moving line may change. Thus, the ring 513 and the segments 511, 505 may have any suitable size, color scheme or configuration.
Additionally, the default (or custom) settings of the console 102 may have any suitable ranges and combinations for the various parameters of the console 102. For example, one timing default setting may have a total treatment time of 30 seconds, an RF ON time of 18 seconds, and a cooling time of 12 seconds. This is but one example, however, and any number of other time settings may alternatively be used. Total treatment time may be in minutes, for example, and each segment of the treatment may be measured in seconds and/or minutes. A default temperature may also be set for RF delivery, for example 60 degrees Celsius as the maximum temperature. Again, any suitable default settings may be set in various embodiments.
Referring now to
Through the custom treatment screen 630, the user can adjust the power (power window 618), temperature (temperature window 608), treatment time (RF on time window 607) and/or cool down time (cooling time window 606), by touching any one of the set windows and then touching the up button 616 and/or the down button 610 to adjust a given value. To set power, for example, the user may touch the power window 618 and then adjust the temperature by pressing the up button 616 or the down button 610. The console 102 may be configured to only allow adjustments within ranges. For example, the power on the console 102 may be selected at 3 W, 4 W or 5 W in one embodiment. Maximum stylus temperature may be selected in a range of 50 degrees Celsius to 70 degrees Celsius in one embodiment. RF energy delivery time (RF ON time) may be selected for between 6 seconds and 18 seconds, in 2-second increments, and cooling time may be selected for between 0 seconds and 12, in 3-second increments, in one embodiment. Any other suitable ranges and combinations of ranges may be used, in alternative embodiments, and those provided here are merely examples.
For the information of the user, the impedance display 602 and stylus usage count 604 are also displayed. The back button 611 can be touched to return to the default screen 500 (
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Although this application is believed to be complete and accurate, any suitable changes may be made to any of the described embodiments and features described above, without departing from the scope of the invention.
The present application claims priority to U.S. Provisional Patent Application Ser. No. 62/753,469, titled “Electrosurgical Device Console,” filed Oct. 31, 2019, the full disclosure of which is hereby incorporated by reference.
Number | Date | Country | |
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62753469 | Oct 2018 | US |