System and method for tissue sealing

Abstract

An electrosurgical system is disclosed. The electrosurgical system includes an electrosurgical generator adapted to supply electrosurgical energy to tissue. The electrosurgical generator includes impedance sensing circuitry which measures impedance of tissue, a microprocessor configured to determine whether a tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid, and an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

Various embodiments of the present disclosure are described herein with reference to the drawings wherein:

FIG. 1 is a perspective view of one embodiment of an electrosurgical system according to the present disclosure;

FIG. 2 is a schematic block diagram of a generator algorithm according to the present disclosure;

FIG. 3 is a rear, perspective view of the end effector of FIG. 1 shown with tissue grasped therein;

FIG. 4 is a side, partial internal view of an endoscopic forceps according to the present disclosure;

FIG. 5 is a perspective view of an open bipolar forceps according to the present disclosure;

FIGS. 6A-B shows a flow chart showing a sealing method using the endoscopic bipolar forceps according to the present disclosure;

FIG. 7 shows a graph illustrating the changes occurring in tissue impedance during sealing utilizing the method shown in FIG. 5; and

FIG. 8 shows a current v. impedance control curve according to the present disclosure.

Claims

1. An electrosurgical system comprising: an electrosurgical generator adapted to supply electrosurgical energy to tissue, the electrosurgical generator including:impedance sensing circuitry which measures impedance of tissue; anda microprocessor configured to determine whether a tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid; andan electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue.

2. An electrosurgical system according to claim 1, wherein the microprocessor is configured to generate a target impedance trajectory as a function of measured impedance and desired rate of change based on the tissue reaction determination, the target impedance trajectory including a plurality of target impedance values.

3. An electrosurgical system according to claim 2, wherein the microprocessor is configured to drive tissue impedance along the target impedance trajectory by adjusting the output level of the electrosurgical generator to substantially match tissue impedance to a corresponding target impedance value.

4. An electrosurgical system according to claim 1, wherein the microprocessor is adapted to generate a threshold impedance value as a function of an offset impedance value and an ending impedance value, wherein the offset impedance value is obtained after an initial impedance measurement.

5. An electrosurgical system according to claim 4, wherein the microprocessor is configured to determine whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

6. An electrosurgical system according to claim 5, wherein the microprocessor is configured to adjust output of the electrosurgical generator in response to the determination whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

7. An electrosurgical system according to claim 1, wherein the microprocessor is further configured to detect a hysteresis artifact to determine whether the tissue reaction is stable.

8. A method for performing an electrosurgical procedure comprising the steps of: applying electrosurgical energy at an output level to tissue from an electrosurgical generator;determining whether tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid; andgenerating a target impedance trajectory as a function of measured impedance and desired rate of change based on the tissue reaction determination, the target impedance trajectory including a plurality of target impedance values.

9. A method according to claim 8, further comprising the step of driving tissue impedance along the target impedance trajectory by adjusting the output level to substantially match tissue impedance to a corresponding target impedance value.

10. A method according to claim 8, further comprising the step of: generating a threshold impedance value as a function of an offset impedance value and an ending impedance value, wherein the offset impedance value is obtained after an initial impedance measurement.

11. A method according to claim 10, further comprising the step of: determining whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

12. A method according to claim 11, further comprising the step of: adjusting output of the electrosurgical generator in response to the determination whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

13. A method according to claim 8, detecting a hysteresis artifact to determine whether the tissue reaction is stable.

14. An electrosurgical generator comprising: an RF output stage adapted to supply electrosurgical energy to tissue;impedance sensing circuitry which measures impedance of tissue;a microprocessor configured to determine whether tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid, the microprocessor being configured to generate a target impedance trajectory as a function of measured impedance and desired rate of change based on the tissue reaction determination, wherein the target impedance trajectory includes a plurality of target impedance values; andan electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue.

15. An electrosurgical generator according to claim 14, wherein the microprocessor is configured to drive tissue impedance along the target impedance trajectory by adjusting the output level to substantially match tissue impedance to a corresponding target impedance value.

16. An electrosurgical generator according to claim 14, wherein the microprocessor is adapted to generate a threshold impedance value as a function of an offset impedance value and an ending impedance value, wherein the offset impedance value is obtained after an initial impedance measurement.

17. An electrosurgical generator according to claim 16, wherein the microprocessor is further configured to determine whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

18. An electrosurgical generator according to claim 17, wherein the microprocessor is configured to adjust output of the electrosurgical generator in response to the determination whether tissue impedance is at least equal to the threshold impedance for a predetermined shutoff period.

19. An electrosurgical generator according to claim 14, wherein the microprocessor is configured to detect a negative deviation between tissue impedance and a corresponding target impedance value associated with an unexpected drop in tissue impedance, wherein the microprocessor verifies the negative deviation is stable.

20. An electrosurgical generator according to claim 19, wherein in response to detection of the negative deviation, the microprocessor is configured to determine whether a subsequent tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid, the microprocessor being configured to generate a subsequent target impedance trajectory as a function of measured impedance and desired rate of change based on the tissue reaction determination.