US6123702A
Expired / Lapsed
US
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Systems and methods for controlling power in an electrosurgical probe
Assignee: Boston Scientific Scimed Inc
•
Filing: 1998-09-10
•
Granted: 2000-09-26
•
Expires: 2018-09-10
Abstract
Abstract Systems and methods for controlling the power supplied to an electrosurgical probe are disclosed. The systems and methods may be used to monitor electrode-tissue contact, adjust power in response to a loss of contact, and apply power in such a manner that charring, coagulum formation and tissue popping are less likely to occur.
Inventors
- 👤 David K. Swanson
- 👤 Robert Burnside
- 👤 James G. Whayne
- 👤 Dorin Panescu
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 13:09
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/04; A61B18/12; A61B18/1206; A61B18/14; A61B18/1492; A61B2018/00053; A61B2018/0016; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00571; A61B2018/00577; A61B2018/00636; A61B2018/00642; A61B2018/00654; A61B2018/0069; A61B2018/00696; A61B2018/00702; A61B2018/00714; A61B2018/00726; A61B2018/00773; A61B2018/00791; A61B2018/00797; A61B2018/00803; A61B2018/00821; A61B2018/00875; A61B2018/124; A61B2018/1246; A61B2018/1253; A61B2018/128; A61B2018/1467
Claims Analysis
Total Claims: 41
Claim 1
Independent Claim
73 words
An apparatus for coagulating tissue, comprising: a support element; at least one operative element on the support element; and a control system, operably connected to the operative element, and adapted to measure impedance and determine whether the operative element is in contact with tissue and whether tissue in proximity to the operative element is viable tissue or non-viable tissue, at least one of the determinations being based on an impedance versus frequency profile.
Claim 2
Independent Claim
73 words
An apparatus for coagulating tissue, comprising: a support element; at least one operative element on the support element; and a control system, operably connected to the operative element, and adapted to measure impedance and determine whether the operative element is in contact with tissue and whether tissue in proximity to the operative element is viable tissue or non-viable tissue, at least one of the determinations being based on an impedance versus frequency profile.
Claim 3
Dependent Claim
19 words
An apparatus as claimed in claim 1, wherein the contact determination is based on the impedance versus frequency profile.
Claim 4
Dependent Claim
19 words
An apparatus as claimed in claim 1, wherein the viability determination is based on the impedance versus frequency profile.
Claim 5
Dependent Claim
14 words
An apparatus as claimed in claim 1, wherein the operative element comprises an electrode.
Claim 6
Dependent Claim
43 words
An apparatus as claimed in claim 1, wherein the control system is adapted to generate at least one of an audio alarm and a visual alarm in response to at least one of a non-viable tissue determination and a loss of contact determination.
Claim 7
Dependent Claim
16 words
An apparatus as claimed in claim 1, wherein the support element comprises a relatively stiff shaft.
Claim 8
Dependent Claim
28 words
An apparatus as claimed in claim 1, wherein the control system determines whether the operative element is in contact with viable tissue prior to initiating a coagulation procedure.
Claim 9
Independent Claim
73 words
An apparatus for coagulating tissue, comprising: a support element; at least one operative element on the support element; and a control system, operably connected to the operative element, that measures temperature at the operative element and determines whether the operative element is in contact with tissue and whether tissue in proximity to the operative element is viable tissue or non-viable tissue, at least one of the determinations being based on the temperature measurement.
Claim 10
Independent Claim
73 words
An apparatus for coagulating tissue, comprising: a support element; at least one operative element on the support element; and a control system, operably connected to the operative element, that measures temperature at the operative element and determines whether the operative element is in contact with tissue and whether tissue in proximity to the operative element is viable tissue or non-viable tissue, at least one of the determinations being based on the temperature measurement.
Claim 11
Dependent Claim
14 words
An apparatus as claimed in claim 8, wherein the operative element comprises an electrode.
Claim 12
Dependent Claim
43 words
An apparatus as claimed in claim 8, wherein the control system is adapted to generate at least one of an audio alarm and a visual alarm in response to at least one of a non-viable tissue determination and a loss of contact determination.
Claim 13
Dependent Claim
16 words
An apparatus as claimed in claim 8, wherein the support element comprises a relatively stiff shaft.
Claim 14
Dependent Claim
28 words
An apparatus as claimed in claim 8, wherein the control system determines whether the operative element is in contact with viable tissue prior to initiating a coagulation procedure.
Claim 15
Independent Claim
109 words
An apparatus for coagulating tissue, comprising: a support element; at least one electrode on the support element; a source of tissue coagulating energy operably connected to the electrode and adapted to supply energy at a first level suitable for tissue coagulation and at a second, non-zero level lower than the first level; and a control system, operably connected to the electrode, and adapted to determine whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue and to reduce the energy level from the first level to the second level in response to the loss of contact determination.
Claim 16
Independent Claim
109 words
An apparatus for coagulating tissue, comprising: a support element; at least one electrode on the support element; a source of tissue coagulating energy operably connected to the electrode and adapted to supply energy at a first level suitable for tissue coagulation and at a second, non-zero level lower than the first level; and a control system, operably connected to the electrode, and adapted to determine whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue and to reduce the energy level from the first level to the second level in response to the loss of contact determination.
Claim 17
Dependent Claim
17 words
An apparatus as claimed in claim 13, wherein the energy source comprises a radio frequency energy source.
Claim 18
Dependent Claim
30 words
An apparatus as claimed in claim 13, wherein the control system causes the energy source to ramp down to the second level in response to the loss of contact determination.
Claim 19
Dependent Claim
39 words
An apparatus as claimed in claim 13, wherein the control system causes the energy source to ramp up to the first level in response a determination that contact between the at least one electrode and tissue has been reestablished.
Claim 20
Independent Claim
115 words
A method of coagulating tissue, comprising the steps of: attempting to place an operative element in at least close proximity to tissue; performing a first data sensing operation to sense impedance data at various frequencies; comparing the impedance data to an impedance versus frequency profile to determine one of whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue; performing a second data sensing operation; and using the data sensed during the second data sensing operation to determine the other of whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue.
Claim 21
Independent Claim
115 words
A method of coagulating tissue, comprising the steps of: attempting to place an operative element in at least close proximity to tissue; performing a first data sensing operation to sense impedance data at various frequencies; comparing the impedance data to an impedance versus frequency profile to determine one of whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue; performing a second data sensing operation; and using the data sensed during the second data sensing operation to determine the other of whether the electrode is in contact with tissue and whether tissue in proximity to the electrode is viable tissue or non-viable tissue.
Claim 22
Dependent Claim
24 words
A method as claimed in claim 13, wherein the impedance data is used to determine whether the operative element is in contact with tissue.
Claim 23
Dependent Claim
24 words
A method as claimed in claim 13, wherein the impedance data is used to determine whether the tissue is viable tissue or non-viable tissue.
Claim 24
Independent Claim
66 words
A method of coagulating tissue, comprising the steps of: attempting to place an operative element in at least close proximity to tissue; performing a first data sensing operation to sense temperature data; using the temperature data to determine whether the tissue is viable tissue or non-viable tissue; and performing a second data sensing operation to determine whether the operative element is in contact with the tissue.
Claim 25
Independent Claim
66 words
A method of coagulating tissue, comprising the steps of: attempting to place an operative element in at least close proximity to tissue; performing a first data sensing operation to sense temperature data; using the temperature data to determine whether the tissue is viable tissue or non-viable tissue; and performing a second data sensing operation to determine whether the operative element is in contact with the tissue.
Claim 26
Independent Claim
126 words
An apparatus for coagulating tissue, comprising: a support element; at least one tissue heating element on the support element; at least one temperature sensor on the support element; a source of tissue heating energy operably connected to the tissue heating element and adapted to supply energy at a first level suitable for tissue coagulation and at a second, non-zero level lower than the first level, the second level being suitable to heat tissue with a predetermined rate of temperature rise when the tissue heating element is in contact with the tissue; and a control system, operably connected to the at least one temperature sensor, and adapted to determine whether the tissue heating element is in contact with the tissue based on feedback from the temperature sensor.
Claim 27
Independent Claim
126 words
An apparatus for coagulating tissue, comprising: a support element; at least one tissue heating element on the support element; at least one temperature sensor on the support element; a source of tissue heating energy operably connected to the tissue heating element and adapted to supply energy at a first level suitable for tissue coagulation and at a second, non-zero level lower than the first level, the second level being suitable to heat tissue with a predetermined rate of temperature rise when the tissue heating element is in contact with the tissue; and a control system, operably connected to the at least one temperature sensor, and adapted to determine whether the tissue heating element is in contact with the tissue based on feedback from the temperature sensor.
Claim 28
Dependent Claim
67 words
An apparatus as claimed in claim 13, wherein the control system is adapted to cause the energy source to provide energy to the at least one tissue heating element at the second level, receive a temperature signal from the at least one temperature sensor, and determine whether the tissue heating element is in contact with the tissue by determining whether the temperature has reached the predetermined temperature.
Claim 29
Dependent Claim
37 words
An apparatus as claimed in claim 22, wherein the control system is adapted to cause the energy source to provide energy at the first level in response a determination that the tissue has reached the predetermined temperature.
Claim 30
Dependent Claim
35 words
An apparatus as claimed in claim 22, wherein the control system will not cause the energy source to provide energy at the first level until a determination that the tissue has reached the predetermined temperature.
Claim 31
Dependent Claim
50 words
An apparatus as claimed in claim 22, wherein the control system is adapted to generate at least one of an audio alarm and a visual alarm in response to a determination that tissue did not reach the predetermined temperature in response to an application of energy at the second level.
Claim 32
Dependent Claim
16 words
An apparatus as claimed in claim 21, wherein the support element comprises a relatively stiff shaft.
Claim 33
Dependent Claim
15 words
An apparatus as claimed in claim 21, wherein the tissue heating element comprises an electrode.
Claim 34
Dependent Claim
20 words
An apparatus as claimed in claim 21, wherein the source of tissue heating energy comprises a source of RF energy.
Claim 35
Independent Claim
86 words
A method of coagulating tissue, comprising the steps of: attempting to place a tissue heating element in contact with tissue; supplying the tissue heating element with energy at a first level insufficient to coagulate the tissue and sufficient to cause the tissue to rise to a predetermined temperature level when the tissue heating element is in contact with the tissue; sensing the temperature of the tissue; and determining whether the tissue heating element is in contact with tissue based on the sensed temperature of the tissue.
Claim 36
Independent Claim
86 words
A method of coagulating tissue, comprising the steps of: attempting to place a tissue heating element in contact with tissue; supplying the tissue heating element with energy at a first level insufficient to coagulate the tissue and sufficient to cause the tissue to rise to a predetermined temperature level when the tissue heating element is in contact with the tissue; sensing the temperature of the tissue; and determining whether the tissue heating element is in contact with tissue based on the sensed temperature of the tissue.
Claim 37
Dependent Claim
42 words
A method as claimed in claim 29, further comprising the step of: supplying the tissue heating element with energy at a second level sufficient to coagulate tissue in response to a determination that the tissue heating element is in contact with tissue.
Claim 38
Dependent Claim
35 words
A method as claimed in claim 21, wherein the step of determining whether the tissue heating element is in contact with tissue comprises determining whether the temperature of the tissue rises at a predetermined rate.
Claim 39
Independent Claim
102 words
An apparatus for coagulating tissue, comprising: a support element; at least one electrode on the support element; a source of tissue coagulating energy operably connected to the electrode and adapted to supply energy at a first voltage suitable for tissue coagulation and at a second, non-zero voltage lower than the first voltage; and a control system, operably connected to energy source, and adapted to determine when there is a loss of contact between the at least one electrode and tissue and to reduce the voltage level from the first voltage to the second voltage in response to the loss of contact determination.
Claim 40
Independent Claim
102 words
An apparatus for coagulating tissue, comprising: a support element; at least one electrode on the support element; a source of tissue coagulating energy operably connected to the electrode and adapted to supply energy at a first voltage suitable for tissue coagulation and at a second, non-zero voltage lower than the first voltage; and a control system, operably connected to energy source, and adapted to determine when there is a loss of contact between the at least one electrode and tissue and to reduce the voltage level from the first voltage to the second voltage in response to the loss of contact determination.
Claim 41
Dependent Claim
30 words
An apparatus as claimed in claim 32, wherein the control system causes the energy source to ramp down to the second voltage in response to the loss of contact determination.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2003-09-26 | 2004-03-27 | 2004-09-26 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2007-09-26 | 2008-03-27 | 2008-09-26 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2011-09-26 | 2012-03-27 | 2012-09-26 | $7700.00 | Window Closed / Lapsed |