Vessel sealing system
View Patent ↗A method for electrosurgically sealing a tissue includes steps of: (A) applying a first pulse of RF energy to the tissue; and (B) applying at least one subsequent RF energy pulse to the tissue and keeping constant or varying RF energy parameters of individual pulses of subsequent RF energy pulses in accordance with at least one characteristic of an electrical transient that occurs during the individual RF energy pulses. The method terminates the generation of the at least one subsequent RF pulse upon a determination that the electrical transient is absent.
1. A method for electrosurgically sealing tissue comprising the steps of:
providing an electrosurgical generator including an RF energy source and a controller that controls the operation of the electrosurgical generator, the electrosurgical generator having an output which couples to at least one electrode of a surgical instrument;
instructing the controller to activate the electrosurgical generator to generate an initial pulse of RF energy to tissue to measure a value of an electrical characteristic of the tissue in response to the applied initial pulse;
determining an initial set of pulse parameters for at least one subsequent pulse based on the initial pulse of RF energy to tissue; and
controlling the pulse parameters of individual pulses of further subsequent RF energy pulses in accordance with a change in the electrical characteristics of the tissue as determined from at least one characteristic of an electrical transient that occurs during at least one RF energy pulse.
2. A method as in claim 1 , wherein the duration of the initial pulse of RF energy is about 100 milliseconds.
3. A method as in claim 1 , wherein the value of an electrical characteristic of the tissue is selected from a group consisting of an electric current transient and tissue impedance.
4. A method as in claim 3 , wherein the electric current transient is selected from a group consisting of a rate of change of an electric current transient, a rate of change of the tissue impedance, and phase rotation of voltage and current.
5. A method as in claim 1 , wherein the initial set of pulse parameters is selected from a group consisting of a magnitude of a starting power, a magnitude of a starting voltage, a magnitude of a starting current, RF power output, current, voltage and pulse width and duty cycle.
6. A method as in claim 1 , wherein the change in the electrical characteristics of the tissue is selected from electric current transient and tissue impedance.
7. A method as in claim 6 , wherein the electric current transient is selected from a group consisting of a rate of change of an electric current transient, a rate of change of the tissue impedance, and phase rotation of voltage and current.
8. A method as in claim 1 , further comprising the step of determining if the tissue responded to the first pulse of RF energy prior to the step of applying at least one subsequent RF energy pulse.
9. A method as in claim 1 , further comprising the step of modifying predetermined parameters of the set of RE energy parameters in accordance with a control input from an operator.
10. A method as in claim 1 , further comprising the step of terminating generation of at least one of the subsequent RF energy pulses upon a determination that the electrical transient is absent.
11. A method as in claim 1 , wherein the step determining an initial set of pulse parameters further includes the step of using the measured value of an electrical characteristic of tissue to readout at least two or more RF energy parameters from an entry in one of a plurality of lookup tables.
12. A method as in claim 11 , wherein the RF energy parameters in one of the plurality of lookup tables includes power, start voltage, voltage decay and dwell time.
13. A method as in claim 11 , wherein the one of the plurality of lookup tables is selected manually or automatically, based on a choice of an electrosurgical tool or instrument.
14. A method as in claim 1 , wherein the at least one characteristic of an electrical transient is selected from a group consisting of electric current transient and tissue impedance.
15. A method as in claim 14 , wherein the electric current transient is selected from a group consisting of a rate of change of an electric current transient, a rate of change of the tissue impedance, and phase rotation of voltage and current.