Systems and methods for managing fluid and suction in electrosurgical systems
View Patent ↗Aspects of the present disclosure include control systems of an electrosurgical system for managing the flow of fluid, such as saline, and rates of aspiration or suction, in response to various states of conditions at a surgical site. The control system(s) may monitor and adjust to impedance at the surgical site, temperature of the surgical tissue, and/or RF current of electrodes, and may account for certain undesirable conditions, such as the electrodes sticking. The control systems may include various automatic sensing scenarios, while also allowing for several manual conditions.
1. An electrosurgical device comprising:
a housing;
a shaft extending distally from the housing;
an end effector coupled to a distal end of the shaft, the end effector comprising:
a first electrode and a second electrode;
a diverter comprising a planar top surface, a planar bottom surface in opposition to the planar top surface, a first terminal lateral side in mechanical communication with an inner side of an exposed longitudinal extent of the first electrode and a second terminal lateral side in mechanical communication with an inner side of an exposed longitudinal extent of the second electrode;
a suction port, wherein the suction port is maintained at a location beneath the planar top surface of the diverter;
a fluid port disposed above the planar top surface of the diverter; and
a control system communicatively coupled to the suction port and the fluid port and configured to control a fluid flow rate of a fluid flowing out of the fluid port and a rate of suction of a fluid flowing into the suction port.
2. The electrosurgical device of claim 1 , further comprising:
a first fluid path in fluid communication with the fluid port; and
a second fluid path in fluid communication with the suction port;
wherein the housing is configured to enclose a first portion of the first fluid path and a first portion of the second fluid path; and
wherein the shaft is configured to enclose a second portion of the first fluid path and a second portion of the second fluid path.
3. The electrosurgical device of claim 1 , further comprising an impedance sensor configured to measure an impedance value at the first electrode or the second electrode.
4. The electrosurgical device of claim 3 , wherein the control system is configured to control the fluid flow rate of the fluid flowing out of the fluid port based on the measured impedance value.
5. The electrosurgical device of claim 4 , wherein the control system is further configured to control the rate of suction of the fluid flowing into the suction port based on the measured impedance value.
6. The electrosurgical device of claim 3 , wherein the control system is configured to:
detect an impedance spike based on a drastic change in impedance from the impedance sensor; and
in response, increase the fluid flow rate of the fluid flowing out of the fluid port.
7. The electrosurgical device of claim 1 , further comprising a radio frequency (RF) current sensor configured to measure RF current applied to the first electrode or the second electrode.
8. The electrosurgical device of claim 7 , wherein the control system is configured to control the fluid flow rate of the fluid flowing out of the fluid port based on the measured RF current.
9. The electrosurgical device of claim 8 , wherein the control system is further configured to control the rate of suction of the fluid flowing into the suction port based on the measured RF current.
10. The electrosurgical device of claim 1 , further comprising a temperature sensor configured to measure temperature of the fluid suctioned into the suction port.
11. The electrosurgical device of claim 10 , wherein the control system is configured to control the fluid flow rate of the fluid flowing out of the fluid port based on the measured temperature of the fluid suctioned into the suction port.
12. The electrosurgical device of claim 11 , wherein the control system is further configured to control the rate of suction of the fluid flowing into the suction port based on the measured temperature of the fluid suctioned into the suction port.
13. The electrosurgical device of claim 1 , wherein the end effector further comprises a partially deflectable member that is configured to increase the fluid flow rate of the fluid flowing out of the fluid port as the partially deflectable member increases in deflection.
14. The electrosurgical device of claim 1 , wherein the control system is further configured to increase the fluid flow rate of the fluid flowing out of the fluid port the longer the first electrode and the second electrode apply energy.
15. The electrosurgical device of claim 1 , wherein the control system is further configured to decrease the fluid flow rate of the fluid flowing out of the fluid port the longer the first electrode and the second electrode apply energy.
16. The electrosurgical device of claim 1 , further comprising a user interface console communicatively coupled to the control system and configured to receive an input from a user to manually control an initial value of the fluid flow rate of the fluid flowing out of the fluid port.
17. The electrosurgical device of claim 16 , wherein the control system is further configured to automatically increase the fluid flow rate of the fluid flowing out of the fluid port after the initial value of the fluid flow rate is manually specified from the user interface console; wherein the automatic increase of the fluid flow rate occurs based on an earlier rise in measured temperature of the fluid flowing into the suction port if the initial value of the fluid flow rate is manually specified at a slower fluid rate, and the automatic increase of the fluid flow rate occurs based on a later rise in measured temperature of the fluid flowing into the suction port if the initial value of the fluid flow rate is manually specified at a faster fluid rate.