Dwell time between pulses in electrosurgical systems
Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.
1. A surgical system comprising:
a control circuit; and
an output circuit coupled to the control circuit and configured to deliver energy to an output terminal for delivery to a patient, the output terminal configured to couple to an electrosurgical device having two jaws with corresponding electrodes,
wherein the control circuit is configured to:
deliver a first therapeutic electrosurgical energy pulse to biological tissue in electrical communication with two electrodes of the electrosurgical device, wherein the first therapeutic electrosurgical energy pulse is followed by a first dwell time;
determine an amount of energy delivered to the jaws delivered during the first therapeutic electrosurgical energy pulse;
calculate a second dwell time based on the determined amount of energy delivered during the first therapeutic electrosurgical energy pulse, wherein the second dwell time is less than the first dwell time; and
deliver a second therapeutic electrosurgical energy pulse to the biological tissue, wherein the second therapeutic electrosurgical energy pulse is followed by the second dwell time.
2. The surgical system of claim 1 , wherein the control circuit configured to determine the second dwell time is configured to:
determine an electrical characteristic of the tissue; and
calculate the second dwell time based on the determined amount of energy and the determined electrical characteristic.
3. The surgical system of claim 2 , wherein the determined electrical characteristic is impedance.
4. The surgical system of claim 2 , wherein the determined electrical characteristic is a phase angle.
5. The surgical system of claim 1 , wherein the control circuit configured to determine the second dwell time is configured to:
initiate a timer upon delivery of a current of the first therapeutic electrosurgical energy pulse and stop the timer after the current is delivered;
compare the timer to one or more values; and
determine the dwell time based on the comparison.
6. A surgical system comprising:
a control circuit; and
an output circuit coupled to the control circuit and configured to deliver energy to an output terminal for delivery to a patient, the output terminal configured to couple to an electrosurgical device having two jaws with corresponding electrodes,
wherein the control circuit is configured to:
deliver a first therapeutic electrosurgical energy pulse to biological tissue in electrical communication with two electrodes of the electrosurgical device, wherein the first therapeutic electrosurgical energy pulse is followed by a first dwell time;
initiate a timer upon delivery of the first therapeutic electrosurgical energy pulse;
determine that the biological tissue has boiled and stop the timer after determining that the biological tissue has boiled;
compare the timer to one or more values;
calculate a second dwell time based on the comparison, wherein the second dwell time is less than the first dwell time; and
deliver a second therapeutic electrosurgical energy pulse to the biological tissue, wherein the second therapeutic electrosurgical energy pulse is followed by the second dwell time.
7. A surgical system comprising:
a control circuit; and
an output circuit coupled to the control circuit and configured to deliver energy to an output terminal for delivery to a patient, the output terminal configured to couple to an electrosurgical device having two jaws with corresponding electrodes,
wherein the control circuit is configured to:
deliver a first therapeutic electrosurgical energy pulse to biological tissue in electrical communication with two electrodes of the electrosurgical device, wherein the first therapeutic electrosurgical energy pulse is followed by a first dwell time;
determine an amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse;
calculate a second dwell time based on the determined amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse, wherein the second dwell time is less than the first dwell time; and
deliver a second therapeutic electrosurgical energy pulse to the biological tissue, wherein the second therapeutic electrosurgical energy pulse is followed by the second dwell time.
8. The surgical system of claim 7 , wherein the control circuit is configured to:
determine an amount of charge delivered during the first therapeutic electrosurgical energy pulse,
wherein the control circuit configured to calculate the second dwell time based on the determined amount of electrosurgical current is configured to:
calculate the second dwell time based on the determined amount of charge.
9. The surgical system of claim 7 , wherein the amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse is a peak current.
10. The surgical system of claim 7 , wherein the amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse is a current delivered as a function of time.
11. The surgical system of claim 7 , wherein the amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse is a total current.