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 method of delivering therapeutic energy to an electrosurgical device having two jaws with corresponding electrodes, the method comprising:
delivering 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;
determining an amount of energy delivered to the jaws delivered during the first therapeutic electrosurgical energy pulse;
calculating 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
delivering 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 method of claim 1 , wherein determining the second dwell time includes:
determining an electrical characteristic of the biological tissue; and
calculating the second dwell time based on the determined amount of energy and the determined electrical characteristic.
3. The method of claim 2 , wherein determining the electrical characteristic of the biological tissue includes:
determining an impedance of the biological tissue.
4. The method of claim 2 , determining the electrical characteristic of the biological tissue includes:
determining a phase angle.
5. The method of claim 1 , wherein determining the second dwell time includes:
initiating a timer upon delivery of a current of the first therapeutic electrosurgical energy pulse and stop the timer after the current is delivered;
comparing the timer to one or more values; and
determining the second dwell time based on the comparison.
6. A method of delivering therapeutic energy to an electrosurgical device having two jaws with corresponding electrodes, the method comprising:
delivering 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;
initiating a timer upon delivery of the first therapeutic electrosurgical energy pulse;
determining that the biological tissue has boiled and stop the timer after determining that the biological tissue has boiled;
comparing the timer to one or more values;
calculating a second dwell time based on the comparison, wherein the second dwell time is less than the first dwell time; and
delivering 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 method of delivering therapeutic energy to an electrosurgical device having two jaws with corresponding electrodes, the method comprising:
delivering 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;
determining an amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse;
calculating 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
delivering 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 method of claim 7 , further comprising:
determining an amount of charge delivered during the first therapeutic electrosurgical energy pulse,
wherein calculating the second dwell time based on the determined amount of electrosurgical current includes:
calculating the second dwell time based on the determined amount of charge.
9. The method of claim 7 , wherein determining the amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse includes:
determining a peak current delivered during the first therapeutic electrosurgical energy pulse.
10. The method of claim 7 , wherein determining the amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse includes:
determining a current as a function of time delivered during the first therapeutic electrosurgical energy pulse.
11. The method of claim 7 , wherein determining the amount of electrosurgical current delivered during the first therapeutic electrosurgical energy pulse includes:
determining a total current delivered during the first therapeutic electrosurgical energy pulse.