Electrosurgical system
Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated. An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
1. A electrosurgical system for application of treatment energy to a patient involved in bipolar electrosurgery, the system comprising:
an electrosurgical generator configured to generate and output a treatment energy along with a measurement signal;
an electrosurgical control unit configured to direct the output of treatment energy and a measurement signal; and
a bipolar electrosurgical tool removably connected to one of the electrosurgical generator and the electrosurgical control unit and arranged to contact tissue via similarly sized electrodes on movable jaws and apply the treatment energy and the measurement signal to the tissue between the electrodes,
wherein the electrosurgical control unit is configured to measure permittivity and conductivity of the tissue through the application of the measurement signal, determine an initial phase angle based on a product of the measured permittivity and conductivity of the tissue, and determine an end point phase angle from the determined initial phase angle, the end point phase angle being a phase difference between applied voltage and current of the treatment energy and indicating fusion of the tissue in direct contact with the electrodes and the electrosurgical control unit disrupts the application of the treatment energy when a phase angle of the applied treatment energy exceeds the end point phase angle.
2. The system of claim 1 wherein the electrosurgical control unit applies the measurement signal prior to the application of the treatment energy and further includes band pass filters to permit continuous application of the measurement signal during the application of the treatment energy.
3. The system of claim 1 wherein the electrosurgical control unit disrupts the application of the treatment energy when a derivative of the phase difference of the applied treatment energy exceeds a pre-determined phase derivative.
4. The system of claim 3 wherein the electrosurgical control unit measures impedance of the electrosurgical tool and adjusts the end point phase angle based on the measured impedance.
5. The system of claim 4 wherein the end point phase angle is decreased based on adjustments of the initial phase angle that is decreased as compared to a predetermined phase angle of a predetermined electrosurgical tool when the impedance of the electrosurgical tool is greater than capacitance of the predetermined electrosurgical tool.
6. The system of claim 4 wherein the end point phase angle is increased when the impedance of the electrosurgical tool is less than capacitance of a predetermined electro surgical tool.
7. The system of claim 3 wherein the electrosurgical control unit measures capacitance of the electrosurgical tool and adjusts the end point phase angle based on the measured capacitance of the electrosurgical tool.
8. The system of claim 7 wherein the end point phase angle is decreased based on adjustments of the initial phase angle that is decreased as compared to a predetermined phase angle of a predetermined electrosurgical tool when the capacitance of the electrosurgical tool is greater than capacitance of the predetermined electrosurgical tool.
9. The system of claim 7 wherein the end point phase angle is increased when the capacitance of the electrosurgical tool is less than capacitance of a predetermined electrosurgical tool.
10. The system of claim 1 wherein the electrosurgical control unit disrupts the application of the treatment energy when a derivative of the phase difference exceeds 0.01 degrees per second.