Patent classifications
A61B2018/0075
CARDIAC PULSED FIELD ABLATION
A method for ablating tissue by applying at least one pulse train of pulsed-field energy. The method includes delivering a pulse train of energy having a predetermined frequency to cardiac tissue, the pulse train including at least 60 pulses, an inter-phase delay between 0 s and 5 s, an inter-pulse delay of at least 5 s, and a pulse width of 5 s.
Gain compensation for a full bridge inverter
An electrosurgical generator includes a gain-compensated full bridge topology. Gain nonlinearity is corrected by applying impedance and phase correction factors to a control loop to achieve a linear gain structure. In embodiments, gain compensation is performed by comparing an RF setpoint signal with a calculated output signal to generate a first error signal. An impedance correction factor is applied to the first error signal to generate a second error signal. The second error signal is processed by a proportional-integral-derivative controller to generate a phase control signal. A phase control correction factor is applied to the phase control signal to generate a corrected pulse width modulation driving signal, which is used to generate PWM driving signals for a full-bridge inverter. One or more sensors provide feedback for comparison with the RF setpoint.
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 powera product of a voltage difference across and an electrical current conducted by the engaged biological tissueis 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.
Terminating a pulse based upon measurements taken within the pulse 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 powera product of a voltage difference across and an electrical current conducted by the engaged biological tissueis 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.
ELECTROSURGICAL GENERATOR VERIFICATION SYSTEM
Systems and methods for performing a self-verification system test upon activation of an electrosurgical generator are described. The systems and methods allow for enhancing surgical outcomes by providing generators having accurate RF energy generation, measurement, calibration and self-testing system. This is achieved through implementation of an automated self-verification process at a power start-up of the generator, which allows for rapidly identifying a potential generator issue prior to any use of a connected electrosurgical instrument or supply of any RF energy to the tissue or vessel through the electrosurgical instrument. Additionally, one or more internal impedance loads are integrated within the electrosurgical generator. The internal impedance loads with multiple configurations are utilized to verify the voltage, current, power, and/or phase measurements of the generator. By incorporating or integrating the self-verification process and its related hardware resources within the electrosurgical generator, many improvements in outcome of pre-surgical procedures may be achieved.
SYSTEMS AND METHODS FOR ACTIVATING TRANSDUCERS
In some embodiments, a plurality of transducers of a transducer-based device may be selected for activation. A first pair of subsets of the selected transducers may be identified for initial activation, each subset of the first pair being activated with a different phase angle range than the other. No transducer in one subset is sufficiently close to a transducer in the other subset to cause a confluence of ablated tissue regions therebetween. The first pair of subsets may be activated simultaneously or concurrently. Upon activation or a conclusion thereof of the pair of subsets of the selected transducers, one or more subsequent pairs of subsets of the selected transducers may be activated iteratively on a pair-by-pair basis, until all of the selected transducers have achieved desired activation results, according to some embodiments. Each subsequent pair may include the same or similar characteristics as the first pair.
Cardiac pulsed field ablation
A method for ablating tissue by applying at least one pulse train of pulsed-field energy. The method includes delivering a pulse train of energy having a predetermined frequency to cardiac tissue, the pulse train including at least 60 pulses, an inter-phase delay between 0 s and 5 s, an inter-pulse delay of at least 5 s, and a pulse width of 5 s.
Open circuit check 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 powera product of a voltage difference across and an electrical current conducted by the engaged biological tissueis 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.
Incremental adjustment of a control parameter as a function of a monitored variable 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 powera product of a voltage difference across and an electrical current conducted by the engaged biological tissueis 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.
CARDIAC PULSED FIELD ABLATION
A method for ablating tissue by applying at least one pulse train of pulsed-field energy. The method includes delivering a pulse train of energy having a predetermined frequency to cardiac tissue, the pulse train including at least 60 pulses, an inter-phase delay between 0 s and 5 s, an inter-pulse delay of at least 5 s, and a pulse width of 5 s.