WO2012151510A2 - System and method for selecting tool parameters - Google Patents

System and method for selecting tool parameters Download PDF

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Publication number
WO2012151510A2
WO2012151510A2 PCT/US2012/036567 US2012036567W WO2012151510A2 WO 2012151510 A2 WO2012151510 A2 WO 2012151510A2 US 2012036567 W US2012036567 W US 2012036567W WO 2012151510 A2 WO2012151510 A2 WO 2012151510A2
Authority
WO
WIPO (PCT)
Prior art keywords
method
recited
selecting
power setting
accessory
Prior art date
Application number
PCT/US2012/036567
Other languages
French (fr)
Other versions
WO2012151510A3 (en
Inventor
Marcia L. Morris
Mark Bowers
William Bowers
Original Assignee
Genii, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to US201161482355P priority Critical
Priority to US61/482,355 priority
Application filed by Genii, Inc. filed Critical Genii, Inc.
Publication of WO2012151510A2 publication Critical patent/WO2012151510A2/en
Publication of WO2012151510A3 publication Critical patent/WO2012151510A3/en

Links

Classifications

    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482Digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00541Lung or bronchi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595Cauterization
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1407Loop
    • A61B2018/141Snare
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1412Blade
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1417Ball
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/144Wire

Abstract

A method includes selecting a method of treatment from a touch screen, displaying one or more accessories on the touch screen in response to selecting the method of treatment, displaying a default power setting for one or more displayed accessories, and displaying an alternate default setting for the selected accessory. The method further includes deselecting the displayed accessory, wherein the deselecting the displayed accessory returns the settings to the default power setting.

Description

SYSTEM AND METHOD FOR

SELECTING TOOL PARAMETERS

Related Application

This application claims priority under 35 U.S.C. 119(e) to provisional application U.S. Serial No. 61/482,355, filed May 4, 2011, which application is incorporated hereby by reference.

Background

An electrosurgery generator is an important piece of equipment for all surgical practices. Electrosurgery generators produce high frequency alternating electric current. Various conventions and standards exist for the design of the user interface but there is a need for innovation in design that can make the operation of the units easier. Simplicity and ease of use tend to increase safety by reducing user errors in the set up and operation of the electrosurgical generator.

Summary

A method includes selecting a treatment parameter from an interface, displaying one or more pictographs, icons or photographs of accessories on the touch screen in response to selecting the method of treatment, displaying a default power setting for one or more displayed accessories, and overriding the default power setting to provide a second default power setting. The method further includes an automatic change to another default power setting by selecting the accessory, and deselecting the displayed accessory, wherein deselecting the displayed accessory returns the settings to the first default power setting. In another option, selecting a mode or method selects a different set of pictographs with default settings to appear.

Brief Description of the Figures

FIG. 1 illustrates a first screen shot of the touch screen constructed in accordance with at least one embodiment.

FIG. 2 illustrates a second screen shot of the touch screen constructed in accordance with at least one embodiment. Detailed Description

The following detailed description includes references to the accompanying drawings, which form a part of the detailed description. The drawings show, by way of illustration, specific embodiments in which the apparatus may be practiced. These embodiments, which are also referred to herein as "examples" or "options," are described in enough detail to enable those skilled in the art to practice the present invention. The embodiments may be combined, other embodiments may be utilized or structural or logical changes may be made without departing from the scope of the invention. The following detailed description is, therefore, not to be taken in a limiting sense and the scope of the invention is defined by the appended claims and their legal equivalents.

A system is provided which includes an electrosurgical system, with a high frequency generator, an optional output system, an optional gas supply, an optional pump system, and an interactive control system. The control system is used by the operator, for example, via an interface such as a touch screen interface (See FIGs 1 and 2). In one or more embodiments, there are treatment parameters such as multiple electrosurgical output methods: monopolar, bipolar and argon coagulation. Referring to 'monopolar' as used herein, cauterization which uses high frequency electrical current is passed from a single electrode where cauterization occurs; the patient's body serves as a ground. Referring to 'bipolar' as used herein, cauterization which uses a high frequency electrical current is passed through tissue from one electrode to another. Regarding 'argon', argon coagulation is a mono polar electrosurgical method that utilizes ionized argon gas to enable non-electrode contact superficial coagulation.

The monopolar method includes subset waveform modes, such as, but not limited to soft coag, coag, blend coag, pulse blend cut, blend cut, pulse cut, cut,forced coag or coagulate, fulgerate, ablate, dessicate, vaporize or coagulate.

The various waveform modes differ by duty cycles (frequency of current flow). In an example, 'cut' mode has a 100% duty cycle. In another example, the 'coag' mode can have a duty cycle of 6 - 12%, meaning that up to 94% of the time, current is not flowing.

To select a method/mode, the operator selects the method using for example a button on a touch screen (and next a monopolar mode as desired) and the screen reveals information needed to perform a procedure with the selected METHOD/MODE, including, but not limited to, pictures of accessories common to gastroenterology and pulmonology that are used with the method and mode selected. Examples of accessories include, but are not limited to forceps, snare, knife, wire, and electrosurgical handpieces such as ball tip coagulator, spatula, or hook. When a METHOD/MODE has been selected, a default power setting is displayed that is appropriate for any and all of the accessories pictured. The term default power setting refers to a pre-determined and pre-programmed power setting that provides, for example, an evidence- based starting point for the power setting. For example, the evidence-based starting point is based on previous uses of electrosurgery systems.

An operator can override this default for the current application, for example, by pressing the up/down arrow keys shown on the POWER SETTING BAR, and increasing or decreasing the power setting. Optionally, the user can see and use alternative default power settings for a particular pictured accessory. For the default and alternative default settings, the operator selects, for example by touching, a symbol or a picture of the accessory (tool) of choice. In an embodiment, the picture's background will change color reflecting the selection. Deselecting the accessory picture returns the user to the all accessory default setting.

A single accessory picture can be shown with the default setting option activating an alternate default setting or a second default setting. When BIPOLAR METHOD is selected, a default setting option works in a similar manner as discussed above, giving the operator an alternate commonly used default power setting. Then BIPOLAR METHOD is selected, a default power setting appears on the interactive device, for example in a power bar location on a screen. The default power setting can be changed by manipulating up and down keys, for example arrow keys on a touch screen.

When ARGON METHOD is selected, the user can change the power, the rate of gas flow, and monitor the volume of gas remaining in the disposable argon gas canister. Argon assisted electrosurgery provides a non-contact method for performing coagulation.

The default power settings and the alternative default power setting can include a range of power settings. Examples for the default settings options and alternative default settings options are listed below, for example and Low and High settings:

(For example, first values are for the OVERALL Method/Mode default; others are for the individual default setting option default parameters. Numbers are in watts.)

Monopolar Method:

Mode Tool Power Settings (W)

Low High

Soft Coag: Overall 10 80

TouchSoft 10 80

Forceps 10 80 Mode Tool Power Settings (W)

Low High

Coag Overall 10 50

Snare 10 50

Forceps 10 30

Blend Coag Overall 10 50

Snare 10 50

Pulse Blend Cut Overall 10 60

Snare 10 60

Sphinctertome 10 60

Blend Cut Overall 10 60

Snare 10 60

Sphinctertome 10 60

Pulse Cut Overall 10 70

Sphinctertome 10 70

Needle Knife 10 40

Cut Overall 10 70

Sphinctertome 10 70

Needle Knife 10 40

Argon Method: Overall 35 100

Probe option 35 90

Bipolar Method Overall 10 40

Probe Option 10 40

In another embodiment, various tools or symbols of tools are shown on an interface, for example, on an interactive device such as a touch screen. A user selects the tool, and one or more modes are suggested, and a default power setting is shown. In another embodiment, a method includes selecting a treatment parameter from an interactive device such as, but not limited to, a touch screen, displaying one or more accessories on the interactive device in response to selecting the treatment parameter, displaying a first default power setting for one or more displayed accessories, providing an alternative default power setting in response to selecting the displayed accessory.

Several options for the method are as follows. The method further includes deselecting the displayed accessory, wherein deselecting the displayed accessory returns the settings to the default power setting, or optically indicating when the default power setting has been changed, for example by modifying a background color or image. In another option, overriding the default power setting includes selecting a particular symbol or picture of the accessory. In yet another option, displaying the one or more accessories includes displaying symbols or pictures of the accessory.

In an embodiment, a system includes means for selecting a treatment parameter from a menu of touch screen, means for displaying one or more accessories on the touch screen in response to selecting the treatment parameter, means for displaying a default power setting for one or more displayed accessories, and means for overriding the default power setting.

The system and method allows for a user to easily and clearly select appropriate power settings appropriate for the procedure, decreasing the amount of operator error during a procedure.

While in the foregoing specification this invention has been described in relation to certain embodiments thereof, and many details have been set forth for purposes of illustration, it will be apparent to those skilled in the art that the invention is susceptible to additional embodiments and that certain of the details described herein may be varied considerably without departing from the basic principles of the invention.

The use of the terms "a" and "an" and "the" and similar referents in the context of describing the invention are to be construed to cover both the singular and the plural, unless otherwise indicated herein or clearly contradicted by context. The terms "comprising,"

"having," "including," and "containing" are to be construed as open-ended terms (i.e., meaning "including, but not limited to") unless otherwise noted. Recitation of ranges of values herein are merely intended to serve as a shorthand method of referring individually to each separate value falling within the range, unless otherwise indicated herein, and each separate value is incorporated into the specification as if it were individually recited herein. All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., "such as") provided herein, is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention unless otherwise claimed. No language in the specification should be construed as indicating any non-claimed element as essential to the practice of the invention.

Embodiments of this invention are described herein, including the best mode known to the inventor for carrying out the invention. Variations of those embodiments may become apparent to those of ordinary skill in the art upon reading the foregoing description. The inventor expects skilled artisans to employ such variations as appropriate, and the inventors intend for the invention to be practiced otherwise than as specifically described herein.

Accordingly, this invention includes all modifications and equivalents of the subject matter recited in the claims appended hereto as permitted by applicable law. Moreover, any combination of the above-described elements in all possible variations thereof is encompassed by the invention unless otherwise indicated herein or otherwise clearly contradicted by context.

Claims

Claims:
1. A method comprising:
selecting a treatment parameter for an electrosurgical system from an interface touch screen;
displaying one or more accessories on the interface in response to selecting the treatment parameter;
displaying a first default power setting for one or more displayed accessories; and providing an alternative default power setting in response to selecting the displayed accessory.
2. The method as recited in claim 1, further comprising deselecting the displayed accessory, wherein the deselecting the displayed accessory returns the settings to the first default power setting.
3. The method as recited in any of claims 1 or 2, wherein providing the alternative default power setting includes selecting a particular symbol or picture of the accessory.
4. The method as recited in any of claims 1 - 3, further comprising optically indicating when the first default power setting has been replaced with the alternative default setting.
5. The method as recited in claim 4, wherein optically indicating includes modifying a background color or image.
6. The method as recited in any of claims 1 - 5, wherein displaying the one or more accessories includes displaying symbols or pictures of the accessory.
7. The method as recited in any of claims 1 - 6, further comprising overriding the default power setting.
8. The method as recited in claim 7, wherein overriding the default power setting includes increasing the power setting.
9. The method as recited in claim 7, wherein overriding the default power setting includes decreasing the power setting.
10. The method as recited in any of claims 1 - 9, wherein selecting a treatment parameter includes selecting a monopolar output mode.
11. The method as recited in claim 10, further comprising selecting a subset mode of any of soft coag, coag, blend coag, pulse blend cut, blend cut, pulse cut, or cut, forced coag or coagulate, fulgerate, ablate, dessicate, vaporize or coagulate.
12. The method as recited in any of claims 1 - 9, wherein selecting a treatment parameter includes selecting a bipolar output mode.
13. The method as recited in any of claims 1 - 9, wherein selecting a treatment parameter includes selecting an argon output mode.
14. A device incorporating the method of any of claims 1 - 13, wherein the displayed accessory is a photograph of the accessory.
15. The device as recited in claim 14, wherein the accessory is any of forceps, snare, wire, knife, tip coagulator, spatula, or hook.
PCT/US2012/036567 2011-05-04 2012-05-04 System and method for selecting tool parameters WO2012151510A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US201161482355P true 2011-05-04 2011-05-04
US61/482,355 2011-05-04

Publications (2)

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WO2012151510A2 true WO2012151510A2 (en) 2012-11-08
WO2012151510A3 WO2012151510A3 (en) 2014-05-01

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6620187B2 (en) * 1999-01-04 2003-09-16 Medivance Incorporated Patient temperature control system with make-up fluid supply
US20090248022A1 (en) * 2008-03-31 2009-10-01 Applied Medical Resources Corporation Electrosurgical system

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6620187B2 (en) * 1999-01-04 2003-09-16 Medivance Incorporated Patient temperature control system with make-up fluid supply
US20090248022A1 (en) * 2008-03-31 2009-10-01 Applied Medical Resources Corporation Electrosurgical system

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