# US 11,439,456 B2 · Energy source apparatus > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,439,456 B2 - Document ID: US11439456B2 - Status: Granted - Kind: B2 - Application number: 16/568,614 - Filed: 2019-09-12 - Published: 2020-01-02 - Granted: 2022-09-13 - Earliest claimed: 2017-03-15 - Assignees: Olympus Corporation - Applicants: Olympus Corporation - Inventors: Sadayoshi Takami; Tsuyoshi Hayashida; Tsunetaka Akagane; Kazue Tanaka - Web page: https://patentgrep.com/patent/US11439456B2 ## CPC - A61B 18/10: Power sources therefor - A61B 18/1206: {Generators therefor} - A61B 18/085: {Forceps, scissors} - A61B 18/12: by passing a current through the tissue to be heated, e.g. high-frequency current - A61B 18/14: Probes or electrodes therefor - A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod} - A61B 2018/0016: {Energy applicators arranged in a two- or three dimensional array} - A61B 2018/00404: {Blood vessels other than those in or around the heart} - A61B 2018/00589: {Coagulation} - A61B 2018/0063: {Sealing} - A61B 2018/00642: {with feedback, i.e. closed loop control} - A61B 2018/00672: {lower} - A61B 2018/00702: {Power or energy} - A61B 2018/00761: {Duration} - A61B 2018/00791: {Temperature} - A61B 2018/00875: {Resistance or impedance} - A61B 2018/00994: {combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound} - A61B 2018/126: {bipolar} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A treatment system includes a treatment tool and an energy source apparatus used to supply electrical energy to the treatment tool. The treatment tool includes a heater and bipolar electrodes to grip a treatment target. The energy source apparatus includes a processor to control the output to the bipolar electrodes and the heater, respectively. The processor directs the output to the bipolar electrodes and detects an initial value of the impedance of the treatment target. The processor determines whether or not the impedance has reached a minimum value and then retrieves a parameter that is detected before the minimum value of the impedance is detected. The processor performs a first process and/or a second process based on the acquired parameter after the minimum value is detected. The first process determines whether or not the output to the heater is required. The second process sets a target value. ## Claims ### Claim 1 An energy source apparatus of a treatment tool having a heater and bipolar electrodes, the energy source apparatus comprising: an energy output source that outputs high-frequency electric power to the bipolar electrodes so as to cause a high-frequency current to flow through a treatment target between the bipolar electrodes, and outputs heater electric power to the heater so as to cause the heater to generate heat; and a processor controls the output to the bipolar electrodes and the output to the heater, wherein the processor directs the output to the bipolar electrodes and detects an initial value of the impedance of the treatment target, determines whether or not the impedance has reached a minimum value, retrieves a parameter that is detected before the minimum value of the impedance is detected, the parameter being related to the impedance and/or the output to the bipolar electrodes, performs a first process and/or a second process based on the retrieved parameter after the minimum value is detected, the first process determines whether or not the output to the heater is required, the second process sets a target value, wherein the target value is related to an output control process for controlling the output to the heater, controls the output successively in a first phase, a second phase, and a third phase, detects the initial value of the impedance in the first phase, proceeds with the output to the bipolar electrodes in a manner to modify the treatment target with the high-frequency current applied thereto, determines whether or not the impedance has reached the minimum value, and applies the output to the heater in a manner to modify the treatment target with the heat of the heater, in the second phase, and performs the first process and/or the second process in the third phase, determines a tissue volume of the treatment target based on the parameter, and if the processor determines that the tissue volume is smaller than a reference value, then the processor stops the output to the heater or sets a second target temperature lower than a first target temperature as the target value, and performs the output control process on the output to the heater so as to lower the heater temperature to the set second target temperature and to keep the temperature of the heater at the second target temperature, in the third phase. ### Claim 2 (depends on 1) The energy source apparatus of claim 1, wherein the processor sets the first target temperature for the heater in a range of equal or greater than 60° C. to equal or less than 100° C., and performs the output control process on the output to the heater to cause the heater to reach the set first target temperature and to keep the heater at the first target temperature in the second phase. ### Claim 3 (depends on 2) The energy source apparatus of claim 2, wherein the processor increases the output to the heater from the third phase and switches to a fourth phase when (i) an impedance in the third phase or (ii) an elapsed time from an outset of the third phase is equal to or larger than a threshold value. ### Claim 4 (depends on 3) The energy source apparatus of claim 3, wherein the processor performs the output control process on the output to the heater to increase the heater temperature in the fourth phase to a temperature higher than the first target temperature in the second phase. ### Claim 5 (depends on 4) The energy source apparatus of claim 4, wherein the processor performs the output control process on the output to the heater to increase the heater temperature to 200° C. or higher in the fourth phase. ### Claim 6 (depends on 1) The energy source apparatus of claim 1, wherein the processor detects at least one of the initial value of the impedance and a duration time of the second phase as the parameter, and the processor sets the target value in the third phase based on the initial value of the impedance and/or the duration time of the second phase that has been detected. ### Claim 7 (depends on 6) The energy source apparatus of claim 6, wherein with respect to the output control process for controlling the output to the heater, the smaller the initial value of the impedance, the processor increases a target temperature for the heater as the target value, and the longer the duration time of the second phase, the processor sets the target temperature for the heater as the target value to a higher value. ### Claim 8 (depends on 1) The energy source apparatus of claim 1, wherein the processor sets at least one of a target temperature for the heater and a threshold value used in determining whether to finish the third phase, as the target value in the third phase, based on the parameter. ### Claim 9 A treatment system comprising: a treatment tool having a heater and bipolar electrodes to grip a treatment target; and an energy source apparatus used to supply electrical energy to the treatment tool wherein the energy source apparatus configured to output high-frequency electric power to the bipolar electrodes so as to cause a high-frequency current to flow through a treatment target between the bipolar electrodes, and outputs heater electric power to the heater so as to cause the heater to generate heat; and a processor controls the output to the bipolar electrodes and the heater, respectively, wherein the processor directs the output to the bipolar electrodes and detects an initial value of the impedance of the treatment target, determines whether or not the impedance has reached a minimum value, retrieves a parameter that is detected before the minimum value of the impedance is detected, the parameter being related to the impedance and/or the output to the bipolar electrodes, performs a first process and/or a second process based on the acquired parameter after the minimum value is detected, the first process determines whether or not the output to the heater is required, the second process sets a target value, the target value being related to an output control process for controlling the output to the heater, controls the output successively in respective first, second, and a third phases, detects the initial value of the impedance in the first phase, proceeds with the output to the bipolar electrodes in a manner to modify the treatment target with the high-frequency current applied thereto, determines whether or not the impedance has reached the minimum value, and applies the output to the heater in a manner to modify the treatment target with the heat of the heater, in the second phase, performs the first process and/or the second process in the third phase, determines a tissue volume of the treatment target based on the parameter, and if the processor determines that the tissue volume is smaller than a reference value, then the processor stops the output to the heater or sets a second target temperature lower than a first target temperature as the target value, and performs the output control process on the output to the heater so as to lower the heater temperature to the set second target temperature and to keep the temperature of the heater at the second target temperature, in the third phase. ### Claim 10 (depends on 9) The treatment system of claim 9, wherein the processor detects at least one of the initial value of the impedance and a duration time of the second phase as the parameter, and the processor sets the target value in the third phase based on the initial value of the impedance and/or the duration time of the second phase that has been detected. ### Claim 11 (depends on 10) The treatment system of claim 10, wherein with respect to the output control process for controlling the output to the heater, the smaller the initial value of the impedance, the processor increases a target temperature for the heater as the target value, and the longer the duration time of the second phase, the processor sets the target temperature for the heater as the target value to a higher value. ### Claim 12 (depends on 9) The treatment system of claim 9, wherein the processor sets at least one of a target temperature for the heater and a threshold value used in determining whether to finish the third phase, as the target value in the third phase, based on the parameter. ### Claim 13 A method of operating a treatment system having a treatment tool including a heater and bipolar electrodes to grip a treatment target and an energy source apparatus used to supply electrical energy to the treatment tool, the energy source apparatus comprising at least one processor to control the output to the bipolar electrodes and the heater, respectively, wherein the at least one processor: directs the output to the bipolar electrodes and detecting an initial value of the impedance of the treatment target; determines whether or not the impedance has reached a minimum value; retrieves a parameter that is detected before the minimum value of the impedance is detected, the parameter being related to the impedance and/or the output to the bipolar electrodes; performs a first process and/or a second process based on the acquired parameter after the minimum value is detected, the first process determining whether or not the output to the heater is required, the second process setting a target value, the target value being related to an output control process for controlling the output to the heater; controls the output successively in respective first, second, and a third phases; detects the initial value of the impedance in the first phase; proceeds with the output to the bipolar electrodes in a manner to modify the treatment target with the high-frequency current applied thereto, determines whether or not the impedance has reached the minimum value, and applies the output to the heater in a manner to modify the treatment target with the heat of the heater, in the second phase; performs the first process and/or the second process in the third phase; determines a tissue volume of the treatment target based on the parameter; and if the processor determines that the tissue volume is smaller than a reference value, then the processor stops the output to the heater or sets a second target temperature lower than a first target temperature as the target value, and performs the output control process on the output to the heater so as to lower the heater temperature to the set second target temperature and to keep the temperature of the heater at the second target temperature, in the third phase.