# US 11,998,260 B2 · Low-power tissue sealing device and method

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- Number: US 11,998,260 B2
- Document ID: US11998260B2
- Status: Granted
- Kind: B2
- Application number: 17/866,320
- Filed: 2022-07-15
- Published: 2022-11-17
- Granted: 2024-06-04
- Earliest claimed: 2010-06-07
- Assignees: Bolder Surgical, LLC
- Applicants: Bolder Surgical, LLC
- Inventors: Jenifer Kennedy; Dale Schmaltz; David Schechter; Joel Helfer; David Ross
- Web page: https://patentgrep.com/patent/US11998260B2

## CPC

- A61B 18/1233: {with circuits for assuring patient safety}
- A61B 18/1206: {Generators therefor}
- A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod}
- A61B 18/1482: {having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy}
- A61B 2017/00141: {continuous, e.g. wave}
- A61B 2018/00607: {Coagulation and cutting with the same instrument}
- A61B 2018/00619: {Welding}
- A61B 2018/0063: {Sealing}
- A61B 2018/00642: {with feedback, i.e. closed loop control}
- A61B 2018/00678: {upper}
- A61B 2018/00702: {Power or energy}
- A61B 2018/00708: {switching the power on or off}
- A61B 2018/0072: {Current}
- A61B 2018/00767: {Voltage}
- A61B 2018/00875: {Resistance or impedance}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An electrosurgical instrument has a power supply operatively coupled to an end effector. The end effector has a pair of jaws for effectuating an action on tissue positioned therebetween. The power supply is configured to input a first signal and a second signal to a buck-boost converter. The buck-boost converter is configured to transmit an output to an H-bridge circuit. The H-bridge circuit is configured to pass a signal to a resonant LC transformer circuit. The power supply is configured to transmit a power signal. The pair of jaws are operatively coupled to the power supply to receive the power signal, the power having no more than 80 Volts RMS, and less than 2 Amps RMS. The power is configured to seal the tissue positioned between the pair of jaws in 3 seconds or less.

## Claims

### Claim 1

An electrosurgical generator, comprising:
a power supply configured for generating non-pulsing radiofrequency (RF) power having an output voltage and an output current; and
control circuitry configured to control delivery of the non-pulsing RF power to tissue being sealed by a tissue sealing device electrically connected to the generator, the non-pulsing RF power being delivered for a limited period of time,
wherein the limited period of time is no greater than 5 seconds and begins upon delivery of the non-pulsing RF power to the tissue, and
wherein the control circuitry is configured to hold the output current under 2 Amperes root mean square (RMS), and to hold the output voltage under 100 Volts RMS, respectively, throughout the limited period of time.

### Claim 2 (depends on 1)

The electrosurgical generator of claim 1, wherein the tissue is a portion of a blood vessel.

### Claim 3 (depends on 1)

The electrosurgical generator of claim 1, wherein the tissue sealing device comprises a conductive sealing surface, and wherein the control circuitry is configured to deliver the non-pulsing RF power to the tissue being sealed at a current density that is not greater than 0.1 Amperes per square millimeter of the sealing surface.

### Claim 4 (depends on 1)

The electrosurgical generator of claim 1, wherein the control circuitry is configured to hold the non-pulsing power under a first maximum power when the impedance of the tissue is less than an impedance threshold, and to hold the non-pulsing power under a second maximum power lower than the first maximum power when the impedance of the tissue is greater than the threshold impedance.

### Claim 5 (depends on 4)

The electrosurgical generator of claim 4, wherein the second maximum power is between 60% to 80% of the first maximum power.

### Claim 6 (depends on 1)

The electrosurgical generator of claim 1, wherein the control circuitry is configured to hold the non-pulsing power under a first maximum power for an initial time interval of the limited period of time, and to hold the non-pulsing power under a second maximum power lower than the first maximum power after the initial time interval.

### Claim 7 (depends on 6)

The electrosurgical generator of claim 6, wherein the second maximum power is between 60% to 80% of the first maximum power.

### Claim 8 (depends on 6)

The power control system of claim 6, wherein the initial time interval is no greater than 2 seconds.

### Claim 9 (depends on 1)

The electrosurgical generator of claim 1, wherein the impedance indicating that the tissue is sealed is between 180 ohms and 350 ohms.

### Claim 10

An electrosurgical vessel sealing system, comprising:
a power supply configured for generating non-pulsing radiofrequency (RF) power having an output voltage and an output current;
a vessel sealing device including an end effector; and
control circuitry configured to control delivery of the non-pulsing RF power to the end effector for a limited period of time, wherein the end effector is configured to grasp and seal a portion of a blood vessel by conducting the non-pulsing RF power through the blood vessel portion;
wherein the limited period of time is no greater than 5 seconds and begins upon delivery of the non-pulsing RF power to the blood vessel portion, and
wherein the control circuitry is configured to hold the output current under 2 Amperes root mean square (RMS), and to hold the output voltage under 100 Volts RMS, respectively, throughout the limited period of time.

### Claim 11 (depends on 10)

The electrosurgical system of claim 10, wherein the tissue sealing device comprises a conductive sealing surface, and wherein the control circuitry is configured to deliver the non-pulsing RF power to the tissue being sealed at a current density that is not greater than 0.1 Amperes per square millimeter of the sealing surface.
