Surgical methods for control of one visualization with another

Abstract

In general, devices, systems, and methods for control of one visualization with another are provided.

What is claimed is: 
     
         1 . A surgical system, comprising:
 a surgical device including first and second jaws configured to engage a target tissue therebetween, the target tissue being at a surgical site, and the surgical device including a first electrode array configured to deliver radiofrequency (RF) energy to the target tissue;   a second electrode array configured to monitor, during the energy delivery, a non-targeted tissue at the surgical site; and   a controller configured to control the energy delivery of the first electrode array based on the monitoring of the second tissue by the second electrode array.   
     
     
         2 . The system of  claim 1 , wherein the second electrode array includes a filter or a gating element configured to prevent the energy delivered by the first electrode array from infiltrating the second electrode array. 
     
     
         3 . The system of  claim 1 , wherein a return path of the first electrode array is separate from a return path of the second electrode array. 
     
     
         4 . The system of  claim 1 , wherein the second electrode array includes a temperature sensor configured to monitor a temperature of the non-targeted tissue; and
 the controller is configured to adjust the energy delivery in response to the monitored temperature being greater than a predetermined threshold temperature.   
     
     
         5 . The system of  claim 1 , wherein the control includes the controller controlling power level and frequency of the energy delivery. 
     
     
         6 . The system of  claim 1 , wherein the control includes the controller controlling frequency of the energy delivery. 
     
     
         7 . The system of  claim 1 , wherein the second electrode array is configured to monitor impedance of the non-targeted tissue; and
 the controller is configured to adjust the energy delivery in response to the monitored impedance as compared to a threshold impedance.   
     
     
         8 . The system of  claim 1 , wherein the second electrode array is configured to monitor a frequency response of the non-targeted tissue; and
 the controller is configured to adjust the energy delivery based on the frequency response.   
     
     
         9 . The system of  claim 1 , wherein the second electrode array is configured to monitor at least one of capacitance and pressure of the non-targeted tissue; and
 the controller is configured to adjust the energy delivery based on the monitored at least one of capacitance and pressure.   
     
     
         10 . The system of  claim 1 , wherein the controller is configured to cause the control by adjusting a variable parameter of a control algorithm of the surgical device; and
 the control algorithm is configured to, when executed, affect the energy delivery from the first electrode array to the tissue.   
     
     
         11 . The system of  claim 1 , wherein a surgical hub includes the controller. 
     
     
         12 . The system of  claim 1 , wherein a robotic surgical system includes the controller, and the surgical device is configured to releasably couple to and be controlled by the robotic surgical system. 
     
     
         13 . A surgical method, comprising:
 delivering radiofrequency (RF) energy to tissue at a surgical site with a first electrode array of a surgical device engaging the tissue between jaws of the surgical device;   monitoring a parameter of non-targeted tissue at the surgical site using a second electrode array; and   adjusting, with a controller, the energy delivery to the tissue based on the monitored parameter.   
     
     
         14 . The method of  claim 13 , wherein the second electrode array includes a filter or a gating element that prevents the energy delivered by the first electrode array from infiltrating the second electrode array. 
     
     
         15 . The method of  claim 13 , wherein a return path of the first electrode array is separate from a return path of the second electrode array. 
     
     
         16 . The method of  claim 13 , wherein the second electrode array monitors at least one of impedance, frequency response, capacitance, temperature, and pressure of the non-targeted tissue; and
 the controller is configured to adjust the energy delivery based on the monitored at least one of impedance, frequency response, capacitance, temperature, and pressure.   
     
     
         17 . The method of  claim 13 , wherein the adjusting includes adjusting a variable parameter of a control algorithm of the surgical device; and
 the method further comprises executing the control algorithm including the adjusted variable parameter, thereby affecting the energy delivery from the first electrode array to the tissue.   
     
     
         18 . The method of  claim 13 , wherein a surgical hub includes the controller. 
     
     
         19 . The method of  claim 13 , wherein a robotic surgical system includes the controller, and the surgical device is releasably coupled to and controlled by the robotic surgical system.