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 method, comprising:
 delivering radiofrequency (RF) energy to tissue at a surgical site with a first electrode array of a surgical device, the surgical device engaging the tissue between first and second jaws of the surgical device;   monitoring, during the energy delivery, a non-targeted tissue at the surgical site using a second electrode array; and   controlling, with a controller, the energy delivery of the first electrode array based on the monitoring of the second tissue by the second electrode array.   
     
     
         2 . The method of  claim 1 , 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. 
     
     
         3 . The method of  claim 1 , 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.   
     
     
         4 . The method of  claim 1 , wherein a return path of the first electrode array is separate from a return path of the second electrode array. 
     
     
         5 . The method of  claim 1 , wherein the control includes the controller controlling power level and frequency of the energy delivery. 
     
     
         6 . The method of  claim 1 , wherein the control includes the controller controlling frequency of the energy delivery. 
     
     
         7 . The method of  claim 1 , wherein the controlling 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.   
     
     
         8 . The method of  claim 1 , wherein a surgical hub includes the controller. 
     
     
         9 . A surgical method, comprising:
 delivering energy to tissue at a surgical site with an electrode array of a surgical device; and   controlling, with a controller, one of 1) pressure of the electrode and 2) expulsion of fluid from the surgical device to the surgical site based one of a) a sensed property of the tissue, b) an aspect of the energy transfer from the electrode to the tissue, and c) contact quality of the electrode with the tissue.   
     
     
         10 . The method of  claim 9 , wherein the controller controls the pressure of the electrode based on the sensed property of the tissue; and
 the sensed property of the tissue includes impendence, collagen composition, or moisture level.   
     
     
         11 . The method of  claim 9 , wherein the controller controls the pressure of the electrode based on the aspect of the energy transfer from the electrode to the tissue; and
 the aspect of the energy transfer from the electrode to the tissue includes power level, cautery level, resultant from a return path, or interference sensed by another surgical device at the surgical site configured to communicate with the controller.   
     
     
         12 . The method of  claim 9 , wherein the controller controls the pressure of the electrode based on the contact quality of the electrode with the tissue; and
 the contact quality of the electrode with the tissue is based on a difference between contact of a first pair of electrodes in the electrode array with the tissue and contact of a second pair of electrodes in the electrode array with the tissue.   
     
     
         13 . The method of  claim 9 , wherein the controller controls the pressure of the electrode by adjusting a fill volume of a balloon of the surgical device. 
     
     
         14 . The method of  claim 9 , wherein the controller controls the pressure of the electrode by adjusting a sleeve around an outer diameter of the tissue. 
     
     
         15 . The method of  claim 9 , wherein the controller controls the expulsion of fluid from the surgical device to the surgical site based on the sensed property of the tissue; and
 the sensed property of the tissue includes impendence, collagen composition, or moisture level.   
     
     
         16 . The method of  claim 9 , wherein the controller controls the expulsion of fluid from the surgical device to the surgical site based on the aspect of the energy transfer from the electrode to the tissue; and
 the aspect of the energy transfer from the electrode to the tissue includes power level, cautery level, resultant from a return path, or interference sensed by another surgical device at the surgical site configured to communicate with the controller.   
     
     
         17 . The method of  claim 9 , wherein the controller controls the expulsion of fluid from the surgical device to the surgical site based on the contact quality of the electrode with the tissue; and
 the contact quality of the electrode with the tissue is based on a difference between contact of a first pair of electrodes in the electrode array with the tissue and contact of a second pair of electrodes in the electrode array with the tissue.   
     
     
         18 . The method of  claim 9 , wherein the controller controls the expulsion of fluid from the surgical device to the surgical site, thereby adjusting an electrical level or an ionic level. 
     
     
         19 . The method of  claim 9 , wherein the controller causes the control by 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 electrode to the tissue.   
     
     
         20 . The method of  claim 9 , wherein a surgical hub includes the controller.