An electrosurgical energy output control system, method, and readable storage medium

Abstract

This application provides an electrosurgical energy output control system, method, and readable storage medium. The system outputs energy through an energy generating unit to deliver energy to a target tissue. A controller identifies the initial tissue state of the target tissue and, based on this initial state, determines a target coagulation strategy from multiple different coagulation strategies. Then, the system controls the energy generating unit to output energy matching the target coagulation strategy to coagulate the target tissue. Thus, by selecting a target coagulation strategy more suitable to the initial tissue state at the initial stage of treatment, the treatment effect on the target tissue can be effectively improved, thereby increasing surgical efficiency.

Description

Technical Field

[0001] This application relates to the field of medical technology, specifically to an electrosurgical energy output control system, method, and readable storage medium. Background Technology

[0002] During surgery, surgeons frequently use electrosurgical instruments to coagulate or fuse tissues. Currently, common methods for coagulation / fusion include using electrosurgical instruments to deliver constant power, constant voltage, or specific voltage curves. However, applying constant power, constant voltage, or specific voltage curves to all tissues in all situations can negatively impact surgical quality, leading to suboptimal results. Summary of the Invention

[0003] This application provides an electrosurgical energy output control system, method, and readable storage medium, which can improve surgical quality and efficiency.

[0004] This application provides an electrosurgical energy output control system, including:

[0005] An energy generating unit is used to output energy to deliver the energy to the target tissue;

[0006] Controller, used for:

[0007] Identify the initial organizational state of the target organization;

[0008] Based on the initial organizational state of the target organization, a target clogging strategy is determined from multiple different clogging strategies;

[0009] The energy generating unit is controlled to output energy matching the target coagulation strategy to treat the target tissue. This application also provides an electrosurgical energy output control method, applied in an electrosurgical energy output control system, wherein the electrosurgical energy output control system is used to output energy to the target tissue, the method comprising:

[0010] Identify the initial organizational state of the target organization;

[0011] Based on the initial organizational state of the target organization, a target clogging strategy is determined from multiple different clogging strategies;

[0012] The energy output to the target tissue is controlled to match the target condensation strategy in order to process the target tissue.

[0013] This application also provides a computer-readable storage medium storing a computer program, which, when executed by a processor, implements the steps in any of the above-described electrosurgical energy output control methods.

[0014] This application also provides a computer program product, which stores a computer program. When the computer program is executed by a processor, it implements the steps in any of the above-described electrosurgical energy output control methods.

[0015] This application also provides a computer device, which includes a memory and a processor. The memory stores a computer program, and the processor executes the steps of any of the above-described electrosurgical energy output control methods by calling the computer program stored in the memory.

[0016] This application provides an electrosurgical energy output control system, method, and readable storage medium. By identifying the initial tissue state of the target tissue, a target coagulation strategy is determined from multiple different coagulation strategies. The energy generation unit is then controlled to output energy matching the target coagulation strategy, thereby completing the treatment of the target tissue. Compared to using a constant output energy method to treat the target tissue, selecting a target coagulation strategy more suitable for the initial tissue state can effectively improve the treatment effect on the target tissue, thereby increasing surgical efficiency. Attached Figure Description

[0017] To more clearly illustrate the technical solutions in the embodiments of this application, the accompanying drawings used in the description of the embodiments will be briefly introduced below. Obviously, the accompanying drawings described below are only some embodiments of this application. For those skilled in the art, other drawings can be obtained based on these drawings without creative effort.

[0018] Figure 1 This is a schematic diagram of the electrosurgical energy output control system provided in an embodiment of this application;

[0019] Figure 2 This is another schematic diagram of the electrosurgical energy output control system provided in the embodiments of this application;

[0020] Figure 3 This is a schematic diagram illustrating the effect of the energy output curve of the energy generating unit provided in the embodiment of this application;

[0021] Figure 4 Another structural schematic diagram of an electrosurgical energy output control system provided for an embodiment of this application;

[0022] Figure 5A schematic diagram illustrating the effect of the energy curve output by the energy generating unit in another electrosurgical energy output control system provided in this embodiment of the application;

[0023] Figure 6 A flowchart illustrating the electrosurgical energy output control method provided in this application;

[0024] Figure 7 A flowchart illustrating another electrosurgical energy output control method provided in this application;

[0025] Figure 8 Box plots of the initial impedance of the coagulated and condensed structures provided in this application. Detailed Implementation

[0026] The technical solutions of the embodiments of this application will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are only some embodiments of this application, and not all embodiments. Based on the embodiments of this application, all other embodiments obtained by those skilled in the art without creative effort are within the scope of protection of this application.

[0027] It should be understood that although the terms "first," "second," etc., are used in some cases to describe various elements or other objects in this document, these elements or objects should not be limited by these terms. These terms are only used to distinguish one element / object from another.

[0028] The electrosurgical energy output control system, method, and readable storage medium in the embodiments of this application will be described in detail below. It should be noted that the order of description of the following embodiments is not intended to limit the preferred order of the embodiments.

[0029] Figure 1 This is a schematic diagram of the structure of the electrosurgical energy output control system provided in the embodiment of this application. The electrosurgical energy output control system 10 includes an energy generating unit 11 and a controller 12, and the controller 12 is communicatively connected to the energy generating unit 11.

[0030] The energy generating unit 11, also known as an energy generator, is commonly used in surgical instruments, such as electrosurgical units, for electrosurgical procedures. During electrosurgical procedures, the energy generating unit 11 is typically used to output energy to deliver energy to the target tissue, thereby completing the treatment of the target tissue.

[0031] The energy generating unit outputs energy in the form of voltage, current, power, etc., either at a constant or with a specific curve. The thermal effect generated by this energy denatures and inactivates elastin and collagen in the body's physiological tissues, causing them to liquefy and reorganize, thus completing the treatment of the target tissue, such as cutting, coagulation, and fusion. For example, when the electrosurgical unit 11 is activated, the energy output by the energy generating unit 11, such as high-frequency current or high-frequency voltage, is applied to the target tissue through a small electrode at the tip of the electrosurgical unit. This generates a large amount of heat in a short time, causing cell fluid to evaporate, cells to rupture, and proteins to denature and coagulate, thereby enabling electrosurgical operations such as cutting, coagulation, and fusion of the target tissue.

[0032] This application uses the example of achieving coagulation treatment of the target tissue to illustrate the embodiments.

[0033] The controller 12, typically in the form of a processor, such as a CPU, is used in some embodiments to identify the initial tissue state of the target tissue, determine a target coagulation strategy from multiple different coagulation strategies based on the initial tissue state, and then control the energy generating unit 11 to output energy matching the target coagulation strategy to process the target tissue and perform the corresponding electrosurgical procedure. The initial tissue state of the target tissue is typically used to describe the current physiological activity state of the tissue.

[0034] In surgical procedures, the energy generating unit 11 is applied to different surgical scenarios. The target tissues for these scenarios are usually different, and the initial tissue states of the target tissues are also usually different. Under different initial tissue states, when the same energy is output, different effects are often produced on the target tissue, such as different coagulation effects.

[0035] For example, for target tissues with relatively low initial impedance, outputting one unit of energy from the energy generating unit 11 may achieve better surgical results; however, for target tissues with relatively high initial impedance, the same amount of energy may not achieve the same surgical results, thus prolonging the operation time and negatively impacting the quality of electrosurgery. Alternatively, for target tissues with relatively low initial impedance, outputting a relatively large amount of energy from the energy generating unit 11 may overheat the target tissue, causing damage and hindering the operation; while for target tissues with relatively high initial impedance, the same amount of energy may achieve better surgical results.

[0036] Therefore, in order to achieve similar or better surgical results for different target tissues under different surgical operation scenarios, in this embodiment, the controller 12 first performs a test to identify the target tissue, such as its initial tissue state. The controller 12 may combine this test with the energy generation unit 11; this entire testing process is called the testing phase or the identification phase. For example, the controller 12 controls the energy generation unit 11 to output test energy, and uses this output test energy to identify the initial tissue state of the target tissue. After identifying the initial tissue state, the controller can select the most suitable coagulation strategy from a pre-given pooling strategy based on the initial tissue state, thereby controlling the energy generation unit 11 to output energy matching the target coagulation strategy, thus achieving a better coagulation effect for different target tissues under different surgical operation scenarios.

[0037] The target condensation strategy can be understood as a strategy for determining how the energy generating unit 11 outputs energy. For example, in one embodiment, the target condensation strategy can also be understood as the curve of the energy output by the energy generating unit 11 over time.

[0038] The energy generation unit 11 controls the output of energy that matches the target coagulation strategy, with the aim of performing surgical procedures on the target tissue. For example, treatment of the target tissue using electrosurgical equipment typically includes cutting, coagulation, fusion, and other methods. This application uses coagulation as an example for illustration, but other treatment methods, such as cutting or fusion of the target tissue, can also be achieved through the electrosurgical energy output control system provided in this application, and this application does not impose any limitations on this.

[0039] The solution provided in the aforementioned embodiments first identifies the initial tissue state of the target tissue during the testing phase, and then determines the target coagulation strategy from multiple different coagulation strategies based on the initial tissue state. This allows the energy generation unit to output energy that matches the target coagulation strategy, thereby completing the treatment of the target tissue. Compared to directly using the same output energy to treat the target tissue, identifying the initial tissue state first and then selecting a target coagulation strategy that is more suitable for the initial tissue state can effectively improve the treatment effect of the target tissue. This allows different target tissues to be treated with matching energy in different surgical operation scenarios, thereby improving surgical efficiency.

[0040] In some embodiments, please refer to Figure 2 , Figure 2A schematic diagram of another electrosurgical energy output control system provided in this application embodiment, and... Figure 1 Compared to the surgical energy output control system shown, in addition to the energy generating unit 11 and the controller 12, the surgical energy output control system 10 also includes a measurement unit 13. The energy generating unit 11 is communicatively connected to the measurement unit 13, and the controller 12 is communicatively connected to both the energy generating unit 11 and the measurement unit 13.

[0041] In electrosurgery, the electrical energy from the energy generating unit 11 is processed by devices such as amplifiers and / or transformers before being output and applied to the target tissue via cables. Generally, the energy generating unit 11, amplifiers and / or transformers, cables, and target tissue can be considered as an equivalent circuit including resistors and capacitors. When the energy generating unit 11 outputs energy and applies it to the target tissue, an electrical loop is formed between the energy generating unit 11 and the target tissue.

[0042] The measuring unit 13 is typically used to measure electrical parameters, which are parameters in the electrical circuit formed by the energy generating unit 11 and the target tissue. The parameters in the electrical circuit typically include at least two of the following: voltage, current, impedance, power, phase, and energy. The measuring unit 13 actively or passively sends the measured electrical parameters to the controller 12, or the controller 12 actively or passively acquires the electrical parameters measured by the measuring unit 13.

[0043] Specifically, the measurement unit 13 can typically exist in the form of a sampling module. For example, the measurement unit 13 can acquire the voltage in the circuit through a voltage sampling module, the measurement unit 13 can also acquire the current in the circuit through a current sampling module, and the measurement unit 13 can also acquire the power in the circuit through a power sampling module, etc.

[0044] Other types of parameters can usually be obtained directly or indirectly through corresponding sampling modules, and will not be listed one by one. For example, the voltage in the circuit can be collected by a voltage acquisition module, the current in the circuit can be collected by a current acquisition module, and the corresponding impedance in the circuit can be calculated based on the voltage and current.

[0045] During the testing phase, the controller 12 controls the energy generating unit 11 to output test energy and acquires the first electrical parameter measured by the measuring unit 13 when the energy generating unit 11 outputs test energy, thereby identifying the initial tissue state of the target tissue based on the first electrical parameter. Tissue identification is performed by outputting test energy, thus identifying the initial tissue state of the target tissue.

[0046] It should be noted that identifying target tissue by measuring output energy is only one way to identify target tissue. Other methods can also be used to identify target tissue and obtain its initial tissue state.

[0047] According to the solution provided in the foregoing embodiments, during the testing phase, the controller 12 controls the energy generating unit 11 to output test energy, thereby identifying the target tissue. During the process of the controller 12 controlling the energy generating unit 11 to output test energy, the measuring unit 13 measures a first electrical parameter in the electrical circuit. This first electrical parameter can then be used to determine / identify the initial tissue state of the target tissue, allowing for the selection of a coagulation strategy more suitable for the current initial tissue state from among the coagulation strategies. This further improves the treatment effect on the target tissue and increases surgical efficiency.

[0048] In some embodiments, the controller 12 is further configured to determine any one or more of the following in the electrical circuit: initial voltage, initial current, initial impedance, initial phase, initial power, initial active power, initial average power, or initial power loss, based on the measured first electrical parameter, thereby determining the initial organizational state of the target organization based on any one or more of the following: initial voltage, initial current, initial impedance, initial phase, initial power, initial active power, initial average power, or initial power loss.

[0049] The initial organizational state of the target organization is characterized by any one or more of the following: initial voltage, initial current, initial impedance, initial phase, initial power, initial active power, initial average power, or initial power loss.

[0050] For example, the initial tissue state of the target tissue can be characterized by initial impedance. The initial tissue state may include high initial impedance, low initial impedance, etc.; or, after the controller 12 obtains the initial impedance value, it can classify the current initial tissue state into different categories based on the initial impedance value, such as initial impedance values ​​in the first interval as the first category, initial impedance values ​​in the second interval as the second category, initial impedance values ​​in the third interval as the third category, and so on. Subsequently, a corresponding clogging strategy is set for each different category, so that after determining the initial impedance value, the target clogging strategy can be quickly determined from different clogging strategies. This will be discussed later and will not be elaborated here.

[0051] For example, the initial impedance of the target organization can be obtained through initial voltage and initial current, and thus the initial organizational state of the target organization can be characterized by the initial impedance. Similarly, the initial phase of the target organization can be obtained through alternating initial voltage and / or initial current signals, and the active power can be determined based on the initial phase. Thus, the initial organizational state of the target organization can be characterized by the initial phase or active power alone, or by the initial phase and initial impedance together, or by the initial phase, active power, and initial impedance together, or by the active power and initial impedance together, etc. Examples are not exhaustive.

[0052] The solution provided by the foregoing embodiments allows for the calculation of the initial state in the electrical circuit using the measured first electrical parameters. These parameters include, for example, any one or more of the initial voltage, initial current, initial impedance, initial phase, initial power, initial active power, initial average power, or initial power loss. This allows for a more accurate determination of the initial organizational state of the target organization using any one or more of the aforementioned initial voltage, initial current, initial impedance, initial phase, initial power, initial active power, initial average power, or initial power loss, which can then be used to determine a more accurate target condensation strategy.

[0053] Furthermore, in some embodiments, the controller 12 is also used to control the energy generating unit 11 to output test energy with preset test parameters, wherein the preset test parameters typically include any one or more of a first constant time, a first constant voltage, a first constant current, a first constant power, a first constant energy, and a first preset energy output curve.

[0054] The preset test parameters can be constant, allowing the energy generating unit 11 to output test energy consistently according to these parameters. For example, the energy generating unit 11 can be controlled to output test energy at a first constant voltage, initially at a first constant current, output test energy at a first constant power, output test energy at a first constant voltage within a first constant time period, output test energy at a first constant energy level, output test energy at a first constant voltage and first constant current within a first constant time period, or output test energy at a first constant function within a first constant time period, etc., to name a few.

[0055] Furthermore, the preset test parameters can also be variable test parameters. The control energy generating unit 11 can also output test energy non-constantly according to the preset test parameters. Here, non-constant can be understood as the test energy output at different times being different. For example, the test energy can be output according to a first preset energy output curve, or the test energy can be output according to the first preset energy output curve within a first constant time period, etc., without giving specific examples. The first preset energy output curve can be a first preset voltage curve, a first preset current curve, a first preset power curve, or a first preset energy curve, etc.

[0056] In some embodiments, the energy generating unit 11 can be controlled to output test energy in a variety of different ways. For example, test energy can be output according to a first constant voltage for a short period of time, and test energy can be output according to a first preset energy output curve for another short period of time; or, test energy can be output according to a first constant current for a short period of time, and test energy can be output according to a first constant energy for another short period of time.

[0057] In some embodiments, the energy generating unit 11 can continuously output test energy according to preset test parameters, or it can output test energy intermittently. The specific method of outputting test energy can be found above and will not be repeated here.

[0058] It should be noted that the various output energy testing methods described above can form various combinations, which will not be illustrated one by one.

[0059] Furthermore, during the testing phase, considering that the energy output by the energy generating unit 11 is typically used to determine the initial tissue state of the target tissue, prolonged energy output may cause significant heating and / or denaturation of the target tissue, thereby causing unnecessary damage and affecting electrosurgical procedures. Therefore, in some embodiments, the controller 12 can also control the duration of the test energy output by the energy generating unit 11 to be less than a preset time to prevent significant heating and / or denaturation of the target tissue. The preset time should generally be as short as possible. For example, as a specific feasible implementation, the preset time can be set to tens of milliseconds, such as 18 milliseconds, 30 milliseconds, etc. As long as the initial tissue state of the target tissue can be determined within the given preset time, it is acceptable. Typically, the preset time is set to no more than 100 milliseconds to avoid significant heating and / or denaturation of the target tissue and to avoid unnecessary damage to the target tissue.

[0060] like Figure 3 As shown, Figure 3This is a schematic diagram illustrating the effect of the energy output curve of the energy generating unit provided in this embodiment, describing the change of energy output by the energy generating unit 11 over time. The output voltage of the energy generating unit 11 is used as an example for explanation.

[0061] In this embodiment, the energy output process of the energy generating unit 11 includes two stages: Stage I and Stage II (described later). Stage I is the testing stage for the output measurement energy provided by the energy generating unit 11. This testing stage is a newly added energy output stage in electrosurgery, the purpose of which is to identify the target tissue and obtain its initial tissue state. The testing stage corresponds to... Figure 3 The stages corresponding to times 0 to t0 in the data, from Figure 3 As can be seen, the test phase outputs test energy using a constant voltage, such as a first constant voltage. Here, t0 is the duration of the test energy output by the energy generation unit 11. In one embodiment, t0 does not exceed 100 milliseconds.

[0062] The solution provided by the foregoing embodiments controls the energy generating unit 11 to output test energy with preset test parameters, thereby identifying the target tissue. In particular, by controlling the duration of the test energy output by the energy generating unit 11 to be less than the preset time, it is possible to effectively avoid significant heating and / or denaturation of the target tissue, that is, to avoid excessively high energy output that would cause significant heating and / or denaturation of the tissue. At the same time, it is possible to effectively identify the initial tissue state of the target tissue, so as to effectively determine the target coagulation strategy and improve the surgical quality and efficiency of electrosurgery.

[0063] Furthermore, in some embodiments, the controller 12 is also used to match the initial organizational state of the target organization with the preset organizational states corresponding to multiple different closure strategies, so as to determine the successfully matched closure strategy as the target closure strategy.

[0064] In one embodiment, multiple different condensation strategies can be understood as multiple different change curves of the energy output by the energy generating unit 11 over time, specifically describing the change of the energy output by the energy generating unit 11 over time. For example, taking the output voltage of the energy generating unit 11 as an example, one possible condensation strategy is to control the energy generating unit 11 to gradually increase the output voltage at a constant rate until a given maximum voltage is reached. Another possible condensation strategy is to control the energy generating unit 11 to rapidly increase the output voltage at a relatively higher rate, and continue to maintain the output at the maximum voltage after reaching the given maximum voltage.

[0065] Closure strategies can be added, deleted, or modified according to different surgical scenarios. Typically, one closure strategy corresponds to one surgical scenario, and there is no limit to the number of closure strategies.

[0066] To facilitate understanding of the implementation scheme provided in this embodiment, please refer to [link / reference]. Figure 3 The details are as follows.

[0067] The first stage of energy output by energy generation unit 11 has been described above and will not be repeated here. The second stage of energy output by energy generation unit 11 can be understood as the stage in which, after determining the initial tissue state of the target tissue by measuring the output energy, the target condensation strategy is determined based on the initial tissue state, and the corresponding energy is output according to the target condensation strategy.

[0068] Among them, with Figure 3 For example, the testing phase corresponds to Figure 3 In the first stage, the electrosurgical procedure stage corresponds to the coagulation stage. Figure 3 The stages other than stage I, such as stage II. In the embodiments of this application, the testing stage and the condensation stage are two independent stages, and the output energy of the testing stage is not necessarily related to the output energy of the condensation stage. For example, the output energy of the testing stage is not necessarily less than the output energy of the condensation stage.

[0069] After determining the initial tissue state of the target tissue by outputting a constant voltage in the first stage, a target clotting strategy is typically determined from multiple different clotting strategies based on the initial tissue state. For example, a suitable energy output curve is selected from multiple pre-configured energy output curves to output energy as the target energy output curve corresponding to the target clotting strategy.

[0070] For details, please refer to Figure 3 , Figure 3 Phase II illustrates two different target condensation strategies, i.e., two different curves, namely Curve 1 and Curve 2. When Curve 1 is selected as the target condensation strategy, the controller 12 controls the energy generation unit 11 to rapidly increase the output voltage at a high initial output voltage and a high boost rate, continuing to output energy at the maximum voltage value once it reaches that value. Alternatively, when Curve 2 is selected as the target condensation strategy, the controller 12 controls the energy generation unit 11 to continuously increase the output voltage until it reaches the maximum voltage value.

[0071] Of course, it should be noted that the above only shows two possible condensation strategies using curve one and curve two as examples. In fact, more condensation strategies can be set in advance. For example, in some condensation strategies, the energy generating unit 11 can be controlled to maintain a relatively low voltage output energy, or in some condensation strategies, the energy generating unit 11 can be controlled to output current to output energy using a set current curve, and so on.

[0072] In one embodiment, these condensation strategies can be predetermined by calibrating the organization in different initial organizational states, for example, calibrating the optimal energy output curve of the organization in different initial organizational states as the corresponding condensation strategy, and storing it in association with the corresponding initial organizational state. This makes it easier for the controller 12 to match the initial organizational state of the target organization with the preset organizational states corresponding to multiple different condensation strategies to determine the target condensation strategy corresponding to the target organization.

[0073] The method provided in this embodiment determines the initial organizational state of the target tissue. The initial organizational state can be matched with the preset organizational states corresponding to different pre-calibrated condensation strategies. The successfully matched condensation strategy is the pre-calibrated condensation strategy that is most suitable for processing the current initial organizational state to ensure a better condensation effect. This condensation strategy can be used as the target condensation strategy, so that the controller can control the energy generation unit to output energy that matches the target condensation strategy to complete the corresponding processing of the target tissue.

[0074] In addition, in some embodiments, the controller 12 can determine the target clogging strategy from multiple different clogging strategies by receiving external selection instructions, in addition to determining the target clogging strategy based on the initial organizational state of the target tissue.

[0075] Specifically, the controller 12 can receive external selection commands through a human-machine interaction module. That is, the electrosurgical energy output control system provided above can further include a human-machine interaction module. The human-machine interaction module can be a user interface, such as a touch-sensitive display device, or an input device, such as a common keyboard and mouse, voice input device, etc., which can be used for users to initiate external selection commands.

[0076] The external selection command can be used to select or match the target closure strategy from multiple closure strategies through clicking, box selection, or voice commands. For example, when a user selects from the aforementioned... Figure 3Among the multiple energy output curves displayed, curve one is selected by checking the box. At this time, the closure strategy corresponding to curve one is the target closure strategy, which controls the energy generating unit 11 to output energy in the manner of energy output curve one. Alternatively, when the user inputs voice information related to "curve one", the controller 12, after completing the parsing and matching of the input voice information, will also use the closure strategy corresponding to curve one as the target closure strategy, which controls the energy generating unit 11 to output energy in the manner of energy output curve one.

[0077] The external selection command can also automatically determine the selected or matched target condensation strategy based on the first electrical parameter.

[0078] With the solution provided in this embodiment, users can also select the corresponding target condensation strategy from multiple different condensation strategies by inputting selection commands according to actual needs. This allows the controller to control the energy generation unit to output matching energy according to the selected target condensation strategy, thereby completing the condensation treatment of the target tissue more flexibly and adaptively.

[0079] In addition, in some embodiments, please refer to Figure 4 , Figure 4 Another structural schematic diagram of an electrosurgical energy output control system provided in this application embodiment is described in detail below.

[0080] In this embodiment, with Figure 2 The electrosurgical energy output control system shown differs in that, in addition to the energy generating unit 11, controller 12, and measurement unit 13, the electrosurgical energy output control system 10 may also include an electrosurgical bipolar forceps head 14. The electrosurgical bipolar forceps head 14 is connected to the energy generating unit 11, and the energy output from the energy generating unit 11 is transferred to the electrosurgical bipolar forceps head 14.

[0081] The electrosurgical bipolar forceps 14 is a tool used in electrosurgical procedures. It has a pair of bipolar electrodes (positive and negative) and its main function is to transmit energy, such as high-frequency current, to the target tissue through the two electrodes (forceps). This energy is used to cut, coagulate, or fuse the tissue. The electrosurgical bipolar forceps 14 forms a closed electrical circuit through the positive and negative electrodes, allowing the energy output from the energy generating unit 11, such as high-frequency current, to flow within the clamped target tissue. This causes the target tissue cells to dehydrate and coagulate, thereby achieving the treatment of the target tissue.

[0082] At this time, the controller 12 can also be used to determine the clamping head state of the electrosurgical bipolar clamp 14 based on the first electrical parameter measured when the energy generating unit 11 outputs test energy. The clamping head state of the electrosurgical bipolar clamp 14 includes at least a grasping coagulation state and a contact coagulation state. The surgical operations corresponding to the grasping coagulation state and the contact coagulation state are respectively referred to as grasping and contacting the tissue. For tissues in different clamping head states, the initial tissue state, such as initial impedance or other parameters, will differ significantly when coagulating the tissue due to the different techniques used for grasping and contacting the tissue. Therefore, the clamping head state of the electrosurgical bipolar clamp 14 can be determined by the first electrical parameter measured in the electrical circuit.

[0083] like Figure 8 The diagram shows the box plots of the initial impedance of the coagulated tissue and the tissue approaching coagulation. Blood vessels can be considered a special type of tissue, and coagulating blood vessels is a specific surgical procedure within the coagulation of the tissue. The initial impedance is used as the initial tissue state for explanation. Figure 8 The initial impedance corresponding to the coagulated tissue is concentrated below 100Ω, while the initial impedance corresponding to the colloid tissue is concentrated above 100Ω.

[0084] Therefore, when the first electrical parameter measured in the electrical circuit includes the initial impedance, or when the initial impedance can be calculated from the first electrical parameter, the clamping head state of the electrosurgical bipolar clamp 14 can be determined based on the initial impedance. Specifically, when the initial impedance determined based on the first electrical parameter matches the initial impedance corresponding to the grasping coagulated tissue, the clamping head state is determined to be the grasping coagulation state; when the initial impedance determined based on the first electrical parameter matches the initial impedance corresponding to the approaching coagulated tissue, the clamping head state is determined to be the approaching coagulation state. Thus, the clamping head state of the electrosurgical bipolar clamp 14 can be accurately determined based on the first electrical parameter.

[0085] To achieve similar tissue initiation and coagulation effects, a suitable coagulation strategy needs to be selected to ensure effective tissue coagulation. Correspondingly, in one embodiment, a target coagulation strategy can be determined from multiple different coagulation strategies based on the clamping head state of the electrosurgical bipolar clamp 14. Different coagulation strategies corresponding to different clamping head states can be predetermined. After the clamping head state is determined based on the first electrical parameter, a coagulation strategy matching the clamping head state is then determined as the target coagulation strategy.

[0086] For example, with Figure 3 Taking the example shown, the condensation strategy matched when the clamp head is in the grasping condensation state is pre-determined as curve two, and the condensation strategy matched when the clamp head is in the leaning condensation state is curve one. When the clamp head brick is determined to be in the grasping condensation state according to the first electrical parameter, the target condensation strategy is automatically determined to be the condensation strategy corresponding to curve two, and the controller 12 controls the energy generating unit 11 to output the corresponding energy according to curve two.

[0087] The solution provided in this embodiment utilizes the first electrical parameter measured by the energy generating unit when outputting test energy to further determine the clamping head state of the electrosurgical bipolar forceps. This allows for further consideration of the clamping head state of the electrosurgical bipolar forceps, enabling the selection of tissue under the electrosurgical bipolar forceps and the corresponding grasping or coagulation techniques to achieve a more suitable coagulation strategy, thereby improving the coagulation effect on the tissue.

[0088] In the process of determining the target coagulation strategy corresponding to the initial tissue state from multiple different coagulation strategies, as described above, and controlling the energy generation unit to output energy that matches the target coagulation strategy, in order to further improve the coagulation effect on the target tissue, as another feasible embodiment of this application, in the process of controlling the energy generation unit 11 to output energy that matches the target coagulation strategy, the tissue coagulation state and / or tissue thickness of the target tissue can be further identified to further adjust and select a suitable coagulation strategy to control the energy generation unit 11 to output the corresponding energy.

[0089] In other words, each identification of the tissue closure state and / or tissue thickness can be used to adjust the closure strategy for a subsequent period of time. It can also be understood that the process of treating the target tissue can include multiple stages, and a suitable closure strategy can be determined in each stage. Alternatively, it can be understood that after the target closure strategy is determined, the target closure strategy is not always unchanged, but is updated in real time according to the real-time processing status of the target tissue by identifying the tissue closure state and / or tissue thickness.

[0090] Correspondingly, in one embodiment, the controller 12 is further configured to: perform coagulation treatment on the target tissue using energy matching the target coagulation strategy in the first coagulation stage; identify the tissue coagulation state and / or tissue thickness of the target tissue; determine the target second-stage coagulation strategy corresponding to the second coagulation stage based on the tissue coagulation state and / or tissue thickness of the target tissue; and control the energy generating unit to output energy matching the target second-stage coagulation strategy.

[0091] The first condensation stage can be understood as the stage of condensing the target organization according to the target condensation strategy determined by the initial organizational state of the target organization. Specifically, it can correspond to a certain period in the energy output curve.

[0092] Furthermore, the controller 12 can further identify the tissue closure state of the target tissue, which typically describes the current closure state of the target tissue. For example, the tissue closure state can include states such as preparing to enter the closure state, currently closure, about to complete closure, or already completed closure. Of course, the tissue closure state can also be described by numerical values ​​or other means to describe the degree to which the target tissue has been closed. At this time, the energy required by the target tissue in different tissue closure states often differs. For example, as the target tissue closures to a certain extent, the energy required by the target tissue often gradually decreases until the target tissue has completed the closure state, at which point the energy generating unit 11 no longer needs to output energy.

[0093] In addition to identifying the coagulation state of the target tissue, the controller 12 can also identify the tissue thickness. Tissue thickness can also describe, to some extent, the energy required for tissue coagulation. For example, thicker tissues often require more energy to be sufficiently heated to ensure effective coagulation. Conversely, for relatively thinner tissues, which are easily heated to their vaporization point, higher energy output may cause tissue damage. In such cases, appropriately reducing the energy facilitates deeper penetration while preventing deep coagulation.

[0094] After determining the tissue closure state and / or tissue thickness of the target tissue, the controller 12 can further determine the target second-stage closure strategy for the second closure stage, that is, the target second-stage closure strategy corresponding to the next closure stage after the first closure stage, thereby controlling the energy generation unit to output energy that matches the target second-stage closure strategy.

[0095] Of course, it should be noted that the aforementioned process of identifying the tissue closure state and / or tissue thickness, and determining the target second-stage closure strategy, thereby controlling the energy generation unit to output energy that matches the target second-stage closure strategy, can be a cyclical process. That is, after outputting energy that matches the target second-stage closure strategy, the tissue closure state and / or tissue thickness of the target tissue can continue to be identified to further determine the closure strategy of the next closure stage of the second closure stage, such as the closure strategy of the third closure stage, until the final treatment of the target tissue is completed.

[0096] The aforementioned solution, in addition to identifying the initial tissue state and determining a suitable target coagulation strategy in the initial stage of energy output to control the energy generation unit 11 to output the corresponding energy, will also continue to detect the tissue coagulation state and / or tissue thickness of the target tissue during the energy output process to continuously determine the appropriate coagulation strategy for the next stage. Thus, throughout the entire tissue coagulation process, the energy generation unit can always be controlled to output the corresponding energy with the optimal coagulation strategy, thereby ensuring the coagulation effect on the tissue and avoiding overheating of the tissue, such as tissue damage, eschar, or other problems, or avoiding incomplete coagulation of the tissue due to insufficient heating.

[0097] To clearly understand the aforementioned implementation scheme, the following will further describe the aforementioned embodiments. Specifically, during the process of the controller 12 identifying the tissue closure state and / or tissue thickness of the target tissue, when the energy generating unit 11 has completed or is about to complete the current target closure strategy, the controller 12 measures the second electrical parameter in the electrical circuit formed by the energy generating unit 11 and the target tissue through the measuring unit 13. Based on the second electrical parameter, the controller identifies the current tissue closure state and / or current tissue thickness of the target tissue to further determine the closure strategy for the next stage, such as the target second-stage closure strategy.

[0098] The explanation of the second electrical parameter can be found in the previous explanation of the first electrical parameter. Specifically, the second electrical parameter is similar to the first electrical parameter and can usually include at least two parameters from voltage, current, impedance, power, phase, and energy.

[0099] Furthermore, in order to determine whether the target tissue has been processed and / or whether the processing of the target tissue needs to be paused, as another feasible embodiment of this application, the controller 12 is also used to identify the energy parameters acting on the target tissue during the energy output process of the energy generating unit 11, and to confirm that the target tissue has been processed and / or the processing of the target tissue needs to be paused when the energy parameters acting on the target tissue meet a first preset condition. For example, if it has been completely sealed, the controller 12 will control the energy generating unit 11 to stop outputting energy to the target tissue.

[0100] In one embodiment, determining that the energy parameters acting on the target organization meet a first preset condition is used to determine whether the target organization has completed processing and / or whether the target organization needs to suspend processing. This can typically include one or more combinations of the following schemes, such as: the current power acting on the target organization reaches a preset power, the current average power acting on the target organization reaches a preset average power, the current active power acting on the target organization reaches a preset active power, the current cumulative energy transferred to the target organization reaches a preset cumulative energy, the current organizational impedance of the target organization reaches a preset organizational impedance, etc.

[0101] Of course, correspondingly, when the energy parameters acting on the target tissue meet or do not meet the first preset conditions, such as when the current power acting on the target tissue does not reach the preset power, or when the current tissue impedance of the target tissue does not reach the preset tissue impedance, it can be determined that the tissue is in a state that still needs to receive energy. At this time, the energy generating unit 11 can be further controlled to output the corresponding energy according to the current condensation strategy.

[0102] In this embodiment, by determining whether the energy parameters of the target tissue meet the first preset condition, it is determined whether the target tissue has been processed and / or whether the processing of the target tissue needs to be paused. This controls the energy generating unit to stop outputting energy, which can prevent the tissue from being heated and damaged by energy output from the energy generating unit when the target tissue has been processed and / or when the processing of the target tissue needs to be paused. This further ensures the surgical effect.

[0103] Furthermore, as another feasible embodiment of this application, the controller 12 can specifically identify the tissue thickness of the target tissue by identifying changes in the tissue parameters of the target tissue. That is, the controller 12 is also used to determine the tissue thickness if the changes in the tissue parameters of the target tissue meet the second preset condition during the energy generation unit 11 outputs energy. In this case, the controller 12 can determine that the current tissue thickness of the target tissue is greater than the first tissue thickness, which means that the target tissue can be considered as a thick tissue.

[0104] In one embodiment, identifying whether the changes in the tissue parameters of the target tissue meet a second preset condition is used to determine whether the current tissue thickness of the target tissue is greater than a first tissue thickness. This can typically include one or more combinations of the following schemes, such as: the current voltage change of the target tissue meets a preset voltage change, the current current change of the target tissue meets a preset current change, the current impedance change of the target tissue meets a preset impedance change, the current power change of the target tissue meets a preset power change, the current active power change of the target tissue meets a preset active power change, and so on.

[0105] Of course, correspondingly, when the changes in the organizational parameters of the target organization do not meet the second preset condition, such as when the current voltage change of the target organization does not meet the preset voltage change, or when the current active power change of the target organization meets the preset active power change, the current organizational thickness of the target organization can be determined to be less than or equal to the first organizational thickness, that is, the target organization can be regarded as a thin organization. At this time, it is necessary to control the energy generation unit 11 to output the corresponding energy based on the condensation strategy corresponding to the thin organization.

[0106] In this embodiment, by identifying the changes in the tissue parameters of the target tissue and determining whether the changes in the tissue parameters meet specific preset conditions, the thickness of the target tissue can be accurately identified, so as to more accurately determine whether the target tissue is currently a thick tissue or a thin tissue, and select the appropriate coagulation strategy, such as the second-stage coagulation strategy of the target tissue, to continue to control the energy generation unit 11 to output energy to complete the processing of the target tissue, thereby further improving the processing effect of the target tissue.

[0107] Furthermore, taking the thick tissue coagulation strategy corresponding to thick tissue as an example, the thick tissue coagulation strategy includes a coagulation strategy in which the energy generation unit 11 first reduces the energy output and then increases the energy output. At this time, based on the changes in the tissue parameters of the target tissue, it is identified that the tissue thickness of the target tissue is greater than the first tissue thickness. At this time, it can be determined that the second stage coagulation strategy of the target tissue is the aforementioned thick tissue coagulation strategy. That is, in the next coagulation stage, the energy generation unit 11 needs to be controlled to first reduce the energy output and then increase the energy output to ensure the coagulation effect on the thick tissue.

[0108] Currently, in addition to the aforementioned condensation strategy, the second-stage condensation strategy can also include more condensation methods. Specifically, similar to the test energy output by the energy generation unit 11, the controller 12 can also be used to control the energy generation unit 11 to output energy that matches the target second-stage condensation strategy with preset condensation parameters. The preset condensation parameters corresponding to the target second-stage condensation strategy can typically include any one or more of the following: second constant time, second constant voltage, second constant current, second constant power, second constant energy, and second preset energy output curve.

[0109] To better understand the process by which the electrosurgical energy output control system provided in this application performs coagulation treatment on the target tissue, please refer to [link to relevant documentation]. Figure 5 , Figure 5 The following is a detailed schematic diagram of the effect of the energy curve output by the energy generating unit in another electrosurgical energy output control system provided in this application embodiment.

[0110] For details, please refer to Figure 5 ,and Figure 3Compared to the schematic diagram of the output energy curve shown, let's take the example of determining the initial tissue state of the target tissue by outputting test energy and selecting curve one as the corresponding target condensation strategy to control the output energy of the energy generating unit 11. In this case, the corresponding Figure 3 The II stage shown, which is after the initial tissue state of the target tissue is determined by the output test energy, can be further divided into multiple stages, such as stage (II) and stage (III). In stage (II), the energy output is controlled to be the curve corresponding to the time period t0 to t1 in curve one, and the tissue coagulation state and / or tissue thickness of the target tissue are further detected. For example, if the tissue thickness of the target tissue is detected to exceed the first tissue thickness, the target tissue is confirmed to be a thick tissue. Thus, at time point t1, the thick tissue coagulation strategy corresponding to the thick tissue is selected, that is, the energy output curve corresponding to curve four is selected in the time period t1 to t2. That is, the energy output is reduced first and then increased, instead of continuing to select curve three (the energy curve output corresponding to the time period t1 to t2 in curve one). Of course, if it is detected that the target tissue has been coagulated at time point t2, the energy output device 11 can be controlled to stop outputting energy. If it is detected that the target tissue still needs coagulation treatment at time point t2, the tissue coagulation state and / or tissue thickness of the target tissue can be further detected to determine the coagulation strategy to be used after time point t2, that is, the energy output curve.

[0111] This application also provides an electrosurgical energy output control method, applied in an electrosurgical energy output control system, such as the electrosurgical energy output control system 10 described above. The electrosurgical energy output control system includes an energy generating unit and a controller. The energy generating unit outputs energy to deliver it to a target tissue, while the controller identifies the initial tissue state of the target tissue and determines a target coagulation strategy to control the output of energy matching the target coagulation strategy to the target tissue. Other structures in the plasma surgical instrument control system 10, such as the measuring unit 13 and the electrosurgical bipolar forceps head 14, are described above.

[0112] like Figure 6 As shown, Figure 6 A flowchart illustrating the electrosurgical energy output control method provided in this application, the method comprising the following steps:

[0113] S610, Identify the initial organizational state of the target organization.

[0114] S620, based on the initial organizational state of the target organization, determine the target clogging strategy from multiple different clogging strategies.

[0115] S630, control the output of energy to the target tissue that matches the target clogging strategy, so as to perform clogging treatment on the target tissue.

[0116] In one embodiment, the step of identifying the initial organizational state of the target organization includes:

[0117] The system controls the output of test energy to the target tissue; acquires a first electrical parameter in the electrical circuit of the electrosurgical energy output control system when the test energy is output; and identifies the initial tissue state of the target tissue based on the first electrical parameter.

[0118] In one embodiment, the step of identifying the initial tissue state of the target tissue based on the first electrical parameter includes:

[0119] Based on the first electrical parameter, determine any one or more of the following in the electrical circuit: initial voltage, initial current, initial impedance, initial phase, initial power, initial active power, initial average power, or initial power loss. Based on any one or more of the following, determine the initial organizational state of the target organization.

[0120] In one embodiment, the step of controlling the output of test energy to the target tissue includes:

[0121] The energy generating unit is controlled to output the test energy with preset test parameters, which include any one or more of the following: a first constant time, a first constant voltage, a first constant current, a first constant power, a first constant energy, and a preset energy output curve.

[0122] In one embodiment, the duration of the control output of the test energy is less than a preset time.

[0123] In one embodiment, the step of determining a target clotting strategy from multiple different clotting strategies based on the initial tissue state of the target tissue includes:

[0124] The initial organizational state of the target organization is matched with the preset organizational states corresponding to multiple different closure strategies, and the closure strategy that is successfully matched is determined as the target closure strategy.

[0125] In one embodiment, when the electrosurgical energy output control system includes an electrosurgical bipolar forceps, the method further includes:

[0126] Based on the first electrical parameter measured when the energy generating unit outputs test energy, the clamp state of the electrosurgical bipolar forceps is determined, and the clamp state includes a grasping state and a contact state.

[0127] In one embodiment, the method further includes receiving an external selection instruction and determining a target condensation strategy from a plurality of different condensation strategies based on the external selection instruction.

[0128] In one embodiment, please refer to Figure 7 , Figure 7 This is a flowchart illustrating another electrosurgical energy output control method provided in an embodiment of this application, the method further comprising:

[0129] Step S710: In the first coagulation stage, the target tissue is coagulated using energy that matches the target coagulation strategy.

[0130] Step S720: Identify the tissue clotting state and / or tissue thickness of the target tissue.

[0131] Step S730: Determine the target second-stage coagulation strategy corresponding to the second coagulation stage based on the coagulation state and / or thickness of the target tissue.

[0132] Step S740: Control the energy generation unit to output energy that matches the target second-stage condensation strategy.

[0133] In one embodiment, the method further includes: when the energy generating unit outputs and the target clotting strategy is completed or about to be completed, acquiring a second electrical parameter in the electrical circuit, and identifying the current tissue clotting state and / or current tissue thickness of the target tissue based on the second electrical parameter.

[0134] In one embodiment, the method further includes:

[0135] During the energy output process of the energy generating unit, if it is detected that the energy parameters acting on the target organization meet a first preset condition, the energy generating unit is controlled to stop outputting energy to the target organization; wherein, the energy parameters acting on the target organization meeting the first preset condition includes one or more of the following: the current power acting on the target organization reaches a preset power, the current average power acting on the target organization reaches a preset average power, the current active power acting on the target organization reaches a preset active power, the current cumulative energy transferred to the target organization reaches a preset cumulative energy, and the current organizational impedance of the target organization reaches a preset organizational impedance.

[0136] In one embodiment, the method further includes:

[0137] During the energy output process of the energy generating unit, if the change in the tissue parameters of the target tissue is found to meet a second preset condition, then it is determined that the current tissue thickness of the target tissue is greater than the first tissue thickness; wherein, the change in the tissue parameters of the target tissue meeting the second preset condition includes one or more of the following: the current voltage change of the target tissue meets a preset voltage change, the current current change of the target tissue meets a preset current change, the current impedance change of the target tissue meets a preset impedance change, the current power change of the target tissue meets a preset power change, and the current active power change of the target tissue meets a preset active power change.

[0138] In one embodiment, the coagulation strategy includes a thick tissue coagulation strategy that controls the energy generating unit to first reduce energy output and then increase energy output; the method further includes:

[0139] If the tissue thickness of the target tissue is greater than the first tissue thickness, the second-stage coagulation strategy for the target tissue is determined to be a thick tissue coagulation strategy.

[0140] In one embodiment, the method further includes: controlling the energy generating unit to output energy matching the target second-stage condensation strategy with preset condensation parameters, wherein the preset condensation parameters corresponding to the target second-stage condensation strategy include any one or more of a second constant time, a second constant voltage, a second constant current, a second constant power, a second constant energy, and a second preset energy output curve.

[0141] Specifically, for the steps not described in detail in this embodiment, and the beneficial effects that can be achieved, please refer to the description of the corresponding steps above, which will not be repeated here.

[0142] Those skilled in the art will understand that all or part of the steps in the various methods of the above embodiments can be implemented by instructions (computer programs), or by instructions (computer programs) controlling related hardware. These instructions can be stored in a computer-readable storage medium and loaded and executed by a processor. Therefore, embodiments of the present invention provide a computer-readable storage medium storing a plurality of instructions (computer programs) that can be loaded by a processor to execute the steps of any embodiment of the electrosurgical energy output control method provided by the present invention.

[0143] The storage medium may include: read-only memory (ROM), random access memory (RAM), disk or optical disk, etc.

[0144] Since the instructions stored in the storage medium can execute the steps in any of the electrosurgical energy output control embodiments provided in this invention, the beneficial effects that any electrosurgical energy output control method provided in this invention can achieve can be realized, as detailed in the preceding embodiments, and will not be repeated here.

[0145] The above provides a detailed description of an electrosurgical energy output control system, an electrosurgical energy output control method, and a computer-readable storage medium provided in the embodiments of this application. Specific examples have been used to illustrate the principles and implementation methods of this application. The descriptions of the above embodiments are only for the purpose of helping to understand the methods and core ideas of this application. At the same time, for those skilled in the art, there will be changes in the specific implementation methods and application scope based on the ideas of this application. Therefore, the content of this specification should not be construed as a limitation of this application.

Claims

1. An electrosurgical energy output control system, characterized in that, include: An energy generating unit is used to output energy to deliver the energy to the target tissue; Controller, used for: Identify the initial organizational state of the target organization; Based on the initial organizational state of the target organization, a target clogging strategy is determined from multiple different clogging strategies; The energy generating unit is controlled to output energy that matches the target condensation strategy in order to process the target tissue.

2. The system according to claim 1, characterized in that, The system also includes: A measuring unit is used to measure electrical parameters, which are parameters in the electrical circuit formed by the energy generating unit and the target tissue; the parameters include at least two of voltage, current, impedance, power, phase, and energy. The controller is also used to control the energy generating unit to output test energy, acquire the first electrical parameter measured by the measuring unit when the energy generating unit outputs the test energy, and identify the initial tissue state of the target tissue based on the first electrical parameter.

3. The system according to claim 2, characterized in that, The controller is further configured to determine any one or more of the initial voltage, initial current, initial impedance, initial phase, initial power, initial active power, initial average power, or initial power loss in the electrical circuit based on the first electrical parameter, and to determine the initial organizational state of the target organization based on any one or more of the initial voltage, initial current, initial impedance, initial phase, initial power, initial active power, initial average power, or initial power loss.

4. The system according to any one of claims 2-3, characterized in that, The controller is also used to control the energy generating unit to output the test energy with preset test parameters, the preset test parameters including any one or more of the following: first constant time, first constant voltage, first constant current, first constant power, first constant energy, and first preset energy output curve.

5. The system according to any one of claims 2-4, characterized in that, The duration for which the energy generation unit outputs the test energy is less than a preset time.

6. The system according to any one of claims 1-5, characterized in that, The controller is further configured to match the initial organizational state of the target organization with the preset organizational states corresponding to multiple different closure strategies, and determine the successfully matched closure strategy as the target closure strategy.

7. The system according to any one of claims 1-6, characterized in that, The system also includes an electrosurgical bipolar forceps, and the controller is further used to determine the forceps state of the electrosurgical bipolar forceps based on a first electrical parameter measured when the energy generating unit outputs test energy. The forceps state includes a grasping state and a contact state.

8. The system according to any one of claims 1-7, characterized in that, The controller is also configured to receive an external selection instruction and determine a target condensation strategy from the plurality of different condensation strategies according to the external selection instruction.

9. The system according to any one of claims 1-8, characterized in that, The controller is also used for, In the first coagulation stage, the target tissue is coagulated using energy that matches the target coagulation strategy. Identify the tissue clotting state and / or tissue thickness of the target tissue; Based on the tissue closure state and / or tissue thickness of the target tissue, determine the target second-stage closure strategy corresponding to the second closure stage; The energy generation unit is controlled to output energy that matches the target second-stage condensation strategy.

10. The system according to claim 9, characterized in that, The controller is further configured to acquire a second electrical parameter in the electrical circuit when the energy generating unit has completed or is about to complete the target clotting strategy, and to identify the current tissue clotting state and / or current tissue thickness of the target tissue based on the second electrical parameter.

11. The system according to claim 10, characterized in that, The controller is further configured to, during the process of the energy generating unit outputting energy, if it is detected that the energy parameters acting on the target tissue meet a first preset condition, control the energy generating unit to stop outputting energy to the target tissue; Wherein, the energy parameters acting on the target organization satisfy a first preset condition, including one or more of the following: the current power acting on the target organization reaches a preset power, the current average power acting on the target organization reaches a preset average power, the current active power acting on the target organization reaches a preset active power, the current cumulative energy transferred to the target organization reaches a preset cumulative energy, and the current organizational impedance of the target organization reaches a preset organizational impedance.

12. The system according to claim 10, characterized in that, The controller is further configured to, during the process of the energy generating unit outputting energy, if it is detected that the change in the tissue parameters of the target tissue meets a second preset condition, determine that the current tissue thickness of the target tissue is greater than the first tissue thickness. The condition that the changes in the organizational parameters of the target organization meet the second preset condition includes one or more of the following: the current voltage change of the target organization meets the preset voltage change, the current current change of the target organization meets the preset current change, the current impedance change of the target organization meets the preset impedance change, the current power change of the target organization meets the preset power change, and the current active power change of the target organization meets the preset active power change.

13. The system according to any one of claims 9-12, characterized in that, The coagulation strategy includes a thick tissue coagulation strategy that controls the energy generation unit to first reduce the energy output and then increase the energy output. The controller is further configured to determine the second-stage coagulation strategy as a thick tissue coagulation strategy if the tissue thickness of the target tissue is greater than the first tissue thickness.

14. The system according to any one of claims 9-13, characterized in that, The controller is also used to control the energy generating unit to output energy that matches the target second-stage condensation strategy with preset condensation parameters. The preset condensation parameters corresponding to the target second-stage condensation strategy include any one or more of the following: second constant time, second constant voltage, second constant current, second constant power, second constant energy, and second preset energy output curve.

15. A method for controlling the energy output of electrosurgical procedures, characterized in that, The method, applied in an electrosurgical energy output control system for outputting energy to a target tissue, includes: Identify the initial organizational state of the target organization; Based on the initial organizational state of the target organization, a target clogging strategy is determined from multiple different clogging strategies; The energy output to the target tissue is controlled to match the target condensation strategy in order to process the target tissue.

16. The method according to claim 15, characterized in that, The identification of the initial organizational state of the target organization includes: Control the output of test energy to the target tissue; Acquire the first electrical parameter in the electrical circuit of the electrosurgical energy output control system when the test energy is output; The initial tissue state of the target tissue is identified based on the first electrical parameter.

17. The method according to claim 16, characterized in that, The control outputs test energy to the target tissue, including: The energy generating unit is controlled to output the test energy with preset test parameters, which include any one or more of the following: a first constant time, a first constant voltage, a first constant current, a first constant power, a first constant energy, and a preset energy output curve.

18. The method according to claim 16 or 17, characterized in that, The duration of the test energy output is controlled to be less than a preset time.

19. The method according to claim 15, characterized in that, The step of determining the target closure strategy from multiple different closure strategies based on the initial organizational state of the target tissue includes: The initial organizational state of the target organization is matched with the preset organizational states corresponding to multiple different closure strategies, and the closure strategy that is successfully matched is determined as the target closure strategy.

20. The method according to any one of claims 15-19, characterized in that, The method further includes: Receive an external selection instruction and determine a target condensation strategy from multiple different condensation strategies according to the external selection instruction.

21. A computer-readable storage medium, characterized in that, The computer-readable storage medium stores a computer program or computer instructions adapted for loading by a processor to perform the steps of the electrosurgical energy output control method as described in any one of claims 15-20.

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