Electrosurgical Generator Having Boost Mode Control Based on Impedance

• US 20090240244A1
• Filed: 02/02/2009
• Published: 09/24/2009
• Est. Priority Date: 03/19/2008
• Status: Abandoned Application

• Current Assignee: Synergetics USA Incorporated (Bausch Health Cos., Inc.)
• Original Assignee: Synergetics USA Incorporated (Bausch Health Cos., Inc.)
• Inventors: Groch, Anthony John, Malis, Jerry L.
• Application Number:
  US12/364,178
• Publication Number:
  US 20090240244A1
• Time in Patent Office: Days
• US Class Current: 606/33
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter

Abstract

A method of controlling output power of an electrosurgical generator apparatus that controls a variable output signal to a pair of electrodes includes setting the output power of the generator apparatus to a selected power output level. An impedance is measured across the electrodes when the electrodes are applied to an area of tissue. The output power of the generator apparatus is changed to a boost power output level greater than the selected power output level. The boost power output level corresponds to a calculation based at least in part on the measured impedance. The method further includes applying the output signal to the electrodes at the boost power output level for a first time duration and changing the power output to the selected power output level after the first time duration. An electrosurgical generator apparatus operating in accordance with the method is also described.

Claims

1. A method of controlling output power of an electrosurgical generator apparatus that controls a variable output signal to a pair of electrodes, the method comprising:

(a) setting the output power of the generator apparatus to a selected power output level;

(b) measuring an impedance across the electrodes using an impedance monitoring circuit when the electrodes are applied to an area of tissue;

(c) changing the output power of the generator apparatus to a boost power output level greater than the selected power output level, the boost power output level corresponding to a calculation based at least in part on the measured impedance;

(d) applying the output signal to the electrodes at the boost power output level for a first time duration; and

(e) changing the power of the output signal applied to the electrodes to the selected power output level after the first time duration.

2. The method of claim 1, wherein the output signal applied to the electrodes during the first time duration has a first peak amplitude and the output signal applied to the electrodes after the first time duration has a second peak amplitude, the first peak amplitude being different than the second peak amplitude

3. The method of claim 2, wherein the output signal applied to the electrodes during the first time duration is of a first waveform and the output signal applied to the electrodes after the first time duration is of a second waveform, the first waveform being different than the second waveform.

4. The method of claim 3, wherein the first waveform is one of an impulse waveform, a Malis waveform, and a sine wave.

5. The method of claim 2, wherein the output signal applied to the electrodes is in the form of a sine wave.

6. The method of claim 1, wherein the calculation of the boost power output level is additionally based in part on the selected power output level.

7. The method of claim 1, wherein the first time duration is about 200 milliseconds.

8. The method of claim 1, further comprising:

(f) providing a partial short circuit detection monitor.

9. The method of claim 1, wherein the pair of electrodes form one of a monopolar electrosurgical tool and a bipolar electrosurgical tool.

10. An electrosurgical generator apparatus that controls a variable output signal to a pair of electrodes, the generator apparatus comprising:

(a) a controller for controlling the generator apparatus;

(b) an impedance monitoring circuit that detects an impedance as measured across the electrodes when the electrodes are applied to an area of tissue; and

(c) a memory for storing predetermined values for calculating a boost power output level based at least in part on the measured impedance,

the controller being configured to change a selected power output level to the boost power output level based at least in part on the measured impedance for a first time duration and change the boost power output level to the selected power output level after the first time duration.

11. The electrosurgical generator apparatus of claim 10, further comprising:

(d) a radio frequency (RF) waveform generator circuit that provides modulation of a carrier signal, the carrier signal directly affecting the variable output signal applied to the electrodes.

12. The electrosurgical generator apparatus of claim 11, wherein the RF waveform generator circuit provides a first waveform having a first peak amplitude during the first time duration and a second waveform having a second peak amplitude after the first time duration, the first peak amplitude being different than the second peak amplitude.

13. The electrosurgical generator apparatus of claim 12, wherein the first waveform is different than the second waveform.

14. The electrosurgical generator apparatus of claim 13, wherein the first waveform is one of an impulse waveform, a Malis waveform, and a sine wave.

15. The electrosurgical generator apparatus of claim 12, wherein the first and second waveforms are sine waves.

16. The electrosurgical generator apparatus of claim 10, wherein calculation of the boost power output level using the predetermined values is additionally based in part on the selected power output level.

17. The electrosurgical generator apparatus of claim 10, wherein the first time duration is about 200 milliseconds.

18. The electrosurgical generator apparatus of claim 10, wherein the controller includes a partial short circuit detection monitor.

19. The electrosurgical generator apparatus of claim 10, wherein the pair of electrodes form one of a monopolar electrosurgical tool and a bipolar electrosurgical tool.