Cutting and coagulation apparatus for surgery

• US 4,114,623 A
• Filed: 07/29/1976
• Issued: 09/19/1978
• Est. Priority Date: 02/01/1975
• Status: Expired due to Term

• Current Assignee: Karl Storz Endoscopy-America Incorporated (Karl Storz Se & Co. Kg)
• Original Assignee: Karl Storz Endoscopy-America Incorporated (Karl Storz Se & Co. Kg)
• Inventors: Lindenmeier, Heinz, Landstorfer, Friedrich, Fastenmeier, Karl, Flachenecker, Gerhard, Meinke, Hans Heinrich
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Cohen, Lee S.
• Application Number:
  US05/709,610
• Time in Patent Office: 782 Days
• Field of Search: 128/303.13, 128/303.14, 128/303.17, 128/303.18, 128/2.1 P
• US Class Current: 606/39
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00857 harmonic
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially

Abstract

A device and system for the cutting and/or coagulation of human tissue with the use of high frequency currents. This invention is used to cut materials similar to the human tissue which can emit steam or gassy products when sufficiently heated. It controls the extent of the arc generated during the cutting operation, and controls the heat generated during the coagulating operation, both of these for the purpose of minimizing formation of harmful forms of albumen.

Claims

1. A method of regulating the current applied to a high-frequency current tissue-cutting device having a thin probe acting as one electrode, a second electrode, and a generator of high-frequency current applying said current to said electrodes, while cutting tissue which tissue has the property of steaming off when heated to high temperature, said method comprising:

applying current and voltage of the generator to the electrodes to cause an arc to ignite and burn at the probe, detecting the existence of the arc and measuring its volume, and adjusting the current to the probe to maintain the arc at a predetermined volume.

2. A method according to claim 1 in which the arc is detected optically, and the measurement of its volume is made by optical-to-electrical transducer means.

3. A method according to claim 2 in which the transducer means generates a voltage or a current, and the voltage or the amperage is measured, indirectly to measure the volume of the arc, and to assist in maintaining a predetermined volume.

4. A method according to claim 1 in which the arc is detected by measuring in the circuit to the two electrodes, harmonic components which are caused by the arc when it burns.

5. A method according to claim 4 in which substantially all of the harmonics caused by the arc are summed up and measured.

6. A method according to claim 5 in which the voltage or amperage of the harmonic components is measured, indirectly to measure the volume of the arc, and to assist in maintaining a predetermined volume.

7. A method according to claim 4 in which substantially all of the harmonics except for the third harmonic are filtered out, and the third harmonic is measured.

8. A method according to claim 4 in which the amperage of the harmonic components is measured, indirectly to measure the volume of the arc, and to assist in maintaining a predetermined volume.

9. Apparatus for cutting tissue with the use of a high-frequency electric current, comprising:

a generator of high-frequency electric current;

a thin probe for making a small area contact with tissue to be cut, acting as a first electrode;

a second electrode;

conductive lead means connecting the generator to the electrodes;

indicating means for indicating the existence and volume of an electric arc between the probe and the tissue; and

control means to adjust the current supplied to the probe by the generator to a level to determine and maintain the volume of the arc at a predetermined level.

10. Apparatus according to claim 9 in which the indicating means comprises an optical-electrical transducer responsive to the light of an arc, and productive of an electrical signal respective to it.

11. Apparatus according to claim 9 in which said indicating means is connected to said control means which adjusts the current supplied by the generator.

12. Apparatus according to claim 11 in which a reference setter is connected to the control means for determining the level of the current.

13. Apparatus according to claim 9 in which the indicating means comprises filter means which filters out substantially all wave forms except harmonics generated by the arc, and measuring means which measure the said harmonics and provides a signal to said control means for control of the current supplied by the generator.

14. Apparatus according to claim 13 in which a reference setter is connected to the control means for determining the level of the current.

15. Apparatus according to claim 9 including first filter means for removing harmonics from the generator output, and in which the indicating means comprises measuring means which measure harmonics generated by the arc.

16. Apparatus according to claim 15 in which the measuring means is an ammeter or a voltmeter.

17. Apparatus according to claim 15 in which a reference setter is connected to the control means for determining the level of the current.