Bipolar cutter/coagulator

• US 4,590,934 A
• Filed: 05/18/1983
• Issued: 05/27/1986
• Est. Priority Date: 05/18/1983
• Status: Expired due to Term

• Current Assignee: Malis Jerry L
• Original Assignee: Jerry L. Malis, Leonard I. Malis
• Inventors: Acorcey, Robert R., Malis, Leonard I., Malis, Jerry L., Solt, David
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Smith, Ruth S.
• Application Number:
  US06/495,906
• Time in Patent Office: 1,105 Days
• Field of Search: 128/303.14, 128/303.17, 128/904, 340/692, 328/109
• US Class Current: 606/37
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: G05B 19/106 for selecting a programme, variable or parameter
• CPC Class Codes: G05B 2219/23056 Foot pedal, control, operated
• CPC Class Codes: G05B 2219/23058 Knob, pedal selects ranges, functions and controls in each range as function of position
• CPC Class Codes: G05B 2219/23064 Entry of function or parameter during manipulation of tool, operation
• CPC Class Codes: G05B 2219/23386 Voice, vocal command or message

Abstract

A bipolar cutter/coagulator produces a coagulating waveform comprising an aperiodic sequence of damped RF bursts. The inter-burst spacing is pseudo-random, and the intra-burst RF frequency is swept between preset limits. The burst envelopes are uniform, always starting at the same preselected amplitude.

Claims

1. Electrosurgical apparatus, comprising:

a bipolar electrode,

means for electronically synthesizing an aperiodic sequence of uniform-width bursts of a high frequency signal,

means for impressing substantially identical decaying amplitude envelopes on said bursts, each of said envelopes having a predetermined rate of change from a preselected initial amplitude, and

means for applying said impressed bursts to said electrode.

2. Electrosurgical apparatus according to claim 1 including means for varying the frequency of said high frequency signal within said bursts.

3. Electrosurgical apparatus according to claim 2 including means for varying the frequency of said high frequency signal between preset frequency limits.

4. Electrosurgical apparatus according to claim 3 including circuitry to cause said preset frequency limits to be 0.96 MHz and 1.04 MHz.

5. Electrosurgical apparatus according to claim 1 including means for varying the power of said sequence of bursts by varying the amplitudes of said envelopes.

6. Electrosurgical apparatus according to claim 5 including means for displaying a number representative of the power of said sequence of bursts.

7. Electrosurgical apparatus according to claim 5 including means for generating a voice signal representative of the power of said sequence of bursts.

8. Electrosurgical apparatus according to claim 1 including means for monitoring the aperiodicity of said sequence of bursts, and means for determining whether the aperiodicity is outside an acceptable limit.

9. Electrosurgical apparatus according to claim 8 including means for displaying an error message if said aperiodicity is outside said limit.

10. Electrosurgical apparatus according to claim 8 including means for sounding an error message if said aperiodicity is outside said limit.

11. Electrosurgical apparatus according to claim 1 including means for detecting whether the power of said sequence of bursts is outside an acceptable power limit, and means for automatically terminating said sequence of bursts if said power is outside the power limit.

12. Electrosurgical apparatus according to claim 11 including means for displaying an error message if said power is outside said power limit.

13. Electrosurgical apparatus according to claim 11 including means for sounding an error message if said power is outside said power limit.

14. Electrosurgical apparatus according to claim 1 including means for varying the inter-burst spacing between 11-51 microseconds.

15. Electrosurgical apparatus according to claim 1 including means for modulating said aperiodic sequence of bursts so that said bursts recur aperiodically over regularly occuring repetitive intervals of time of preselected duration separated by dead zones of preselected duration in which the bursts are absent.

16. Electrosurgical apparatus according to claim 15 including circuitry for causing said preselected intervals of time to be 6 milliseconds long and said dead zones to be 3 milliseconds long.

17. Electrosurgical apparatus according to claim 15 including means for preventing modulation of said bursts due to regular occurrence of said dead zones.

18. Electrosurgical apparatus according to claim 15 including means for preventing an abrupt rise of said burst envelope prior to decay.

19. Electrosurgical apparatus according to claim 1 including circuitry for causing the frequency of said high frequency signal to be approximately 1 MHz.

20. Electrosurgical apparatus according to claim 1 including forceps adatped for electrical connection to said means for generating said aperiodic sequence of bursts.

21. Electrosurgical apparatus according to claim 1 including means for delivering said aperiodic sequence of bursts having said decay amplitude envelopes to a load impedance, said load impedance being variable over a substantially wide range of impedances, and means for maintaining the power of said aperiodic sequence of bursts delivered to said load impedance substantially uniform over said range of impedances.

22. Electrosurgical apparatus according to claim 21 wherein said means for delivering said a periodic sequence of bursts includes a step down cup core transformer.

23. Electrosurgical apparatus comprising:

a bipolar electrode,

means for electronically synthesizing an aperiodic sequence of uniform-width bursts of a high frequency signal, means for impressing substantially identical predetermined decaying amplitude envelopes on said bursts, each of said envelopes having a predetermined rate of change from a preselected initial amplitude,

means for varying the frequency of said high frequency signal within said bursts, and

means for applying said impressed bursts to said electrode.

24. Electrosurgical apparatus according to claim 23 including means for varying the power of said sequence of bursts by varying the amplitudes of said envelopes.

25. Electrosurgical apparatus according to claim 24 including means for displaying a number representative of the power of said sequence of bursts.

26. Electrosurgical apparatus according to claim 24 including means for generating a voice signal representative of the power of said sequence of bursts.

27. Electrosurgical apparatus according to claim 23 including means for monitoring the aperiodicity of said sequence of bursts, and means for determining whether the aperiodicity is outside an acceptable limit.

28. Electrosurgical apparatus according to claim 27 including means for displaying an error message if said aperiodicity is outside said limit.

29. Electrosurgical apparatus according to claim 27 including means for sounding an error message if said aperiodicity is outside said limit.

30. Electrosurgical apparatus according to claim 23 including means for detecting whether the power of said sequence of bursts is outside an acceptable power limit and means for automatically terminating said sequence of bursts if said power is outside the power limit.

31. Electrosurgical apparatus according to claim 30 including means for displaying an error message if said power is outside said power limit.

32. Electrosurgical apparatus according to claim 30 including means for sounding an error message if said power is outside said power limit.

33. Electrosurgical apparatus according to claim 23 including means for varying the inter-burst spacing between 11-51 microseconds.

34. Electrosurgical apparatus according to claim 23 including means for modulating said aperiodic sequence of bursts so that said bursts recur aperiodically over regularly occurring repetitive intervals of time of preselected duration separated by dead zones of preselected duration in which the bursts are absent.

35. Electrosurgical apparatus according to claim 34 including circuitry for causing said preselected intervals of time to be 6 milliseconds long and said dead zones to be 3 milliseconds long.

36. Electrosurgical apparatus according to claim 34 including means for preventing modulation of said bursts due to regular occurrence of said dead zones.

37. Electrosurgical apparatus according to claim 34 including means for preventing an abrupt rise of said burst envelope prior to decay.

38. Electrosurgical apparatus according to claim 23 including circuitry for causing the frequency of said high frequency signal to be approximately 1 MHz.

39. Electrosurgical apparatus according to claim 23 including circuitry for causing the frequency of said high frequency signal to vary between the preset frequency limits.

40. Electrosurgical apparatus according to claim 39 including circuitry for causing said preset frequency limits to be 0.96 MHz and 1.04 MHz.

41. Electrosurgical apparatus according to claim 23 including forceps adapted for electrical connection to said means for generating said aperiodic sequence of bursts.

42. Electrosurgical apparatus according to claim 23 including means for delivering said aperiodic sequence of bursts having said decay amplitude envelopes to a load impedance, said load impedance being variable over a substantially wide range of impedance, and means for maintaining the power of said aperiodic sequence of bursts delivered to said load impedance substantially uniform over said range of impedances.

43. Electrosurgical apparatus according to claim 42 wherein said means for delivering said aperiodic sequence of bursts includes a step down cup core transformer.

44. Electrosurgical apparatus, comprising:

a bipolar electrode,

manually actuable means for generating a mode signal indicative of whether the appartus is to operate in a coagulate mode or in a cut mode,

means for electronically synthesizing an aperiodic sequence of uniform-width bursts of a high frequency signal when said mode signal indicates operation in the coagulate mode, said bursts having substantially identical decaying amplitude envelopes, each of said envelopes having a predetermined rate of change from a preselected initial amplitude,

means for varying the frequency of said high frequency signal within said bursts,

means for generating a continuous, substantially uniform amplitude high frequency signal when said mode signal indicates operation in the cut mode, and

means for selectably applying said bursts and said uniform aplitude high frequency signal to said electrode.

45. Electrosurgical apparatus according to claim 44 wherein said manually actuable means includes footpedal means comprising a manually actuable coag pedal for generating a mode signal indicative of operation in the coagulate mode, and a manually actuable cut pedal for generating a mode signal indicative of the cut mode, and means for generating a mode signal indicative of operation in the coagulate mode if said coag and cut pedals are simultaneously actuated.

46. Electrosurgical apparatus according to claim 44 including means for automatically setting the amplitude of said continuous high frequency signal at a first level if said mode signal indicates operation in the cut mode and for automatically setting the initial amplitude of each of said burst envelopes at a second, higher level if said mode signal indicates operation in the coagulate mode.

47. Electrosurgical apparatus according to claim 44 including manually actuable means for varying the power of said sequence of bursts or the power of said continuous high frequency signal by varying the amplitudes thereof.

48. Electrosurgical apparatus according to claim 44 including means for displaying a number representative of the power of said sequence of bursts or the power of said continuous high frequency signal.

49. Electrosurgical apparatus according to claim 48 including means for sounding said number.

50. Electrosurgical apparatus according to claim 44 including means for monitoring the aperiodicity of said sequence of bursts, and means for determining whether the aperiodicity is outside an acceptable limit.

51. Electrosurgical apparatus according to claim 50 including means for displaying an error message if said aperiodicity is outside said limit.

52. Electrosurgical apparatus according to claim 50 including means for sounding an error message if said aperiodicity is outside said limit.

53. Electrosurgical apparatus according to claim 44 including means for detecting whether the power of said sequence of bursts or the power of said continuous, high frequency signal is outside an acceptable power limit, and means for automatically terminating said sequence of bursts or said continuous, high frequency signal if said power is outside the power limit.

54. Electrosurgical apparatus according to claim 53 including means for displaying an error message if said power is outside said power limit.

55. Electrosurgical apparatus according to claim 53 including means for sounding an error message if said power is outside said power limit.

56. Electrosurgical apparatus according to claim 44 including means for varying the inter-burst spacing between 11-51 microseconds.

57. Electrosurgical apparatus according to claim 44 including means for modulating said aperiodic sequence of bursts so that said bursts recur aperiodically over regularly occurring repetitive intervals of time of preselected duration separated by dead zones of preselected duration in which the bursts are absent.

58. Electrosurgical apparatus according to claim 57 including circuitry for causing said preselected intervals of time to be 6 milliseconds long and said dead zones to be 3 milliseconds long.

59. Electrosurgical apparatus according to claim 57 including means for preventing modulation of said bursts due to regular occurrence of said dead zones.

60. Electrosurgical apparatus according to claim 57 including means for preventing an abrupt rise of said burst envelope prior to decay.

61. Electrosurgical apparatus according to claim 44 including circuitry for causing the frequency of said high frequency signal within said bursts to be approximately 1 MHz.

62. Electrosurgical apparatus according to claim 44 including circuitry for causing the frequency of said high frequency signal within said bursts to vary between preset frequency limits.

63. Electrosurgical apparatus according to claim 62 including circuitry for causing said preset frequency limits to be 0.96 MHz and 1.04 MHz.

64. Electrosurgical apparatus according to claim 44 including forcep means adapted for electrical connection to said means for generating aperiodic sequence of bursts or said continuous, high frequency signal.

65. Electrosurgical apparatus according to claim 44 including means for delivering said aperiodic sequence of bursts having said decay amplitude envelopes to a load impedance, said load impedance being variable over a substantially wide range of impedances, and means for maintaining the power of said aperiodic sequence of bursts delivered to said load impedance substantially uniform over said range of impedances.

66. Electrosurgical apparatus according to claim 65 wherein said means for delivering said aperiodic sequence of bursts includes a step down cup core transformer.

67. Electrosurgical apparatus comprising:

a bipolar electrode,

means for electronically synthesizing a sequence of aperiodic trigger pulses,

means for electronically synthesizing a burst of ramped high frequency pulses in response to each of said trigger pulses, said high frequency pulses having successive amplitudes which decrease at a predetermined rate,

means for electronically synthesizing a damped high frequency sinusoidal signal in response to each of said bursts of ramped high frequency pulses, and

means for applying said damped high frequency sinusoidal signal to said electrode.

68. Electrosurgical apparatus according to claim 67 wherein said means for generating said burst of ramped pulses includes means for generating a sequence of multiple bit digital signals of decreasing value in response to each of said trigger pulses, and means for converting each multiple bit digital signal into an analog pulse.

69. Electrosurgical apparatus according to claim 67 including means for varying the frequency of said pulses within said burst.

70. Electrosurgical apparatus according to claim 69 wherein said means for varying the frequency of said pulses includes a phase locked loop in phase coherence with said means for generating said burst of ramped pulses.

71. Electrosurgical apparatus according to claim 69 including means for varying the frequency of said ramped pulses between preset frequency limits.

72. Electrosurgical apparatus according to claim 71 including circuitry for causing said preset frequency limits to be 0.96 MHz and 1.04 MHz.

73. Electrosurgical apparatus according to claim 67 including circuitry for causing the spacing between consecutive bursts of ramped analog pulses to be based on the spacing between consecutive trigger pulses, and for causing said spacing between consecutive trigger pulses to vary between 11-51 microseconds.

74. Electrosurgical apparatus according to claim 67 wherein said means for generating said aperiodic sequence of trigger pulses includes means for generating said sequence over repetitive regularly occurring intervals of time of preselected duration separated by dead zones of preselected duration during which said trigger pulses are not generated.

75. Electrosurgical apparatus according to claim 75 including circuitry for causing said intervals of time of preselected duration to be 6 milliseconds long and said dead zones to be 3 milliseconds long,

76. Electrosurgical apparatus, comprising:

a bipolar electrode,

means for electronically synthesizing an aperiodic sequence of uniform-width bursts of a damped high frequency sinusoidal voltage signal,

means for varying the frequency of said high frequency sinusoidal voltage signal within the bursts, and

means for applying said bursts to said electrode.

77. Electrosurgical apparatus according to claim 76 wherein said means for varying said frequency includes means for varying the frequency between preset frequency limits.

78. Electrosurgical apparatus according to claim 76 wherein said means for varying said frequency includes a phase locked loop in phase coherence with said means for generating said aperiodic sequence of bursts.

79. Electrosurgical apparatus according to claim 77 including circuitry for causing said preset frequency limits to be 0.96 MHz and 1.04 MHz.

80. Electrosurgical method of coagulating vessels, tissue, or the like, comprising:

generating a power signal at bipolar forceps, said power signal comprising an aperiodic sequence of uniform-width bursts of a high frequency signal,

impressing substantially identical decaying amplitude envelope on said bursts, each of said envelopes having a predetermined rate of change from a preselected initial amplitude, and

applying said forceps to said vessels, tissue or the like.

81. Electrosurgical method according to claim 80 including varying the frequency of said high frequency signal within said bursts.

82. Electrosurgical method according to claim 81 including varying the frequency of said high frequency signal between preset frequency limits.

83. Electrosurgical method according to claim 82 wherein said preset frequency limits are 0.96 Mhz and 1.04 Mhz.

84. Electrosurgical method according to claim 80 wherein the inter-burst spacing varies between 11-51 microseconds.

85. Electrosurgical method according to claim 80 including modulating said aperiodic sequence of bursts so that said bursts recur aperiodically over regularly occurring repetitive intervals of time of preselected duration separated by dead zones of preselected duration in which the bursts are absent.

86. Electrosurgical method according to claim 85 wherein said preselected intervals of time are 6 milliseconds long and said dead zones are 3 milliseconds long.

87. Electrosurgical method of coagulating vessels, tissue and the like, comprising:

generating a power signal at bipolar forceps, said power signal comprising an aperiodic sequence of uniform-width bursts of a high frequency signal,

impressing substantially identical decaying amplitude envelope on said bursts, each of said envelopes having a predetermined rate of change from a preselected initial amplitude,

varying the frequency of said high frequency signal within said bursts, and

applying said forceps to said vessels, tissue or the like.

88. Electrosurgical method according to claim 87 including varying the frequency of said high frequency signal between preset frequency limits.

89. Electrosurgical method according to claim 88 wherein said preset frequency limits are 0.96 Mhz and 1.04 Mhz.

90. Electrosurgical method according to claim 87 wherein the inter-burst spacing varies between 11-51 microseconds.

91. Electrosurgical method according to claim 87 including modulating said aperiodic sequence of bursts so that said bursts recur aperiodically over regularly occurring repetitive intervals of time of preselected duration separated by dead zones of preselected duration in which the bursts are absent.

92. Electrosurgical method according to claim 91 wherein said preselected intervals of time are 6 milliseconds long and said dead zones are 3 milliseconds long.