Electrosurgical generator with high-frequency pulse width modulated feedback power control

• US 4,727,874 A
• Filed: 09/10/1984
• Issued: 03/01/1988
• Est. Priority Date: 09/10/1984
• Status: Expired due to Term

• Current Assignee: Birtcher Medical Systems, Inc. (Jefferies Financial Group, Inc.)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Bowers, William J., Hardwick, Phillip D.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): SHAY, DAVID M
• Application Number:
  US06/649,261
• Time in Patent Office: 1,268 Days
• Field of Search: 128/303.12, 128/303.13, 128/303.14, 128/303.15, 128/303.17, 128/303.18, 330/251, 330/207 A
• US Class Current: 606/38
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: H02M 7/53871 with automatic control of output voltage or current
• CPC Class Codes: H03F 1/52 Circuit arrangements for protecting such amplifiers monitoring arrangements G01R31/28; increasing reliability in communication systems, e.g. using redundancy H04B1/74

Abstract

A pulse width modulation technique regulates the output power of each cycle of a radio frequency surgical signal of an electrosurgical generator. The delivered power of the surgical signal is determined by multiplying the sensed current and the sensed voltage of the surgical signal. An error signal is established by the difference of the actual delivered power with respect to a selected desired output power. The error signal is operatively utilized to modulate the pulse width of each driving pulse which creates the cycles of the surgical signal. Limits on the sensed voltage and sensed current signals are established to limit the output characteristics of the surgical signal. A minimum current limit signal is utilized to limit the maximum output voltage into relatively high impedances. A minimum voltage limit signal is utilized to limit the maximum output current into relatively low impedances. Very rapid response times and very effective power regulation even into relatively high impedance tissues are possible with the pulse width modulation technique. The risks and problems associated with open circuit flashing, alternate path burns and closed circuit shorting are substantially reduced or eliminated.

Claims

1. In a electrosurgical generator including means for supplying a surgical signal at a predetermined high frequency to perform a surgical procedure, and means for regulating the power content of the surtgical signal, and an improved feedback means for controlling the power regulating means comprising:

means for creating a current delivered signal related to the current of the surgical signal;

means for establishing a current limit signal;

voltage limit means receptive of the current limit signal and the current delivered signal and operative for supplying a first signal corresponding to one of either the current limit signal or the current delivered signal, said voltage limit means operatively supplying the current delivered signal as the first signal when the current delivered signal is greater than the current limit signal and operatively supplying the current limit signal as the first signal when the current delivered signal is less than the current limit signal;

means for creating a voltage delivered siganl related to the voltage of the surgical signal;

means for establishing a voltage limit signal;

curret limit means receptive of the voltage limit signal and voltage delivered signal and operative for supplying a second signal corresponding to one of either the voltage limit signal or the voltage delivered signal, said current limit means operatively supplying the voltage delivered signal as the second signal when the voltage delivered signal is greater than the voltage limit signal and operatively supplying the voltage limit signal as the second signal when the voltage delivered signal is less than the voltage limit signal;

multiplier means receptive of the first and second signals and operative for multiplying the first and second signals to create a delivered power signal which is the product of the first and second signals; and

means receptive of the delivered power signal and operative for controlling the power regulation means of said generator to regulate the power content of the surgical signal in response to the power delivered signal.

2. In an electrosurgical generator as defined in claim 1, the current delivered signal is directly related to the RMS current of the surgical signal, and the voltage delivered signal is directly related to the RMS voltage of the surgical signal.

3. In an electrosurgical generator as defined in claim 1, at least one of the limit signals received by said limit means is of a constant value.

4. In an electrosurgical generator as defined in claim 3, the current delivered signal is directly related to the RMS current of the surgial signal, and the voltage delivered signal is directly related to the RMS voltage of the surgical signal.

5. In an electrosurgical generator as defined in claim 1, said improved feedback means further comprises:

means for supplying a desired output power signal representative of a predetermined amount of power which the surgical signal is desired to contain;

differential means receptive of the delivered power signal and the desired output power signal and operative for creating an error signal representative of the difference of the delivered power signal with respect to the desired output power signal; and

wherein;

said means for controlling the power regulation means does so in predetermined relation to the error signal.

6. In an electrosurgical generator as defined in claim 5, at least one of the limit signals received by said limit means is related to the desired output power signal.

7. In an electrosurgical generator as defined in claim 6, the current delivered signal is directly related to the RMS current of the surgical signal, and the voltage delivered signal is directly related to the RMS voltage of the surgical signal.

8. In an electrosurgical generator as definned in claim 6, the one limit signal received by said limit means is non-linearally related to the desired output power signal.

9. In an electrosurgical generator as defined in claim 6, the current delivered signal is directly related to the RMS current of the surgical signal, and the voltage delivered signal is directly related to the RMS voltage of the surgical signal.

10. In an electrosurgical generator as defined in claim 1, said surgical signal is a series of substantially sinusoidally shaped cycles occurring at the predetermined high frequency, and a further improvement in said means for supplying the surgical signal comprises:

drive means for creating a periodic series of driving pulses occurring at a predetermined frequency which is related to the predetermined high frequency of the surgical signal, each driving pulse having a predetermined energy content related to the time width of the driving pulse; and

surgical signal creating means receptive of the driving pulses for creating the surgical signal from the driving pulses, said creating means creating each cycle of the surgical signal from at least one corresponding driving pulse, said creating means further establishing an energy content of each cycle of the surgical signal in a direct relationship to the energy content of each corresponding driving pulse from which the cycle of the surgical signal was created.

11. In an electrosurgical generator as defined in claim 10, the predetermined frequency at which the driving pulses occur is twice the predetermined high frequency of the surgical signal, alternate driving pulses in the periodic series primarily create a positive half cycle of each cycle of the surgical signal and the other alternate driving pulses primarily create the negative half cycle of each cycle of the surgical signal, and sequential driving pulses alternate in polarity with respect to one another.

12. In an electrosurgical generator as defined in claim 11, said means for supplying the surgical signal further comprises:

bandpass filter means receptive of the driving pulses and operative for converting the driving pulses into the substantially sinusoidally shaped cycles of the surgical signal at the predetermined high frequency, said bandpass filter means operatively changes the amplitude of the substantially sinusoidally shaped cycles of the surgical signal in a predetermined relationship to the width of each driving pulse creating the cycle of the surgical signal.

13. An electrosurgical generator which supplies a surgical signal having a series of substantially sinusoidually shaped cycles occurring at a fixed predetermined radio frequency, comprising:

drive means for creating a periodic series of driving pulses occurring at a predetermined frequency related to the predetermined radio frequency of the surgical signal, each driving pulse having a predetermined energy content related to the time width of the driving pulse;

surgical signal creating means receptive of the driving pulses for creating the surgical signal from the driving pulses, said creating means creating each cycle of the surgical signal from at least one corresponding driving pulse, said creating means further establishing an energy content of each cycle of the surgical signal in a direct relationship to the energy content of each corresponding driving pulse from which the cycle of the surgical signal was created;

means responsive to the surgical signal and operative for creating a delivered power signal related to the power content of the surgical signal;

means for establishing a desired output power signal related to a desired amount of output power for the surgical signal; and

means receptive of the delivered power signal and the desired output power signal and operative for modulating the width of the driving pulses in accordance with a predetermined relationship of the delivered power signal and the desired output power signal to regulate the power content of the surgical signal.

14. An electrosurgical generator as defined in claim 13, wherein the energy content of each cycle of the surgical signal is established by varying the amplitude of the sinusoidal shaped cycle.

15. An electrosurgical generator as defined in claim 13 further comprising:

bandpass filter means receptive of the driving pulses and operative for converting the driving pulses into the substantially sinusoidally shaped cycles of the surgical signal at the predetermined radio frequency.

16. An electrosurgical generator as defined in claim 15 wherein:

said bandpass filter means operatively changes the amplitude of the substantially sinusoidally shaped cycles of the surgical signal in a predetermined relationship to the width of each driving pulse creating the cycle of the surgical signal.

17. An electrosurgical generator as defined in claim 16 wherein:

said bandpass filter means primarily creates each half cycle of each substantially sinusoidally shaped cycle of the surgical signal from a corresponding drivig pulse of the periodic series of driving pulses.

18. An electrosurgical generator as defined in claim 16 wherein:

the predetermined frequency at which the driving pulses occur is twice the predetermined radio frequency of the surgical signal, alternate driving pulses of the periodic series primarily create a positive half cycle of each cycle of the surgical signal and the other alternate driving pulses of the periodic series create the negative half cycle of each cycle of the surgical signal, and sequential driving pulses of the periodic series alternate in polarity with respect to one another.

19. An electrosurgical generator as defined in claim 13 further comprising:

means for creating one of a current sensed signal or a voltage sensed signal related to the current or the voltage content of the surgical signal supplied by the electrosurgical generator, respectively;

means for establishing one of a current limit signal or a voltage limit signal;

limit means receptive of the one limit signal and the one sensed signal which have the same current or voltage relationship and operative for supplying the sensed signal as a delivered signal when the one sensed signal occupies a first predetermined relationship to the one limit signal and operative for supplying the limit signal as the delivered signal when the one sensed signal occupies a second predetermined different relationship to the one limit signal; and

and wherein said modulating means modulates the width of the driving pulses in relation to the delivered signal.

20. An electrosurgical generator as defined in claim 19 wherein the one limit signal established is of a constant value.

21. An electrosurgical generator as defined in claim 19 wherein the one limit signal established is non-linearly related to a desired amount of output power to which the surgical signal is to be regulated.

22. An electrosurgical generator as defined in claim 19 wherein the one limit signal established is linearly related to a desired amount of output power to which the surgical signal is to be regulated.

23. An electrosurgical generator as defined in claim 13 wherein the delivered power signal is related to the instantaneous RMS power content of the surgical signal.

24. An electrosurgical generator which supplies a predetermined surgical signal to perform a surgical procedure and which regulates the power content of the surgical signal, the surgical signal being a series of individual cycles occurring at a predetermined radio frequency, said generator comprising:

drive means for creating a drive signal defined by a periodic series of driving pulses occurring at a predetermined frequency and time relationship with respect to each cycle of the radio frequency surgical signal, each driving pulse having a predetermined energy content related to the time width of the driving pulse;

surgical signal creating means receptive of the driving pulses for creating the surgical signal from the driving pulses, said creating means creating each cycle of the surgical signal from at least one corresponding driving pulse, said creating means further establishing an energy content of each cycle of the surgical signal in a direct relationship to the energy content of each corresponding driving pulse from which the cycle of the surgical signal was created;

means for creating a current delivered signal related to the RMS current of the surgical signal;

means for establishing a current limit signal;

voltage limit means receptive of the current limit signal and the current delivered signal and operative for supplying a first signal corresponding to one of either the current limit signal or the current delivered signal, said voltage limit means operatively supplying the current delivered signal as the first signal when the current delivered signal is greater than the current limit signal and operatively supplying the current limit signal as the first signal when the current delivered signal is less than the current limit signal;

means for creating a voltage delivered signal related to the RMS voltage of the surgical signal;

means for establishing a voltage limit signal;

current limit means receptive of the voltage limit signal and voltage delivered signal and operative for supplying a second signal corresponding to one of either the voltage limit signal or the voltage delivered signal, said current limit means operatively supplying the voltage delivered signal as the second signal when the voltage delivered signal is greater than the voltage limit signal and operatively supplying the voltage limit signal as the second signal when the voltage delivered signal is less than the voltage limit signal;

multiplier means receptive of the first and second signals and operative for multiplying the first and second signals to create a delivered power signal which is the product of the first and second signals;

means for supplying a desired output power signal representative of a predetermined amount of power which the surgical signal is desired to contain;

differential means receptive of the delivered power signal and the desired output power signal and operative for creating an error signal representative of the difference of the delivered power signal with respect to the desired output power signal; and

modulation means receptive of the error signal and operative for controlling said drive means to modulate the width of each driving pulse in a predetermined relation to the error signal, said modulation means operatively changing the predetermined energy content of each driving pulse to regulate the energy content of each cycle of the surgical signal to a level related to the power level represented by the desired output power signal.

25. A electrosurgical generator as defined in claim 24 wherein said modulation means further comprises:

integrator means receptive of the error signal and operative for integrating the error signal over time and creating a trigger level signal related to the integrated value of the error signal;

means for creating a ramp signal having a periodic series of ramp waveforms occurring at a predetermined frequency related to the frequency of the driving pulses;

comparator means receptive of the ramp signal and the trigger level signal and operative for creating a pulse width control signal having a characteristic occurring periodically at the predetermined frequency of the ramp signal, the pulse width control signal operatively controlling the width of each driving pulse.

26. An electrosurgical generator as defined in claim 25 wherein said drive means further comprises:

pulse phase means for creating a pulse phase signal having a periodic series of phase pulses occurring at the predetermined frequency of said driving pulses; and

gating means receptive of the pulse phase signal and the pulse width control signal and operative for creating each driving pulse having a time width related to the phase pulse signal and the periodic characteristic of the pulse width control signal.

27. An electrosurgical generator as defined in claim 26 wherein each phase pulse signal has a predetermined time width and the width of each phase pulse signal defines the maximum possible width of each driving pulse.

28. An electrosurgical generator as defined in claim 27 wherein:

said gating means operatively initiates each driving pulse in relation to the occurrence of each phase pulse and operatively terminates each driving pulse in relation to the occurrence of the periodic characteristic of the pulse width control signal.

29. An electrosurgical generator as defined in claim 26 wherein:

said pulse phase means creates a pulse phase one signal and a pulse phase two signal which are phase shifted with respect to one another by one hundred eighty degrees, both the pulse phase one signal and the pulse phase two signal having the characteristics of the aforesaid pulse phase signal;

the predetermined frequency of the ramp waveforms of the ramp signal and of the periodic characteristic of the pulse width control signal are two times the frequency of the surgical signal; and

said gating means is receptive of the pulse phase one signal and the pulse phase two signal and operatively creates individual phase one driving pulses in relation to the phase one pulse signal and the periodic characteristic of the pulse width control signal and operatively creates individual phase two driving pulses in relation to the phase two pulse signal and the periodic characteristic of the pulse width control signal, each phase one driving pulse and each phase two driving pulse having the characteristics of each aforesaid driving pulse, the phase one driving pulses and the phase two driving pulses defining the drive signal.

30. An electrosurgical generator as defined in claim 29 wherein:

said surgical signal creating means receptive of the driving pulses and operative for creating each cycle of the surgical signal operatively creates one half-cycle of each cycle of the surgical signal from a phase one driving pulse and operatively creates the other half-cycle of each cycle of the surgical signal from a phase two driving pulse.

31. An electrosurgical generator as defined in claim 24 wherein each cycle of the surgical signal is substantially sinusoidally shaped and said surgical signal creating means further comprises:

bandpass filter means receptive of the driving pulses and operative for converting the driving pulses into the substantially sinusoidally shaped cycles of the surgical signal at the predetermined radio frequency.

32. An electrosurgical generator as defined in claim 31 wherein:

said bandpass filter means substantially inhibits frequency components of the driving pulses at other than the predetermined radio frequency.

33. An electrosurgical generator as defined in claim 31 wherein:

said bandpass filter means operatively changes the amplitude of the substantially sinusoidally shaped cycles of the surgical signal in a predetermined relationship to the width of each driving pulse creating the cycle of the surgical signal.

34. An electrosurgical generator as defined in claim 31 wherein:

said bandpass filter means primarily creates each half cycle of each substantially sinusoidally shaped cycle of the surgical signal from one corresponding driving pulse.