Current leakage control for electrosurgical generator

• US 5,152,762 A
• Filed: 11/16/1990
• Issued: 10/06/1992
• Est. Priority Date: 11/16/1990
• Status: Expired due to Term

• Current Assignee: Birtcher Medical Systems, Inc.
• Original Assignee: Birtcher Medical Systems, Inc.
• Inventors: McElhenney, Jay J.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/614,275
• Time in Patent Office: 690 Days
• Field of Search: 606/35, 606/38-40
• US Class Current: 606/35
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 2018/00779 Power or energy

Abstract

A current leakage control circuit regulates the output power of an electrosurgical generator to limit the amount of leakage current. The leakage current is monitored with a differential transformer which has the output and return leads of the electrosurgical generator as first and second windings. A third or sense winding produces a control signal whenever the currents in the output and return leads are not equal, thus indicating current leakage. The control signal is compared to a predetermined maximum safe level of leakage current. If this predetermined level is exceeded, a power control feedback loop of the electrosurgical generator reduces the output power to a sufficiently lower level to reduce the leakage current within a maximum acceptable limit.

Claims

1. In an electrosurgical system having an electrosurgical generator for supplying electrosurgical output power by delivering an output current at a predetermined frequency to a patient, a supply lead means for delivering the output current from the generator to the patient, a return lead means for returning current from the patient to the generator, and a power control feedback loop means of said generator for regulating the output power of the generator to a value approximately equal to a predetermined output power requested, the power control feedback loop means including means for supplying a power control signal representative of any difference between the output power supplied by the generator and the predetermined output power requested and regulating means for regulating the output power of the generator in response to the power control signal;

and in combination therewith an improved means for controlling leakage current from the generator comprising;

current leakage sense means connected to the supply lead means and to the return lead means and operative for determining any imbalance between the current flowing in the supply lead means and the current flowing in the return lead means and for generating a current leakage sense signal related to the amount of any said imbalance;

means for supplying a predetermined set point signal representative of a predetermined maximum acceptable amount of leakage current;

determining means receptive of the current leakage sense signal and the set point signal for supplying a leakage current control signal upon the current leakage sense signal exceeding the predetermined set point signal; and

selector means connected in the power control feedback loop means between the means for supplying the power control signal and the regulating means, the selector means receiving the leakage current control signal and the power control signal, the selector means operatively selecting one of the leakage current control signal or the power control signal and supplying the selected on of the signals to the regulating means to control the output power supplied by the generator both in response to the imbalance and in response to the difference between the predetermined output power requested and output power supplied by the generator by reducing the output power supplied by the generator when the imbalance exceeds the predetermined maximum acceptable amount and by regulating the output power supplied by the generator in relation to the difference between the predetermined output power requested and the output power supplied by the generator when the imbalance does not exceed the predetermined maximum acceptable amount.

2. An invention as defined in claim 1, wherein:

said selector means further selects the one of the power control signal or the leakage current control signal to control the power control feedback loop means to limit the output power supplied by the generator to a maximum value at which the leakage current does not exceed the predetermined amount.

3. An invention as defined in claim 2, wherein:

said selector means further controls the power control feedback loop means to reduce the amount of output power supplied by the generator until the imbalance is equal to or less than the predetermined amount.

4. An invention as defined in claim 1, wherein the current leakage sense means comprises:

a differential transformer including a core and a first winding and a second winding and a sense winding, each of the windings wound around the core, the supply lead means connected to conduct the delivered output current through the first winding, the return lead means connected to conduct the returned current through the second winding, the differential transformer sensing any imbalance between the currents flowing in the first and second windings and generating a current in the sense winding proportional to said imbalance, the current in the sense winding deriving the current leakage sense signal.

5. In an electrosurgical system having an electrosurgical generator for supplying electrosurgical output power at a predetermined high frequency, a supply lead means for delivering the output current from the generator to a patient, a return lead means for returning current from the patient to the generator, and a power control feedback loop means of said generator for regulating the output power of the generator to a value approximately equal to a predetermined output power requested, the power control feedback loop means comprising means for supplying a power control signal representative of a difference between the output power supplied by the generator and the predetermined output power requested and regulating means for regulating the output power supplied by the generator in response to the power control signal;

the improvement comprising;

current leakage sense means connected to the supply lead means and the return lead means for determining any imbalance between the current flowing in the supply lead means and the current flowing in the return lead means and operative for generating a current leakage sense signal related to the amount of said imbalance; and

control means responsive to the current leakage sense signal and operative for controlling the power control feedback loop means to reduce the output power supplied by the generator when the current leakage sense signal exceeds a predetermined value representative of a maximum amount of acceptable leakage current and to limit the output power supplied by the generator to a maximum value at which the leakage current does not exceed the predetermined maximum acceptable value and to reduce the output power supplied by the generator until the current imbalance is equal to or less than the predetermined maximum acceptable value; and

wherein the control means comprises;

a differential transformer including a core and a first winding and a second winding and a sense winding, each of the windings wound around the core, the supply lead means connected to conduct the delivered output current through the first winding, the return lead means connected to conduct the returned current through the second winding, the differential transformer sensing any imbalance between the currents flowing in the first and second windings and generating the current leakage sense signal in the sense winding which is proportional to said imbalance;

converter means for converting the current leakage sense signal in the sense winding to a first signal;

set point means for supplying a second signal representative of the predetermined value of the maximum acceptable leakage current;

amplifying means receptive of the first and second signals and operative for amplifying the difference in magnitude of the first and second signals and for supplying the resultant signal as a third signal; and

selector means receptive of the power control signal and the third signal and operative for supplying the larger one of the power control or third signal to the regulating means of the power control feedback loop means.

6. An invention as defined in claim 5 wherein:

the first and second windings are wound in opposite directions around the core.

7. A method of limiting the electrosurgical power applied to an active electrode in an electrosurgical system to avoid leakage currents of magnitudes greater than a predetermined maximum acceptable level, comprising:

selecting a predetermined level of electrosurgical output power requested for delivery during electrosurgery;

generating electrosurgical output power in response to the predetermined power level requested;

supplying the electrosurgical output power generated by delivering current to the active electrode and receiving return current from a dispersive electrode;

sensing the amount of electrosurgical output power supplied to the active electrode;

determining any output power difference between the electrosurgical output power supplied and the predetermined output power level requested;

sensing any imbalance between the amount of current supplied and received;

determining whether the imbalance exceeds a predetermined amount representative of a predetermined maximum level of acceptable leakage current; and

selectively regulating the output power supplied in relation to both of any imbalance and any output power difference by reducing the level of the electrosurgical output power supplied when the imbalance exceeds the predetermined maximum level of acceptable leakage current and by maintaining the imbalance at or below the predetermined maximum acceptable level when generating power in response to any output power difference.

8. A method as defined in claim 7, wherein the step of selectively regulating the power generated further includes limiting the output power supplied to a predetermined maximum value at which the leakage current does not exceed the predetermined maximum acceptable level.

9. A method as defined in claim 7, wherein the step of selectively regulating the power generated further includes maintaining the amount of electrosurgical output power supplied to a value at which the leakage current does not exceed the predetermined maximum acceptable level.