High-frequency surgical generator for cutting tissue

• US 5,749,869 A
• Filed: 06/01/1995
• Issued: 05/12/1998
• Est. Priority Date: 08/12/1991
• Status: Expired due to Term

• Current Assignee: Karl Storz Se & Co. Kg
• Original Assignee: Karl Storz Se & Co. Kg
• Inventors: Lohr, Georg, Lindenmeier, Heinz, Fastenmeier, Karl, Flachenecker, deceased, Gerhard
• Primary Examiner(s): Bahr, Jennifer
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/457,106
• Time in Patent Office: 1,076 Days
• Field of Search: 606/32-34, 606/37-42
• US Class Current: 606/34
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00738 Depth, e.g. depth of ablation
• CPC Class Codes: A61B 2018/00761 Duration
• CPC Class Codes: A61B 2018/00857 harmonic
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00886 Duration
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1273 including multiple generators in one device
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/04 Heartbeat characteristics, e.g. ECG, blood pressure modulation

Abstract

The present invention relates to high-frequency generator for cutting tissue having adjustment devices, with which at least one of the momentary electric output values, such as e.g., current, voltage, power or electric arc can be set.

The present invention is distinguished by, for improvement of the initial incision behavior, an electronic desired-value transmitter and a measurement device having an evaluation unit for direct and/or indirect determination of cutting being provided and said electronic desired-value transmitter providing upon commencement of an incision a particularly suited generator setting for the initial incision as long as said measurement device signals tissue-separating cutting of the probe and thereupon providing a lower desired value for the generator in such a manner that normal cutting corresponding to the desired surgical goal ensues.

Claims

1. A high frequency surgical generating system having a device for setting the maximum power output sufficient for tissue being operated on with respect to material detected at an operation site comprising:

a high frequency generator having an output;

indicating means, said indicating means comparing a spectrum of power from said high frequency generator output influenced by electrical values dependent thereon;

said indicating means comparing the power spectrum of at least two different frequency ranges;

display means receiving and displaying an electric signal representing said power;

an evaluating circuit receiving an output from said indicating means, said evaluating circuit having a desire-value transmitter for setting a desired output value from said high frequency generator that is dependent upon a ratio of a plurality of output signals representing said at least two different frequency ranges from said indicating means.

2. The system according to claim 1 in which said indicating means includes a pair of filters for evaluating spectral performance of said high frequency generating means;

a first filter of said pair of filters detecting spectral performance of even harmonics of the basic frequency of said high frequency generator;

a second filter of said pair of filters detecting spectral performance of odd harmonics of the basic frequency output of said high frequency generator;

said evaluating circuit having a regulated output regulated by said desired-value transmitter to reduce power output of said high frequency generator; and

warning means providing a warning when a ratio of odd harmonics to even harmonics exceeds a preset value.

3. The system according to claim 2 including a low power auxiliary oscillator having an oscillation frequency of f_H ;

coupling means coupling said auxiliary oscillator to an output of said high frequency generator, said auxiliary oscillator signal being additively superimposed on the output signal of said high frequency generator;

said first filter detecting even order distortions and said second filter detecting odd order distortions.

4. The system according to claim 3 in which one of said pair of filters is a lower pass filter having a bandpass extending substantially to 0 Hz.

5. The system according to claim 1 including timing means coupled to said desired value transmitting means, said timing means reducing and maintaining power output from said high frequency generator for a predetermined time interval, said time interval being between a minimum time interval corresponding to the duration of a half-wave of a high frequency signal from said high frequency generator and a maximum time interval corresponding to an off condition for activating said high frequency generator.

6. The system according to claim 5 including impedance detecting means in said indicating means;

and an impedance evaluation circuit means for evaluating the detected impedance, said impedance evaluation circuit means terminating said reduced power output time interval when the detected impedance exceeds a preset impedance value.