Dual-frequency electrosurgical instrument

• US 5,954,686 A
• Filed: 02/02/1998
• Issued: 09/21/1999
• Est. Priority Date: 02/02/1998
• Status: Expired due to Term

• Current Assignee: Cynosure Incorporated
• Original Assignee: ALAN G. ELLMAN, Jon C. Garito
• Inventors: Garito, Jon C, Ellman, Alan G.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/017,235
• Time in Patent Office: 596 Days
• Field of Search: 606/34, 606/37-40
• US Class Current: 604/37
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2018/0066 without feedback, i.e. open loop control
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1273 including multiple generators in one device
• CPC Class Codes: A61B 2018/128 generating two or more frequencies

Abstract

An electrosurgical instrument that is capable of generating high-quality RF energy at a first frequency best suited for delicate, precise. and quick-healing cutting procedures with low leakage currents using a unipolar handpiece, and also provides high-quality RF energy at a second frequency best suited for coagulation for use with a bipolar handpiece. In a preferred embodiment, the first frequency is in the range of about 3.8-4.0 Mhz, and the second frequency is in the range of about 1.7-2.0 Mhz. The instrument is preferably configured so that both a unipolar handpiece and a bipolar handpiece can be used during a surgical procedure, though not at the same time, without having to activate any switches on the instrument. This has the advantage of providing the surgeon all the benefits of both electrosurgical modes while not jeopardizing the crucial sterile field.

Claims

1. An electrosurgical instrument for selectively providing RF power to operate a unipolar handpiece and a bipolar forceps, comprising:

(a) a console,

(b) RF power generating circuitry inside the console and capable of generating electrosurgical currents at a first frequency and at a different second frequency,

(c) first electrical connectors at the console for receiving a unipolar handpiece,

(d) second electrical connectors at the console for receiving a bipolar forceps,

e) first means for controlling the output power of the electrosurgical currents at the first frequency and for supplying the controlled electrosurgical currents at the first frequency to the first electrical connectors,

f) second means for controlling the output power of the electrosurgical currents at the second frequency and for supplying the controlled electrosurgical currents at the second frequency to the second electrical connectors,

whereby the unipolar handpiece can be operated at a frequency different from that of the bipolar forceps.

2. An electrosurgical instrument according to claim 1, further comprising a footswitch and third electrical connectors at a side of the console for connection to the footswitch, said footswitch functioning to turn on and off the RF power generating circuitry.

3. An electrosurgical instrument according to claim 2, further comprising a unipolar handpiece, wherein said unipolar handpiece comprises a fingerswitch, said fingerswitch functioning to turn on and off the RF power generating circuitry.

4. An electrosurgical instrument according to claim 3, further comprising means for preventing both the footswitch and fingerswitch to cause simultaneous supply of electrosurgical currents at both the first and second connectors.

5. An electrosurgical instrument according to claim 3, further comprising means for causing the bipolar handpiece to be activated only by the footswitch.

6. An electrosurgical instrument according to claim 3, further comprising means for causing the unipolar handpiece to be activated by either the footswitch or the fingerswitch.

7. An electrosurgical instrument according to claim 1, wherein the first frequency is higher than that of the second frequency.

8. An electrosurgical instrument according to claim 7, wherein the first frequency is in the range of about 3.8-4.0 Mhz, and the second frequency is in the range of about 1.7-2.0 MHz.

9. A method for treating patients with electrosurgical currents from an electrosurgical instrument for selectively providing RF power to operate a unipolar handpiece and a bipolar forceps, comprising the steps:

(a) operating the electrosurgical instrument to generate electrosurgical currents at a first frequency in a procedure for cutting tissue of the patient using a unipolar handpiece wherein bleeders may be formed,

(b) operating the electrosurgical instrument to generate electrosurgical currents at a second different frequency in a procedure for coagulating the bleeders using a bipolar handpiece.

10. The method of claim 9, wherein the first frequency is in the range of about 3.84-4.0 Mhz, and the second frequency is in the range of about 1.7-2.0 MHz.

11. An electrosurgical instrument for selectively providing RF power to operate a unipolar handpiece and a bipolar handpiece, comprising:

(a) a console,

(b) RF power generating circuitry inside the console and capable of generating RF electrosurgical currents at a first frequency at a first console output and RF electrosurgical currents at a different second frequency at a second console output,

(c) a unipolar handpiece adapted for connection to the first output,

(d) a bipolar handpiece adapted for connection to the second output,

e) means for selectively supplying electrosurgical currents at the first frequency to the first output and electrosurgical currents at the second frequency to the second output, respectively,

whereby when the unipolar handpiece is connected to the first output it can be supplied with RF electrosurgical currents at the first frequency and when the bipolar handpiece is connected to the second output it can be supplied with RF electrosurgical currents at a frequency different from that supplied to the unipolar handpiece.

12. A method for treating patients with electrosurgical currents from an electrosurgical instrument for selectively providing RF power to operate a unipolar handpiece and a bipolar handpiece, comprising the steps:

(a) supplying at a first output of the electrosurgical instrument RF electrosurgical currents at a first frequency,

(b) supplying at a second output of the electrosurgical instrument RF electrosurgical currents at a second different frequency,

(c) connecting the unipolar handpiece to the first output to treat the patient with RF electrosurgical currents at the first frequency via the unipolar handpiece,

(d) connecting the bipolar handpiece to the second output to treat the patient with RF electrosurgical currents at the second different frequency via the bipolar handpiece.