Electrosurgical apparatus and separation detecting method capable of stably monitoring separation state of return electrode

• US 6,063,075 A
• Filed: 06/15/1998
• Issued: 05/16/2000
• Est. Priority Date: 06/19/1997
• Status: Expired due to Term

• Current Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Original Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Inventors: Mihori, Takashi
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/097,551
• Time in Patent Office: 701 Days
• Field of Search: 606/32, 606/35, 606/38, 128/908
• US Class Current: 606/35
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: Y10S 128/908 Patient protection from electric shock

Abstract

An electrosurgical apparatus detects separation of a return electrode of the electrosurgical apparatus for cutting and coagulating an organic tissue from a patient. An impedance detecting section detects a contact impedance between the return electrode and the patient and generates an impedance detection signal corresponding to the contact impedance. A first discrimination section discriminates if the impedance detection signal generated by the impedance detecting section falls within a normal range of the contact impedance having predetermined upper and lower limits after the electrosurgical apparatus is powered on. When the first discrimination section detects that the impedance detection signal lies in the normal range, a storage section stores the then impedance detection signal as a reference signal. A second discrimination section discriminates if the return electrode is in an abnormal state where the return electrode is separated from the patient, based on a difference between the impedance detection signal, generated by the impedance detecting section, and the reference signal stored in the storage section.

Claims

1. An electrosurgical apparatus for detecting separation of a return electrode of said electrosurgical apparatus for cutting and coagulating an organic tissue from a patient, comprising:

an impedance detecting section for detecting a contact impedance between said return electrode and said patient and generating an impedance detection signal corresponding to said contact impedance;

a first discrimination section for discriminating if said impedance detection signal generated by said impedance detecting section falls within a normal range of said contact impedance having predetermined upper and lower limits after said electrosurgical apparatus is powered on;

a storage section for, when said first discrimination section detects that said impedance detection signal lies in said normal range, storing the then impedance detection signal as a reference signal; and

a second discrimination section for discriminating if said return electrode is in an abnormal state where said return electrode is separated from said patient, based on a difference between said impedance detection signal, generated by said impedance detecting section, and said reference signal stored in said storage section.

2. The electrosurgical apparatus according to claim 1, further comprising a reference signal replacing section for comparing said impedance detection signal, generated by said impedance detecting section, with said reference signal stored in said storage section and replacing said reference signal stored in said storage section with a then detected impedance detection signal, in accordance with a result of comparison.

3. The electrosurgical apparatus according to claim 2, wherein even when said second discrimination section has discriminated an abnormal state and thereafter discriminates that said abnormal state has been returned to a normal state, said reference signal replacing section replaces said reference signal stored in said storage section with a then detected impedance detection signal.

4. The electrosurgical apparatus according to claim 1, further comprising a reference signal replacing section for, when said second discrimination section has discriminated an abnormal state and thereafter discriminates that said abnormal state has been returned to a normal state, replacing said reference signal stored in said storage section with a then detected impedance detection signal.

5. The electrosurgical apparatus according to claim 1, further comprising a control switch for inhibiting an operation of the impedance detecting section.

6. An electrosurgical apparatus for detecting separation of a return electrode of said electrosurgical apparatus for cutting and coagulating an organic tissue from a patient, comprising:

an AC signal source for providing said return electrode with an AC signal for detecting a contact impedance between said return electrode and said patient;

an impedance detecting section for detecting said contact impedance between said return electrode and said patient and generating an impedance detection signal corresponding to said contact impedance;

an insulating interface section for electrically insulating said impedance detection signal generated by said impedance detecting section, and transferring said impedance detection signal to an internal circuit;

a first signal converting section for converting said impedance detection signal, transferred via said insulating interface section, to a DC signal;

a second signal converting section for converting said DC signal, converted by said first signal converting section, to digital data;

a storage section for storing said digital data converted by said second signal converting section; and

a control section for controlling said electrosurgical apparatus,

said control section having

a first discrimination function for discriminating if digital data equivalent to said impedance detection signal stored in said storage section falls within a normal range of said contact impedance having predetermined upper and lower limits after said electrosurgical apparatus is powered on,

a storage function for, when it is detected by said first discrimination function that said digital data lies in said normal range, storing the then digital data as a reference signal in said storage section,

a comparison function for comparing digital data equivalent to said impedance detection signal generated by said impedance detecting section with said reference signal stored in said storage section,

a replacing function having at least one of a first mode for replacing said reference signal with digital data equivalent to the then detected impedance detection signal based on a result of comparison by said comparison function, as needed, and a second mode for, when first discrimination function has discriminated an abnormal state and thereafter discriminates that said abnormal state has been returned to a normal state, replacing said reference signal with digital data equivalent to the then detected impedance detection signal, as needed, and

a second discrimination function for discriminating if said return electrode is in an abnormal state where said return electrode is separated from said patient, based on a difference between digital data equivalent to said impedance detection signal, generated by said impedance detecting section, and said reference signal stored in said storage section.

7. The electrosurgical apparatus according to claim 6, wherein said impedance detecting section comprises:

a first transformer with a primary winding and a secondary winding, for transmitting an AC signal for detecting a contact impedance;

a return electrode connector for connection of said return electrode;

a second transformer having a primary winding and a secondary winding, for detecting said contact impedance and transferring a detection signal to the insulating interface section in an insulated manner;

a capacitor connected in parallel to said second transformer and constituting a parallel resonance circuit with said windings of said second transformer,

said return electrode connector and said parallel resonance circuit being connected in series to said AC signal source,

whereby said contact impedance is detected by voltage division with a fixed AC impedance of said parallel resonance circuit and said contact impedance.

8. A return electrode separation monitor adapted to be connected to an electrosurgical apparatus for detecting separation of a return electrode of said electrosurgical apparatus for cutting and coagulating an organic tissue from a patient, said monitor comprising:

an impedance detecting section for detecting a contact impedance between said return electrode and said patient and generating an impedance detection signal corresponding to said contact impedance;

a first discrimination section for discriminating if said impedance detection signal generated by said impedance detecting section falls within a normal range of said contact impedance having predetermined upper and lower limits after said electrosurgical apparatus is powered on;

a storage section for, when said first discrimination section detects that said impedance detection signal lies in said normal range, storing the then impedance detection signal as a reference signal; and

a second discrimination section for discriminating if said return electrode is in an abnormal state where said return electrode is separated from said patient, based on a difference between said impedance detection signal, generated by said impedance detecting section, and said reference signal stored in said storage section.

9. A return electrode separation monitor adapted to be connected to an electrosurgical apparatus for detecting separation of a return electrode of said electrosurgical apparatus for cutting and coagulating an organic tissue from a patient, said monitor comprising:

an AC signal source for providing said return electrode with an AC signal for detecting a contact impedance between said return electrode and said patient;

an impedance detecting section for detecting said contact impedance between said return electrode and said patient and generating an impedance detection signal corresponding to said contact impedance;

an insulating interface section for electrically insulating said impedance detection signal generated by said impedance detecting section, and transferring said impedance detection signal to an internal circuit;

a first signal converting section for converting said impedance detection signal, transferred via said insulating interface section, to a DC signal;

a second signal converting section for converting said DC signal, converted by said first signal converting section, to digital data;

a storage section for storing said digital data converted by said second signal converting section; and

a control section for controlling said electrosurgical apparatus,

said control section having

a first discrimination function for discriminating if digital data equivalent to said impedance detection signal stored in said storage section falls within a normal range of said contact impedance having predetermined upper and lower limits after said electrosurgical apparatus is powered on,

a storage function for, when it is detected by said first discrimination function that said digital data lies in said normal range, storing the then digital data as a reference signal in said storage section,

a comparison function for comparing digital data equivalent to said impedance detection signal generated by said impedance detecting section with said reference signal stored in said storage section,

a replacing function having at least one of a first mode for replacing said reference signal with digital data equivalent to the then detected impedance detection signal based on a result of comparison by said comparison function, as needed, and a second mode for, when first discrimination function has discriminated an abnormal state and thereafter discriminates that said abnormal state has been returned to a normal state, replacing said reference signal with digital data equivalent to the then detected impedance detection signal, as needed, and

a second discrimination function for discriminating if said return electrode is in an abnormal state where said return electrode is separated from said patient, based on a difference between digital data equivalent to said impedance detection signal, generated by said impedance detecting section, and said reference signal stored in said storage section.

10. A method of detecting separation of a return electrode of an electrosurgical apparatus for cutting and coagulating an organic tissue from a patient, comprising:

an impedance detecting step of detecting a contact impedance between said return electrode and said patient and generating an impedance detection signal corresponding to said contact impedance;

a first discrimination step of discriminating if said generated impedance detection signal falls within a normal range of said contact impedance having predetermined upper and lower limits after said electrosurgical apparatus is powered on;

a storage step of, when it is detected that said impedance detection signal lies in said normal range, storing the then impedance detection signal as a reference signal; and

a second discrimination step of discriminating if said return electrode is in an abnormal state where said return electrode is separated from said patient, based on a difference between said impedance detection signal, generated in said impedance detecting step, and said reference signal stored in said storage step.

11. A return electrode separation detecting method of cutting and coagulating an organic tissue using an electrosurgical apparatus comprising an impedance detecting section for detecting contact impedance between return electrode and patient and generating an impedance detection signal corresponding to said contact impedance;

an insulating interface section for electrically insulating said impedance detection signal generated by said impedance detecting section, and transferring said impedance detection signal to an internal circuit;

a first signal converting section for converting said impedance detection signal, transferred via said insulating interface section, to a DC signal;

a second signal converting section for converting said DC signal, converted by said first signal converting section, to digital data;

a storage section for storing said digital data converted by said second signal converting section; and

a control section for controlling said electrosurgical apparatus, said method comprising;

a first discrimination step of discriminating if digital data equivalent to said impedance detection signal stored in said storage section falls within a normal range of said contact impedance having predetermined upper and lower limits after said electrosurgical apparatus is powered on;

a storage step of, when it is detected in said first discrimination step that said digital data lies in said normal range, storing the then digital data as a reference signal in said storage section;

a comparison step of comparing digital data equivalent to said impedance detection signal generated by said impedance detecting section with said reference signal stored in said storage section;

a replacing step of executing replacement in at least one of a first mode for replacing said reference signal with digital data equivalent to the then detected impedance detection signal based on a result of comparison by said comparison step, as needed, and a second mode for, when first discrimination step has discriminated an abnormal state and thereafter discriminates that said abnormal state has been returned to a normal state, replacing said reference signal with digital data equivalent to the then detected impedance detection signal, as needed; and

a second discrimination step of discriminating if said return electrode is in an abnormal state where said return electrode is separated from said patient, based on a difference between digital data equivalent to said impedance detection signal, generated by said impedance detecting section, and said reference signal stored in said storage section.