Automatic activation of electrosurgical generator bipolar output

• US 6,203,541 B1
• Filed: 04/23/1999
• Issued: 03/20/2001
• Est. Priority Date: 04/23/1999
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Keppel, David
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/298,762
• Time in Patent Office: 697 Days
• Field of Search: 606/34, 606/38, 606/39, 606/40, 606/50, 606/51
• US Class Current: 606/38
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1273 including multiple generators in one device

Abstract

An automatic circuit that controls a surgical instrument having a pair of bipolar electrodes. The circuit comprises means for measuring the current between the pair of electrodes, an impedance detection circuit in electrical communication with the current measuring means, a comparator in electrical communication with the impedance detection circuit and a controller electrically connected to the comparator. The impedance detection circuit calculates the impedance between the electrodes based on the measured current and generates a first signal indicative of the calculated impedance. The comparator processes the first signal and generates an activation signal if the calculated impedance falls within a predetermined range of impedance values and generates a deactivation signal if the calculated impedance exceeds a deactivation threshold. The controller receives the activation and deactivation signals and transmits a first control signal to a radiofrequency energy output stage to activate the electrodes in response to the activation signal and transmits a second control signal to the radiofrequency output stage to deactivate the electrodes in response to the deactivation signal.

Claims

1. An automatic circuit that controls a surgical instrument having a pair of bipolar electrodes, the circuit comprising:

means for measuring the current between the pair of electrodes, said measuring means including;

means for generating a constant voltage;

a transformer having a primary winding and a secondary winding, said primary winding having a signal end for receiving a signal and a return end, said secondary winding coupled to the pair of electrodes; and

a resistive element in series with said generating means and said signal end, wherein a voltage developed across said signal end and said return end of said primary winding is representative of a measured current between the pair of bipolar electrodes;

an impedance detection circuit in electrical communication with said measuring means for calculating the impedance based on the measured current, the impedance detection circuit generating a first signal indicative of the calculated impedance;

a comparator in electrical communication with the impedance detection circuit, the comparator processing the first signal and generating an activation signal if the calculated impedance falls within a predetermined range of impedance values and generating a deactivation signal if the calculated impedance exceeds a deactivation threshold; and

a controller in electrical communication with the comparator for receiving the activation and deactivation signals and transmitting a first control signal to a radiofrequency energy output stage to activate the electrodes in response to the activation signal and transmitting a second control signal to the radiofrequency output stage to deactivate the electrodes in response to the deactivation signal.

2. The circuit of claim 1, further comprising a filter in electrical communication with said measuring means for blocking from the impedance detection circuit current from the radiofrequency output stage that would otherwise interfere with the current measuring means.

3. The circuit of claim 2, wherein the first signal is an analog signal, and wherein the automatic circuit further comprises an analog to digital converter for receiving the first signal and converting it to a digital signal that is transmitted to the comparator.

4. The circuit of claim 1, wherein said measuring means includes an oscillator, and wherein the oscillator and the transformer are driven at a frequency of about 60 kHz to about 90 kHz.

5. The circuit of claim 1, wherein the predetermined range of impedance values is from about 20 Ohms to about 500 Ohms.

6. The circuit of claim 5, wherein the deactivation threshold is about 2000 Ohms.

7. An electrosurgical system including a generator for use with bipolar electrodes comprising:

a current monitor for measuring the current between the bipolar electrodes including a transformer having a primary winding with a first end driven at a constant voltage through a resistive element and a second end coupled to a return, wherein the voltage across the primary winding of the transformer varies in accordance with a variation of a current between the electrodes;

an impedance detection circuit in electrical communication with the current monitor to calculate the impedance between the electrodes based on the measured current;

a comparator for comparing the calculated impedance to an activation range of impedance values; and

a controller for automatically activating the generator if the calculated impedance falls within the activation range of impedance values and deactivating the generator if the calculated impedance exceeds a deactivation threshold.

8. The system of claim 7, further comprising a filter for blocking energy from an output of the generator from the impedance detection circuit, the filter being in electrical communication with the current monitor.

9. The system of claim 7, further comprising an analog to digital converter in electrical communication with the impedance detection circuit for converting an analog impedance signal from the impedance detection circuit to a digital impedance signal.

10. The system claim 9, wherein the comparator and the controller form part of a microprocessor, and wherein the microprocessor receives and processes the digital impedance signal and generates a digital control signal for activating and deactivating the generator.

11. The system of claim 7, wherein the activation range of impedance values is from about 20 Ohms to about 500 Ohms.

12. The system of claim 11, wherein the deactivation threshold is about 2000 Ohms.

13. A method of automatically activating and deactivating a bipolar electrosurgical radiofrequency generator comprising the steps of:

measuring the current between a pair of bipolar electrodes electrically connected to the generator utilizing a transformer driven at a constant voltage through a resistive element and determining the voltage across a primary winding of the transformer;

calculating the impedance between the bipolar electrodes based on the measured current;

comparing the calculated impedance to an activation range of impedances;

automatically activating the generator if the calculated impedance falls within the activation range; and

automatically deactivating the generator if the calculated impedance falls above a deactivation threshold.

14. The method of claim 13, further comprising the step of filtering a radiofrequency output current of the generator to prevent corruption of the impedance calculation by said radiofrequency output.