Electrosurgical instrument

• US 6,325,799 B1
• Filed: 12/20/1999
• Issued: 12/04/2001
• Est. Priority Date: 04/24/1997
• Status: Expired due to Fees

• Current Assignee: Gyrus Medical Incorporated (Olympus Corporation)
• Original Assignee: Gyrus Medical Incorporated (Olympus Corporation)
• Inventors: Goble, Colin C. O.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Ruddy, David M.
• Application Number:
  US09/403,389
• Time in Patent Office: 715 Days
• Field of Search: 606/32, 606/34, 606/33, 606/35, 606/38, 606/41, 606/42
• US Class Current: 606/41
• 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 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2018/0066 without feedback, i.e. open loop control
• CPC Class Codes: A61B 2018/0075 Phase
• CPC Class Codes: A61B 2018/1226 powered by a battery
• CPC Class Codes: A61B 2018/1253 monopolar

Abstract

In an electrosurgical instrument susceptible to varying load impedance, particularly varying load reactance, a fixed frequency radio frequency generator has an output stage (Q1, Q2, TR2-TR4, C1, VC2, 42) consisting of at least one output power device and, coupled to the power device, an output network with a load-dependent resonant condition. To compensate for variations in the load reactance, the output network has a dynamically variable capacitor (VC2) which maintains the tuning of the network substantially constant. Variation of the capacitor (VC2) is performed by means of a phase comparator and servo device (44) which are responsive to variations in phase difference occurring in the output stage due to load reactance changes.

Claims

1. An electrosurgical instrument comprising:

a handpiece,

a single treatment electrode projecting from the handpiece, and

a generator capable of operating at a substantially fixed frequency under varying load conditions, the generator having an output stage comprising;

an output power device, and, coupled to the power device,

an output network including a treatment electrode output node,

wherein the output network has a load-dependent resonant condition and includes a variable reactance element arranged to compensate at least partially for output network mistuning effects due to variations in load impedance,

the generator treatment electrode output node being connected to the treatment electrode,

the instrument being, arranged such that the generator radio frequency return path during use occurs by electromagnetic field transmission through air between the patient and the instrument.

2. A generator according to claim 1, wherein the variable reactance element is associated with a signal path between the power device and the said node.

3. A generator according to claim 1, including a sensing circuit having an output coupled to the variable reactance element, wherein the sensing circuit is arranged to sense changes in load impedance and to produce a load impedance responsive adjustment signal at the said output, and wherein the reactance element is arranged such that its reactance is adjustable in response to the adjustment signal thereby to perform the said compensation.

4. A generator according to claim 3, wherein the sensing circuit is arranged to sense changes in load reactance.

5. A generator according to claim 3, wherein the sensing circuit comprises a phase comparator having inputs coupled to different respective parts of the output stage and arranged to generate at the sensing circuit output an adjustment signal which causes the reactance element to be adjusted so as to bring the phase difference between signals at the phase comparator inputs to a predetermined value or to within a predetermined range.

6. A generator according to claim 1, wherein the variable reactance element is a variable capacitor.

7. A generator according to claim 1, wherein the variable reactance element includes a servo device.

8. A generator according to claim 1, wherein the output stage includes an output transformer and the variable reactance element is coupled to a secondary winding of the transformer.

9. A generator according to claim 1, wherein the variable reactance element forms part of a parallel-tuned output network.

10. A generator according to claim 9, wherein the variable reactance element is a capacitor and the tuned circuit includes a transformer winding.

11. A generator according to claim 1, wherein the output network includes a generator output line, and wherein the variable reactance element is connected in series in the output line.

12. A generator according to claim 11, wherein the variable reactance element is a capacitor.

13. A generator according to claim 1, wherein the variable reactance element forms part of an output circuit between the power device and an output node of the generator.

14. A generator according to claim 1, wherein the generator has a conductive element acting as an antenna.

15. A generator according to claim 1, having an operating frequency in excess of 5 MHz.

16. An instrument according to claim 1, including a conductive body arranged to provide stray capacitance coupling to the patient during use of the instrument as a return path for radio frequency currents.

17. An instrument according to claim 1, having only a single direct radio frequency output connection, the return path being provided in use by a conductive body capacitively coupled to the patient by stray capacitance.

18. An instrument according to claim 1, operable at a frequency in excess of 5 MHz.

19. An instrument according to claim 6, wherein the variable capacitor is a parallel plate capacitor, the separation of the plates being controlled by a piezo-ceramic actuator.

20. An instrument according to claim 19, wherein the piezo-ceramic actuator is a bending strip which acts in a manner similar to a bimetallic strip.

21. An instrument according to claim 19, wherein the piezo-ceramic actuator is a longitudinal solid piezo-electric element.

22. An instrument according to claim 21, wherein the piezo-electric element is single.

23. An instrument according to claim 21, wherein the piezo-electric element is multi-layered.

24. An instrument according to claim 1, wherein the variable reactance element is a parallel plate capacitor wherein the plates are separated by a piezo ceramic actuator that is a bending strip.

25. An instrument according to claim 1, wherein the variable reactance element is a parallel plate capacitor wherein the plates are separated by a piezo ceramic actuator that is a longitudinal solid piezo electric element.