Electrical surgical operating apparatus

• US 6,464,696 B1
• Filed: 02/24/2000
• Issued: 10/15/2002
• Est. Priority Date: 02/26/1999
• Status: Expired due to Term

• Current Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Original Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Inventors: Takahashi, Hiroyuki, Hijii, Kazuya, Harano, Kenji, Oyama, Masahide
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): SCHOPFER, KENNETH G
• Application Number:
  US09/512,778
• Time in Patent Office: 964 Days
• Field of Search: 606/32-35, 606/37-40
• US Class Current: 606/34
• CPC Class Codes: A61B 18/149 bow shaped or with rotatable body at cantilever end, e.g. for resectoscopes, or coagulating rollers
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00779 Power or energy

Abstract

An electric surgical operation apparatus comprises: an active electrode which performs medical treatment to an area to be treated by applying electric energy to the area; an electric power supplying unit which supplies electric power to the active electrode; a measuring unit which measures at least one of the electrical power output voltage value supplied to the active electrode from the electric power supplying unit, and the output current value thereof; a discerning unit for discerning whether or not the change in at least one of the voltage value and the current value measured by the measuring unit has attained a predetermined change amount; and a voltage control unit for controlling the electric power supplying unit so that the supplied electric power is a constant voltage, according to the discerning results discerned by the discerning unit.

Claims

1. An electric surgical operation apparatus, comprising:

an active electrode which performs medical treatment to an area to be treated by applying electric energy to said area;

an electric power supplying unit which supplies electric power to said active electrode;

a measuring unit which measures at least one of an output voltage value and an output current value supplied to said active electrode from said electric power supplying unit;

a discerning unit that discerns a condition of said area that is being treated based on one of said output voltage value and said output current value; and

a voltage control unit that maintains said supplied electric power at a constant voltage after said discerning unit indicates that said area that is being treated has reached a predetermined condition.

2. An electric surgical operation apparatus according to claim 1, further comprising an input unit for setting the electric power output from said electric power supplying unit to an arbitrary value.

3. An electric surgical operation apparatus according to claim 1, wherein said discerning unit further outputs said condition of said area that is being treated.

4. An electric surgical operation apparatus according to claim 1, further comprising an input unit for instructing the type of medical treatment;

wherein said electric power supplying unit further generates electric power of a waveform corresponding to the type of medical treatment selected by said input unit.

5. An electric surgical operation apparatus according to claim 1, further comprising a supplying path for supplying electric power to said active electrode, and a voltage value selecting unit for selecting a target voltage according to an electrostatic capacity of said supplying path.

6. An electric surgical operation apparatus according to claim 1, further comprising:

a constant-current control unit for maintaining the current applied by said electric power supplying unit to said active electrode at a provided target current value; and

a target current value selecting unit which is connected to said electric power supplying unit, for selecting said target current value according to the type of said active electrode.

7. An electric surgical operation apparatus according to claim 6, further comprising an input unit for instructing the type of medical treatment.

8. An electric surgical operation apparatus according to claim 6, further comprising a current value setting unit wherein current values according to the type of said active electrodes are set beforehand;

wherein said target current value selecting unit selects a current value corresponding to the type of said active electrode, from the current values set in said current value setting unit.

9. An electric surgical operation apparatus according to claim 7, wherein said input unit further comprises an electrode type instructing unit for instructing the type of said active electrode to said target current value selecting unit.

10. An electric surgical operation apparatus according to claim 6, further comprising an electrode type detecting control unit for detecting the type of said active electrode, and controlling said target current value selecting unit.

11. An electric surgical operation apparatus according to claim 6, further comprising:

a feedback electrode which forms a pair with said active electrode;

a short-circuit impedance detecting unit for detecting an impedance value when said active electrode and said feedback electrode are short-circuited; and

an electrode nature detecting unit for detecting the type of said active electrode from said impedance value detected by said short-circuit impedance detecting unit.

12. An electric surgical operation apparatus. comprising:

an active electrode which performs medical treatment to an area to be treated by applying electric energy to said area;

an electric power supplying unit which supplies electric power to said active electrode;

a measuring unit which measures at least one of an output voltage value and an output current value supplied to said active electrode from said electric power supplying unit;

a discerning unit for discerning whether or not the change in at least one of the voltage value and the current value measured by said measuring unit has attained a predetermined change amount; and

a voltage control unit for controlling said electric power supplying unit so that said supplied electric power is a constant voltage, according to the discerning results discerned by said discerning unit;

a treating instrument comprising said active electrode and an insulating material having a voltage withstanding value;

an input unit for inputting the voltage withstanding value of the insulating material of said treating instrument;

a voltage value correcting unit for correcting the electric power value or the voltage value which does not exceed said voltage withstanding value of said insulating material; and

a voltage restricting unit for restricting the output voltage of said electric power supplying unit within a range which does not exceed the predetermined voltage value to which correction is made by said voltage value correcting unit.

13. An electric surgical operation apparatus according to claim 12, further comprising:

a load impedance measuring unit for measuring the load impedance value of said treating instrument which has come into contact with said area to be treated;

an insulation destruction judging unit for judging whether or not there has been destruction of insulation of said active electrode, by the state of said load impedance value measured by said load impedance measuring unit; and

at least one of

a control unit which controls said electric power supplying unit in order to suppress electric power output of said electric power supplying unit according to the judgment results of said insulation destruction judging unit, and

a notifying unit for informing the operator of the judgment results of said insulation destruction judging unit.

14. An electric surgical operation apparatus according to claim 13, wherein said insulation destruction judging unit further comprises:

a stipulated value holding unit for holding a predetermined stipulated value; and

an insulation destruction judging unit for comparing this held stipulated value with the load impedance measured by said load impedance measuring unit, and passes judgment that the insulation of said treating instrument has been destroyed, in the event that this load impedance is smaller than said stipulated value.

15. An electric surgical operation apparatus, comprising:

an active electrode, wherein said active electrode is applied to an area of a patient'"'"'s body to perform one of coagulation and excision;

a power output selection unit for selecting a power output to said active electrode;

an electric power supply unit for supplying power to said active electrode;

a measuring unit that measures at a selected power output at least one of voltage output to said active electrode, current output to said active electrode, and impedance of said area of said patient'"'"'s body under application by said active electrode; and

a voltage control unit for controlling a voltage supplied by said power supply unit;

wherein based on values obtained from said measuring unit, said voltage control unit increases said voltage output to said active electrode until at least one of said voltage output to said active electrode, current output to said active electrode, and impedance of said area of said patient'"'"'s body under application by said active electrode reaches a first predetermined value, then said voltage control adjusts said voltage output to a second predetermined value and maintains said voltage output at said second predetermined value.

16. An electric surgical operation apparatus according to claim 15, wherein said first predetermined value indicates a condition of said area of said patient'"'"'s body under application by said active electrode.

17. An electric surgical operation apparatus according to claim 15, further comprising a voltage output selection unit for said second predetermined value.

18. An electric surgical operation apparatus according to claim 15, wherein said voltage control unit includes a gain control unit that is capable of controlling said electric power supply unit to increase and decrease said voltage output.

19. An electric surgical operation apparatus according to claim 15, further comprising a mode selection unit for selecting a mode of operation.

20. An electric surgical operation apparatus according to claim 19, wherein said mode selection unit allows selection of one of an excision mode and a coagulation mode.