High-frequency device for generating a plasma arc for the treatment of biological tissue

• US 6,565,558 B1
• Filed: 02/27/2001
• Issued: 05/20/2003
• Est. Priority Date: 09/01/1998
• Status: Expired due to Term

• Current Assignee: Heinz Lindenmeier, Karl Fastenmeier
• Original Assignee: Heinz Lindenmeier, Karl Fastenmeier
• Inventors: Lindenmeier, Heinz, Fastenmeier, Karl
• Primary Examiner(s): PASCHALL, MARK H
• Application Number:
  US09/763,937
• Time in Patent Office: 812 Days
• Field of Search: 606/34, 606/35-45, 606/49, 604/114, 604/22, 604/113, 604/23, 607/99, 607/105-110
• US Class Current: 606/34
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: H05H 1/46 using applied electromagnetic fields, e.g. high frequency or microwave energy H05H1/26 takes precedence
• CPC Class Codes: H05H 1/466 using capacitive coupling means, e.g. electrodes
• CPC Class Codes: H05H 2242/22 DC, AC or pulsed generators
• CPC Class Codes: H05H 2245/32 Surgery, e.g. scalpels, blades or bistoury; Treatments inside the body

Abstract

High-frequency device to generate a plasma arc (5) for the treatment of biological tissue (1), in particular in medicine, with a high-frequency generator (3) having an internal resistor (8) and, connected thereto by means of a flexible lead (10), an electrode (4) with which the plasma arc (5) is produced in a plasma segment (6) between the electrode (4) and the biological tissue (1), which is likewise electrically connected to the high-frequency generator (3), such that in the high-frequency generator (3) a high-frequency voltage source (7) is provided to which is connected a resonant circuit (2) that comprises a first reactance element (9a) with a capacitive action and, in series therewith, a second reactance element (9a) with an inductive action, and that has a resonant frequency at the frequency of the high-frequency oscillation emitted by the high-frequency voltage source (7), wherein the voltage to generate the plasma arc (5) is derived from the first or second reactance element (9a, 9b).

Claims

1. High-frequency device to generate a plasma arc for the treatment or biological tissue with a high-frequency generator having an internal resistor and, connected thereto by means of a flexible lead, an electrode with which the plasma arc is produced in a plasma segment between the electrode and the biological tissue, which is likewise electrically connected to the high-frequency generator, wherein the high-frequency generator comprises a high-frequency voltage source connected a resonant circuit that comprises a first reactance element with a capacitive action and, in series therewith, a second reactance element with an inductive action, and that has a resonant frequency permanently set to the frequency of the high-frequency oscillation emitted by the high-frequency voltage source, wherein the voltage to generate the plasma arc is derived from the first or second reactance element and the internal resistance of the high-frequency voltage source is substantially smaller than the reactance of the first reactance element and of the second reactance element at the resonant frequency of the resonant circuit.

2. High-frequency device to generate a plasma according to claim 1 wherein the first and second reactances have a substantially identical magnitude at the resonant frequency and the plasma segment is at least in parts disposed in parallel with a first one of the two reactance elements, wherein the magnitude of the reactances is matched to the voltage amplitude of the high-frequency voltage source in such a way that, on one hand, in a state such that the plasma arc is extinguished the high-frequency voltage at the plasma segment as a result of the resonance is at least equal to the voltage needed to ignite the plasma arc and, on the other hand, in a state such that the plasma arc exists the resonance is damped by the conductance of the plasma segment and the magnitude of the reactances in combination with their losses determines a high frequency current intensity in the plasma segment that is suitable for medical applications.

3. High-frequency device to generate a plasma arc according to claim 1 wherein the first reactance element of the resonant circuit, from which the voltage to generate the plasma arc is derived, is formed by the capacitance of at least one capacitor and the capacitance existing between the electrode lead and the electrode on one hand, and on the other hand the tissue connected to the resonant circuit by way of an earth electrode as well as a lead that connects the resonant circuit to this earth electrode.

4. High-frequency device to generate a plasma arc according to claim 1 wherein the high-frequency generator has a predetermined intrinsic frequency.

5. High-frequency device to generate a plasma arc according to claim 1 wherein the human tissue is connected to a connection of the high-frequency generator that is at the earth potential, the first reactance element of the resonant circuit is formed by a circuit in which a capacitor is disposed in parallel with the lead to which the electrode is corrected and a common effective capacitance formed by the lead and the electrode together with the parallel capacitor forms a reactance with a negative value equal to that of the second reactance element implemented as a series inductor.

6. High-frequency device to generate a plasma arc according to claim 5 wherein the second reactance element is implemented as an inductive reactance element consisting of an inductor and a capacitor disposed in parallel, and the common effective capacitance formed by the lead and electrode together with the capacitor forms a reactance with a negative value equal to that of the second reactance element implemented by the parallel arrangement of the inductor and capacitor.

7. High-frequency device to generate a plasma arc according to claim 2 wherein the first reactance element of the resonant circuit is formed by the arrangement of an inductor in parallel with the lead to which the electrode is attached, and the common effective capacitance formed by the lead and electrode together with the inductor forms a reactance with a negative value equal to that of the second reactance element implemented as a series capacitor.

8. High-frequency device to generate a plasma arc according to claim 7 wherein the tissue is connected, by way of an earth electrode in contact with the patient to the connector of the high-frequency generator that is at the earth potential.

9. High frequency device to generate a plasma arc according to claim 1 wherein the electrode lead to the patient and to the electrode at the operation site is constructed as an insulated unipolar conductor.

10. High-frequency device to generate a plasma arc according to claim 8 wherein the electrode lead to the patient and to the electrode at the operation site is constructed as the internal conductor in a coaxial cable with coaxial shielding conductor having an external insulation layer that protects against contact with the tissue, and the coaxial shielding conductor is connected to the earth electrode in contact with the patient.

11. High-frequency device to generate a plasma arc according to claim 1 wherein the electrode lead to the patient and to the electrode at the operation site is constructed as the internal conductor in a coaxial cable with coaxial shielding conductor having an external insulation layer that protects against contact with the tissue, and the coaxial shielding conductor at its one end is connected to the connector of the high-frequency generator that is at the earth potential and at its other end, in the immediate vicinity of the operation site, comprises an earth electrode, which is in electrically conducting contact with the shielding conductor and which by making contact with an area of the tissue can be electrically connected thereto.

12. High-frequency device to generate a plasma arc according to claim 1 wherein to achieve a high spatial selectivity of the plasma arc a stream of noble gas, preferably a stream of argon gas, with low ionization field strength is directed onto the tissue to be treated, such that the noble as is guided to the operation site in the internal conductor, within the coaxial shielding conductor or in a tube parallel to the latter.

13. High-frequency device to generate a plasma arc according to claim 6 wherein in order to select various current intensities in the plasma arc, the second reactance element implemented as capacitance is suitably selected from a first group of capacitors by means of a first switch and to fulfill the resonance condition the parallel inductor and the effective capacitor of the lead with attached electrode are connected in parallel with a suitable capacitor, which is selected from a second group of capacitors by means of a second switch.

14. High-frequency device to generate a plasma arc according to claim 5 wherein in order to select various current intensities in the plasma arc, the second reactance element implemented as a series inductor is suitably selected from a first group of inductors by means of a first switch and to fulfill the resonance condition the effective capacitor of the lead with attached electrode is connected in parallel with a suitable capacitor, which is selected from a group of capacitors by means of a second switch.

15. High-frequency device to generate a plasma arc according to claim 1 wherein to a high-frequency generator, which is also designed for other applications, there is connected a transformer with several selectable settings of the voltage ratio, and connected thereto is a first switch with which to preselect the voltage ratio.

16. High-frequency device to generate a plasma arc according to claim 1 further comprising a high-impedance HF-current source and a resonance transformation circuit that converts the high-impedance HF-current source into a high-frequency voltage source with low-impedance internal resistor.

17. High-frequency device to generate a plasma arc according to claim 1 wherein the high-frequency generator is formed by a high-frequency voltage source with periodic signal waveform, preferably a square wave, and with low internal resistance, which in particular is of the order of magnitude of the characteristic impedances of coaxial cables.

18. High-frequency device to generate a plasma arc according to claim 17 wherein the high-frequency generator with square-wave signal is formed by a DC voltage source with a complementary circuit in parallel therewith made of switching transistors operated push-pull mode and the latter are triggered by a pulse generator, which by means of a current decoupler is synchronized for measurement or the resonant-circuit current, and the output voltage of the high-frequency generator thus formed is applied to the common source electrode of the switching transistors.

19. High-frequency device to generate a plasma arc according to claim 1 wherein the high-frequency generator has a predetermined intrinsic frequency and a regulating device is present by means of which the resonance in the resonant circuit can be regulated by adjustment of at least one of the two reactance elements.

20. High-frequency device to generate a plasma arc according to claim 19 wherein the resonance in the resonant circuit produced by adjusting the first reactance element is determined by the following:

a current decoupler is present in the circuitry of the resonant circuit and the decoupled current is sent to an amplitude indicator where it is evaluated, and downstream of the amplitude indicator in the circuit a regulator for adjustment of the reactance element is disposed, in which the signal from the amplitude indicator is evaluated in such a way that the resonant current and hence the voltage at the first reactance element is set to a maximum.

21. High-frequency device to generate a plasma arc according to claim 19 wherein the regulating device comprises a set-point transmitter for presetting the current in the plasma arc and hence the patient current.

22. High-frequency device to generate a plasma arc according to claim 21 wherein a patient-current decoupler, a patient-current indicator and a patient-current regulator are provided and the current in the plasma arc can be regulated by setting the second reactance element and the high-frequency voltage source to the value prescribed by the set-point transmitter.

23. High-frequency device to generate a plasma arc according to claim 1 wherein at least one of the two reactance elements is formed entirely or in part by a variable inductor, the inductance of which is determined in an inertia-free manner by premagnetization of a ferrite core with variable permeability, wherein the premagnetization is adjusted by means of a premagnetization winding through which a premagnetization current flows.

24. High-frequency device to generate a plasma arc according to claim 23 wherein the variable premagnetization current is adjusted by means of a controlled variable DC voltage source.

25. High-frequency device to generate a plasma arc according to claim 1 wherein the high-frequency voltage source and at least parts of the resonant circuit, in particular together with regulating or adjustment devices for adjusting the resonant frequency or for adjusting the intensity of the plasma current, are disposed in a housing that ensures the patient'"'"'s safety, to which is connected the lead with attached electrode.