Intelligent selection system for electrosurgical instrument

• US 6,652,514 B2
• Filed: 09/13/2001
• Issued: 11/25/2003
• Est. Priority Date: 09/13/2001
• Status: Expired due to Term

• Current Assignee: Cynosure, LLC (Hologic Incorporated)
• Original Assignee: ALAN G. ELLMAN, Jon C. Garito
• Inventors: Garito, Jon C., Ellman, Alan G.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/950,611
• Publication Number:
  US 20030050633A1
• Time in Patent Office: 803 Days
• Field of Search: 606/34, 606/37-42, 606/45, 606/48-50
• US Class Current: 606/37
• 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 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like

Abstract

An intelligent selection system for operating an electrosurgical instrument for use by a surgeon that depends primarily on the surgical procedure to be employed. The operating mode as well as other operating parameters can be controlled by the handpiece chosen by the surgeon to perform the procedure. Each handpiece is customized to activate when operated one of several preset operating modes of the electrosurgical instrument.

Claims

1. In combination:

a) an electrosurgical apparatus comprising a microcontroller and being capable of being switched via the microcontroller from a cutting mode to a coagulation mode and vice versa upon the inputting of mode selection signals to the microcontroller, said electrosurgical apparatus when in the cutting mode generating RF electrosurgical currents capable of performing a cutting operation when applied via an electrosurgical electrode and when in the coagulation mode generating RF electrosurgical currents capable of performing a coagulation operation when applied via the electrosurgical electrode,

b) a handpiece for connection to the electrosurgical apparatus and comprising fingerswitches for selectively providing cutting mode or coagulation mode electrosurgical currents from the electrosurgical apparatus to an electrode connected to the handpiece, said handpiece comprising;

(i) a housing,

ii) at least first and second fingerswitches on the housing,

iii) means on the housing for receiving and holding an electrode for delivering RF electrosurgical currents,

iv) means connected to the housing for supplying a control current to the fingerswitches,

v) means connecting the fingerswitches such that when the first fingerswitch is activated a first current level is established and when the second fingerswitch is activated a second current level is established,

c) said first and second current levels serving as the control signals and being usable by the microcontroller to select an operating mode of the electrosurgical apparatus,

d) further comprising a non-volatile memory in the handpiece and accessible from the microcontroller.

2. In combination:

a) an electrosurgical apparatus comprising a microcontroller and being capable of being switched via the microcontroller from a cutting mode to a coagulation mode and vice versa upon the inputting of mode selection signals to the microcontroller, said electrosurgical apparatus when in the cutting mode generating RF electrosurgical currents capable of performing a cutting operation when applied via an electrosurgical electrode and when in the coagulation mode generating RF electrosurgical currents capable of performing a coagulation operation when applied via the electrosurgical electrode,

b) a handpiece for connection to the electrosurgical apparatus and comprising fingerswitches for selectively providing cutting mode or coagulation mode electrosurgical currents from the electrosurgical apparatus to an electrode connected to the handpiece, said handpiece comprising;

i) a housing,

ii) at least first and second fingerswitches on the housing,

iii) means on the housing for receiving and holding an electrode for delivering RF electrosurgical currents,

iv) means connected to the housing for supplying a control current to the fingerswitches,

v) means connecting the fingerswitches such that when the first fingerswitch is activated a first current level is established and when the second fingerswitch is activated a second current level is established,

c) said first and second current levels serving as the control signals and being usable by the microcontroller to select an operating mode of the electrosurgical apparatus,

d) the means of claim element b)v) comprising a small impedance having a value of about 100 ohms.

3. An intelligent mode-selection system for an electrosurgical instrument comprising:

(a) an electrosurgical instrument capable of receiving a plurality of control signals for selecting an operating mode, each of said control signals when received by the electrosurgical instrument being capable of placing the instrument into one of a plurality of operating electrosurgical modes, each of the operating modes generating RF electrosurgical currents each characterized by a different RF waveform capable of one of cutting or coagulation of tissue when the RF electrosurgical currents are applied to a patient to carry out a specific procedure requiring a particular operating mode,

(b) a handpiece for connection to the instrument and comprising multiple fingerswitches and having an output,

(c) component means in the handpiece each connected to one of the fingerswitches for generating, when supplied with current and when a fingerswitch is activated, at the handpiece output one of a plurality of control signals, each of the control signals being associated with one of the plurality of operating electrosurgical modes for executing a particular procedure on the patient,

(d) means on the handpiece for holding an electrode for delivering to the patient one of the plurality of RF electrosurgical currents each representative of one of the instrument'"'"'s operating modes,

(e) means for outputting the control signals to the electrosurgical instrument in response to the activation of the fingerswitches for selecting one of the operating modes,

(f) means in said instrument in response to receipt of the control signals from the handpiece for supplying to the electrode RF electrosurgical currents in the selected mode having the characteristic waveform for performing the particular cutting or coagulation procedure.

4. An intelligent selection system for an electrosurgical instrument as claimed in claim 3, further comprising a microcontroller for controlling the instrument and a storage system in the electrosurgical instrument, said storage system being capable of storing preset information representative of each of the plurality of operating modes and in response to any one of the control signals outputting control information, said microcontroller in response to the control information controlling the instrument such that the instrument is placed in the operating mode associated with the activated fingerswitch.

5. An intelligent selection system for an electrosurgical instrument as claimed in claim 3, further comprising a microcontroller including routine stores for controlling the instrument in the electrosurgical instrument and software for controlling the microcontroller, said software being capable of executing prestored routines each representative of one of the plurality of operating modes and in response to any one of the control signals controlling the operation of the microcontroller such that that routine is executed that places the instrument in the operating mode associated with the activated fingerswitch.

6. An intelligent selection system for an electrosurgical instrument as claimed in claim 3, wherein each operating mode includes a selected one of a plurality of electrosurgical current output powers to the electrode.

7. An intelligent selection system for an electrosurgical instrument as claimed in claim 6 wherein each operating mode also includes a selected one of a plurality of time durations of electrosurgical currents to the electrode.

8. An intelligent selection system for an electrosurgical instrument as claimed in claim 3, further comprising at least one additional handpiece, each of the handpieces comprising an electrode integral with and fixed to the handpiece, each handpiece including means for generating a unique control signal, the electrode of each handpiece being customized for performing particular medical procedures associated with a specific one of the control signals, means in said instrument in response to receipt of the control signals from each of the handpieces for supplying to the integral electrode RF electrosurgical currents in a selected mode customized for the procedure for which the handpiece is customized.

9. An intelligent selection system according to claim 3, wherein the means of claim element (d) includes an electric connection to the electrode, further comprising an electrical connector comprising three terminals, one of which is connected to the electrode via the electric connection and the other two of which are connected to the fingerswitches.

10. An intelligent selection system according to claim 3, wherein the control signals are DC currents or AC currents at a lower frequency than that of the RF electrosurgical currents.

11. An intelligent selection system according to claim 10, wherein the component means comprises different small impedances.

12. In combination:

a) an electrosurgical apparatus comprising a microcontroller and being capable of being switched via the microcontroller from a cutting mode to a coagulation mode and vice versa upon the inputting of mode selection signals to the microcontroller, said electrosurgical apparatus when in the cutting mode generating RF electrosurgical current waveforms capable of performing a cutting operation when applied via an electrosurgical electrode to a patient and when in the coagulation mode generating different RF electrosurgical current waveforms capable of performing a coagulation operation when applied via the electrosurgical electrode to the patent,

b) at least one handpiece for connection to the electrosurgical apparatus and comprising mode-selection-signal-controlling means for selectively providing cutting mode or coagulation mode electrosurgical current waveforms from the electrosurgical apparatus to an electrode connected to the handpiece, said handpiece comprising;

(i) a housing,

(ii) means on the housing for receiving and holding an electrode for delivering RF electrosurgical currents to the patient,

(iv) means connected to the handpiece housing for supplying a control current to the mode-selection-signal-controlling means, said mode-selection-signal-controlling means in response to the control current establishing a first or second current level,

c) said first and second current levels serving as the made selection signals and being usable by the microcontroller to select an operating cutting or coagulation mode of the electrosurgical apparatus associated with the first or second current levels.

13. The combination according to claim 12, wherein the electrosurgical apparatus comprises a database or look-up table connected to the microcontroller, each of the mode selection signals representing a key to one of plural records in the database or look-up table, each of the records representing an operating cutting or coagulation mode of the electrosurgical apparatus.

14. The combination according to claim 13, wherein the RF electrosurgical currents are in the megacycle range, and the current levels are an AC current in the kilocycle or lower range.