Electrosurgical generator and method for cross-checking mode functionality

• US 6,875,210 B2
• Filed: 11/19/2002
• Issued: 04/05/2005
• Est. Priority Date: 11/19/2002
• Status: Expired due to Term

• Current Assignee: Conmed Corporation (Jefferies Financial Group, Inc.)
• Original Assignee: Conmed Corporation (Jefferies Financial Group, Inc.)
• Inventors: Pantera, Jim, Refior, Tim
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US10/299,952
• Publication Number:
  US 20040097913A1
• Time in Patent Office: 868 Days
• Field of Search: 606 32- 35, 606 37- 41
• US Class Current: 606/34
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2017/00725 Calibration or performance testing
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00726 Duty cycle
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially

Abstract

The functionality and the mode of operation are evaluated in an electrosurgical generator by determining whether a patterned pulse signal that contributes to the generation of electrosurgical energy is as expected. A number of pulses in the patterned pulse signal is compared to an expected number of pulses, and an error condition is indicated when the two values are not the same or differ by more than a predetermined amount. The expected number of pulses depends on a mode of operation of the electrosurgical generator. The error condition may be used to as a basis to terminate the output power delivery.

Claims

1. A method of evaluating functionality of an electrosurgical generator which delivers electrosurgical output power from an output section of the electrosurgical generator in accordance with a selected mode of operation of the electrosurgical generator, comprising:

generating a patterned pulse signal formed by a plurality of drive pulses in accordance with the selected mode of operation;

applying the drive pulses of the patterned pulse signal to the output section of the electrosurgical generator;

converting energy represented by the drive pulses to electrosurgical output power;

within the output section of the electrosurgical generator;

counting the number of drive pulses in the patterned pulse signal applied to the output section;

establishing a predetermined expected number of drive pulses in accordance with the selected mode of operation;

comparing the counted number of drive pulses to the expected number of drive pulses; and

indicating an error condition when the counted number of drive pulses and the expected number of drive pulses differ by a predetermined finite amount.

2. A method as defined in claim 1, further comprising:

controlling the electrosurgical output power by adjusting a width of the drive pulses without varying the number of drive pulses in the patterned pulse signal for the selected mode of operation.

3. A method as defined in claim 2, further comprising:

establishing a minimum width for each of the drive pulses at which the output section does not create electrosurgical output power despite application of the minimum-width drive pulses to the output section; and

counting the number of minimum-width drive pulses and comparing the counted number of minimum-width drive pulses to the expected number of drive pulses and indicating the error condition, all without delivering output power.

4. A method as defined in claim 3, further comprising:

preventing the width of the drive pulses from reducing below a minimum width at which the drive pulses can be counted.

5. A method as defined in claim 4, further comprising:

performing an output power-related check on the electrosurgical output power by sensing output voltage and output current values of the delivered output power and calculating the output power based on the sensed output voltage and current values;

performing the output power-related check when generating the patterned pulse signal with minimum-width drive pulses; and

evaluating the functionality of the electrosurgical generator in the selected mode of operation when no output power is delivered as a result of the minimum-width drive pulses.

6. A method as defined in claim 5, further comprising:

performing the power-related check when the drive pulses of the patterned pulse signal have a width greater than the minimum width and are sufficient to cause the output section to create output power having the output voltage and current values; and

indicating an error condition when the output power level calculated from the output voltage and current is outside of a predetermined range established by the selected mode of operation and the width of the drive pulses of the patterned pulse signal.

7. A method as defined in claim 1, further comprising:

indicating the error condition when the counted number of drive pulses and the expected number of drive pulses differ by at least one.

8. A method as defined in claim 1, further comprising:

indicating the error condition when the counted number of drive pulses and the expected number of drive pulses differ by a predetermined percentage of the expected number of drive pulses.

9. A method as defined in claim 1, wherein the electrosurgical generator includes a control processor which controls the delivery of the electrosurgical output power and also includes a monitor processor which monitors performance of the electrosurgical generator, and further comprising:

generating the patterned pulse signal of drive pulses using the control processor; and

counting the number of drive pulses using the monitor processor.

10. A method as defined in claim 1, further comprising:

generating the patterned pulse signal during a pattern time period;

repeating the patterned pulse signal during successive pattern time periods; and

counting the number of the drive pulses over a counting time period that is greater than at least one of the pattern time periods.

11. A method as defined in claim 10, further comprising:

counting the number of the drive pulses over a counting time period which is equal to at least two of the successive pattern time periods.

12. A method as defined in claim 1, further comprising:

generating the patterned pulse signal with the drive pulses arranged in a pattern that repeats over successive time periods and with an off time during which no pulses occur;

counting the number of the drive pulses in the patterned pulse signal over a counting time period that is sufficiently long to ensure that all of the drive pulses in at least one of the successive time periods are within the counting time period.

13. A method of evaluating functionality of an electrosurgical generator which delivers electrosurgical output power, comprising:

generating a patterned pulse signal with which the electrosurgical output power is generated, the patterned pulse signal having a plurality of drive pulses that are arranged in a pattern that repeats over successive time periods and that includes an off time off time during which no pulses occur;

counting a number of the drive pulses in the patterned pulse signal over a counting time period that is sufficiently long to ensure that all of the drive pulses in at least one of the successive time periods are within the counting time period;

comparing the counted number of drive pulses to an expected number of drive pulses; and

indicating an error condition when the counted number of drive pulses and the expected number of drive pulses differ by a predetermined amount.

14. A method as defined in claim 13, further comprising:

controlling the electrosurgical output power by adjusting a width of the drive pulses.

15. A method as defined in claim 14, further comprising:

establishing a minimum width for the drive pulses.

16. A method as defined in claim 13, wherein the electrosurgical output power is dependent on a width of the drive pulses, and further comprising:

preventing the width of the drive pulses from reducing below a minimum width.

17. A method as defined in claim 16, wherein the electrosurgical generator performs a power-related check on the electrosurgical output power, and further comprising:

generating the patterned pulse signal having the drive pulses when the width of the drive pulses is at the minimum width.

18. A method as defined in claim 13, further comprising:

indicating the error condition when the counted number of drive pulses and the expected number of drive pulses differ by at least one.

19. A method as defined in claim 13, further comprising:

indicating the error condition when the counted number of drive pulses and the expected number of drive pulses differ by a predetermined percentage of the expected number of drive pulses.

20. A method as defined in claim 13, further comprising:

performing a power-related check on the electrosurgical output power, including calculating a power level of the electrosurgical output power; and

indicating an error condition when the calculated power level is outside of a predetermined range.

21. A method as defined in claim 13, wherein the electrosurgical generator includes a control processor which controls the delivery of the electrosurgical output power and also includes a monitor processor which monitors performance of the electrosurgical generator, and further comprising:

generating the patterned pulse signal using the control processor; and

counting the number of drive pulses using the monitor processor.

22. A method as defined in claim 13, wherein the drive pulses in the patterned pulse signal are arranged in a pattern that repeats over successive time periods, and further comprising:

counting the number of the drive pulses in the patterned pulse signal over a counting time period that is greater than at least one of the successive time periods.

23. A method as defined in claim 22, further comprising:

counting the number of the drive pulses in the patterned pulse signal over at least two of the successive time periods.

24. A method as defined in claim 13, wherein the electrosurgical

generator delivers the electrosurgical output power from an output section in accordance with a selected mode of operation of the electrosurgical generator, and further comprising:

generating the patterned pulse signal in accordance with the selected mode of operation;

applying the drive pulses of the patterned pulse signal to the output section of the electrosurgical generator;

converting energy represented by the drive pulses to electrosurgical output power within the output section of the electrosurgical generator;

counting the number of drive pulses in the patterned pulse signal applied to the output section;

establishing the expected number of drive pulses in accordance with the selected mode of operation; and

indicating the error condition when the counted number of drive pulses and the expected number of drive pulses differ by a predetermined finite amount.

25. A method of evaluating functionality of an electrosurgical generator which delivers electrosurgical output power under a plurality of modes of operation, comprising:

selecting one of the plurality of modes of operation for the electrosurgical generator to deliver the output power;

generating a patterned pulse signal in accordance with the selected mode of operation, the patterned pulse signal having a plurality of drive pulses and an off time during which no pulses occur arranged in a pattern that repeats over successive pattern time periods;

generating electrosurgical output power by using the patterned pulse signal;

detecting the drive pulses of the patterned pulse signal over at least one of the successive pattern time periods;

determining from the detected drive pulses whether the electrosurgical output power is being generated according to the selected mode of operation; and

indicating an error condition upon determining that the electrosurgical output power is not being generated according to the selected mode of operation.

26. A method as defined in claim 25, further comprising:

controlling the amount of electrosurgical output power generated by adjusting a width of the drive pulses without varying the number of drive pulses in the patterned pulse signal for the selected mode of operation;

establishing a minimum width for each of the drive pulses which is insufficient to generate the output power despite the use of the patterned pulse signal;

reducing the generated output power to zero by reducing the width of the drive pulses to the minimum width;

detecting the minimum-width drive pulses of the patterned pulse signal;

determining from the detected minimum-width drive pulses whether the output power would be generated according to the selected mode of operation if the width of the drive pulses was increased from the minimum width; and

indicating the error condition upon determining that the detected the minimum-width drive pulses are not in accordance with the selected mode of operation, while the generated output power is reduced to zero.

27. A method as defined in claim 26, wherein the electrosurgical generator includes a control processor which controls the delivery of the electrosurgical output power and also includes a monitor processor which monitors performance of the electrosurgical generator, and further comprising:

using the control processor to generate the patterned pulse signal of drive pulses; and

using the monitor processor to detect the drive pulses of the patterned pulse signal and to determine from the detected drive pulses whether the electrosurgical output power would be generated according to the selected mode of operation.

28. A method as defined in claim 25, further comprising:

delivering the generated output power from the electrosurgical generator;

sensing characteristics of the output power delivered;

calculating a power level of the delivered electrosurgical output power from the sensed characteristics; and

indicating an error condition when the calculated power level is outside of a predetermined range established by the selected mode of operation.

29. A method as defined in claim 28, further comprising:

calculating the power level of the delivered output power without reference to the patterned pulse signal.

30. A method as defined in claim 29, further comprising:

sensing output voltage and output current of the output power as the sensed characteristics used to calculate the power level.

31. A method as defined in claim 25, wherein the electrosurgical generator delivers the electrosurgical output power from an output section, and further comprising:

applying the drive pulses of the patterned pulse signal to the output section of the electrosurgical generator;

converting energy represented by the drive pulses to the output power within the output section of the electrosurgical generator; and

detecting the drive pulses in the patterned pulse signal applied to the output section.

32. A method as defined in claim 31, further comprising:

establishing an expected number of drive pulses during each pattern time period in accordance with the selected mode of operation; and

indicating the error condition when the counted number of drive pulses and the expected number of drive pulses differ by a predetermined finite amount.

33. A method as defined in claim 32, further comprising:

indicating the error condition when the counted number of drive pulses and the expected number of drive pulses differ by at least one.

34. A method as defined in claim 32, further comprising:

indicating the error condition when the counted number of drive pulses and the expected number of drive pulses differ by a predetermined percentage of the expected number of drive pulses.

35. A method as defined in claim 32, further comprising:

counting the number of the drive pulses over a counting time period that is greater than at least one of the pattern time periods.

36. A method as defined in claim 32, further comprising:

counting the number of the drive pulses over a counting time period which is equal to at least two of the successive pattern time periods.

37. A method as defined in claim 25, wherein the electrosurgical generator includes a control processor which controls the delivery of the electrosurgical output power and also includes a monitor processor which monitors performance of the electrosurgical generator, and further comprising:

using the control processor to generate the patterned pulse signal of drive pulses; and

using the monitor processor to detect the drive pulses of the patterned pulse signal and to determine from the detected drive pulses whether the electrosurgical output power is being generated according to the selected mode of operation.

38. An electrosurgical generator which delivers electrosurgical output power according to a selected one of a plurality of different modes of operation, each mode represented by a different selected mode signal, comprising:

a control processor which generates a patterned pulse signal in accordance with the selected mode signal, the patterned pulse signal having a plurality of drive pulses

and an off time during which no pulses occur arranged in a pattern that repeats over successive pattern time periods in at least one of the different modes of operation;

an output section receptive of the patterned pulse signal and operative to convert energy represented by the drive pulses into the delivered output power, the control processor applying the patterned pulse signal to the output section;

a monitor processor receptive of the patterned pulse signal and the selected mode signal, the monitor processor detecting the drive pulses of the patterned pulse signal over at least one of the successive pattern time periods, the monitor processor determining from the detected drive pulses whether the patterned pulse signal applied by the control processor to the output section is consistent with the selected mode signal, the monitor processor indicating an error condition

upon determining that the patterned pulse signal applied by the control processor to the output section is inconsistent with the selected mode signal; and

one of the control or monitor processors responding to the indication of the error condition by one of either issuing an alarm or terminating the delivery of the output power.

39. An electrosurgical generator as defined in claim 38 further comprising:

a system processor connected to the control processor and the monitor processor and which operatively oversees functionality of the control and monitor processors, the system processor generating the selected mode signal and sending the selected mode signal to the control processor and the monitor processor.

40. An electrosurgical generator as defined in claim 38, wherein:

the monitor processor counts the number of the drive pulses in the patterned pulse signal over the at least one pattern time period, determines from the selected mode signal an expected number of drive pulses which should occur over the at least one pattern time period, compares the counted number of drive pulses with the expected number of drive pulses, and indicates the error condition when the counted number of drive pulses and the expected number of drive pulses differ by a predetermined finite amount.

41. An electrosurgical generator as defined in claim 40, wherein:

the predetermined finite amount is at least one drive pulse.

42. An electrosurgical generator as defined in claim 40, wherein:

the predetermined finite amount is a predetermined percentage of the expected number of drive pulses.

43. An electrosurgical generator as defined in claim 40, wherein:

the monitor processor detects the drive pulses of the patterned pulse signal over a counting time period which is greater than one of the successive pattern time periods.

44. An electrosurgical generator as defined in claim 40, wherein:

the monitor processor detects the drive pulses of the patterned pulse signal over at least two successive pattern time periods.

45. An electrosurgical generator as defined in claim 38, wherein:

the control processor controls the amount of electrosurgical output power delivered by adjusting a width of the drive pulses without varying the number of drive pulses in the patterned pulse signal for each selected mode signal.

46. An electrosurgical generator as defined in claim 45, wherein:

the control processor establishes a minimum width for each of the drive pulses at which the output section does not create electrosurgical output power despite application of the minimum-width drive pulses to the output section; and

the monitor processor counts the number of minimum-width drive pulses and compares the counted number with the expected number and indicates the error condition, when the output section does not deliver output power as a result of the application of the minimum-width drive pulses to the output section.

47. An electrosurgical generator as defined in claim 46, wherein:

the control processor prevents reducing the width of the drive pulses to a width less than the minimum width which the monitor processor can detect.

48. An electrosurgical generator as defined in claim 46, wherein:

the monitor processor senses values of output voltage and output current of the delivered output power and calculates the amount of output power delivered based on the sensed output voltage and output current values; and

the monitor processor indicates an error condition when the output power level calculated from the sensed output voltage and current is outside of a predetermined range established by the selected mode signal.

49. An electrosurgical generator as defined in claim 48, wherein:

the monitor processor senses the values of the output voltage and the output current when the minimum-width drive pulses are applied to the output section.