Electrosurgical system

• US 6,984,231 B2
• Filed: 08/27/2002
• Issued: 01/10/2006
• Est. Priority Date: 08/27/2001
• Status: Expired due to Term

• Current Assignee: Gyrus Medical Limited (Olympus Corporation)
• Original Assignee: Gyrus Medical Limited (Olympus Corporation)
• Inventors: Latterell, Scott T., Goble, Coliin C. O., Wahnschaffe, Douglas S.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US10/228,284
• Publication Number:
  US 20030073990A1
• Time in Patent Office: 1,232 Days
• Field of Search: 606/37, 606/41, 606/42, 606/45, 606 48- 51
• 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 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00212 using remote controls
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0066 without feedback, i.e. open loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1273 including multiple generators in one device

Abstract

An electrosurgical system includes a generator (10) for generating radio frequency power, and an electrosurgical instrument (12) including at least three electrodes. The generator comprises a radio frequency output stage having at least a pair of output lines (60C), and a power supply (66) coupled to the output stage for supplying power to the output stage. The generator also includes a controller (72) capable of varying a radio frequency signal supplied to the output lines, and a switching circuit (62) having three or more output connections (62A, 62B, 62C) each electrically connected with a respective one of the at least three electrodes. This switching circuit is operable to vary the connections between the output lines (60C) and the output connections (62A, 62B, 62C). A switching device (16A, 16B) forming part of the system is operable by the user to send a signal to the switching circuit (62) within the generator in order to vary the electrode or electrodes to which radio frequency power is supplied, the switching device also causing a signal to be sent to the controller (72) such that the radio frequency signal supplied to at least one of the three or more output connections varies depending on the electrode or electrodes to which radio frequency power is supplied. In one arrangement of the switching circuit, one of the electrodes has no direct connection to the output stage of the generator and is connected via a capacitor to another of the electrodes.

Claims

1. An electrosurgical system including a generator for generating radio frequency power, and an electrosurgical instrument including at least three electrodes,

the generator comprising

(i) a radio frequency output stage having at least a pair of radio frequency output lines,

(ii) a power supply coupled to the output stage for supplying power to the output stage,

(iii) a controller capable of varying a radio frequency signal supplied to the radio frequency output lines, and

(iv) a switching circuit having at least three output connections each in electrical connection with a respective one of the at least three electrodes, and operable to vary the connections between the radio frequency output lines and the three or more output connections,

the system further including a switching device operable to send a signal to the switching circuit within the generator in order to vary the electrode or electrodes to which radio frequency power is supplied, the switching device also causing a signal to be sent to the controller such that the radio frequency signal supplied to at least one of the three or more output connections vanes depending on the electrode or electrodes to which radio frequency power is supplied, one arrangement of the switching circuit being such that one of the electrodes has no direct connection to the output stage of the generator and is connected via a capacitor to another of the electrodes.

2. A system according to claim 1, wherein the capacitor has a value of between 1 and 10 nF.

3. A system according to claim 1, wherein the controller automatically adjusts the radio frequency power supplied to at least one of the at least three output connections to limit the peak generator output voltage to at least a first value when a first combination of electrodes is selected by the switching circuit, and to at least a second value when a second combination of electrodes is selected by the switching circuit.

4. A system according to claim 1, wherein two of the at least three electrodes are in the form of jaws adapted to grasp tissue therebetween.

5. A system according to claim 4, wherein the third electrode is mounted on one of the jaws, separated therefrom by an insulating member.

6. A system according to claim 5, wherein the third electrode is mounted on an external face of one of the jaws.

7. A system according to claim 5, wherein the third electrode is mounted on an internal face of one of the jaws.

8. A system according to claim 5, wherein the third electrode is mounted at the tip of one of the jaws.

9. A system according to claim 1, wherein at least one of the electrodes is in the form of a hook.

10. A system according to claim 9, wherein at least one hook electrode extends distally beyond the other electrodes.

11. A system according to claim 10, wherein there is a centrally positioned electrode extending distally beyond the other electrodes.

12. A system according to claim 9, wherein at least three of the electrodes are in the form of a hook.

13. A system according to claim 1, wherein at least one of the electrodes is longitudinally movable such that it can be extended and retracted with respect to the other electrodes.

14. A system according to claim 13, wherein the longitudinally movable electrode is positioned centrally between the other electrodes.

15. A system according to claim 1, wherein the arrangement is such that the output stage supplies radio frequency power to at least three electrodes simultaneously, the output voltage being limited to a first peak value between a first combination of electrodes, and to a second peak value between a second combination of electrodes.

16. A system according to claim 15, wherein, in that in a first arrangement of the switching circuit, a first one of the electrodes has no direct connection to said output stage of the generator and is connected via a capacitor to another of the electrodes, and, in a second arrangement of the switching circuit, a second one of the electrodes has no direct connection to said output stage of the generator and is connected via a capacitor to another of the electrodes.