Combined bipolar and monopolar electrosurgical instrument and method

• US 8,251,989 B1
• Filed: 06/13/2007
• Issued: 08/28/2012
• Est. Priority Date: 06/13/2006
• Status: Active Grant

• Current Assignee: Encision Inc.
• Original Assignee: Encision Inc.
• Inventors: Newton, David, Keane, Jerry, Taylor, Warren
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): Fowler, Daniel
• Application Number:
  US11/762,568
• Time in Patent Office: 1,903 Days
• Field of Search: 606 37- 40, 606/34
• US Class Current: 606/34
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• 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 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar

Abstract

An electrical switching system for use in various types of electrosurgical instruments and related tools comprises a system adapted to automatically determine which of at least two electrical current modes to deliver through an electrosurgical instrument based on a condition sensed by the electrosurgical instrument. In another embodiment, the electrical switching system comprises a generator, the generator including a first electrical distribution systems for delivering monopolar electrical energy, and a second electrical distribution system for delivering bipolar electrical energy, a controller coupled to the generator for selecting based on an input which of the first and second electrical distribution systems to activate.

Claims

1. A electrical switching system for selectively delivering either bipolar or monopolar electrical energy through a surgical instrument, comprising:

a generator, the generator comprising a first electrical distribution system for delivering monopolar electrical energy, and a second electrical distribution system for delivering bipolar electrical energy;

a controller coupled to the generator, for selecting based on an electrical condition at a tine of a surgical instrument, which of the first and second electrical distribution systems to activate, the electrical condition indicating a mode of operation of the surgical instrument, the controller comprising;

a first pair of relays actively coupled to-the first electrical distribution system;

a second pair of relays actively coupled to-the second electrical distribution system;

a switch for selecting either the first electrical distribution system or the second electrical distribution system; and

a keying circuit coupled to the switch for selectively engaging either the first or second electrical distribution systems.

2. The system of claim 1, wherein the keying circuit comprises:

an isolator for segregating the monopolar electrical energy from the bipolar electrical energy; and

control logic for determining which of the first and second electrical distribution systems to activate.

3. The system of claim 1, wherein the generator and the controller are distinct units.

4. The system of claim 1, wherein the generator and the controller are within a single unit.

5. The system of claim 1, further comprising a monitoring device coupled to the keying circuit for determining whether a fault condition exists in the surgical instrument.

6. The system of claim 5, wherein the monitoring device is an active electrode monitoring device.

7. The system of claim 5, wherein the monitoring device obtains a voltage reference in order to ascertain a phase comparison.

8. The system of claim 1, wherein the switch is a foot switch.

9. The system of claim 8, wherein the switch is remote from the generator and controller.

10. The system of claim 1, wherein the switch is integrated with the generator.

11. The system of claim 1, wherein the switch is integrated with the controller.

12. The system of claim 1, wherein the switch further comprises a selector for varying the cut and coagulation properties of the electrical energy.

13. The system of claim 1, wherein one of the first and second sets of relays are selected from the group consisting of high voltage reed relays, field effect transistor relays, and solid state relays.

14. An electrical connection system for selectively delivering one of a plurality of electrical energy modes through a surgical instrument, comprising:

a generator comprising a first electrical distribution system for delivering a electrical energy in a first mode, and a second electrical distribution system for delivering electrical energy in a second mode;

a controller coupled to the generator, for selecting based on an electrical condition at a tine of a surgical instrument, which of the first and second electrical distribution systems to activate, the electrical condition indicating a mode of operation of the surgical instrument, the controller comprising;

a first pair of relays electrically coupled to the first electrical distribution system;

a second pair of relays electrically coupled to the second electrical distribution system;

a switch for selecting either the first electrical distribution system or the second electrical distribution system;

a keying circuit coupled to the switch for selectively engaging either the first or second electrical distribution systems based on the mode of operation of the surgical instrument;

a third set of relays coupled to the first and second set of relays; and

an impedance sensing circuit coupled to and disposed between the keying circuit and the third set of relays.

15. The system of claim 14, wherein the keying circuit comprises:

an isolator for segregating the first electrical energy mode from the second electrical energy mode; and

control logic for determining which of the first and second electrical distribution systems to activate.

16. The system of claim 15, wherein the impedance sensing circuit is coupled to the control logic.

17. The system of claim 14, wherein the generator and the controller are distinct units.

18. The system of claim 14, wherein the generator and the controller are within a single unit.

19. The system of claim 14, further comprising a monitoring device coupled to the keying circuit for determining whether a fault condition exists in the surgical instrument.

20. The system of claim 19, wherein the monitoring device is an active electrode monitoring device.

21. The system of claim 19, wherein the monitoring device obtains a voltage reference in order to ascertain a phase comparison.

22. The system of claim 14, wherein the switch is a foot switch.

23. The system of claim 14, further comprising a second switch for activating or deactivating the flow of electrical energy from the generator to the surgical instrument.

24. The system of claim 14, wherein the switch is remote from the generator and controller.

25. The system of claim 14, wherein the switch is integrated with the generator.

26. The system of claim 14, wherein the switch is integrated with the controller.

27. The system of claim 14, wherein the switch further comprises a selector for varying the cut and coagulation properties of the electrical current.

28. The system of claim 14, wherein one of the first and second sets of relays are selected from the group consisting of high voltage reed relays, field effect transistor relays, and solid state relays.

29. The system of claim 14 wherein the impedance sensing circuit senses a property associated with the surgical instrument and instructs the controller to select either the first or second electrical distribution systems based on the property associated with the electrosurgical instrument.

30. The system of claim 14, wherein the plurality of electrical energy modes comprises bipolar electrical energy and monopolar electrical energy.

31. A method of selectively delivering bipolar or monopolar electrical current through a surgical instrument, comprising:

sensing an electrical condition at a tine of the surgical instrument, the electrical condition indicating a mode of operation of the surgical instrument;

selecting, based on the electrical condition, whether to deliver the bipolar or monopolar electrical current through the surgical instrument; and

providing instructions to an electrosurgical generator to deliver the selected bipolar or monopolar electrical current through the surgical instrument.

32. The method of claim 31, wherein the electrical condition is impedance.