RF energy controller and method for electrosurgical medical devices

• US 9,364,277 B2
• Filed: 12/12/2013
• Issued: 06/14/2016
• Est. Priority Date: 12/13/2012
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Hrnicek, Jillian Faye, Sisken, Richard B., McLawhorn, Tyler Evans
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US14/651,889
• Publication Number:
  US 20150313663A1
• Time in Patent Office: 915 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00648 using more than one sensed parameter
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00886 Duration
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used

Abstract

A control unit controls delivery of RF energy generated by an RF generator to a medical device configured to perform a medical procedure. The control unit may be separate from the RF generator, and may have an input that may be attached to an output of the RF generator. The control unit includes switching circuitry that is closed while an amount of RF energy is transmitted through the control unit to the medical device. The switching circuitry opens when the amount of RF energy reaches a threshold level.

Claims

1. A control unit that is configured to control delivery of radio frequency (RF) energy to a medical device, the control unit comprising:

switching circuitry configured to permit a first portion of the RF energy received from an RF generator to be output by the control unit to a medical device when configured in a closed state, and prevent the first portion of the RF energy from being output by the control unit to the medical device when configured in an open state;

energy measurement circuitry configured to determine that an amount of the first portion of the RF energy delivered to the medical device has reached a threshold level, and switch the switching circuitry from the closed state to the open state upon a determination that an amount of the first portion of the RF energy has reached the threshold level;

an output module configured to output at least one of;

a first indication indicating a number of times an electrosurgical procedure is performed, a second indication indicating whether the first portion of the RF energy is being communicated through the control unit, or a third indication indicating an error associated with the electrosurgical procedure;

power supply circuitry configured to, while the control unit is receiving the RF energy from the RF generator, convert a second portion of the RF energy to one or more power supplies, and supply a first portion of the one or more power supplies to the energy measurement circuitry and the output module; and

an energy storage module configured to store a second portion of the one or more power supplies while the control unit is receiving RF energy from the RF generator, and when the control unit stops receiving the RF energy from the RF generator, power at least one of the output module or the energy measurement circuitry for a predetermined period of time using the stored second portion of the one or more power supplies.

2. The control unit of claim 1, further comprising:

a plurality of output terminals adapted for electric coupling with the medical device; and

selection circuitry configurable in a plurality of states, and when configured in each of the plurality of states, is configured to couple at least one and less than all of the plurality of output terminals to an output path of the control unit.

3. The control unit of claim 2, wherein the plurality of output terminals comprises three or more terminals, and when the selection circuitry is configured in each of the states, only two of the three or more output terminals are coupled to the output path.

4. The control unit of claim 2, further comprising a controller configured to configure the selection circuitry in the plurality of states according to a treatment scheme that identifies an order in which at least two of the plurality of output terminals are alternatingly coupled to the output path.

5. The control unit of claim 2, wherein one of the plurality of output terminals is fixedly coupled to the output path and the selection circuitry is configured to alternatingly couple the other of the plurality of output terminals to the output path.

6. The control unit of claim 2, further comprising:

a controller configured to change a current state of the selection circuitry so that a different pair of the plurality of output terminals is coupled to the output path in response to the determination by the energy measurement circuitry that the amount of RF energy supplied to the medical device has reached the threshold level.

7. The control unit of claim 2, further comprising a controller configured to count the number of times the electrosurgical procedure is performed.

8. The control unit of claim 7, wherein the controller is configured to increment the number when the amount of the first portion of the RF energy is determined to have reached the threshold level.

9. The control unit of claim 8, wherein the controller is configured to increment the number further when all different pairs of the plurality of output terminals have been alternatingly coupled to the output path and have delivered the threshold level of RF energy to the medical device.

10. The control unit of claim 1, wherein the energy measurement circuitry comprises integrator circuitry configured to perform an integration indicative of an amount of RF energy delivered to the medical device, and wherein the control unit further comprises:

an integrator discharge module configured to discharge a capacitor of the integrator circuitry when the amount of first portion of the RF energy is determined to have reached the threshold level.

11. A method of controlling delivery of radio frequency (RF) energy from a RF generator to a medical device with a control unit coupled to the RF generator and the medical device, the method comprising:

configuring switching circuitry of the control unit in a closed state;

receiving, at an input of the control unit, the RF energy from the RF generator;

transmitting, with the switching circuitry in the closed state, a first portion of the RF energy along an output path to a plurality of output terminals of the control unit;

sending a second portion of the RF energy from the input to power supply circuitry;

while the input of the control unit is receiving the RF energy from the RF generator;

converting, with the power supply circuitry, the second portion of the RF energy to one or more power supplies;

powering energy measurement circuitry of the control unit with a first portion of the one or more power supplies; and

storing, with an energy storage module, a second portion of the one or more power supplies; and

when the control unit stops receiving the RF energy from the RF generator, powering an output module for a predetermined period of time with the stored second portion of the one or more power supplies from the energy storage module.

12. The method of claim 11, further comprising:

configuring selection circuitry in one of a plurality of states, wherein the selection circuitry, when configured in each of the plurality of states, couples at least one and less than all of the plurality of output terminals to the output path of the control unit; and

outputting the first portion of the RF energy from the control unit to the medical device via the at least one and less than all of the plurality of output terminals being coupled to the output path by the selection circuitry.

13. The method of claim 12, wherein the plurality of output terminals comprises three or more terminals, and when the selection circuitry is configured in each of the states, only two of the three or more output terminals are coupled to the output path.

14. The method of claim 12 further comprising outputting, with a controller of the control unit, a control signal to the selection circuitry to configure the selection circuitry in the plurality of states according to a treatment scheme that identifies an order in which at least two of the plurality of output terminals are alternatingly coupled to the output path.

15. The method of claim 12, further comprising:

alternatingly coupling, with the selection circuitry, at least two of the plurality of output terminals to the output path, while one of the plurality of output terminals is fixedly coupled to the output path.

16. The method of claim 12, wherein the control signal comprises a first control signal, the method further comprising:

determining, with comparator circuitry of the control unit, when an amount of the first portion of the RF energy supplied to the medical device via a pair of the plurality of output terminals reaches a threshold level; and

in response to determining that the RF energy has reached the threshold level, outputting, with the controller, a second control signal to change a current state of the selection circuitry so that a different pair of the plurality of output terminals is coupled to the output path.

17. The method of claim 12, further comprising:

counting, with a controller, a number of times an electrosurgical procedure is performed with the medical device.

18. The method of claim 17, wherein counting the number of times comprises incrementing, with the controller, a count in response to a determination that an amount of the first portion of the RF energy delivered to the medical device has reached a threshold level.

19. The method of claim 18, wherein incrementing the number comprises incrementing, with the controller, the count when all different pairs of the plurality of output terminals have been alternatingly coupled to the output path and have delivered the threshold level of RF energy to the medical device.

20. The method of claim 11, further comprising:

while the output module is being powered for the predetermined time period with the stored second portion of the one or more power supplies, outputting, with the output module, at least one of;

a first indication indicating a number of times an electrosurgical procedure is performed or a second indication indicating an error associated with the electrosurgical procedure.