Electrosurgical medical system and method

• US 10,517,663 B2
• Filed: 12/09/2016
• Issued: 12/31/2019
• Est. Priority Date: 12/28/2000
• Status: Active Grant

• Current Assignee: Senorx Incorporated (Becton, Dickinson & Co)
• Original Assignee: Senorx Incorporated (Becton, Dickinson & Co)
• Inventors: Daw, Derek, Dabney, James Huntington
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Good, Samantha M
• Application Number:
  US15/374,456
• Publication Number:
  US 20170146584A1
• Time in Patent Office: 1,117 Days
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00726 Duty cycle
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• 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 2018/0094 Types of switches or controllers
• CPC Class Codes: A61B 2018/1213 creating an arc
• CPC Class Codes: A61B 2018/1266 with DC current output
• CPC Class Codes: A61B 2018/1286 having a specific transformer
• CPC Class Codes: A61B 2018/162 located on the probe body

Abstract

A method of detecting a leakage current in an electrosurgical system operating at a high frequency includes: coupling an RF generator to a pair of RF output leads via an electrical interface, the RF generator having an operating frequency; inducing a test signal at an output of the electrical interface, the test signal having a test signal frequency that is less than the operating frequency; and monitoring for a presence of an induced common mode current that would indicate the presence of leakage current.

Claims

1. A method of detecting a leakage current in an electrosurgical system operating at a high frequency, comprising:

coupling an RF generator to a pair of RF output leads via an electrical interface, the RF generator having an operating frequency, the electrical interface having an RF output coupled to the pair of RF output leads;

inducing a test signal onto the pair of RF output leads, the test signal having a test signal frequency that is less than the operating frequency; and

monitoring for a presence of an induced common mode current that would indicate the presence of leakage current.

2. The method of claim 1, wherein if no leakage current is detected, then enabling the RF output at the electrical interface, and continuing the monitoring for the induced common mode current while the RF output is active.

3. The method of claim 1, wherein if leakage current is detected, then disabling the RF output of the electrical interface.

4. The method of claim 1, wherein if leakage current is detected, then activating an alarm.

5. The method of claim 1, wherein the act of inducing is performed by the steps of:

providing a common mode transformer in communication with the pair of RF output leads; and

inducing the test signal onto the pair of RF output leads via the common mode transformer.

6. The method of claim 5, wherein the act of monitoring includes determining whether the test signal is equal on the pair of RF output leads, wherein if the test signal is equal on both leads of the pair of RF output leads, then none of a current of the test signal would flow through a patient connected to the pair of RF output leads.

7. The method of claim 5, wherein the act of monitoring includes providing a plurality of current sense transformers coupled to the pair of RF output leads to determine whether the test signal is balanced between the pair of RF output leads.

8. The method of claim 7, wherein an output of the plurality of current transformers is rectified and converted to a DC level proportional to the leakage current.

9. The method of claim 8, wherein if the leakage current increases beyond a predetermined setpoint while the RF generator is generating an RF signal at the operating frequency, then the method further comprising generating an alarm and turning off the RF signal.

10. The method of claim 1, wherein the test signal frequency is one-tenth of the operating frequency.

11. The method of claim 1, wherein the test signal frequency is 500 kHz and the operating frequency is 5 MHz.

12. The method of claim 1, wherein the electrical interface is a patient box having a transformer, wherein a secondary winding of the transformer is a balanced winding connected to the pair of RF output leads, and wherein the act of monitoring determines whether either of the pair of RF output leads is in contact with ground, thereby establishing a leakage current path.

13. The method of claim 12, wherein the patient box is coupled to the RF generator via a shielded balanced transmission line.