Electrosurgical pencil with drag sensing capability

• US 20060058783A1
• Filed: 07/23/2003
• Published: 03/16/2006
• Est. Priority Date: 07/25/2002
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Buchman, Thomas J III
• Granted Patent: US 7,393,354 B2
• Time in Patent Office: Days
• US Class Current: 606/42
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension

Abstract

An electrosurgical pencil (100) configured and adapted to support an electrocautery blade (116). A strain gauge (130) is affixed to the proximal, end of the electrocautery blade and measures the displacement of the blade as a result of resistance and drag acting on the blade. The electrosurgical pencil also includes a meter electrically connected to the strain gauge for monitoring either a change in voltage, a change in electrical current or a change in optical wavelength. The amount of blade displacement as measured by the strain gauge is available for display to the surgeon and/or as sensory input for a control circuit in the electrosurgical generator (118) that modulates the generator output waveform. The electrosurgical pencil further includes a control circuit electrically coupled between the electrocautery blade and the electrosurgical generator. The control circuit is configured and adapted to control power supplied to electrocautery blade based on the displacement measured by the strain gauge.

Claims

1. An electrosurgical pencil, comprising:

an elongated housing having a blade receptacle provided at a distal end thereof;

an electrocautery blade supported within the blade receptacle, the blade having a distal end extending distally from the housing and a proximal end extending into the housing;

an activation button electrically coupled to the blade; and

a strain gauge affixed to the electrocautery blade for measuring a displacement of the blade.

2. An electrosurgical pencil according to claim 1, wherein the activation button is supported on the housing.

3. An electrosurgical pencil according to claim 1, wherein the strain gauge is affixed to a proximal end of the electrocautery blade.

4. An electrosurgical pencil according to claim 1, further comprising:

a meter which is at least one of electrically and optically connected to the strain gauge for monitoring at least one of a change in voltage, a change in electrical current and a change in optical wavelength.

5. An electrosurgical pencil according to claim 4, wherein the strain gauge is one of a wire, a foil, a semiconductor material and an optical transducer.

6. An electrosurgical pencil according to claim 5, wherein the strain gauge includes a temperature compensator resistor electrically coupled to one of the strain gauge or a temperature compensated transducer, the compensator resistor being configured and adapted to compensate for displacement variations due to changes in temperature.

7. An electrosurgical pencil according to claim 5, wherein the semiconductor material is a piezoresistive material.

8. An electrosurgical pencil according to claim 1, further comprising:

means for producing a signal when the strain gauge measures a displacement of the blade which satisfies a predetermined level.

9. An electrosurgical pencil according to claim 8, wherein the means for producing a signal include a feedback system which produces at least one of an audible and a visible signal.

10. An electrosurgical instrument, comprising:

a housing;

an electrocautery blade supported within the housing and extending partially therefrom, the blade being coupled to an electrosurgical generator which provides electrosurgical energy to the blade;

an activation switch coupled to the generator which permits selective activation of the electrocautery blade; and

a strain gauge in communication with the electrocautery blade for measuring a displacement of the electrocautery blade.

11. An electrosurgical instrument according to claim 10, further comprising means for monitoring at least one of a voltage, an electrical current and an optical wavelength passing through the strain gauge.

12. An electrosurgical instrument according to claim 10, further comprising means for monitoring at least one of a change in voltage, a change in electrical current and an optical transducer.

13. An electrosurgical instrument according to claim 10, wherein the strain gauge is one of a wire, a foil, a semiconductor material and an optical transducer.

14. An electrosurgical instrument according to claim 10, further comprising:

means for producing a signal when the strain gauge measures a displacement of the blade which satisfies a predetermined level.

15. An electrosurgical instrument according to claim 10, wherein the electrosurgical instrument is an electrosurgical pencil having an elongate housing.

16. An electrosurgical instrument according to claim 10, further comprising:

a signal producing device configured and adapted to produce a signal when the strain gauge measures a displacement of the electrocautery blade, the electrocautery blade providing a sensory input to the electrosurgical generator control circuitry which in turn modifies the generator output waveform.

17. An electrosurgical instrument according to claim 10, further comprising:

a control circuit electrically coupled between the electrocautery blade and the electrosurgical generator, the control circuit being configured and adapted to control power supplied to electrocautery blade based on the displacement measured by the strain gauge.

18. An electrosurgical instrument according to claim 17, wherein the control circuit increases the power supplied to the electrocautery blade when the displacement of the electrocautery blade measured by the strain gauge is greater than a preset value and decreases the power supplied to the electrocautery blade when the displacement of the electrocautery blade measured by the strain gauge is less than a preset value.