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Electrosurgical generator    

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United States Patent4438766   
Link to this pagehttp://www.wikipatents.com/4438766.html
Inventor(s)Bowers; William J. (Aurora, CO)
AbstractA solid-state electrosurgical generator is disclosed which provides three separate output circuits that may be operated from a single common power source. One of the output circuits produces an output electrical waveform which is optimized for cutting and coagulation with monopolar electrodes. Another circuit provides a waveform which is optimized for cutting and coagulation with bipolar electrodes. The other electrosurgical circuit produces an output electrical waveform which is optimized for fulguration. The output circuits produce the optimized waveforms by appropriately processing electrical power provided by a D.C. power source. In order to do this, the output circuits may be connected to the power source by means of four semiconductor switches may be arranged in either a bridge configuration for one output circuit or in a series arrangement for the other output circuit. The switches are, in turn, controlled by a timing circuit which provides different timing waveforms to the switches depending on their configuration.
   














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Drawing from US Patent 4438766
Electrosurgical generator - US Patent 4438766 Drawing
Electrosurgical generator
Inventor     Bowers; William J. (Aurora, CO)
Owner/Assignee     C. R. Bard, Inc. (Murray Hill, NJ)
Patent assignment
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Company News
Publication Date     March 27, 1984
Application Number     06/299,204
PAIR File History     Application Data   Transaction History
Image File Wrapper   Patent Term   Fees
Litigation
Filing Date     September 3, 1981
US Classification     606/37
Int'l Classification     A61B 017/39
Examiner     Cohen; Lee S.
Assistant Examiner    
Attorney/Law Firm     Wold, Greenfield & Sacks
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Parent Case    
Priority Data    
USPTO Field of Search     128/303.13 128/303.14 128/303.17
Patent Tags     electrosurgical generator
   
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ReferenceRelevancyCommentsReferenceRelevancyComments
4318409
Oosten
606/37
Mar,1982

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4188927
Harris
606/38
Feb,1980

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4030501
Archibald
606/37
Jun,1977

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3963030
Newton
606/40
Jun,1976

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3952748
Kaliher
606/37
Apr,1976

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3885569
Judson
606/37
May,1975

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3658067
Bross
606/37
Apr,1972

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What is claimed is:

1. In an electrosurgical generator for performing a plurality of electrosurgical operations having a D.C. power source, output circuitry for connection to a patient and means controllable by an operating surgeon for selecting one of said electrosurgical operations, the improvement comprising:

a plurality of switches;

means responsive to said selecting means for connecting said switches in a bridge configuration;

means responsive to said selecting means for connecting said bridge across said power source;

means responsive to said selecting means for connecting said output circuitry across said bridge; and

means responsive to said selecting means for generating timing signals to control said switches to selectively connect said output circuitry to said power source.

2. In an electrosurgical generator, the improvement according to claim 1 wherein said bridge has four arms, one of said switches being located in each arm, and said timing signal means alternately operates pairs of said switches in diagonally-opposite arms to connect said output circuitry to said power source.

3. In an electrosurgical generator, the improvement according to claim 1 further comprising means responsive to said selecting means for reconfiguring said switches to place said output circuitry and said switches in series across said power source.

4. In an electrosurgical generator, the improvement according to claim 3 wherein said timing signal means simultaneously operates all of said switches when said switches and said output circuitry are connected in series across said power source.

5. In an electrosurgical generator for performing a plurality of electrosurgical operations having a D.C. power source, a first output circuit connectable to a patient for performing an electrosurgical fulguration operation, a second output circuit connectable to a patient for performing electrosurgical dessication or cutting operations, and means controllable by an operating surgeon for selecting one of said electrosurgical operations, the improvement comprising;

a reconfigurable switching network;

means connecting said switching network to said power source;

first means responsive to said selecting means for configuring said switching network to connect said first output circuit directly across said power source; and

second means responsive to said selecting means for configuring said switching network to connect said second output circuit directly across said power source.

6. In an electrosurgical generator, the improvement according to claim 5 wherein said switching network comprises a plurality of switches and said first configuring means is responsive to said selecting means for connecting said switches in series with said first output circuit.

7. In an electrosurgical generator, the improvement according to claim 6 wherein said second configuring means is responsive to said selecting means for connecting said switches in a bridge configuration across said power source and said generator further comprises means responsive to said selecting means for connecting said second output circuit across said bridge configuration.

8. In an electrosurgical generator, the improvement according to claim 5 wherein said first output circuit comprises a parallel L/C network and said second output circuit comprises a transformer.

9. In an electrosurgical generator, the improvement according to claim 8 wherein said parallel L/C network comprises a capacitor connected across the primary winding of a transformer.

10. An electrosurgical generator for performing a plurality of electrosurgical operations comprising:

a D.C. power source,

a first output transformer having a primary winding and a secondary winding connectable to a patient for performing an electrosurgical fulguration operation;

a capacitor connected across said primary winding of said first output transformer;

a second output transformer having a primary winding and a secondary winding connectable to a patient for performing electrosurgical dessication or cutting operations;

control means operable by an operating surgeon for selecting one of said electrosurgical operations;

a plurality of switches;

first mode means responsive to said control means for connecting said switches in series with said primary winding of said first output transformer across said power source;

second mode means responsive to said control means for connecting said switches in a bridge configuration across said power source and for connecting said primary winding of said second output transformer across said bridge.

11. An electrosurgical generator according to claim 10 wherein said bridge configuration comprises four switches, two pairs of said switches being connected in series to two midpoints and each of said pairs of switches being connected in parallel.

12. An electrosurgical generator according to claim 11 wherein said primary winding of said second output transformer is connected across said midpoints of said bridge configuration.

13. An electrosurgical generator according to claim 12 further comprising timing means responsive to said control means for selectively operating said switches to selectively connect said first and second output transformers to said power source.

14. An electrosurgical generator according to claim 13 wherein said timing means is responsive to said control means for selectively operating switches connected in diagonally opposite arms of said bridge configuration.

15. An electrosurgical generator according to claim 14 further comprising an output filter circuit connected to said secondary winding of said second output transformer to eliminate high-frequency components in the output waveform.
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FIELD OF THE INVENTION

This invention relates to electrosurgery in general and in particular to electrosurgical generators which are capable of performing surgical operations by means of radio-frequency electrical currents.

BACKGROUND OF THE INVENTION

In addition to performing surgical operations on animal tissues by means of mechanical instruments such as scalpels or knives, surgery may also be performed by passing radio-frequency current through animal tissues. Ihere are essentially four main surgical operations that can be performed depending on the voltage levels and the amount of power applied to the tissue. These operations are typically designated as dessication, fulgeration, cutting and cutting with hemostasis. Often, dessication is referred to as coagulation and sometimes dessication and fulguration are designated collectively as coagulation.

The radio-frequency current used in the performance of electrosurgical operations is typically generated by means of a radio-frequency generator connected to a power amplifier. The output of the power amplifier is in turn connected to the tissue mass by means of two electrodes. Surgical operations are performed by means of an "active" electrode which introduces the radio-frequency current into the tissue mass. Since, as mentioned above, electrosurgical effects are primarily dependent on the power and voltage applied, the active electrode typically has a small cross-section to concentrate the power and limit the surgical effects to a small, controlled area. A return path from the tissue mass to the generator for the radio-frequency current is provided by a "passive" or "patient" plate which has a large area to prevent electrosurgical effects from taking place at the current return location. Alternatively, a pair of active electrodes may be used in a "bipolar" mode in which the electrosurgical effects are confined to the sample of tissue between the two electrodes.

A dessication operation is performed by holding the active electrode in firm contact with the tissue. Radio-frequency current passes from the electrode directly into the tissue to produce heating of the tissue by electrical resistance heating. The heating effect destroys the tissue cells and produces an area of necrosis which spreads radially from the point of contact between the electrode and the tissue. Due to the nature of the cell destruction, the necrosis is usually deep. The eschar produced during the operation is usually light in color and soft. In order to produce optimal results in a dessication operation, an electrosurgical generator must be capable of providing several amperes (peak current) of radio-frequency current to moist tissue which has an impedance of approximately 100 ohms. Although the radio-frequency peak current density is high, the power delivered to the tissue is relatively low because of the low tissue impedance. In addition, the dessication waveform may be interrupted to produce an overall low duty cycle which helps to reduce cutting effects. Therefore, although the peak current values are high, the RMS value of the current is low. During a dessication operation the moisture in the tissue cells is driven off at a controlled rate and as the moisture content in the tissue decreases its impedance increases. Therefore, in order to keep the power applied to the tissue at a low value and prevent a cutting effect, as described below, it is necessary to limit the power output as the tissue impedance increases. Ideally, the power decrease should be proportional to the impedance.

As the impedance of the tissue increases, depending on the output characteristics of the electrosurgical generator, another surgical effect can be produced. Cutting occurs when sufficient power per unit time is delivered to the tissue to vaporize cell moisture. If the power applied is high enough a sufficient amount of steam is generated to form a layer of steam between the active electrode and the tissue. When the steam layer forms, a "plasma" consisting of highly ionized air and water molecules forms between the electrode and the tissue causing the tissue impedance, as seen by the generator, to rise to approximately 1000 ohms. If the electrosurgical generator can provide sufficient power to a 1000-ohm load and has sufficiently high output voltage, a radio-frequency electrical arc develops in the plasma. When this happens the current entering the tissue is limited to an area equal to the cross-sectional area of the arc where it contacts the tissue and thus the power density becomes extremely high at this point. As a result of the locally high power density the cell water volatizes into steam instantaneously and disrupts the tissue architecture - literally blowing the cells apart. New steam is thereby produced to maintain the steam layer between the electrode and the tissue. If the power density delivered to the tissue mass is sufficient, enough cells are destroyed to cause a cutting action to take place. A repetitive voltage waveform, such as a sinusoid, delivers a continuous succession of arcs and produces a cut with very little necrosis and hemostasis.

It is also possible to achieve a combination of the above effects by varying the electrical waveform applied to the tissue. In particular, a combination of cutting and dessication (called cutting with hemostasis) can be produced by periodically interrupting the continuous sinusoidal voltage normally used to produce an electrosurgical cut. If the interruption is of sufficient duration, the ionized particles in the plasma located between the electrode and the tissue diffuse away, causing the plasma to collapse. When this happens the electrode comes in contact with the tissue momentarily until a new plasma layer is formed. During the time that the electrode is in contact with the tissue it dessicates the tissue thereby sealing off small blood vessels and other bleeders in the vicinity of the electrode.

Another surgical effect called fulguration may be obtained by varying the voltage and power per unit time applied by the electrosurgical generator. Although fulguration is often confused with dessication, it is a distinctly different operation. In particular, fulguration is typically performed with a waveform which has a high peak voltage but a low duty cycle. If an active electrode with this type of waveform is brought close to a tissue mass and if the peak voltage is sufficient to produce a radio-frequency arc (at an impedance of 5000 ohms before electrical breakdown), fulguration occurs at the point where the arc contacts the tissue. Due to the low duty cycle of the fulgurating waveform, the power per unit time applied to the tissue is low enough so that cutting effects due to explosive volatization of cell moisture are minimized. In effect, the radio-frequency arc coagulates the tissue in the immediate vicinity of the active electrode thereby allowing the operating surgeon to seal off blood vessels in the vicinity of the electrode. The fulgurating electrode never touches the surface of the tissue and a hard, dark eschar is formed at the surface of the tissue mass in the fulgurated area. In contrast to dessication, fulguration is a surface process and the area of necrosis is confined to the surface. Therefore, fulguration can be used where the tissue mass is very thin and the deep necrosis produced by a dessication operation would damage underlying organs and accordingly, is a very useful operation.

In order to perform the above four surgical operations properly, a general-purpose electrosurgical generator must be capable of delivering significant amounts of radio-frequency power into a tissue impedance which varies over an order of magnitude (between approximately 100 ohms to approximately 1000 ohms). In addition, the generator must be capable of producing a sufficient peak voltage to initiate sparking in the fulguration and cutting modes. These requirements necessitate that the generator be capable of handling high internal radio-frequency voltages and currents.

In order to meet the internal generator demands the earliest prior art generators used oscillators and power amplifiers comprised of electron tube circuits. These prior art units had a disadvantage in that they dissipated large amounts of heat internally. In order to handle the internal heat load the units were large and bulky and required ventilating fans which exhausted non-sterile air into the operating room environment.

To reduce the heat problem, subsequent prior art units used semiconductor components to generate the required radio-frequency power output. The semiconductor devices inherently dissipated less heat than the electron tube counterparts, but did not entirely eliminate the heat loading problem. When the semiconductor devices were used in a linear mode they still dissipated significant amounts of heat internally.

Other units utilized semiconductor switching circuits to produce rectangular waveforms instead of the sinusoidal waveforms used by the previous units. These rectangular waveforms could be generated more efficiently than sinusoidal waveforms but still did not entirely eliminate the heat problem. In particular, because the semiconductor devices in a practical general purpose generator are required to handle both high voltages and high currents, high power semiconductor switching devices were often used. These devices were able to handle the required voltages and currents, but had the disadvantage that their switching times were slow. A slow switching time results in high internal heat dissipation. Therefore, many prior art semiconductor devices still required large and bulky heat-sinks or ventilating fans. Although semiconductor components were available which had fast switching times and therefore low internal heat dissipation, these devices were not used in prior art general purpose electrosurgical generators because they were not inherently capable of handling the high voltages and high currents required. In addition, the use of a non-sinusoidal waveform produced significant amounts of radio-frequency noise due to the high order harmonics in the output signal.

Other prior art general purpose generators have attempted to overcome the internal heating problem by using several separate semiconductor generating circuits, each optimized for a particular electrosurgical operation. This prior art approach allows the semiconductor circuitry to be tailored to each output required for the associated electrosurgical operation. The tailoring reduces the current and voltage requirements placed on the semiconductors and thus semiconductors can be used which have faster switching times and thus less internal power dissipation. Unfortunately, the multiplicity of components necessary for this approach produces expensive and bulky units.

Still other units have solved the problem by optimizing the generator for one or two electrosurgical operations. These units are small and compact but typically produce poor results in surgical operations other than those for which they were designed.

SUMMARY OF THE INVENTION

The foregoing and other problems inherent in the prior art are solved by a general-purpose electrosurgical generator which utilizes high speed semiconductor switching circuitry to produce optimal voltage and current requirements for cutting, dessication, cutting with hemostasis and fulguration while maintaining low internal heat dissipation. Therefore, no large and bulky heat sinks or fans are required.

Specifically, the electrosurgical generator described in the illustrative embodiment herein utilizes a single output switching circuit and three output circuits. The switching circuit consists of four field effect transistor semiconductor switches driven by a common timing circuit. The interconnection of these semiconductor switches may be internally reconfigured under operator control so that, depending on the electrosurgical operation being performed, the switches may be connected in a bridge configuration or in a series configuration. In each configuration, the semiconductor switches are connected to handle the particular voltage and current requirements necessary to produce the optimal output power for the associated surgical operation. The timing waveforms produced by the timing circuitry which drive the switching circuit are also changed during each electrosurgical operation to produce optimal output waveforms.

More specifically, in configuring the unit to perform cutting and dessication operations, the four semiconductor switches are arranged in a bridge circuit. A filter circuit and output transformer are connected across the bridge configuration. The timing circuitry causes the semiconductor switches to operate as a full-wave bridge to provide rectangular pulses to the filter circuitry. These rectangular pulses can be generated efficiently, but, advantageously, the filter circuit converts the rectangular pulses into a sinusoidal waveform which efficiently drives the transformer and reduces radio-frequency noise which might otherwise be caused by high-order harmonics in the rectangular wave signal.

When the unit is configured to perform a fulguration operation, the four semiconductor switches are arranged in series to produce the high voltage necessary for satisfactory fulguration. The semiconductor switches are controlled by the timing circuit to act as a single switch in order to generate the waveforms to produce optimal fulguration results.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows a block diagram of the inventive electro surgical generator.

FIG. 2 discloses the detailed circuitry of the radio-frequency driver circuits and semiconductor switches.

FIG. 3 is a block schematic diagram of a timing circuit suitable for use with the illustrative embodiment.

FIGS. 4 and 5 are detailed schematic diagrams of the circuitry shown in block form in FIG. 3.

FIG. 6 shows selected electrical waveforms produced by the circuitry of FIGS. 4 and 5.

FIG. 7 shows a circuit diagram of the output filter for use with the monopolar output of the illustrative embodiment.

FIG. 8 shows a circuit diagram of the output filter for use with the bipolar output of the illustrative embodiment.

FIG. 9 shows output waveforms produced by the illustrative generator circuitry.

DETAILED DESCRIPTION OF THE INVENTION

FIG. 1 of the drawing shows the schematic diagram of the output section of an illustrative electrosurgical generator. The generator has a separate output terminal set for use with monopolar electrodes (an electrode set which uses a single active electrode and a "patient" or return plate) and an output set for use with bipolar electrodes (where both electrodes are active). As will hereinafter be described more fully, each electrode set may be connected to output circuitry which produces optimal electrical waveforms for each electrosurgical operation. Specifically, the bipolar electrodes may be provided with waveforms which are optimized for dessication. The monopolar electrodes may be provided with waveforms that are optimized for dessication, cutting, cutting with hemostasis and fulguration.

According to the invention, the output circuitry is reconfigured automatically by internal generator circuitry according to the surgical operation selected by the surgeon.

Specifically, output waveforms produced by the generator are provided by three output transformers, one of which is selected according to the surgical operation desired transformer 175 provides output to bipolar electrodes 195, via leads 186; transformer 170 provides cutting, cutting with hemostasis and coagulation waveforms to monopolar electrodes 192, 193 or 194 via leads 181; and transformer 116, in turn, provides a fulguration waveform, via leads 130, to monopolar electrodes 192, 193 or 194. Transformers 170 and 116 share a common return plate 192. However, the active side of leads 181 and 130 is connected to the appropriate electrode of electrodes 193 and 194 by high-voltage switch 190. High-voltage switch 190 may consist of a set of high-voltage relays which is controlled by either a hand or foot switch in accordance with well-known generator design.

Advantageously, in accordance with the invention, transformers 116, 170 and 175 are electrically driven by means of a single switching network which consists of four semiconductor switches 150-153. Switches 150-153 may be illustratively configured in a "bridge" configuration to provide full bipolar signals to drive transformers 170 and 175. In an alternate configuration, switches 150-153 may be connected in "series" to drive fulguration output transformer 116 as will be hereinafter fully described.

Switches 150-153 are, in turn, controlled by radio-frequency drivers 140 and 141. In order to drive the switches in a bridge configuration, driver 140 is connected to switches 150 and 153 via leads 144 and 145. Similarly, driver 141 is connected to switches 151 and 152, via leads 147 and 146, respectively. Drivers 140 and 141 are controlled to operate switches 150-153 in either of the two configurations by means of timing circuit 100 which operates drivers 140 and 141 by means of lead sets 142 and 143, respectively. Specifically, timing circuit 100 provides timing pulses via lead sets 142 and 143 which pulses, in turn, cause drivers 140 and 141 to close appropriate ones of switches 150-153 in order to provide carefully defined switching waveforms to the output transformers.

In addition to providing timing signals to the radio-frequency drivers, timing circuit 100 also controls mode relay 105 and bipolar relay 106. Mode relay 105 controls the electrical configuration of switches 150-153 by means of transfer contacts as will hereinafter be described. Bipolar relay 106 selects an appropriate one of transformers 170 and 175 to be activated by the bridge circuitry to produce an output.

Each of the active modes for the three output transformers will now be described in detail. Assume, for purposes of illustration, that the operating surgeon has selected a cutting or dessication waveform to be produced on monopolar electrodes 192 and 193 or 194. Illustrative cutting waveforms and coagulation waveforms are shown in FIG. 9, lines A and B, respectively. In this case, the output waveform will be provided by transformer 170 under control of timing circuit 100. Specifically, under control of panel switches located on the generator front panel or remote foot or hand switches operated by the surgeon, timing circuit 100 releases both mode relay 105 and bipolar relay 106. In FIG. 1, these relays are shown with detached contacts. Normally-closed contacts are shown by lines drawn perpendicular to the associated electrical path. Alternatively, normally-open contacts are shown by crosses located on the associated electrical path. With this notation, released relay 105 opens its contacts M-1 and M-2, thereby disconnecting transformer 116 from power source 111 and the switching circuitry. Transformer 116 is thereby removed from operation. Similarly, released relay 106 opens its B-2 contact, thereby disconnecting transformer 175 from the circuitry.

Therefore, transformer 170 is the only transformer connected to the switching circuitry. Power is provided from source 162, via contact M-3, to semiconductor switch 150 via lead 161 and from source 162 to semiconductor switch 152 via contact M-4 and lead 154. Source 162 may illustratively be a regulated D.C. supply which produces a D.C. voltage of between 0 and 200 volts D.C. Any regulated supply may be used. For example, a supply which is suitable for use with the illustrative embodiment is a Sorensen Model DCR 600-3B. The power supply may be controlled from controls on the control panel of the electrosurgical generator or may be controlled by a feedback network to provide constant power under varying load conditions. A feedback network suitable for use with the illustrative embodiment is disclosed in U.S. Pat. No. 3,601,126 issued on Aug. 24, 1971 to J.R. Estes.

Semiconductor switches 150 and 152 are, in turn, connected directly to switches 151 and 153 by means of leads 160 and 159 and leads 155 and 156, respectively. Switches 151 and 153 are connected to ground by means of leads 158, contact M-9 and lead 157, respectively. The switches and leads form an electrical bridge network with one switch located in each arm of the bridge. The primary of output transformer 170 is connected across the center of the bridge by means of lead 163, contact M-6, lead 166, contact M-7 and contact B-1. As will be hereinafter fully described, timing circuit 100 operates drivers 140 and 141 to in turn operate the semiconductor switches so that diagonally-opposite switches are simultaneously enabled. The switches then operate as a full-wave bridge which provides alternating signals to transformer 170. Specifically, timing circuit 100 controls driver 140 by means of leads 142 to first close switches 150 and 153. Current then flows from source 162 to ground via the following path: contact M-3, lead 161, switch 150, lead 160, lead 163, contact M-6, primary of transformer 170, contact B-1, contact M-7, lead 166, lead 156, switch 153, lead 157 to ground. After a predetermined time interval, timing circuit 100 causes driver 140 to open switches 150 and 153 interrupting the current flow. Subsequently, driver 141 is controlled to close switches 151 and 152. Current then flows (in the opposite direction) in the primary of transformer 170 via the following path: source 162, contact M-3, contact M-4, lead 154, switch 152, lead 155, lead 166, contact M-7, contact B-1, primary of transformer 170, contact M-6, lead 163, lead 159, switch 151, lead 158, contact M-9 to ground.

In this manner, timing circuit 100 alternately controls switches 150, 153 and switches 151, 152 to provide alternating signals to the primary of transformer 170. The above-described bridge arrangement of switches 150-153 has several advantages. Advantageously, although a voltage equal to twice the full supply voltage from supply 162 appears across the primary of transformer 170 only the supply voltage appears across any one switch. This feature allows very fast FET switches to be used as the semiconductor switches. Thus, the efficiency of the switching circuits is improved but high-voltage breakdown problems which are typically encountered with the use of such switches are avoided. In addition, since full-wave operation is used there is no center-tap on the primary of transformer 170. This configuration avoids residual flux coupling on the opposite section of the center-tapped transformer which is a major cause of radio-frequency noise that is undesirable in an operating room environment.

Also, advantageously, according to the invention, the signals that are provided to the primary of transformer 170 are square wave pulses which are efficiently generated by switches 150-153. These pulses are in turn coupled to secondary 171 of transformer 170 and are provided to filter circuit 180. Filter circuit 180 is illustratively a bandpass filter circuit as shown in FIG. 7.

Filter circuit 180 provides two functions in accordance with the invention. First, it filters out the high-frequency components of the switching waveform coupled to the secondary 171 of transformer 170. The output of filter circuit 180 provided on leads 181 is therefore approximately a sine wave with a fundamental frequency of 500 kilohertz. The removal of the high-frequency components of the signal by filter circuit 180 prevents the generation of radio-frequency noise and allows easier control and elimination of radio-frequency leakage paths from the active electrode to ground or from the patient to ground. However, the rectangular waveform provided to filter circuit 180 may be efficiently generated by means of transistor switching circuitry operating in a "class D" mode. When operating in a class D mode the semiconductor bridge switching circuitry dissipates less power and therefore no fan is needed to cool the internal circuitry of the generator. Since a fan is one source of contamination in the operating room environment, its elimination results in a unit which is safer for the patient's health.

Secondly, in accordance with the invention, when the output circuitry is operating in the coagulation mode with an interrupted waveform, filter circuit 180 produces a voltage doubling effect. The increased output voltage in the coagultion mode helps to increase the electrical arc length resulting in an optimum output waveform.

As previously described, one of leads 181 is connected to patient return plate 192 and the other lead is connected, via high-voltage switch 190, to active output electrode 194 or 193.

Assume now for the purposes of illustration, that the operating surgeon desires to use bipolar electrode 195. In this case, in response to actuation of panel or remote switches (not shown) by the operating surgeon, timing circuit 100 operates bipolar relay 106. Operated relay 106 opens its contact B-1 and closes contact B-2. Transformer 170 is thereby disconnected from the bridge circuitry and transformer 175 is connected. Operation of the circuit then proceeds in the manner exactly analogous to that previously described. Bipolar pulses provided to the primary of transformer 175 are coupled to secondary 176 and applied to filter circuit 185 which is shown in more detail in FIG. 8. The filtered output is provided to bipolar electrodes 195.

Assume now that by suitable switches, the operating surgeon choses a fulguration output to be produced on monopolar electrodes 192 and 193 or 194. An illustrative fulguration output is shown in line C of FIG. 9. In this case, timing circuit 100 is controlled by panel or remote switches (not shown) to actuate mode relay 105 and release bipolar relay 106. Operated relay 105 opens contacts M-6 and M-7, thereby isolating transformers 170 and 175 from the switching circuitry. Operated relay 105 also opens contact M-3, disconnecting power supply 162 from the switching circuitry, and closes contacts M-1 and M-2 thereby connecting transformer 116 in series with power supply 111 and switches 150-153. Finally, operated relay 105 closes contacts M-5 and M-8 and opens contacts M-4 and M-9, thereby connecting switches 150-153 in series with transformer 116 and the power supply ground.

Also, as will hereinafter be explained in detail, timing circuit 100 is conditioned in response to the operator of the panel or remote switches to control drivers 140 and 141 to close and open switches 150-153 simultaneously, thus effectively repetitively connecting the primary of transformer 116 between power supply 111 and ground. In particular, primary 124 of transformer 116 is connected in parallel with capacitor 115 and forms a high-frequency resonant "tank" circuit. When the lower end of primary winding 124 is connected to ground, current flows from power supply 111 through contact M-1 and primary 124 of the transformer. Subsequently, when timing circuit 100 causes drivers 140 and 141 to, in turn, open switches 150-153, the tank circuit "rings down" to produce a damped sinusoidal output (as show in line C of FIG. 9). Since timing circuit 100 periodically closes and opens switches 150-153, a periodic damped sinusoidal waveform is produced. This periodic waveform is coupled to the secondary 125 of transformer 116 and is provided (through capacitors 120 and 121 and leads 130) to the monopolar electrodes consisting of patient plate 192 and output electrode 193 or 194.

The components of the high-frequency tank circuit are chosen to produce a waveform which is optimized for a surgical fulguration operation. The particular details of the fulguration output circuitry do not form a portion of the invention described herein and will not be described in further detail. A detailed explanation of fulguration circuitry which may be used with the illustrative embodiment disclosed herein is given in a copending patent application entitled "Electrosurgical Generator" filed July 6, 1981 by Francis T. McGreevy, designated Serial No. 281,005 and assigned to the same assignee as the present invention.

Specifically, in order to excite the high-frequency tank circuitry, timing circuit 100 repetitively opens and closes switches 150-153 by means of driver circuits 140 and 141. Current then flows from source 111 through the following pathway: contact M-1, primary 124 of transformer 116, resistor 117, contact M-2, lead 161, switch 150, leads 160 and 159, switch 151, lead 158, contact M-8, contact M-5, lead 154, switch 152, leads 155 and 156, switch 153, lead 157 to power supply ground. When switches 150-153 are opened, a relatively high voltage is produced by the "back E.M.F." induced in primary winding 124 of transformer 116. However, since switches 150-153 are connected in a series configuration, the high voltage is divided across all four switches, thus preventing a secondary breakdown of any one of the switches even though FET switches are used.

In order to further protect the FET switches, a current sensing circuit consisting of resistor 117 and transformer 110 has been provided. Current flowing through the circuit develops a voltage across resistor 117 which voltage is, in turn, coupled, via transformer 110 and leads 107, to timing circuit 100. As will be hereinafter described, an increase in current flowing through resistor 117 above a predetermined threshold causes the "on" time of switches 150-153 to be reduced, thereby reducing the average current flowing through the switches and preventing any damage caused by overcurrent.

The detailed circuitry of the semiconductor switches and driver circuits 140 and 141 is shown in FIG. 2. Each of driver circuits 140 and 141 contains identical circuitry so, for clarity of description only one driver circuit will be shown in detail. Likewise, each semiconductor switch 150-153 is identical and therefore only one switch will be described in detail. Referring to FIG. 2, the circuitry of the driver circuits is shown in detail. The driver circuits are controlled by the signals .0. and .0. provided from the control circuit via terminals 200 and 201 shown at the left side of FIG. 2. The driver unit itself consists of two driver switch units which are identical. Since the switch units are identical only one will be described in detail.

Each driver switch unit of driver 140 is connected to one end of center-tapped primary winding 250 of transformer 260. The secondary of transformer 260 drives the semiconductor switches. In the quiescent or "off" state, input 200 of the upper unit is normally held at a "high" voltage by logic circuitry in the timing circuitry. In addition, resistor 210 which is connected to positive voltage source 215 helps to hold input 200 "high". The positive voltage on terminal 200 is applied via the resistive divider, consisting of resistors 217 and 230, to the base of transistor 235, turning it "on". In its "on" state, transistor 235 places a low signal (near ground) on its collector. The gate electrode of FET switch 240, which is connected to the collector of transistor 235, is thus held at ground and FET 240 is therefore held "off". In addition, the high signal appearing on terminal 200 is applied via the resistive divider, consisting of resistors 216 and 218, to the base of transistor 220 holding it in its "off" state.

The driver unit becomes active when the control circuitry places a negative-going pulse on terminal 200. The negative-going pulse is applied, via the resistive divider consisting of resistors 217 and 230, to the base of transistor 235, turning it "off". In addition, the negative-going pulse is applied via the resistive divider, consisting of resistors 216 and 218, to the base of transistor 220, turning it "on". Current thus flows from the t supply through diode 219 and transistor 220 and resistor 236 to ground, raising the potential on the gate lead of FET switch 240. In response thereto, FET switch 240 turns "on" and current flows from positive voltage source 251 through one half of the primary windings 250 of transformer 260 through FET switch 240 to ground. Transformer 260, in turn, controls the semiconductor switches by means of two secondary windings 270 and 271 (in the diagram, for clarity, only winding 270 is shown connected to a semiconductor switch. Winding 271 is connected in an analogous manner to another switch). The output of winding 270 is connected to the gate and source electrodes of the semiconductor FET switches 285 and 287 through leads 288 and 289 respectively. In addition, a pair of Zener diodes 275, 280 (having a breakdown voltage rating of approximately 12 volts) in series with resistor 290 are connected across winding 270. These three components prevent an accidental high-voltage spike occurring across secondary 270 from damaging the semiconductor switch transistors.

At the end of the "on" time interval, the voltage on terminal 200 provided by the timing circuit again returns to its quiescent "high" state, transistor 235 turns "on" and transistor 220 turns "off", thereby allowing resistor 236 to return the potential on the gate electrode of FET 240 to ground. Responsive thereto, FET 240 ceases conducting and current ceases flowing from source 251 through the upper half of primary winding 250 of transformer 260.

However, in order to insure quick turnoff of the semiconductor switches, the current in the primary winding 250 of transformer 260 is effectively "reversed" to "dump" the flux in the transformer windings insuring that the voltage in the secondary falls quickly to zero. In particular, as hereinafter described, a short time after terminal 200 returns to its quiescent "high" state, the control circuitry places a short