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| United States Patent | 4727874 |
| Link to this page | http://www.wikipatents.com/4727874.html |
| Inventor(s) | Bowers; William J. (Aurora, CO);
Hardwick; Phillip D. (Aurora, CO) |
| Abstract | A pulse width modulation technique regulates the output power of each cycle
of a radio frequency surgical signal of an electrosurgical generator. The
delivered power of the surgical signal is determined by multiplying the
sensed current and the sensed voltage of the surgical signal. An error
signal is established by the difference of the actual delivered power with
respect to a selected desired output power. The error signal is
operatively utilized to modulate the pulse width of each driving pulse
which creates the cycles of the surgical signal. Limits on the sensed
voltage and sensed current signals are established to limit the output
characteristics of the surgical signal. A minimum current limit signal is
utilized to limit the maximum output voltage into relatively high
impedances. A minimum voltage limit signal is utilized to limit the
maximum output current into relatively low impedances. Very rapid response
times and very effective power regulation even into relatively high
impedance tissues are possible with the pulse width modulation technique.
The risks and problems associated with open circuit flashing, alternate
path burns and closed circuit shorting are substantially reduced or
eliminated. |
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Title Information  |
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Drawing from US Patent 4727874 |
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Electrosurgical generator with high-frequency pulse width modulated
feedback power control |
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| Publication Date |
March 1, 1988 |
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| Filing Date |
September 10, 1984 |
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Title Information  |
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References  |
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U.S. References |
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| | Reference | Relevancy | Comments | Reference | Relevancy | Comments | 3854100
|      Your vote accepted [0 after 0 votes] | | 3897787
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|      Your vote accepted [0 after 0 votes] | | 4569345 Manes 606/38 Feb,1986 |      Your vote accepted [0 after 0 votes] | | 4474179 Koch 606/40 Oct,1984 |      Your vote accepted [0 after 0 votes] | | 4438766 Bowers 606/37 Mar,1984 |      Your vote accepted [0 after 0 votes] | | 4439738 Atherton 330/10 Mar,1984 |      Your vote accepted [0 after 0 votes] | | 4429694 McGreevy 606/40 Feb,1984 |      Your vote accepted [0 after 0 votes] | | 4412156 Ota 315/308 Oct,1983 |      Your vote accepted [0 after 0 votes] | | 4390849 Miskin 330/251 Jun,1983 |      Your vote accepted [0 after 0 votes] | | 4372315 Shapiro 606/36 Feb,1983 |      Your vote accepted [0 after 0 votes] | | 4347481 Yoshida 330/251 Aug,1982 |      Your vote accepted [0 after 0 votes] | | 4281373 Mabille 363/97 Jul,1981 |      Your vote accepted [0 after 0 votes] | | 4211230 Woltosz 606/40 Jul,1980 |      Your vote accepted [0 after 0 votes] | | 4188927 Harris 606/38 Feb,1980 |      Your vote accepted [0 after 0 votes] | | 4173739 Yoshida 330/298 Nov,1979 |      Your vote accepted [0 after 0 votes] | | 4038984 Sittner 606/37 Aug,1977 |      Your vote accepted [0 after 0 votes] | | 4021748 Yoshida 330/269 May,1977 |      Your vote accepted [0 after 0 votes] | | 3939380 Peer 315/397 Feb,1976 |      Your vote accepted [0 after 0 votes] | | 3898991 Ikuno 606/37 Aug,1975 |      Your vote accepted [0 after 0 votes] | | 3675655 Sittner 606/37 Jul,1972 |      Your vote accepted [0 after 0 votes] | | 3601126 Estes 267/140 Aug,1971 |      Your vote accepted [0 after 0 votes] | | |
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Foreign References |
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Other References |
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References  |
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Public's "Guesstimation" of Royalty Value
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Market Review  |
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Technical Review  |
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Claims  |
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What is claimed is:
1. In a electrosurgical generator including means for supplying a surgical
signal at a predetermined high frequency to perform a surgical procedure,
and means for regulating the power content of the surtgical signal, and an
improved feedback means for controlling the power regulating means
comprising:
means for creating a current delivered signal related to the current of the
surgical signal;
means for establishing a current limit signal;
voltage limit means receptive of the current limit signal and the current
delivered signal and operative for supplying a first signal corresponding
to one of either the current limit signal or the current delivered signal,
said voltage limit means operatively supplying the current delivered
signal as the first signal when the current delivered signal is greater
than the current limit signal and operatively supplying the current limit
signal as the first signal when the current delivered signal is less than
the current limit signal;
means for creating a voltage delivered siganl related to the voltage of the
surgical signal;
means for establishing a voltage limit signal;
curret limit means receptive of the voltage limit signal and voltage
delivered signal and operative for supplying a second signal corresponding
to one of either the voltage limit signal or the voltage delivered signal,
said current limit means operatively supplying the voltage delivered
signal as the second signal when the voltage delivered signal is greater
than the voltage limit signal and operatively supplying the voltage limit
signal as the second signal when the voltage delivered signal is less than
the voltage limit signal;
multiplier means receptive of the first and second signals and operative
for multiplying the first and second signals to create a delivered power
signal which is the product of the first and second signals; and
means receptive of the delivered power signal and operative for controlling
the power regulation means of said generator to regulate the power content
of the surgical signal in response to the power delivered signal.
2. In an electrosurgical generator as defined in claim 1, the current
delivered signal is directly related to the RMS current of the surgical
signal, and the voltage delivered signal is directly related to the RMS
voltage of the surgical signal.
3. In an electrosurgical generator as defined in claim 1, at least one of
the limit signals received by said limit means is of a constant value.
4. In an electrosurgical generator as defined in claim 3, the current
delivered signal is directly related to the RMS current of the surgial
signal, and the voltage delivered signal is directly related to the RMS
voltage of the surgical signal.
5. In an electrosurgical generator as defined in claim 1, said improved
feedback means further comprises:
means for supplying a desired output power signal representative of a
predetermined amount of power which the surgical signal is desired to
contain;
differential means receptive of the delivered power signal and the desired
output power signal and operative for creating an error signal
representative of the difference of the delivered power signal with
respect to the desired output power signal; and wherein:
said means for controlling the power regulation means does so in
predetermined relation to the error signal.
6. In an electrosurgical generator as defined in claim 5, at least one of
the limit signals received by said limit means is related to the desired
output power signal.
7. In an electrosurgical generator as defined in claim 6, the current
delivered signal is directly related to the RMS current of the surgical
signal, and the voltage delivered signal is directly related to the RMS
voltage of the surgical signal.
8. In an electrosurgical generator as definned in claim 6, the one limit
signal received by said limit means is non-linearally related to the
desired output power signal.
9. In an electrosurgical generator as defined in claim 6, the current
delivered signal is directly related to the RMS current of the surgical
signal, and the voltage delivered signal is directly related to the RMS
voltage of the surgical signal.
10. In an electrosurgical generator as defined in claim 1, said surgical
signal is a series of substantially sinusoidally shaped cycles occurring
at the predetermined high frequency, and a further improvement in said
means for supplying the surgical signal comprises:
drive means for creating a periodic series of driving pulses occurring at a
predetermined frequency which is related to the predetermined high
frequency of the surgical signal, each driving pulse having a
predetermined energy content related to the time width of the driving
pulse; and
surgical signal creating means receptive of the driving pulses for creating
the surgical signal from the driving pulses, said creating means creating
each cycle of the surgical signal from at least one corresponding driving
pulse, said creating means further establishing an energy content of each
cycle of the surgical signal in a direct relationship to the energy
content of each corresponding driving pulse from which the cycle of the
surgical signal was created.
11. In an electrosurgical generator as defined in claim 10, the
predetermined frequency at which the driving pulses occur is twice the
predetermined high frequency of the surgical signal, alternate driving
pulses in the periodic series primarily create a positive half cycle of
each cycle of the surgical signal and the other alternate driving pulses
primarily create the negative half cycle of each cycle of the surgical
signal, and sequential driving pulses alternate in polarity with respect
to one another.
12. In an electrosurgical generator as defined in claim 11, said means for
supplying the surgical signal further comprises:
bandpass filter means receptive of the driving pulses and operative for
converting the driving pulses into the substantially sinusoidally shaped
cycles of the surgical signal at the predetermined high frequency, said
bandpass filter means operatively changes the amplitude of the
substantially sinusoidally shaped cycles of the surgical signal in a
predetermined relationship to the width of each driving pulse creating the
cycle of the surgical signal.
13. An electrosurgical generator which supplies a surgical signal having a
series of substantially sinusoidually shaped cycles occurring at a fixed
predetermined radio frequency, comprising:
drive means for creating a periodic series of driving pulses occurring at a
predetermined frequency related to the predetermined radio frequency of
the surgical signal, each driving pulse having a predetermined energy
content related to the time width of the driving pulse;
surgical signal creating means receptive of the driving pulses for creating
the surgical signal from the driving pulses, said creating means creating
each cycle of the surgical signal from at least one corresponding driving
pulse, said creating means further establishing an energy content of each
cycle of the surgical signal in a direct relationship to the energy
content of each corresponding driving pulse from which the cycle of the
surgical signal was created;
means responsive to the surgical signal and operative for creating a
delivered power signal related to the power content of the surgical
signal;
means for establishing a desired output power signal related to a desired
amount of output power for the surgical signal; and
means receptive of the delivered power signal and the desired output power
signal and operative for modulating the width of the driving pulses in
accordance with a predetermined relationship of the delivered power signal
and the desired output power signal to regulate the power content of the
surgical signal.
14. An electrosurgical generator as defined in claim 13, wherein the energy
content of each cycle of the surgical signal is established by varying the
amplitude of the sinusoidal shaped cycle.
15. An electrosurgical generator as defined in claim 13 further comprising:
bandpass filter means receptive of the driving pulses and operative for
converting the driving pulses into the substantially sinusoidally shaped
cycles of the surgical signal at the predetermined radio frequency.
16. An electrosurgical generator as defined in claim 15 wherein:
said bandpass filter means operatively changes the amplitude of the
substantially sinusoidally shaped cycles of the surgical signal in a
predetermined relationship to the width of each driving pulse creating the
cycle of the surgical signal.
17. An electrosurgical generator as defined in claim 16 wherein:
said bandpass filter means primarily creates each half cycle of each
substantially sinusoidally shaped cycle of the surgical signal from a
corresponding drivig pulse of the periodic series of driving pulses.
18. An electrosurgical generator as defined in claim 16 wherein:
the predetermined frequency at which the driving pulses occur is twice the
predetermined radio frequency of the surgical signal, alternate driving
pulses of the periodic series primarily create a positive half cycle of
each cycle of the surgical signal and the other alternate driving pulses
of the periodic series create the negative half cycle of each cycle of the
surgical signal, and sequential driving pulses of the periodic series
alternate in polarity with respect to one another.
19. An electrosurgical generator as defined in claim 13 further comprising:
means for creating one of a current sensed signal or a voltage sensed
signal related to the current or the voltage content of the surgical
signal supplied by the electrosurgical generator, respectively;
means for establishing one of a current limit signal or a voltage limit
signal;
limit means receptive of the one limit signal and the one sensed signal
which have the same current or voltage relationship and operative for
supplying the sensed signal as a delivered signal when the one sensed
signal occupies a first predetermined relationship to the one limit signal
and operative for supplying the limit signal as the delivered signal when
the one sensed signal occupies a second predetermined different
relationship to the one limit signal; and
and wherein said modulating means modulates the width of the driving pulses
in relation to the delivered signal.
20. An electrosurgical generator as defined in claim 19 wherein the one
limit signal established is of a constant value.
21. An electrosurgical generator as defined in claim 19 wherein the one
limit signal established is non-linearly related to a desired amount of
output power to which the surgical signal is to be regulated.
22. An electrosurgical generator as defined in claim 19 wherein the one
limit signal established is linearly related to a desired amount of output
power to which the surgical signal is to be regulated.
23. An electrosurgical generator as defined in claim 13 wherein the
delivered power signal is related to the instantaneous RMS power content
of the surgical signal.
24. An electrosurgical generator which supplies a predetermined surgical
signal to perform a surgical procedure and which regulates the power
content of the surgical signal, the surgical signal being a series of
individual cycles occurring at a predetermined radio frequency, said
generator comprising:
drive means for creating a drive signal defined by a periodic series of
driving pulses occurring at a predetermined frequency and time
relationship with respect to each cycle of the radio frequency surgical
signal, each driving pulse having a predetermined energy content related
to the time width of the driving pulse;
surgical signal creating means receptive of the driving pulses for creating
the surgical signal from the driving pulses, said creating means creating
each cycle of the surgical signal from at least one corresponding driving
pulse, said creating means further establishing an energy content of each
cycle of the surgical signal in a direct relationship to the energy
content of each corresponding driving pulse from which the cycle of the
surgical signal was created;
means for creating a current delivered signal related to the RMS current of
the surgical signal;
means for establishing a current limit signal;
voltage limit means receptive of the current limit signal and the current
delivered signal and operative for supplying a first signal corresponding
to one of either the current limit signal or the current delivered signal,
said voltage limit means operatively supplying the current delivered
signal as the first signal when the current delivered signal is greater
than the current limit signal and operatively supplying the current limit
signal as the first signal when the current delivered signal is less than
the current limit signal;
means for creating a voltage delivered signal related to the RMS voltage of
the surgical signal;
means for establishing a voltage limit signal;
current limit means receptive of the voltage limit signal and voltage
delivered signal and operative for supplying a second signal corresponding
to one of either the voltage limit signal or the voltage delivered signal,
said current limit means operatively supplying the voltage delivered
signal as the second signal when the voltage delivered signal is greater
than the voltage limit signal and operatively supplying the voltage limit
signal as the second signal when the voltage delivered signal is less than
the voltage limit signal;
multiplier means receptive of the first and second signals and operative
for multiplying the first and second signals to create a delivered power
signal which is the product of the first and second signals;
means for supplying a desired output power signal representative of a
predetermined amount of power which the surgical signal is desired to
contain;
differential means receptive of the delivered power signal and the desired
output power signal and operative for creating an error signal
representative of the difference of the delivered power signal with
respect to the desired output power signal; and
modulation means receptive of the error signal and operative for
controlling said drive means to modulate the width of each driving pulse
in a predetermined relation to the error signal, said modulation means
operatively changing the predetermined energy content of each driving
pulse to regulate the energy content of each cycle of the surgical signal
to a level related to the power level represented by the desired output
power signal.
25. A electrosurgical generator as defined in claim 24 wherein said
modulation means further comprises:
integrator means receptive of the error signal and operative for
integrating the error signal over time and creating a trigger level signal
related to the integrated value of the error signal;
means for creating a ramp signal having a periodic series of ramp waveforms
occurring at a predetermined frequency related to the frequency of the
driving pulses;
comparator means receptive of the ramp signal and the trigger level signal
and operative for creating a pulse width control signal having a
characteristic occurring periodically at the predetermined frequency of
the ramp signal, the pulse width control signal operatively controlling
the width of each driving pulse.
26. An electrosurgical generator as defined in claim 25 wherein said drive
means further comprises:
pulse phase means for creating a pulse phase signal having a periodic
series of phase pulses occurring at the predetermined frequency of said
driving pulses; and
gating means receptive of the pulse phase signal and the pulse width
control signal and operative for creating each driving pulse having a time
width related to the phase pulse signal and the periodic characteristic of
the pulse width control signal.
27. An electrosurgical generator as defined in claim 26 wherein each phase
pulse signal has a predetermined time width and the width of each phase
pulse signal defines the maximum possible width of each driving pulse.
28. An electrosurgical generator as defined in claim 27 wherein:
said gating means operatively initiates each driving pulse in relation to
the occurrence of each phase pulse and operatively terminates each driving
pulse in relation to the occurrence of the periodic characteristic of the
pulse width control signal.
29. An electrosurgical generator as defined in claim 26 wherein:
said pulse phase means creates a pulse phase one signal and a pulse phase
two signal which are phase shifted with respect to one another by one
hundred eighty degrees, both the pulse phase one signal and the pulse
phase two signal having the characteristics of the aforesaid pulse phase
signal;
the predetermined frequency of the ramp waveforms of the ramp signal and of
the periodic characteristic of the pulse width control signal are two
times the frequency of the surgical signal; and
said gating means is receptive of the pulse phase one signal and the pulse
phase two signal and operatively creates individual phase one driving
pulses in relation to the phase one pulse signal and the periodic
characteristic of the pulse width control signal and operatively creates
individual phase two driving pulses in relation to the phase two pulse
signal and the periodic characteristic of the pulse width control signal,
each phase one driving pulse and each phase two driving pulse having the
characteristics of each aforesaid driving pulse, the phase one driving
pulses and the phase two driving pulses defining the drive signal.
30. An electrosurgical generator as defined in claim 29 wherein:
said surgical signal creating means receptive of the driving pulses and
operative for creating each cycle of the surgical signal operatively
creates one half-cycle of each cycle of the surgical signal from a phase
one driving pulse and operatively creates the other half-cycle of each
cycle of the surgical signal from a phase two driving pulse.
31. An electrosurgical generator as defined in claim 24 wherein each cycle
of the surgical signal is substantially sinusoidally shaped and said
surgical signal creating means further comprises:
bandpass filter means receptive of the driving pulses and operative for
converting the driving pulses into the substantially sinusoidally shaped
cycles of the surgical signal at the predetermined radio frequency.
32. An electrosurgical generator as defined in claim 31 wherein:
said bandpass filter means substantially inhibits frequency components of
the driving pulses at other than the predetermined radio frequency.
33. An electrosurgical generator as defined in claim 31 wherein:
said bandpass filter means operatively changes the amplitude of the
substantially sinusoidally shaped cycles of the surgical signal in a
predetermined relationship to the width of each driving pulse creating the
cycle of the surgical signal.
34. An electrosurgical generator as defined in claim 31 wherein:
said bandpass filter means primarily creates each half cycle of each
substantially sinusoidally shaped cycle of the surgical signal from one
corresponding driving pulse. |
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Claims  |
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Description  |
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This invention pertains to an electrosurgical generator having an improved
output power regulation capability as a result of a closed loop feedback
power control network utilizing pulse width modulation at the frequency
of, and to control the energy content of, each cycle of the high-frequency
surgical signal, among other improved features.
By use of an electrosurgical generator in a surgical procedure, it is
possible for the surgeon to cut, to blend or cut with hemostasis, or to
purely coagulate. The surgeon can quickly select and change the different
modes of operation as the surgical procedure progresses. In each mode of
operation, it is important to regulate the electrical power delivered to
the patient to achieve the desired surgical effect. Applying more power
than is necessary will result in unnecessary tissue destruction and
prolong healing. Applying less than the desired amount of electrical power
will usually inhibit the surgical procedure. Different types of tissues
will be encountered as the procedure progresses and each different tissue
will usually require more or less power due to a change in inherent tissue
impedance. Accordingly, all successful types of electrosurgical generators
employ some type of power regulation in order to control the
electrosurgical effects desired by the surgeon.
Two types of power regulation are conventional in previous electrosurgical
generators. The most common type controls the DC power supply of the
generator. This type of power regulation limits the amount of power
absorbed from the conventional AC power line to which the generator is
connected. A feedback control loop compares the actual power supplied by
the power supply to a desired power setting in order to achieve
regulation. Another type of power regulation in previous electrosurgical
generators involves controlling the gain of the high-frequency or radio
frequency amplifier. A feedback control loop compares the output power
supplied from the RF amplifier to a desired power level, and the gain is
adjusted accordingly.
While both known types of power regulation have achieved moderate success,
there nevertheless have been certain undesirable characteristics
associated with each. One undesirable characteristic involves the response
time for regulation. The impedance of the different tissues encountered
during the surgical procedure can fluctuate substantially. In moving from
a high impedance tissue to a low impedance tissue, the low impedance
tissue may be unnecessarily destroyed or damaged before the
electrosurgical generator can reduce the output power to a level
compatible with the low impedance tissue. Similarly, when a high impedance
tissue is encountered, the output power from the generator may be
momentarily insufficient to create or continue the precise surgical effect
desired by the surgeon. Precise execution of the surgical procedure
becomes difficult or impossible.
Another problem of power regulation in previous electrosurgical generators
has resulted in large measure because such previous generators have been
designed to attain maximum power transfer to intermediate impedance
ranges. As with any amplifier, an electrosurgical generator will achieve
maximum power transfer when its internal impedance is equal to the output
load impedance to which the generator is connected. At high impedances,
the power delivered inherently rolls off because of the difference in load
impedance compared to the internal impedance. To compensate, the surgeon
increases the power setting to a higher level than necessary. As soon as
the incision progresses through the high impedance tissue, the output
power is too great and tissue destruction or undesirable surgical effects
result. Making the initial incision is an example. The skin includes a
relatively large percentage of dead cells and cells which contain
considerably less moisture than other cells in tissues beneath the skin,
which increases its impedance compared to the impedance of the tissues
below the skin. A higher power setting is therefore required for the
initial incision. However, as soon as the incision is made, a reduced
amount of power is all that is necessary. With typical previous
electrosurgical generators, the initial incision was deeper than desired
because the active electrode, i.e., the electrosurgical instrument, went
deeper than the surgeon desired due to the excessive amount of power
delivered. The surgeon usually desires to control the depth of the
incision and conduct the surgical procedure in controlled depth levels. If
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