Control console and accessories for RF nerve ablation and methods of operating the same
Electrosurgical systems and methods are provided for RF nerve ablation, wherein a control console is utilized with a passive or active cable accessory connecting to different of electrode attachments, such as monopolar and bipolar self-grounding types. The control console has multiple RF amplifiers that are associated with multiple channels of the control console and that are energized according to control signals non-simultaneously applied by a controller of the control console. The control console stores and processes identification data and usage data relating to cable accessories and electrode attachments that are connected or have been connected to the control console over time. The control console displays a representation of this processed data on a graphical user interface. The control console further provides components and techniques for implementing stimulation and impedance verification/calibration for situations where the stimulation signals or impedance measurement signals are provided by the control console.
1. A method for controlling a control console comprising a plurality of channels and a plurality of radio frequency (RF) amplifiers each dedicated for delivering energy to a corresponding one of the channels, a plurality of DC power supplies each being dedicated to a corresponding one of the RF amplifiers; and a controller coupled to the RF amplifiers, the method comprising:
delivering, with a first of the DC power supplies, energy to a first of the RF amplifiers;
delivering, with a second of the DC power supplies, energy to a second of the RF amplifiers;
generating, with the controller, control signals for separately and independently controlling each of the RF amplifiers;
sequentially applying, with the controller, a first control signal to the first RF amplifier of the plurality of RF amplifiers and a second control signal to the second RF amplifier of the plurality of RF amplifiers, one at a time;
delivering, with the first RF amplifier, the energy to a first channel of the plurality of channels at a first power supply voltage based on the first control signal; and
delivering, with the second RF amplifier, the energy to a second channel of the plurality of channels at a second power supply voltage based on the second control signal with the second power supply voltage being different than the first power supply voltage.
2. The method of claim 1 wherein sequentially applying further comprises applying the control signals to each RF amplifier during sequential time slots each being reserved for a different one of the RF amplifiers, the method further comprising stopping application of the control signals for any given RF amplifier during time slots reserved for other RF amplifiers, wherein sequentially applying the control signals causes non-simultaneous energy delivery among the channels.
3. The method of claim 2 wherein sequentially applying the control signals occurs during time slots divided equally among the RF amplifiers.
4. The method of claim 2 wherein sequentially applying the control signals causes each channel to have an output that cycles at a frequency of F Hertz, where F equals 1/T, and wherein T is a period defined by a sum of the time slots in seconds.
5. The method of claim 4 wherein the frequency is greater than a motor stimulus sensitivity of 2 Hertz and/or greater than a sensory stimulation sensitivity of 50 Hertz.
6. The method of claim 4 wherein the frequency is within a range defined from 12.5 Hertz to 2500 Hertz and wherein T is within a range defined from 0.0004 seconds to 0.08 seconds.
7. The method of claim 1 further comprising:
delivering energy to a target location with an electrode coupled to one of the channels;
monitoring, with the controller, one or more treatment parameters; and
generating the control signals for the RF amplifier dedicated to the channel to which the electrode is coupled based on the one or more monitored treatment parameters.
8. The method of claim 7 wherein generating the control signals is further defined as generating a power supply voltage for each RF amplifier, and further comprising:
defining, with the controller, a limit for the power supply voltage of each RF amplifier based on the monitored one or more treatment parameters; and
reallocating, with the controller, a duration of a time slot reserved for one of the RF amplifiers based on the one or more monitored treatment parameters.
9. A control console configured for radio frequency (RF) nerve ablation, comprising:
a plurality of channels including a first channel and a second channel;
a plurality of RF amplifiers each being dedicated to deliver energy to a corresponding one of the channels, the plurality of RF amplifiers including a first RF amplifier and a second RF amplifier;
a first DC power supply being dedicated to delivering energy to the first RF amplifier;
a second DC power supply being dedicated to delivering energy to the second RF amplifier;
a controller coupled to the RF amplifiers and being configured to generate control signals to separately and independently control each of the RF amplifiers and to apply the control signals to each RF amplifier sequentially, one at a time, to deliver energy to the corresponding channel;
wherein the control signals include a first control signal applied to the first RF amplifier and a second control signal applied to the second RF amplifier;
wherein the first RF amplifier is configured to deliver the energy to the first channel at a first power supply voltage based on the first control signal; and
wherein the second RF amplifier is configured to deliver the energy to the second channel at a second power supply voltage based on the second control signal with the second power supply voltage being different than the first power supply voltage.
10. The control console of claim 9 wherein the controller is configured to sequentially apply the control signals to each RF amplifier during sequential time slots each being reserved for a different one of the RF amplifiers and wherein the controller is further configured to stop application of the control signals for any given RF amplifier during time slots reserved for other RF amplifiers.
11. The control console of claim 9 wherein energy delivery among the channels is non-simultaneous.
12. The control console of claim 10 wherein the time slots are divided equally among the RF amplifiers.
13. The control console of claim 10 wherein each channel has an output that cycles at a frequency of F Hertz, where F equals 1/T, and wherein T is a period defined by a sum of the time slots in seconds.
14. The control console of claim 13 wherein the frequency is greater than a motor stimulus sensitivity of 2 Hertz and/or greater than a sensory stimulation sensitivity of 50 Hertz.
15. The control console of claim 13 wherein the frequency is within a range defined from 12.5 Hertz to 2500 Hertz and wherein T is within a range defined from 0.0004 seconds to 0.08 seconds.
16. The control console of claim 9 further comprising an electrode being coupled to one of the channels and being configured to deliver energy to a target location and wherein the controller is configured to monitor one or more treatment parameters and generate the control signals for the RF amplifier dedicated to the channel to which the electrode is coupled based on the one or more monitored treatment parameters.
17. The control console of claim 16 wherein the controller is configured to generate the control signals by defining a power supply voltage for each RF amplifier and to define a limit for the power supply voltage of each RF amplifier based on the one or more monitored treatment parameters.
18. The control console of claim 16 wherein the controller is configured to reallocate a duration of the time slot reserved for one of the RF amplifiers based on the one or more monitored treatment parameters.
19. The control console of claim 16 wherein the one or more monitored treatment parameters is at least one of a temperature at the target location and a patient-circuit impedance.
20. The control console of claim 9 further comprising four RF amplifiers and four corresponding channels.
21. The control console of claim 9 further comprising a relay to an output of each RF amplifier wherein each relay is preconfigured and controllable free of restriction from activation of the corresponding RF amplifier.