Electrosurgical system
An electrosurgical system is provided and includes a bipolar electrosurgical instrument and an electrosurgical generator. The bipolar electrosurgical instrument is arranged to seal and cut tissue captured between jaws of the instrument. The jaws include particularly positioned, shaped and/or oriented electrodes to perform the sealing of tissue. The electrosurgical generator is arranged to supply RF energy through the instrument, monitor the supplied RF energy and adjust or terminate the supplied RF energy to optimally seal the tissue.
1. An electrosurgical system comprising:
an electrosurgical instrument; and
an electrosurgical generator removably coupled to the electrosurgical instrument, the electrosurgical generator configured to:
supply RF energy having an initial voltage spike to the electrosurgical instrument, wherein the initial voltage spike has a voltage increasing between a first predetermined voltage level to a second predetermined voltage level,
change voltage of the supplied RF energy from the second predetermined voltage level to a third predetermined voltage level with a following voltage ramp up to a fourth predetermined voltage level, wherein the third predetermined voltage level is less than the second predetermined voltage level,
monitor current of the supplied RF energy during the following voltage ramp,
terminate the following ramp up and hold the voltage of the supplied RF energy at a post-ramp voltage level when the monitored current drops below a pre-determined current threshold, and
end the supply of the RF energy to the electrosurgical instrument after holding the voltage of the supplied RF energy at the post-ramp voltage level for a pre-determined period of time.
2. The electrosurgical system of claim 1 , wherein the electrosurgical generator is configured to further monitor for one or more error conditions, wherein detection of one of the one or more error conditions causes the supply of RF energy to the electrosurgical instrument to be terminated.
3. The electrosurgical system of claim 2 , wherein the one or more error conditions comprise:
a short circuit corresponding to a measured phase of the supplied RF energy equaling or exceeding a pre-determined threshold, or
an open circuit corresponding to the monitored current of the supplied RF energy equaling or exceeding a pre-determined threshold.
4. The electrosurgical system of claim 2 , wherein the one or more error conditions comprise an unintended current draw corresponding to the monitored current being greater than a pre-determined threshold for a fixed period of time.
5. The electrosurgical system of claim 4 , wherein the unintended draw error corresponds to the monitored current being greater than 95% of an allowable maximum current.
6. The electrosurgical system of claim 1 , wherein the electrosurgical generator further monitors phase of the supplied RF energy during the following voltage ramp.
7. The electrosurgical system of claim 6 , wherein the electrosurgical generator further terminates the following ramp up when the monitored current drops below the pre-determined current threshold and the monitored phase is capacitive.
8. The electrosurgical system of claim 1 , wherein the electrosurgical generator further monitors a power level of the supplied RF energy.
9. The electrosurgical system of claim 8 , wherein the electrosurgical generator ends the supply of RF energy to the electrosurgical instrument when the monitored power level falls below a pre-determined power threshold while the voltage of the supplied RF energy at the post-ramp voltage level is being held for a pre-determined period of time.
10. The electrosurgical system of claim 9 , wherein the pre-determined power threshold is 4% of a maximum allowable power.
11. An electrosurgical generator comprising:
an RF amplifier configured to supply RF energy to be passed through to a connected electrosurgical instrument;
an RF sense circuitry configured to generate information for a controller, wherein the generated information comprises measurements of output voltage and output current of the supplied RF energy; and
the controller determines that at least one of the generated information from the RF sense circuitry meets or exceeds one or more pre-determined thresholds and subsequently signals the RF amplifier to modify the supplied RF energy based on the determination,
wherein the controller signals the RF amplifier to modify the supplied RF energy to:
supply RF energy with an initial voltage spike to the electrosurgical instrument, wherein the initial voltage spike has a voltage increasing between a first predetermined voltage level to a second predetermined voltage level,
change the voltage of the supplied RF energy from the second predetermined voltage level to a third predetermined voltage level with a following voltage ramp up to a fourth predetermined voltage level, wherein the third predetermined voltage level is less than the second predetermined voltage level,
terminate the following ramp up and hold the voltage of the supplied RF energy at a post-ramp voltage level when the output current drops below a pre-determined current threshold, and
end the supply of the RF energy to the electrosurgical instrument after holding the voltage of the supplied RF energy at the post-ramp voltage level for a pre-determined period of time.
12. The electrosurgical generator of claim 11 , wherein the controller further signals the RF amplifier to modify the supplied RF energy based on information stored in the electrosurgical instrument, the information including pre-defined output thresholds or shutoff error criteria for the supplied RF energy.
13. The electrosurgical generator of claim 11 , wherein the generated information of RF sense circuitry further comprises a root means square (RMS) of the output voltage and the output current, a power of the supplied RF energy, and a phase angle between the output voltage and the output current, and wherein the controller is configured to use one or more of the RMS, power, or phase angle from the RF sense circuitry to signal the RF amplifier to modify the supplied RF energy accordingly.
14. The electrosurgical generator of claim 13 , wherein the controller is configured to signal the RF amplifier to terminate the supplied RF energy based on the generated information from the RF sense circuitry that one or more of the phase angle or the output current are above a predetermined error threshold of the one or more pre-determined thresholds.
15. The electrosurgical generator of claim 13 , wherein the controller is further configured to terminate the supplied RF energy based on the generated information from the RF sense circuitry being outside an allowable window defining a maximum and minimum value for the generated information.
16. The electrosurgical generator of claim 15 , wherein the allowable window is shiftable based on the supplied RF energy.
17. The electrosurgical generator of claim 11 , wherein the controller further signals the RF amplifier to modify the supplied RF energy after a pre-determined period of time has elapsed.
18. The electrosurgical generator of claim 13 , wherein the controller is configured to signal the RF amplifier to terminate the supplied RF energy based on determination that the generated information from the RF sense circuitry of the power is below a pre-determined termination threshold of the one or more pre-determined thresholds.