Electrosurgical apparatus and method for controlling electrosurgical apparatus
A high-frequency cauterization power source is an electrosurgical apparatus for joining biological tissues. The electrosurgical apparatus includes a high frequency power supply portion for supplying a high frequency power that is applied to biological tissues; a detection portion for detecting a voltage and a current of a high frequency power that is output from the high frequency power supply portion; a tissue impedance calculating portion that calculates an impedance of biological tissue based on respective values for voltage and current detected at the detection portion; and a control portion that controls so as to substantially stop supply of the high frequency power from the high frequency power supply portion based on whether or not an increase greater than or equal to a predetermined value in the impedance that is calculated at the tissue impedance calculating portion occurs two times.
1. A method for controlling an electrosurgical apparatus for joining biological tissues, the method comprising:
a detection portion detecting a voltage and a current of a high frequency power that is output from a high frequency power supply portion for supplying the high frequency power to be applied to the biological tissues;
an impedance calculating portion calculating an impedance value between a pair of electrodes to which the high frequency power is applied and which grasps the biological tissues, based on respective values of the voltage and the current that are detected; and
a control portion controlling so as to stop supply of the high frequency power and output a predetermined voltage (Vd) for monitoring a state of the biological tissues for a predetermined time (tm) when there is an increase that is equal to or greater than a predetermined value in the impedance value calculated by the impedance calculating portion after starting supply of the high frequency power, and
if the impedance value calculated by the impedance calculating portion at an end of the predetermined time (tm) is equal to or greater than a first threshold value (Zth 2 ) the control portion controlling so as to substantially stop supply of the high frequency power from the high frequency power supply portion, and
if the impedance value calculated by the impedance calculating portion at the end of the predetermined time (tm) is less than the first threshold value (Zth 2 ) the control portion controlling so as to intermittently perform supply of the high frequency power and output of the predetermined voltage (Vd) and when the impedance value calculated by the impedance calculating portion at the end of the predetermined time period (tm) in which the predetermined voltage is output becomes equal to or greater than the first threshold value, substantially stop supply of the high frequency power from the high frequency power supply portion.
2. The method for controlling an electrosurgical apparatus according to claim 1 , wherein, when the impedance value at the end of the predetermined time period, in which the predetermined voltage is output, is less than a second threshold value that is smaller than the first threshold value, a power value of the high frequency power to be supplied in a next high frequency power supply period is increased by a predetermined amount.
3. The method for controlling an electrosurgical apparatus according to claim 2 , wherein, when the impedance value at the end of the predetermined time (tm) in which the predetermined voltage is output is less than the first threshold value and greater than or equal to the second threshold value, the control portion does not change a power value of the high frequency power to be supplied in a next high-frequency low power supply period.
4. A method for controlling an electrosurgical apparatus for joining biological tissues, the method comprising:
a detection portion detecting a voltage and a current of a high frequency power that is output from a high frequency power supply portion for supplying the high frequency power to be applied to the biological tissues;
an impedance calculating portion calculating an impedance value between a pair of electrodes to which the high frequency power is applied and which grasps the biological tissues, based on respective values of the voltage and the current that are detected;
a measuring portion measuring an arrival time until the impedance value calculated by the impedance calculating portion arrives at a value that is greater than or equal to a first threshold value after starting supply of the high frequency power; and
a control portion controlling so as to stop supply of the high frequency power when there is an increase that is equal to or greater than a predetermined value (ZDth 2 ) in the impedance value calculated by the impedance calculating portion,
the control portion controlling so as to intermittently perform the supply of the high frequency power until there is an increase that is equal to or greater than the predetermined value (ZDth 2 ) in the impedance value calculated by the impedance calculating portion and the stop of supply of the high frequency power for a first time period (tm 1 ), when the arrival time measured by the measuring portion is equal to or greater than a predetermined time (Tth 1 ), and
the control portion controlling so as to substantially stop supply of the high frequency power from the high frequency power supply portion when the arrival time measured by the measuring portion becomes less than the predetermined time.
5. The method for controlling an electrosurgical apparatus according to claim 4 , wherein the control portion determines whether or not there is an increase that is greater than or equal to the predetermined value in the impedance by comparing a rate of change per unit time in the impedance or an impedance value calculated by the impedance calculating portion with a predetermined threshold value.