Electrosurgical device with improved incision
To achieve a safe transition from the ignition of a plasma in incision mode to the combustion of the plasma during a cutting mode, an electromedical device to supply an instrument with electrical power is equipped with an ignition recognition mechanism formed by a sensor device. This ignition recognition mechanism switches the HF generator provided in the device from an incision operating mode to a cutting operating mode as soon as ignition is recognized. The switching is brought about by the switching of an HF modulation from a low crest factor in the incision operating mode to a high crest factor in the cutting operating mode.
1. An electrosurgical device for supplying an instrument with electrical power, said device comprising:
a controllable high frequency (HF) generator for generating HF power during an initial incision phase of a cutting operating mode in which an electrode placed in a moist tissue milieu evaporates fluid at the electrode and a vapor bubble is generated and during a subsequent cutting phase of the cutting operating mode in which an HF plasma discharge at the electrode is maintained; and
a sensor device for recognizing an evaporation that has occurred and commencing HF plasma discharge, wherein the sensor device, upon detecting the commencing HF plasma discharge, causes the HF generator to generate a crest factor greater than the crest factor of the initial incision phase, thereby switching the HF generator from the initial incision phase of the cutting operating mode to the cutting phase of the cutting operating mode,
wherein the HF generator generates, during the initial incision phase, a continuous wave signal, and during the cutting phase, a pulsed HF current generated by switching the HF current on and off, and
wherein the HF generator generates, during the initial incision phase, a crest factor between 1.4 and 2.5.
2. The electrosurgical device according to claim 1 , wherein the HF generator provides the HF power as sine oscillation.
3. The electrosurgical device according to claim 1 , wherein the HF generator operates in repeated intermittent mode during the initial incision phase.
4. The electrosurgical device according to claim 3 , wherein the HF generator comprises a resonant circuit and an electronic switch connected to the resonant circuit to repeatedly subject the resonant circuit to a full operating voltage.
5. The electrosurgical device according to claim 1 , wherein the sensor device has an amplitude detection device.
6. The electrosurgical device according to claim 1 , wherein the sensor device has a DC component detection device.
7. The electrosurgical device according to claim 1 , wherein the sensor device has a harmonic wave detection device.
8. The electrosurgical device according to claim 1 , wherein during operation the HF generator delivers a lower voltage during the initial incision phase than during the cutting phase.
9. A method of operating an electrosurgical device for providing an instrument with electrical power, said device comprising a controllable high frequency (HF) generator and a sensor device, said method comprising:
controlling the HF generator to generate HF power during an initial incision phase of a cutting operating mode to evaporate fluid at an electrode of a connected surgical instrument and to generate a vapor bubble; and
controlling the HF generator to generate power during a subsequent cutting phase of the cutting operating mode having an HF plasma discharge at the electrode,
wherein the sensor device, upon detecting the evaporation and the commencing of the HF plasma discharge, causes the HF generator to generate a crest factor greater than the crest factor of the initial incision phase, thereby switching the HF generator from the initial incision phase of the cutting operating mode to the cutting phase of the cutting operating mode,
wherein the HF generator generates, during the initial incision phase, a continuous wave signal, and during the cutting phase, a pulsed HF current generated by switched the HF current on and off, and
wherein the HF generator generates, during the initial incision phase, a crest factor that is between 1.4 and 2.5.
10. The method according to claim 9 , wherein the HF power from the HF generator is provided as a sine oscillation.
11. The method according to claim 9 , wherein the HF generator is operated in repeated intermittent mode in the initial incision phase.
12. The method according to claim 9 , wherein the HF generator has a resonant circuit and an electronic switch connected to the resonant circuit, and the method comprises connecting the resonant circuit repeatedly to a full operating voltage via the electronic switch.
13. The method according to claim 9 , wherein an HF amplitude, a DC component and/or a harmonic waves of the HF voltage applied at the electrode are used to recognize a start of HF plasma discharge.
14. The method according to claim 9 , wherein the HF generator is operated with a lower voltage during the initial incision phase than during the cutting phase.