ELECTROSURGICAL GENERATOR WITH DETECTION OF INSTRUMENT PLUG-IN

Abstract

Electrosurgical generator for providing a high-frequency alternating voltage to an electrosurgical instrument, including a control unit and an inverter for high voltage that generates a high-frequency alternating voltage fed to an output socket for the instrument. A detection unit is provided that includes a capacitive detector configured for detecting a capacitance of a plugged-in cable of the instrument. Thereby a parasitic capacitance induced by the instrument's cable can be detected. The capacitance is however low picofarad range and difficult to detect, further complicated by the requirement of galvanic separation for patient safety. However, the invention realized that just a qualitative detection is sufficient to determine whether the instrument's cable is being plugged in. The invention provides simple and efficient measurement circuit for such detection. Thereby, a safe and cost-effective plugging-in detection is realized.

Claims

1. An electrosurgical generator designed to output a high-frequency alternating voltage to an electrosurgical instrument, comprising a control unit and an inverter for high voltage that generates a high-frequency alternating voltage which is fed via an output connection to an output socket for connection of the electrosurgical instrument, wherein a galvanic separator is provided isolating the output socket from the control unit, and wherein a detection unit is provided being configured to detect when the electrosurgical instrument is plugged in the output socket, wherein the detection unit is a capacitive detector configured for detecting a capacitance of a plugged-in cable of the electrosurgical instrument.

2. The electrosurgical generator as claimed in claim 1, wherein a connection of the capacitive detector to the output connection is configured to be made at a conductor for an electrode of the output connection.

3. The electrosurgical generator as claimed in claim 1, wherein the capacitive detector is configured for detecting a binary state, a first high capacitance state indicating the cable being plugged-in and a second low capacitance state indicating no cable being plugged-in.

4. The electrosurgical generator as claimed in claim 1, wherein the capacitive detector comprises a capacitive pick-up arranged at the output socket interacting with a measuring circuit being configured to check a measured capacitance against a reference value.

5. The electrosurgical generator as claimed in claim 4, wherein the measuring circuit is galvanically isolated from the capacitive pick-up.

6. The electrosurgical generator as claimed in claim 5, wherein the protective capacitor is configured as a printed circuit board structure.

7. The electrosurgical generator as claimed in claim 4, wherein the measuring circuit is connected to the output socket, and an output signal emitted by the measuring circuit is fed to the control unit via a protected connection.

8. The electrosurgical generator as claimed in claim 4 wherein the measuring circuit is configured for direct capacitance measurement.

9. The electrosurgical generator as claimed in claim 4, wherein the measuring circuit is configured for indirect capacitance measurement.

10. The electrosurgical generator as claimed in claim 9, wherein the measuring circuit is configured for determining a capacitive leakage current at the output socket.

11. The electrosurgical generator as claimed in claim 9, wherein a low voltage AC signal is injected into the output connection, and the measuring circuit is configured for measuring said low voltage AC signal.

12. The electrosurgical generator as claimed in claim 11, wherein the measuring circuit comprises a capacitive voltage divider connected between the output connection and a local ground at the output socket, said capacitive voltage divider generating a low voltage signal to be measured.

13. The electrosurgical generator as claimed in claim 12, wherein further a resistive voltage divider is provided for providing a bias voltage for the measuring circuit.

14. The electrosurgical generator as claimed in claim 11, wherein the measuring circuit comprises an operational amplifier being configured for setting different DC gain and AC gain, wherein the AC gain is at least ten times higher than the DC gain.

15. The electrosurgical generator as claimed in claim 1, wherein the measurement circuit comprises a blocking filter configured for blocking a switching frequency of a power supply of the electrosurgical generator.

Description

[0024] The invention is explained in more detail below with reference to an advantageous exemplary embodiment. In the figures:

[0025] FIG. 1 shows an electrosurgical generator according to a first exemplary embodiment with an attached electrosurgical instrument;

[0026] FIG. 2 shows a schematic functional diagram of the electrosurgical generator according to FIG. 1;

[0027] FIG. 3 shows a part of a schematic functional diagram according to a second exemplary embodiment; and

[0028] FIG. 4 shows a circuit diagram of an exemplary embodiment of a measurement circuit and its connection.

[0029] An electrosurgical generator according to a first exemplary embodiment of the invention is illustrated in FIG. 1. The electrosurgical generator, identified as a whole by reference numeral 1, comprises a housing 11 having an output socket 14 for connection of an electrosurgical instrument 16. A power supply cable 12′ is provided which can be connected to an electrical power source 12 which may be an electricity grid, like the AC mains in a building, or an off-grid source of electric energy, like a 12 Volt or 24 Volt battery in a vehicle or mobile hospital. Further, a user interface 9 is provided comprising a display 91 and keyboard or touchscreen section 92 for inputs by the user. The display 91 shows information concerning the inputs made by the user and the status of the electrosurgical generator 1. By virtue of the user interface 9 the user can issue directions and commands to a control unit 10 which controls operation of the electrosurgical generator 1 and its components, including frequency and voltage of the AC voltage emitted by the output socket 14 as well as modes of operation.

[0030] Said electrosurgical instrument 16 comprises a cable 15 which is to be plugged-in into the output socket 14 in order to supply the high-frequency alternating voltage for operation of the electrosurgical instrument 16.

[0031] FIG. 2 shows a schematic functional diagram of an internal circuitry 2 of the electrosurgical generator 1. It comprises a power supply unit 22 that is fed by electrical energy from the power supply 12 by the supply cable 12′, the power supply unit 22 feeding a DC bus 23 connected to an inverter 3 configured for generating high-frequency alternating current in a high-voltage range of a few kilovolts. Operation of the inverter 3 is governed by the control unit 10 which in turn is connected with the user interface 9 such that the user can issue directions and commands for operation of the electrosurgical generator 1, the control unit 10 generates corresponding control signals and governs the relevant components of the internal circuitry 2 according to these instructions and commands.

[0032] The high-frequency output emitted by the inverter 3 is applied to an isolation transformer 31 stepping up the voltage to a high-voltage, and the resulting high-voltage is routed via an output connection 13 to the output socket 14. The output connection 13 typically comprises two conductors, one for a neutral electrode NE and one other for an active electrode AE. At least the conductor of one of electrodes NE and AE, in this embodiment the active electrode AE, comprises a series capacitor 33 for galvanic isolation and blocking of any DC current to the output socket 14. The electrosurgical instrument 16 with its cable 15 can be plugged into the output socket 14.

[0033] There may be various electrosurgical instrument 16 of different kinds. In order to provide identification, the electrosurgical instrument 16 is optionally equipped with a memory 17 comprising data identifying the electrosurgical instrument 16 and allowing the electrosurgical generator 1 to determine which modes of operation could be used with respect to the electrosurgical instrument 16 actually plugged into the output socket 14.

[0034] Further, a capacitive detector 4 is provided at the output socket 14. In FIG. 2 a first embodiment of said capacitive detector 4 is depicted. Said first embodiment of the capacitive detector 4 comprises a pickup 5 feeding a signal to a measurement circuit 7. The pickup 5 comprises a connection 50 and a protective capacitor 6, a first end of the connection 50 being connected to the conductor of the active electrode AE and the other, second end being connected to a protective capacitance 6 connected in series. The protective capacitor 6 comprises a printed circuit board (PCB) 60 on which two plates 61 and 62 are formed. In this embodiment, the two plates 61 and 62 are at different layers of the PCB 60, i.e. a top layer and a middle (or bottom) layer. Each of the plates 61, 62 has preferably a rounded, in particular a circular shape, the two plates 61, 62 being placed in a stacked configuration and being spaced apart from each other by a predefined distance, in this embodiment determined by the thickness of the PCB 60 (or a fraction thereof if a middle layer is employed for at least one of the plates). Thereby the two plates 61 and 62 form a capacitance on the PCB 60 in a rather flat and space efficient manner. From the protective capacitor 6 a signal line 51 leads to an input of the measuring circuit 7. The measuring circuit 7 is decoupled from the output socket 14 by virtue of the protective capacitor 6 providing galvanic separation. Therefore, the measuring circuit 7 belongs to the internal circuitry 2 of the electrosurgical generator 1.

[0035] The measuring circuit 7 in this embodiment is configured for direct capacitance measurement, preferably by a dedicated integrated circuit as it is commercially available (e.g. MSP430FR2512IRHL of Texas Instruments, Inc.). If the measured capacitance is higher than the threshold value, then this acknowledges detection of the instrument 16 with its cable 15 being plugged-in to the socket 14, and a corresponding signal is emitted by a signal line 70 to the control unit 10.

[0036] This may be illustrated by the following example: typically the cable 15 of the electrosurgical instrument 16 has a capacitance of about 5.9 pF to earth. The capacitance of the output socket 14 with its pin is usually in the range between 1 to 10 pF. Further, the protective capacitor 6 being connected in series shall have a capacitance of a few picofarads, e.g. 10 pF. Due to a series configuration of the parasitic impedance of the cable 15 and the protective capacitor 6, the resulting total capacitance is limited to by the capacitance of the protective capacitor 6. This decreases the sensitivity of the circuit, however this is not a problem since an exact measurement of the capacitance is not required rather than just a binary information stating whether the surgical instrument 16 with its cable 15 is plugged-in into the output socket 14 or not.

[0037] With no instrument 16 plugged-in, the total measured capacitance is determined by e.g. 5 pF for the pin of the output socket 14 to protective earth (PE) in a series configuration with the protective capacitor 6 having a capacity of 10 pF resulting in a total capacitance of 3.33 pF.—Conversely, with the instrument 16 and its cable 15 and plugged into the output socket 14, the added capacitance of the pin of the output socket 14 to earth and cable 15 of the electrosurgical incident 16 to earth is 10.9 pF, again to be combined in a series configuration with the protective capacitor 6 having a capacity of 10 pF resulting in a total capacitance of 5.2 pF. This is a capacitance increase of nearly 60% which is easily detectable by comparing with a properly set threshold, e.g. set at 4 pF in the context of the present example. If the direct measured capacitance is higher than 4 pF then it means that the instrument 16 with its cable 15 is plugged-in to the socket 14, as it is below it does mean that it is not plugged-in.

[0038] A second exemplary embodiment is shown partly in FIG. 3. The general constitution of the electrosurgical generator 1 is the same as that of the first exemplary embodiment, however the configuration of the capacitive detector for the measuring circuit 7 is different, and the relevant section of the electrosurgical generator 1 is depicted in FIG. 3. In this second exemplary embodiment, the measuring circuit 7 is not decoupled from the output socket 14 by protective capacitor 6 as it was the case in the first exemplary embodiment. Instead, the measuring circuit 7 is directly connected to the pin of the output socket 14. This, however, requires the measurement circuit to be isolated from the internal circuitry 2. So the information signal concerning the measured capacitance must be transferred to the control unit 10 by a safe communication interface. This may be a local microcontroller 18 for the output socket 14 that is connected to the control unit 10 via a special protected communication link 19 providing galvanic separation. If such devices are already present, then thereby the capacitance signal as measured by the measurement circuit 7 can be easily transferred to the control unit 10 in a safe manner. The direct connection of the measurement circuit 7 allows for convenient and more precise measurement of capacity. There is, however, a drawback in that the measurements circuit 7 is at a floating potential with respect to the internal circuitry 2.

[0039] A measurement circuit 7 configured to indirectly measure the capacitance is shown in FIG. 4. Instead of measuring directly the change in capacitance connected to the pin of the output socket 14, the measurement circuit 7 is provided to measure a +12/−12 Volt toggle voltage 87 that is generated for detecting handswitch presses. A variant of the output socket 14 having a three-prong connector to the electrosurgical instrument 16 is shown in FIG. 4. As the three parallel lines in the upper right-hand corner of that figure show, the output socket 14 comprises three lines, line 83 for the active electrode (AE), line 82 for determining a cut-mode (CUT) and line 81 for determining a coagulation mode for sealing vessels (“Coag”). In order to determine the status of a handswitch toggling between cut and coag mode, a +12/−12 Volt toggle voltage, symbolized by the square wave train 87, is provided by toggle voltage injector 80.

[0040] This toggle voltage is also present at the line 83 for the active electrode AE. This is where the pickup 5 of the capacitance detector 4 is connected at. The lower portion of FIG. 4 shows the measurement circuit 7 and its pickup 5. Accordingly, a line 50 of the pickup 5 is routed into the measurement circuit 7 directly and supplied to a capacitive voltage divider 71 comprising capacitors C5 and C7, wherein line 50 connects to capacitor C5 and capacitor C7 is connected to a local ground (symbolized in the figures by a triangle on its tip). Capacitors C5 and C7 are connected at a midpoint 72 which is supplied to a positive input of an operational amplifier 74. Further, a resistive voltage divider 73 is provided connected between supply voltage (typically 5 Volt) and local ground. Its midpoint is connected to midpoint 72 of the capacitive voltage divider 71 thereby providing a bias voltage for said midpoint 72 of the capacitive voltage divider 71 and for the positive input of said operational amplifier 74, the bias voltage being preferably set at preferably approximately 50% of the supply voltage (e.g. 2.5 Volt). A feedback circuit 75 is provided for the operational amplifier 74 and connected to its output and negative input. The feedback circuit 75 comprises resistors R6, R8 and C9 setting the gain of the operational amplifier 74. The feedback circuit 75 is configured to set different DC and AC gain.

[0041] The underlying principle used by the measuring circuit 7 is based on a parasitic capacitance 88 formed between isolated ground of the output socket 14 and ground of the internal circuit 2 (“secondary ground”). Protective earth PE and secondary ground are considered as being connected via a low impedance 89 of approx. 1 Milliohm (1 mΩ), as symbolized by element 89. Thereby the current loop is closed at least with respect to AC current.

[0042] Moreover, via this high impedance 89 the secondary ground of the parasitic capacitance is connected to protective earth at the AE electrode 83. This means: Whenever the +12/−12 Volt toggle voltage 87 toggles, current flows through the parasitic capacitance 88 and capacitor C5 of the capacitive voltage divider 71, which is translated to a proportional voltage by capacitor C7 of the capacitive voltage divider 71. This voltage is amplified by the operational amplifier 74 which preferably is of the type having a very low bias current, in particular a JFET type. The feedback circuit 75 provides for a DC gain of unity and a rather high AC gain of 100 at the relevant frequency as defined by the toggle voltage 87 which is about 250 Hz in the depicted embodiment. Thereby ample amplification of the useful signal is provided. Further, noise and ripple introduced by the switching frequency of the internal circuit 2 is removed by the blocking filter 76. To this end, a capacitor C10 is provided which interacts with the operational amplifier 74 in a manner to act as a bandpass filter for blocking high frequencies such as a switching frequency of a power supply (not shown) for the internal circuitry 2.

[0043] The resulting filtered output signal from the output of the operational amplifier 74 is supplied via line 77 to an input of an analog/digital converter (ADC) 78, whose digital output signal is in turn supplied to a digital threshold detector 79. Its threshold is selected such that an output signal is generated if the electrosurgical instrument with its cable 15 is connected to the active electrode of the socket 14, and no signal is generated if the measured capacitance is below the threshold since no instrument with its cable is connected to the active electrode. The resulting signal is indicative of the status whether an electrosurgical instrument 16 with its cable 15 is connected or not, and it is fed by line 70 to the control unit 10, thereby providing an automatic detection of the presence of the electrosurgical instrument 16.