The present invention generally relates to electrosurgical systems, and in particular, to systems and methods for controlling the energy transfer efficiency between an electrosurgical generator and tissue impedance load or tissue load.
Electrosurgery is surgery using electrosurgical energy that involves the application of high voltage, high frequency electrical energy, e.g., radiofrequency (RF) energy, to tissue for the purpose of sealing, fusing and/or cutting tissues or vessels. Electrosurgery typically utilizes an electrosurgical generator to generate the RF energy and electrosurgical hand devices or instruments that direct the RF energy to the target tissue. Electrosurgical instruments generally fall within two classifications: monopolar and bipolar. In monopolar instruments, electrical energy is supplied to one or more electrodes on the instrument with high current density while a separate return electrode is electrically coupled to a patient and is often designed to minimize current density. Bipolar electrosurgical instruments, which operate without separate return electrodes, can deliver electrical signals to a focused tissue area with reduced risks.
One common concern in the management of the electrosurgical energy is impedance matching. In order to maximize the power transferred from a source to a load, the output impedance of the source should equal the input impedance of the load. Failure to match impedances may lead to signal reflection and inefficient power transfer. Excessive power loss, heat dissipation, and even circuit failure may all result from improper impedance matching. In these cases, reduced efficiency is a result of improper matching, which causes excessive power loss. On the other hand, accurate, balanced impedance matching may lead to the desired maximum power transfer and/or power efficiency.
In the case of electrosurgery, while the RF energy is applied to the target tissue, the target tissue is affected and its characteristics, i.e., input impedance load, changes as a result of the application of the RF energy. When the load impedance changes, a greater portion of power is reflected which may represent a substantial impedance mismatch and inefficient power transfer. Under high RF output power conditions during electrosurgery sealing events, the efficiency of energy transfer from the electrosurgical generator to the tissue is lower than desired. Efficient energy delivery to the tissue can be useful for improving the seal quality, seal consistency and lowering power requirements for sealing tissue. Hence, embodiments of the present invention are intended to maximize or at least improve the power transfer efficiency between an electrosurgical generator and the tissue load in surgical procedures.
In accordance with various embodiments, this disclosure describes systems and methods for performing impedance matching to enhance surgical outcomes. The systems and methods allows for matching the source and load impedances under all dynamic conditions, such as variable loads, procedural, and/or operational conditions. This ensures optimal matching based on the sealing, fusing, or cutting cycle of the tissue, thereby achieving improved surgical results.
In accordance with one aspect of the present invention, an electrosurgical system for performing surgical procedures is provided. The electrosurgical system may include an electrosurgical generator configured to supply RF energy to a surgical site and an electrosurgical instrument. The electrosurgical instrument having at least one active electrode adapted to treat tissue with the supplied RF energy. The electrosurgical system may further include an impedance matching network. The impedance matching network in various embodiments may include a tunable resonant cell interposed along a path of RF energy and arranged to provide maximum power transfer from the electrosurgical generator to the electrosurgical instrument. This maximum power transfer in various embodiments is achieved by varying dynamically an inductance of the tunable resonant cell to create a resonant condition, thereby adjusting a phase of the supplied RF energy to a predetermined phase value.
In accordance with a second aspect of the present invention a method for performing impedance matching in electrosurgical procedures is provided. The method includes the steps of: providing an electrosurgical generator to supply RF energy to a surgical site via an electrosurgical instrument; interposing a tunable resonant cell along a path of RF energy to provide maximum power transfer from the electrosurgical generator to the surgical instrument; and selectively controlling an inductance of the tunable resonant cell to adjust a phase of the supplied RF energy to a predetermined phase value.
In accordance with a third aspect of the present invention, an electrosurgical system is provided. The electrosurgical system may include an electrosurgical generator configured to supply RF energy and an electrosurgical instrument operatively coupled to the electrosurgical generator to treat a target tissue. The electrosurgical system further includes an impedance matching network coupled between the electrosurgical generator and the electrosurgical instrument. The impedance matching network, according to the embodiments of the present invention, may include a first E-shaped magnetic core having a central leg and two outer legs and a second E-shaped magnetic core having a central leg and two outer legs. The first and second E-shaped magnetic cores in various embodiments are arranged in a mirror-image configuration such that the central leg and the two outer legs from each of the first and second E-shaped magnetic cores are aligned and facing each other.
In accordance with a fourth aspect of the present invention, there is provided an electrosurgical system that includes a controller and an impedance matching network. In various embodiments, the controller is configured to receive measured voltage and current values of a supplied RF energy and calculate the phase difference between these measured values. The controller is further configured to determine a phase error with respect to a predetermined phase value and output an impedance matching control signal in response to the determined phase error. The impedance matching network is configured to receive the impedance matching control signal. In accordance with various embodiments, the impedance matching network may include a saturable core reactor (SCR) having a pair of E-shaped magnetic cores arranged in a mirror-image configuration. The impedance matching network further includes an AC winding, wound around a central leg of the pair of E-shaped magnetic cores, and is configured to have a variable inductance in accordance with the impedance matching control signal.
In accordance with a fifth aspect of the present invention, there is provided an electrosurgical system having an electrosurgical generator configured to supply RF energy and an electrosurgical instrument operatively coupled to the electrosurgical generator to treat a target tissue. The electrosurgical system further includes an impedance matching network coupled between the electrosurgical generator and the electrosurgical instrument. In accordance with various embodiments, the impedance matching network may include a first E-shaped magnetic core having a central leg and two outer legs and a second E-shaped magnetic core having a central leg and two outer legs. The first and second E-shaped magnetic cores are arranged in a mirror-image configuration such that the central leg and the two outer legs from each of the first and second E-shaped magnetic cores are aligned and facing each other. This arrangement forms in various embodiments a symmetrical structure having two identical halves that are separated by an airgap.
In accordance with a sixth aspect of the present invention, there is provided an electrosurgical system having a controller and an impedance matching network. The controller in various embodiments is configured to: receive measured voltage and current values of a supplied RF energy; calculate a phase difference between the measured voltage and current values of the supplied RF energy; determine a phase error with respect to a predetermined phase value; and output an impedance matching control signal in response to the phase error. The impedance matching network in various embodiments may include a variable core inductor (VCI) having a pair of E-shaped magnetic cores arranged in a mirror-image configuration. The impedance matching network further includes a single winding that is wound around a central leg of the pair of E-shaped magnetic cores, and is configured to have a variable inductance in accordance with the impedance matching control signal. The impedance matching network is further configured to receive the impedance matching control signal.
In accordance with one other aspect of the present invention, an impedance matching circuitry for use in an electrosurgical system is provided. The impedance matching circuitry may include a first E-shaped magnetic core having a central leg and two outer legs, a second E-shaped magnetic core having a central leg and two outer legs and a plurality of windings. The first and second E-shaped magnetic cores in various embodiments are arranged in a mirror-image configuration such that the central leg and the two outer legs from each of the first and second E-shaped magnetic cores are aligned and facing each other. The plurality of windings may include one AC windings wound around the central leg of the mirror-image configuration and two DC windings where one DC winding is wound around each outer leg of the mirror image configuration. The inductance of the AC winding according to the embodiments of the present invention is selectively controllable based on a DC current flowing through the two DC windings.
In accordance with another aspect of the present invention, an impedance matching circuitry for use in an electrosurgical system is provided. The impedance matching circuitry may include a first E-shaped magnetic core having a central leg and two outer leg, a second E-shaped magnetic core having a central leg and two outer legs, and a single winding wound around the central leg of the mirror-image configuration. The first and second E-shaped magnetic cores are arranged in a mirror-image configuration such that the central leg and the two outer legs from each of the first and second E-shaped magnetic cores are aligned and facing each other, forming a symmetrical structure with two identical halves that are separated by an airgap. In accordance with various embodiments, an inductance of the single winding is selectively controllable based on variations in the size of the airgap achieved by moving one of the two identical halves relative to the other.
Many of the attendant features of the present invention will be more readily appreciated as the same becomes better understood by reference to the foregoing and following description and considered in connection with the accompanying drawings.
The present disclosure is described in conjunction with the appended figures:
In the appended figures, similar components and/or features may have the same reference label. Further, various components of the same type may be distinguished by following the reference label by a dash and a second label that distinguishes among the similar components. If only the first reference label is used in the specification, the description is applicable to any one of the similar components having the first same reference label irrespective of the second reference label.
The ensuing description provides exemplary embodiment(s) only, and is not intended to limit the scope, applicability or configuration of the disclosure. Rather, the ensuing description of the exemplary embodiment(s) will provide those skilled in the art with an enabling description for implementing exemplary embodiments of the disclosure. It should be understood that various changes may be made in the function and arrangement of elements without departing from the spirit and scope of the invention.
This disclosure relates in general to electrosurgery and electrosurgical systems. It specifically relates to systems and methods of impedance matching to control the energy transfer efficiency between an electrosurgical generator and a target tissue.
Embodiments of the present invention are directed to systems and methods for enhancing surgical outcomes by providing an impedance matching network that is capable of accommodating changing tissue impedances occurring during electrosurgical procedures. The present invention in accordance with various embodiments allows for matching source impedances to load impedances under all dynamic conditions such as, for example, varying tissue impedance load due to electrosurgical operations or tissue affects and any operational conditions and commands determined by the surgeon, surgical procedure and/or device script. The impedance matching network according to the embodiments of the present invention is interposed along a path of RF energy and matches dynamically the output impedance of the source energy, e.g., electrosurgical generator, to the input impedance of the load, e.g., tissue impedance load or tissue load.
To achieve maximum power delivery, any reactive components present in the load, should be of equal magnitude but opposite sign of the source impedance. In other words, the source and load impedances should be complex conjugates of each other in order to achieve maximum power delivery and to improve power efficiency. The impedance matching network in accordance with various embodiments of the present invention may include an LC resonant circuit with an adjustable inductor. The adjustable inductor in various embodiments may include a saturable core reactor (SCR) coupled in series with one one or more capacitors that are electrically connected to one another. The saturable core reactor (SCR) according to the embodiments of the present invention allows for not only preliminary matching source impedances to load impedances, but also for accommodating constantly changing tissue load impedances under any varying conditions during electrosurgical operations.
In the following, the electrosurgical system and method according to various embodiments of the present invention is explained in detail with sections individually describing: the electrosurgical generator, the electrosurgical hand device or instrument and the control system and method used for impedance matching to maximize power transfer and/or power transfer efficiency between the electrosurgical generator and target tissue.
Referring first to
In accordance with various embodiments, the electrosurgical generator 10 includes a display 14 that may indicate the status of the electrosurgical system including, among other information, the status of the one or more electrosurgical instruments and/or accessories, connectors or connections thereto, the state or operations of the generator and error indicators. The electrosurgical generator 10 in accordance with various embodiments of the present invention may include a user interface such as, for example, a plurality of buttons 16. The plurality of buttons 16 allows for user interaction with the electrosurgical generator 10. This user interaction may include, for example, requesting an increase or decrease in the electrical energy supplied to one or more instruments 20 that are coupled to the electrosurgical generator 10. In various embodiments, the generator 10 further includes a user-accessible power-on switch or button 18 that when activated powers the generator 10 and activates or initiates a self-verification system test of the generator. In other embodiments, the display 14 can be a touch screen display thus integrating data display and user interface functionalities.
In accordance with various embodiments, once the generator 10 is activated by the activation of the power-on switch 18, the generator 10 initiates or activates a power on self-verification system test. During the self-verification system test, the generator 10 verifies regulation of the RF output in one or more RF modes and/or one or more RF resolution settings. In accordance with various embodiments, the RF regulation modes include voltage, current and power regulation modes and the RF resolution settings include low, normal and high voltage settings. The self-verification system test in various embodiment allows for rapidly identifying a potential generator issue or error prior to any use of a connected electrosurgical instrument or supply of any RF energy to the tissue or vessel through the electrosurgical instrument 10. For this purpose, one or more internal impedance loads are integrated within the electrosurgical generator 10. The internal impedance loads with multiple configurations are utilized to verify the voltage, current, power, and/or phase measurements of the generator across a plurality of RF regulation modes and a plurality of RF resolution settings. For a detailed discussion of the self-verification system test of the electrosurgical generator 10, reference may be made to U.S. patent application Ser. No. 16/562,122, filed on Sep. 5, 2019, the content of which is incorporated by reference herein in its entirety.
In various embodiments, the electrosurgical generator 10 of the present invention is configured to output radiofrequency (RF) energy through the connectable electrosurgical instrument or hand device 20 to seal, fuse and/or cut tissue or vessels via one or more electrodes. The electrosurgical generator 10, according to the embodiments of the present invention, is configured to generate up to 300V, 8 A, and 375 VA of RF energy and it is also configured to determine a phase angle or difference between RF output voltage and RF output current of the generator during activation or supply of RF energy. In this way, the electrosurgical generator 10 regulates voltage, current and/or power and monitors RF energy output (e.g., voltage, current, power and/or phase). In one embodiment, the generator 10 may stop, terminate or otherwise disrupt RF energy output under predetermined conditions. By way of example, these predetermined conditions may be any of the following conditions: when a device switch is de-asserted (e.g., fuse button released), a time value is met, and/or active phase angle and/or change of phase is greater than or equal to a phase and/or change of phase stop value indicating end of an operation such as fusion or cutting of tissue.
The electrosurgical instrument 20, according to the embodiments of the present invention, may include an elongate shaft 26 having a proximal end coupled to or from which an actuator 24 extends and a distal end coupled to or from which jaws 22 extend. A longitudinal axis extends from the proximal end to the distal end of the elongate shaft 26. In one embodiment, the actuator 24 may include a movable handle 23 which is pivotably coupled to a stationary handle or housing 28. The movable handle 23 is coupled to the stationary handle or housing 28 through a central or main floating pivot. In operation, the movable handle 23 is manipulated by a user, e.g., a surgeon, to actuate the jaws 22 at the distal end of the elongate shaft 26, and thereby, selectively opening and closing the jaws 22. When tissue or vessels are grasped between the jaws 22, a switch or button 29 is activated by the surgeon to seal, fuse and/or cut the tissue/vessels between the jaws 22. Once the button 29 is activated, associated circuitry or contacts are connected to connect appropriate electrodes of the jaws with associated connections of the generator 10 to supply RF energy to tissue grasped between the jaws 22 or otherwise in contact with the one or more electrodes of the jaws.
In various embodiments, the electrosurgical instrument 20 further includes a mechanical or electrical cutting blade that can be coupled to a blade actuator such as a blade lever or trigger 25 of the stationary handle or housing 28. The cutting blade is actuated by the blade trigger 25 to divide or cut the tissue between the jaws 22. In various embodiments, a blade slider is connected to the blade trigger 25 and a protrusion extends from a proximal portion of the blade slider into an opening in one end of the blade trigger connecting the components together. The other end of the blade trigger is exposed and accessible by the user with the blade trigger 25 being pivotable about a trigger pivot at or near the mid-point of the blade trigger. As such, as the blade trigger 25 is pulled or rotated by the user proximally, the end of the blade trigger connected to the blade slider slides or moves the blade slider distally. Integrated with or attached to a distal end of the blade slider is a cutting blade, knife or cutting edge or surface. As such, as the blade slider translates longitudinally through a blade channel in the jaws, tissue grasped between the jaws 22 is cut.
In one embodiment, the cutting edge or surface is angled to facilitate cutting of the tissue between the jaws 22. In various embodiments, the cutting blade is a curved blade, a hook, a knife, or other cutting element that is sized and configured to cut tissue between the jaws 22. In accordance with various embodiments, the elongate shaft 26 comprises an actuation tube or rod coupling the jaws 22 with the actuator. In one embodiment, the actuator includes a rotation shaft assembly including a rotation knob 27 which is disposed on an outer cover tube of the elongate shaft 26. The rotation knob 27 allows a surgeon to rotate the shaft of the device while gripping the actuator. In various embodiments, the elongate shaft 26 is rotatable 360 degrees and in other embodiments, rotation of the elongate shaft 26 is limited to 180 degrees, i.e., ninety degrees clockwise and ninety degrees counter clockwise.
Referring next to
The RF output and in various embodiments the amplitude of the RF waveform output is controlled and regulated by an electrosurgical control system or a digital integral servo control system 100 embedded or integrated within the electrosurgical generator 10. As shown in
In accordance with various embodiments of the present invention, the electrosurgical generator 10 is further configured to provide RF output in three resolution settings or modes: low voltage, medium voltage and high voltage ranges. During a high voltage range or resolution setting, the RF output may reach up to 300V or 4 A and is mainly used in tissue cutting. During a medium or normal voltage range or resolution setting, the RF output may reach up to 150V or 8 A and is mainly used in tissue sealing. During the low voltage mode or resolution setting, the RF output is limited to 10V and 100 mA and is mainly used in passive tissue impedance evaluations and measurements at a level that does not create a physiological response in tissue, but is sufficient to detect open and/or short loads in the RF output path upon activation of electrosurgical hand devices, e.g., instrument 20.
In various embodiments, device scripts stored and located on connectable electrosurgical hand devices, e.g., instrument 20, and/or connectors coupled thereto, e.g., device key 21, are used to determine or set the RF output or voltage mode. The device script in various embodiments represents a procedural walkthrough of a surgical operation that may include the application and termination of RF energy to the tissue. In various embodiments, the electrosurgical generator 10 logs all RF output data onto an internal memory device, e.g., a secure digital (SD) or non-volatile memory card. The memory device is configured to be read through an interface port 35, e.g., a universal serial bus (USB) port, on the electrosurgical generator 10 (best shown in
In various embodiments, the electrosurgical generator 10 is configured to alert the surgeon when the vessel has reached a completed procedure state, e.g., a completed seal state, or if an error or fault condition has occurred. The electrosurgical generator 10 in various embodiments may include visual, tactile and/or audible outputs to provide such alerts or other indicators or information to the surgeon as dictated by the surgical procedure, device script or health or operational information regarding the device 20 and/or generator 10. In one embodiment, the generator 10 via a front panel interface 38 alerts the surgeon through the LCD display 14, which is integrated into a front panel of the generator, and in various embodiments provides specific audible alarm or informational tones through a speaker 36 also integrated into the front panel of the generator. The generator 10 in various embodiments may include a front panel overlay 39 that provides a user interface or access including navigational push buttons to allow user access to systems settings such as volume or display brightness. The front panel overlay 39 may also include the system power button or connection. In various embodiments, a fan system 37 is provided to assist in heat dissipation. Additionally, as illustrated in the
With reference to
Referring now to
The AC load winding in accordance with various embodiments of the present invention is wound around the center leg of the pair of E-shaped magnetic cores or E-cores. In various embodiments, the AC load winding is designed to act as the inductor (LSer) in the series LC tank or resonant circuit 30 that is interposed along the path of RF energy between the electrosurgical generator 10 and the complex tissue impedance load or tissue load ZLoad 20-1. On the other hand, the two DC control windings are designed and configured to control the inductance of the AC load winding. For this purpose, one DC control winding is wound around each outer leg of the pair of E-shaped magnetic cores or E-cores. As it can be seen from
Despite constant changes in the tissue impedance load, the saturable core reactor (SCR) 302 tends to maintain a given magnitude of current in the AC load winding. This is achieved by adjusting the magnitude of DC current passing in the DC control winding. When the current through the two DC control windings reaches a certain current threshold, the E-cores of the saturable core reactor (SCR) begin to saturate. As the E-cores are pushed further and further into saturation, the relative permeability of the magnetic material, μ, decreases, thereby decreasing the inductance of the AC load winding (i.e., LSer). As such, the inductance of the AC load winding (LSer) is directly proportional to the magnitude of the current passing through the DC control winding. In operation, in order to match the impedance of the tissue impedance load or tissue load to that of the electrosurgical generator, the inductance of the AC load winding is constantly adjusted as a function of the current passing through the DC control winding. This makes the source impedance or output impedance of the electrosurgical generator dependent on the series LC tank or resonant circuit 30 of the impedance matching network 300.
On the other hand, the tissue impedance load or tissue load ZLoad 20-1 is continuously changing under various surgical, operational or procedural conditions. In various embodiments, the dynamically changing tissue impedance load or tissue load may be more inductive or capacitive in nature due to electrosurgical tissue effects, e.g., sealing, fusing or cutting cycle of the tissue or any other operational or procedural conditions. As such, there will be a difference in impedance values of the electrosurgical generator and the tissue impedance load at any given sealing cycle of tissue. This difference in impedance values leads in turn to a phase difference between the RF output voltage and current of the generator. The electrosurgical generator 10 in various embodiments is configured to continuously monitor and measure the phase difference between voltage and current delivered across the tissue impedance load or tissue load ZLoad 20-1. A positive phase difference (current lagging voltage) indicates a more inductive tissue impedance load or tissue load while a negative phase difference (current leading voltage) implies a more capacitive tissue load.
The saturable core reactor (SCR) 302 in accordance with various embodiments of the present invention continuously matches the output impedance of the electrosurgical generator to the input tissue impedance load or tissue load. By varying the inductance of the saturable core reactor (SCR), the source impedance of the electrosurgical generator is dynamically adjusted under any surgical, operational or procedural conditions to offset the inductive or capacitive tissue load or tissue impedance load. Accordingly, if the load impedance or tissue impedance load is capacitive, the source impedance becomes more inductive or vice versa. Once the source and load impedances are matched, the tissue impedance load seen from the electrosurgical generator 10 is purely resistive. This matching condition in various embodiments leads to a resonance condition of the series LC tank circuit 30, which in turn, provides a zero-degrees phase shift between the RF output voltage and current of the generator.
Table I summarizes theoretical calculations illustrating the relationship between power efficiency and impedance matching of an exemplary electrosurgical system with and without an impedance matching network 300, e.g., the series LC tank or resonant circuit 30 with the SCR 302, according to the embodiments of the present invention. In this exemplary embodiment, the electrical characteristic, e.g., impedance, current, various powers: real power, reactive power and apparent power, and power factor are calculated for an exemplary inductive tissue impedance load or tissue load (i.e., ZLoad=50Ω+20 μH). As seen from Table I, with no impedance matching network, the calculated tissue impedance load is about 67Ω, creating a substantial mismatch with the 50Ω electrosurgical generator. The power factor is defined as the ratio of the real power (RF power provided by the electrosurgical generator to its output resistive tissue load) to the apparent power (RF power provided by the electrosurgical generator to its output complex tissue load). A high power factor (i.e., close to unity or “1”) is indicative of lower power loss and higher efficiency. As seen from Table I, the calculated power efficiency is about 74.5% when no impedance matching is being performed between the source and load impedances.
In various embodiments, the inductance of saturable core reactor (SCR) 302 in the LC tank or resonant circuit 30 of the impedance matching network 300 is dynamically adjusted so that the source impedance of the electrosurgical generator is equal and opposite (complex conjugate) to the 20 μH tissue inductive load. This leads to a resonant condition in which the tissue impedance load or tissue load seen by the electrosurgical generator is purely resistive, i.e. the desired 50Ω target tissue load, leading to a power factor or power efficiency of 100%. It should be noted that these calculations are assuming no losses in the cables and connectors along the RF path of delivery. Accordingly, assuming ideal lossless conditions, the power efficiency has increased from the theoretical value of 74.5% with no SCR to 100% with the SCR impedance matching network.
In operation, in order to achieve this illustrative objective and not limited to such, a proportional-integral-derivative (PID) controller is used in combination with the saturable core reactor (SCR) 302 to form an impedance matching control module in accordance with various embodiments of the present invention. The focus of this control module is on the dynamic control of the inductance in the series LC tank or resonant circuit 30 to control the energy transfer efficiency between the electrosurgical generator 10 and the tissue impedance load or tissue load ZLoad 20-1. The proportional-integral-derivative (PID) controller ensures an optimal matching of impedances based on sealing, fusing or cutting cycle of the tissue such that if the tissue impedance load or tissue load, e.g., load impedance, is capacitive, the source impedance becomes more inductive or vice versa. In addition, the speed and precision of impedance matching process in various embodiments are ensured by utilizing the PID (proportional-integral-derivative) control algorithm, circuitry or system.
The servo control system 100 of the electrosurgical generator 10 in accordance with various embodiments may include the RF amplifier 40, the feedback system 60 and the primary microcontroller 50. The feedback system 60 creates a path for a closed-loop system between the RF amplifier 40 and the primary microcontroller 50. In various embodiments, the feedback system 60 may include three channels: a main channel, a redundant channel and a verification channel (not shown in
In various embodiments, the feedback system 60 measures analog RF output and digitizes the measurements. The feedback system 60 is configured to measure and digitize the RF output via at least one channel, e.g., main channel. In this embodiment, the feedback system 60 through the main channel measures the analog RF output via a front-end circuitry. The feedback system 60 in various embodiments collects its voltage and current measurements from the RF amplifier 40 and digitizes the measurements through analog to digital converters (ADC). The feedback system 60 is further configured to process the digitized values to derive real and imaginary components of the voltage and current RF output, and to communicate or transmit, e.g., serially, the real and imaginary components to the primary microcontroller 50 and PID controller 500.
The primary microcontroller 50 in accordance with various embodiments receives the digital real and imaginary components of the voltage and current measurements and calculates the magnitude of the voltage, current and power. In various embodiments, the primary microcontroller 50 further calculates individual error values for voltage, current and power and based on the error values determines or selects a regulation mode. Accordingly, the primary microcontroller 50 determines which of the three regulation mode, e.g., voltage, current and power, should be reinforced or activated by the electrosurgical generator 10. In various embodiments, the primary microcontroller 50 is further configured to generate an accumulated error value over time, for a selected RF regulation mode, and based on the previously calculated values compute a variable gain factor for each of the plurality of RF regulation modes to provide dynamic regulation of the variable or varying RF output of the generator 10. Additionally, since switching between voltage, current and power regulation modes occurs, the primary microcontroller 50 further performs a special preload calculation to allow for a gradual, non-disruptive transition in RF output. For a detailed discussion of the control system 100 of the electrosurgical generator 10, reference may be made to U.S. patent application Ser. No. 16/562,362, filed on Sep. 5, 2019, the content of which is incorporated by reference herein in its entirety.
Still referring to
In an alternative embodiment, the electrosurgical generator 10 may include the impedance matching network 300. In this alternative embodiment, the impedance matching network 300 may be included or integrated into the control system 100 of the electrosurgical generator 10. In some embodiments, the SCR (saturable core reactor) module or the series LC tank/resonant circuit 30 may be included or integrated on the same circuit board as the RF amplifier 40. In other embodiments, the SCR module 30 may be included or integrated on a different circuit board that is positioned in series with the RF output circuit. In yet another embodiment, the SCR module 30 may be included or integrated on the same circuit board as the feedback system 60. In this alternative embodiment, where the impedance matching network, e.g., SCR module 30, is implemented within the electrosurgical generator 10, e.g., control system 100, the control loop algorithm, circuitry or system depicted in
In what follows, the experimental results of an impedance matching network 300-1 according to the embodiments of the present invention will be explained in greater detail. For this purpose, an open loop characterization of the SCR (saturable core reactor) module 30 is first performed using a 10Ω resistive load and 20 Vrms RF output voltage. In accordance with various embodiments, the DC current, which is flowing through the DC control winding of the SCR module 30, is varied and the impedance of the AC winding of the SCR module 30 and the phase difference between the output RF voltage and current of the electrosurgical generator 10 are measured.
A closed-loop characterization of the SCR (saturable core reactor) module 30 is then performed using two different impedance loads. For this purpose, the SCR module 30 combined with the PID controller 500 is connected between the electrosurgical generator 10 and a complex tissue impedance load or tissue load. The tissue region in each of the impedance loads is modeled using a resistive load connected in series to a reactive load bank, e.g., a capacitive load or an inductive load. The electrosurgical generator 10 generates the required RF output energy and continuously measures the phase between the RF output voltage and current at an interval of 1 millisecond. The PID microcontroller 500 determines the error present between the measured phase and the setpoint value of the phase, e.g., zero-degrees phase. Based on the error value, the PID microcontroller 500 applies a gain and sets a new output to control the DC current flowing through the DC winding of the SCR (saturable core reactor) module 30. This new set of output is then communicated digitally to the SCR module 30 to adjust the inductance of the series LC tank or resonant circuit 30 and to progress towards having a zero servo-control error. The zero servo-control error indicates that the desired target setpoint, e.g., zero-degrees phase, has been reached and the impedance of the electrosurgical generator 10 has been matched with complex conjugate of the tissue impedance load or tissue load.
Table II summarizes measurement results and calculated electrical characteristics for both impedance loads at their respective initial and final measurements points. As can be seen from Table II, the power efficiency has improved from its initial value of 89% to its final value of 95% in the case of the capacitive complex impedance load. Similarly, the power efficiency has improved from its initial value of 83% to its final value of 92% in the case of the inductive complex impedance load. It should be noted that higher power efficiency may be attainable by implementing the entire test setup on a single PCBA (Printed Circuit Board Assembly) or circuit board. This allows for the reduction or elimination of unwanted additional impedance seen at the final measurement point that are added due to impedance of measuring wires, connectors and/or other components. It should be also noted that the measured AC current based on connected tissue impedance load for these experimental results was less than 1 A. Accordingly, for higher power applications that require higher RF current, the power efficiency improvement may also be higher.
Due to inconsistencies involved in the manufacturing process and the impedance matching network topology itself, e.g., saturable core reactor (SCR), some unwanted power components may couple from the AC load winding into the DC control winding, thereby creating unpredictable non-linearities in the inductive response. In an alternative embodiment, one or more filters, e.g., low pass filter, band-stop filter, or any other type of suitable filtering, may be added into the DC control winding and/or AC load winding of the SCR module 30 to reduce or eliminate these non-linearities in the response. This alternative embodiment allows for selectively filtering out any unwanted bands or regions of interfering frequencies. In some embodiments, the one or more filters may only be added to the DC control winding of the SCR module 30 to suppress higher frequency components that may couple from the AC load winding to the DC winding.
Referring next to
The inductance and air gap created between the two halves of the ETD cores are related by the effective permeability μe of the magnetic material as shown in the following equations:
where N represents the number of turns or windings in the single central coil, μ denotes permeability, A(cm2) signifies the cross-sectional area of the central leg of the ETD cores, mL (in cm) is the mean path length, μi stands for the initial permeability, and D/mL indicates the ratio of the gap to the length of the magnetic path. The above equations illustrate the dependency of the inductance on the size of the air gap in the inductor core material. That is, as one side of the core of the inductor, e.g., VCI (variable core inductor) 402, is displaced, e.g., top half of the ETD cores, the size of the air gap will increase, and the inductance will decrease proportional to the change in permeability.
With reference to
As described further above and in accordance with various embodiments, the inductance of the VCI (variable core inductor) 402 varies by adjusting the air gap (i.e., distance D) between the two ETD cores. Consequently, the phase difference between RF voltage and current can also undergoes variation. Accordingly, by adjusting the inductance, it becomes possible to match the source and load impedance (complex conjugates), thereby achieving higher power efficiency. In this alternative embodiment, the control parameter is the DC current flowing through the solenoid 76, which regulates the position of solenoid plunger 70. This movement, in turn, adjusts the position of the top half of the two ETD cores of the VCI inductor 402. It is to be noted that a successful operation of this alternative embodiment may depend greatly on mechanical arrangement of various parts which may be altered over time due to various factors such as, for example, vibration and/or mechanical alignment.
The above description is provided to enable any person skilled in the art to make and use the electrosurgical devices or systems and perform the methods described herein and sets forth the best modes contemplated by the inventors of carrying out their inventions. Various modifications, however, will remain apparent to those skilled in the art. It is contemplated that these modifications are within the scope of the present disclosure. Different embodiments or aspects of such embodiments may be shown in various figures and described throughout the specification. However, it should be noted that although shown or described separately each embodiment and aspects thereof may be combined with one or more of the other embodiments and aspects thereof unless expressly stated otherwise. It is merely for easing readability of the specification that each combination is not expressly set forth.
Although the present invention has been described in certain specific aspects, many additional modifications and variations would be apparent to those skilled in the art. It is therefore to be understood that the present invention may be practiced otherwise than specifically described, including various changes in the size, shape and materials, without departing from the scope and spirit of the present invention. Thus, embodiments of the present invention should be considered in all respects as illustrative and not restrictive.
This application claims priority to and benefit of U.S. Provisional Patent Application Ser. No. 63/426,066 entitled “Impedance Matching in Electrosurgery” filed on Nov. 17, 2022, which is hereby expressly incorporated by reference in its entireties for all purposes.
Number | Date | Country | |
---|---|---|---|
63426066 | Nov 2022 | US |