System and method to protect against insulation breach in an electrosurgical instrument

Patent metadata

Field	Value
Publication number	US-11701165-B2
Application number	US-201816616711-A
Country	US
Kind code	B2
Filing date	May 31, 2018
Priority date	May 31, 2017
Publication date	Jul 18, 2023
Grant date	Jul 18, 2023

Abstract

An apparatus is provided to detect electrical contact between anatomical tissue and a shield conductor: a transformer; an alternating current (AC) reference frequency signal generator to inject a reference frequency signal to a primary winding of the transformer; a reactive impedance coupled in parallel with a secondary winding of the transformer between a first node and a second node; and a phase match detector circuit to detect a phase match between the reference frequency signal and a reflected reference frequency signal that is reflected from the secondary winding to the primary winding.

First claim

What is claimed is:

1. An apparatus to detect electrical contact between an anatomical tissue portion near a surgical site and a protective shield conductor surrounding an active conductor of an electrosurgical instrument comprising:
a transformer including a primary winding and a secondary winding;
an alternating current (AC) reference frequency signal generator coupled to inject an AC reference frequency signal to the primary winding;
a first reactive impedance coupled in parallel with the secondary winding between a first node and a second node;
wherein the primary and secondary windings are magnetically coupled such that the injected AC reference frequency signal in the primary winding induces an AC reference frequency signal in the secondary winding and the secondary winding is configured to reflect back to the primary winding a reflected AC reference frequency signal having a phase shift relative to the injected AC reference frequency signal that is indicative of an impedance between the first and second nodes; and
a phase match detector circuit is configured to detect a phase match between the AC reference frequency signal and the reflected AC reference frequency signal.

2. The apparatus of claim 1 , further comprising:
a patient contact pad to electrically contact a second anatomical tissue portion apart from the surgical site; and
a first conductor path to couple the reactive impedance to the protective shield conductor and a second conductor path to couple the reactive impedance to the patient contact pad.

3. The apparatus of claim 1 ,
wherein the phase match detector circuit includes a synchronous detector.

4. The apparatus of claim 1 ,
wherein the phase match detector circuit includes a synchronous detector; and
wherein the synchronous detector includes a multiplier circuit.

5. The apparatus of claim 1 further including:
wherein the reflected AC reference frequency signal includes a reflected AC reference frequency current signal; further including:
a converter circuit coupled to convert the reflected AC reference frequency current signal to an AC reference frequency voltage signal and to provide the converted signal to the phase match detector circuit.

6. The apparatus of claim 1 ,
wherein the reflected AC reference frequency signal includes a reflected AC reference frequency current signal; further including:
an amplifier circuit coupled to produce an AC reference frequency voltage signal based upon the reflected reference frequency current signal.

7. The apparatus of claim 1 ,
wherein the reflected AC reference frequency signal includes a reflected reference frequency current signal; further including:
a resistor coupled between a first end of the secondary winding and to a reference voltage; and
an amplifier circuit coupled to produce a reference frequency voltage signal based upon a voltage across the resistor.

8. The apparatus of claim 1 ,
wherein the reactive impedance is coupled between a first end of the secondary winding and the first node; and
wherein the reactive impedance is coupled between a second end of the secondary winding.

9. The apparatus of claim 1 further including:
a first electrical path coupled between the first node and the protective shield conductor; and
a second electrical path coupled between a patient contact pad and the second node.

10. The apparatus of claim 1 further including:
a first electrical conductor path coupled between the first node and the protective shield conductor to couple to the first node, the anatomical tissue portion in electrical contact with the protective shield conductor;
a patient contact pad to electrically contact a second anatomical tissue portion; and
a second electrical conductor path coupled between the patient contact pad and the second node.

11. The apparatus of claim 1 further including:
a first electrical conductor path coupled between the first node and the protective shield conductor to couple to the first node, the anatomical tissue portion in electrical contact with the protective shield conductor;
a patient contact pad to electrically contact a second anatomical tissue portion; and
a second electrical conductor path coupled between the patient contact pad and the second node.

12. A method to protect a patient from injury due to electrical contact between an anatomical tissue portion and a protective shield conductor surrounding an active conductor of an electrosurgical instrument comprising:
coupling a reactive impedance between the protective shield conductor and a patient contact pad;
coupling the reactive impedance in parallel with a secondary winding of a transformer circuit;
using an electrosurgical signal generator to provide an electrosurgical signal to the active conductor of the electrosurgical instrument;
using an AC reference signal generator to generate an AC reference frequency signal;
injecting the AC reference frequency signal to a primary winding of the transformer circuit; and
detecting whether a reflected AC reference frequency signal in the secondary winding of the transformer circuit matches phase of the AC reference frequency signal injected to the primary winding of the transformer circuit.

13. The method of claim 12 further including:
coupling the reactive impedance between the protective shield conductor and a patient contact pad.

14. The method of claim 12 further including:
coupling the reactive impedance between the protective shield conductor and a patient contact pad; and
electrically contacting a second anatomical tissue portion to the patient contact pad.

15. The method of claim 12 further including:
halting the electrosurgical signal on the active conductor in response to detection of a phase match between the reflected AC reference frequency signal in the secondary winding of the transformer circuit and the injected AC reference frequency signal.

16. The method of claim 12 further including:
coupling the reactive impedance between the protective shield conductor and a patient contact pad;
electrically contacting an anatomical tissue portion to the patient contact pad; and
halting the electrosurgical signal on the active conductor in response to detection of a phase match between the reflected AC reference frequency signal in the secondary winding of the transformer circuit and the injected AC reference frequency signal.

17. An apparatus to detect electrical contact between an anatomical tissue portion near a surgical site and a protective shield conductor surrounding an active conductor of an electrosurgical instrument comprising:
a transformer including a primary winding and a secondary winding;
means for injecting an AC reference frequency signal to the primary winding;
a first reactive impedance coupled in parallel with the secondary winding between a first node and a second node;
wherein the primary and secondary windings are magnetically coupled,
such that the AC reference frequency signal injected to the primary winding induces an AC reference frequency signal in the secondary winding that flows through the first reactive impedance, and
such that the secondary winding reflects back to the primary winding a reflected AC reference frequency signal having a phase shift relative to the injected AC reference frequency signal that is indicative of an impedance between the first and second nodes; and

means for detecting a phase match between the AC reference frequency signal and the reflected AC reference frequency signal.

18. The apparatus of claim 17 ,

Assignees

• Intuitive Surgical Operations

Inventors

• Marion Duane W
• Cooper Thomas G
• Earnst Eric J
• Hemphill Jason W
• Loh Alan E

Classifications

• A61B18/1233 Primary

  with circuits for assuring patient safety · CPC title

• A61B18/16 Primary

  Indifferent or passive electrodes for grounding · CPC title

• A61B2018/00077

  high, i.e. electrically conducting · CPC title

• A61B2018/00083

  low, i.e. electrically insulating · CPC title

• A61B2018/00845

  Frequency · CPC title