Dual-Frequency Electrosurgical Handpiece for Accurate Tissue Impedance Sensing

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Solution Overview

Problem

Current electrosurgical systems lack high accuracy in bipolar tissue sensing while delivering energy, as they either cannot determine individual tissue impedances in monopolar systems or have limited accuracy in bipolar systems.

Innovation Solution

An electrosurgery system that uses dual frequency signals, a diplexer, and current sensing circuits to combine and separate signals, allowing for accurate impedance measurement and power adjustment during treatment, enabling simultaneous treatment and impedance detection in both monopolar and bipolar modes.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If monopolar electrosurgical devices are used to deliver electrical current through tissue, then the current passes through the entire tissue between the electrode and return pad, but there is no way to determine the impedance of individual tissues in the treatment region

Engineering Contradiction:
Improvetissue impedance measurement accuracyVSAvoidsystem complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent segments the electrical current path into multiple parallel paths by using multiple return pads positioned at different locations. This allows the system to measure impedance at different tissue depths and locations independently, enabling determination of individual tissue impedances without requiring complex additional hardware.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent introduces multiple return pads as intermediary elements that facilitate impedance measurement. These return pads act as mediators between the electrode and the tissue, enabling the system to indirectly measure tissue impedance by analyzing current distribution patterns through the return pads without requiring direct tissue contact or complex sensing electrodes.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If bipolar systems are used to deliver electrical signal, then the impedance of the top region of the tissue can be determined, but the accuracy of measurement is limited

Engineering Contradiction:
Improvetissue impedance measurement accuracyVSAvoidoperational simplicity
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The patent makes the return pad system multi-functional by enabling it to serve both as a current collection point for electrosurgical treatment and as an impedance measurement sensor. The same return pads used for delivering electrical current also function as sensing elements for impedance measurement, eliminating the need for separate sensing electrodes and simplifying operation.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The patent implements feedback by continuously monitoring the current distribution patterns through the return pads during electrosurgical treatment and using this information to real-time adjust treatment parameters. The system uses the actual current measurements from multiple return pads to feedback-correct impedance calculations, improving measurement accuracy without adding complex manual measurement procedures.

Inventive Principle:
Principle #23Feedback

3Measurement precision

If dual frequency signals are used to enable simultaneous treatment and sensing, then accurate impedance measurement is achieved, but the device complexity increases

Engineering Contradiction:
Improveimpedance measurement accuracyVSAvoidsignal generation complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent merges the treatment and sensing functions into a single integrated system by combining two frequency signals into one electrical current path. The electrosurgical electrode delivers a composite signal containing both treatment frequency (for coagulation) and sensing frequency (for impedance measurement) components, eliminating the need for separate treatment and sensing devices while achieving accurate impedance measurement.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The patent uses parameter changes by varying the frequency of the electrical signal to differentiate between treatment and sensing functions. The system switches between or combines different frequency parameters (e.g., 20-100 kHz for treatment and higher frequencies for sensing) to achieve both coagulation and accurate impedance measurement through the same electrical path, avoiding the need for complex multi-device systems.

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system provides accurate tissue sensing and adjusts power delivery based on impedance, reducing the risk of overtreatment or undertreatment and enabling precise energy delivery during electrosurgery.

Implementation Method 1

a first signal generator configured to generate an electrical signal at a first frequency, a second signal generator configured to generate an electrical signal at a second frequency, and a diplexer configured to combine the electrical signal generated by the first signal generator and the electrical signal generated by the second signal generator to create a combined signal

Methodology Applied
Scientific EffectElectrical signal generation and combination:

Implementation Method 2

a first current sensing circuit configured to measure a quantity of the electrical signal at the first frequency at the return pad; and a second current sensing circuit configured to measure a quantity of the electrical signal at the second frequency at the other of the other one of the at least two tips

Methodology Applied
Scientific EffectElectrical conduction through tissue: Conduction (electrical)

Data Source

PatentUS20240423697A1Electrosurgical handpiece with accurate tissue sensing
Publication Date: 2024.12.26 MEDTRONIC ADVANCED ENERGY LLC
  • US20240423697A1 patent drawing
  • US20240423697A1 patent drawing
  • US20240423697A1 patent drawing

AI summary

Systems described herein include a two-tip handpiece that delivers current from two sources at two different frequencies. Signals at different frequencies are absorbed differently in the body. Accordingly, both monopolar and bipolar systems using this two tip handpiece and dual-frequency signal can detect impedance (or other frequency dependent characteristics) of the target tissue at the tips while delivering treatment, which was not possible or practical using conventional systems.