A Coagulation Mode on Bipolar Electrosurgery Unit Using 350 KHz Frequency and Power Selection

  • Prastawa Asalim Tetra Putra Poltekkes Kemenkes Surabaya
  • Bambang Guruh Irianto Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya
  • Tribowo Indrato Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya
  • Lamidi Lamidi Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya
  • Rizki Andriyanto Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya
  • Nora Bouzeghaia Mechanical Engineering, Université Batna 2, Batna, Algeria
Keywords: Electrosurgery, Bipolar, Coagulation, Frequency, Power

Abstract

Losing a lot of blood during surgery using a conventional scalpel is something that is highly avoided. The purpose of this study is to replace the conventional scalpel with a tool that utilizes a high frequency whose duty cycle is regulated and then centered at one point. Researchers take advantage of the effect of heat generated by high frequencies which are centered at one point so that it can be used for the process of surgery and coagulation in body tissues so as to minimize the occurrence of a lot of blood loss. Researchers use a high frequency of 350 KHz which is set with a duty cycle of 6% on 94% off and is equipped with 3 levels of power selection and uses forceps as a medium to concentrate high frequencies at one point. The module design consists of a 350 KHz frequency generator, a pulse control circuit to adjust the duty cycle, a power control circuit as a power setting, a driver circuit to combine the frequency with the set power so that different outputs are obtained according to the settings, and an inverter circuit to increase the voltage. In this study, after measuring using an oscilloscope in the driver circuit, the average output amplitude at each low, medium, and high setting was 27.25 Vpp, 28 Vpp, and 28.625 Vpp. The results showed that the bipolar electrosurgery unit (coagulation) module as a whole can replace conventional scalpels so that it can minimize the occurrence of a lot of blood loss during surgery. However, the frequency generator and power selection need to be improved.

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References

N. N. Massarweh, N. Cosgriff, and D. P. Slakey, "Electrosurgery: History, principles, and current and future uses," J. Am. Coll. Surg., vol. 202, no. 3, pp. 520–530, 2006.

P. S. Yalamanchili, P. Davanapelly, and H. Surapaneni, "Electrosurgical applications in Dentistry," Sch. J. Appl. Med. Sci., vol. 1, no. 5, pp. 530–534, 2013.

I. Cordero, "Electrosurgical Unit - how they work and how to use them safely," Community Eye Heal. J., vol. 28, no. 89, pp. 15–16, 2015.

I. Alkatout, T. Schollmeyer, N. A. Hawaldar, N. Sharma, and L. Mettler, "Principles and safety measures of electrosurgery in laparoscopy," J. Soc. Laparoendosc. Surg., vol. 16, no. 1, pp. 130–139, 2012.

H. C. Burger and R. Van Dongen, "Specific electric resistance of body tissues," Phys. Med. Biol., vol. 5, no. 4, pp. 431–447, 1961.

A. W. Maness, W. L, Roeber, F. W, Clark, R. E, Cataldo, E, Riis, D, Haddad, "Histologic evaluation of electrosurgery with varying frequency and waveform," J. Prosthet. Dent.

Munro, Malcolm G. "Fundamentals of electrosurgery part I: principles of radiofrequency energy for surgery." In The SAGES manual on the fundamental use of surgical energy (FUSE), pp. 15-59. Springer, New York, NY, 2012.

B. Crossley, "Dispelling confusion among various electrosurgery technologies," Biomed. Instrum. Technol., vol. 52, no. 1, p. 76, 2018.

R. Ricks, S. Hopcroft, M. Powari, A. Carswell, and P. Robinson, "Tissue Penetration of Bipolar Electrosurgery at Different Power Settings," Br. J. Med. Med. Res., vol. 22, no. 1, pp. 1–6, 2017.

S. Aminimoghaddam, R. Pahlevani, and M. Kazemi, "Electrosurgery and clinical applications of electrosurgical devices in gynecologic procedures," Med. J. Islam. Repub. Iran, 2018.

A. I. Alzaidi, A. Yahya, T. T. Swee, and N. Idris, "Development of high frequency generator for bipolar electrosurgical unit," Int. J. Eng. Technol., vol. 7, no. 2, pp. 20–23, 2018.

Ridho Armi Nabawi, Dhany Alvianto Wibaksono, Tri Bowo Indrato, and Triana Rahmawati, "Electrosurgery Unit Monopolar (Cutting and Coagulation)," J. Electron. Electromed. Eng. Med. Informatics, vol. 1, no. 1, pp. 33–38, 2019.

Chinpairoj, Suchet, Michael D. Feldman, James C. Saunders, and Erica R. Thaler. "A comparison of monopolar electrosurgery to a new multipolar electrosurgical system in a rat model." The Laryngoscope 111, no. 2 (2001): 213-217.

Nabawi, Ridho Armi, Dhany Alvianto Wibaksono, Tri Bowo Indrato, and Triana Rahmawati. "Electrosurgery Unit Monopolar (Cutting and Coagulation)." Journal of Electronics, Electromedical Engineering, and Medical Informatics 1, no. 1 (2019): 33-38.

Domigata, Riga, Tri bowo Indrato, Triana Rahmawati, and Narongrit Sanajit. "An Improved Power Management System in Electrosurgery Unit Monopolar Design." Indonesian Journal of electronics, electromedical engineering, and medical informatics 2, no. 2 (2020): 95-100.

Wilcox, Charles W., Terry M. Wilwerding, Patrice Watson, and Jason T. Morris. "Use of electrosurgery and lasers in the presence of dental implants." International Journal of Oral & Maxillofacial Implants 16, no. 4 (2001).

Martinsen, Tormod, Fred Johan Pettersen, Håvard Kalvøy, Christian Tronstad, Gunnvald Kvarstein, Andre Bakken, Jan Olav Høgetveit, Ørjan G. Martinsen, Sverre Grimnes, and Lars Frich. "Electrosurgery and temperature increase in tissue with a passive metal implant." Frontiers in surgery 6 (2019): 8.

LaCourse, J. R., A. D. Rothwell, and S. M. Selikowitz. "Development of electrosurgery. I: A historical perspective." In 1993 IEEE Annual Northeast Bioengineering Conference, pp. 35-36. IEEE, 1993.

Published
2021-07-19
How to Cite
[1]
P. Asalim Tetra Putra, B. G. Irianto, T. Indrato, L. Lamidi, R. Andriyanto, and N. Bouzeghaia, “A Coagulation Mode on Bipolar Electrosurgery Unit Using 350 KHz Frequency and Power Selection”, j.electron.electromedical.eng.med.inform, vol. 3, no. 2, pp. 72-78, Jul. 2021.
Section
Electronics