TY - JOUR
AU - McLEAN, A. J.
AB - Abstract An almost infinite variety of controlled destructive effects is made available to the surgeon by modulation of high frequency oscillating currents. The character of the effect produced is not determined by the frequency of the oscillations, but appears to depend entirely on the character of the oscillatory wave trains utilized. When a surgeon desires to destroy tissue en masse by heating, a train of damped oscillations is customarily used; but to obtain cutting effects, a train of undamped waves is used, although tissue can also be readily heated by undamped waves. A damped wave is one with an oscillating potential which tends to return to zero, as shown in figure 1 b; an undamped wave is one with an oscillating potential which remains constant, as shown in figure 1 a. The fundamental arrangements for production of high frequency damped oscillations (condenser-gap-inductance) and undamped oscillations (e. g., triode tube), which are References 1. d'Arsonval, M. A.: Production des courants de haut fréquence et de grand intensité; leurs effets physiologiques , Compt. rend. Soc. de biol. 45:122, 1893. 2. Clark, W. L.: Electrothermic Methods in Treatment of Neoplastic and Allied Diseases , J. A. M. A. 86:595 ( (Feb. 27) ) 1926.Crossref 3. Iredell, C. E., and Turner, P.: Apparatus for Diathermy , Proc. Roy. Soc. Med. (Sect. Electro-Therap.) 12:18, 1919. 4. Morgan, J. D.: Electrothermic Methods in the Treatment of Neoplastic Diseases , Philadelphia, F. A. Davis Company, 1926. 5. Wyeth, G. A.: Surgery of Neoplastic Diseases by Electrothermic Methods , New York, Paul B. Hoeber, 1926. 6. Zimmern, A., and Lackowski, J.: Principes physiques et effets physiologiques de la diathermie , J. méd. franç. 16:124, 1927. 7. Although the machine with its incorporated (unquantitative) wiring diagram is now on the market, Dr. Bovie desires that a technical description of the apparatus await his own publication, since radical improvements in its construction are in progress. The results herein reported were obtained with the original experimental unit used at the Huntington Memorial and Peter Bent Brigham Hospitals, which was essentially similar in its construction to the "S-D-3; 7-23-28" model now on the market. 8. d'Arsonval, M. A.: Action physiologique des courants alternatifs , Compt. rend. Soc. de biol. 43:283, 1891 9. Lambert, R. A.: Demonstration of the Greater Susceptibility to Heat of Sarcoma Cells , J. A. M. A. 59:2147 ( (Dec. 14) ) 1912.Crossref 10. Ward, G. E.: Value of Electrothermic Methods in the Treatment of Malignancy , J. A. M. A. 84:660 ( (Feb. 28) ) 1925.Crossref 11. Cushing, H., and Bovie, W. T.: Electro-Surgery as an Aid to the Removal of Intracranial Tumors , Surg. Gynec. Obst. 47:751, 1928. 12. Ward (footnote 4, second reference). 13. Deeper histologic alterations would probably be demonstrable by special staining. Dr. Percival Bailey (personal communication) has found alterations of tinctorial quality a full centimeter from the edge of an incision in brain tissue, when phosphotungstic hematoxylin or silver impregnations were used on tissues removed by the cutting current (exact setting of dials not recorded, however). 14. Voltz, F., and Döderlein, G. Jr.: Kauterisation und Lichtbogenoperation , Monatschr. f. Geburtsh. u. Gynäk. 66:247, 1924. 15. Ward, G. E.: The Efficient Method of Hemostasis Without Suture , M. J. & Rec. 121:470, 1925. 16. Behrend, M.: The So-Called Radio Knife , Internat. Clin. 2:233, 1926. 17. Schaefer, M.: Drei Fälle von Diathermieschädigungen bei Benützung der Diathermie in der operativen Technik , Schweiz. med. Wchnschr. 57:268. 1927.
TI - THE BOVIE ELECTROSURGICAL CURRENT GENERATOR: SOME UNDERLYING PRINCIPLES AND RESULTS
JF - Archives of Surgery
DO - 10.1001/archsurg.1929.01140130965064
DA - 1929-04-01
UR - https://www.deepdyve.com/lp/american-medical-association/the-bovie-electrosurgical-current-generator-some-underlying-principles-0OUOmMH0aY
SP - 1863
EP - 1873
VL - 18
IS - 4
DP - DeepDyve
ER -