Multiple RF return pad contact detection system

• US 20040059323A1
• Filed: 09/25/2002
• Published: 03/25/2004
• Est. Priority Date: 09/25/2002
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Gregg, William N., Fredricks, Raymond A., Sturm, Thomas A.
• Granted Patent: US 6,860,881 B2
• Time in Patent Office: Days
• US Class Current: 606/35
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: A61B 2018/165 Multiple indifferent electrodes

Abstract

A multiple RF return pad contact detection system is provided which is adaptive to different physiological characteristics of patients without being susceptible to electrosurgical current interference (e.g., interference or measurement interaction between components of the detection system). The detection system can measure or sense the contact resistance or impedance between the patient and pairs of RF return pads or return electrodes where multiple pairs of RF return pads are utilized due to the high current frequently needed during electrosurgery while eliminating or minimizing the risk of measurement interaction between the RF return pad pairs. The system allows for the independent and simultaneous measurement of the pad contact impedance for each pair of RF return pads. If the impedance of any pad pair is above a predetermined limit, the system turns off or reduces the electrosurgical output of the electrosurgical generator to prevent excess heating. The system eliminates or minimizes interference or measurement interaction between the pad pairs by providing a different signal source frequency for each pad contact pair, but a frequency which matches an associated series resonant network frequency. The current that flows in the series resonant network is a direct reflection or function of the pad impedance of the corresponding pad pair.

Claims

1. A return pad contact detection system for use with at least two pairs of patient return pads adapted for contacting a patient, each pair of said at least two pairs of patient return pads having two conductors attached to a corresponding patient return pad for connecting the pad to a source of a.c. energy passing through the pad, said return pad contact detection system comprising:

at least two signal sources for generating an operating current for a corresponding pair of said at least two pairs of patient return pads;

means for applying the operating current through said conductors to said at least two pairs of patient return pads; and

at least two resonant circuits each corresponding to at least one pair of patient return pads and one of said at least two signal sources, each of said at least two resonant circuits responsive to said current for producing a signal which is a function of the impedance between said two corresponding patient return pads, said at least two resonant circuits being tuned to different frequencies and being tuned to the substantially the same frequency as the corresponding signal source for substantially minimizing measurement interaction between the at least two pairs of patient return pads when said operating currents are simultaneously applied to said corresponding pairs of patient return pads.

2. A system as in claim 1, wherein said at least two resonant circuits are RCL series resonant circuits having minimum impedance at the resonant frequency.

3. A system as in claim 1, further comprising:

means for establishing a desired range having at least an upper limit for said impedance; and

determining means responsive to said signal for determining whether said impedance is within said desired range.

4. A system as in claim 3, wherein said means for establishing a desired range includes means for generating a reference signal corresponding to the upper limit and wherein said determining means includes comparator means for comparing the signal which is a function of said impedance with the reference signal.

5. A system as in claim 4, wherein said system further comprises means for generating a control signal for controlling the operation of said electrosurgical generator according to the determination made by said comparator means.

6. A system as in claim 3, wherein said desired range includes a lower limit for said impedance and wherein said means for establishing a desired range includes means for generating a reference signal corresponding to the lower limit and wherein said determining means includes comparator means for comparing the signal which is a function of said impedance with the reference signal.

7. A system as in claim 6, wherein said system further comprises means for generating a control signal for controlling the operation of said electrosurgical generator according to the determination made by said comparator means.

8. A system as in claim 6, wherein the lower limit for said impedance is about 20 ohms and the upper limit for said impedance is about 144 ohms.

9. A system as in claim 1, wherein said means for applying the operating current includes at least two transformers each for coupling the corresponding pair of patient return pads to the corresponding signal source, the secondary winding of each transformer being connected to the corresponding pair of patient return pads and the primary winding thereof being in circuit with the corresponding signal source and resonant circuit.

10. A system as in claim 1, wherein the frequency of said electrosurgical current is substantially different from that of said operating current.

11. A return pad contact detection system for use with at least two pairs of patient return pads adapted for contacting a patient, each pair of said at least two pairs of patient return pads having two conductors attached to a corresponding patient return pad for connecting the pad to a source of a.c. energy passing through the pad, said return pad contact detection system comprising:

means for producing and applying a corresponding current signal for each of said at least two pairs of patient return pads;

resonant circuitry means responsive to the impedance between said at least two pairs of patient return pads for producing at least one signal which is a function of said impedance; and

measurement means for receiving said at least one signal for determining the impedance between said at least two pairs of patient return pads, wherein the frequency of said corresponding current signal for each of said at least two pairs of patient return pads is substantially equal to the frequency of at least a portion of said resonant circuitry means.

12. A system as in claim 11, wherein the means for producing and applying said corresponding current signal includes at least two a.c. signal sources.

13. A system as in claim 11, wherein said resonant circuitry means includes at least two RCL series resonant circuits having minimum impedance at the resonant frequency.

14. A system as in claim 11, further comprising:

means for establishing a desired range having at least an upper limit for said impedance; and

determining means responsive to said at least one signal for determining whether said impedance is within said desired range.

15. A system as in claim 14, wherein said means for establishing a desired range includes means for generating a reference signal corresponding to the upper limit and wherein said determining means includes comparator means for comparing said at least one signal which is a function of said impedance with the reference signal.

16. A system as in claim 15, wherein said system further comprises means for generating a control signal for controlling the operation of said electrosurgical generator according to the determination made by said comparator means.

17. A system as in claim 14, wherein said desired range includes a lower limit for said impedance and wherein said means for establishing a desired range includes means for generating a reference signal corresponding to the lower limit and wherein said determining means includes comparator means for comparing said at least one signal which is a function of said impedance with the reference signal.

18. A system as in claim 17, wherein said system further comprises means for generating a control signal for controlling the operation of said electrosurgical generator according to the determination made by said comparator means.

19. A system as in claim 17, wherein the lower limit for said impedance is about 20 ohms and the upper limit for said impedance is about 144 ohms.

20. A system as in claim 11, wherein said means for producing and applying said corresponding current signal includes at least two transformers, the secondary winding of each transformer being connected to a corresponding pair of patient return pads and the primary winding thereof being in circuit with a portion of the means for applying and producing the corresponding current signal and the portion of said resonant circuitry means.

21. A system as in claim 19, further comprising two capacitors connected in series connected in parallel with the secondary winding of each transformer.

22. A system as in claim 11, wherein the frequency of said electrosurgical current is substantially different from that of said corresponding current signal.