Multiple RF return pad contact detection system

• US 20050021022A1
• Filed: 08/16/2004
• Published: 01/27/2005
• Est. Priority Date: 09/25/2002
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Gregg, William N., Fredricks, Raymond A., Sturm, Thomas A.
• Granted Patent: US 7,160,293 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

1-22. -22. (Canceled)

23. In an electrosurgical generator including 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, a method for controlling the electrosurgical generator comprising the steps of:

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

producing at least one signal by resonant circuitry means responsive to the impedance between at least one pair of patient return pads; and

receiving said at least one signal for determining the impedance between said at least one pair 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.

24. The method as in claim 23, wherein said resonant circuitry means includes at least two RCL series resonant circuits having minimum impedance at the resonant frequency and wherein each of said at least two resonant circuits being tuned to different frequencies.

25. The method as in claim 23, further comprising the steps of:

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

determining whether said impedance is within said desired range.

26. The method as in claim 25, wherein said establishing a desired range step includes generating a first reference signal corresponding to the upper limit and wherein said determining step includes comparing said at least one signal which is a function of said impedance with the first reference signal.

27. The method as in claim 26, further comprising the step of generating a control signal for controlling the operation of said electrosurgical generator according to the determination made by said comparing step.

28. The method as in claim 26, wherein said desired range includes a lower limit for said impedance, further comprising the step of generating a second reference signal corresponding to the lower limit and wherein said determining step includes comparing said at least one signal which is a function of said impedance with the first and second reference signals.

29. The method as in claim 28, further comprising the step of generating a control signal for controlling the operation of said electrosurgical generator according to the determination made by said comparing step.

30. The method as in claim 28, wherein the lower limit for said impedance is about 20 ohms and the upper limit for said impedance is about 144 ohms.

31. The method as in claim 24, further comprising the step of generating electrosurgical current at a frequency substantially different from that of said corresponding current signal.

32. In an electrosurgical generator including 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, a method for controlling the electrosurgical generator comprising the steps of:

generating an operating current for each pair of said at least two pairs of patient return pads, each pair of said at least two pairs of patient return pads having a corresponding signal source;

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

producing a signal for each pair of patient return pads responsive to said current which is a function of the impedance between said two corresponding patient return pads via resonant circuits corresponding to each pair of return pads, said each resonant circuit 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; and

determining whether said signals produced are within a desired range of impedance.