Electrosurgery monitor and apparatus

• US 5,480,399 A
• Filed: 03/14/1994
• Issued: 01/02/1996
• Est. Priority Date: 03/30/1993
• Status: Expired due to Fees

• Current Assignee: Eschmann Holdings Limited (Steris Corporation)
• Original Assignee: Smiths Industries Public Limited Company
• Inventors: Hebborn, Kevin A.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US08/212,739
• Time in Patent Office: 659 Days
• Field of Search: 606/35, 606/32, 128/908
• US Class Current: 606/35
• CPC Class Codes: A61B 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: Y10S 128/908 Patient protection from electric shock

Abstract

A monitor for the return electrode of electrosurgery apparatus has three contacts in a socket that connect with two or three contacts on a plug connected to the return electrode. One pair of contacts in the socket is connected across an oscillator that provides an output to a first primary winding of the transformer when there is a low impedance between the contacts. Another pair of contacts is connected across a second primary, winding and produces a loading on the transformer when short circuited by the return electrode, A detector is connected to the secondary winding of the transformer and produces an alarm and disable signal if the signal on the secondary winding falls below a lower limit or exceeds an upper limit,

Claims

1. An electrosurgery monitor assembly comprising:

a monitor unit;

a large area return electrode;

a cable; and

a connector, the cable being connected at one end to the electrode and at its other end to the connector, wherein the monitor unit includes first, second and third input connections making electrical connection with the connector, a first oscillator, said oscillator having an input coupled with said first and second input connections such that an output of said oscillator is dependent on a connection being established between said first and second input connections, and detector means responsive to the output of said oscillator to provide an alarm signal in the event of the absence of a correct connection at said first and second input connections;

said monitor unit including a first transformer, means connecting the output of said oscillator to a primary winding of said first transformer so as to provide an alternating input to said primary winding when there is a low impedance between said first and second input connections, said detector means being connected to a secondary winding of the first transformer and providing said alarm signal when the signal in the secondary winding falls below a predetermined value, and means connecting said second and third connections to a second primary winding of the first transformer, said detector means also producing an alarm signal if the output of said oscillator is above an upper threshold value, said connector providing a low impedance across said second and third connections so that the second primary winding produces a loading on the first transformer that reduces the output on said secondary winding below the upper threshold value.

5. An assembly according to one of claims 1, 2, 3 or 4 including means for interrupting supply of electrosurgery power to a patient in response to said alarm signal.

2. An electrosurgery monitor assembly comprising:

a monitor unit;

a large area return electrode;

a cable; and

a connector, the cable being connected at one end to the return electrode and at its other end to the connector, the monitor unit including at least two input connections making electrical connection with the connector, a first oscillator having an input and an output, said first oscillator input being coupled with said two input connections such that the output of said first oscillator is dependent on a connection being established between said two input connections, a second oscillator and a transformer, said first oscillator being powered by said second oscillator via said transformer, and detector means responsive to the output of said first oscillator to provide an alarm signal in the event of the absence of a correct connection at said two input connections.

6. An assembly according to claim 2 or 3, wherein said return electrode is a single plate electrode, wherein said cable is a double-lead cable, and wherein said connector has two contacts connected to respective ones of leads in the cable and connected together at said electrode.

7. An assembly according to claim 2 or 3, wherein said return electrode is a single plate electrode, wherein said cable is a triple-lead cable, and wherein said connector has three contacts connected to respective ones of leads in the cable and connected together at said electrode.

8. An assembly according to claim 2 or 3, wherein said return electrode is a split-plate electrode, wherein said cable is a double-lead cable, wherein two leads in the cable are connected to respective pans of said split-plate electrode, and wherein said connector has a first contact connected to one lead and a second contact connected to the other lead.

3. An electrosurgery monitor assembly comprising:

a monitor unit;

a large area return electrode;

a cable; and

a connector, the cable being connected at one end to the return electrode and at its other end to the connector, the monitor unit including at least two input connections making electrical connection with the connector, the input connections being spaced along the length of a socket, the connector being a plug having contacts spaced along the length of the plug, an oscillator having an input and an output, said oscillator output being coupled with said two input connections such that the output of said oscillator is dependent on a connection being established between said two input connections, and detector means responsive to the output of said oscillator to provide an alarm signal in the event of the absence of a correct connection at said two input connections.

4. An electrosurgery monitor assembly comprising:

a monitor unit;

a large area split-plate return electrode;

a triple-lead cable; and

a connector, first ends of two leads of said cable being connected to respective parts of said split-plate electrode and a first end of a third lead being connected to the same part of the electrode as one of the other leads, said connector having a first contact connected to a second end of one lead, a second contact connected to a second end of another lead and a third contact connected to a second end of the third lead, the monitor unit including at least two input connections making electrical connection with the connector, an oscillator having an input and an output, said oscillator input being coupled with said two input connections such that the output of said oscillator is dependent on a connection being established between said two input connections, and detector means responsive to the output of said oscillator to provide an alarm signal in the event of the absence of a correct connection at said two input connections.

9. (Amended) An electrosurgery monitor assembly comprising:

a monitor unit;

a large area return electrode;

a cable; and

a connector, said cable being connected at one end to the electrode and at its other end to the connector,

wherein the monitor unit includes three input connections making electrical connection with the connector;

a transformer having first and second primary windings and a secondary winding;

an oscillator having two inputs coupled respectively with a first and second of said input connections, said oscillator having an output connected to the first primary winding, the oscillator producing an output signal to the first primary winding only when there is a low impedance across the first and second input connections;

means connecting the second and third input connections across the second primary winding so that the second primary winding produces a loading on the transformer when the connector produces a low impedance across the second and third input connections;

a detector; and

means connecting said detector across said secondary winding of the transformer, said detector producing an alarm signal if the signal on said secondary winding is below a lower limit or above an upper limit.

10. Electrosurgery apparatus comprising:

an electrosurgery generator;

an active electrode;

means connecting said active electrode to said generator; and

a monitor assembly comprising;

a monitor unit;

a large area return electrode;

a cable; and

a connector, said cable being connected at one end to the electrode and at its other end to the connector,

wherein the monitor unit includes three input connections making electrical connection with the connector;

a transformer having first and second primary windings and a secondary winding;

an oscillator having two inputs coupled respectively with a first and second of said input connections, said oscillator having an output connected to the first primary winding, the oscillator producing an output signal to the first primary winding only when there is a low impedance across the first and second input connections;

means connecting the second and third input connections across the second primary winding so that the second primary winding produces a loading on the transformer when the connector produces a low impedance across the second and third input connections;

a detector; and

means connecting said detector across said secondary winding of the transformer, said detector producing an alarm signal to said generator if the signal on said secondary winding is below a lower limit or above an upper limit.