Tuned return electrode with matching inductor

• US 7,837,680 B2
• Filed: 09/29/2006
• Issued: 11/23/2010
• Est. Priority Date: 11/21/2003
• Status: Active Grant

• Current Assignee: Megadyne Medical Products Incorporated (Johnson & Johnson)
• Original Assignee: Megadyne Medical Products Incorporated (Johnson & Johnson)
• Inventors: Isaacson, James D., Borgmeier, Paul R.
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US11/537,396
• Publication Number:
  US 20070049916A1
• Time in Patent Office: 1,516 Days
• Field of Search: 606/32, 606/35, 606/39, 606/152, 128/908
• 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 2090/065 for measuring contact or contact pressure

Abstract

An electrosurgical return electrode for use in electrosurgery. The return electrode is self-limiting and self-regulating as to current temperature and temperature rise so as to prevent patient trauma. According to one aspect of the invention, an inductor is coupled in series with the electrosurgical return electrode. The inductor is configured to optimize the flow of the electrosurgical current by minimizing the effective bulk impedance of the electrosurgical return electrode when the amount of contact area between the patient and the electrosurgical return electrode is sufficient to conduct electrosurgery. According to another aspect of the present invention, a conductor member is adapted for use with circuitry that indicates to a user when the contact area between the patient and the self-limiting member and/or return electrode is below a given threshold.

Claims

1. A self-limiting electrosurgical return electrode comprising:

a semi-insulating member for limiting the density of electrosurgical current flowing through the electrode to less than a predetermined level to prevent a patient burn; and

a conductor member coupled to the semi-insulating member, the conductor member having a split plate configuration and coupled to circuitry for monitoring the contact area between the electrode and a patient, wherein the circuitry is configured to measure at least one of an electrosurgical current or electrosurgical current density flowing through the electrode.

2. The self-limiting electrosurgical return electrode of claim 1, wherein the conductor member comprises a first conductor electrically isolated from a second conductor.

3. The self-limiting electrosurgical return electrode of claim 1, wherein the first conductor and a second conductor interwoven in a lattice structure

4. The self-limiting electrosurgical return electrode of claim 3, wherein the circuitry measures the impedance between the first conductor and the second conductor.

5. The self-limiting electrosurgical return electrode of claim 1, wherein the conductor member comprises a plurality of membrane switches.

6. The self-limiting electrosurgical return electrode of claim 1, wherein the electrode further comprises one or a combination of a resistive component, a capacitive component, and an inductive component.

7. A self-limiting electrosurgical return electrode comprising:

a semi-insulating member having a working surface adapted for disposition adjacent the tissue of a patient positioned thereon for electrosurgery and that continuously and automatically regulates the electrosurgical current flowing through the electrode as a function of the area of contact between the electrode and the patient'"'"'s tissue so as to limit the density of electrosurgical current to less than 100 milliamperes per square centimeter of the electrode; and

a conductor member coupled to the semi-insulating member, having a split plate configuration, and coupled to circuitry in electrical communication with the electrically conducting member, the conductor member and the circuitry configured to determine the contact area between the electrode and the patient.

8. The self-limiting electrosurgical return electrode of claim 7, wherein the semi-insulating member comprises a silicone rubber material impregnated with conductive fibers.

9. The self-limiting electrosurgical return electrode of claim 7, further comprising an inductor in electrical series with the semi-insulating member.

10. The self-limiting electrosurgical return electrode of claim 7, further comprising a variable inductor in electrical series with the semi-insulating member to minimize capacitive reactance.

11. The self-limiting electrosurgical return electrode of claim 7, wherein the first conductor and a second conductor arranged in one of alternating geometric shapes to aid with determining the amount of contact area between the patient and the electrode.

12. The self-limiting electrosurgical return electrode of claim 11, wherein the geometric shape comprises strips, triangles, or ellipses.

13. A self-limiting electrosurgical system comprising:

a self-limiting electrosurgical return electrode comprising;

a semi-insulating member having a bulk impedance sufficient to prevent a patient burn when a contact area between a patient and the semi-insulating member is below a given threshold; and

a conductor member coupled to the semi-insulating member, the conductor member having a split plate configuration,

wherein an effective impedance of the self-limiting electrosurgical return electrode is below 100 ohms; and

contact quality monitoring circuitry coupleable to the conductor member, the combination of the contact quality monitoring circuitry and the conductor member monitoring the contact area between the semi-insulating member and the patient and activating an output device if the contact area is below a predetermined threshold.

14. The self-limiting electrosurgical system of claim 13, further comprising an electrosurgical generator in electrical communication with the semi-insulating member.

15. The self-limiting electrosurgical system of claim 13, further comprising an inductor in series with the electrosurgical return electrode, the inductor counteracting at least a portion of an effective impedance of the electrosurgical return electrode and a patient.

16. The self-limiting electrosurgical system of claim 15, wherein the inductor is selected such that the effective impedance of the electrosurgical return electrode, the patient, and the inductor falls within a range of impedances at which effective electrosurgery can be performed for a selected group of patients.

17. The self-limiting electrosurgical system of claim 15, wherein said inductor is selected from the group consisting of a solid state inductor, an electro-mechanical inductor, a fixed inductor, a variable inductor, solid state wave shaping circuitry or any combination thereof.

18. The self-limiting electrosurgical system of claim 13, wherein by minimizing the effective impedance to below 100 ohms electrosurgical surgery on patients weighing less that 25 pounds can be performed.

19. The self-limiting electrosurgical system of claim 13, wherein by minimizing the effective impedance to below 100 ohms the electrosurgical return electrode can be utilized for neonatal applications.

20. The self-limiting electrosurgical system of claim 13, wherein the self-limiting electrosurgical return electrode comprises electrically conducting material having an effective bulk impedance equal to or greater than about 4,000 Ω

·

cm.

21. The electrosurgical apparatus of claim 13, wherein the self-limiting electrosurgical return electrode having an effective bulk impedance equal to or greater than about 10,000 Ω

·

cm.