Multiple RF return pad contact detection system

• US 7,938,825 B2
• Filed: 11/07/2006
• Issued: 05/10/2011
• Est. Priority Date: 09/25/2002
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Fredricks, Raymond A., Sturm, Thomas A., Gregg, William N.
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US11/593,886
• Publication Number:
  US 20070073284A1
• Time in Patent Office: 1,645 Days
• Field of Search: 606 32- 35
• 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 method for adaptive impedance monitoring of at least two patient return pads configured for contacting a patient and transmitting electrosurgical energy back to an electrosurgical generator, the method comprising the steps of:

generating operating currents for the at least two patient return pads;

tuning first and second resonant circuits in operative communication with the electrosurgical generator to respective first and second frequencies, the first and second resonant circuits responsive to the operating currents for producing a signal as a function of an instantaneous impedance between the at least two patient return pads;

selecting a desired impedance range having a lower limit and an upper limit;

recording the instantaneous impedance value;

determining whether the instantaneous impedance is within the impedance range;

updating the upper limit as a function of the instantaneous impedance value according to the determination of the determining step; and

monitoring the impedance of the at least one patient return pad to determine if the impedance is between the lower limit and the updated upper limit.

2. A method according to claim 1, further comprising the step of:

measuring initial impedance of the at least two patient return pads to determine whether the initial impedance is within the desired impedance for a predetermined interval of time.

3. A method according to claim 2, further comprising the step of:

generating a control signal for controlling the operation of an electrosurgical generator according the determination made by the monitoring impedance step.

4. A method according to claim 3, wherein the control signal of the generating step signals the electrosurgical generator to perform an operation selected from the group consisting of issuing an alert and adjusting supply of electrosurgical energy.

5. A method according to claim 1, wherein the function of the updating step for updating the upper limit is multiplication of the instantaneous impedance by a factor larger than 1.0.

6. A method according to claim 1, further comprising the step of:

detecting a termination of a downward impedance trend to determine whether the instantaneous impedance value is a minimum impedance value.

7. A method according to claim 6, further comprising the step of:

updating the upper limit as a function of the instantaneous impedance value according to the determination of the detecting step.

8. An electrosurgical system comprising:

an electrosurgical generator configured to generate electrosurgical energy, the electrosurgical generator coupled to at least two patient return pads configured for contacting a patient and transmitting electrosurgical energy back to the electrosurgical generator, the electrosurgical generator including at least two signal sources for generating an operating current for the at least two patient return pads, the at least two signal sources in operative communication with at least two resonant circuits tuned to different frequencies, the at least two resonant circuits responsive to the operating current for producing a signal as a function of the impedance between the at least two patient return pads;

an impedance measurement subsystem coupled to the at least two patient return pads and adapted to record the impedance between the at least two patient return pads to obtain an instantaneous impedance value; and

a microprocessor configured to;

select a desired impedance range having a lower limit and an upper limit;

update the upper limit as a function of the instantaneous impedance value according to the determination whether the instantaneous impedance is within the impedance range; and

monitor the impedance of the at least one patient return pad to determine if the impedance is between the lower limit and the updated upper limit.

9. An electrosurgical system according to claim 8, wherein the impedance measurement subsystem measures initial impedance of the at least two patient return pads and the microprocessor is further configured to determine whether the initial impedance is within the desired impedance for a predetermined interval of time.

10. An electrosurgical system according to claim 9, wherein the microprocessor is configured to generate a control signal which controls the operation of the electrosurgical generator according the determination made by the monitoring impedance step.

11. An electrosurgical system according to claim 10, wherein the control signal of the microprocessor signals the electro surgical generator to perform an operation selected from the group consisting of issuing an alert and adjusting the supply of electrosurgical energy.

12. An electrosurgical system according to claim 8, wherein the upper limit is updated by multiplying the instantaneous impedance by a factor larger than 1.0.

13. An electrosurgical system according to claim 8, wherein the microprocessor is configured to detect a termination of a downward impedance trend to determine whether the instantaneous impedance value is a minimum impedance value.

14. An electrosurgical system according to claim 13, wherein the microprocessor is configured to update the upper limit as a function of the instantaneous impedance value if the instantaneous impedance value is the minimum impedance value.