Temperature Sensing Return Electrode Pad

• US 20110190761A1
• Filed: 04/13/2011
• Published: 08/04/2011
• Est. Priority Date: 09/28/2006
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: McPherson, James W.
• Granted Patent: US 8,216,222 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 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61N 1/06 for high-frequency therapy

Abstract

An electrosurgical return electrode is disclosed. The return electrode includes a conductive pad having one or more temperature monitoring zones and a patient-contacting surface configured to conduct electrosurgical energy and a temperature sensing circuit coupled to the conductive pad. The temperature sensing circuit includes at least one diode disposed within the at least one temperature monitoring zone, the at least one diode having a predetermined forward voltage drop that is indicative of temperature of at least one temperature monitoring zone.

Claims

1. An electrosurgical return pad, comprising:

a conductive electrode including a plurality of temperature monitoring zones contiguously arranged therein and a patient-contacting surface configured to conduct electrosurgical energy;

a temperature sensing circuit thermally associated with each temperature monitoring zone configured to sense an average temperature of the temperature monitoring zone associated therewith; and

an interconnection wire coupling each temperature sensing circuit to an optical isolation circuit adapted to isolate the temperature sensing circuit from electrosurgical energy.

2. An electrosurgical return pad according to claim 1, wherein the temperature sensing circuit includes one or more temperature sensing elements selected from the group consisting of a thermocouple, a thermistor, and a semiconductor diode.

3. An electrosurgical return pad according to claim 1, further comprising a holding substrate for housing the temperature sensing circuit, the holding substrate configured to electrically insulate the temperature sensing circuit from the patient-contacting surface.

4. An electrosurgical return pad according to claim 1, wherein the temperature sensing circuit is configured to operably couple to an electrosurgical generator.

5. The electrosurgical return pad according to claim 1, wherein the return pad includes an adhesive material disposed on the patient-contacting surface.

6. The electrosurgical return pad according to claim 1, wherein the return pad is at least partially coated with a positive temperature coefficient material.

7. A method for performing electrosurgery, comprising:

providing an electrosurgical return pad having a conductive electrode that includes a plurality of temperature monitoring zones contiguously arranged therein and a patient-contacting surface configured to conduct electrosurgical energy, a temperature sensing circuit thermally associated with each temperature monitoring zone and configured to sense an average temperature of the temperature monitoring zone associated therewith, and an interconnection wire coupling each temperature sensing circuit to an optical isolation circuit adapted to isolate the temperature sensing circuit from electrosurgical energy;

placing the electrosurgical return pad in contact with a patient;

generating electrosurgical energy from an electrical energy source;

supplying the electrosurgical energy to the patient via an active electrode; and

measuring the average temperature of the plurality of temperature monitoring zones.

8. A method according to claim 7, wherein the temperature sensing circuit includes one or more temperature sensing elements selected from the group consisting of a thermocouple, a thermistor, and a semiconductor diode.

9. A method according to claim 7, further comprising a holding substrate for housing the temperature circuit, the holding substrate configured to electrically insulate the temperature sensing circuit from the patient-contacting surface.

10. A method according to claim 7, wherein the return pad includes an adhesive material disposed on the patient-contacting surface.

11. A method according to claim 7, wherein the return pad is at least partially coated with a positive temperature coefficient material.

12. A method according to claim 7, further comprising:

identifying a segment of the patient-contacting surface corresponding to a temperature monitoring zone wherein current density exceeds that of the surrounding area; and

instructing a user to take action with respect to the identified segment.

13. An electrosurgical system for performing electrosurgery, the electrosurgical system comprising:

an electrosurgical generator configured to provide electrosurgical energy;

an electrosurgical return pad including a conductive electrode including a plurality of temperature monitoring zones contiguously arranged therein and a patient-contacting surface configured to conduct electrosurgical energy, and a temperature sensing circuit thermally associated with each temperature monitoring zone configured to sense an average temperature of the at least one temperature monitoring zone associated therewith, and an interconnection wire coupling each temperature sensing circuit to an optical isolation circuit adapted to isolate the temperature sensing circuit from electrosurgical energy; and

an active electrode configured to supply electrosurgical energy to a patient.

14. An electrosurgical system according to claim 13, wherein the temperature sensing circuit includes one or more temperature sensing elements selected from the group consisting of a thermocouple, a thermistor, and a semiconductor diode.

15. An electrosurgical system according to claim 13, further comprising a holding substrate for housing the temperature sensing circuit, the holding substrate configured to electrically insulate the temperature sensing circuit from the patient-contacting surface.

16. An electrosurgical system according to claim 13, wherein the return pad includes an adhesive material disposed on the patient-contacting surface.

17. An electrosurgical system according to claim 13, wherein the return pad is at least partially coated with a positive temperature coefficient material.

18. An electrosurgical system according to claim 13, further comprising:

an analog-to-digital converter unit configured to receive an analog temperature signal from a temperature sensing circuit of a temperature monitoring zone, and to output a corresponding digital temperature signal.

19. An electrosurgical system according to claim 18, further comprising:

a multiplication unit configured to multiply the digital temperature signal by a predetermined factor to arrive at a corresponding temperature value.

20. An electrosurgical system according to claim 19, wherein the electrosurgical generator terminates a supply of electrosurgical energy if the temperature value is larger than a predetermined threshold.