Capacitive electrosurgical return pad with contact quality monitoring

• US 8,080,007 B2
• Filed: 05/07/2007
• Issued: 12/20/2011
• Est. Priority Date: 05/07/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Dunning, James E., Eggleston, Jeffrey L., Rick, Kyle R.
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): DELLA, JAYMI E
• Application Number:
  US11/800,687
• Publication Number:
  US 20080281309A1
• Time in Patent Office: 1,688 Days
• Field of Search: 606/32, 606 34- 35
• US Class Current: 606/32
• CPC Class Codes: A61B 18/1206 Generators therefor
• 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 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/167 Passive electrodes capacitively coupled to the skin

Abstract

A return pad includes a backing, at least one return electrode, and at least one ring sensor. The backing has a top side, a bottom side, and a periphery. The return electrode is disposed on the bottom side of the backing layer and is adapted to connect to a current generator. The ring sensor(s) is disposed in substantial concentric registration with the periphery of the backing and is configured to connect to a measuring component. The measuring component is operable to approximate contact quality of the return electrode during electrosurgical application and is configured to communicate with the generator.

Claims

1. A return pad, comprising:

a backing having a top side, a bottom side, and a periphery;

at least one capacitive return electrode disposed on the bottom side of the backing layer, the at least one return electrode being adapted to connect to a generator; and

at least one ring sensor disposed on the at least one capacitive return electrode and in substantial concentric registration with the periphery of the at least one capacitive return electrode, the at least one ring sensor configured to connect to a measuring component that is operable to approximate contact quality of the at least one return electrode during electrosurgical application, the measuring component configured to communicate with the generator.

2. The return pad according to claim 1, wherein the at least one ring sensor is capacitive.

3. The return pad according to claim 1, wherein the at least one ring sensor is resistive.

4. The return pad according to claim 1, wherein the at least one ring sensor includes at least two partially concentric ring electrodes configured to cooperate with the measuring component to measure contact quality during an electrosurgical procedure and communicate contact quality to the generator.

5. The return pad according to claim 4, wherein the at least two partially concentric ring electrodes are disposed on the at least one capacitive return electrode.

6. The return pad according to claim 1, further comprising a patient interface material configured to be disposed between the backing layer and a patient'"'"'s skin, the patient interface material configured to facilitate contact quality monitoring of the return electrode.

7. The return pad according to claim 6, wherein the interface material includes a material selected from the group consisting of a conductive gel, a conductive adhesive, an insulating gel, an insulating adhesive, a dielectric gel, a dielectric adhesive and an insulator.

8. The return pad according to claim 1, wherein the at least one ring sensor includes a temperature sensitive material-configured to sense contact quality based upon temperature.

9. The return pad according to claim 8, wherein the temperature sensitive material is a positive temperature coefficient ink.

10. The return pad according to claim 1, wherein the measuring component is configured to receive and process sensor data and relay the sensor data to a control component of the generator.

11. The return pad according to claim 10, further comprising a cut-off component configured to electrically isolate the at least one capacitive return electrode from the generator when the measurement component determines that a threshold condition has been reached.

12. The return pad according to claim 10, wherein the measuring component is adapted to couple to an intelligence component, wherein the intelligence component is configured to process sensor data and analyze the data with a risk function algorithm.

18. The return pad according to claim 1, wherein the at least one ring sensor includes a single-concentric capacitive electrode disposed substantially along the periphery of the at least one electrode.

13. A method for monitoring contact quality of a return pad of an electrosurgical system, the method including the steps of:

providing a return pad including;

a backing having a top side, a bottom side, and a periphery;

at least one capacitive return electrode disposed on the bottom side of the backing layer, the at least one return electrode being adapted to connect to a generator; and

at least one ring sensor disposed on the at least one capacitive return electrode and in substantial concentric registration with the periphery of the at least one capacitive return electrode;

activating the at least one ring sensor to communicate with a measuring component; and

approximating the contact quality of the return electrode by analyzing at least one of the capacitance, impedance and resistance from the at least one ring sensor.

14. A method according to claim 13, wherein the at least one ring sensor has at least two partially concentric ring electrodes configured to cooperate with the measuring component to measure contact quality during an electrosurgical procedure and communicate contact quality to the generator.

15. A method according to claim 13, wherein the return pad further comprising a patient interface material disposed between the backing layer and skin, the patient interface material configured to facilitate contact quality monitoring of the return electrode.

16. A method according to claim 15, wherein the interface material includes a material selected from the group consisting of a conductive gel, a conductive adhesive, an insulating gel, an insulating adhesive, a dielectric gel, a dielectric adhesive and an insulator.

17. The method according to claim 13, further including the step of:

electrically isolating the return electrode from the generator when the measurement component determines that a threshold condition has been reached.