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US4416276A Expired / Lapsed US ⏱️ 0.0 years remaining

Adaptive, return electrode monitoring system

Assignee: Covidien AG
•
Filing: 1981-10-26
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Granted: 1983-11-22
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Expires: 2001-10-26
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Abstract

Abstract A return electrode monitoring system for use with a split patient return electrode having two, electrically isolated electrode elements adapted for contacting a patient, the system comprising means responsive to the impedance between the two electrode elements for producing a signal which is a function of the impedance; means for establishing a desired range having an upper limit and a lower limit for the impedance when the patient is in contact with the electrode elements; determining means responsive to the signal for determining whether the impedance is within the desired range; and adjusting means for adjusting the upper limit to adapt the system to the particular impedance of the patient in response to the particular impedance occurring within the desired range.

Inventors

  • 👤 David W. Newton
  • 👤 William G. Paterson

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 22:55
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/04; A61B18/12; A61B18/1206; A61B18/1233; A61B18/14; A61B18/16; Y; Y10; Y10S; Y10S128/00; Y10S128/908

Claims Analysis

Total Claims: 28
Claim 1
Independent Claim 122 words
A return electrode monitoring system for use with a split patient return electrode having two, electrically isolated electrode elements adapted for contacting a patient, said system comprising means responsive to the impedance between said two electrode elements for producing a signal which is a function of said impedance; means for establishing a desired range having an upper limit and a lower limit for said impedance when the patient is in contact with the electrode elements; determining means responsive to said signal for determining whether said impedance is within said desired range; and adjusting means for automatically adjusting said upper limit to adapt said system to the particular impedance of said patient in response to said particular impedance occurring within the desired range.
Claim 2
Dependent Claim 122 words
A return electrode monitoring system for use with a split patient return electrode having two, electrically isolated electrode elements adapted for contacting a patient, said system comprising means responsive to the impedance between said two electrode elements for producing a signal which is a function of said impedance; means for establishing a desired range having an upper limit and a lower limit for said impedance when the patient is in contact with the electrode elements; determining means responsive to said signal for determining whether said impedance is within said desired range; and adjusting means for automatically adjusting said upper limit to adapt said system to the particular impedance of said patient in response to said particular impedance occurring within the desired range.
Claim 3
Dependent Claim 21 words
A system as in claim 1 including means for respectively presetting said upper and lower limits to 120 and 20 ohms.
Claim 4
Dependent Claim 35 words
A system as in claim 1 where said adjusting means includes means for adjusting the upper limit to a value greater than the said patient's particular impedance by a predetermined percentage of the particular impedance.
Claim 5
Dependent Claim 12 words
A system as in claim 3 where said predetermined percentage is 120%.
Claim 6
Dependent Claim 40 words
A system as in claim 1 or 3 including delay means for delaying the operation of said adjusting means until a predetermined amount of time has elapsed from the first occurrence of the patient's particular impedance within the desired range.
Claim 7
Dependent Claim 15 words
A system as in claim 5 where said predetermined amount of time is 5 seconds.
Claim 8
Dependent Claim 48 words
A system as in claim 1 or 3 including means for detecting a change in the patient's particular impedance to a decreased value and where said adjusting means includes decreasing means for decreasing the upper limit of the desired range to a value related to said decreased value.
Claim 9
Dependent Claim 38 words
A system as in claim 7 where said decreasing means includes means for decreasing the upper limit to a value greater than the decreased value of the patient's particular impedance by a predetermined percentage of the decreased value.
Claim 10
Dependent Claim 12 words
A system as in claim 8 where said predetermined percentage is 120%.
Claim 11
Dependent Claim 37 words
A system as in claim 7 including delay means for delaying the operation of said adjusting means until a predetermined amount of time has elapsed from the occurrence of said decreased value of the patient's particular impedance.
Claim 12
Dependent Claim 15 words
A system as in claim 10 where said predetermined amount of time is 5 seconds.
Claim 13
Dependent Claim 46 words
A system as in claim 1 including transition detection means for detecting a transition of said patient's particular impedance from within the desired range to outside the range and changing means for changing the one of said upper and lower limits in response to said transition.
Claim 14
Dependent Claim 47 words
A system as in claim 12 where said transition detection means includes means for detecting said transition of the patient's particular impedance to a value greater than the upper limit and where said changing means includes means for decreasing the upper limit in response to said transition.
Claim 15
Dependent Claim 35 words
A system as in claim 13 where said means for decreasing the upper limit includes means for decreasing the uppr limit from 120% of the patient's particular impedance to 115% of the patient's particular impedance.
Claim 16
Dependent Claim 49 words
A system as in claim 12 or 13 where said transition detection means includes means for detecting said transition of the patient's particular impedance to a value less than the lower limit and where said changing means includes means for increasing the lower limit in response to said transition.
Claim 17
Dependent Claim 26 words
A system as in claim 15 where said means for increasing the lower limit includes means for increasing the lower limit from 20 to 24 ohms.
Claim 18
Dependent Claim 82 words
A system as in claim 1 including means for presetting said upper limit to an initial value; means for detecting a transition of said patient's particular impedance from within the desired range to a value greater than the upper limit; timing means for establishing a predetermined time interval after the occurrence of said transition; and means for resetting the upper limit to said initial value if the patient's particular impedance remains in excess of a maximum amount for said pre-determined time interval.
Claim 19
Dependent Claim 14 words
A system as in claim 17 where said predetermined time interval is one second.
Claim 20
Dependent Claim 43 words
A system as in claim 1, 3 or 17 including means for detecting the transition of said patient's particular impedance from within the desired range to outside the range and means for disabling the system in response to the occurrence of the transition.
Claim 21
Dependent Claim 44 words
A system as in claim 1, 3 or 17 including means for detecting the transition of said patient's particular impedance from within the desired range to outside the range and means for generating an alarm signal in response to the occurrence of the transition.
Claim 22
Dependent Claim 152 words
A return electrode monitoring system for use with a common foil, patient return electrode adapted for contacting a patient, said electrode having two, spaced apart conductors attached thereto for connecting the electrode to a generator of electrosurgical current, said system comprising microprocessor means for monitoring the continuity of the circuit including said electrode, said conductors, and said generator including means responsive to the impedance between said two conductors for producing a signal which is a function of said impedance; means for establishing a desired upper limit for said impedance; determining means responsive to said signal for determining whether said impedance is below said desired upper limit; and transition detecting means for detecting a transition of said impedance from a value less than said upper limit to a value greater than said upper limit and means for decreasing the value of the upper limit to a lower value in response to said transition.
Claim 23
Dependent Claim 152 words
A return electrode monitoring system for use with a common foil, patient return electrode adapted for contacting a patient, said electrode having two, spaced apart conductors attached thereto for connecting the electrode to a generator of electrosurgical current, said system comprising microprocessor means for monitoring the continuity of the circuit including said electrode, said conductors, and said generator including means responsive to the impedance between said two conductors for producing a signal which is a function of said impedance; means for establishing a desired upper limit for said impedance; determining means responsive to said signal for determining whether said impedance is below said desired upper limit; and transition detecting means for detecting a transition of said impedance from a value less than said upper limit to a value greater than said upper limit and means for decreasing the value of the upper limit to a lower value in response to said transition.
Claim 24
Dependent Claim 50 words
A system as in claim 21 where said means for establishing a desired upper limit includes means for generating a reference signal corresponding to the upper limit and where said determining means includes comparator means for comparing the signal which is a function of said impedance with the reference signal.
Claim 25
Dependent Claim 15 words
A return electrode as in claim 21 where said desired upper limit is 20 ohms.
Claim 26
Dependent Claim 20 words
A system as in claim 21 including means for disabling the system in response to the occurrence of the transition.
Claim 27
Dependent Claim 21 words
A system as in claim 21 including means for generating an alarm signal in response to the occurrence of the transition.
Claim 28
Dependent Claim 21 words
A system as in claim 21 where said desired upper limit is 20 ohms and said lower value is 16 ohms.

References Cited (Backward Citations)

DE1139927B Cited
US3683923A Cited
US3933157A Cited
US4200104A Cited
US4237891A Cited
US4303073A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1986-11-21 1987-05-23 1987-11-22 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1990-11-21 1991-05-23 1991-11-22 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1994-11-21 1995-05-23 1995-11-22 $7700.00 Window Closed / Lapsed

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