Abstract: A removable semi-insulating sheet for use in self-limiting electrosurgical return semi-insulating sheet for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the semi-insulating sheet, and through tailoring of semi-insulating sheet geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The semi-insulating sheet has an effective bulk impedance equal to or greater than about 4,000 ?·cm. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery.

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.

Abstract: An electrosurgical return electrode is disclosed. The return electrode includes a return electrode pad having a patient-contacting surface configured to conduct electrosurgical energy and a sensor circuit coupled to the return electrode pad. The sensor circuit is configured to monitor at least one of a return electrode pad property and a tissue property to generate sensor data. The return electrode also includes a control circuit coupled to the return electrode pad and to the sensor circuit. The control circuits configured to receive and process sensor data from the sensor circuit and relay the processed sensor data to an electrosurgical energy source.

Abstract: A system for monitoring a plurality of return electrodes is disclosed. The system includes a plurality of return electrodes adhered to a patient and adapted to couple to an electrosurgical generator configured to generate an electrosurgical current. The system also includes a current monitor connected in series with each of the plurality of the return electrodes to measure a current signal passing therethrough and a processor coupled to each of the current monitors. The processor is configured to determine a desired current ratio and an actual current ratio for each of the plurality of the return electrodes as a function of the current passing through each of the plurality of the return electrodes. The processor is further configured to compare the desired current ratio and the actual current ratio.

Abstract: A virtual control panel controls the functionality of an electrosurgical generator in response to interrogating, preferably optically, an object, such as a user's finger, interacting with a control panel image as an act of control input over the functionality of the generator. The control panel image is presented, preferably by optical projection, on a display surface of a display surface structure. The control panel image may include, in addition to a contact control area where interaction with the object is interrogated, a display area where information describing the functionality of the generator is presented, preferably by optical projection. A virtual pad can be used with the virtual control panel to divide and separate control and display functionality.

Abstract: A virtual control system for an operating room establishes virtual control devices to control surgical equipment and patient monitoring equipment and to display control, status and functionality information concerning the surgical equipment and condition information of the patient. The virtual control devices permit direct interaction by the surgeon while maintaining a sterile field, and avoid the use of actual physical devices and electrical cables connecting them to the surgical equipment.

Abstract: A return pad cable connector, in accordance with the present disclosure, for use with a disposable return pad, includes a cord having a conductive wire disposed therethrough which conductive wire interconnects the return pad cable connector to an electrosurgical energy source. The return pad further includes a connector operatively coupled to the cord, the connector having a conductive surface which is selectively engageable with a corresponding conductive surface disposed on the return pad, the conductive surface of the connector including a conductive adhesive disposed thereon and a non-conductive adhesive disposed above the periphery of the conductive surface of the connector for engagement with a corresponding non-conductive adhesive disposed above the periphery of the conductive surface of the return pad. The connector can include a magnet for magnetically coupling the connector to the conductive surface disposed on the return pad.

Abstract: Operating room fires are prevented by a safety interlock that disables instrumentalities (such as an electrical cautery device) capable of igniting a fire in the presence of oxygen and a fuel source or combustible material such as skin, hair and/or prep agents containing alcohol. Removal of, e.g., the cautery device is sensed by a sensor to disable an oxygen source supplying oxygen to a patient and set a timer. Electrical activation of the cautery device only is permitted upon timing-out of the timer, which timing out is set for a time when oxygen will have cleared from the patient's immediate surroundings. A further safety feature is provided in a further timing, by the same or another timer, of the time during which the patient has been deprived of oxygen. After a short duration, then, the cautery (or other) device is denied electrical power and oxygen is permitted to flow again to the patient.

Abstract: An electrosurgical system is provided which includes an electrosurgical energy source; a return pad including a conductive surface; and a return pad cable connector selectively connectable to the electrosurgical generator. The return pad cable connector includes a cord having a conductive wire disposed therethrough, the conductive wire have a first end which connects to the electrosurgical energy source; and a connector operatively coupled to the cord. The connector includes a conductive surface which is selectively engageable with a corresponding conductive surface disposed on the return pad and is in electrical contact with a second end of the conductive wire, the conductive surface of the connector including a conductive adhesive disposed thereon; and a non-conductive adhesive disposed about the periphery of the conductive surface of the connector for engagement with a corresponding non-conductive adhesive disposed about the periphery of the conductive surface of the return pad.

Abstract: A return pad cable connector, in accordance with the present disclosure, for use with a disposable return pad, includes a cord having a conductive wire disposed therethrough which conductive wire interconnects the return pad cable connector to an electrosurgical energy source. The return pad further includes a connector operatively coupled to the cord, the connector having a conductive surface which is selectively engageable with a corresponding conductive surface disposed on the return pad, the conductive surface of the connector including a conductive adhesive disposed thereon and a non-conductive adhesive disposed above the periphery of the conductive surface of the connector for engagement with a corresponding non-conductive adhesive disposed above the periphery of the conductive surface of the return pad. The connector can include a magnet for magnetically coupling the connector to the conductive surface disposed on the return pad.

Abstract: An electrosurgical return electrode for use in electrosurgery. The return electrode is self-limiting and self-regulating as to maximum current and temperature rise to prevent patient trauma. An inductor is coupled in series with the return electrode. The inductor counteracts at least a portion of the impedance of the return electrode and the patient to optimize the flow of the current when the amount of contact area between the patient and the return electrode is sufficient to perform electrosurgery. The inductor may also be variable to allow the overall impedance of the electrosurgical circuit to be adjusted and tuned to work properly and safely with a particular patient and the other equipment used to perform electrosurgery. A conductor member operates 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.

Abstract: A removable semi-insulating sheet for use in self-limiting electrosurgical return semi-insulating sheet for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the semi-insulating sheet, and through tailoring of semi-insulating sheet geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The semi-insulating sheet has an effective bulk impedance equal to or greater than about 4,000 ?·cm. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery.

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.

Abstract: An electrosurgical system is provided which includes an electrosurgical energy source; a return pad including a conductive surface; and a return pad cable connector selectively connectable to the electrosurgical generator. The return pad cable connector includes a cord having a conductive wire disposed therethrough, the conductive wire have a first end which connects to the electrosurgical energy source; and a connector operatively coupled to the cord. The connector includes a conductive surface which is selectively engageable with a corresponding conductive surface disposed on the return pad and is in electrical contact with a second end of the conductive wire, the conductive surface of the connector including a conductive adhesive disposed thereon; and a non-conductive adhesive disposed about the periphery of the conductive surface of the connector for engagement with a corresponding non-conductive adhesive disposed about the periphery of the conductive surface of the return pad.

Abstract: A return pad cable connector, in accordance with the present disclosure, for use with a disposable return pad, includes a cord having a conductive wire disposed therethrough which conductive wire interconnects the return pad cable connector to an electrosurgical energy source. The return pad clamp further includes a connector operatively coupled to the cord, the connector having a conductive surface which is selectively engageable with a corresponding conductive surface disposed on the return pad, the conductive surface of the connector including a conductive adhesive disposed thereon and a non-conductive adhesive disposed above the periphery of the conductive surface of the connector for engagement with a corresponding non-conductive adhesive disposed above the periphery of the conductive surface of the return pad. The connector can include a magnet for magnetically coupling the connector to the conductive surface disposed on the return pad.

Abstract: A system and method for treating skin. The system comprises a source of radiation for irradiating the skin and a pair of electrodes for applying a voltage to the skin. An electrical meter measures an electrical response of the skin to the applied voltage. A processor adjusts a parameter of the radiation based upon the measured response. The invention may be used to control skin temperature during thermal treatment.

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.

Abstract: An improved method and apparatus is provided as a system to enhance skin appearance and health, in which skin is cleaned (or exfoliated) and conditioned by use of microelements affixed to a base element or hand-held patch. The dimensions of the microelements are controlled so as to remove a certain number of layers of skin cells and to accumulate those skin cells, along with other foreign substances, into areas between the microelements. In addition, a conditioning compound or therapeutic active can be applied to the exfoliated skin to enhance the skin. Moreover, the amount of accumulated skin cells represents a self-limiting maximum quantity that cannot be substantially exceeded regardless of the number of attempts by a user to re-use the microstructure apparatus.

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.

Abstract: A self-limiting electrosurgical return electrode for use with electrosurgery. Through selection of impedance characteristics for the materials of the principal body of the electrode, and through tailoring of electrode geometries, the electrode is self-regulating and self-limiting as to current density and temperature rise to prevent patient trauma. The return electrode includes a sheet of material having an effective bulk impedance equal to or greater than about 4,000&OHgr;.cm and one or more connectors for making electrical connection to the sheet. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. Configuration of the return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery. Through employment of washable surface areas, the electrode is made readily cleanable, disinfectable, sterilizable, and reusable.

Abstract: A capacitive reusable electrosurgical return electrode pad for use with electrosurgery. Through selection of the electrode geometries and the impedance characteristics of the electrode, the electrode is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The electrosurgical return electrode can include a connector and a sheet of material having an effective bulk impedance equal to or greater than about 100,000 &OHgr;·cm. The electrode can have a working surface area from about 11 to about 1,500 square inches (or about 70 to about 10,000 square centimeters). The electrode can be disposed on the working surface of an operating table or dentist's chair immediately underlying a patient during electrosurgery. This very large working surface area eliminates the need for direct contact or contact through conducting gels and by employing washable surface areas, it is made readily cleanable and reusable.

Abstract: The present disclosure provides a method for determining the probability of a patient burn under a return electrode in a monopolar electrosurgical system comprising calculating a heating factor adjacent the return electrode utilizing a first algorithm, calculating a cooling factor adjacent the return electrode utilizing a second algorithm, subtracting the calculated cooling factor from the calculated heating factor to obtain a difference value, comparing the difference value to a threshold value, and adjusting the power dependent on the relationship of the difference value to the threshold value.

Abstract: A self-limiting electrosurgical electrode for use with electrosurgery and various other surgical procedures. The electrode can include a pad and a conductive element that collectively has an effective bulk impedance equal to or greater than about 4,000 &OHgr;·cm. The effective bulk impedance of the electrode arises from resistive components, capacitive components, inductive components, or combinations thereof of both the pad and the conductive element. Through the selection of the impedance characteristics for the electrode materials, and through tailoring of electrode geometries, the electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. Additionally, the selection of materials and electrode geometries can prevent the creation of pressure sore or decubitus ulcers on a patient resting upon the electrode.

Abstract: A removable semi-insulating sheet for use in self-limiting electrosurgical return semi-insulating sheet for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the semi-insulating sheet, and through tailoring of semi-insulating sheet geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The semi-insulating sheet has an effective bulk impedance equal to or greater than about 4,000 &OHgr;·cm. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery.

Abstract: Apparatus (800) for targeted release of a molecule carried in a circulating reservoir, comprising: at least one electrode (804); and a controller (810) adapted to electrify said electrode (804) with at least one electric field, said electric field operative to have at least one desired effect related to said circulating reservoir with said molecule, wherein said electrode and said electrification are adapted such that at least one of said effects is selectively applied to a particular blood vessel that carries blood through tissue and wherein said at least one effect that is selectively applied comprises a release effect, which releases said molecule from said circulating reservoir that circulates in said blood vessel.

Abstract: An apparatus for delivering energy to a biological site includes an electrode device having a plurality of electrodes, the electrode device positioned proximal the biological site. A power control system supplies power having a controllable phase angle to each of the electrodes. A backplate is also positioned proximal the biological site so that the biological site is interposed between the electrode device and the backplate. The backplate is maintained at the reference voltage level in relation to the power. The power control system controls the phase angle of the power so that the current flow between the electrodes and between the electrodes and the backplate results in the continuity and depth of lesions desired. In a preferred embodiment, the electrodes are arranged in a substantially linear array.

Abstract: A self-limiting electrosurgical return electrode for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the electrode, and through tailoring of electrode geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The electrosurgical return electrode includes a sheet of material having an effective bulk impedance equal to or greater than about 4,000 &OHgr;·cm and one or more connectors for making electrical connection to the sheet. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery.

Abstract: In an electrosurgical instrument susceptible to varying load impedance, particularly varying load reactance, a fixed frequency radio frequency generator has an output stage (Q1, Q2, TR2-TR4, C1, VC2, 42) consisting of at least one output power device and, coupled to the power device, an output network with a load-dependent resonant condition. To compensate for variations in the load reactance, the output network has a dynamically variable capacitor (VC2) which maintains the tuning of the network substantially constant. Variation of the capacitor (VC2) is performed by means of a phase comparator and servo device (44) which are responsive to variations in phase difference occurring in the output stage due to load reactance changes.

Abstract: The present disclosure provides a method for determining the probability of a patient burn under a return electrode in a monopolar electrosurgical system comprising calculating a heating factor adjacent the return electrode utilizing a first algorithm, calculating a cooling factor adjacent the return electrode utilizing a second algorithm, subtracting the calculated cooling factor from the calculated heating factor to obtain a difference value, comparing the difference value to a threshold value, and adjusting the power dependent on the relationship of the difference value to the threshold value.

Abstract: A self-limiting electrosurgical electrode for use with electrosurgery and various other surgical procedures. The electrode can include a pad and a conductive element that collectively has an effective bulk impedance equal to or greater than about 4,000 &OHgr;·cm. The effective bulk impedance of the electrode arises from resistive components, capacitive components, inductive components, or combinations thereof of both the pad and the conductive element. Through the selection of the impedance characteristics for the electrode materials, and through tailoring of electrode geometries, the electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. Additionally, the selection of materials and electrode geometries can prevent the creation of pressure sore or decubitus ulcers on a patient resting upon the electrode.

Abstract: An apparatus for delivering energy to a biological site includes an electrode device having a plurality of electrodes, the electrode device positioned proximal the biological site. A power control system supplies power having a controllable phase angle to each of the electrodes. A backplate is also positioned proximal the biological site so that the biological site is interposed between the electrode device and the backplate. The backplate is maintained at the reference voltage level in relation to the power. The power control system controls the phase angle of the power so that the current flow between the electrodes and between the electrodes and the backplate results in the continuity and depth of lesions desired. In a preferred embodiment, the electrodes are arranged in a substantially linear array.

Abstract: The present disclosure provides a method for determining the probability of a patient burn under a return electrode in a momopolar electrosurgical system comprising calculating a heating factor adjacent the return electrode utilizing a first algorithm, calculating a cooling factor adjacent the return electrode utilizing a second algorithm, subtracting the calculated cooling factor from the calculated heating factor to obtain a difference value, comparing the difference value to a threshold value, and adjusting the power dependent on the relationship of the difference value to the threshold value.

Abstract: An apparatus for delivering energy to a biological site includes an electrode device having a plurality of electrodes, the electrode device positioned proximal the biological site. A power control system supplies power having a controllable phase angle to each of the electrodes. A backplate is also positioned proximal the biological site so that the biological site is interposed between the electrode device and the backplate. The backplate is maintained at the reference voltage level in relation to the power. The power control system controls the phase angle of the power so that the current flow between the electrodes and between the electrodes and the backplate results in the continuity and depth of lesions desired. In a preferred embodiment, the electrodes are arranged in a substantially linear array.

Abstract: A method of monitoring the contact of a biomedical electrode to skin of a patient is disclosed, where the phase angle of current flow through one portion of the electrode is compared to the phase angle of current flow through another portion of the electrode. The two portions are both electrical conductors, one having a lossy dielectric surface and the other bare metal. Any monitoring of an electrical interface is possible based on the difference in phase angle. Lift of any portion of the electrode from contact with skin of a patient can be monitored more easily than using conventional Contact Quality Monitoring circuitry and “split plate patient plates.

Abstract: A reusable electrosurgical return electrode pad for use with electrosurgery. In one embodiment it includes a presentation or working surface area at lying in a range of from about 100 to about 20,000 square centimeters. In another the working surface is at least as large as that of a projection of about half of the profile of the trunk of a patient. In yet another, it includes a working surface area at least as large as that of a projection of the profile of both the trunk and legs of a patient. It is adapted for disposition on the working surface of an operating table or dentist's chair immediately underlying a patient during electrosurgery.

Abstract: An electrosurgical apparatus detects separation of a return electrode of the electrosurgical apparatus for cutting and coagulating an organic tissue from a patient. An impedance detecting section detects a contact impedance between the return electrode and the patient and generates an impedance detection signal corresponding to the contact impedance. A first discrimination section discriminates if the impedance detection signal generated by the impedance detecting section falls within a normal range of the contact impedance having predetermined upper and lower limits after the electrosurgical apparatus is powered on. When the first discrimination section detects that the impedance detection signal lies in the normal range, a storage section stores the then impedance detection signal as a reference signal.

Abstract: An apparatus for delivering energy to a biological site includes an electrode device having a plurality of electrodes, the electrode device positioned proximal the biological site. A power control system supplies power having a controllable phase angle to each of the electrodes. A backplate is also positioned proximal the biological site so that the biological site is interposed between the electrode device and the backplate. The backplate is maintained at the reference voltage level in relation to the power. The power control system controls the phase angle of the power so that the current flow between the electrodes and between the electrodes and the backplate results in the continuity and depth of lesions desired. In a preferred embodiment, the electrodes are arranged in a substantially linear array.

Abstract: A method of monitoring the contact of a biomedical electrode to skin of a patient is disclosed, where at least two different frequencies are employed to periodically monitor total contact impedance of the electrode. The ratio of the change of the total contact impedances over time can then be monitored to indicate the amount of lift of the biomedical electrode from human skin to which it is supposed to be adhered. Lift of any portion of the electrode from contact with skin of a patient can be monitored more easily than using conventional Contact Quality Monitoring circuitry and "split plate patient plates.

Abstract: An electrosurgical high frequency generator has a high frequency oscillator and, connected thereto, a regulatable power stage to which a patient current circuit with active and neutral electrodes can be connected via an output transformer. Three parameter sensors for the high frequency current, the high frequency voltage and the arc formation are provided at the output circuit and are connected via an interface to a microcomputer which in turn controls the power stage. In accordance with the invention, a tissue impedance sensor is additionally provided which is likewise connected to the microcomputer via the interface.

Abstract: The invention provides a radiofrequency surgical apparatus comprising a high frequency generator having at least one active electrode output and at least one neutral electrode output to which a part neutral electrode of a neutral electrode pair can be connected, with individual electrodes of the neutral electrode pair being connected to an auxiliary voltage with a significantly lower frequency than the high frequency. A monitoring circuit produces from the auxiliary voltage and the auxiliary current flowing between the part neutral electrodes an impedance signal representative for the impedance between the two part neutral electrodes and transmits a high frequency generator blocking signal and/or an alarm signal on exceeding a first fixed upper alarm limit and/or a lower second upper alarm limit for the impedance signal which can be matched to the actual value of the impedance signal. The adaptation of the second alarm limit is effected by pressing a SET key.

Abstract: A biomedical electrode is disclosed, having a geometry of a perimeter of hydrophilic adhesive exceeding the perimeter of an area containing electrically conductive plate(s). The geometry unexpectedly causes a reduction in edge effect for dispersive electrodes and cardiac stimulation electrodes due the substantial equilibration of the conductive adhesive with epidermis of a patient the electrode contacts for a period of time sufficient to cause such substantial equilibration.

Abstract: A device suitable for testing the integrity of insulation coating an electrosurgical instrument is described. The device includes a test sleeve and a fault detection unit. The test sleeve is generally tubular and defines an open bore with a resilient conductive lining mounted therein. The fault detection unit is coupled to the conductive lining such that establishment of an erroneous current path between the conductive lining and an electrosurgical device is detected.

Abstract: The invention concerns an endoscopic instrument for the high frequency surgical treatment of tissue in body cavities by using a liquid produced as a result of a wash penetrating the cavity. The instrument has a shaft which can be introduced into the cavity and by means of which an active electrode can be placed in the liquid volume. The instrument further has a neutral electrode and a high-frequency generator to which both electrodes are connected by insulated leads. The invention is characterized in that the neutral electrode is arranged at a distance from the active electrode in the liquid volume.

Abstract: A biomedical electrode having an electrically non-conductive backing and at least one, and preferably two, conductive plates contacting the electrically non-conductive backing. A field of lossy dielectric material is used between the electrically conductive plate(s) and the surface of the electrode applied to a patient. A field of conductive adhesive contacts both the conductive plate(s) and the field of lossy dielectric material. The electrode does not operate purely capacitively, nor does it operate purely resistively. Hot spots due to "edge effect" are substantially reduced. At the same time, the biomedical electrode functioning as a electrosurgical dispersive electrode has an impedance within the range expected by the contact monitoring safety circuits provided with many current electrosurgical generators. The biomedical electrode also can function as a cardiac stimulating electrode, such as a defibrillation, cardioversion, or pacing electrode.

Abstract: An electrosurgical generator has an active electrode output connector and a return current connector, the generator providing an electrosurgical current at the active electrode output connector, and including a fault detection circuit for monitoring the proper operation of the generator. An active electrode is connected to the active electrode output connector for receiving the electrosurgical current from the generator and applying the electrosurgical current to a patient. A patient return electrode provides capacitive coupling with the skin of a patient. A patient return electrode cable is electrically connected to the patient return electrode. An interface module is electrically connected to the return current connector of the generator and to the patient return electrode cable for permitting return of the electrosurgical current from the patient to the generator via the patient return electrode and the patient return electrode cable.

Abstract: An electrosurgical system having a visual indicator is provided. In a first embodiment, the electrosurgical system includes an active electrode coupled to a power supply for providing electrosurgical energy from the power supply to a tissue area and a return electrode separated from the active electrode, the return electrode being adapted to receive a current flowing through the tissue. The electrosurgical system further includes a lamp in electrical communication with the active and return electrodes, wherein the neon bulb is illuminated when the current flowing through the tissue exceeds a predetermined threshold. In a further embodiment, the electrosurgical system includes a second lamp illuminated when a voltage through the tissue is greater than a predetermined threshold. In another embodiment, a monopolar electrosurgical device includes a visual indicator for indicating conditions at an area of affected tissue.

Abstract: The noise received by the unused connectors limits the accuracy of a device for measuring the leakage from a piece of electronic medical equipment. To reduce noise the device is surrounded by a Faraday shield which encloses unused connectors of the device. The shielded connector includes a post having a transverse hole near its distal end. A coil spring surrounds the post end and is connected to the Faraday shield of the device. An insulated retainer prevents the distal end of the coil spring from extending beyond the end of the post. The retainer is compressed against the coil spring to expose the transverse hole when a lead is to be attached to the connector.

Abstract: A high frequency heating power device for an implanted device comprises a switch circuit, an input/output circuit, a high-frequency signal generating circuit, and a check circuit. When a high frequency output circuit applies a high frequency measuring voltage between a guide wire and the body ground board, a voltage is detected which corresponds to the impedance of a circuit which is made up of lead wires, the guide wire, the patient's body, and the body grounding board. It is determined by a discriminating circuit whether or not the voltage thus detected is in a predetermined allowable voltage range. The operator is informed of the discrimination by means of a display circuit and a buzzer circuit, so that he can determine the position of the end of the guide wire with respect to the end of the catheter with ease.

Abstract: A biomedical electrode is disclosed, having a geometry of conductive plates along a longitudinal axis of the electrode such that interior edge(s) of the plate(s) adjoining the axis are curvilinear or otherwise non-parallel to the axis. The geometry permits the electrode to register an earlier detection of a CQM alarm condition if a portion of the electrode unpeels from contact with the body of a mammalian patient before the extent of unpeeling would otherwise cause a CQM alarm condition established by and issued from an electrosurgical generator.

Abstract: A controlled return path monitoring system is used in combination with an electrosurgical generator unit employing an active electrode for performing electrosurgery. The system includes internal electrode which is disposed, in use, within the body of a patient in proximity to the active electrode and is electrically connected to the electrosurgical generator unit so as to provide a preferred current return path back to the electrosurgical generator unit, and an external electrode which is disposed, in use, on the body of the patient and is electrically connected to the electrosurgical generator unit so as to provide a safety current return path back to the electrosurgical generator unit. A detector monitors the return current flow from the two electrodes back to the electrosurgical generator unit and controls the unit in accordance with the monitored return current flow, e.g., shuts off the unit when the flow exceeds a predetermined level.