System and method for detecting application of grounding pad for ablation devices

Patent metadata

Field	Value
Publication number	US-11617619-B2
Application number	US-202017089325-A
Country	US
Kind code	B2
Filing date	Nov 4, 2020
Priority date	Nov 4, 2020
Publication date	Apr 4, 2023
Grant date	Apr 4, 2023

Abstract

Disclosed herein is an RF ablation system including a plurality of electrodes, a ground pad, and a signal generator. The electrodes are positioned at respective tissue sites within a patient's body, and the ground pad is positioned on the patient's body. The signal generator is coupled to the ground pad and the electrodes via corresponding channels including a selected channel and unselected channels. The signal generator commutates switching circuits for the corresponding channels to close the selected channel and to open the unselected channels, and measures a first impedance over the selected channel. The signal generator commutates the switching circuits to close the selected channel and the unselected channels, and then measures a second impedance. The signal generator computes a difference between the first and second impedances, and determines the ground pad has at least a poor electrical connection to the patient's body when the difference exceeds a threshold.

First claim

What is claimed is:

1. A radio frequency (RF) ablation system comprising:
a plurality of electrodes configured to be positioned at respective tissue sites within a patient's body;
a ground pad configured to be positioned on the patient's body to provide a ground path from the patient's body; and
a signal generator coupled to the ground pad and further coupled to the plurality of electrodes via corresponding channels, the corresponding channels including a selected channel and a plurality of unselected channels, the signal generator comprising switching circuitry configured to selectively open and close each of the corresponding channels, the signal generator configured to:
provide one or more control signals to reverse the switching circuitry for the corresponding channels to close the selected channel and to open the plurality of unselected channels;
measure a first impedance over the selected channel;
provide one or more control signals to reverse the switching circuitry to close the selected channel and the plurality of unselected channels;
measure a second impedance over the selected channel;
compute a difference between the first impedance and the second impedance; and
determine the ground pad has at least a poor electrical connection to the patient's body when the difference exceeds a threshold.

2. The RF ablation system of claim 1 , wherein the threshold is in a range of 25 to 200 ohms.

3. The RF ablation system of claim 1 , wherein the signal generator is further configured to measure the first impedance by transmitting a first low-power RF signal over the selected channel and measuring a current and a voltage, and computing the first impedance based on the current and voltage.

4. The RF ablation system of claim 1 , wherein the signal generator is further configured to transmit an RF ablation signal over the selected channel.

5. The RF ablation system of claim 4 , wherein the signal generator is further configured to time-multiplex the RF ablation signal over each of the corresponding channels.

6. The RF ablation system of claim 1 , wherein the ground pad comprises only a single contact.

7. A method of detecting placement of a ground pad for a radio frequency (RF) ablation system, the RF ablation system including a plurality of electrodes configured to be positioned at respective tissue sites within a patient's body, a ground pad configured to be positioned on the patient's body to provide a ground path from the patient's body, and a signal generator coupled to the ground pad and further coupled to the plurality of electrodes via corresponding channels, the corresponding channels including a selected channel and a plurality of unselected channels, the signal generator including switching circuitry configured to selectively open and close each of the corresponding channels, the method comprising:
providing one or more control signals to reverse the switching circuitry to close the selected channel and to open the plurality of unselected channels;
measuring a first impedance over the selected channel;
providing one or more control signals to reverse the switching circuitry to close the selected channel and the plurality of unselected channels;
measuring a second impedance over the selected channel;
computing a difference between the first impedance and the second impedance; and
determining the ground pad has at least a poor electrical connection to the patient's body when the difference exceeds a threshold.

8. The method of claim 7 , wherein measuring the first impedance comprises:
transmitting a first low-power RF signal over the selected channel;
measuring a current conducted through the selected channel and an RMS voltage applied to the selected channel; and
computing the first impedance based on the current and the RMS voltage.

9. The method of claim 8 , wherein transmitting a first low-power RF signal comprises:
generating an RF signal at a therapeutic ablation frequency; and
supplying the RF signal to the selected channel.

10. The method of claim 7 further comprising determining the ground pad is properly applied when the difference does not exceed the threshold.

11. The method of claim 10 further comprising:
providing one or more control signals to reverse the switching circuitry to close the selected channel and to open the unselected channels; and
transmitting an RF ablation signal over the selected channel.

12. The method of claim 11 further comprising time-multiplexing the RF ablation signal over each of the corresponding channels.

13. The method of claim 7 further comprising placing the ground pad at a grounding site on the patient's body.

14. A signal generator for radio frequency (RF) ablation therapy, the signal generator comprising:
a ground terminal configured to be coupled to a ground pad for application to a patient's body;
a plurality of channels configured to be coupled to corresponding electrodes for placement in the patient's body to form corresponding RF circuits, the plurality of channels including a selected channel and a plurality of unselected channels;
a plurality of switching circuits corresponding to the plurality of channels and configured to open and close the corresponding RF circuits; and
a microcontroller configured to:
commutate the plurality of switching circuits to close the selected channel and to open the plurality of unselected channels;
compute a first impedance over the selected channel;
commutate the plurality of switching circuits to close the selected channel and the plurality of unselected channels;
compute a second impedance over the selected channel;
compute a difference between the first impedance and the second impedance; and
determine the ground pad has at least a poor electrical connection to the patient's body when the difference exceeds a threshold.

15. The signal generator of claim 14 , wherein the threshold is in a range of 25 to 200 ohms.

16. The signal generator of claim 14 further comprising;
a current sensing circuit configured to measure a first current through the selected channel when the selected channel is closed and the plurality of unselected channels is open, and a second current when the selected channel is closed and the plurality of unselected channels is closed; and
a voltage sensing circuit configured to measure a first root mean squared (RMS) voltage applied to the selected channel when the selected channel is closed and the plurality of unselected channels is open, and a second RMS voltage when the selected channel is closed and the plurality of unselected channels is closed.

17. The signal generator of claim 16 , wherein the microcontroller is further configured to receive the first current and the second current from the current sensing circuit, and the first RMS voltage and the second RMS voltage from the voltage sensing circuit, and wherein the microcontroller computes the first impedance based on the first current and the first RMS voltage, and the second impedance based on the second current and the second RMS voltage.

18. The signal generator of claim 17 further comprising an RF source configured to transmit a first low-power RF signal over the selected channel for the purpose of measuring the first current and the first RMS voltage, and transmit a second low-power RF signal over the selected channel for the purpose of measuring the second current and the second RMS voltage.

19. The signal generator of claim 14 , wherein the microcontroller is further configured to time-multiplex an RF ablation s

Assignees

• Advanced Neuromodulation Systems Inc

Inventors

• Oh Seil
• Balasingh Binesh
• Winstrom William

Classifications

• A61B2018/1253

  monopolar · CPC title

• A61B2018/00892

  Voltage · CPC title

• A61B2018/00916

  with means for switching or controlling the main function of the instrument or device · CPC title

• A61B2018/00654

  with individual control of each of a plurality of energy emitting elements · CPC title

• A61B18/1206

  Generators therefor · CPC title