# US 12,178,495 B2 · Filter for monopolar surgical instrument energy path > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,178,495 B2 - Document ID: US12178495B2 - Status: Granted - Kind: B2 - Application number: 17/136,137 - Filed: 2020-12-29 - Published: 2022-06-30 - Granted: 2024-12-31 - Earliest claimed: 2020-12-29 - Assignees: Cilag GmbH International - Applicants: Ethicon LLC - Inventors: Frederick E. Shelton, IV; David C. Yates - Web page: https://patentgrep.com/patent/US12178495B2 ## CPC - A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod} - A61B 18/1206: {Generators therefor} - A61B 18/16: Indifferent or passive electrodes for grounding - A61B 18/1233: {with circuits for assuring patient safety} - A61B 18/1402: {Probes for open surgery} - A61B 18/148: {having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy} - A61B 34/30: Surgical robots - A61B 2018/00589: {Coagulation} - A61B 2018/00601: {Cutting} - A61B 2018/00613: {Irreversible electroporation} - A61B 2018/00619: {Welding} - A61B 2018/0063: {Sealing} - A61B 2018/00779: {Power or energy} - A61B 2018/00827: {Current} - A61B 2018/00892: {Voltage} - A61B 2018/00898: {Alarms or notifications created in response to an abnormal condition} - A61B 2018/1253: {monopolar} - A61B 2018/126: {bipolar} - A61B 2018/128: {generating two or more frequencies} - A61B 2018/1286: {having a specific transformer} - A61B 2018/1293: {having means to prevent interference} - A61B 2018/147: {Electrodes transferring energy by capacitive coupling, i.e. with a dielectricum between electrode and target tissue} - A61B 2018/165: {Multiple indifferent electrodes} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An electrosurgical system includes an instrument, an RF energy generator, and two ground pads. The instrument includes an electrode and a conductive shield that is configured to collect a capacitive coupling current that is induced by the application of RF energy to tissue by the electrode. A first electrical lead couples the first ground pad with the ground return of the conductive shield and the generator. The ground return is configured to divert a first portion of the capacitive coupling current to the generator via the first electrical lead. A second electrical lead couples the second ground pad with the ground return of the conductive shield and the generator. The ground return is configured to divert a second portion of the capacitive coupling current to the generator via the second electrical lead. The first and second portions of the capacitive coupling current are substantially equal. ## Claims ### Claim 1 An electrosurgical system, comprising: (a) an instrument, including: (i) a body, (ii) an end effector coupled with a distal end of the body, wherein the end effector includes an electrode operable to apply RF energy to tissue, and (iii) a conductive shield coupled with the body and including a ground return, wherein the conductive shield is configured to collect a capacitive coupling current that is induced by the application of the RF energy by the electrode and to route the capacitive coupling current to the ground return; (b) a generator configured to provide the RF energy to the electrode; (c) a first ground pad having a first electrical lead that couples the first ground pad with the generator for providing a first return path for at least some of the RF energy from the generator via the first ground pad; and (d) a second ground pad having a second electrical lead that couples the second ground pad with the generator for providing a second return path for at least some of the RF energy from the generator via the second ground pad, wherein: the ground return of the conductive shield is coupled with the first electrical lead such that a first portion of the capacitive coupling current is provided to the generator via the ground return and the first electrical lead and is diverted away from the first ground pad and the second ground pad; the ground return of the conductive shield is further coupled with the second electrical lead such that a second portion of the capacitive coupling current is provided to the generator via the ground return and the second electrical lead simultaneously with the first portion of the capacitive coupling current and is diverted away from the first ground pad and the second ground pad; and the first and second portions of the capacitive coupling current are substantially equal. ### Claim 2 (depends on 1) The electrosurgical system of claim 1, wherein the RF energy has a frequency of between approximately 300 kHz and approximately 500 kHz. ### Claim 3 (depends on 1) The electrosurgical system of claim 1, further comprising: (a) a conductive bridge configured to electrically couple the ground return, the first electrical lead, and the second electrical lead together; and (b) a signal filter electrically positioned between the first electrical lead and the second electrical lead. ### Claim 4 (depends on 3) The electrosurgical system of claim 3, wherein the signal filter includes a high-pass filter. ### Claim 5 (depends on 3) The electrosurgical system of claim 3, wherein the generator is configured to provide a diagnostic signal to the first ground pad via the first electrical lead, wherein the second ground pad is configured to return at least a portion of the diagnostic signal to the generator via the second electrical lead, wherein the signal filter is configured to prevent the diagnostic signal from passing through the conductive bridge. ### Claim 6 (depends on 5) The electrosurgical system of claim 5, wherein the diagnostic signal has a frequency of between approximately 15 kHz and approximately 50 kHz. ### Claim 7 (depends on 1) The electrosurgical system of claim 1, further comprising: a transformer configured to electrically couple between the ground return, the first electrical lead, and the second electrical lead, wherein the transformer is operable to transfer the first portion of the capacitive coupling current from the conductive shield to the first electrical lead and the second portion of the capacitive coupling current from the conductive shield to the second electrical lead. ### Claim 8 (depends on 1) The electrosurgical system of claim 1, wherein the generator is configured to apply monopolar RF energy to a patient. ### Claim 9 (depends on 1) The electrosurgical system of claim 1, wherein: the generator is configured to provide alternating diagnostic signals between the first and second ground pads via the first and second electrical leads; and for each alternating diagnostic signal provided to either of the first and second ground pads, an opposing one of the first and second ground pads is configured to return at least a portion of the alternating diagnostic signal to the generator. ### Claim 10 An electrosurgical system, comprising: (a) an instrument, including: (i) a body, (ii) an end effector coupled with a distal end of the body, wherein the end effector includes an electrode operable to apply RF energy to tissue, and (ii) a conductive shield coupled with the body and including a ground return, wherein the conductive shield is configured to collect a capacitive coupling current that is induced by the application of the RF energy by the electrode and to route the capacitive coupling current to the ground return; (b) a first ground pad having a first electrical lead, wherein the first electrical lead couples the first ground pad with a ground source for providing a first return path for at least some of the RF energy from the generator via the first ground pad; (c) a second ground pad having a second electrical lead, wherein the second electrical lead couples the second ground pad with the ground source for providing a second return path for at least some of the RF energy from the generator via the second ground pad; and (d) a conductive bridge configured to electrically couple the ground return of the conductive shield, the first electrical lead, and the second electrical lead together to provide a simultaneous grounding path for the ground return of the conductive shield along each of the first return path and the second return path such that a first portion of the capacitive coupling current is provided to the ground source via the ground return and the first electrical lead and a second portion of the capacitive coupling current is provided to the ground source via the ground return and the second electrical lead to prevent the first and second portions of the capacitive coupling current from being routed through the first and second ground pads, wherein the first and second portions of the capacitive coupling current are substantially equal. ### Claim 11 (depends on 10) The electrosurgical system of claim 10, wherein the conductive bridge includes a signal filter electrically positioned between the first electrical lead and the second electrical lead. ### Claim 12 (depends on 11) The electrosurgical system of claim 11, further comprising a generator configured to provide the RF energy, wherein the generator is configured to provide a diagnostic signal to the first ground pad via the first electrical lead, wherein the second ground pad is configured to return at least a portion of the diagnostic signal to the generator via the second electrical lead, wherein the signal filter prevents the diagnostic signal from passing through the conductive bridge. ### Claim 13 (depends on 11) The electrosurgical system of claim 11, wherein the signal filter includes a high-pass filter. ### Claim 14 (depends on 10) The electrosurgical system of claim 10, wherein the conductive bridge includes a transformer, wherein the transformer is operable to transfer the first portion of the capacitive coupling current from the conductive shield to the first electrical lead and the second portion of the capacitive coupling current from the conductive shield to the second electrical lead. ### Claim 15 (depends on 10) The electrosurgical system of claim 10, wherein the RF energy has a frequency of between approximately 300 kHz and approximately 500 KHz. ### Claim 16 An electrosurgical system comprising: (a) an instrument, including: (i) a body, (ii) an end effector coupled with a distal end of the body, wherein the end effector includes an electrode operable to apply RF energy to tissue, and (iii) a conductive shield coupled with the body and including a ground return, wherein the conductive shield is configured to collect a capacitive coupling current that is induced by the application of the RF energy by the electrode and to route the capacitive coupling current to the ground return; (b) a generator configured to provide the RF energy to the electrode; (c) a first ground pad electrically coupled with the generator for providing a first return path for at least some of the RF energy from the generator via the first ground pad; and (d) a second ground pad electrically coupled with the generator for providing a second return path for at least some of the RF energy from the generator via the second ground pad, wherein: the ground return of the conductive shield is electrically coupled with the first return path such that a first portion of the capacitive coupling current is provided to the generator via the ground return and the first return path and bypasses the first ground pad and the second ground pad; the ground return of the conductive shield is electrically coupled with the second return path such that a second portion of the capacitive coupling current is provided to the generator via the ground return and the second return path and bypasses the first ground pad and the second ground pad; and the first and second portions of the capacitive coupling current are substantially equal. ### Claim 17 (depends on 16) The electrosurgical system of claim 16 further including a signal filter electrically coupled with each of the first ground pad, the second ground pad and the generator such that the signal filter is electrically positioned between the first return path and the second return path. ### Claim 18 (depends on 17) The electrosurgical system of claim 17, wherein the generator is configured to provide a diagnostic signal to the first ground pad via the first return path, wherein the second ground pad is configured to return at least a portion of the diagnostic signal to the generator via the second return path, wherein the signal filter is configured to prevent the diagnostic signal from passing between the first return path and the second return path. ### Claim 19 (depends on 16) The electrosurgical system of claim 16, further comprising: a transformer configured to electrically couple between the ground return, the first ground pad, and the second ground pad, wherein the transformer is operable to transfer the first portion of the capacitive coupling current from the conductive shield to the first return path and the second portion of the capacitive coupling current from the conductive shield to the second return path. ### Claim 20 (depends on 16) The electrosurgical system of claim 16, wherein: the generator is configured to provide alternating diagnostic signals between the first and second ground pads via the first and second return paths; and for each alternating diagnostic signal provided to either of the first and second ground pads, an opposing one of the first and second ground pads is configured to return at least a portion of the alternating diagnostic signal to the generator.