CA2748008C - Electrosurgical rotating cutting device - Google Patents
Electrosurgical rotating cutting device Download PDFInfo
- Publication number
- CA2748008C CA2748008C CA2748008A CA2748008A CA2748008C CA 2748008 C CA2748008 C CA 2748008C CA 2748008 A CA2748008 A CA 2748008A CA 2748008 A CA2748008 A CA 2748008A CA 2748008 C CA2748008 C CA 2748008C
- Authority
- CA
- Canada
- Prior art keywords
- cutting element
- distal portion
- asymmetrical
- sheath
- electrosurgical
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/149—Probes or electrodes therefor bow shaped or with rotatable body at cantilever end, e.g. for resectoscopes, or coagulating rollers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1485—Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00336—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B2017/32004—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes having a laterally movable cutting member at its most distal end which remains within the contours of said end
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00184—Moving parts
- A61B2018/00196—Moving parts reciprocating lengthwise
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
- A61B2018/00494—Stomach, intestines or bowel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/0094—Types of switches or controllers
- A61B2018/00946—Types of switches or controllers slidable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/0094—Types of switches or controllers
- A61B2018/00952—Types of switches or controllers rotatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1422—Hook
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1475—Electrodes retractable in or deployable from a housing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
- A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Otolaryngology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13998008P | 2008-12-22 | 2008-12-22 | |
| US61/139,980 | 2008-12-22 | ||
| PCT/US2009/069259 WO2010075425A1 (en) | 2008-12-22 | 2009-12-22 | Electrosurgical rotating cutting device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2748008A1 CA2748008A1 (en) | 2010-07-01 |
| CA2748008C true CA2748008C (en) | 2016-09-13 |
Family
ID=41689843
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2748008A Active CA2748008C (en) | 2008-12-22 | 2009-12-22 | Electrosurgical rotating cutting device |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US8518035B2 (enExample) |
| EP (1) | EP2389131B1 (enExample) |
| JP (1) | JP5572637B2 (enExample) |
| AU (1) | AU2009329999B2 (enExample) |
| CA (1) | CA2748008C (enExample) |
| WO (1) | WO2010075425A1 (enExample) |
Families Citing this family (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9867664B2 (en) * | 2010-05-03 | 2018-01-16 | Covidien Lp | System and method of deploying an antenna assembly |
| KR101356607B1 (ko) * | 2012-06-26 | 2014-02-03 | 신경민 | 고주파 처치 장치 |
| WO2014158513A1 (en) | 2013-03-13 | 2014-10-02 | Cook Medical Technologies Llc | Rotation mechanism for bipolar and monopolar devices |
| JP6129114B2 (ja) * | 2014-05-15 | 2017-05-17 | オリンパス株式会社 | 処置具用アダプタおよび手術用マニピュレータシステム |
| US20160206872A1 (en) * | 2015-01-16 | 2016-07-21 | Medtronic, Inc. | Interventional medical tools and assemblies |
| US10492857B2 (en) * | 2015-08-06 | 2019-12-03 | Boston Scientific Scimed Inc | Deployment control apparatus for a catheter with a deployable array |
| ITUA20161723A1 (it) | 2016-03-16 | 2017-09-16 | A M S Group S R L | Dispositivo per il trattamento di ablazione del legamento giallo mediante radiofrequenza |
| US11617611B2 (en) | 2016-06-17 | 2023-04-04 | Megadayne Medical Products, Inc. | Hand-held instrument with dual zone fluid removal |
| KR102720891B1 (ko) * | 2019-07-08 | 2024-10-24 | 쿡 메디컬 테크놀러지스 엘엘씨 | 내장형 진동 박리기를 구비한 내시경 절제술용 캡 |
| WO2025106508A1 (en) * | 2023-11-16 | 2025-05-22 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Adjustable electrosurgical knife with apical electrode |
Family Cites Families (37)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3730185A (en) * | 1971-10-29 | 1973-05-01 | Cook Inc | Endarterectomy apparatus |
| JPS5552748A (en) * | 1978-10-12 | 1980-04-17 | Olympus Optical Co | Highhfrequency incising tool |
| US4865030A (en) * | 1987-01-21 | 1989-09-12 | American Medical Systems, Inc. | Apparatus for removal of objects from body passages |
| US5024617A (en) * | 1989-03-03 | 1991-06-18 | Wilson-Cook Medical, Inc. | Sphincterotomy method and device having controlled bending and orientation |
| US5241970A (en) * | 1991-05-17 | 1993-09-07 | Wilson-Cook Medical, Inc. | Papillotome/sphincterotome procedures and a wire guide specially |
| US5490836A (en) * | 1991-10-18 | 1996-02-13 | Desai; Ashvin H. | Endoscopic surgical instrument |
| US5601582A (en) * | 1994-11-16 | 1997-02-11 | Wilson-Cook Medical Inc. | Cutting catheter |
| US5785531A (en) * | 1996-06-06 | 1998-07-28 | Wilson-Cook Medical Incorporated | Cuttable papilla and sphincterotomy training apparatus |
| US6352539B1 (en) | 1997-05-02 | 2002-03-05 | Scilogy Corp. | Surgical instrument with rotatable shaft |
| CA2296305C (en) | 1997-07-14 | 2006-09-12 | Ralph V. Clayman | Pneumatic tissue dissector with exhaust system |
| US6602250B2 (en) * | 2000-01-31 | 2003-08-05 | Wilson-Cook Medical Incorporated | Echogenic wire knife |
| DK1284775T3 (da) * | 2000-05-18 | 2005-12-12 | Wilson Cook Medical Inc | Medicinsk indretning med forbedret trådföringsadgang |
| JP2002153484A (ja) * | 2000-11-20 | 2002-05-28 | Asahi Optical Co Ltd | 内視鏡用高周波切開具 |
| US6949099B2 (en) * | 2002-04-12 | 2005-09-27 | Olympus Corporation | Incising device for use with an endoscope |
| JP4109092B2 (ja) | 2002-11-21 | 2008-06-25 | オリンパス株式会社 | 高周波ナイフ |
| JP4068989B2 (ja) * | 2003-02-20 | 2008-03-26 | オリンパス株式会社 | 高周波処置具 |
| JP3923022B2 (ja) * | 2003-02-28 | 2007-05-30 | オリンパス株式会社 | 内視鏡用処置具 |
| JP4315725B2 (ja) * | 2003-04-17 | 2009-08-19 | オリンパス株式会社 | 高周波ナイフ |
| FR2867964B1 (fr) * | 2004-03-24 | 2007-08-10 | Pentax Corp | Instrument de traitement par haute frequence pour endoscope |
| JP4246667B2 (ja) * | 2004-05-21 | 2009-04-02 | Ｈｏｙａ株式会社 | 内視鏡用高周波処置具 |
| JP4895509B2 (ja) * | 2005-02-09 | 2012-03-14 | Ｈｏｙａ株式会社 | 内視鏡用処置具 |
| US7559452B2 (en) * | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
| US7566913B2 (en) * | 2005-12-02 | 2009-07-28 | Nitronex Corporation | Gallium nitride material devices including conductive regions and methods associated with the same |
| US7850686B2 (en) * | 2006-03-30 | 2010-12-14 | Ethicon Endo-Surgery, Inc. | Protective needle knife |
| AU2007201675B2 (en) * | 2006-05-01 | 2012-05-24 | Ethicon Endo-Surgery, Inc. | Dual-bend sphinctertome |
| US8328836B2 (en) * | 2006-05-01 | 2012-12-11 | Ethicon Endo-Surgery, Inc. | Flexible endoscopic safety needle |
| US20070255303A1 (en) * | 2006-05-01 | 2007-11-01 | Ethicon Endo-Surgery, Inc. | Integrated Guidewire Needle Knife Device |
| JP4616210B2 (ja) * | 2006-06-01 | 2011-01-19 | オリンパスメディカルシステムズ株式会社 | 高周波処置具 |
| AU2008229643A1 (en) * | 2007-03-21 | 2008-09-25 | Chun Meng Low | Card game |
| JP5048391B2 (ja) | 2007-04-27 | 2012-10-17 | 直久 矢作 | 内視鏡用処置具 |
| US20080275444A1 (en) | 2007-05-02 | 2008-11-06 | Olympus Medical Systems Corp. | Endoscopic treatment instrument and tissue incision method |
| JP5111931B2 (ja) * | 2007-05-07 | 2013-01-09 | オリンパスメディカルシステムズ株式会社 | 内視鏡用処置具 |
| US8142431B2 (en) * | 2007-06-28 | 2012-03-27 | Cook Medical Technologies Llc | Sphincterotome cutting wire improvement |
| US8197504B2 (en) * | 2008-05-01 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | Safe tissue puncture device |
| US8906035B2 (en) * | 2008-06-04 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Endoscopic drop off bag |
| US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
| US20100198248A1 (en) | 2009-02-02 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical dissector |
-
2009
- 2009-12-22 AU AU2009329999A patent/AU2009329999B2/en active Active
- 2009-12-22 JP JP2011543652A patent/JP5572637B2/ja active Active
- 2009-12-22 EP EP09796257.5A patent/EP2389131B1/en active Active
- 2009-12-22 CA CA2748008A patent/CA2748008C/en active Active
- 2009-12-22 WO PCT/US2009/069259 patent/WO2010075425A1/en not_active Ceased
- 2009-12-22 US US12/644,951 patent/US8518035B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| AU2009329999B2 (en) | 2013-10-10 |
| US8518035B2 (en) | 2013-08-27 |
| JP2012513291A (ja) | 2012-06-14 |
| JP5572637B2 (ja) | 2014-08-13 |
| WO2010075425A1 (en) | 2010-07-01 |
| EP2389131B1 (en) | 2013-08-21 |
| EP2389131A1 (en) | 2011-11-30 |
| US20100160911A1 (en) | 2010-06-24 |
| AU2009329999A1 (en) | 2011-07-14 |
| CA2748008A1 (en) | 2010-07-01 |
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