CN102292045B - 治疗处理装置及治疗用处理器具 - Google Patents

治疗处理装置及治疗用处理器具 Download PDF

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Publication number
CN102292045B
CN102292045B CN200980155177.6A CN200980155177A CN102292045B CN 102292045 B CN102292045 B CN 102292045B CN 200980155177 A CN200980155177 A CN 200980155177A CN 102292045 B CN102292045 B CN 102292045B
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China
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mentioned
offset portion
rod
fault offset
energy
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Expired - Fee Related
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CN200980155177.6A
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English (en)
Chinese (zh)
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CN102292045A (zh
Inventor
坂尾智美
饭田浩司
稻垣原理
高篠智之
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Olympus Corp
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Olympus Medical Systems Corp
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Expired - Fee Related legal-status Critical Current
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    • 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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • 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
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • A61B18/085—Forceps, scissors
    • 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
    • A61B18/1206—Generators therefor
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00827—Current
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00869—Phase
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00892—Voltage
    • 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
    • A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
    • 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
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
CN200980155177.6A 2009-01-21 2009-12-22 治疗处理装置及治疗用处理器具 Expired - Fee Related CN102292045B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US12/356,767 2009-01-21
US12/356,767 US20100185196A1 (en) 2009-01-21 2009-01-21 Medical treatment apparatus, treatment instrument and treatment method for living tissue using energy
PCT/JP2009/071275 WO2010084683A1 (ja) 2009-01-21 2009-12-22 治療処置装置および治療用処置具

Publications (2)

Publication Number Publication Date
CN102292045A CN102292045A (zh) 2011-12-21
CN102292045B true CN102292045B (zh) 2015-03-18

Family

ID=42337533

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CN200980155177.6A Expired - Fee Related CN102292045B (zh) 2009-01-21 2009-12-22 治疗处理装置及治疗用处理器具

Country Status (5)

Country Link
US (1) US20100185196A1 (https=)
EP (1) EP2380515A4 (https=)
JP (2) JP4801220B2 (https=)
CN (1) CN102292045B (https=)
WO (1) WO2010084683A1 (https=)

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US8500735B2 (en) * 2008-04-01 2013-08-06 Olympus Medical Systems Corp. Treatment method for living tissue using energy
US8500736B2 (en) * 2008-04-01 2013-08-06 Olympus Medical Systems Corp. Treatment method for living tissue using energy
EP2745793B1 (en) * 2011-12-12 2016-02-24 Olympus Corporation Treatment system
JP5412602B2 (ja) * 2011-12-12 2014-02-12 オリンパスメディカルシステムズ株式会社 処置システムおよび処置システムの作動方法
WO2013088892A1 (ja) * 2011-12-12 2013-06-20 オリンパスメディカルシステムズ株式会社 処置システム及び処置システムの制御方法
EP2946737A1 (en) * 2012-03-19 2015-11-25 Olympus Medical Systems Corp. Grasping treatment device
JP5572772B2 (ja) * 2012-04-20 2014-08-13 オリンパスメディカルシステムズ株式会社 手術装置
EP2801333A4 (en) * 2012-04-20 2015-10-14 Olympus Medical Systems Corp SURGICAL DEVICE
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JP5988868B2 (ja) * 2012-12-27 2016-09-07 オリンパス株式会社 治療用処置装置
JP5677633B2 (ja) * 2013-01-10 2015-02-25 学校法人慶應義塾 手術用高周波電気外科用処置具と手術用高周波電気外科用システム
JP5988885B2 (ja) * 2013-01-30 2016-09-07 オリンパス株式会社 治療用処置装置
US9597141B2 (en) 2013-09-03 2017-03-21 Covidien Lp Switch assemblies for multi-function surgical instruments and surgical instruments incorporating the same
US9713492B2 (en) 2013-09-03 2017-07-25 Covidien Lp Switch assemblies for multi-function surgical instruments and surgical instruments incorporating the same
US9579117B2 (en) 2013-09-25 2017-02-28 Covidien Lp Multi-function surgical instruments
US9987035B2 (en) * 2013-12-02 2018-06-05 Covidien Lp Surgical instrument with end-effector assembly including three jaw members and methods of cutting tissue using same
US9987075B2 (en) * 2013-12-02 2018-06-05 Covidien Lp Surgical instrument with end-effector assembly including three jaw members
US9987071B2 (en) * 2013-12-02 2018-06-05 Covidien Lp Surgical instrument with end-effector assembly including three jaw members
WO2015099068A1 (ja) * 2013-12-27 2015-07-02 オリンパス株式会社 処置具
US10231776B2 (en) 2014-01-29 2019-03-19 Covidien Lp Tissue sealing instrument with tissue-dissecting electrode
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CN106132331B (zh) * 2014-08-26 2018-10-26 奥林巴斯株式会社 电外科处置系统
US9877777B2 (en) 2014-09-17 2018-01-30 Covidien Lp Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly
US9931158B2 (en) 2014-09-17 2018-04-03 Covidien Lp Deployment mechanisms for surgical instruments
US9987076B2 (en) 2014-09-17 2018-06-05 Covidien Lp Multi-function surgical instruments
US9918785B2 (en) 2014-09-17 2018-03-20 Covidien Lp Deployment mechanisms for surgical instruments
US10080605B2 (en) 2014-09-17 2018-09-25 Covidien Lp Deployment mechanisms for surgical instruments
US9687294B2 (en) 2014-11-17 2017-06-27 Covidien Lp Deployment mechanism for surgical instruments
US9687293B2 (en) 2014-11-17 2017-06-27 Covidien Lp Deployment mechanism for surgical instruments
US9814517B2 (en) 2014-11-17 2017-11-14 Covidien Lp Deployment mechanisms for multi-function surgical instruments
US9867656B2 (en) 2014-11-17 2018-01-16 Covidien Lp Multi-function surgical instruments
US9814516B2 (en) 2014-11-17 2017-11-14 Covidien Lp Deployment mechanisms for multi-function surgical instruments
US9724153B2 (en) 2014-11-17 2017-08-08 Covidien Lp Deployment mechanisms for surgical instruments
US10478245B2 (en) 2014-12-10 2019-11-19 Covidien Lp Energizable attachment for surgical devices
DE112015006004T5 (de) * 2015-02-27 2017-10-26 Olympus Corporation Medizinische Behandlungsvorrichtung, Verfahren zum Bedienen einer medizinischen Behandlungsvorrichtung und Behandlungsverfahren
US10206736B2 (en) 2015-03-13 2019-02-19 Covidien Lp Surgical forceps with scalpel functionality
USD844138S1 (en) 2015-07-17 2019-03-26 Covidien Lp Handle assembly of a multi-function surgical instrument
USD844139S1 (en) 2015-07-17 2019-03-26 Covidien Lp Monopolar assembly of a multi-function surgical instrument
CN107106232B (zh) * 2015-07-24 2019-10-08 奥林巴斯株式会社 能量处置系统、能量控制装置以及能量处置器具
US10537381B2 (en) 2016-02-26 2020-01-21 Covidien Lp Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly
WO2018078797A1 (ja) * 2016-10-28 2018-05-03 オリンパス株式会社 医療用処置装置、及び医療用処置装置の作動方法
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CN108523985B (zh) 2018-04-23 2024-05-07 南微医学科技股份有限公司 一种多功能高频电切开刀
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US11896291B2 (en) 2018-07-02 2024-02-13 Covidien Lp Electrically-insulative shafts, methods of manufacturing electrically-insulative shafts, and energy-based surgical instruments incorporating electrically-insulative shafts
JP7459311B2 (ja) * 2021-01-25 2024-04-01 オリンパスメディカルシステムズ株式会社 処置具

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Also Published As

Publication number Publication date
US20100185196A1 (en) 2010-07-22
EP2380515A1 (en) 2011-10-26
CN102292045A (zh) 2011-12-21
WO2010084683A1 (ja) 2010-07-29
JP4801220B2 (ja) 2011-10-26
EP2380515A4 (en) 2013-10-23
JPWO2010084683A1 (ja) 2012-07-12
JP2011218182A (ja) 2011-11-04

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Patentee before: Olympus Medical Systems Corp.

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Granted publication date: 20150318