CN106470618A - 具有温度控制的手术操作设备 - Google Patents

具有温度控制的手术操作设备 Download PDF

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Publication number
CN106470618A
CN106470618A CN201580032602.8A CN201580032602A CN106470618A CN 106470618 A CN106470618 A CN 106470618A CN 201580032602 A CN201580032602 A CN 201580032602A CN 106470618 A CN106470618 A CN 106470618A
Authority
CN
China
Prior art keywords
probe
unit
jaw
probe distal
distal body
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.)
Pending
Application number
CN201580032602.8A
Other languages
English (en)
Chinese (zh)
Inventor
T.范
K.J.巴彻勒
J.尼尔森
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Gyrus ACMI Inc
Original Assignee
Gyrus ACMI Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Gyrus ACMI Inc filed Critical Gyrus ACMI Inc
Publication of CN106470618A publication Critical patent/CN106470618A/zh
Pending legal-status Critical Current

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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
    • A61B18/1442—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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • A61B2017/2825—Inserts of different material in jaws
    • 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
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • 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
    • A61B2017/320071—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
    • 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
    • A61B2017/320082—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for incising tissue
    • 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
    • A61B2017/320089—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
    • 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
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00089—Thermal conductivity
    • A61B2018/00095—Thermal conductivity high, i.e. heat conducting
    • 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
    • A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • 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
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Cardiology (AREA)
CN201580032602.8A 2014-04-16 2015-04-15 具有温度控制的手术操作设备 Pending CN106470618A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/254,412 US9895160B2 (en) 2014-04-16 2014-04-16 Surgical operating apparatus with temperature control
US14/254,412 2014-04-16
PCT/US2015/025862 WO2015160883A1 (en) 2014-04-16 2015-04-15 Surgical operating apparatus with temperature control

Publications (1)

Publication Number Publication Date
CN106470618A true CN106470618A (zh) 2017-03-01

Family

ID=54320962

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201580032602.8A Pending CN106470618A (zh) 2014-04-16 2015-04-15 具有温度控制的手术操作设备

Country Status (5)

Country Link
US (1) US9895160B2 (https=)
EP (1) EP3131474B1 (https=)
JP (1) JP2017514568A (https=)
CN (1) CN106470618A (https=)
WO (1) WO2015160883A1 (https=)

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CN107072813A (zh) * 2014-10-14 2017-08-18 博士伦公司 超声波玻璃体切除术针头
CN110479687A (zh) * 2019-08-01 2019-11-22 合肥国轩高科动力能源有限公司 一种动力电池铝壳的超声清洗装置
CN110731815A (zh) * 2019-10-30 2020-01-31 杭州市第三人民医院 一种泌尿系统汽化电切镜
WO2021012573A1 (zh) * 2019-07-24 2021-01-28 嘉善飞阔医疗科技有限公司 防止插销脱出的可拆卸式超声波手术刀
CN113015496A (zh) * 2018-10-11 2021-06-22 回弹治疗公司 用于颅内手术的烧灼工具

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US9622767B2 (en) 2013-09-11 2017-04-18 Covidien Lp Ultrasonic surgical instrument with cooling system
US10194973B2 (en) 2015-09-30 2019-02-05 Ethicon Llc Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US10842523B2 (en) 2016-01-15 2020-11-24 Ethicon Llc Modular battery powered handheld surgical instrument and methods therefor
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US12193698B2 (en) 2016-01-15 2025-01-14 Cilag Gmbh International Method for self-diagnosing operation of a control switch in a surgical instrument system
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10342566B2 (en) * 2016-03-29 2019-07-09 Covidien Lp Devices, systems, and methods for cooling a surgical instrument
US10456156B2 (en) 2016-03-29 2019-10-29 Covidien Lp Devices, systems, and methods for cooling a surgical instrument
CN109475379B (zh) * 2016-07-11 2021-09-17 奥林巴斯株式会社 能量处置系统及其控制方法
US10987124B2 (en) 2016-11-22 2021-04-27 Covidien Lp Surgical instruments and jaw members thereof
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US11076910B2 (en) * 2018-01-22 2021-08-03 Covidien Lp Jaw members for surgical instruments and surgical instruments incorporating the same
US10881424B2 (en) 2018-02-13 2021-01-05 Covidien Lp Removable fluid reservoir and ultrasonic surgical instrument including the same
WO2020152809A1 (ja) * 2019-01-23 2020-07-30 オリンパス株式会社 エネルギ処置具、及びエネルギ処置具の製造方法
US11883058B2 (en) * 2019-03-26 2024-01-30 Covidien Lp Jaw members, end effector assemblies, and ultrasonic surgical instruments including the same
US11844563B2 (en) 2019-11-19 2023-12-19 Covidien Lp Energy-based surgical instruments incorporating cooling features
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US12343063B2 (en) 2019-12-30 2025-07-01 Cilag Gmbh International Multi-layer clamp arm pad for enhanced versatility and performance of a surgical device
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US11723716B2 (en) 2019-12-30 2023-08-15 Cilag Gmbh International Electrosurgical instrument with variable control mechanisms
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US12262937B2 (en) 2019-12-30 2025-04-01 Cilag Gmbh International User interface for surgical instrument with combination energy modality end-effector
US12336747B2 (en) 2019-12-30 2025-06-24 Cilag Gmbh International Method of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107072813A (zh) * 2014-10-14 2017-08-18 博士伦公司 超声波玻璃体切除术针头
CN113015496A (zh) * 2018-10-11 2021-06-22 回弹治疗公司 用于颅内手术的烧灼工具
US12521171B2 (en) 2018-10-11 2026-01-13 Rebound Therapeutics Corporation Macerator for intracranial surgery
WO2021012573A1 (zh) * 2019-07-24 2021-01-28 嘉善飞阔医疗科技有限公司 防止插销脱出的可拆卸式超声波手术刀
CN110479687A (zh) * 2019-08-01 2019-11-22 合肥国轩高科动力能源有限公司 一种动力电池铝壳的超声清洗装置
CN110731815A (zh) * 2019-10-30 2020-01-31 杭州市第三人民医院 一种泌尿系统汽化电切镜
CN110731815B (zh) * 2019-10-30 2020-10-09 杭州市第三人民医院 一种泌尿系统汽化电切镜

Also Published As

Publication number Publication date
EP3131474A4 (en) 2018-01-17
WO2015160883A1 (en) 2015-10-22
EP3131474B1 (en) 2022-03-16
JP2017514568A (ja) 2017-06-08
US9895160B2 (en) 2018-02-20
US20150297255A1 (en) 2015-10-22
EP3131474A1 (en) 2017-02-22

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Application publication date: 20170301