CN107635497B - 用于电外科手术设备的光学组织反馈设备 - Google Patents

用于电外科手术设备的光学组织反馈设备 Download PDF

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Publication number
CN107635497B
CN107635497B CN201680026176.1A CN201680026176A CN107635497B CN 107635497 B CN107635497 B CN 107635497B CN 201680026176 A CN201680026176 A CN 201680026176A CN 107635497 B CN107635497 B CN 107635497B
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blade
sensing device
optical fiber
tissue
optical
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CN201680026176.1A
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Chinese (zh)
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CN107635497A (zh
Inventor
W·C·J·比尔霍夫
B·H·W·亨德里克斯
F·M·A·M·范加尔
T·M·比德隆
V·V·普利
C·赖克
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Koninklijke Philips NV
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Koninklijke Philips NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/148Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0075Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00057Light
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00057Light
    • A61B2017/00061Light spectrum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00199Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/0013Coatings on the energy applicator non-sticking
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00184Moving parts
    • A61B2018/00196Moving parts reciprocating lengthwise
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607Coagulation and cutting with the same instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00904Automatic detection of target tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00964Features of probes
    • A61B2018/0097Cleaning probe surfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00964Features of probes
    • A61B2018/0097Cleaning probe surfaces
    • A61B2018/00976Cleaning probe surfaces with scraping means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1412Blade
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05Surgical care
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0233Special features of optical sensors or probes classified in A61B5/00
    • A61B2562/0238Optical sensor arrangements for performing transmission measurements on body tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/22Arrangements of medical sensors with cables or leads; Connectors or couplings specifically adapted for medical sensors
    • A61B2562/221Arrangements of sensors with cables or leads, e.g. cable harnesses
    • A61B2562/223Optical cables therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/22Arrangements of medical sensors with cables or leads; Connectors or couplings specifically adapted for medical sensors
    • A61B2562/225Connectors or couplings
    • A61B2562/228Sensors with optical connectors

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Surgical Instruments (AREA)
  • Investigating Or Analysing Materials By Optical Means (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Investigating, Analyzing Materials By Fluorescence Or Luminescence (AREA)
CN201680026176.1A 2015-05-06 2016-04-26 用于电外科手术设备的光学组织反馈设备 Active CN107635497B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP15166502 2015-05-06
EP15166502.3 2015-05-06
PCT/EP2016/059237 WO2016177600A1 (en) 2015-05-06 2016-04-26 Optical tissue feedback device for an electrosurgical device

Publications (2)

Publication Number Publication Date
CN107635497A CN107635497A (zh) 2018-01-26
CN107635497B true CN107635497B (zh) 2020-12-01

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CN201680026176.1A Active CN107635497B (zh) 2015-05-06 2016-04-26 用于电外科手术设备的光学组织反馈设备

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US (2) US11576717B2 (enExample)
EP (1) EP3291753B1 (enExample)
JP (1) JP7057672B6 (enExample)
CN (1) CN107635497B (enExample)
WO (1) WO2016177600A1 (enExample)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019173762A1 (en) * 2018-03-08 2019-09-12 Avedro, Inc. Micro-devices for treatment of an eye
EP3973854A1 (en) * 2020-09-29 2022-03-30 Koninklijke Philips N.V. An optical spectroscopy system
EP3984482B1 (de) * 2020-10-19 2025-04-23 Erbe Elektromedizin GmbH Vorrichtung zur befestigung einer lichtaufnahmeeinrichtung an einem chirurgischen instrument
EP4197470A1 (de) 2021-12-17 2023-06-21 Erbe Elektromedizin GmbH Elektrochirurgisches instrument

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5456681A (en) * 1994-06-03 1995-10-10 Hajjar; John H. Laser therapy system
CN103781410A (zh) * 2011-09-08 2014-05-07 皇家飞利浦有限公司 具有集成在可移动插入物中的光纤的针装置
CN104284635A (zh) * 2012-01-20 2015-01-14 皇家飞利浦有限公司 电手术系统、电手术设备和用于操作电手术系统的方法

Family Cites Families (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4314559A (en) * 1979-12-12 1982-02-09 Corning Glass Works Nonstick conductive coating
US4361926A (en) 1981-01-19 1982-12-07 Claire Brush Cautery cleaning device
JPH06205789A (ja) 1993-01-13 1994-07-26 S L T Japan:Kk レーザー光による手術装置
US5376094A (en) * 1993-08-19 1994-12-27 Boston Scientific Corporation Improved actuating handle with pulley system for providing mechanical advantage to a surgical working element
US5498258A (en) * 1994-09-13 1996-03-12 Hakky; Said I. Laser resectoscope with laser induced mechanical cutting means
US6106524A (en) * 1995-03-03 2000-08-22 Neothermia Corporation Methods and apparatus for therapeutic cauterization of predetermined volumes of biological tissue
US5857961A (en) * 1995-06-07 1999-01-12 Clarus Medical Systems, Inc. Surgical instrument for use with a viewing system
US6564806B1 (en) * 2000-02-18 2003-05-20 Thomas J. Fogarty Device for accurately marking tissue
US6770070B1 (en) * 2000-03-17 2004-08-03 Rita Medical Systems, Inc. Lung treatment apparatus and method
JP4723156B2 (ja) * 2000-03-31 2011-07-13 アンジオ ダイナミクス インコーポレイテッド 組織生検および処置の装置
AU2003279097A1 (en) * 2002-09-30 2004-04-19 Vanderbilt University Optical apparatus for guided liver tumor treatment and methods
US7922654B2 (en) * 2004-08-09 2011-04-12 Boston Scientific Scimed, Inc. Fiber optic imaging catheter
DE102005013714A1 (de) * 2004-04-07 2005-12-22 Carl Zeiss Meditec Ag Elektrische Sonde für die Mikrochirurgie
US20060184161A1 (en) * 2005-02-16 2006-08-17 Usgi Medical Inc. Flexible shaft system having interchangeable end effectors
US20070112343A1 (en) * 2006-01-20 2007-05-17 Hans Mische Surgical tip device with retractable sheath and methods for using same
WO2007109540A2 (en) 2006-03-17 2007-09-27 The General Hospital Corporation Arrangement, method and computer-accessible medium for identifying characteristics of at least a portion of a blood vessel contained within a tissue using spectral domain low coherence interferometry
WO2008109760A2 (en) * 2007-03-06 2008-09-12 Broncus Technologies, Inc. Blood vessel sensing catheter having working lumen for medical appliances
US20130023910A1 (en) * 2011-07-21 2013-01-24 Solomon Clifford T Tissue-identifying surgical instrument
BR112015032550A2 (pt) 2013-06-27 2018-11-21 J Weber Paul aparato, sistemas e métodos para a dissecção e modificação de tecidos

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5456681A (en) * 1994-06-03 1995-10-10 Hajjar; John H. Laser therapy system
CN103781410A (zh) * 2011-09-08 2014-05-07 皇家飞利浦有限公司 具有集成在可移动插入物中的光纤的针装置
CN104284635A (zh) * 2012-01-20 2015-01-14 皇家飞利浦有限公司 电手术系统、电手术设备和用于操作电手术系统的方法

Also Published As

Publication number Publication date
JP7057672B2 (ja) 2022-04-20
JP7057672B6 (ja) 2022-06-02
US11576717B2 (en) 2023-02-14
EP3291753A1 (en) 2018-03-14
EP3291753B1 (en) 2024-06-05
US20180303539A1 (en) 2018-10-25
US20230149066A1 (en) 2023-05-18
CN107635497A (zh) 2018-01-26
JP2018524030A (ja) 2018-08-30
WO2016177600A1 (en) 2016-11-10

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