CN111867509B - 电外科器械 - Google Patents

电外科器械 Download PDF

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Publication number
CN111867509B
CN111867509B CN201980018547.5A CN201980018547A CN111867509B CN 111867509 B CN111867509 B CN 111867509B CN 201980018547 A CN201980018547 A CN 201980018547A CN 111867509 B CN111867509 B CN 111867509B
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China
Prior art keywords
dielectric
dielectric body
electrosurgical instrument
distal
conductor
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CN201980018547.5A
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English (en)
Chinese (zh)
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CN111867509A (zh
Inventor
C·P·汉考克
帕特里克·伯恩
P·沙阿
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Creo Medical Ltd
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Creo Medical Ltd
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Priority to CN202410616342.XA priority Critical patent/CN118453104A/zh
Priority to CN202410616343.4A priority patent/CN118453105A/zh
Publication of CN111867509A publication Critical patent/CN111867509A/zh
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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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • 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
    • 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
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • 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
    • A61B2018/00345—Vascular 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
    • A61B2018/00541—Lung or bronchi
    • 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
    • A61B2018/00577—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
    • 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
    • A61B2018/00577—Ablation
    • A61B2018/00583—Coblation, i.e. ablation using a cold plasma
    • 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
    • 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
    • A61B2018/1465—Deformable 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
    • A61B18/18—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
    • A61B2018/1823—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
    • A61B18/18—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
    • A61B2018/183—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 characterised by the type of antenna
    • A61B2018/1838—Dipole antennas
    • 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
    • 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
    • A61B2018/1892—Details of electrical isolations of the antenna
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/302—Surgical robots specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Plasma & Fusion (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
CN201980018547.5A 2018-07-12 2019-06-27 电外科器械 Active CN111867509B (zh)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN202410616342.XA CN118453104A (zh) 2018-07-12 2019-06-27 电外科器械
CN202410616343.4A CN118453105A (zh) 2018-07-12 2019-06-27 电外科器械

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1811434.8 2018-07-12
GB1811434.8A GB2575485A (en) 2018-07-12 2018-07-12 Electrosurgical instrument
PCT/EP2019/067166 WO2020011546A1 (en) 2018-07-12 2019-06-27 Electrosurgical instrument

Related Child Applications (2)

Application Number Title Priority Date Filing Date
CN202410616343.4A Division CN118453105A (zh) 2018-07-12 2019-06-27 电外科器械
CN202410616342.XA Division CN118453104A (zh) 2018-07-12 2019-06-27 电外科器械

Publications (2)

Publication Number Publication Date
CN111867509A CN111867509A (zh) 2020-10-30
CN111867509B true CN111867509B (zh) 2024-06-07

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CN201980018547.5A Active CN111867509B (zh) 2018-07-12 2019-06-27 电外科器械
CN202410616343.4A Pending CN118453105A (zh) 2018-07-12 2019-06-27 电外科器械
CN202410616342.XA Pending CN118453104A (zh) 2018-07-12 2019-06-27 电外科器械

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CN202410616343.4A Pending CN118453105A (zh) 2018-07-12 2019-06-27 电外科器械
CN202410616342.XA Pending CN118453104A (zh) 2018-07-12 2019-06-27 电外科器械

Country Status (16)

Country Link
US (1) US12458426B2 (https=)
EP (1) EP3820392B1 (https=)
JP (2) JP7557870B2 (https=)
KR (1) KR20210031851A (https=)
CN (3) CN111867509B (https=)
AU (1) AU2019299918A1 (https=)
BR (1) BR112020018468A2 (https=)
CA (1) CA3093033A1 (https=)
ES (1) ES2927662T3 (https=)
GB (1) GB2575485A (https=)
IL (1) IL277300A (https=)
PT (1) PT3820392T (https=)
RU (1) RU2770276C1 (https=)
SG (1) SG11202008903PA (https=)
WO (1) WO2020011546A1 (https=)
ZA (1) ZA202005691B (https=)

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JP7439550B2 (ja) * 2020-02-05 2024-02-28 住友ベークライト株式会社 内視鏡用針状メス
RU199430U1 (ru) * 2020-02-06 2020-09-01 Общество с ограниченной ответственностью фирма "ТЕХНОСВЕТ" Универсальная установка для комплексного разрушения биоткани
IT202100005798A1 (it) * 2021-03-11 2022-09-11 Biomedical S R L Ago applicatore per termoablatore a microonde
US11786303B2 (en) * 2021-03-19 2023-10-17 Quicker-Instrument Inc. Microwave ablation probe
GB202318579D0 (en) * 2023-12-05 2024-01-17 Creo Medical Ltd Electrosurgical instrument
WO2025206802A1 (ko) * 2024-03-29 2025-10-02 주식회사 에이피알 안테나 장치

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US5295955A (en) * 1992-02-14 1994-03-22 Amt, Inc. Method and apparatus for microwave aided liposuction
US5974343A (en) * 1996-01-12 1999-10-26 Bruker Sa Probe, particulary a urethral probe, for heating of tissues by microwave and for the measurement of temperature by radiometry
WO2011066445A2 (en) * 2009-11-30 2011-06-03 Medwaves, Inc. Radio frequency ablation system with tracking sensor
CN102711648A (zh) * 2009-11-30 2012-10-03 麦迪威公司 具有跟踪传感器的射频消融系统
CN103153601A (zh) * 2010-12-08 2013-06-12 费德罗-莫格尔动力系公司 具有保护涂层的纺织套筒及其构造方法
CN105592886A (zh) * 2013-05-13 2016-05-18 科瑞欧医疗有限公司 双功能等离子体和非电离微波凝结电外科器械以及整合所述双功能等离子体和非电离微波凝结电外科器械的电外科设备
CN203536579U (zh) * 2013-08-06 2014-04-09 中国电子科技集团公司第二十三研究所 一种柔软型高压脉冲传输线
JP2015134117A (ja) * 2014-01-17 2015-07-27 日本ライフライン株式会社 経皮的心筋内薬物注入カテーテルおよびカテーテルシステム
CN105708542A (zh) * 2014-12-17 2016-06-29 韦伯斯特生物官能(以色列)有限公司 具有受过训练的支撑构件的ep导管和相关方法
WO2017103209A1 (en) * 2015-12-17 2017-06-22 Creo Medical Limited Electrosurgical probe for delivering microwave energy
GB201610252D0 (en) * 2016-06-13 2016-07-27 Creo Medical Ltd Electrosurgical device with integrated microwave source

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Publication number Publication date
US12458426B2 (en) 2025-11-04
WO2020011546A1 (en) 2020-01-16
JP7557870B2 (ja) 2024-09-30
AU2019299918A1 (en) 2020-10-01
CA3093033A1 (en) 2020-01-16
RU2770276C1 (ru) 2022-04-15
CN111867509A (zh) 2020-10-30
JP2024099688A (ja) 2024-07-25
ZA202005691B (en) 2022-05-25
EP3820392A1 (en) 2021-05-19
GB201811434D0 (en) 2018-08-29
CN118453104A (zh) 2024-08-09
ES2927662T3 (es) 2022-11-10
CN118453105A (zh) 2024-08-09
GB2575485A (en) 2020-01-15
BR112020018468A2 (pt) 2021-01-26
IL277300A (en) 2020-10-29
US20210052317A1 (en) 2021-02-25
JP2021531837A (ja) 2021-11-25
SG11202008903PA (en) 2020-10-29
KR20210031851A (ko) 2021-03-23
EP3820392B1 (en) 2022-08-31
PT3820392T (pt) 2022-10-03

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