CN115337100A - 用于组织消融的电外科设备 - Google Patents

用于组织消融的电外科设备 Download PDF

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Publication number
CN115337100A
CN115337100A CN202211140822.0A CN202211140822A CN115337100A CN 115337100 A CN115337100 A CN 115337100A CN 202211140822 A CN202211140822 A CN 202211140822A CN 115337100 A CN115337100 A CN 115337100A
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CN
China
Prior art keywords
fluid
substance
electrosurgical
microwave energy
fluid delivery
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Pending
Application number
CN202211140822.0A
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English (en)
Chinese (zh)
Inventor
C·P·汉考克
帕特里克·伯恩
查理·坎皮恩
L·特纳
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Creo Medical Ltd
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Creo Medical Ltd
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Filing date
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Application filed by Creo Medical Ltd filed Critical Creo Medical Ltd
Publication of CN115337100A publication Critical patent/CN115337100A/zh
Pending 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
    • A61B18/18—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
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M25/0084—Catheter tip comprising a tool being one or more injection needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • 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
    • A61B2017/0034—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • 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
    • 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
    • A61B2018/00577—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
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • 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
    • 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
    • A61B2018/1869—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 interstitially inserted into the body, e.g. needles
    • 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
    • A61B2018/1884—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 non-uniform emissions
    • 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
    • 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
    • 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
    • A61B2218/007—Aspiration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M25/0084—Catheter tip comprising a tool being one or more injection needles
    • A61M2025/0089—Single injection needle protruding axially, i.e. along the longitudinal axis of the catheter, from the distal tip

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Surgical Instruments (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
CN202211140822.0A 2017-05-04 2018-05-03 用于组织消融的电外科设备 Pending CN115337100A (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
GB1707112.7 2017-05-04
GB1707112.7A GB2563377A (en) 2017-05-04 2017-05-04 Electrosurgical apparatus and method of tissue ablation
PCT/EP2018/061316 WO2018202758A1 (en) 2017-05-04 2018-05-03 Electrosurgical apparatus for tissue ablation
CN201880011401.3A CN110312485B (zh) 2017-05-04 2018-05-03 用于组织消融的电外科设备

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201880011401.3A Division CN110312485B (zh) 2017-05-04 2018-05-03 用于组织消融的电外科设备

Publications (1)

Publication Number Publication Date
CN115337100A true CN115337100A (zh) 2022-11-15

Family

ID=59065580

Family Applications (3)

Application Number Title Priority Date Filing Date
CN202211140822.0A Pending CN115337100A (zh) 2017-05-04 2018-05-03 用于组织消融的电外科设备
CN202211140761.8A Pending CN115337099A (zh) 2017-05-04 2018-05-03 用于组织消融的电外科设备
CN201880011401.3A Expired - Fee Related CN110312485B (zh) 2017-05-04 2018-05-03 用于组织消融的电外科设备

Family Applications After (2)

Application Number Title Priority Date Filing Date
CN202211140761.8A Pending CN115337099A (zh) 2017-05-04 2018-05-03 用于组织消融的电外科设备
CN201880011401.3A Expired - Fee Related CN110312485B (zh) 2017-05-04 2018-05-03 用于组织消融的电外科设备

Country Status (15)

Country Link
US (3) US11547478B2 (enExample)
EP (3) EP3847988B1 (enExample)
JP (3) JP7214226B2 (enExample)
KR (1) KR20190142315A (enExample)
CN (3) CN115337100A (enExample)
AU (1) AU2018262612A1 (enExample)
BR (1) BR112019016662A2 (enExample)
CA (1) CA3051319A1 (enExample)
DK (1) DK3618745T3 (enExample)
ES (3) ES2973367T3 (enExample)
GB (1) GB2563377A (enExample)
PT (2) PT3847988T (enExample)
SG (1) SG11201906823RA (enExample)
WO (1) WO2018202758A1 (enExample)
ZA (3) ZA201905053B (enExample)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2563377A (en) * 2017-05-04 2018-12-19 Creo Medical Ltd Electrosurgical apparatus and method of tissue ablation
GB2563203A (en) * 2017-06-01 2018-12-12 Creo Medical Ltd Electrosurgical apparatus
GB2577706A (en) 2018-10-03 2020-04-08 Creo Medical Ltd Electrosurgical instrument
GB2579561B (en) 2018-12-03 2022-10-19 Creo Medical Ltd Electrosurgical instrument
GB2583715A (en) 2019-04-30 2020-11-11 Creo Medical Ltd Electrosurgical system
DE102020214134A1 (de) * 2020-11-10 2022-05-12 MAPAL Fabrik für Präzisionswerkzeuge Dr. Kress KG Werkzeug
GB2601789A (en) * 2020-12-10 2022-06-15 Creo Medical Ltd Raman spectroscopy probe, Raman spectroscopy apparatus including the Raman spectroscopy probe and elongate assembly
CN113413210B (zh) * 2021-07-23 2024-05-24 南京瑞波医学科技有限公司 一种带有注射抽吸功能的消融天线
US12629757B2 (en) * 2021-12-13 2026-05-19 Iscar, Ltd. Cutting tool part having an additively manufactured cutting portion with integrally formed guide pads and method of manufacturing same
CN114039209B (zh) * 2021-12-23 2024-06-14 南京臻泰微波科技有限公司 一种采用空心内导体同轴电缆的微波消融针

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US20040049148A1 (en) * 2001-12-03 2004-03-11 Oscar Rodriguez Small vessel ultrasound catheter
US6770070B1 (en) * 2000-03-17 2004-08-03 Rita Medical Systems, Inc. Lung treatment apparatus and method
US20110004205A1 (en) * 2008-10-21 2011-01-06 Chu Chun Yiu Methods and devices for delivering microwave energy
CN103252016A (zh) * 2012-02-20 2013-08-21 科维蒂恩有限合伙公司 组合的热疗法以及嵌有干细胞的水凝胶处理
CN103892907A (zh) * 2014-04-02 2014-07-02 南京维京九洲医疗器械研发中心 用于肿瘤消融治疗的注射型微波针形天线
US20160051327A1 (en) * 2014-08-20 2016-02-25 Covidien Lp Systems and methods for spherical ablations
CN105934214A (zh) * 2013-12-31 2016-09-07 科瑞欧医疗有限公司 用于将rf和/或微波能量传递到生物组织的电外科设备
US20160317218A1 (en) * 2015-04-29 2016-11-03 Cook Medical Technologies Llc Handle and cable assemblies for electrosurgical devices and cyst ablation techniques
US20170118806A1 (en) * 2012-03-31 2017-04-27 Microcube, Llc Returned power for microwave applications
CN110312485B (zh) * 2017-05-04 2022-10-11 科瑞欧医疗有限公司 用于组织消融的电外科设备

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JP4194842B2 (ja) * 2001-01-18 2008-12-10 ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア 低侵襲的緑内障外科用器具および方法
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US8439907B2 (en) * 2007-11-07 2013-05-14 Mirabilis Medica Inc. Hemostatic tissue tunnel generator for inserting treatment apparatus into tissue of a patient
US9113925B2 (en) * 2009-09-09 2015-08-25 Covidien Lp System and method for performing an ablation procedure
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
US20120310230A1 (en) * 2011-06-01 2012-12-06 Angiodynamics, Inc. Coaxial dual function probe and method of use
WO2013172361A1 (ja) * 2012-05-14 2013-11-21 国立大学法人 滋賀医科大学 臓器切離操作具
CN104027168A (zh) * 2014-06-20 2014-09-10 章建全 具有抽液结构的囊肿微波消融治疗针形天线
US9649148B2 (en) * 2014-07-24 2017-05-16 Arthrocare Corporation Electrosurgical system and method having enhanced arc prevention
CN104983464A (zh) * 2015-06-03 2015-10-21 南京康友医疗科技有限公司 一种带有内置管道的微波消融天线
GB2547941A (en) * 2016-03-04 2017-09-06 Creo Medical Ltd Electrosurgical instrument

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0422350A (ja) * 1990-05-18 1992-01-27 Olympus Optical Co Ltd 溶解治療装置
US6770070B1 (en) * 2000-03-17 2004-08-03 Rita Medical Systems, Inc. Lung treatment apparatus and method
US20040049148A1 (en) * 2001-12-03 2004-03-11 Oscar Rodriguez Small vessel ultrasound catheter
US20110004205A1 (en) * 2008-10-21 2011-01-06 Chu Chun Yiu Methods and devices for delivering microwave energy
CN103252016A (zh) * 2012-02-20 2013-08-21 科维蒂恩有限合伙公司 组合的热疗法以及嵌有干细胞的水凝胶处理
US20170118806A1 (en) * 2012-03-31 2017-04-27 Microcube, Llc Returned power for microwave applications
CN105934214A (zh) * 2013-12-31 2016-09-07 科瑞欧医疗有限公司 用于将rf和/或微波能量传递到生物组织的电外科设备
CN103892907A (zh) * 2014-04-02 2014-07-02 南京维京九洲医疗器械研发中心 用于肿瘤消融治疗的注射型微波针形天线
US20160051327A1 (en) * 2014-08-20 2016-02-25 Covidien Lp Systems and methods for spherical ablations
US20160317218A1 (en) * 2015-04-29 2016-11-03 Cook Medical Technologies Llc Handle and cable assemblies for electrosurgical devices and cyst ablation techniques
CN110312485B (zh) * 2017-05-04 2022-10-11 科瑞欧医疗有限公司 用于组织消融的电外科设备

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PT3618745T (pt) 2021-05-31
WO2018202758A1 (en) 2018-11-08
JP2023040209A (ja) 2023-03-22
US20230096272A1 (en) 2023-03-30
CA3051319A1 (en) 2018-11-08
DK3618745T3 (da) 2021-05-25
EP3847988B1 (en) 2022-08-31
ES2973367T3 (es) 2024-06-19
ES2927821T3 (es) 2022-11-11
GB2563377A (en) 2018-12-19
BR112019016662A2 (pt) 2020-04-07
CN115337099A (zh) 2022-11-15
ZA201905053B (en) 2022-04-28
JP7214226B2 (ja) 2023-01-30
EP3847987B1 (en) 2023-12-27
US20230099311A1 (en) 2023-03-30
KR20190142315A (ko) 2019-12-26
US20190380778A1 (en) 2019-12-19
ZA202108346B (en) 2022-07-27
CN110312485A (zh) 2019-10-08
US12268441B2 (en) 2025-04-08
AU2018262612A1 (en) 2019-08-22
ES2879317T3 (es) 2021-11-22
JP7378180B2 (ja) 2023-11-13
PT3847988T (pt) 2022-10-07
JP2020518306A (ja) 2020-06-25
JP2023040210A (ja) 2023-03-22
EP3847987C0 (en) 2023-12-27
EP3618745B1 (en) 2021-04-14
CN110312485B (zh) 2022-10-11
EP3618745A1 (en) 2020-03-11
EP3847987A1 (en) 2021-07-14
US11547478B2 (en) 2023-01-10
JP7470459B2 (ja) 2024-04-18
SG11201906823RA (en) 2019-11-28
ZA202108345B (en) 2022-07-27
GB201707112D0 (en) 2017-06-21
EP3847988A1 (en) 2021-07-14

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