CN116549102A - 用于消融和切除的电外科器械 - Google Patents

用于消融和切除的电外科器械 Download PDF

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Publication number
CN116549102A
CN116549102A CN202310734838.2A CN202310734838A CN116549102A CN 116549102 A CN116549102 A CN 116549102A CN 202310734838 A CN202310734838 A CN 202310734838A CN 116549102 A CN116549102 A CN 116549102A
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CN
China
Prior art keywords
energy
conductive
hemisphere
transmission line
instrument
Prior art date
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Pending
Application number
CN202310734838.2A
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English (en)
Chinese (zh)
Inventor
C·P·汉考克
M·怀特
帕特里克·伯恩
彼得·克莱格
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Creo Medical Ltd
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Creo Medical Ltd
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Publication of CN116549102A publication Critical patent/CN116549102A/zh
Pending legal-status Critical Current

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Classifications

    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical 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
    • 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
    • A61B18/042Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating using additional gas becoming plasma
    • 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
    • A61B18/1206Generators therefor
    • 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
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • 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
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • 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
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00077Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00577Ablation
    • 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
    • A61B2018/00994Surgical 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
    • 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
    • A61B2018/1417Ball
    • 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
    • A61B18/16Indifferent or passive electrodes for grounding
    • A61B2018/162Indifferent or passive electrodes for grounding located on the probe body
    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical 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
    • A61B2018/1823Generators therefor
    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical 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
    • A61B2018/1861Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
CN202310734838.2A 2017-06-01 2018-06-01 用于消融和切除的电外科器械 Pending CN116549102A (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
GB1708726.3 2017-06-01
GBGB1708726.3A GB201708726D0 (en) 2017-06-01 2017-06-01 Electrosurgical instrument for ablation and resection
PCT/EP2018/064466 WO2018220178A1 (en) 2017-06-01 2018-06-01 Electrosurgical instrument for ablation and resection
CN201880022675.2A CN110461264B (zh) 2017-06-01 2018-06-01 用于消融和切除的电外科器械

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201880022675.2A Division CN110461264B (zh) 2017-06-01 2018-06-01 用于消融和切除的电外科器械

Publications (1)

Publication Number Publication Date
CN116549102A true CN116549102A (zh) 2023-08-08

Family

ID=59349831

Family Applications (2)

Application Number Title Priority Date Filing Date
CN202310734838.2A Pending CN116549102A (zh) 2017-06-01 2018-06-01 用于消融和切除的电外科器械
CN201880022675.2A Active CN110461264B (zh) 2017-06-01 2018-06-01 用于消融和切除的电外科器械

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN201880022675.2A Active CN110461264B (zh) 2017-06-01 2018-06-01 用于消融和切除的电外科器械

Country Status (12)

Country Link
US (1) US12108980B2 (https=)
EP (2) EP3629969B1 (https=)
JP (2) JP7304069B2 (https=)
KR (1) KR20200015886A (https=)
CN (2) CN116549102A (https=)
AU (1) AU2018278265A1 (https=)
BR (1) BR112019019820A2 (https=)
CA (1) CA3057751A1 (https=)
ES (1) ES3013083T3 (https=)
GB (3) GB201708726D0 (https=)
SG (2) SG10201913061TA (https=)
WO (1) WO2018220178A1 (https=)

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RU199430U1 (ru) * 2020-02-06 2020-09-01 Общество с ограниченной ответственностью фирма "ТЕХНОСВЕТ" Универсальная установка для комплексного разрушения биоткани
WO2022090896A1 (en) * 2020-10-27 2022-05-05 Baylis Medical Company Inc. Electrosurgical device with sensing
GB202109754D0 (en) * 2021-07-06 2021-08-18 Creo Medical Ltd A cable assembly for an electrosurgical instrument, and a method for manufacturing the same

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US6231571B1 (en) * 1999-05-03 2001-05-15 Alan G. Ellman Electrosurgical handpiece for treating tissue
US20020077626A1 (en) * 2000-12-04 2002-06-20 Ellman Alan G. Bipolar electrosurgical handpiece for treating tissue
US20120150165A1 (en) * 2010-12-10 2012-06-14 Salient Surgical Technologies, Inc. Bipolar Electrosurgical Device
CN103329347A (zh) * 2011-01-11 2013-09-25 克里奥医药有限公司 利用双射频和微波电磁能量的电手术器械
CN105025834A (zh) * 2013-03-15 2015-11-04 艾伦·G·爱尔曼 定位射频电极
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

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JPS61501308A (ja) * 1984-03-07 1986-07-03 ハルコフスカヤ オブラストナヤ クリニチエスカヤ ボルニトサ 2極性2活動形電気的凝結装置
EP0415997A4 (en) * 1988-05-18 1992-04-08 Kasevich Associates, Inc. Microwave balloon angioplasty
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US20070066972A1 (en) * 2001-11-29 2007-03-22 Medwaves, Inc. Ablation catheter apparatus with one or more electrodes
EP2275050A1 (en) * 2001-09-05 2011-01-19 Salient Surgical Technologies, Inc. Fluid-assisted medical devices, systems and methods
US20140039484A1 (en) * 2003-09-19 2014-02-06 Baylis Medical Company Inc. Methods for creating a channel through an occlusion within a body vessel
US11234761B2 (en) * 2006-01-27 2022-02-01 Baylis Medical Company Inc. Electrosurgical device for creating a channel through a region of tissue and methods of use thereof
US8317782B1 (en) * 2006-10-13 2012-11-27 Ellman International, Inc. Non-ablative radio-frequency treatment of skin tissue
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US8974450B2 (en) * 2011-02-03 2015-03-10 Covidien Lp System and method for ablation procedure monitoring using electrodes
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GB2521611B (en) * 2013-12-23 2020-02-12 Creo Medical Ltd Electrosurgical apparatus and electrosurgical device
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Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6231571B1 (en) * 1999-05-03 2001-05-15 Alan G. Ellman Electrosurgical handpiece for treating tissue
US20020077626A1 (en) * 2000-12-04 2002-06-20 Ellman Alan G. Bipolar electrosurgical handpiece for treating tissue
US20120150165A1 (en) * 2010-12-10 2012-06-14 Salient Surgical Technologies, Inc. Bipolar Electrosurgical Device
CN103329347A (zh) * 2011-01-11 2013-09-25 克里奥医药有限公司 利用双射频和微波电磁能量的电手术器械
CN105025834A (zh) * 2013-03-15 2015-11-04 艾伦·G·爱尔曼 定位射频电极
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

Also Published As

Publication number Publication date
SG10201913061TA (en) 2020-03-30
CN110461264A (zh) 2019-11-15
EP3629969B1 (en) 2026-05-06
JP7304069B2 (ja) 2023-07-06
GB2571223A (en) 2019-08-21
SG11201908885UA (en) 2019-10-30
GB2564942A (en) 2019-01-30
JP2022119984A (ja) 2022-08-17
WO2018220178A1 (en) 2018-12-06
GB2564942B (en) 2020-03-18
ES3013083T3 (en) 2025-04-10
JP2020521520A (ja) 2020-07-27
AU2018278265A1 (en) 2019-10-17
US12108980B2 (en) 2024-10-08
EP3629969A1 (en) 2020-04-08
CN110461264B (zh) 2023-10-31
KR20200015886A (ko) 2020-02-13
GB201808994D0 (en) 2018-07-18
GB2571223B (en) 2019-11-20
BR112019019820A2 (pt) 2020-04-22
GB201708726D0 (en) 2017-07-19
GB201907729D0 (en) 2019-07-17
JP7394482B2 (ja) 2023-12-08
EP3777746B1 (en) 2024-12-25
EP3777746A1 (en) 2021-02-17
CA3057751A1 (en) 2018-12-06
US20200289195A1 (en) 2020-09-17
EP3777746C0 (en) 2024-12-25

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