DE102009013917A1 - Elektrochirurgisches Gerät mit einer Temperaturmesseinrichtung, Verfahren zur Bestimmung einer Temperatur und/oder einer Temperaturänderung an einer Neutralelektrode - Google Patents
Elektrochirurgisches Gerät mit einer Temperaturmesseinrichtung, Verfahren zur Bestimmung einer Temperatur und/oder einer Temperaturänderung an einer Neutralelektrode Download PDFInfo
- Publication number
- DE102009013917A1 DE102009013917A1 DE102009013917A DE102009013917A DE102009013917A1 DE 102009013917 A1 DE102009013917 A1 DE 102009013917A1 DE 102009013917 A DE102009013917 A DE 102009013917A DE 102009013917 A DE102009013917 A DE 102009013917A DE 102009013917 A1 DE102009013917 A1 DE 102009013917A1
- Authority
- DE
- Germany
- Prior art keywords
- temperature
- impedance
- neutral electrode
- electrode
- current
- 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.)
- Withdrawn
Links
- 230000007935 neutral effect Effects 0.000 title claims abstract description 92
- 230000008859 change Effects 0.000 title claims abstract description 53
- 238000000034 method Methods 0.000 title claims abstract description 33
- 239000000017 hydrogel Substances 0.000 claims abstract description 28
- 230000004913 activation Effects 0.000 claims description 13
- 230000009849 deactivation Effects 0.000 claims description 11
- 238000005259 measurement Methods 0.000 claims description 9
- 230000010354 integration Effects 0.000 claims description 4
- 239000003795 chemical substances by application Substances 0.000 description 16
- 239000000499 gel Substances 0.000 description 6
- 230000006378 damage Effects 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 238000013459 approach Methods 0.000 description 3
- 238000001816 cooling Methods 0.000 description 3
- 230000007423 decrease Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 238000010792 warming Methods 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000001112 coagulating effect Effects 0.000 description 2
- 238000005345 coagulation Methods 0.000 description 2
- 230000015271 coagulation Effects 0.000 description 2
- 239000004744 fabric Substances 0.000 description 2
- 238000010438 heat treatment Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 230000007704 transition Effects 0.000 description 2
- BUHVIAUBTBOHAG-FOYDDCNASA-N (2r,3r,4s,5r)-2-[6-[[2-(3,5-dimethoxyphenyl)-2-(2-methylphenyl)ethyl]amino]purin-9-yl]-5-(hydroxymethyl)oxolane-3,4-diol Chemical compound COC1=CC(OC)=CC(C(CNC=2C=3N=CN(C=3N=CN=2)[C@H]2[C@@H]([C@H](O)[C@@H](CO)O2)O)C=2C(=CC=CC=2)C)=C1 BUHVIAUBTBOHAG-FOYDDCNASA-N 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000012876 carrier material Substances 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 230000007613 environmental effect Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000002847 impedance measurement Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 239000000615 nonconductor Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
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
- A61B18/1206—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
- A61B18/1206—Generators therefor
- A61B18/1233—Generators therefor with circuits for assuring patient safety
-
- 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
- A61B18/16—Indifferent or passive electrodes for grounding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00797—Temperature measured by multiple temperature sensors
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/08—Sensors provided with means for identification, e.g. barcodes or memory chips
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Physics & Mathematics (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Priority Applications (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102009013917A DE102009013917A1 (de) | 2008-10-30 | 2009-03-19 | Elektrochirurgisches Gerät mit einer Temperaturmesseinrichtung, Verfahren zur Bestimmung einer Temperatur und/oder einer Temperaturänderung an einer Neutralelektrode |
| EP09743877.4A EP2367493B1 (de) | 2008-10-30 | 2009-10-28 | Elektrochirurgisches gerät mit einer temperaturmesseinrichtung zur bestimmung einer temperatur und/oder einer temperaturänderung an einer neutralelektrode |
| PL09743877T PL2367493T3 (pl) | 2008-10-30 | 2009-10-28 | Przyrząd elektrochirurgiczny z urządzeniem do pomiaru temperatury dla określania temperatury i/lub zmiany temperatury na elektrodzie neutralnej |
| US13/126,846 US9289254B2 (en) | 2008-10-30 | 2009-10-28 | Electrosurgical device having a temperature measurement device, method for determining a temperature and/or a temperature change at a neutral electrode |
| CN200980143248.0A CN102202592B (zh) | 2008-10-30 | 2009-10-28 | 具有温度测量设备的电外科设备 |
| PCT/EP2009/007722 WO2010049145A1 (de) | 2008-10-30 | 2009-10-28 | Elektrochirurgisches gerät mit einer temperaturmesseinrichtung, verfahren zur bestimmung einer temperatur und/oder einer temperaturänderung an einer neutralelektrode |
| JP2011533603A JP5476390B2 (ja) | 2008-10-30 | 2009-10-28 | 温度測定デバイスを有する電気外科デバイス |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102008053841 | 2008-10-30 | ||
| DE102008053841.8 | 2008-10-30 | ||
| DE102009013917A DE102009013917A1 (de) | 2008-10-30 | 2009-03-19 | Elektrochirurgisches Gerät mit einer Temperaturmesseinrichtung, Verfahren zur Bestimmung einer Temperatur und/oder einer Temperaturänderung an einer Neutralelektrode |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE102009013917A1 true DE102009013917A1 (de) | 2010-05-12 |
Family
ID=42096555
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE102009013917A Withdrawn DE102009013917A1 (de) | 2008-10-30 | 2009-03-19 | Elektrochirurgisches Gerät mit einer Temperaturmesseinrichtung, Verfahren zur Bestimmung einer Temperatur und/oder einer Temperaturänderung an einer Neutralelektrode |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US9289254B2 (https=) |
| EP (1) | EP2367493B1 (https=) |
| JP (1) | JP5476390B2 (https=) |
| CN (1) | CN102202592B (https=) |
| DE (1) | DE102009013917A1 (https=) |
| PL (1) | PL2367493T3 (https=) |
| WO (1) | WO2010049145A1 (https=) |
Families Citing this family (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102008046300A1 (de) * | 2008-09-09 | 2010-03-18 | Erbe Elektromedizin Gmbh | Neutralelektrodenvorrichtung, Elektrochirurgisches Instrument mit entsprechender Neutralelektrodenvorrichtung, Kontaktmittel und Verwendung eines Latentwärmespeichers zur Kühlung einer Elektrode |
| DE10350709A1 (de) | 2003-10-30 | 2005-08-18 | Erbe Elektromedizin Gmbh | Vorrichtung zur Koagulation von Gewebe |
| US10292763B2 (en) | 2016-01-25 | 2019-05-21 | Biosense Webster (Israel) Ltd. | Temperature controlled short duration ablation |
| US10405920B2 (en) | 2016-01-25 | 2019-09-10 | Biosense Webster (Israel) Ltd. | Temperature controlled short duration ablation |
| US10441354B2 (en) * | 2016-01-25 | 2019-10-15 | Biosense Webster (Israel) Ltd. | Temperature controlled short duration ablation |
| EP2537479B1 (de) * | 2011-06-20 | 2014-04-16 | Erbe Elektromedizin GmbH | Steuerung eines medizinischen Geräts in Abhängigkeit von der Neutralektrodenimpedanz |
| DE102013000966A1 (de) * | 2013-01-22 | 2014-07-24 | Zimmer Medizinsysteme Gmbh | Verfahren und Gerät zur kontinuierlichen, nicht invasiven Messung von Gewebetemperaturen in unterschiedlichen Gewebetiefen |
| US10299905B2 (en) * | 2015-12-28 | 2019-05-28 | Ethicon, Inc. | Applicator instruments having off-axis surgical fastener delivery |
| US11648047B2 (en) | 2017-10-06 | 2023-05-16 | Vive Scientific, Llc | System and method to treat obstructive sleep apnea |
| CN109730766A (zh) * | 2019-01-04 | 2019-05-10 | 成都博美医疗用品有限公司 | 一种防灼伤中性电极及其工作方法 |
| WO2020184511A1 (ja) * | 2019-03-14 | 2020-09-17 | Biodata Bank株式会社 | 温度センサユニット及び体内温度計 |
| US11172984B2 (en) | 2019-05-03 | 2021-11-16 | Biosense Webster (Israel) Ltd. | Device, system and method to ablate cardiac tissue |
| DE102020003524B4 (de) * | 2020-06-12 | 2023-03-23 | Coco Beteiligungsgesellschaft mbH | Überwachungseinheit und Hochfrequenz-Chirurgiesystem mit einer solchen Überwachungseinheit |
| CN113203917B (zh) * | 2021-04-25 | 2022-11-18 | 国网河南省电力公司平顶山供电公司 | 一种预先判断无功补偿装置导流回路发热缺陷的方法 |
| US20230190370A1 (en) * | 2021-12-17 | 2023-06-22 | Biosense Webster (Israel) Ltd. | Irreversible Electroporation Return Electrode and System |
| EP4265211A1 (de) * | 2022-04-21 | 2023-10-25 | Erbe Elektromedizin GmbH | Elektrochirurgiesystem und verfahren zur ermittlung eines elektrodentyps einer neutralelektrode |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060079872A1 (en) | 2004-10-08 | 2006-04-13 | Eggleston Jeffrey L | Devices for detecting heating under a patient return electrode |
| EP1707151A2 (en) * | 2005-03-31 | 2006-10-04 | Sherwood Services AG | Temperature regulating patient return electrode and return electrode monitoring system |
| DE102004025613B4 (de) | 2004-05-25 | 2008-08-07 | Erbe Elektromedizin Gmbh | Verfahren und Messvorrichtung zur Bestimmung der Übergangsimpendanz zwischen zwei Teilelektroden einer geteilten Neutralelektrode |
| EP1990020A2 (en) * | 2007-05-11 | 2008-11-12 | Covidien AG | Temperature monitoring return electrode |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4416277A (en) * | 1981-11-03 | 1983-11-22 | Valleylab, Inc. | Return electrode monitoring system for use during electrosurgical activation |
| AU541482B2 (en) * | 1981-10-26 | 1985-01-10 | Sherwood Services Ag | Monitoring electrode connection in electrosurgery |
| DE3544443C2 (de) * | 1985-12-16 | 1994-02-17 | Siemens Ag | HF-Chirurgiegerät |
| US6258085B1 (en) * | 1999-05-11 | 2001-07-10 | Sherwood Services Ag | Electrosurgical return electrode monitor |
| EP1753357B1 (en) * | 2004-05-11 | 2014-11-26 | Wisconsin Alumni Research Foundation | Radiofrequency ablation with independently controllable ground pad conductors |
| US20070049914A1 (en) * | 2005-09-01 | 2007-03-01 | Sherwood Services Ag | Return electrode pad with conductive element grid and method |
| US7637907B2 (en) * | 2006-09-19 | 2009-12-29 | Covidien Ag | System and method for return electrode monitoring |
| US8100898B2 (en) * | 2007-08-01 | 2012-01-24 | Tyco Healthcare Group Lp | System and method for return electrode monitoring |
-
2009
- 2009-03-19 DE DE102009013917A patent/DE102009013917A1/de not_active Withdrawn
- 2009-10-28 US US13/126,846 patent/US9289254B2/en active Active
- 2009-10-28 WO PCT/EP2009/007722 patent/WO2010049145A1/de not_active Ceased
- 2009-10-28 JP JP2011533603A patent/JP5476390B2/ja active Active
- 2009-10-28 CN CN200980143248.0A patent/CN102202592B/zh active Active
- 2009-10-28 EP EP09743877.4A patent/EP2367493B1/de active Active
- 2009-10-28 PL PL09743877T patent/PL2367493T3/pl unknown
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102004025613B4 (de) | 2004-05-25 | 2008-08-07 | Erbe Elektromedizin Gmbh | Verfahren und Messvorrichtung zur Bestimmung der Übergangsimpendanz zwischen zwei Teilelektroden einer geteilten Neutralelektrode |
| US20060079872A1 (en) | 2004-10-08 | 2006-04-13 | Eggleston Jeffrey L | Devices for detecting heating under a patient return electrode |
| EP1707151A2 (en) * | 2005-03-31 | 2006-10-04 | Sherwood Services AG | Temperature regulating patient return electrode and return electrode monitoring system |
| EP1990020A2 (en) * | 2007-05-11 | 2008-11-12 | Covidien AG | Temperature monitoring return electrode |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102202592A (zh) | 2011-09-28 |
| EP2367493B1 (de) | 2014-08-27 |
| US9289254B2 (en) | 2016-03-22 |
| WO2010049145A1 (de) | 2010-05-06 |
| JP5476390B2 (ja) | 2014-04-23 |
| EP2367493A1 (de) | 2011-09-28 |
| US20110202055A1 (en) | 2011-08-18 |
| JP2012506744A (ja) | 2012-03-22 |
| CN102202592B (zh) | 2014-10-22 |
| PL2367493T3 (pl) | 2015-02-27 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| EP2367493B1 (de) | Elektrochirurgisches gerät mit einer temperaturmesseinrichtung zur bestimmung einer temperatur und/oder einer temperaturänderung an einer neutralelektrode | |
| DE69523517T2 (de) | Vorrichtung zur elektrochirurgischen Behandlung von Gewebe | |
| DE102007056974B4 (de) | HF-chirurgische Prüfeinrichtung und Verfahren zum Identifizieren einer am Patienten angelegten HF-Neutralelektrode | |
| EP0390937B1 (de) | Einrichtung zur Überwachung der Applikation von Neutralelektroden bei der Hochfrequenzchirurgie | |
| EP2043539B1 (de) | Elektrodeneinrichtung | |
| DE60023985T2 (de) | Überwachungsvorrichtung für elektrochirurgische Neutralelektrode | |
| DE60026191T2 (de) | Automatische Aktivierung des bipolaren Ausgangssignals eines elektrochirurgischen Generators | |
| EP2992848B1 (de) | Einrichtung zur kontaktkoagulation von biologischem gewebe | |
| EP1858428B1 (de) | Hf-chirurgieeinrichtung | |
| EP4164531B1 (de) | Überwachungseinheit und hochfrequenz-chirurgie-system mit einer solchen überwachungseinheit | |
| DE102007051097A1 (de) | HF-Chirurgiegerät und Verfahren für ein HF-Chirurgiegerät | |
| EP2537479B1 (de) | Steuerung eines medizinischen Geräts in Abhängigkeit von der Neutralektrodenimpedanz | |
| DE3838840A1 (de) | Hochfrequenzkoagulationsvorrichtung fuer chirurgische zwecke | |
| WO2019238352A1 (de) | Elektrochirurgische vorrichtung | |
| EP3011923B1 (de) | Einrichtung zur Metallerkennung bei der Einwirkung auf biologisches Gewebe mittels eines funkenbildenden elektrochirurgischen Instruments | |
| EP2337516B1 (de) | Elektrochirurgischer hf-generator | |
| DE4126607A1 (de) | Anordnung zum schneiden von biologischem gewebe mit hochfrequenzstrom | |
| EP2362756B1 (de) | Vorrichtung zur devitalisierung von biologischem gewebe | |
| CH680702A5 (https=) | ||
| DE602005005145T2 (de) | Medizinische Elektrodenanordnung mit Möglichkeit zur Überwachung der Behandlung | |
| DE4135185A1 (de) | Hochfrequenzchirurgiegenerator zur koagulation von geweben | |
| AT527092A1 (de) | Messvorrichtung zur Messung einer Temperatur an einer medizinischen Elektrode | |
| DE102008054351B4 (de) | Elektrochirurgischer HF-Generator | |
| DE102013226057B4 (de) | Heizmattenvorrichtung sowie Verfahren zur Überwachung einer Heizmatte für den medizinischen Bereich und medizinisches Polster | |
| EP4265211A1 (de) | Elektrochirurgiesystem und verfahren zur ermittlung eines elektrodentyps einer neutralelektrode |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| OP8 | Request for examination as to paragraph 44 patent law | ||
| R016 | Response to examination communication | ||
| R120 | Application withdrawn or ip right abandoned |