DK2900157T3 - Elektrokirurgisk indretning til kombineret levering af RF og mikrobølger - Google Patents

Elektrokirurgisk indretning til kombineret levering af RF og mikrobølger Download PDF

Info

Publication number
DK2900157T3
DK2900157T3 DK13766631.9T DK13766631T DK2900157T3 DK 2900157 T3 DK2900157 T3 DK 2900157T3 DK 13766631 T DK13766631 T DK 13766631T DK 2900157 T3 DK2900157 T3 DK 2900157T3
Authority
DK
Denmark
Prior art keywords
microwave
channel
output
waveguide
input
Prior art date
Application number
DK13766631.9T
Other languages
English (en)
Inventor
Christopher Paul Hancock
Malcolm White
Francis Amoah
Nuwan Dharmisiri
Original Assignee
Creo Medical Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Creo Medical Ltd filed Critical Creo Medical Ltd
Application granted granted Critical
Publication of DK2900157T3 publication Critical patent/DK2900157T3/da

Links

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
    • A61B18/18—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
    • A61B18/18—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
    • 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
    • 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
    • H—ELECTRICITY
    • H01—ELECTRIC ELEMENTS
    • H01P—WAVEGUIDES; RESONATORS, LINES, OR OTHER DEVICES OF THE WAVEGUIDE TYPE
    • H01P1/00—Auxiliary devices
    • H01P1/20—Frequency-selective devices, e.g. filters
    • H01P1/207—Hollow waveguide filters
    • H01P1/208—Cascaded cavities; Cascaded resonators inside a hollow waveguide structure
    • H—ELECTRICITY
    • H01—ELECTRIC ELEMENTS
    • H01P—WAVEGUIDES; RESONATORS, LINES, OR OTHER DEVICES OF THE WAVEGUIDE TYPE
    • H01P1/00—Auxiliary devices
    • H01P1/32—Non-reciprocal transmission devices
    • H01P1/36—Isolators
    • H01P1/365—Resonance absorption isolators
    • 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
    • A61B2018/00166—Multiple lumina
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • 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
    • A61B2018/00994—Surgical 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
    • 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
    • A61B2018/128—Generators therefor generating two or more frequencies
    • 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
    • A61B2018/1293—Generators therefor having means to prevent interference
    • 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
    • A61B2018/1876—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 multiple frequencies
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Surgical Instruments (AREA)
  • Control Of Motors That Do Not Use Commutators (AREA)
  • Waveguide Connection Structure (AREA)

Claims (15)

1. Elektrokirurigsk indretning til resektion af biologisk væv, hvor indretningen omfatter: en radiofrekvens-(RF)signalgenerator (218) til generering af elektromagnetisk (EM) RF-stråling, som har en første frekvens; en mikrobølgesignalgenerator (220) til generering af EM-mikrobølgestråling med en anden frekvens, der er højere end den første frekvens; en sonde, der er anbragt til at afgive RF-EM-strålingen og EM-mikrobølgestrålingen adskilt eller samtidigt fra en distal ende deraf; og en tilføringsstruktur til at bringe RF-EM-strålingen og EM- mikrobølgestrålingen til sonden, hvor tilføringsstrukturen omfatter en RF-kanal (212, 214) til at forbinde sonden til RF-signalgeneratoren, og en mikrobølgekanal (210) til at forbinde sonden til mikrobølgesignalgeneratoren; hvor RF-kanalen og mikrobølgekanalen omfatter fysisk adskilte signalbaner fra henholdsvis RF-signalgeneratoren (218) og mikrobølgesignalgeneratoren (220), hvor tilføringsstrukturen indeholder et kombinerende kredsløb (206) med en første indgang (203), der er forbundet til den separate signalbane på RF-kanalen, en anden indgang, der er forbundet til den separate signalbane på mikrobølgekanalen, og en udgang (207), der er forbundet til en fælles signalbane til at fremføre RF-EM-strålingen og EM-mikrobølgestrålingen separat eller samtidigt langs en enkel kanal til sonden, og hvor mikrobølgekanalen omfatter en bølgelederisolator (200), som er forbundet for at isolere den separate signalbane på mikrobølgekanalen fra RF-EM-strålingen.
2. Elektrokirurigsk indretning ifølge krav 1, hvor bølgelederisolatoren omfatter et ledende indgangsafsnit, et ledende udgangsafsnit, som passer til indgangsafsnittet for at definere en bølgelederka-vitet i et volumen, der er lukket inde af indgangs- og udgangsafsnittene, og en jævnstrømsisoleringsbarriere, der er anbragt mellem indgangs- og udgangsafsnittet, hvor udgangen på den fælles signalbane omfatter en signalleder og en jordleder, og hvor tilføringsstrukturen omfatter en kapacitiv struktur mellem jordlederen af udgangen på den fælles signalbane og det ledende indgangsafsnit af bølge-lederisolatoren, hvor den kapacitive struktur er indrettet til at forhindre kobling af RF-EM-energi og svind af EM-mikrobølge-energien.
3. Elektrokirurigsk indretning ifølge krav 2, hvor den kapacitive struktur tilvejebringes af jævnstrømsisoleringsbarrieren og en mikrobølgedrossel, der er udformet på indgangsafsnittet af bølgelederisolatoren.
4. Elektrokirurigsk indretning ifølge krav 3, hvor det indvendige og udvendige afsnit af bølgelederisolatoren definerer et cylindrisk legeme, og hvor mikrobølgedroslen omfatter en ringformet kanal, der strækker sig aksialt fra den distale ende af det indvendige afsnit af bølgelederisolatoren.
5. Elektrokirurigsk indretning ifølge et hvilket som helst af kravene 2 til 4, hvor jævnstrømisoleringsbarrieren omfatter et stift isoleringsafstandselement, der er monteret mellem det indvendige og udvendige afsnit af bølgelederisolatoren.
6. Elektrokirurigsk indretning ifølge krav 5, hvor jævnstrømisoleringsbarrieren omfatter en isoleringsfilm, der er monteret på en del af den indvendige overflade af indgangsafsnittet ved forbindelsesstedet med det stive isoleringsafstandselement.
7. Elektrokirurigsk indretning ifølge krav 2, hvor den kapacitive struktur omfatter en koaksial isolator, der er serieforbundet med bølgelederisolatoren.
8. Elektrokirurigsk indretning ifølge krav 7, hvor den koaksiale isolator omfatter en indgangskoaksialkonnektor, en udgangskoaksialkonnektor, der er anbragt over for og med afstand til indgangskoaksialkonnektoren, hvor de indvendige ledere af indgangs- og udgangskonnektorerne og udvendige leder af indgangs- og udgangskonnektorerne er isoleret fra hinanden.
9. Elektrokirurigsk indretning ifølge et hvilket som helst af kravene 1 til 6, hvor det kombinerende kredsløb er integreret med bølgelederisolatoren.
10. Elektrokirurigsk indretning ifølge krav 9, hvor den udgang, der er forbundet med den fælles signalbane, omfatter en udgangssonde, som er monteret på udgangsafsnittet af bølgelederisolatoren, hvor udgangssonden har en koblingsleder, der strækker sig ind i bølgelederisolatoren for at koble EM-mikrobølge-energien derfra, og hvor den første indgang omfatter en RF-konnektor, der er monteret på bølgelederisolatoren, hvor RF-konnektoren har en signalleder, som strækker sig ind i bølgelederkaviteten for at komme i elektrisk kontakt med koblingslederen af udgangssonden.
11. Elektrokirurigsk indretning ifølge krav 10, hvor den position, ved hvilken signallederen af RF-konnektoren kommer i elektrisk kontakt på koblingslederen, kan justeres.
12. Elektrokirurigsk indretning ifølge et hvilket som helst af kravene 1 til 8, hvor det kombinerende kredsløb omfatter en mikrostrimmeldiplekserkreds-løb.
13. Elektrokirurigsk indretning ifølge krav 12, hvor RF-kanalen omfatter et lavpas-, båndpas-, båndspærre- eller notch-filter, der er tilsluttet mellem den separate signalbane på RF-kanalen og det kombinerede kredsløb for at blokere EM-mikrobølgestrålingen fra at komme ind i den separate signalbane på RF-kanalen.
14. Elektrokirurigsk indretning ifølge krav 13, hvor lavpas-, båndpas-, bånd-spærre- eller notch-filteret er integreret med mikrostrimmeldiplekserkredslø-bet.
15. Elektrokirurgisk indretning ifølge et hvilket som helst af de foregående krav, hvor den første og anden indgang til og udgang fra det kombinerede kredsløb er elektrisk flydende i forhold til RF-signalgeneratoren og mikrobøl-gesignalgeneratoren.
DK13766631.9T 2012-09-27 2013-09-16 Elektrokirurgisk indretning til kombineret levering af RF og mikrobølger DK2900157T3 (da)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB1217247.4A GB2506377A (en) 2012-09-27 2012-09-27 Electrosurgical apparatus comprising an RF generator, microwave generator, combining circuit and waveguide isolator
PCT/GB2013/052413 WO2014049332A1 (en) 2012-09-27 2013-09-16 Electrosurgical apparatus

Publications (1)

Publication Number Publication Date
DK2900157T3 true DK2900157T3 (da) 2017-04-10

Family

ID=47190695

Family Applications (2)

Application Number Title Priority Date Filing Date
DK16194764.3T DK3150158T3 (da) 2012-09-27 2013-09-16 Elektrokirurgisk indretning til kombineret RF-/mikrobølge-afgivelse
DK13766631.9T DK2900157T3 (da) 2012-09-27 2013-09-16 Elektrokirurgisk indretning til kombineret levering af RF og mikrobølger

Family Applications Before (1)

Application Number Title Priority Date Filing Date
DK16194764.3T DK3150158T3 (da) 2012-09-27 2013-09-16 Elektrokirurgisk indretning til kombineret RF-/mikrobølge-afgivelse

Country Status (13)

Country Link
US (2) US10080609B2 (da)
EP (2) EP2900157B1 (da)
JP (3) JP6612127B2 (da)
CN (2) CN104812323B (da)
AU (2) AU2013322400B2 (da)
CA (2) CA3060535C (da)
DK (2) DK3150158T3 (da)
ES (2) ES2622194T3 (da)
GB (1) GB2506377A (da)
HK (1) HK1212879A1 (da)
PT (2) PT3150158T (da)
SG (2) SG10201605059PA (da)
WO (1) WO2014049332A1 (da)

Families Citing this family (89)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
WO2013119545A1 (en) 2012-02-10 2013-08-15 Ethicon-Endo Surgery, Inc. Robotically controlled surgical instrument
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
GB2506377A (en) * 2012-09-27 2014-04-02 Creo Medical Ltd Electrosurgical apparatus comprising an RF generator, microwave generator, combining circuit and waveguide isolator
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
GB201321710D0 (en) 2013-12-09 2014-01-22 Creo Medical Ltd Electrosurgical apparatus
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
WO2016070013A1 (en) * 2014-10-31 2016-05-06 Medtronic Advanced Energy Llc Fingerswitch circuitry to reduce rf leakage current
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
GB2539494A (en) 2015-06-19 2016-12-21 Creo Medical Ltd Electrosurgical Instrument
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10751108B2 (en) * 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10709469B2 (en) 2016-01-15 2020-07-14 Ethicon Llc Modular battery powered handheld surgical instrument with energy conservation techniques
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US10996178B2 (en) 2017-06-23 2021-05-04 Tektronix, Inc. Analog signal isolator
GB2565574B (en) * 2017-08-17 2022-01-19 Creo Medical Ltd Isolation device for electrosurgical apparatus
US11690496B2 (en) * 2018-06-06 2023-07-04 Intuitive Surgical Operations, Inc. Systems and methods for high-speed data transmission across an electrical isolation barrier
GB2577706A (en) * 2018-10-03 2020-04-08 Creo Medical Ltd Electrosurgical instrument
US11317519B2 (en) * 2018-10-15 2022-04-26 International Business Machines Corporation Fabrication of superconducting devices that control direct currents and microwave signals
GB2579644A (en) * 2018-12-10 2020-07-01 Creo Medical Ltd A modular electrosurgical system, and modules for said system
GB2587031A (en) * 2019-09-16 2021-03-17 Creo Medical Ltd Electrosurgical apparatus for treating biological tissue with microwave energy, and method for controlling microwave energy
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11986234B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Surgical system communication pathways
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US12064109B2 (en) 2019-12-30 2024-08-20 Cilag Gmbh International Surgical instrument comprising a feedback control circuit
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
GB2594233A (en) * 2019-12-30 2021-10-27 Creo Medical Ltd Electrosurgical generator for delivering microwave energy at multiple frequencies
US20210196362A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical end effectors with thermally insulative and thermally conductive portions
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11974801B2 (en) 2019-12-30 2024-05-07 Cilag Gmbh International Electrosurgical instrument with flexible wiring assemblies
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US20210196363A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
CN111293391A (zh) * 2020-03-25 2020-06-16 南京亿高微波系统工程有限公司 一种微波治疗仪直流高压隔断器
CN111760198A (zh) * 2020-07-24 2020-10-13 南京臻泰微波科技有限公司 一种用于微波治疗设备的bf型隔离器
GB2597751A (en) * 2020-08-03 2022-02-09 Creo Medical Ltd Electrosurgical apparatus, and methods for cutting and coagulation
CN114601557A (zh) * 2022-02-16 2022-06-10 李广宇 使用微波杀伤生物体脉管内体液细胞的装置
CN116421296A (zh) * 2022-12-29 2023-07-14 青岛迈博思医疗科技有限公司 适用于超电混合能量平台的外科器械

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4091344A (en) * 1977-01-19 1978-05-23 Wavecom Industries Microwave multiplexer having resonant circuits connected in series with comb-line bandpass filters
US5088997A (en) * 1990-03-15 1992-02-18 Valleylab, Inc. Gas coagulation device
US5372596A (en) * 1993-07-27 1994-12-13 Valleylab Inc. Apparatus for leakage control and method for its use
US5931836A (en) * 1996-07-29 1999-08-03 Olympus Optical Co., Ltd. Electrosurgery apparatus and medical apparatus combined with the same
US20020007912A1 (en) * 1999-04-12 2002-01-24 Mohammad Kamarehi Coolant for plasma generator
US7335199B2 (en) * 2000-02-22 2008-02-26 Rhytec Limited Tissue resurfacing
US20110121735A1 (en) * 2000-02-22 2011-05-26 Kreos Capital Iii (Uk) Limited Tissue resurfacing
JP4469723B2 (ja) 2002-11-27 2010-05-26 メディカル・デバイス・イノベーションズ・リミテッド 組織焼勺装置および組織を焼勺する方法
GB0620061D0 (en) * 2006-10-10 2006-11-22 Medical Device Innovations Ltd Oesophageal treatment apparatus and method
CN101267220B (zh) * 2007-03-12 2011-07-27 京信通信系统（中国）有限公司 双频合路器
US8731684B2 (en) * 2009-01-20 2014-05-20 Meridian Medical Systems, Llc Method and apparatus for aligning an ablation catheter and a temperature probe during an ablation procedure
US8246615B2 (en) * 2009-05-19 2012-08-21 Vivant Medical, Inc. Tissue impedance measurement using a secondary frequency
US10441345B2 (en) * 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US20110208179A1 (en) * 2010-02-25 2011-08-25 Tyco Healthcare Group Lp Patient Isolation in a Microwave-Radio Frequency Generator
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
GB2487199A (en) 2011-01-11 2012-07-18 Creo Medical Ltd Electrosurgical device with fluid conduit
GB2506377A (en) * 2012-09-27 2014-04-02 Creo Medical Ltd Electrosurgical apparatus comprising an RF generator, microwave generator, combining circuit and waveguide isolator

Also Published As

Publication number Publication date
ES2668957T3 (es) 2018-05-23
EP3150158A1 (en) 2017-04-05
CA3060535C (en) 2022-05-03
AU2013322400A1 (en) 2015-05-07
PT3150158T (pt) 2018-05-16
US20180344400A1 (en) 2018-12-06
EP2900157A1 (en) 2015-08-05
JP6608477B2 (ja) 2019-11-20
AU2017208353A1 (en) 2017-08-17
JP2019205841A (ja) 2019-12-05
DK3150158T3 (da) 2018-05-14
ES2622194T3 (es) 2017-07-05
US10080609B2 (en) 2018-09-25
CN104812323A (zh) 2015-07-29
CA3060535A1 (en) 2014-04-03
GB2506377A (en) 2014-04-02
US20150238257A1 (en) 2015-08-27
WO2014049332A1 (en) 2014-04-03
AU2017208353B2 (en) 2019-04-04
SG11201502389TA (en) 2015-04-29
EP2900157B1 (en) 2017-01-18
CA2925156A1 (en) 2014-04-03
CN107550560A (zh) 2018-01-09
US11540880B2 (en) 2023-01-03
JP6612127B2 (ja) 2019-11-27
SG10201605059PA (en) 2016-07-28
JP6774068B2 (ja) 2020-10-21
JP2018134442A (ja) 2018-08-30
EP3150158B1 (en) 2018-03-07
JP2015530172A (ja) 2015-10-15
HK1212879A1 (zh) 2016-06-24
CA2925156C (en) 2021-06-22
CN104812323B (zh) 2017-09-26
PT2900157T (pt) 2017-04-24
AU2013322400B2 (en) 2017-09-07
GB201217247D0 (en) 2012-11-07
CN107550560B (zh) 2020-12-22

Similar Documents

Publication Publication Date Title
US11540880B2 (en) Electrosurgical apparatus
DK3079619T3 (da) Elektrokirurgisk indretning til generering af radiofrekvensenergi og mikrobølgeenergi til afgivelse til biologisk væv
US11490950B2 (en) Isolation device for electrosurgical apparatus
EP4084712B1 (en) Electrosurgical generator for delivering microwave energy at multiple frequencies