DK3457974T3 - Elektrokirurgisk tanginstrument - Google Patents

Elektrokirurgisk tanginstrument Download PDF

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Publication number
DK3457974T3
DK3457974T3 DK17724015.7T DK17724015T DK3457974T3 DK 3457974 T3 DK3457974 T3 DK 3457974T3 DK 17724015 T DK17724015 T DK 17724015T DK 3457974 T3 DK3457974 T3 DK 3457974T3
Authority
DK
Denmark
Prior art keywords
electrosurgical forceps
forceps instrument
instrument
electrosurgical
forceps
Prior art date
Application number
DK17724015.7T
Other languages
English (en)
Inventor
Christopher Hancock
George Ullrich
David Webb
Steven Morris
Patrick Burn
Malcolm White
Thomas Craven
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 DK3457974T3 publication Critical patent/DK3457974T3/da

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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
    • A61B18/12Surgical 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A61B18/1447Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod wherein sliding surfaces cause opening/closing of the end effectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034Surgical instruments, devices or methods, e.g. tourniquets 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • 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
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • 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
    • A61B2018/00595Cauterization
    • 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
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607Coagulation and cutting with the same instrument
    • 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
    • A61B2018/0063Sealing
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00755Resistance or impedance
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance
    • 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
    • A61B2018/00982Surgical 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
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
    • 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

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)
  • Surgical Instruments (AREA)
DK17724015.7T 2016-05-17 2017-05-16 Elektrokirurgisk tanginstrument DK3457974T3 (da)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB1608632.4A GB2552925A (en) 2016-05-17 2016-05-17 Electrosurgical instrument
PCT/EP2017/061741 WO2017198672A1 (en) 2016-05-17 2017-05-16 Electrosurgical forceps instrument

Publications (1)

Publication Number Publication Date
DK3457974T3 true DK3457974T3 (da) 2020-08-10

Family

ID=56320515

Family Applications (1)

Application Number Title Priority Date Filing Date
DK17724015.7T DK3457974T3 (da) 2016-05-17 2017-05-16 Elektrokirurgisk tanginstrument

Country Status (16)

Country Link
US (1) US11253313B2 (da)
EP (1) EP3457974B1 (da)
JP (2) JP7300144B2 (da)
KR (1) KR102361690B1 (da)
CN (1) CN108601619B (da)
AU (1) AU2017267205B2 (da)
BR (1) BR112018016869A2 (da)
CA (1) CA3015182A1 (da)
DK (1) DK3457974T3 (da)
ES (1) ES2818617T3 (da)
GB (1) GB2552925A (da)
IL (1) IL260729B (da)
PT (1) PT3457974T (da)
SG (1) SG11201806975TA (da)
WO (1) WO2017198672A1 (da)
ZA (1) ZA201804949B (da)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2552925A (en) * 2016-05-17 2018-02-21 Creo Medical Ltd Electrosurgical instrument
GB2567469A (en) * 2017-10-13 2019-04-17 Creo Medical Ltd Electrosurgical apparatus
US11883058B2 (en) * 2019-03-26 2024-01-30 Covidien Lp Jaw members, end effector assemblies, and ultrasonic surgical instruments including the same
CN113784680A (zh) * 2019-06-21 2021-12-10 国立大学法人滋贺医科大学 一种医疗用治疗工具及电磁波医疗系统
US12023086B2 (en) * 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
GB2600959A (en) * 2020-11-12 2022-05-18 Creo Medical Ltd Electrosurgical resector tool
CN113967069B (zh) * 2021-10-15 2024-04-16 邦士医疗科技股份有限公司 一种等离子手术电极及等离子手术器械
WO2024184193A1 (en) * 2023-03-03 2024-09-12 Creo Medical Limited Electrosurgical instrument and electrosurgical apparatus

Family Cites Families (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6585735B1 (en) 1998-10-23 2003-07-01 Sherwood Services Ag Endoscopic bipolar electrosurgical forceps
US20070173872A1 (en) * 2006-01-23 2007-07-26 Ethicon Endo-Surgery, Inc. Surgical instrument for cutting and coagulating patient tissue
US8721640B2 (en) * 2006-10-06 2014-05-13 Covidien Lp Endoscopic vessel sealer and divider having a flexible articulating shaft
US20100036370A1 (en) * 2008-08-07 2010-02-11 Al Mirel Electrosurgical instrument jaw structure with cutting tip
US8282634B2 (en) * 2009-01-14 2012-10-09 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US20100249769A1 (en) * 2009-03-24 2010-09-30 Tyco Healthcare Group Lp Apparatus for Tissue Sealing
DE102009037613A1 (de) * 2009-08-14 2011-02-24 Erbe Elektromedizin Gmbh Elektrochirurgisches Instrument
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
JP5631716B2 (ja) * 2010-12-14 2014-11-26 オリンパス株式会社 治療用処置装置
GB201100443D0 (en) 2011-01-11 2011-02-23 Creo Medical Ltd Electrosurgical instrument
US8968297B2 (en) 2011-07-19 2015-03-03 Covidien Lp Microwave and RF ablation system and related method for dynamic impedance matching
US8968307B2 (en) * 2011-08-18 2015-03-03 Covidien Lp Surgical forceps
US9259268B2 (en) * 2011-12-06 2016-02-16 Covidien Lp Vessel sealing using microwave energy
US9161814B2 (en) * 2013-03-15 2015-10-20 Covidien Lp Microwave energy-delivery device and system
PL2845549T3 (pl) * 2013-09-10 2016-12-30 Instrument chirurgiczny z ulepszonym mechanizmem napędowym
GB201317713D0 (en) 2013-10-07 2013-11-20 Creo Medical Ltd Electrosurgical device
GB201322844D0 (en) * 2013-12-23 2014-02-12 Creo Medical Ltd Electrosurgical device
GB201418474D0 (en) * 2014-10-17 2014-12-03 Creo Medical Ltd Electrosurgical apparatus
GB2552925A (en) * 2016-05-17 2018-02-21 Creo Medical Ltd Electrosurgical instrument

Also Published As

Publication number Publication date
US20190167342A1 (en) 2019-06-06
PT3457974T (pt) 2020-09-15
GB2552925A (en) 2018-02-21
EP3457974B1 (en) 2020-07-08
WO2017198672A1 (en) 2017-11-23
JP2022068241A (ja) 2022-05-09
GB201608632D0 (en) 2016-06-29
EP3457974A1 (en) 2019-03-27
AU2017267205B2 (en) 2021-08-26
SG11201806975TA (en) 2018-09-27
ES2818617T3 (es) 2021-04-13
IL260729B (en) 2022-05-01
CN108601619B (zh) 2020-12-18
ZA201804949B (en) 2019-09-25
CN108601619A (zh) 2018-09-28
JP2019516419A (ja) 2019-06-20
CA3015182A1 (en) 2017-11-23
BR112018016869A2 (pt) 2019-02-05
JP7300144B2 (ja) 2023-06-29
US11253313B2 (en) 2022-02-22
KR102361690B1 (ko) 2022-02-10
AU2017267205A1 (en) 2018-08-09
KR20190008830A (ko) 2019-01-25

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