EP3383301A1 - Elektrochirurgisches system und elektrochirurgisches instrument zur verwendung in einem system - Google Patents

Elektrochirurgisches system und elektrochirurgisches instrument zur verwendung in einem system

Info

Publication number
EP3383301A1
EP3383301A1 EP16805405.4A EP16805405A EP3383301A1 EP 3383301 A1 EP3383301 A1 EP 3383301A1 EP 16805405 A EP16805405 A EP 16805405A EP 3383301 A1 EP3383301 A1 EP 3383301A1
Authority
EP
European Patent Office
Prior art keywords
display
electrosurgical instrument
generator
relevant information
electrosurgical
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Withdrawn
Application number
EP16805405.4A
Other languages
German (de)
English (en)
French (fr)
Inventor
Carlos GROTH
Christopher Sprenger
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Olympus Winter and Ibe GmbH
Original Assignee
Olympus Winter and Ibe GmbH
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 Olympus Winter and Ibe GmbH filed Critical Olympus Winter and Ibe GmbH
Publication of EP3383301A1 publication Critical patent/EP3383301A1/de
Withdrawn legal-status Critical Current

Links

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
    • A61B18/04Surgical 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
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • 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
    • 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
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • A61B90/98Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00199Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • 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
    • A61B2018/00988Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
    • 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
    • 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
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • A61B2034/256User interfaces for surgical systems having a database of accessory information, e.g. including context sensitive help or scientific articles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05Surgical care
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays

Definitions

  • the invention relates to an electrosurgical system, a method of operating an electrosurgical instrument, an electrosurgical instrument for use in an electrosurgical system, and a generator for operating an electrosurgical instrument.
  • Electrosurgical systems and instruments for this purpose are known, for example from US Pat. Nos. 5,931,836 and DE 10 2009 041 329 A1.
  • an electrosurgical instrument is connected to a generator for operation.
  • DE 100 57 585 A1 describes an instrument on which instrument-specific configuration data are stored.
  • the existing systems, methods, instruments and generators for operating electrosurgical instruments offer several advantages, but further improvements are desirable.
  • an electrosurgical system comprising an electrosurgical instrument, a generator, which is designed to operate the electrosurgical instrument, a memory element, on which at least one user-relevant information, which represents at least one operating manual for the electrosurgical instrument, is stored, and a display, which is adapted to display the operation-relevant information, wherein the system is adapted to transmit the operation-relevant information to the display.
  • the system according to the invention is based on the recognition that improvements can be achieved if user-relevant information on an electrosurgical instrument is stored on a memory element of the system. In the systems known from the prior art operating instructions are attached to the instrument in paper form.
  • the user manuals in paper form are often perceived by users of the systems as part of the delivery packaging and disposed of after unpacking the instrument.
  • manuals are often archived. This procedure means that the operating instructions are not available at all, if necessary, for example during a clinical procedure, or only after prior consultation of the archive.
  • the user-relevant information must then either be newly determined (in case of disposal or loss) or requested from an archive. Both are time-consuming and represent a considerable risk for the patient to be treated. Missing or misaligned user-relevant information can lead to incorrect operation of the instruments, which is also associated with considerable risks for the patient.
  • the system according to the invention solves these problems and challenges by virtue of the fact that the information relevant for operation within the system is stored electronically on a memory element of the system and can be called up there immediately and at any time.
  • the retrieved information is displayed on a display of the system and can thus be interpreted and applied by a user of the system (for example, a treating physician). A misallocation can be safely avoided.
  • the user-relevant information is provided in electronic form on a memory element.
  • This has the advantage that the Handling of the information is improved. For example, search functions and interactions can be made possible by a computer-based provision and processing of the information relevant to the operation of the display.
  • the system according to the invention is preferably suitable for the operation of an electrosurgical hand instrument.
  • the generator preferably comprises an ultrasound generator with a generating unit for providing an exciter signal with which an ultrasound transducer can generate an ultrasound vibration. Additionally or alternatively, the generator preferably comprises a high frequency generator for providing a high frequency signal to two output contacts of the generator. For the operation of the electrosurgical instrument, the generator provides at its output contacts an operating signal which is processed by the electrosurgical instrument. The transmission of the operating signal to the instrument takes place, for example, via a cable connection of the instrument.
  • the cable connection preferably comprises a plug which can be plugged into the output contacts.
  • the operating signal preferably comprises the exciter signal and the high-frequency signal.
  • the excitation signal is converted by means of an ultrasonic transducer present in the instrument into an ultrasonic vibration, which can be used to treat the tissue of a patient.
  • the high frequency signal may be provided in accordance with the present invention for monopolar and / or bipolar applications.
  • the electrosurgical instrument has an electrode connected to one of the output contacts to which the radio frequency signal is provided.
  • the system includes a patient electrode connected to another of the two output contacts to which the radio frequency signal is provided.
  • the electrode is brought into contact with the tissue to be treated.
  • the patient electrode is connected to a portion of the patient's skin. In this way, the high frequency signal generates a current that flows back and forth through a component of the body from the electrode to the patient electrode.
  • the electrosurgical instrument has at least two electrodes, each electrode having one of the two output contacts to which the radio frequency signal is provided is connected.
  • the electrical current flows through the tissue which lies between and in contact with the two electrodes of the electrosurgical instrument.
  • the electrosurgical instrument can, for example, have two limbs each with one electrode or a rod-shaped applicator with two electrodes spaced apart in the axial direction.
  • the electrosurgical instrument may comprise, instead of or in addition to, one or more electrodes, a microwave antenna.
  • the term "user-relevant information” encompasses, inter alia, all instruction and instruction information relating to the intended and safe operation, use, use, application, etc. of the electrosurgical instrument by a user
  • information found in printed manuals or instructions for use may preferably contain other information that can not be provided in printed form, such as animations or movies.
  • the term "memory element" is preferably to be understood as a permanent or semi-permanent electronic memory, for example, the memory element may comprise or consist of an Erasable Programmable Read Only Memory (EEPROM)
  • EEPROM Erasable Programmable Read Only Memory
  • the display is preferably designed to interpret the data and process it for display
  • the system according to the invention relates to the use of electrosurgical instruments and generators as well as methods of operating such instruments and generators
  • the system of the present invention will be described with reference to a combined ultrasonic and high frequency generator system and an electrosurgical instrument operated by the generator, however, the invention is equally applicable to electrosurgery systems, electrosurgical instruments, generators and methods that use only ultrasound or only radio frequency.
  • the system is preferably designed to transmit the service-relevant information, while the display is signal-wise coupled to the memory element.
  • the signal-technical coupling of the display with the memory element can be wired or wired or wired or wireless, preferably by means of near-field communication.
  • the wired coupling can take place, for example, by means of the cable connection of the storage element as soon as it is inserted with its plug into output contacts of the display or a device whose element forms the display.
  • the memory element may preferably comprise or consist of an RFID element.
  • the service-relevant information stored on the storage element can be read out by the RFID element (RFID: Radio Frequency Identification) by means of a radio interface of the display or a device whose element forms the display.
  • RFID Radio Frequency Identification
  • the RFID element can be formed by an RFID transponder.
  • the radio interface of the display or the device preferably emits an electromagnetic alternating field, which is influenced by the RFID transponder.
  • the radio interface By means of the radio interface, reflected waves of the electromagnetic alternating field are received and information stored on the RFID transponder is taken from the influence of the alternating field. In this way, the identification information can be transmitted in the signal-technical coupling to the display.
  • the signaling coupling is to be understood as a direct and indirect signal-technical coupling.
  • In an indirect signaling coupling is or are preferably one element or more elements between display and memory element connected.
  • the display may have a control unit which is directly coupled to the memory element of the system according to the invention (in this sense the display is indirectly coupled to the memory element via the control unit).
  • the system according to the invention comprises an operating unit (for example a computer unit) for editing, editing, searching and / or interacting with the displayed operationally relevant information.
  • an operating unit for example a computer unit for editing, editing, searching and / or interacting with the displayed operationally relevant information.
  • the electrosurgical instrument has the storage element.
  • the memory element of the system according to the invention therefore forms, according to this embodiment, a component of the electrosurgical instrument which can be operated in the system.
  • the storage element is preferably arranged in a handpiece of the electrosurgical instrument.
  • the storage element is further preferably arranged in the plug of the electrosurgical instrument.
  • the arrangement in the plug of the electrosurgical instrument has the advantage that a shorter range for the data transmission between memory element and generator is required. In addition, a higher data rate can be achieved.
  • An essential advantage of this embodiment is that the information relevant to the operation is retrievable by the instrument itself. As a result, the information relevant to the operation is accessible irrespective of the system in which or with which generator the instrument is operated.
  • instrument-specific operation-relevant information is stored on the memory element of the instrument.
  • Instrument-specific information relevant to operation is to be understood in the context of the present invention as operating information that is relevant for the operation of the type of instrument on which the user-relevant information is stored.
  • Operator-relevant information about other types of instruments, for example, is not included and can be stored on storage elements of these other types of instruments.
  • the operation-relevant information is transmitted from the storage element of the electrosurgical instrument to the display, while the display is signal-coupled with the electrosurgical instrument.
  • the signal-technical coupling of the display with the electrosurgical instrument can be wired or wired or wired or wireless, as described above, take place.
  • the generator has the storage element.
  • the storage element of the system according to the invention thus forms, according to this embodiment, a component of the generator which can be used to operate the electrosurgical instrument.
  • the operation-relevant information is transmitted from the storage element of the generator to the display, while the display is signal-coupled with the generator.
  • Signaling coupling of the generator with the electric surgical instrument can be wired or wired or wired or wireless, as described above.
  • the storing of the user-relevant information before a signaling coupling of the generator with the display by transmitting the user-relevant information to the generator, for example, in the context of a field upgrade, in which the operation-relevant information from a computer unit via a data interface of the generator to the memory element be played by the generator.
  • the data After being loaded, the data remains stored on the storage element of the generator as sleeper information, for example encrypted.
  • the generator has the display for displaying the operation-relevant information.
  • the display of the system according to the invention forms according to this embodiment, a component of the generator, which can be used to operate the electro -urgical instrument.
  • An essential advantage of this embodiment is that an existing display in the generator can be used as a display for the information relevant to the operation.
  • the generator according to this embodiment also has the features described above with respect to the above embodiment.
  • the operation-relevant information is transmitted from the storage element of the electrosurgical instrument to the display, while the generator is signal-technically coupled to the electrosurgical instrument.
  • the signal-technical coupling of the generator with the electrosurgical instrument can be wired or wired or wired or wireless, as described above, take place.
  • a separate display unit the display or a medical information system on the display.
  • the display of the system according to the invention forms part of a separate display unit or a component of a medical information system. If the display is formed as part of a separate display unit, the advantage is achieved that can be selected for the system, a suitable display for the intended preparation of user-relevant information. Any shortcomings of an integrated display in the generator, for example, because of their small size, can be overcome.
  • a suitable display for the preparation of user-relevant information is frequently to be found as an element of a medical information system present in a treatment room.
  • the medical information system can be advantageously used according to this embodiment to display the information relevant to the operation.
  • a further preferred embodiment of the electrosurgical system according to the invention has a speech presetting, wherein the system is designed to display the information relevant to operation by means of the display in a language as a function of the speech presetting. Preferably, only those information relevant to the operation are transmitted to the display, which correspond to a language according to the language presetting. In this way, the volume of data and thus the duration of the retrieval of the information is reduced.
  • the Transvorein- position corresponds to a Senvoreingna the generator.
  • the characteristic of known generators which display information in a predetermined language according to a voice preset is used advantageously.
  • the language presetting of the generator is used to display the information relevant to the operation in a language according to the language presetting.
  • the object mentioned at the outset is achieved by a method for operating an electrosurgical instrument, comprising:
  • the operation-relevant information is transmitted to the display, while the memory element is signal-technically coupled to the display or a device having the display.
  • the providing comprises storing the at least one service-relevant information on a storage element of the electrosurgical instrument.
  • a further development of the preferred embodiment of the method includes signal-wise coupling of the electrosurgical instrument to a generator for operating the electrosurgical instrument, wherein the transmitting comprises transmitting the operation-relevant information to the generator.
  • the providing comprises storing the at least one service-relevant information on a storage element of a generator for operating the electrosurgical instrument.
  • a further development of the further preferred embodiment of the method comprises a signaling coupling of the generator to the electrosurgical instrument, which has a storage element on which identification information for identifying the electrosurgical instrument is stored, wherein the identification information is transmitted to the generator, identifying the electrosurgical instrument by means of the generator and transmitting the operator-relevant information for the identified electrosurgical instrument to the display.
  • the user-relevant information is stored according to this training on a memory element of the generator.
  • user-relevant information for different instrument types are stored on the storage element of the generator.
  • the transmission of the information relevant to operation takes place during the operation of the electrosurgical instrument.
  • the method and its developments according to the invention have steps that make them particularly suitable for being used by a system according to the invention and its further developments.
  • the advantages, design variants and design details of the method and its further developments reference is made to the preceding description of the corresponding system features.
  • an electrosurgical instrument for use in an electrosurgical system, in particular an electrosurgical system of the type described above, wherein the electrosurgical instrument is designed to be operated by means of a generator comprising Memory element on which at least one user-relevant information that represents at least one operating instructions for the electrosurgical instrument is stored, wherein the instrument is formed with a display for transmitting the user-relevant information to the display signal-technically coupled.
  • the electrosurgical instrument according to the invention and its further developments have features which make them particularly suitable for use in a system according to the invention and in a method according to the invention for operating an electrosurgical instrument and its further developments. For advantages, embodiments and details of execution of the electrosurgical instrument and its training reference is made to the preceding description of the corresponding system and method features.
  • a generator for operating an electrosurgical instrument comprising a memory element, on which at least one user-relevant information representing at least one operating manual for the electrosurgical instrument is stored, the generator having a Display for transmitting the information relevant to the operation of the display is technically coupled coupled or has a display for displaying the user-relevant information.
  • a preferred embodiment of the generator has the display for displaying the operation-relevant information.
  • electrosurgical generator according to the invention and its further developments have features which make them particularly suitable for operating an invented generator.
  • electrosurgical instrument for a system according to the invention, in a method according to the invention for operating an electrosurgical instrument and its training.
  • design variants and design details of the generator and its further developments reference is made to the preceding description of the corresponding system and method features.
  • FIG. 1 shows an embodiment of an electrosurgical according to the invention
  • FIG. 2 shows a first embodiment of a method according to the invention as a schematic flow diagram
  • FIG. 3 shows a second embodiment of a method according to the invention as a schematic flow diagram.
  • Figure 1 shows a generator 3 and an electrosurgical instrument 1 as part of an electrosurgical system according to an embodiment of the invention.
  • FIG. 2 shows a schematic flow diagram illustrating a method according to the invention for operating an electrosurgical instrument according to a first exemplary embodiment. The method can be carried out by the system described with reference to FIG.
  • An electrosurgical instrument 1 comprises a storage element 27 on which information relevant to operation is stored in a method step A.
  • the operation-relevant information represent operating instructions for the electrosurgical instrument 1.
  • the information relevant to the operation serves to inform a user of the electrosurgical instrument 1 and indicate how the electrosurgical instrument 1 is intended to be operated.
  • the electrosurgical instrument 1 is signal-coupled to the generator 3.
  • the generator 3 has a radio interface 21 for the signal-technical coupling, by means of which the memory element 27, which is the preferred is arranged in a handpiece 25 of the electrosurgical instrument 1, is read.
  • the memory element 27 preferably comprises an RFID transponder, which is read out by means of the radio interface 21.
  • the information relevant to operation is transmitted in a method step D to a control unit 17, from there to a storage element 19 and from there to a display 20 of the generator 3.
  • the operation-relevant information in method step D is transmitted to a display 29 of a separate display unit 30 or a display 31 of a medical information system 33.
  • the information relevant to operation is transmitted to the display 20, 29 and / or 31 in method step D.
  • the user-relevant information is displayed in a method step E by means of the display 20, 29 and / or 31.
  • the generator 3 is designed to operate the electrosurgical instrument 1 in a method step C.
  • the operation of the electrosurgical instrument 1 according to method step C can be carried out before, during or after the transfer according to method step D.
  • the generator provides an operating signal at a plurality of output contacts 5, 7, 9 and 11.
  • the operating signal comprises an excitation signal at the output contacts 5 and 7, with which an ultrasonic transducer can generate an ultrasonic vibration, and a high-frequency signal at the output contacts 9 and 11.
  • the exciter signal is generated by an ultrasound generator 13.
  • the high frequency signal is generated by a high frequency generator 15.
  • the electrosurgical instrument 1 is connected to the generator 3 via a cable connection 18.
  • a plug 26 is arranged, which can preferably be inserted via the first interface 12 in the output contacts 5, 7, 9 and 1 1.
  • the electrosurgical instrument 1 comprises an ultrasound transducer (not shown) which generates an ultrasound vibration for application in a tissue of a patient from the exciter signal, which is transmitted via the cable connection 18 to the electrosurgical instrument 1.
  • the high-frequency signal is transmitted via the cable connection 18 and introduced by means of the electrosurgical instrument 1 into the tissue of the patient.
  • the ultrasonic generator 13 and the high-frequency generator 15 are controlled by a control unit 17.
  • the storage element 27, which is arranged in the handpiece 25 of the electrosurgical instrument 1, may alternatively and / or additionally be arranged as a storage element 27 'in the plug 26 of the electrosurgical instrument 1.
  • FIG. 3 shows a schematic flow diagram which represents a method according to the invention for operating an electrosurgical instrument according to a second exemplary embodiment.
  • the method according to FIG. 3 can be executed similarly to the method shown in FIG.
  • the same or substantially functionally identical method steps are provided with the same reference numerals.
  • a method step AA service-relevant information is loaded onto the generator 3 and stored by means of the memory element 19.
  • the recording takes place for example by means of a computer unit, not shown, which is connected via a data interface, such as a USB interface (USB: Universal Serial Bus) to the generator 3.
  • the operation-relevant information is initially stored only as sleeper information on the memory element 19 (encrypted).
  • a method step BB the electrosurgical instrument 1 is signal-coupled to the generator 3.
  • the memory element 27, 27 ' on which an identification information for the identification of the electrosurgical instrument is stored, read.
  • the identification information represents the instrument type.
  • the identification information is transmitted to the control unit 17 in a method step BBB.
  • a method step BBBB the control unit 17 identifies the electrosurgical instrument 1, in particular the type of instrument, on the basis of the identification information.
  • information relevant to the operation of the identified instrument is transmitted from the storage element 19 to the display 20, 29 and / or 31.
  • the transmission of the information relevant to the operation (FIG. 2, method step D) and / or the identification information (FIG. 3, method step BBB) can also be carried out by wire as an alternative to the type described above.
  • information relevant to operation and / or the identification information is transmitted, for example, via the cable connection 18 between instrument 1 and generator 3.
  • the cable connection 18 is formed by a cable with connector 26, which serves in operation for transmitting the operating signal with exciter signal and high-frequency signal.
  • the services tion relevant information and / or the identification information is / are modulated, for example, as an additional signal to the high-frequency signal.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
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EP16805405.4A 2015-12-01 2016-12-01 Elektrochirurgisches system und elektrochirurgisches instrument zur verwendung in einem system Withdrawn EP3383301A1 (de)

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DE102015223955.1A DE102015223955A1 (de) 2015-12-01 2015-12-01 Elektrochirurgisches System und elektrochirurgisches Instrument zur Verwendung in einem System
PCT/EP2016/079453 WO2017093415A1 (de) 2015-12-01 2016-12-01 Elektrochirurgisches system und elektrochirurgisches instrument zur verwendung in einem system

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CN113456211A (zh) * 2020-03-30 2021-10-01 奥林匹斯冬季和Ibe有限公司 电外科系统、电外科手术器械和电外科发生器

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JP2019503729A (ja) 2019-02-14
WO2017093415A1 (de) 2017-06-08
DE102015223955A1 (de) 2017-06-01
CN108289703A (zh) 2018-07-17

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