GB2563386A - Electrosurgical instrument - Google Patents

Electrosurgical instrument Download PDF

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Publication number
GB2563386A
GB2563386A GB1709134.9A GB201709134A GB2563386A GB 2563386 A GB2563386 A GB 2563386A GB 201709134 A GB201709134 A GB 201709134A GB 2563386 A GB2563386 A GB 2563386A
Authority
GB
United Kingdom
Prior art keywords
transmission line
electrosurgical instrument
electrosurgical
instrument according
energy
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Withdrawn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
GB1709134.9A
Other languages
English (en)
Other versions
GB201709134D0 (en
Inventor
Paul Hancock Christopher
Bishop John
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.)
Creo Medical Ltd
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
Priority to GB1709134.9A priority Critical patent/GB2563386A/en
Publication of GB201709134D0 publication Critical patent/GB201709134D0/en
Priority to EP18730296.3A priority patent/EP3634289B1/en
Priority to SG11201909915P priority patent/SG11201909915PA/en
Priority to US16/662,889 priority patent/US11969208B2/en
Priority to KR1020197030547A priority patent/KR20200016832A/ko
Priority to CN201880026791.1A priority patent/CN110545744B/zh
Priority to AU2018279116A priority patent/AU2018279116A1/en
Priority to PT187302963T priority patent/PT3634289T/pt
Priority to CA3060148A priority patent/CA3060148A1/en
Priority to ES18730296T priority patent/ES2908757T3/es
Priority to BR112019021878-5A priority patent/BR112019021878A2/pt
Priority to PCT/EP2018/064467 priority patent/WO2018224404A1/en
Priority to JP2019561164A priority patent/JP7188778B2/ja
Publication of GB2563386A publication Critical patent/GB2563386A/en
Withdrawn legal-status Critical Current

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
    • 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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1485—Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • 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
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/327—Applying electric currents by contact electrodes alternating or intermittent currents for enhancing the absorption properties of tissue, e.g. by electroporation
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00541—Lung or bronchi
    • 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
    • A61B2018/00577—Ablation
    • 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
    • A61B2018/00613—Irreversible electroporation
    • 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
    • A61B2018/00708—Power or energy switching the power on or off
    • 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
    • A61B2018/00732—Frequency
    • 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
    • A61B2018/00982—Surgical 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
    • 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
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
    • 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
    • A61B2018/1497—Electrodes covering only part of the probe circumference
    • 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
    • A61B2018/183—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 characterised by the type of antenna
    • A61B2018/1853—Monopole antennas
    • 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
    • A61B2018/1861—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 an instrument inserted into a body lumen or cavity, e.g. a catheter

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
GB1709134.9A 2017-06-08 2017-06-08 Electrosurgical instrument Withdrawn GB2563386A (en)

Priority Applications (13)

Application Number Priority Date Filing Date Title
GB1709134.9A GB2563386A (en) 2017-06-08 2017-06-08 Electrosurgical instrument
JP2019561164A JP7188778B2 (ja) 2017-06-08 2018-06-01 生体組織のアブレーションまたは電気穿孔を実施するための電気手術器具
AU2018279116A AU2018279116A1 (en) 2017-06-08 2018-06-01 Electrosurgical instrument for performing ablation or electroporation of biological tissue
CA3060148A CA3060148A1 (en) 2017-06-08 2018-06-01 Electrosurgical instrument for performing ablation or electroporation of biological tissue
US16/662,889 US11969208B2 (en) 2017-06-08 2018-06-01 Electrosurgical instrument for performing ablation or electroporation of biological tissue
KR1020197030547A KR20200016832A (ko) 2017-06-08 2018-06-01 생물학적 조직의 절제 또는 전기천공을 수행하기 위한 전기수술 기구
CN201880026791.1A CN110545744B (zh) 2017-06-08 2018-06-01 用于执行生物组织的消融或电穿孔的电外科器械
EP18730296.3A EP3634289B1 (en) 2017-06-08 2018-06-01 Electrosurgical instrument for performing ablation or electroporation of biological tissue
PT187302963T PT3634289T (pt) 2017-06-08 2018-06-01 Instrumento eletrocirúrgico para efetuar ablação ou eletroporação de tecido biológico
SG11201909915P SG11201909915PA (en) 2017-06-08 2018-06-01 Electrosurgical instrument for performing ablation or electroporation of biological tissue
ES18730296T ES2908757T3 (es) 2017-06-08 2018-06-01 Instrumento electroquirúrgico para realizar la ablación o la electroporación de tejido biológico
BR112019021878-5A BR112019021878A2 (pt) 2017-06-08 2018-06-01 Instrumento eletrocirúgico para realizar ablação ou eletroporação de tecido biológico
PCT/EP2018/064467 WO2018224404A1 (en) 2017-06-08 2018-06-01 Electrosurgical instrument for performing ablation or electroporation of biological tissue

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB1709134.9A GB2563386A (en) 2017-06-08 2017-06-08 Electrosurgical instrument

Publications (2)

Publication Number Publication Date
GB201709134D0 GB201709134D0 (en) 2017-07-26
GB2563386A true GB2563386A (en) 2018-12-19

Family

ID=59358379

Family Applications (1)

Application Number Title Priority Date Filing Date
GB1709134.9A Withdrawn GB2563386A (en) 2017-06-08 2017-06-08 Electrosurgical instrument

Country Status (13)

Country Link
US (1) US11969208B2 (enExample)
EP (1) EP3634289B1 (enExample)
JP (1) JP7188778B2 (enExample)
KR (1) KR20200016832A (enExample)
CN (1) CN110545744B (enExample)
AU (1) AU2018279116A1 (enExample)
BR (1) BR112019021878A2 (enExample)
CA (1) CA3060148A1 (enExample)
ES (1) ES2908757T3 (enExample)
GB (1) GB2563386A (enExample)
PT (1) PT3634289T (enExample)
SG (1) SG11201909915PA (enExample)
WO (1) WO2018224404A1 (enExample)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020120125A2 (en) 2018-12-10 2020-06-18 Creo Medical Limited A modular electrosurgical system, and modules for said system
JP2023510485A (ja) * 2019-12-05 2023-03-14 バイオセンス・ウエブスター・(イスラエル)・リミテッド 不可逆電気穿孔及び高周波アブレーション(ire/rfa)波形の生成及びインターリーブ

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GB201906172D0 (en) * 2019-05-02 2019-06-19 Univ College Cardiff Consultants Ltd Device and method to induce cell death
WO2021043779A1 (en) 2019-09-02 2021-03-11 Mirai Medical Limited An electroporation apparatus and method
EP4138696A4 (en) * 2020-04-22 2024-05-08 Boston Scientific Medical Device Limited LACERATION SYSTEM AND DEVICE AND LACERATION METHODS
US12076071B2 (en) 2020-08-14 2024-09-03 Kardium Inc. Systems and methods for treating tissue with pulsed field ablation
WO2022076650A1 (en) * 2020-10-07 2022-04-14 Northwestern University Integration of electrophysiology mapping systems with electroporation synchronized with pacing
US12290306B2 (en) * 2020-10-19 2025-05-06 Biosense Webster (Israel) Ltd. Using unipolar configuration for irreversible-electroporation (IRE)
WO2025188950A1 (en) * 2024-03-07 2025-09-12 St. Jude Medical, Cardiology Division, Inc. Systems and methods for pulsed field ablation using low voltage, long duration pulses

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Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5800494A (en) * 1996-08-20 1998-09-01 Fidus Medical Technology Corporation Microwave ablation catheters having antennas with distal fire capabilities
EP2347727A1 (en) * 2010-01-25 2011-07-27 Vivant Medical, Inc. System for method for monitoring ablation size

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020120125A2 (en) 2018-12-10 2020-06-18 Creo Medical Limited A modular electrosurgical system, and modules for said system
JP2023510485A (ja) * 2019-12-05 2023-03-14 バイオセンス・ウエブスター・(イスラエル)・リミテッド 不可逆電気穿孔及び高周波アブレーション(ire/rfa)波形の生成及びインターリーブ

Also Published As

Publication number Publication date
AU2018279116A1 (en) 2019-11-07
GB201709134D0 (en) 2017-07-26
EP3634289B1 (en) 2022-02-16
JP2020523048A (ja) 2020-08-06
BR112019021878A2 (pt) 2020-05-26
CA3060148A1 (en) 2018-12-13
KR20200016832A (ko) 2020-02-17
CN110545744B (zh) 2022-06-10
JP7188778B2 (ja) 2022-12-13
SG11201909915PA (en) 2019-11-28
WO2018224404A1 (en) 2018-12-13
US11969208B2 (en) 2024-04-30
CN110545744A (zh) 2019-12-06
EP3634289A1 (en) 2020-04-15
ES2908757T3 (es) 2022-05-03
US20200367965A1 (en) 2020-11-26
PT3634289T (pt) 2022-03-18

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