GB2563631B - Powering an electrocautery surgical instrument - Google Patents

Powering an electrocautery surgical instrument Download PDF

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Publication number
GB2563631B
GB2563631B GB1709902.9A GB201709902A GB2563631B GB 2563631 B GB2563631 B GB 2563631B GB 201709902 A GB201709902 A GB 201709902A GB 2563631 B GB2563631 B GB 2563631B
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GB
United Kingdom
Prior art keywords
powering
surgical instrument
electrocautery surgical
electrocautery
instrument
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.)
Active
Application number
GB1709902.9A
Other languages
English (en)
Other versions
GB2563631A (en
GB201709902D0 (en
Inventor
Roderick Grover Simon
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.)
CMR Surgical Ltd
Original Assignee
CMR Surgical 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 CMR Surgical Ltd filed Critical CMR Surgical Ltd
Priority to GB1709902.9A priority Critical patent/GB2563631B/en
Priority to GB2114608.9A priority patent/GB2599505B/en
Publication of GB201709902D0 publication Critical patent/GB201709902D0/en
Priority to CN201880041665.3A priority patent/CN110799141B/zh
Priority to BR112019027017-5A priority patent/BR112019027017A2/pt
Priority to PCT/GB2018/051716 priority patent/WO2018234795A1/en
Priority to EP18737359.2A priority patent/EP3641683B8/en
Priority to AU2018288005A priority patent/AU2018288005B2/en
Priority to US16/623,992 priority patent/US12478421B2/en
Priority to JP2019571026A priority patent/JP7275056B2/ja
Priority to CN202310914471.2A priority patent/CN116898588A/zh
Publication of GB2563631A publication Critical patent/GB2563631A/en
Application granted granted Critical
Publication of GB2563631B publication Critical patent/GB2563631B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61B18/04Surgical 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
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • 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
    • 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
    • A61B18/04Surgical 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
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/71Manipulators operated by drive cable mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/74Manipulators with manual electric input means
    • 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
    • A61B90/08Accessories or related features not otherwise provided for
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25JMANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J17/00Joints
    • B25J17/02Wrist joints
    • B25J17/0241One-dimensional joints
    • B25J17/025One-dimensional joints mounted in series
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2939Details of linkages or pivot points
    • 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
    • A61B2018/00172Connectors and adapters therefor
    • A61B2018/00178Electrical connectors
    • 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
    • A61B2018/00184Moving parts
    • 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
    • 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
    • A61B18/04Surgical 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
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1422Hook
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B2034/305Details of wrist mechanisms at distal ends of robotic arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B2034/305Details of wrist mechanisms at distal ends of robotic arms
    • A61B2034/306Wrists with multiple vertebrae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/71Manipulators operated by drive cable mechanisms
    • A61B2034/715Cable tensioning mechanisms for removing slack
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features
    • A61B2560/0204Operational features of power management
    • A61B2560/0214Operational features of power management of power generation or supply
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/72Micromanipulators

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Robotics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Ophthalmology & Optometry (AREA)
  • Mechanical Engineering (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Manipulator (AREA)
  • Surgical Instruments (AREA)
GB1709902.9A 2017-06-21 2017-06-21 Powering an electrocautery surgical instrument Active GB2563631B (en)

Priority Applications (10)

Application Number Priority Date Filing Date Title
GB1709902.9A GB2563631B (en) 2017-06-21 2017-06-21 Powering an electrocautery surgical instrument
GB2114608.9A GB2599505B (en) 2017-06-21 2017-06-21 Powering an electrocautery surgical instrument
CN201880041665.3A CN110799141B (zh) 2017-06-21 2018-06-20 为双极电灼手术器械供电
BR112019027017-5A BR112019027017A2 (pt) 2017-06-21 2018-06-20 alimentação de um instrumento cirúrgico para eletrocauterização
PCT/GB2018/051716 WO2018234795A1 (en) 2017-06-21 2018-06-20 FEEDING A SURGICAL INSTRUMENT FOR ELECTROCAUTIZATION
EP18737359.2A EP3641683B8 (en) 2017-06-21 2018-06-20 Powering an electrocautery surgical instrument
AU2018288005A AU2018288005B2 (en) 2017-06-21 2018-06-20 Powering an electrocautery surgical instrument
US16/623,992 US12478421B2 (en) 2017-06-21 2018-06-20 Powering an electrocautery surgical instrument
JP2019571026A JP7275056B2 (ja) 2017-06-21 2018-06-20 電気焼灼手術器具の給電
CN202310914471.2A CN116898588A (zh) 2017-06-21 2018-06-20 为双极电灼手术器械供电

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB1709902.9A GB2563631B (en) 2017-06-21 2017-06-21 Powering an electrocautery surgical instrument

Publications (3)

Publication Number Publication Date
GB201709902D0 GB201709902D0 (en) 2017-08-02
GB2563631A GB2563631A (en) 2018-12-26
GB2563631B true GB2563631B (en) 2021-11-24

Family

ID=59462317

Family Applications (1)

Application Number Title Priority Date Filing Date
GB1709902.9A Active GB2563631B (en) 2017-06-21 2017-06-21 Powering an electrocautery surgical instrument

Country Status (8)

Country Link
US (1) US12478421B2 (enExample)
EP (1) EP3641683B8 (enExample)
JP (1) JP7275056B2 (enExample)
CN (2) CN116898588A (enExample)
AU (1) AU2018288005B2 (enExample)
BR (1) BR112019027017A2 (enExample)
GB (1) GB2563631B (enExample)
WO (1) WO2018234795A1 (enExample)

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US11992286B2 (en) 2018-03-07 2024-05-28 Intuitive Surgical Operations, Inc. Low-friction medical tools having roller-assisted tension members
CN119837643A (zh) 2018-03-07 2025-04-18 直观外科手术操作公司 具有易组装构件的低摩擦小型医疗工具
EP3761897A4 (en) 2018-03-07 2021-11-24 Intuitive Surgical Operations, Inc. LOW-FRICTION, LOW-PRESSURE MEDICAL TOOLS WITH EASY-TO-ASSEMBLE COMPONENTS
US11992287B2 (en) 2018-04-10 2024-05-28 Intuitive Surgical Operations, Inc. Articulable medical devices having flexible wire routing
GB2579380B (en) 2018-11-29 2022-07-06 Cmr Surgical Ltd Internal structure of a robotic surgical instrument
US11628028B2 (en) 2018-12-31 2023-04-18 Asensus Surgical Us, Inc. Articulating surgical instrument
CN111166468B (zh) * 2020-02-21 2024-11-05 哈尔滨思哲睿智能医疗设备股份有限公司 一种手术电凝钩
CN112043389B (zh) * 2020-09-30 2025-06-17 深圳市精锋医疗科技股份有限公司 手术器械、从操作设备及手术机器人
CN112690836B (zh) * 2020-12-24 2022-12-02 上海微创医疗机器人(集团)股份有限公司 器械末端、器械末端组件及手术器械
CN112690902A (zh) * 2021-03-25 2021-04-23 成都博恩思医学机器人有限公司 一种电钩结构
GB2609033B (en) * 2021-07-19 2025-05-21 Cmr Surgical Ltd A robotic surgical instrument
JP2025508915A (ja) * 2022-02-28 2025-04-10 リブスメド インコーポレーテッド 手術用インストルメント及びそれを含む手術ロボット
CN116509551A (zh) * 2022-07-26 2023-08-01 深圳康诺思腾科技有限公司 手术器械的末端执行机构及手术器械
GB2623831B (en) * 2022-10-31 2025-02-12 Cmr Surgical Ltd Arrangement of an electrosurgical instrument
GB2623832B (en) * 2022-10-31 2025-06-18 Cmr Surgical Ltd Arrangement of an electrosurgical instrument
CN120676919A (zh) * 2023-02-14 2025-09-19 柯惠Lp公司 在手术器械中集成有电外科单元的手术机器人系统
EP4565158A1 (en) * 2023-07-21 2025-06-11 Cilag GmbH International Surgical end effector with monopolar hook and related methods
CN117180111B (zh) * 2023-09-21 2025-11-07 嘉善飞阔医疗科技有限公司 一种可视同时具备多方向导向功能的喂养管
WO2025150959A1 (en) * 2024-01-11 2025-07-17 Livsmed Inc. Operation part for surgical instrument and electrocautery surgical instrument equipped with operation part
CN118058843B (zh) * 2024-02-28 2025-07-22 山东威高手术机器人有限公司 末端执行器及电外科手术器械
CN121015275A (zh) * 2025-10-29 2025-11-28 艺柏湾医疗科技(上海)有限公司 一种多自由度手术机器人末端执行器

Citations (6)

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US20020111621A1 (en) * 1999-01-22 2002-08-15 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
US20050240178A1 (en) * 2000-12-29 2005-10-27 Intuitive Surgical, Inc. Bipolar cauterizing instrument
US20060074415A1 (en) * 2002-04-18 2006-04-06 Intuitive Surgical Inc. Wristed robotic surgical tool for pluggable end-effectors
JP2008161970A (ja) * 2006-12-28 2008-07-17 Terumo Corp マニピュレータ
US20090326530A1 (en) * 2008-06-30 2009-12-31 Intuitive Surgical, Inc. Vessel sealing instrument with stepped jaw
US20100016852A1 (en) * 2008-07-16 2010-01-21 Intuitive Surgical, Inc. Medical instrument electronically energized using drive cables

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US8771270B2 (en) 2008-07-16 2014-07-08 Intuitive Surgical Operations, Inc. Bipolar cautery instrument
CN103405271B (zh) 2013-08-05 2015-07-01 上海交通大学 一种多功能腹腔微创手术工具
GB201521803D0 (en) * 2015-12-10 2016-01-27 Cambridge Medical Robotics Ltd Surgical instrument articulation
GB2563632B (en) 2017-06-21 2021-12-29 Cmr Surgical Ltd Powering a bipolar electrocautery surgical instrument
US10973600B2 (en) * 2017-09-29 2021-04-13 Ethicon Llc Power axle wrist for robotic surgical tool

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020111621A1 (en) * 1999-01-22 2002-08-15 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
US20050240178A1 (en) * 2000-12-29 2005-10-27 Intuitive Surgical, Inc. Bipolar cauterizing instrument
US20060074415A1 (en) * 2002-04-18 2006-04-06 Intuitive Surgical Inc. Wristed robotic surgical tool for pluggable end-effectors
JP2008161970A (ja) * 2006-12-28 2008-07-17 Terumo Corp マニピュレータ
US20090326530A1 (en) * 2008-06-30 2009-12-31 Intuitive Surgical, Inc. Vessel sealing instrument with stepped jaw
US20100016852A1 (en) * 2008-07-16 2010-01-21 Intuitive Surgical, Inc. Medical instrument electronically energized using drive cables

Also Published As

Publication number Publication date
US12478421B2 (en) 2025-11-25
CN110799141A (zh) 2020-02-14
BR112019027017A2 (pt) 2020-06-30
GB2563631A (en) 2018-12-26
GB201709902D0 (en) 2017-08-02
JP2020524576A (ja) 2020-08-20
EP3641683A1 (en) 2020-04-29
JP7275056B2 (ja) 2023-05-17
WO2018234795A1 (en) 2018-12-27
AU2018288005A1 (en) 2020-01-16
AU2018288005B2 (en) 2022-12-15
EP3641683B8 (en) 2024-10-30
CN116898588A (zh) 2023-10-20
CN110799141B (zh) 2023-08-15
US20200138510A1 (en) 2020-05-07
EP3641683B1 (en) 2024-09-25

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