JP2015061619A - 外科システム - Google Patents
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- 210000005036 nerve Anatomy 0.000 abstract description 28
- 238000012544 monitoring process Methods 0.000 abstract description 19
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
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- A61B5/389—Electromyography [EMG]
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- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/389—Electromyography [EMG]
- A61B5/395—Details of stimulation, e.g. nerve stimulation to elicit EMG response
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4887—Locating particular structures in or on the body
- A61B5/4893—Nerves
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- 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
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
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- 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
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes 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
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- A—HUMAN NECESSITIES
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- 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
- A61B2018/00589—Coagulation
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- A—HUMAN NECESSITIES
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- A61B2018/00636—Sensing and controlling the application of energy
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1273—Generators therefor including multiple generators in one device
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- 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
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36003—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
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Abstract
【解決手段】神経モニタリングおよび電気外科に用いるインターフェースモジュール16は、電気刺激ジェネレータ12、高周波電源14および機器10に電気的に接続可能なインターフェースモジュールに係わり、選択モジュールは、インターフェースモジュールに接続され、機器への電気刺激ジェネレータから電気刺激信号を伝える第1モード、および、機器への高周波電源から無線周波数信号を伝える第2モードで作動する。
【選択図】図1
Description
Claims (13)
- 機器と、
電気刺激信号を生成するように構成された電気刺激ジェネレータと、
無線周波数信号を生成するように構成された電気外科処置具と、
前記機器、前記電気刺激ジェネレータ、および前記電気外科処置具に電気的に接続されたインターフェースモジュールと、
前記電気刺激ジェネレータおよび前記インターフェースモジュールを含む第1回路と、
前記電気外科処置具および前記インターフェースモジュールを含む第2回路と、
前記インターフェースモジュールに電気的に接続され、選択的に前記第1回路および前記第2回路のうちの1つを完結するように構成された選択モジュールと、
前記インターフェースモジュールと電気的に接続している1以上の検出プローブであり、かつ、電気刺激ジェネレータ又は前記電気外科処置具からの信号に起因するEMG活動の検知において、前記機器を通して送信されている前記第2回路の前記電気外科処置具からの信号をこれ以上不能にするように、上記インターフェースモジュールへ指示を与えるよう構成された1以上の検出プローブと、を具備する処置対象箇所の組織に使用するための外科システム。 - 前記機器は、バイポーラ型鉗子、腹腔鏡バイポーラ型機器、モノポーラ焼灼ペンおよび手首型機器のうちの1つである請求項1に記載の外科システム。
- 前記選択モジュールが前記機器に接続される請求項1に記載の外科システム。
- 前記選択モジュールは、前記インターフェースモジュールに電気的に接続され、第2回路を分離するように構成される請求項1に記載の外科システム。
- 前記選択モジュールは、前記処置対象箇所で電気活性を示す信号を提供するために、前記インターフェースモジュールに電気的に接続される請求項1に記載の外科システム。
- さらに、前記組織に接続され、前記第1回路の一部を形成する1つ以上の記録電極を備え、前記組織に送信された電気刺激信号から生成された応答を記録するように構成される請求項1に記載の外科システム。
- 前記組織に接続される、ESU電極からの1つ以上を記録し、前記組織からのバイオ電気的な応答を記録するように構成され、前記応答が前記第2回路を分離するために使用されているように構成される請求項1に記載の外科システム。
- さらに、組織に接続され、前記組織に送信された電気外科の刺激信号から生成されたバイオ電気的な応答を記録するように構成された1つ以上の記録電極を備える請求項1に記載の外科システム。
- 前記電気外科処置具は、前記機器に切除信号および凝固信号の両方を送信するように構成される請求項1に記載の外科システム。
- 前記選択モジュールは、前記第1回路および前記第2回路からの電気刺激信号および無線周波数信号を連続的に交互に入れ込む電気式スイッチである請求項1に記載の外科システム。
- 前記選択モジュールは、前記第1回路および前記第2回路からの電気刺激信号および無線周波数信号を、連続的に組み合わせて指示する電気式スイッチである請求項1に記載の外科システム。
- インターフェースモジュールと
前記インターフェースモジュールと電気的に接続している機器と、
前記機器に対して電気刺激信号を生成するように構成され、前記インターフェースモジュールと電気的に接続している電気刺激ジェネレータと、
前記機器に対して無線周波数信号を生成するように構成され、前記インターフェースモジュールと電気的に接続している電気外科処置具と、
前記電気刺激ジェネレータおよび前記インターフェースモジュールを含む第1回路と、
前記電気外科処置具および前記インターフェースモジュールを含む第2回路と、
前記インターフェースモジュールに電気的に接続され、選択的に前記第1回路および前記第2回路のうちの1つを完結するように構成された選択モジュールと、
前記機器から離間され、前記インターフェースモジュールに電気的に接続され、処置対象箇所の組織に接続され、電気刺激ジェネレータ又は電気外科処置具からの信号に起因する前記組織からの応答を記録するよう構成され、前記第2回路を切断するよう構成されている、1つ以上の記録電極と、を具備する処置対象箇所の組織に使用するための外科システム。 - 前記選択モジュールは、前記第1回路からの電気刺激信号と前記第2回路からの無線周波数信号とを連続的に交互に入れ込む電気式スイッチである請求項12に記載の外科システム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/771,713 US10631912B2 (en) | 2010-04-30 | 2010-04-30 | Interface module for use with nerve monitoring and electrosurgery |
US12/771,713 | 2010-04-30 |
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JP2013508017A Division JP2013525002A (ja) | 2010-04-30 | 2011-04-18 | 神経モニタリングおよび電気外科に用いるインターフェースモジュール |
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JP2015061619A true JP2015061619A (ja) | 2015-04-02 |
JP6018158B2 JP6018158B2 (ja) | 2016-11-02 |
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JP2013508017A Pending JP2013525002A (ja) | 2010-04-30 | 2011-04-18 | 神経モニタリングおよび電気外科に用いるインターフェースモジュール |
JP2014228051A Expired - Fee Related JP6018158B2 (ja) | 2010-04-30 | 2014-11-10 | 外科システム |
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JP2013508017A Pending JP2013525002A (ja) | 2010-04-30 | 2011-04-18 | 神経モニタリングおよび電気外科に用いるインターフェースモジュール |
Country Status (8)
Country | Link |
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US (3) | US10631912B2 (ja) |
EP (1) | EP2563214B1 (ja) |
JP (2) | JP2013525002A (ja) |
KR (2) | KR101505054B1 (ja) |
CN (1) | CN102985004B (ja) |
AU (1) | AU2011245597B2 (ja) |
CA (1) | CA2797484C (ja) |
WO (1) | WO2011136962A1 (ja) |
Cited By (2)
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US20110270120A1 (en) | 2011-11-03 |
CN102985004B (zh) | 2016-10-19 |
JP6018158B2 (ja) | 2016-11-02 |
US10980593B2 (en) | 2021-04-20 |
US10631912B2 (en) | 2020-04-28 |
EP2563214A1 (en) | 2013-03-06 |
JP2013525002A (ja) | 2013-06-20 |
CN102985004A (zh) | 2013-03-20 |
US11950832B2 (en) | 2024-04-09 |
EP2563214B1 (en) | 2017-01-04 |
KR20130028112A (ko) | 2013-03-18 |
CA2797484C (en) | 2019-10-29 |
AU2011245597A1 (en) | 2012-12-13 |
US20170312006A1 (en) | 2017-11-02 |
KR20140124385A (ko) | 2014-10-24 |
AU2011245597B2 (en) | 2015-01-29 |
KR101728727B1 (ko) | 2017-04-20 |
WO2011136962A1 (en) | 2011-11-03 |
CA2797484A1 (en) | 2011-11-03 |
US20210204998A1 (en) | 2021-07-08 |
KR101505054B1 (ko) | 2015-03-23 |
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