JP2018531684A - 外科用器具用の周波数アジャイル発生器 - Google Patents
外科用器具用の周波数アジャイル発生器 Download PDFInfo
- Publication number
- JP2018531684A JP2018531684A JP2018516527A JP2018516527A JP2018531684A JP 2018531684 A JP2018531684 A JP 2018531684A JP 2018516527 A JP2018516527 A JP 2018516527A JP 2018516527 A JP2018516527 A JP 2018516527A JP 2018531684 A JP2018531684 A JP 2018531684A
- Authority
- JP
- Japan
- Prior art keywords
- generator
- circuit
- surgical instrument
- component
- ultrasonic
- 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.)
- Granted
Links
- 238000012512 characterization method Methods 0.000 claims abstract description 65
- 238000002604 ultrasonography Methods 0.000 claims abstract description 60
- 239000002131 composite material Substances 0.000 claims abstract description 42
- 238000000034 method Methods 0.000 claims description 75
- 230000008030 elimination Effects 0.000 claims description 11
- 238000003379 elimination reaction Methods 0.000 claims description 11
- 238000004519 manufacturing process Methods 0.000 claims description 7
- 210000001519 tissue Anatomy 0.000 description 117
- 238000004891 communication Methods 0.000 description 63
- 230000007246 mechanism Effects 0.000 description 45
- 239000012636 effector Substances 0.000 description 43
- 230000015654 memory Effects 0.000 description 36
- 238000004422 calculation algorithm Methods 0.000 description 22
- 238000010586 diagram Methods 0.000 description 21
- 230000006870 function Effects 0.000 description 21
- 238000005345 coagulation Methods 0.000 description 18
- 230000015271 coagulation Effects 0.000 description 18
- 238000002955 isolation Methods 0.000 description 18
- 239000003990 capacitor Substances 0.000 description 17
- 230000004044 response Effects 0.000 description 17
- 238000012986 modification Methods 0.000 description 16
- 230000004048 modification Effects 0.000 description 16
- 238000012544 monitoring process Methods 0.000 description 16
- 230000008859 change Effects 0.000 description 15
- 238000004146 energy storage Methods 0.000 description 15
- 238000003860 storage Methods 0.000 description 13
- 239000000523 sample Substances 0.000 description 11
- 230000000007 visual effect Effects 0.000 description 11
- 238000005520 cutting process Methods 0.000 description 10
- 238000005259 measurement Methods 0.000 description 9
- 230000008569 process Effects 0.000 description 9
- 230000002441 reversible effect Effects 0.000 description 9
- 230000007704 transition Effects 0.000 description 9
- 238000004520 electroporation Methods 0.000 description 8
- 230000002427 irreversible effect Effects 0.000 description 8
- 230000015572 biosynthetic process Effects 0.000 description 7
- 238000007789 sealing Methods 0.000 description 7
- 238000001356 surgical procedure Methods 0.000 description 7
- 238000003786 synthesis reaction Methods 0.000 description 7
- 230000000903 blocking effect Effects 0.000 description 6
- 238000012545 processing Methods 0.000 description 6
- 230000003068 static effect Effects 0.000 description 6
- 230000001225 therapeutic effect Effects 0.000 description 6
- 230000003750 conditioning effect Effects 0.000 description 5
- 230000007423 decrease Effects 0.000 description 5
- SYHGEUNFJIGTRX-UHFFFAOYSA-N methylenedioxypyrovalerone Chemical compound C=1C=C2OCOC2=CC=1C(=O)C(CCC)N1CCCC1 SYHGEUNFJIGTRX-UHFFFAOYSA-N 0.000 description 5
- 230000004913 activation Effects 0.000 description 4
- 230000005540 biological transmission Effects 0.000 description 4
- 238000004590 computer program Methods 0.000 description 4
- 239000004020 conductor Substances 0.000 description 4
- 230000001276 controlling effect Effects 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 238000005070 sampling Methods 0.000 description 4
- 238000004458 analytical method Methods 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 3
- 230000001419 dependent effect Effects 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000010438 heat treatment Methods 0.000 description 3
- 230000033001 locomotion Effects 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 238000004549 pulsed laser deposition Methods 0.000 description 3
- 230000000638 stimulation Effects 0.000 description 3
- 230000032683 aging Effects 0.000 description 2
- 238000004364 calculation method Methods 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000002405 diagnostic procedure Methods 0.000 description 2
- 230000009977 dual effect Effects 0.000 description 2
- 238000004134 energy conservation Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000005669 field effect Effects 0.000 description 2
- 238000010304 firing Methods 0.000 description 2
- 230000020169 heat generation Effects 0.000 description 2
- 230000002439 hemostatic effect Effects 0.000 description 2
- 238000002847 impedance measurement Methods 0.000 description 2
- 238000007726 management method Methods 0.000 description 2
- 230000002232 neuromuscular Effects 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 230000002829 reductive effect Effects 0.000 description 2
- 230000001953 sensory effect Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 238000012546 transfer Methods 0.000 description 2
- 238000004804 winding Methods 0.000 description 2
- 102000008186 Collagen Human genes 0.000 description 1
- 108010035532 Collagen Proteins 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 238000013019 agitation Methods 0.000 description 1
- 230000003321 amplification Effects 0.000 description 1
- 238000003491 array Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000002457 bidirectional effect Effects 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 229920001436 collagen Polymers 0.000 description 1
- 230000001010 compromised effect Effects 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 238000012885 constant function Methods 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 230000002828 effect on organs or tissue Effects 0.000 description 1
- 238000010292 electrical insulation Methods 0.000 description 1
- 238000012976 endoscopic surgical procedure Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 230000014509 gene expression Effects 0.000 description 1
- 230000007274 generation of a signal involved in cell-cell signaling Effects 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012830 laparoscopic surgical procedure Methods 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 239000004973 liquid crystal related substance Substances 0.000 description 1
- 229910044991 metal oxide Inorganic materials 0.000 description 1
- 150000004706 metal oxides Chemical class 0.000 description 1
- 239000003607 modifier Substances 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 238000003199 nucleic acid amplification method Methods 0.000 description 1
- 238000002355 open surgical procedure Methods 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 239000013307 optical fiber Substances 0.000 description 1
- 230000003071 parasitic effect Effects 0.000 description 1
- 238000005192 partition Methods 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 238000012502 risk assessment Methods 0.000 description 1
- 238000013349 risk mitigation Methods 0.000 description 1
- 239000004065 semiconductor Substances 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000035882 stress Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Images
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
- A61B18/04—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
-
- 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
- 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
- A61B18/1233—Generators therefor with circuits for assuring patient safety
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320071—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
-
- 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
- A61B2018/00172—Connectors and adapters therefor
- A61B2018/00178—Electrical connectors
-
- 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
- A61B2018/00601—Cutting
-
- 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
- A61B2018/00607—Coagulation and cutting with the same instrument
-
- 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
- A61B2018/0063—Sealing
-
- 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
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
-
- 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
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
- A61B2018/00648—Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
-
- 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
- A61B2018/00684—Sensing and controlling the application of energy using lookup tables
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00779—Power or energy
-
- 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
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
-
- 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
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/00958—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device for switching between different working modes of the main function
-
- 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
- A61B18/1206—Generators therefor
- A61B2018/1273—Generators therefor including multiple generators in one device
-
- 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
- A61B2018/128—Generators therefor generating two or more frequencies
-
- 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
- A61B2018/1286—Generators therefor having a specific transformer
-
- 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
- A61B2018/1293—Generators therefor having means to prevent interference
-
- 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
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
-
- H—ELECTRICITY
- H03—ELECTRONIC CIRCUITRY
- H03F—AMPLIFIERS
- H03F2200/00—Indexing scheme relating to amplifiers
- H03F2200/18—Indexing scheme relating to amplifiers the bias of the gate of a FET being controlled by a control signal
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
本願は、2015年9月30日に出願された「GENERATOR FOR PROVIDING COMBINED RADIO FREQUENCY AND ULTRASONIC ENERGIES」と題する米国特許仮出願第62/235,260号、2015年9月30日に出願された「CIRCUIT TOPOLOGIES FOR GENERATOR」と題する米国特許仮出願第62/235,368号及び2015年9月30日に出願された「SURGICAL INSTRUMENT WITH USER ADAPTABLE ALGORITHMS」と題する米国特許仮出願第62/235,466号の利益を主張するものであり、それぞれの内容は、その全体が参照により本明細書に組み込まれる。
本開示は、組織の凝固、封着及び/又は切断などの外科手技を実施するための超音波外科用システム、電気外科用システム及び電気外科用/超音波システムの組み合わせに概ね関する。特に、本開示は、外科用器具用の周波数アジャイル発生器に関する。
代理人整理番号END7768USNP1/150449−1、Wiener et al.による、名称「CIRCUIT TOPOLOGIES FOR COMBINED GENERATOR」、
代理人整理番号END7768USNP2/150449−2、Wiener et al.による、名称「CIRCUITS FOR SUPPLYING ISOLATED DIRECT CURRENT(DC)VOLTAGE TO SURGICAL INSTRUMENTS」、
代理人整理番号END7768USNP2/150449−4、Asher et al.による、名称「METHOD AND APPARATUS FOR SELECTING OPERATIONS OF A SURGICAL INSTRUMENT BASED ON USER INTENTION」、
代理人整理番号END7769USNP2/150448−1、Wiener et al.による、名称「GENERATOR FOR DIGITALLY GENERATING ELECTRICAL SIGNAL WAVEFORMS FOR ELECTROSURGICAL AND ULTRASONIC SURGICAL INSTRUMENTS」、
代理人整理番号END7769USNP2/150448−2、Wiener et al.による、名称「GENERATOR FOR DIGITALLY GENERATING COMBINED ELECTRICAL SIGNAL WAVEFORMS FOR ULTRASONIC SURGICAL INSTRUMENTS」、
代理人整理番号END7769USNP2/150448−3、Yates et al.による、名称「PROTECTION TECHNIQUES FOR GENERATOR FOR DIGITALLY GENERATING ELECTROSURGICAL AND ULTRASONIC DIGITAL ELECTRICAL SIGNAL WAVEFORMS」、
これらはそれぞれその全体が参照により本明細書に組み込まれる。
米国特許出願第15/177,430号、名称「SURGICAL INSTRUMENT WITH USER ADAPTABLE TECHNIQUES」、
米国特許出願第15/177,439号、名称「SURGICAL INSTRUMENT WITH USER ADAPTABLE TECHNIQUES BASED ON TISSUE TYPE」、
米国特許出願第15/177,449号、名称「SURGICAL SYSTEM WITH USER ADAPTABLE TECHNIQUES EMPLOYING MULTIPLE ENERGY MODALITIES BASED ON TISSUE」、
米国特許出願第15/177,456号、名称「SURGICAL SYSTEM WITH USER ADAPTABLE TECHNIQUES BASED ON TISSUE IMPEDANCE」、
米国特許出願第15/177,466号、名称「SURGICAL SYSTEM WITH USER ADAPTABLE TECHNIQUES EMPLOYING SIMULTANEOUS ENERGY MODALITIES BASED ON TISSUE PARAMETERS」、
これらはそれぞれその全体が参照により本明細書に組み込まれる。
1.生成器によってRF信号出力及び超音波信号出力を管理するためのシステムは、RFエネルギー出力部と、超音波エネルギー出力部と、複合された無線周波数(RF)信号及び超音波信号を生成器から受信するように構成された回路と、を含む、外科用器具、を含み、回路は、複合信号の周波数成分をフィルタ処理するように構成され、第1のフィルタ処理信号をRFエネルギー出力部に、第2のフィルタ処理信号を超音波エネルギー出力部に、提供するように構成されている、システム。
2.回路は、共振器を含む、項目1に記載のシステム。
3.回路は、高周波帯域消去フィルタを含む、項目1又は2に記載のシステム。
4.高周波帯域消去フィルタは、第1のLCフィルタ回路と、第2のLCフィルタ回路と、を含む、項目1〜3に記載のいずれか一項に記載のシステム。
5.複合信号は、350kHz成分を含む、項目1〜4のいずれか一項に記載のシステム。
6.複合信号は、55kHz成分を含む、項目1〜5のいずれか一項に記載のシステム。
7.外科用器具は、RFエネルギー出力部及び超音波エネルギー出力部から同時に治療を適用するように構成されている、項目1〜6のいずれか一項に記載のシステム。
8.生成器によってRF信号出力及び超音波信号出力を管理するためのシステムは、RFエネルギー出力部と、超音波エネルギー出力部と、複合された無線周波数(RF)信号及び超音波信号を生成器から受信するように構成された回路と、を含み、回路は、発生器から受信した複合信号に従って、RFエネルギー出力部と超音波エネルギー出力部との間を切り替えるように構成されている、システム。
9.回路は、二対のMOSFETスイッチを含む、項目8に記載のシステム。
10.二対のMOSFETスイッチのそれぞれは、ソーストゥソースで接続されている、項目9に記載のシステム。
11.回路は、第1の結合インダクタ及び第2の結合インダクタを更に含む、項目9又は10に記載のシステム。
12.MOSFETスイッチの第1の対のそれぞれのMOSFETのゲートは、互いに連結され、かつ第1の連結インダクタに連結されている、項目11に記載のシステム。
13.MOSFETスイッチの第2の対のそれぞれのMOSFETのゲートは、互いに連結され、かつ第2の連結インダクタに連結されている、項目11又は12に記載のシステム。
14.第1のコンデンサと、第2のコンデンサと、を更に含み、第1のコンデンサは、第1の結合インダクタの一次側に連結され、第2のコンデンサは、第2の結合インダクタの一次側に連結されている、項目11〜13のいずれか一項に記載のシステム。
15.ASICと、第1のパルストランスと、第2のパルストランスと、を更に含み、ASICは、第1及び第2のパルストランスに連結され、第1のパルストランスは、2対のMOSFETスイッチの第1の対に連結され、第2のパルストランスは、2対のMOSFETスイッチの第2の対に連結されている、項目9〜14のいずれか一項に記載のシステム。
16.二対のMOSFETスイッチのそれぞれは、ソーストゥソースで接続されている、項目15に記載のシステム。
17.MOSFETスイッチの第1の対のそれぞれのMOSFETのゲートは、互いに連結され、かつ第1のパルス変圧器に連結されている、項目16に記載のシステム。
18.MOSFETスイッチの第2の対のそれぞれのMOSFETのゲートは、互いに連結され、かつ第2のパルス変圧器に連結されている、項目16又は17に記載のシステム。
19.回路は、RFエネルギー出力部に連結された第1の切替要素と、超音波エネルギー出力部に連結された第2の切替要素と、を含む、項目18に記載のシステム。
20.第1の切替要素及び第2の切替要素は、それぞれ電気機械式リレーである、項目19に記載のシステム。
21.第1の切替要素及び第2の切替要素は、ASICに連結されている、項目19又は20に記載のシステム。
22.第1の切替要素及び第2の切替要素を作動させるために切替機構を更に含む、項目19〜21のいずれか一項に記載のシステム。
23.切替機構は、機械式ロッカ様式の切替機構である、項目22に記載のシステム。
24.生成器によってRF信号出力及び超音波信号出力を管理するためのシステムは、RFエネルギー出力部と、超音波エネルギー出力部と、複合された無線周波数(RF)信号及び超音波信号を生成器から受信するように構成された回路と、を含む、外科用器具を含み、回路は、複合信号の周波数成分をフィルタ処理するように構成されたフィルタ回路と、発生器から受信した複合信号に従って、RFエネルギー出力部又は超音波エネルギー出力部のうちの1つに、オン状態とオフ状態との間で切り替えるように構成された切替要素と、を含む、システム。
25.フィルタ回路は、超音波エネルギー出力部に連結され、切替要素は、RFエネルギー出力部に連結された、項目24に記載のシステム。
26.発生器及び外科用器具を備えるシステムであって、発生器は、無線周波数(RF)成分及び超音波成分を含む合成信号を外科用器具に伝達するように構成され、外科用器具は、RFエネルギー出力部と、超音波エネルギー出力部と、RF成分をRFエネルギー出力部に振り向け、超音波成分を超音波エネルギー出力部に振り向けるように構成された回路と、を含み、発生器は、回路の回路構成要素の特性決定に基づいて、RF成分の周波数を調整するように構成されている、システム。
27.回路構成要素は、帯域消去フィルタを含む、項目26に記載のシステム。
28.回路は、可変構成要素を更に含む、項目26又は27に記載のシステム。
29.回路構成要素の特性決定は、ping信号を回路構成要素に送信することを含む、項目26〜28のいずれか一項に記載のシステム。
30.特性決定の結果は、外科用器具に記憶される、項目26〜29のいずれか一項に記載のシステム。
31.特性決定は、外科用器具の製造時に行われる、項目26〜30のいずれか一項に記載のシステム。
32.特性決定は、外科用器具が発生器に接続される際に行われる、項目26〜31のいずれか一項に記載のシステム。
33.特性決定は、外科用器具がエネルギーを組織に送達した後に行われる、項目26〜32のいずれか一項に記載のシステム。
34.特性決定は、外科用器具がエネルギーを組織に送達している間に行われる、項目26〜33のいずれか一項に記載のシステム。
35.特性決定は、定期的に行われる、項目26〜34のいずれか一項に記載のシステム。
36.無線周波数(RF)成分及び超音波成分を含む合成信号を発生器によって外科用器具に提供するための方法であって、外科用器具は、RFエネルギー出力部と、超音波エネルギー出力部と、回路と、を含み、方法は、回路の回路構成要素に対して特性決定を行うことと、特性決定の結果に基づいて、RF成分の周波数を調整することと、合成信号を発生器によって外科用器具に伝達することと、RF成分を回路によってRFエネルギー出力部に振り向けることと、超音波成分を回路によって超音波エネルギー出力部に振り向けることと、を含む、方法。
37.回路構成要素は、帯域消去フィルタを含む、項目36に記載の方法。
38.回路は、可変構成要素を更に含む、項目36又は37に記載の方法。
39.回路構成要素に対して特性決定を行うことは、ping信号を回路構成要素に送信することを含む、項目36〜38のいずれか一項に記載の方法。
40.特性決定の結果を、外科用器具に記憶させることを更に含む、項目36〜39のいずれか一項に記載の方法。
41.特性決定は、外科用器具の製造時に行われる、項目36〜40のいずれか一項に記載の方法。
42.特性決定は、外科用器具が発生器に接続される際に行われる、項目36〜41のいずれか一項に記載の方法。
43.特性決定は、外科用器具がエネルギーを組織に送達した後に行われる、項目36〜42のいずれか一項に記載の方法。
44.特性決定は、外科用器具がエネルギーを組織に送達している間に行われる、項目36〜43のいずれか一項に記載の方法。
45.無線周波数(RF)成分及び超音波成分を含む合成信号を外科用器具に提供するための発生器であって、発生器は、RF成分をRF出力部に振り向け、超音波成分を超音波出力部に振り向けるための外科用器具の回路の回路構成要素に対して特性決定を行うことと、特性決定の結果に基づいて、RF成分の周波数を調整することと、合成信号を外科用器具に伝達することと、を行うように構成されている、発生器。
(1) 発生器及び外科用器具を備えるシステムであって、
前記発生器は、無線周波数(RF)成分及び超音波成分を含む合成信号を前記外科用器具に伝達するように構成され、
前記外科用器具は、
RFエネルギー出力部と、
超音波エネルギー出力部と、
前記RF成分を前記RFエネルギー出力部に振り向け、前記超音波成分を前記超音波エネルギー出力部に振り向けるように構成された回路と、を含み、
前記発生器は、前記回路の回路構成要素の特性決定に基づいて、前記RF成分の周波数を調整するように構成されている、システム。
(2) 前記回路構成要素は、帯域消去フィルタを含む、実施態様1に記載のシステム。
(3) 前記回路は、可変構成要素を更に含む、実施態様1に記載のシステム。
(4) 前記回路構成要素の前記特性決定は、ping信号を前記回路構成要素に送信することを含む、実施態様1に記載のシステム。
(5) 前記特性決定の結果は、前記外科用器具に記憶される、実施態様1に記載のシステム。
(7) 前記特性決定は、前記外科用器具が前記発生器に接続される際に行われる、実施態様1に記載のシステム。
(8) 前記特性決定は、前記外科用器具がエネルギーを組織に送達した後に行われる、実施態様1に記載のシステム。
(9) 前記特性決定は、前記外科用器具がエネルギーを組織に送達している間に行われる、実施態様1に記載のシステム。
(10) 前記特性決定は、定期的に行われる、実施態様1に記載のシステム。
前記回路の回路構成要素に対して特性決定を行うことと、
前記特性決定の結果に基づいて、前記RF成分の周波数を調整することと、
前記合成信号を前記発生器によって前記外科用器具に伝達することと、
前記RF成分を前記回路によって前記RFエネルギー出力部に振り向けることと、
前記超音波成分を前記回路によって前記超音波エネルギー出力部に振り向けることと、を含む、方法。
(12) 前記回路構成要素は、帯域消去フィルタを含む、実施態様11に記載の方法。
(13) 前記回路は、可変構成要素を更に含む、実施態様11に記載の方法。
(14) 前記回路構成要素に対して特性決定を行うことは、ping信号を前記回路構成要素に送信することを含む、実施態様11に記載の方法。
(15) 前記特性決定の結果を、前記外科用器具に記憶させることを更に含む、実施態様11に記載の方法。
(17) 前記特性決定は、前記外科用器具が前記発生器に接続される際に行われる、実施態様11に記載の方法。
(18) 前記特性決定は、前記外科用器具がエネルギーを組織に送達した後に行われる、実施態様11に記載の方法。
(19) 前記特性決定は、前記外科用器具がエネルギーを組織に送達している間に行われる、実施態様11に記載の方法。
(20) 無線周波数(RF)成分及び超音波成分を含む合成信号を外科用器具に提供するための発生器であって、前記発生器は、
前記RF成分をRF出力部に振り向け、前記超音波成分を超音波出力部に振り向けるための前記外科用器具の回路の回路構成要素に対して特性決定を行うことと、
前記特性決定の結果に基づいて、前記RF成分の周波数を調整することと、
前記合成信号を前記外科用器具に伝達することと、を行うように構成されている、発生器。
Claims (20)
- 発生器及び外科用器具を備えるシステムであって、
前記発生器は、無線周波数(RF)成分及び超音波成分を含む合成信号を前記外科用器具に伝達するように構成され、
前記外科用器具は、
RFエネルギー出力部と、
超音波エネルギー出力部と、
前記RF成分を前記RFエネルギー出力部に振り向け、前記超音波成分を前記超音波エネルギー出力部に振り向けるように構成された回路と、を含み、
前記発生器は、前記回路の回路構成要素の特性決定に基づいて、前記RF成分の周波数を調整するように構成されている、システム。 - 前記回路構成要素は、帯域消去フィルタを含む、請求項1に記載のシステム。
- 前記回路は、可変構成要素を更に含む、請求項1に記載のシステム。
- 前記回路構成要素の前記特性決定は、ping信号を前記回路構成要素に送信することを含む、請求項1に記載のシステム。
- 前記特性決定の結果は、前記外科用器具に記憶される、請求項1に記載のシステム。
- 前記特性決定は、前記外科用器具の製造時に行われる、請求項1に記載のシステム。
- 前記特性決定は、前記外科用器具が前記発生器に接続される際に行われる、請求項1に記載のシステム。
- 前記特性決定は、前記外科用器具がエネルギーを組織に送達した後に行われる、請求項1に記載のシステム。
- 前記特性決定は、前記外科用器具がエネルギーを組織に送達している間に行われる、請求項1に記載のシステム。
- 前記特性決定は、定期的に行われる、請求項1に記載のシステム。
- 無線周波数(RF)成分及び超音波成分を含む合成信号を発生器によって外科用器具に提供するための方法であって、前記外科用器具は、RFエネルギー出力部と、超音波エネルギー出力部と、回路と、を含み、前記方法は、
前記回路の回路構成要素に対して特性決定を行うことと、
前記特性決定の結果に基づいて、前記RF成分の周波数を調整することと、
前記合成信号を前記発生器によって前記外科用器具に伝達することと、
前記RF成分を前記回路によって前記RFエネルギー出力部に振り向けることと、
前記超音波成分を前記回路によって前記超音波エネルギー出力部に振り向けることと、を含む、方法。 - 前記回路構成要素は、帯域消去フィルタを含む、請求項11に記載の方法。
- 前記回路は、可変構成要素を更に含む、請求項11に記載の方法。
- 前記回路構成要素に対して特性決定を行うことは、ping信号を前記回路構成要素に送信することを含む、請求項11に記載の方法。
- 前記特性決定の結果を、前記外科用器具に記憶させることを更に含む、請求項11に記載の方法。
- 前記特性決定は、前記外科用器具の製造時に行われる、請求項11に記載の方法。
- 前記特性決定は、前記外科用器具が前記発生器に接続される際に行われる、請求項11に記載の方法。
- 前記特性決定は、前記外科用器具がエネルギーを組織に送達した後に行われる、請求項11に記載の方法。
- 前記特性決定は、前記外科用器具がエネルギーを組織に送達している間に行われる、請求項11に記載の方法。
- 無線周波数(RF)成分及び超音波成分を含む合成信号を外科用器具に提供するための発生器であって、前記発生器は、
前記RF成分をRF出力部に振り向け、前記超音波成分を超音波出力部に振り向けるための前記外科用器具の回路の回路構成要素に対して特性決定を行うことと、
前記特性決定の結果に基づいて、前記RF成分の周波数を調整することと、
前記合成信号を前記外科用器具に伝達することと、を行うように構成されている、発生器。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201562235368P | 2015-09-30 | 2015-09-30 | |
US62/235,368 | 2015-09-30 | ||
US15/258,586 | 2016-09-07 | ||
US15/258,586 US20170086909A1 (en) | 2015-09-30 | 2016-09-07 | Frequency agile generator for a surgical instrument |
PCT/US2016/052982 WO2017058619A1 (en) | 2015-09-30 | 2016-09-22 | Frequency agile generator for a surgical instrument |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018531684A true JP2018531684A (ja) | 2018-11-01 |
JP6852063B2 JP6852063B2 (ja) | 2021-03-31 |
Family
ID=58424236
Family Applications (5)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018516462A Active JP6873982B2 (ja) | 2015-09-30 | 2016-09-22 | ユーザ意図に基づいて外科用器具の動作を選択するための方法及び装置 |
JP2018516527A Active JP6852063B2 (ja) | 2015-09-30 | 2016-09-22 | 外科用器具用の周波数アジャイル発生器 |
JP2018516503A Active JP7123791B2 (ja) | 2015-09-30 | 2016-09-22 | 複合発生器用の回路トポロジ |
JP2018516536A Active JP6840743B2 (ja) | 2015-09-30 | 2016-09-22 | 絶縁直流(dc)電圧を外科用器具へ供給するための回路 |
JP2021116953A Active JP7366965B2 (ja) | 2015-09-30 | 2021-07-15 | 複合発生器用の回路トポロジ |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018516462A Active JP6873982B2 (ja) | 2015-09-30 | 2016-09-22 | ユーザ意図に基づいて外科用器具の動作を選択するための方法及び装置 |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018516503A Active JP7123791B2 (ja) | 2015-09-30 | 2016-09-22 | 複合発生器用の回路トポロジ |
JP2018516536A Active JP6840743B2 (ja) | 2015-09-30 | 2016-09-22 | 絶縁直流(dc)電圧を外科用器具へ供給するための回路 |
JP2021116953A Active JP7366965B2 (ja) | 2015-09-30 | 2021-07-15 | 複合発生器用の回路トポロジ |
Country Status (6)
Country | Link |
---|---|
EP (4) | EP3355809B1 (ja) |
JP (5) | JP6873982B2 (ja) |
CN (4) | CN108289695B (ja) |
BR (4) | BR112018006376B1 (ja) |
MX (4) | MX2018003946A (ja) |
WO (4) | WO2017058620A1 (ja) |
Families Citing this family (126)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
GB2552169A (en) * | 2016-07-11 | 2018-01-17 | Creo Medical Ltd | Electrosurgical generator |
US10945779B2 (en) | 2017-05-22 | 2021-03-16 | Ethicon Llc | Combination ultrasonic and electrosurgical instrument having electrically insulating features |
CN107411793A (zh) * | 2017-08-25 | 2017-12-01 | 上海逸思医疗科技有限公司 | 一种可重复使用的电动腔镜切割吻合器 |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11026687B2 (en) | 2017-10-30 | 2021-06-08 | Cilag Gmbh International | Clip applier comprising clip advancing systems |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10980560B2 (en) | 2017-10-30 | 2021-04-20 | Ethicon Llc | Surgical instrument systems comprising feedback mechanisms |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US11969142B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US20190201139A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Communication arrangements for robot-assisted surgical platforms |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11612408B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Determining tissue composition via an ultrasonic system |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US11998193B2 (en) | 2017-12-28 | 2024-06-04 | Cilag Gmbh International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
US11969216B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11672605B2 (en) | 2017-12-28 | 2023-06-13 | Cilag Gmbh International | Sterile field interactive control displays |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US10595887B2 (en) | 2017-12-28 | 2020-03-24 | Ethicon Llc | Systems for adjusting end effector parameters based on perioperative information |
US20190201039A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Situational awareness of electrosurgical systems |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
GB2571566B (en) * | 2018-03-01 | 2022-03-16 | Cmr Surgical Ltd | Electrosurgical connection unit |
GB2601645B (en) * | 2018-03-01 | 2022-11-30 | Cmr Surgical Ltd | Electrosurgical network |
GB2571567B (en) | 2018-03-01 | 2022-03-09 | Cmr Surgical Ltd | Electrosurgical network |
US11839396B2 (en) | 2018-03-08 | 2023-12-12 | Cilag Gmbh International | Fine dissection mode for tissue classification |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11701162B2 (en) | 2018-03-08 | 2023-07-18 | Cilag Gmbh International | Smart blade application for reusable and disposable devices |
EP3546957A1 (en) * | 2018-03-28 | 2019-10-02 | Siemens Healthcare GmbH | Isolated grounding effectiveness monitor |
US11589865B2 (en) | 2018-03-28 | 2023-02-28 | Cilag Gmbh International | Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems |
US11166716B2 (en) | 2018-03-28 | 2021-11-09 | Cilag Gmbh International | Stapling instrument comprising a deactivatable lockout |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
CN112153930B (zh) * | 2018-06-06 | 2024-04-23 | 直观外科手术操作公司 | 跨电气隔离屏障进行高速数据传输的系统和方法 |
US11804679B2 (en) * | 2018-09-07 | 2023-10-31 | Cilag Gmbh International | Flexible hand-switch circuit |
US11923084B2 (en) | 2018-09-07 | 2024-03-05 | Cilag Gmbh International | First and second communication protocol arrangement for driving primary and secondary devices through a single port |
US11696790B2 (en) | 2018-09-07 | 2023-07-11 | Cilag Gmbh International | Adaptably connectable and reassignable system accessories for modular energy system |
US20200078071A1 (en) | 2018-09-07 | 2020-03-12 | Ethicon Llc | Instrument tracking arrangement based on real time clock information |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11291445B2 (en) | 2019-02-19 | 2022-04-05 | Cilag Gmbh International | Surgical staple cartridges with integral authentication keys |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11751872B2 (en) | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
US11218822B2 (en) | 2019-03-29 | 2022-01-04 | Cilag Gmbh International | Audio tone construction for an energy module of a modular energy system |
CN110116084A (zh) * | 2019-05-08 | 2019-08-13 | 河南理工大学 | 一种超声手术刀用换能器 |
US20220338886A1 (en) | 2019-06-19 | 2022-10-27 | Think Surgical, Inc. | System and method to position a tracking system field-of-view |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
USD939545S1 (en) | 2019-09-05 | 2021-12-28 | Cilag Gmbh International | Display panel or portion thereof with graphical user interface for energy module |
USD928725S1 (en) | 2019-09-05 | 2021-08-24 | Cilag Gmbh International | Energy module |
USD928726S1 (en) | 2019-09-05 | 2021-08-24 | Cilag Gmbh International | Energy module monopolar port |
USD924139S1 (en) | 2019-09-05 | 2021-07-06 | Ethicon Llc | Energy module with a backplane connector |
US20210161593A1 (en) * | 2019-12-03 | 2021-06-03 | Biosense Webster (Israel) Ltd. | Pulse Generator for Irreversible Electroporation |
GB2594438A (en) * | 2019-12-05 | 2021-11-03 | Creo Medical Ltd | Electrosurgical instrument, generator and apparatus |
CA3166393A1 (en) * | 2020-01-31 | 2021-08-05 | American Sterilizer Company | Patient warming system |
PL3895642T3 (pl) * | 2020-04-14 | 2024-01-15 | Erbe Elektromedizin Gmbh | Przyrząd do koagulacji i/albo dysekcji tkanki biologicznej i sposób eksploatacji przyrządu |
US12004824B2 (en) | 2021-03-30 | 2024-06-11 | Cilag Gmbh International | Architecture for modular energy system |
US11968776B2 (en) | 2021-03-30 | 2024-04-23 | Cilag Gmbh International | Method for mechanical packaging for modular energy system |
US11950860B2 (en) | 2021-03-30 | 2024-04-09 | Cilag Gmbh International | User interface mitigation techniques for modular energy systems |
US11963727B2 (en) * | 2021-03-30 | 2024-04-23 | Cilag Gmbh International | Method for system architecture for modular energy system |
US11857252B2 (en) | 2021-03-30 | 2024-01-02 | Cilag Gmbh International | Bezel with light blocking features for modular energy system |
US11980411B2 (en) | 2021-03-30 | 2024-05-14 | Cilag Gmbh International | Header for modular energy system |
US11978554B2 (en) | 2021-03-30 | 2024-05-07 | Cilag Gmbh International | Radio frequency identification token for wireless surgical instruments |
US20230108257A1 (en) * | 2021-09-17 | 2023-04-06 | Covidien Lp | Multiplexed hand switches for use with electrosurgical generators |
CN115281787A (zh) * | 2021-12-31 | 2022-11-04 | 武汉迈瑞医疗技术研究院有限公司 | 一种用于向外科设备递送能量的手术系统和可调电源系统 |
CN115227341B (zh) * | 2022-06-17 | 2024-04-19 | 邦士医疗科技股份有限公司 | 一种超声及等离子双输出外科手术系统 |
CN116196091B (zh) * | 2023-04-28 | 2023-09-19 | 武汉半边天医疗技术发展有限公司 | 一种射频超声装置及系统 |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH03126447A (ja) * | 1989-10-11 | 1991-05-29 | Olympus Optical Co Ltd | 超音波処置装置 |
JPH07171161A (ja) * | 1993-12-21 | 1995-07-11 | Toshiba Corp | 超音波治療装置 |
JP2001120564A (ja) * | 1999-10-26 | 2001-05-08 | Olympus Optical Co Ltd | 電子機器の校正システム |
JP2008036390A (ja) * | 2006-08-09 | 2008-02-21 | Olympus Medical Systems Corp | 中継ユニット及び超音波手術・高周波焼灼装置 |
WO2010076869A1 (ja) * | 2008-12-31 | 2010-07-08 | オリンパスメディカルシステムズ株式会社 | 手術システム及び制御方法 |
Family Cites Families (53)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS6033925Y2 (ja) * | 1982-10-28 | 1985-10-09 | 持田製薬株式会社 | 超音波メスを兼ねる電気メス |
JP3126447B2 (ja) | 1991-11-20 | 2001-01-22 | 日本たばこ産業株式会社 | 棒状物品の切断分離装置 |
US5322055B1 (en) | 1993-01-27 | 1997-10-14 | Ultracision Inc | Clamp coagulator/cutting system for ultrasonic surgical instruments |
US5449370A (en) | 1993-05-12 | 1995-09-12 | Ethicon, Inc. | Blunt tipped ultrasonic trocar |
JPH08117242A (ja) * | 1994-10-21 | 1996-05-14 | Olympus Optical Co Ltd | 超音波振動子用駆動装置 |
JPH0917660A (ja) * | 1995-06-26 | 1997-01-17 | Shigeisa Imoto | スイッチ回路 |
JPH0956726A (ja) * | 1995-08-25 | 1997-03-04 | Olympus Optical Co Ltd | 電気手術装置 |
US5630420A (en) | 1995-09-29 | 1997-05-20 | Ethicon Endo-Surgery, Inc. | Ultrasonic instrument for surgical applications |
US5944737A (en) | 1997-10-10 | 1999-08-31 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved waveguide support member |
US5938633A (en) | 1997-07-09 | 1999-08-17 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical devices |
JPH11226026A (ja) * | 1998-02-18 | 1999-08-24 | Olympus Optical Co Ltd | 外科用手術具 |
US5935144A (en) | 1998-04-09 | 1999-08-10 | Ethicon Endo-Surgery, Inc. | Double sealed acoustic isolation members for ultrasonic |
US20030181898A1 (en) * | 1999-05-28 | 2003-09-25 | Bowers William J. | RF filter for an electrosurgical generator |
JP2001144595A (ja) | 1999-11-15 | 2001-05-25 | Fuji Electric Co Ltd | 半導体交流スイッチ |
US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
US6923804B2 (en) * | 2001-07-12 | 2005-08-02 | Neothermia Corporation | Electrosurgical generator |
JP3679747B2 (ja) | 2001-11-12 | 2005-08-03 | オリンパス株式会社 | 超音波処置装置 |
US20080147058A1 (en) * | 2005-06-13 | 2008-06-19 | Horrell Robin S | Electrocautery system, provided with safe lighting during operational use |
US9757142B2 (en) * | 2006-08-09 | 2017-09-12 | Olympus Corporation | Relay device and ultrasonic-surgical and electrosurgical system |
US8241343B2 (en) * | 2007-11-08 | 2012-08-14 | Angiodynamics, Inc. | Device and method for providing power to lighting elements for use as a visual indicator in a medical probe |
US20090254080A1 (en) * | 2008-04-07 | 2009-10-08 | Satoshi Honda | Surgical operation apparatus |
US20090287205A1 (en) * | 2008-05-16 | 2009-11-19 | Boston Scientific Scimed, Inc. | Systems and methods for preventing tissue popping caused by bubble expansion during tissue ablation |
US9089360B2 (en) * | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
WO2010082146A1 (en) * | 2009-01-14 | 2010-07-22 | Koninklijke Philips Electronics N.V. | Monitoring apparatus for monitoring an ablation procedure |
US9017326B2 (en) * | 2009-07-15 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments |
EP2453813B1 (en) * | 2009-07-15 | 2017-07-05 | Ethicon LLC | Electrosurgical ultrasonic instrument |
US9168054B2 (en) * | 2009-10-09 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10441345B2 (en) * | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US9039695B2 (en) * | 2009-10-09 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
EP2468203B1 (en) * | 2009-10-28 | 2013-12-25 | Olympus Medical Systems Corp. | Medical device |
JPWO2011052391A1 (ja) * | 2009-10-28 | 2013-03-21 | オリンパスメディカルシステムズ株式会社 | 医療用装置 |
DE102009046561A1 (de) * | 2009-11-10 | 2011-05-12 | Robert Bosch Gmbh | Verfahren zum Betrieb mindestens eines Ultraschallwandlers |
US10039588B2 (en) | 2009-12-16 | 2018-08-07 | Covidien Lp | System and method for tissue sealing |
JP2011254387A (ja) | 2010-06-03 | 2011-12-15 | Rohm Co Ltd | 交流スイッチ |
CN103281982B (zh) * | 2010-11-05 | 2016-12-28 | 伊西康内外科公司 | 具有模块化端部执行器和检测结构的外科器械 |
US9510895B2 (en) * | 2010-11-05 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular shaft and end effector |
US9028481B2 (en) * | 2011-01-05 | 2015-05-12 | Covidien Lp | System and method for measuring current of an electrosurgical generator |
CN103260539B (zh) * | 2011-02-10 | 2016-02-17 | 奥林巴斯株式会社 | 高频手术装置以及手术装置 |
US8992520B2 (en) * | 2011-08-10 | 2015-03-31 | Electromedical Associates, Llc | Dual-mode electrosurgical devices and electrosurgical methods using same |
US8968308B2 (en) * | 2011-10-20 | 2015-03-03 | Covidien Lp | Multi-circuit seal plates |
US9226766B2 (en) * | 2012-04-09 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Serial communication protocol for medical device |
JP2014003731A (ja) * | 2012-06-15 | 2014-01-09 | Canon Inc | 振動型アクチュエータの駆動装置及びこれを用いた医用システム |
US8968296B2 (en) * | 2012-06-26 | 2015-03-03 | Covidien Lp | Energy-harvesting system, apparatus and methods |
US9226767B2 (en) * | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9254171B2 (en) * | 2013-03-14 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with multi-stage actuator |
US10842563B2 (en) * | 2013-03-15 | 2020-11-24 | Covidien Lp | System and method for power control of electrosurgical resonant inverters |
US9510906B2 (en) * | 2013-03-15 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Tissue clamping features of surgical instrument end effector |
CA3024440C (en) * | 2013-04-08 | 2023-03-07 | Boston Scientific Scimed, Inc. | Medical systems and methods |
CN203468630U (zh) * | 2013-05-31 | 2014-03-12 | 瑞奇外科器械(中国)有限公司 | 超声外科系统 |
US9949785B2 (en) * | 2013-11-21 | 2018-04-24 | Ethicon Llc | Ultrasonic surgical instrument with electrosurgical feature |
GB2521228A (en) * | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US10420607B2 (en) * | 2014-02-14 | 2019-09-24 | Arthrocare Corporation | Methods and systems related to an electrosurgical controller |
CN104013444A (zh) * | 2014-06-23 | 2014-09-03 | 南京广慈医疗科技有限公司 | 一种相控阵高强度聚焦超声消融系统 |
-
2016
- 2016-09-22 JP JP2018516462A patent/JP6873982B2/ja active Active
- 2016-09-22 MX MX2018003946A patent/MX2018003946A/es unknown
- 2016-09-22 WO PCT/US2016/052984 patent/WO2017058620A1/en active Application Filing
- 2016-09-22 EP EP16782117.2A patent/EP3355809B1/en active Active
- 2016-09-22 BR BR112018006376-2A patent/BR112018006376B1/pt active IP Right Grant
- 2016-09-22 MX MX2018003947A patent/MX2018003947A/es unknown
- 2016-09-22 EP EP16781229.6A patent/EP3355817A1/en active Pending
- 2016-09-22 CN CN201680069724.9A patent/CN108289695B/zh active Active
- 2016-09-22 MX MX2018003944A patent/MX2018003944A/es unknown
- 2016-09-22 WO PCT/US2016/052982 patent/WO2017058619A1/en active Application Filing
- 2016-09-22 CN CN201680069778.5A patent/CN108289708B/zh active Active
- 2016-09-22 WO PCT/US2016/052979 patent/WO2017058617A2/en active Application Filing
- 2016-09-22 JP JP2018516527A patent/JP6852063B2/ja active Active
- 2016-09-22 CN CN201680069697.5A patent/CN108289711B/zh active Active
- 2016-09-22 JP JP2018516503A patent/JP7123791B2/ja active Active
- 2016-09-22 BR BR112018006269-3A patent/BR112018006269B1/pt active IP Right Grant
- 2016-09-22 EP EP16774794.8A patent/EP3355815A2/en active Pending
- 2016-09-22 EP EP16774795.5A patent/EP3355820A1/en active Pending
- 2016-09-22 JP JP2018516536A patent/JP6840743B2/ja active Active
- 2016-09-22 BR BR112018006252-9A patent/BR112018006252B1/pt active IP Right Grant
- 2016-09-22 CN CN201680069134.6A patent/CN108289705B/zh active Active
- 2016-09-22 BR BR112018006336-3A patent/BR112018006336B1/pt active IP Right Grant
- 2016-09-22 WO PCT/US2016/052981 patent/WO2017058618A1/en active Application Filing
- 2016-09-22 MX MX2018003945A patent/MX2018003945A/es unknown
-
2021
- 2021-07-15 JP JP2021116953A patent/JP7366965B2/ja active Active
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH03126447A (ja) * | 1989-10-11 | 1991-05-29 | Olympus Optical Co Ltd | 超音波処置装置 |
JPH07171161A (ja) * | 1993-12-21 | 1995-07-11 | Toshiba Corp | 超音波治療装置 |
JP2001120564A (ja) * | 1999-10-26 | 2001-05-08 | Olympus Optical Co Ltd | 電子機器の校正システム |
JP2008036390A (ja) * | 2006-08-09 | 2008-02-21 | Olympus Medical Systems Corp | 中継ユニット及び超音波手術・高周波焼灼装置 |
WO2010076869A1 (ja) * | 2008-12-31 | 2010-07-08 | オリンパスメディカルシステムズ株式会社 | 手術システム及び制御方法 |
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6852063B2 (ja) | 外科用器具用の周波数アジャイル発生器 | |
US11058475B2 (en) | Method and apparatus for selecting operations of a surgical instrument based on user intention | |
JP2018531071A6 (ja) | ユーザ意図に基づいて外科用器具の動作を選択するための方法及び装置 | |
CN108289704B (zh) | 用于以数字方式生成超声外科器械的组合电信号波形的发生器 | |
JP2018531075A6 (ja) | 複合発生器用の回路トポロジ | |
JP2018527049A (ja) | ユーザー適応可能なアルゴリズムを備えた外科用器具 | |
JP2018519918A (ja) | 組織インピーダンスに基づくユーザーが適合可能な技法を有する外科用システム |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20190920 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20200827 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20200908 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20201202 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20210209 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20210310 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6852063 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |