JP2022504110A - 電気外科器具 - Google Patents

電気外科器具 Download PDF

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Publication number
JP2022504110A
JP2022504110A JP2021518142A JP2021518142A JP2022504110A JP 2022504110 A JP2022504110 A JP 2022504110A JP 2021518142 A JP2021518142 A JP 2021518142A JP 2021518142 A JP2021518142 A JP 2021518142A JP 2022504110 A JP2022504110 A JP 2022504110A
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JP
Japan
Prior art keywords
hollow needle
instrument
channel
tip
dielectric
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.)
Pending
Application number
JP2021518142A
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English (en)
Japanese (ja)
Other versions
JPWO2020070113A5 (enExample
Inventor
ハンコック，クリストファー・ポール
ウルリヒ，ジョージ
モリス，スティーブ
ウェッブ，デイビッド
プレストン，ショーン
ゲオゲガン，レイフ
クロッカー，ダン
スウェイン，サンドラ
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
Publication of JP2022504110A publication Critical patent/JP2022504110A/ja
Publication of JPWO2020070113A5 publication Critical patent/JPWO2020070113A5/ja
Pending legal-status Critical Current

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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
    • A61B18/1477—Needle-like probes
    • 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
    • A61B18/042—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating using additional gas becoming plasma
    • 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
    • A61B18/14—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
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/0013—Coatings on the energy applicator non-sticking
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00184—Moving parts
    • A61B2018/00196—Moving parts reciprocating lengthwise
    • 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
    • A61B2018/00589—Coagulation
    • 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
    • A61B2018/00994—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
    • A61B18/18—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
    • A61B2018/1861—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
    • 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
    • A61B2018/1869—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 interstitially inserted into the body, e.g. needles
    • 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
    • A61B2018/1876—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 multiple frequencies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
JP2021518142A 2018-10-03 2019-10-01 電気外科器具 Pending JP2022504110A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1816128.1A GB2577706A (en) 2018-10-03 2018-10-03 Electrosurgical instrument
GB1816128.1 2018-10-03
PCT/EP2019/076567 WO2020070113A1 (en) 2018-10-03 2019-10-01 Electrosurgical instrument

Publications (2)

Publication Number Publication Date
JP2022504110A true JP2022504110A (ja) 2022-01-13
JPWO2020070113A5 JPWO2020070113A5 (enExample) 2022-09-21

Family

ID=68109333

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2021518142A Pending JP2022504110A (ja) 2018-10-03 2019-10-01 電気外科器具

Country Status (14)

Country Link
US (1) US12295653B2 (enExample)
EP (2) EP3977955B1 (enExample)
JP (1) JP2022504110A (enExample)
KR (1) KR20210072761A (enExample)
CN (1) CN113038896B (enExample)
AU (1) AU2019353955A1 (enExample)
BR (1) BR112021006086A2 (enExample)
CA (1) CA3113762A1 (enExample)
ES (2) ES3010322T3 (enExample)
GB (1) GB2577706A (enExample)
IL (1) IL281953A (enExample)
RU (1) RU2770455C1 (enExample)
SG (1) SG11202103067TA (enExample)
WO (1) WO2020070113A1 (enExample)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
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US20210282849A1 (en) * 2020-03-12 2021-09-16 University Of Kentucky Research Foundation Flexible suction coagulator
CN112716598B (zh) * 2021-01-20 2025-04-04 清华大学 一种带通体保护层的热消融导管及热消融装置
PL4124307T3 (pl) * 2021-07-26 2024-12-23 Erbe Elektromedizin Gmbh Instrument elektrochirurgiczny z ruchomą elektrodą
WO2024258920A1 (en) * 2023-06-13 2024-12-19 Boston Scientific Scimed, Inc. Devices, systems, and methods for preventing arcing between electrodes for medical procedures
GB202319378D0 (en) * 2023-12-18 2024-01-31 Creo Medical Ltd Electrosurgical instrument

Citations (4)

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Publication number Priority date Publication date Assignee Title
JP2015521873A (ja) * 2012-07-03 2015-08-03 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ 電気外科用切除器具
JP2017500958A (ja) * 2013-12-31 2017-01-12 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ 生体組織内へｒｆおよび／またはマイクロ波エネルギーを供給する電気外科機器
WO2017103209A1 (en) * 2015-12-17 2017-06-22 Creo Medical Limited Electrosurgical probe for delivering microwave energy
WO2017149072A2 (en) * 2016-03-04 2017-09-08 Creo Medical Limited Electrosurgical instrument having multiple treatment modalities

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US5720718A (en) * 1992-08-12 1998-02-24 Vidamed, Inc. Medical probe apparatus with enhanced RF, resistance heating, and microwave ablation capabilities
US5403311A (en) * 1993-03-29 1995-04-04 Boston Scientific Corporation Electro-coagulation and ablation and other electrotherapeutic treatments of body tissue
FR2765304B1 (fr) * 1997-06-30 1999-07-30 Paul Riedel Complexe isolant reducteur des transferts d'energies pour l'amelioration des conforts methodes d'assemblages modes de poses et de fixations
US6347251B1 (en) * 1999-12-23 2002-02-12 Tianquan Deng Apparatus and method for microwave hyperthermia and acupuncture
US6770070B1 (en) * 2000-03-17 2004-08-03 Rita Medical Systems, Inc. Lung treatment apparatus and method
US6622731B2 (en) * 2001-01-11 2003-09-23 Rita Medical Systems, Inc. Bone-treatment instrument and method
GB2387544B (en) * 2002-10-10 2004-03-17 Microsulis Plc Microwave applicator
GB2415630C2 (en) * 2004-07-02 2007-03-22 Microsulis Ltd Radiation applicator and method of radiating tissue
JP2006166942A (ja) * 2004-12-10 2006-06-29 Takayuki Asao 腹腔鏡手術用穿刺型電気メスの電極針およびその製造方法
GB0620061D0 (en) * 2006-10-10 2006-11-22 Medical Device Innovations Ltd Oesophageal treatment apparatus and method
US8945114B2 (en) * 2007-04-26 2015-02-03 Medtronic, Inc. Fluid sensor for ablation therapy
US10039601B2 (en) * 2010-03-26 2018-08-07 Covidien Lp Ablation devices with adjustable radiating section lengths, electrosurgical systems including same, and methods of adjusting ablation fields using same
US20120029498A1 (en) * 2010-07-30 2012-02-02 Daniel Igor Branovan Bipolar Radio Frequency Ablation Instrument
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
GB2487199A (en) * 2011-01-11 2012-07-18 Creo Medical Ltd Electrosurgical device with fluid conduit
GB2506377A (en) * 2012-09-27 2014-04-02 Creo Medical Ltd Electrosurgical apparatus comprising an RF generator, microwave generator, combining circuit and waveguide isolator
GB2513872A (en) * 2013-05-08 2014-11-12 Creo Medical Ltd Electrosurgical apparatus
GB201308558D0 (en) * 2013-05-13 2013-06-19 Creo Medical Ltd Electrosurgical apparatus
GB2521611B (en) * 2013-12-23 2020-02-12 Creo Medical Ltd Electrosurgical apparatus and electrosurgical device
US20150216595A1 (en) * 2014-02-06 2015-08-06 Cedars-Sinai Medical Center Optimized method of coating the microwave ablation probe for surgical application
GB2545179B (en) * 2015-12-07 2020-09-09 Creo Medical Ltd Electrosurgical instrument
GB2563377A (en) 2017-05-04 2018-12-19 Creo Medical Ltd Electrosurgical apparatus and method of tissue ablation

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2015521873A (ja) * 2012-07-03 2015-08-03 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ 電気外科用切除器具
JP2017500958A (ja) * 2013-12-31 2017-01-12 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ 生体組織内へｒｆおよび／またはマイクロ波エネルギーを供給する電気外科機器
WO2017103209A1 (en) * 2015-12-17 2017-06-22 Creo Medical Limited Electrosurgical probe for delivering microwave energy
WO2017149072A2 (en) * 2016-03-04 2017-09-08 Creo Medical Limited Electrosurgical instrument having multiple treatment modalities

Also Published As

Publication number Publication date
EP3860487A1 (en) 2021-08-11
IL281953A (en) 2021-05-31
ES3010322T3 (en) 2025-04-02
CN113038896B (zh) 2024-10-29
CN113038896A (zh) 2021-06-25
CA3113762A1 (en) 2020-04-09
AU2019353955A1 (en) 2021-04-29
SG11202103067TA (en) 2021-04-29
GB2577706A (en) 2020-04-08
RU2770455C1 (ru) 2022-04-18
EP3977955B1 (en) 2024-11-27
KR20210072761A (ko) 2021-06-17
US20210338326A1 (en) 2021-11-04
BR112021006086A2 (pt) 2021-07-20
EP3860487C0 (en) 2024-02-21
WO2020070113A1 (en) 2020-04-09
EP3977955C0 (en) 2024-11-27
EP3977955A1 (en) 2022-04-06
EP3860487B1 (en) 2024-02-21
ES2977595T3 (es) 2024-08-27
US12295653B2 (en) 2025-05-13

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