JP5517941B2 - Hf手術装置およびhf手術装置の制御方法 - Google Patents
Hf手術装置およびhf手術装置の制御方法 Download PDFInfo
- Publication number
- JP5517941B2 JP5517941B2 JP2010530365A JP2010530365A JP5517941B2 JP 5517941 B2 JP5517941 B2 JP 5517941B2 JP 2010530365 A JP2010530365 A JP 2010530365A JP 2010530365 A JP2010530365 A JP 2010530365A JP 5517941 B2 JP5517941 B2 JP 5517941B2
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- surgical apparatus
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- 238000000034 method Methods 0.000 title claims description 15
- 238000005259 measurement Methods 0.000 claims description 119
- 230000007935 neutral effect Effects 0.000 claims description 49
- 238000001356 surgical procedure Methods 0.000 claims description 11
- 230000010363 phase shift Effects 0.000 claims description 10
- 239000003990 capacitor Substances 0.000 claims description 9
- 230000015271 coagulation Effects 0.000 claims description 8
- 238000005345 coagulation Methods 0.000 claims description 8
- 238000002679 ablation Methods 0.000 claims description 4
- 238000002271 resection Methods 0.000 claims description 2
- 238000001914 filtration Methods 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 230000001052 transient effect Effects 0.000 description 3
- 238000011144 upstream manufacturing Methods 0.000 description 3
- 230000007423 decrease Effects 0.000 description 2
- 238000001514 detection method Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000005856 abnormality Effects 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 230000000704 physical effect Effects 0.000 description 1
- 230000005236 sound signal Effects 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
Images
Classifications
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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
- A61B18/1206—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
- 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
- A61B18/12—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
- A61B18/16—Indifferent or passive electrodes for grounding
-
- 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
- A61B2018/00636—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
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—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
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (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)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE200710051097 DE102007051097A1 (de) | 2007-10-24 | 2007-10-24 | HF-Chirurgiegerät und Verfahren für ein HF-Chirurgiegerät |
| DE102007051097.9 | 2007-10-24 | ||
| PCT/EP2008/055911 WO2009053117A2 (en) | 2007-10-24 | 2008-05-14 | Hf-surgery device and method for an hf-surgery device |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2011509100A JP2011509100A (ja) | 2011-03-24 |
| JP2011509100A5 JP2011509100A5 (enExample) | 2014-03-27 |
| JP5517941B2 true JP5517941B2 (ja) | 2014-06-11 |
Family
ID=39791204
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010530365A Active JP5517941B2 (ja) | 2007-10-24 | 2008-05-14 | Hf手術装置およびhf手術装置の制御方法 |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US8864756B2 (enExample) |
| EP (1) | EP2200527B8 (enExample) |
| JP (1) | JP5517941B2 (enExample) |
| CN (1) | CN102215768B (enExample) |
| DE (1) | DE102007051097A1 (enExample) |
| WO (1) | WO2009053117A2 (enExample) |
Families Citing this family (33)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102007056974B4 (de) * | 2007-05-14 | 2013-01-17 | Erbe Elektromedizin Gmbh | HF-chirurgische Prüfeinrichtung und Verfahren zum Identifizieren einer am Patienten angelegten HF-Neutralelektrode |
| US9345531B2 (en) * | 2009-06-05 | 2016-05-24 | Cynosure, Inc. | Radio-frequency treatment of skin tissue with shock-free handpiece |
| US7956620B2 (en) * | 2009-08-12 | 2011-06-07 | Tyco Healthcare Group Lp | System and method for augmented impedance sensing |
| US20110125151A1 (en) * | 2009-11-24 | 2011-05-26 | Strauss Timo | High frequency surgical device |
| DE102010040824B4 (de) * | 2010-09-15 | 2015-12-31 | Olympus Winter & Ibe Gmbh | Hochfrequenz-Chirurgiegerät |
| ES2537227T3 (es) | 2010-10-01 | 2015-06-03 | Applied Medical Resources Corporation | Instrumento electro-quirúrgico con mordazas y con un electrodo |
| EP2885050A1 (en) * | 2012-08-16 | 2015-06-24 | Cardiac Pacemakers, Inc. | Therapy delivery architecture for implantable medical device |
| EP2968925B1 (en) | 2013-03-14 | 2020-02-19 | Cynosure, LLC | Electrosurgical systems |
| WO2014145148A2 (en) | 2013-03-15 | 2014-09-18 | Ellman International, Inc. | Surgical instruments and systems with multimodes of treatments and electrosurgical operation |
| US9498276B2 (en) * | 2013-03-15 | 2016-11-22 | Covidien Lp | Systems and methods for narrowband real impedance control in electrosurgery |
| DE102015204127A1 (de) * | 2015-03-06 | 2016-09-08 | Olympus Winter & Ibe Gmbh | Elektrochirurgie-Generator |
| US10646266B2 (en) * | 2015-11-13 | 2020-05-12 | Covidien Lp | System and method for return electrode monitoring |
| US11152232B2 (en) | 2016-05-26 | 2021-10-19 | Anand Deo | Frequency and phase controlled transducers and sensing |
| US9536758B1 (en) | 2016-05-26 | 2017-01-03 | Anand Deo | Time-varying frequency powered semiconductor substrate heat source |
| US12491111B2 (en) | 2016-05-26 | 2025-12-09 | Anand Deo | Medical instrument for in vivo heat source |
| CN105879225A (zh) * | 2016-06-08 | 2016-08-24 | 广州加佳康医疗科技有限公司 | 一种智能便携电疗仪器 |
| US12376898B2 (en) | 2016-07-01 | 2025-08-05 | Cynosure, Llc | Non-invasive, uniform and non-uniform RF methods and systems related applications |
| DE102016214704A1 (de) * | 2016-08-08 | 2018-02-08 | Olympus Winter & Ibe Gmbh | Elektrochirurgiesystem mit Messeinheit |
| DE102017112684A1 (de) * | 2017-06-08 | 2018-12-13 | Olympus Winter & Ibe Gmbh | Elektrochirurgie-Generator |
| KR102028413B1 (ko) * | 2017-11-28 | 2019-10-04 | 주식회사 청우메디칼 | 다중 전극 구조의 공진형 수술 장치 |
| KR102028411B1 (ko) * | 2017-11-29 | 2019-10-04 | 주식회사 청우메디칼 | 응고와 절제 공정의 자동 수행을 위한 가변 출력 구조의 공진형 수술 장치 |
| CN107907744B (zh) * | 2017-12-08 | 2020-10-23 | 赛诺微医疗科技(浙江)有限公司 | 高频电刀负极板接触质量的测量装置及方法 |
| WO2019109334A1 (zh) * | 2017-12-08 | 2019-06-13 | 赛诺微医疗科技(浙江)有限公司 | 高频电刀负极板接触质量的测量装置及方法 |
| CN111712208A (zh) | 2018-02-07 | 2020-09-25 | 赛诺秀有限责任公司 | 用于受控rf处理的方法和设备以及rf发生器系统 |
| CN109856496B (zh) * | 2019-02-25 | 2020-12-15 | 绵阳立德电子股份有限公司 | 一种中性电极监测装置 |
| US12144534B2 (en) * | 2019-04-15 | 2024-11-19 | Advanced Neuromodulation Systems, Inc. | Systems and methods for monitoring electrode tissue engagement during ablation |
| USD1005484S1 (en) | 2019-07-19 | 2023-11-21 | Cynosure, Llc | Handheld medical instrument and docking base |
| DE102020003524B4 (de) | 2020-06-12 | 2023-03-23 | Coco Beteiligungsgesellschaft mbH | Überwachungseinheit und Hochfrequenz-Chirurgiesystem mit einer solchen Überwachungseinheit |
| US12178495B2 (en) * | 2020-12-29 | 2024-12-31 | Cilag Gmbh International | Filter for monopolar surgical instrument energy path |
| CN113576656B (zh) * | 2021-07-27 | 2022-12-09 | 北京索吉瑞科技有限公司 | 一种检测极板和皮肤接触质量的方法与装置 |
| EP4417015A1 (en) | 2021-10-13 | 2024-08-21 | Deo, Anand | Conformable polymer for frequency-selectable heating locations |
| EP4360573A1 (de) * | 2022-10-28 | 2024-05-01 | Erbe Elektromedizin GmbH | Elektrochirurgisches system |
| CN116650100A (zh) * | 2023-07-07 | 2023-08-29 | 武汉迈瑞医疗技术研究院有限公司 | 高频手术系统和阻抗检测装置 |
Family Cites Families (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3933157A (en) * | 1973-10-23 | 1976-01-20 | Aktiebolaget Stille-Werner | Test and control device for electrosurgical apparatus |
| DE2801833C2 (de) | 1978-01-17 | 1979-11-29 | Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen | Elektrochirurgische Schneidvorrichtung |
| US4494541A (en) * | 1980-01-17 | 1985-01-22 | Medical Plastics, Inc. | Electrosurgery safety monitor |
| US4416276A (en) * | 1981-10-26 | 1983-11-22 | Valleylab, Inc. | Adaptive, return electrode monitoring system |
| AU541482B2 (en) | 1981-10-26 | 1985-01-10 | Sherwood Services Ag | Monitoring electrode connection in electrosurgery |
| DE3544443C2 (de) | 1985-12-16 | 1994-02-17 | Siemens Ag | HF-Chirurgiegerät |
| EP0390937B1 (de) | 1989-04-01 | 1994-11-02 | Erbe Elektromedizin GmbH | Einrichtung zur Überwachung der Applikation von Neutralelektroden bei der Hochfrequenzchirurgie |
| JP2656982B2 (ja) * | 1989-08-24 | 1997-09-24 | オリンパス光学工業株式会社 | 高周波電気メス装置 |
| DE4126607C2 (de) | 1991-08-12 | 2003-10-09 | Storz Karl Gmbh & Co Kg | Anordnung zum Schneiden von biologischem Gewebe mit Hochfrequenzstrom |
| WO1993003677A2 (de) | 1991-08-12 | 1993-03-04 | Karl Storz Gmbh & Co. | Hochfrequenzchirurgiegenerator zum schneiden von geweben |
| US5372596A (en) * | 1993-07-27 | 1994-12-13 | Valleylab Inc. | Apparatus for leakage control and method for its use |
| DE19643127A1 (de) * | 1996-10-18 | 1998-04-23 | Berchtold Gmbh & Co Geb | Hochfrequenzchirurgiegerät und Verfahren zu dessen Betrieb |
| DE19714972C2 (de) * | 1997-04-10 | 2001-12-06 | Storz Endoskop Gmbh Schaffhaus | Einrichtung zur Überwachung der Applikation einer Neutralelektrode |
| DE19839826A1 (de) * | 1998-09-01 | 2000-03-02 | Karl Fastenmeier | Hochfrequenzeinrichtung zur Erzeugung eines Plasmabogens für die Behandlung von menschlichem Gewebe |
| JP4108380B2 (ja) | 2001-06-25 | 2008-06-25 | 株式会社リコー | 感熱記録材料 |
| DE10218893A1 (de) | 2002-04-26 | 2003-11-13 | Storz Endoskop Prod Gmbh | Hochfrequenz-Chirugiegenerator |
| US6860881B2 (en) * | 2002-09-25 | 2005-03-01 | Sherwood Services Ag | Multiple RF return pad contact detection system |
| ITVI20030111A1 (it) * | 2003-06-06 | 2004-12-07 | Telea Electronic Eng Srl | Bisturi elettronico per coagulazione. |
| DE102004025613B4 (de) * | 2004-05-25 | 2008-08-07 | Erbe Elektromedizin Gmbh | Verfahren und Messvorrichtung zur Bestimmung der Übergangsimpendanz zwischen zwei Teilelektroden einer geteilten Neutralelektrode |
-
2007
- 2007-10-24 DE DE200710051097 patent/DE102007051097A1/de not_active Withdrawn
-
2008
- 2008-05-14 JP JP2010530365A patent/JP5517941B2/ja active Active
- 2008-05-14 US US12/681,900 patent/US8864756B2/en active Active
- 2008-05-14 EP EP08759592.2A patent/EP2200527B8/en active Active
- 2008-05-14 WO PCT/EP2008/055911 patent/WO2009053117A2/en not_active Ceased
- 2008-05-14 CN CN200880113108.4A patent/CN102215768B/zh active Active
Also Published As
| Publication number | Publication date |
|---|---|
| WO2009053117A3 (en) | 2013-01-31 |
| WO2009053117A2 (en) | 2009-04-30 |
| US20100217259A1 (en) | 2010-08-26 |
| EP2200527B8 (en) | 2015-01-28 |
| DE102007051097A1 (de) | 2009-04-30 |
| JP2011509100A (ja) | 2011-03-24 |
| CN102215768B (zh) | 2014-12-31 |
| CN102215768A (zh) | 2011-10-12 |
| EP2200527A2 (en) | 2010-06-30 |
| EP2200527B1 (en) | 2014-11-19 |
| US8864756B2 (en) | 2014-10-21 |
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