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 PDF

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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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measurement
circuit
patient
surgical apparatus
current
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JP2011509100A5 (https=
JP2011509100A (ja
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シュトラウス ティモ
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オリンパス・ウィンター・アンド・イベ・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B18/1233Generators therefor with circuits for assuring patient safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1477Needle-like probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/16Indifferent or passive electrodes for grounding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607Coagulation and cutting with the same instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance

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  • 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)
JP2010530365A 2007-10-24 2008-05-14 Hf手術装置およびhf手術装置の制御方法 Active JP5517941B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102007051097.9 2007-10-24
DE200710051097 DE102007051097A1 (de) 2007-10-24 2007-10-24 HF-Chirurgiegerät und Verfahren für ein HF-Chirurgiegerät
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 (https=) 2014-03-27
JP5517941B2 true JP5517941B2 (ja) 2014-06-11

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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)

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US (1) US8864756B2 (https=)
EP (1) EP2200527B8 (https=)
JP (1) JP5517941B2 (https=)
CN (1) CN102215768B (https=)
DE (1) DE102007051097A1 (https=)
WO (1) WO2009053117A2 (https=)

Families Citing this family (37)

* Cited by examiner, † Cited by third party
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
EP2898846B1 (en) 2010-10-01 2018-01-31 Applied Medical Resources Corporation Electrosurgical system with a radio frequency amplifier and with means for adaptation to electrode spacing
US9421385B2 (en) * 2012-08-16 2016-08-23 Cardiac Pacemakers, Inc. Therapy delivery architecture for implantable medical device
US10143831B2 (en) 2013-03-14 2018-12-04 Cynosure, Inc. Electrosurgical systems and methods
US10492849B2 (en) 2013-03-15 2019-12-03 Cynosure, Llc 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
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
US11152232B2 (en) 2016-05-26 2021-10-19 Anand Deo Frequency and phase controlled transducers and sensing
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
US12558145B2 (en) 2016-07-01 2026-02-24 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
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
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
CA3234911A1 (en) 2018-02-07 2019-08-15 Cynosure, Llc Methods and apparatus for controlled rf treatments and rf generator system
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
EP4245237A1 (de) * 2022-03-17 2023-09-20 Erbe Elektromedizin GmbH Elektrochirurgiesystem und verfahren zum prüfen der elektrischen verbindung zwischen einer neutralelektrode und einem patienten
EP4360573A1 (de) * 2022-10-28 2024-05-01 Erbe Elektromedizin GmbH Elektrochirurgisches system
CN115844517B (zh) * 2022-12-01 2026-04-21 武汉迈瑞科技有限公司 高频手术系统和阻抗检测装置
CN120916719A (zh) * 2023-03-07 2025-11-07 波士顿科学神经调制公司 监测rf神经消融系统中参考电极的接触完整性
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)

* Cited by examiner, † Cited by third party
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
DE58908600D1 (de) * 1989-04-01 1994-12-08 Erbe Elektromedizin 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
DE59209642D1 (de) 1991-08-12 1999-04-08 Storz Karl Gmbh & Co Hochfrequenzchirurgiegenerator zum schneiden von geweben
DE4126607C2 (de) 1991-08-12 2003-10-09 Storz Karl Gmbh & Co Kg Anordnung zum Schneiden von biologischem Gewebe mit Hochfrequenzstrom
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

Also Published As

Publication number Publication date
WO2009053117A3 (en) 2013-01-31
US8864756B2 (en) 2014-10-21
EP2200527B1 (en) 2014-11-19
US20100217259A1 (en) 2010-08-26
JP2011509100A (ja) 2011-03-24
EP2200527A2 (en) 2010-06-30
CN102215768B (zh) 2014-12-31
CN102215768A (zh) 2011-10-12
EP2200527B8 (en) 2015-01-28
DE102007051097A1 (de) 2009-04-30
WO2009053117A2 (en) 2009-04-30

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