JP5981646B2 - 2つのハーフチューブ電極を有する双極型手術器具 - Google Patents
2つのハーフチューブ電極を有する双極型手術器具 Download PDFInfo
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- JP5981646B2 JP5981646B2 JP2015516020A JP2015516020A JP5981646B2 JP 5981646 B2 JP5981646 B2 JP 5981646B2 JP 2015516020 A JP2015516020 A JP 2015516020A JP 2015516020 A JP2015516020 A JP 2015516020A JP 5981646 B2 JP5981646 B2 JP 5981646B2
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- 239000004020 conductor Substances 0.000 claims description 15
- 238000010292 electrical insulation Methods 0.000 claims description 2
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- 238000002679 ablation Methods 0.000 description 31
- 210000001519 tissue Anatomy 0.000 description 29
- 239000012530 fluid Substances 0.000 description 10
- 238000000034 method Methods 0.000 description 8
- 238000001356 surgical procedure Methods 0.000 description 8
- 210000000988 bone and bone Anatomy 0.000 description 5
- 239000011248 coating agent Substances 0.000 description 5
- 238000000576 coating method Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 230000002262 irrigation Effects 0.000 description 5
- 238000003973 irrigation Methods 0.000 description 5
- 238000005345 coagulation Methods 0.000 description 4
- 230000015271 coagulation Effects 0.000 description 4
- 238000002271 resection Methods 0.000 description 3
- 238000000926 separation method Methods 0.000 description 3
- 238000011282 treatment Methods 0.000 description 3
- 230000008016 vaporization Effects 0.000 description 3
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 239000012777 electrically insulating material Substances 0.000 description 2
- 230000023597 hemostasis Effects 0.000 description 2
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- 239000000463 material Substances 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
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- 230000007935 neutral effect Effects 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 206010039509 Scab Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
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- 239000002184 metal Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
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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
- A61B18/148—Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
-
- 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
- A61B2018/00184—Moving parts
- A61B2018/00202—Moving parts rotating
- A61B2018/00208—Moving parts rotating actively driven, e.g. by a motor
-
- 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
- A61B2018/00595—Cauterization
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Otolaryngology (AREA)
- Neurology (AREA)
- Biomedical Technology (AREA)
- Neurosurgery (AREA)
- Plasma & Fusion (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)
Description
Claims (9)
- 閉じた作用遠位端、近位端および外側面を有し、前記遠位端の側面または前記遠位端に近接する側面に開口部を有する、中空の管状部材と、
前記中空の管状部材の前記外側面の少なくとも一部に配置された第1の電気的絶縁層と、
前記第1の電気的絶縁層の外側面に配置された第1電極と、
前記第1の電気的絶縁層の前記外側面に配置された第2電極と、
を備え、
(i)前記第1および第2電極は互いに電気的に分離され、
(ii)前記第1電極は第1活性セグメントおよび第1不活性セグメントを有し、
(iii)前記第2電極は第2活性セグメントおよび第2不活性セグメントを有し、
(iv)前記第1および第2活性セグメントは、前記中空の管状部材の対向する側面にそれぞれ配置され、
(v)前記作用遠位端において、前記第1活性セグメントと前記第2活性セグメントとの間に設けられ、前記第1活性セグメントおよび前記第2活性セグメントを前記作用遠位端において電気的に分離する突起部を有し、前記突起部は、前記第1活性セグメントおよび前記第2活性セグメントの厚さと実質的に同じ高さを有する、
ことを特徴とする手術器具。 - 前記第1および第2活性セグメントの一方または両方はさらに、前記中空の管状部材の前記閉じた作用遠位端のセグメント内に少なくとも部分的に配置されている、ことを特徴とする請求項1に記載の手術器具。
- 前記中空の管状部材の前記外側面、前記第1および第2電極の前記第1および第2の不活性セグメント、または、それらの両方を少なくとも部分的に覆って配置される第2の電気的絶縁層をさらに備える、請求項1または2に記載の手術器具。
- 前記第2の電気的絶縁層を少なくとも部分的に覆って配置される外側シースをさらに備える、請求項3に記載の手術器具。
- 前記第1活性セグメント、前記第2活性セグメント、またはその両方は、前方向突起部を有する、ことを特徴とする請求項1に記載の手術器具。
- 前記開口部における側面の少なくとも一部は、導電体であり、活性電極セグメントとして機能することができる、ことを特徴とする請求項1に記載の手術器具。
- 前記中空の管状部材の内部に配置された回転可能な切除部材をさらに備える、請求項1から6のいずれか一項に記載の手術器具。
- 前記中空の管状部材は導電体である、ことを特徴とする請求項7に記載の手術器具。
- 閉じた作用遠位端、近位端および外側面を有し、前記作用遠位端の側面または前記作用遠位端に近接する側面に開口部を有する、中空管状部材と、
前記中空管状部材の前記外側面の少なくとも一部に配置された第1の電気的絶縁層と、
前記第1の電気的絶縁層の外側面に配置された第1電極と、
前記第1の電気的絶縁層の前記外側面に配置された第2電極と、
を備え、
(i)前記第1および第2電極は互いに電気的に分離され、
(ii)前記第1電極は第1活性セグメントおよび第1不活性セグメントを有し、
(iii)前記第2電極は第2活性セグメントおよび第2不活性セグメントを有し、
(iv)前記第1および第2活性セグメントは前記中空管状部材の対向する側面にそれぞれ配置されており、前記開口部のエッジと前記第1および第2電極のエッジとの間で、前記第1の電気的絶縁層の一部が露出されるように、前記開口部に近接して配置された前記第1および第2電極のエッジが前記開口部のエッジから凹んで形成されており、
(v)前記作用遠位端において、前記第1活性セグメントと前記第2活性セグメントとの間に設けられ、前記第1活性セグメントおよび前記第2活性セグメントを前記作用遠位端において電気的に分離する突起部を有し、前記突起部は、前記第1活性セグメントおよび前記第2活性セグメントの厚さと実質的に同じ高さを有する、
ことを特徴とする手術器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/528,252 | 2012-06-20 | ||
US13/528,252 US9078664B2 (en) | 2012-06-20 | 2012-06-20 | Bipolar surgical instrument with two half tube electrodes |
PCT/US2013/039823 WO2013191811A1 (en) | 2012-06-20 | 2013-05-07 | Bipolar surgical instrument with two half tube electrodes |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2015519147A JP2015519147A (ja) | 2015-07-09 |
JP2015519147A5 JP2015519147A5 (ja) | 2016-04-21 |
JP5981646B2 true JP5981646B2 (ja) | 2016-08-31 |
Family
ID=48539380
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015516020A Expired - Fee Related JP5981646B2 (ja) | 2012-06-20 | 2013-05-07 | 2つのハーフチューブ電極を有する双極型手術器具 |
Country Status (6)
Country | Link |
---|---|
US (1) | US9078664B2 (ja) |
EP (1) | EP2863822B1 (ja) |
JP (1) | JP5981646B2 (ja) |
CN (1) | CN104321030B (ja) |
AU (1) | AU2013277713B2 (ja) |
WO (1) | WO2013191811A1 (ja) |
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US9226792B2 (en) | 2012-06-12 | 2016-01-05 | Medtronic Advanced Energy Llc | Debridement device and method |
US20140121656A1 (en) * | 2012-10-26 | 2014-05-01 | Warsaw Orthopedic, Inc. | Nerve and soft tissue cutting device |
US10004556B2 (en) * | 2013-05-10 | 2018-06-26 | Corinth MedTech, Inc. | Tissue resecting devices and methods |
US10314647B2 (en) * | 2013-12-23 | 2019-06-11 | Medtronic Advanced Energy Llc | Electrosurgical cutting instrument |
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US10376302B2 (en) * | 2015-02-18 | 2019-08-13 | Medtronic Xomed, Inc. | Rotating electrical connector for RF energy enabled tissue debridement device |
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KR20170117440A (ko) * | 2015-02-18 | 2017-10-23 | 메드트로닉 좀드 인코퍼레이티드 | Rf 에너지 사용이 가능한 조직 변연절제 디바이스 |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
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CN108430364B (zh) * | 2015-11-25 | 2021-04-16 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 执行器、夹钳、电外科器械和制备执行器的方法 |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
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-
2012
- 2012-06-20 US US13/528,252 patent/US9078664B2/en active Active
-
2013
- 2013-05-07 WO PCT/US2013/039823 patent/WO2013191811A1/en active Application Filing
- 2013-05-07 EP EP13726328.1A patent/EP2863822B1/en active Active
- 2013-05-07 CN CN201380022786.0A patent/CN104321030B/zh not_active Expired - Fee Related
- 2013-05-07 JP JP2015516020A patent/JP5981646B2/ja not_active Expired - Fee Related
- 2013-05-07 AU AU2013277713A patent/AU2013277713B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
US9078664B2 (en) | 2015-07-14 |
CN104321030B (zh) | 2017-03-08 |
US20130345704A1 (en) | 2013-12-26 |
EP2863822B1 (en) | 2019-02-27 |
AU2013277713B2 (en) | 2015-08-27 |
JP2015519147A (ja) | 2015-07-09 |
WO2013191811A1 (en) | 2013-12-27 |
EP2863822A1 (en) | 2015-04-29 |
CN104321030A (zh) | 2015-01-28 |
AU2013277713A1 (en) | 2014-10-30 |
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