JP6054748B2 - 自己制御式電気加熱要素を有する医療用加熱デバイス - Google Patents
自己制御式電気加熱要素を有する医療用加熱デバイス Download PDFInfo
- Publication number
- JP6054748B2 JP6054748B2 JP2012548075A JP2012548075A JP6054748B2 JP 6054748 B2 JP6054748 B2 JP 6054748B2 JP 2012548075 A JP2012548075 A JP 2012548075A JP 2012548075 A JP2012548075 A JP 2012548075A JP 6054748 B2 JP6054748 B2 JP 6054748B2
- Authority
- JP
- Japan
- Prior art keywords
- tissue
- temperature
- probe
- heating device
- conductive
- 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.)
- Expired - Fee Related
Links
- 238000010438 heat treatment Methods 0.000 title claims description 128
- 238000005485 electric heating Methods 0.000 title description 21
- 239000000523 sample Substances 0.000 claims description 154
- 239000000463 material Substances 0.000 claims description 123
- 239000002019 doping agent Substances 0.000 claims description 51
- 230000008859 change Effects 0.000 claims description 28
- 125000006850 spacer group Chemical group 0.000 claims description 27
- 229920000642 polymer Polymers 0.000 claims description 25
- 238000004519 manufacturing process Methods 0.000 claims description 22
- 230000004044 response Effects 0.000 claims description 12
- 229910010293 ceramic material Inorganic materials 0.000 claims description 11
- 230000006870 function Effects 0.000 claims description 11
- 238000012546 transfer Methods 0.000 claims description 8
- 210000001519 tissue Anatomy 0.000 description 185
- 230000005684 electric field Effects 0.000 description 84
- 239000004020 conductor Substances 0.000 description 48
- 210000005036 nerve Anatomy 0.000 description 36
- 238000000034 method Methods 0.000 description 32
- 230000005779 cell damage Effects 0.000 description 19
- 208000037887 cell injury Diseases 0.000 description 18
- 210000003205 muscle Anatomy 0.000 description 18
- 239000012071 phase Substances 0.000 description 18
- 210000003050 axon Anatomy 0.000 description 17
- 210000004027 cell Anatomy 0.000 description 17
- 239000000758 substrate Substances 0.000 description 15
- 208000027418 Wounds and injury Diseases 0.000 description 14
- 238000005520 cutting process Methods 0.000 description 14
- 230000006378 damage Effects 0.000 description 12
- 239000000203 mixture Substances 0.000 description 12
- 210000002569 neuron Anatomy 0.000 description 11
- 210000005056 cell body Anatomy 0.000 description 10
- 230000007423 decrease Effects 0.000 description 10
- 239000002245 particle Substances 0.000 description 10
- 230000007704 transition Effects 0.000 description 10
- 239000000919 ceramic Substances 0.000 description 9
- 238000010586 diagram Methods 0.000 description 8
- 208000014674 injury Diseases 0.000 description 8
- 230000001537 neural effect Effects 0.000 description 8
- 238000001356 surgical procedure Methods 0.000 description 8
- 238000002679 ablation Methods 0.000 description 7
- 229920001940 conductive polymer Polymers 0.000 description 7
- 230000000694 effects Effects 0.000 description 7
- 230000001965 increasing effect Effects 0.000 description 7
- 206010052428 Wound Diseases 0.000 description 6
- 230000003902 lesion Effects 0.000 description 6
- 239000011159 matrix material Substances 0.000 description 6
- 210000000578 peripheral nerve Anatomy 0.000 description 6
- 239000002537 cosmetic Substances 0.000 description 5
- 238000009413 insulation Methods 0.000 description 5
- 230000000149 penetrating effect Effects 0.000 description 5
- 230000003376 axonal effect Effects 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 239000006229 carbon black Substances 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 238000000576 coating method Methods 0.000 description 4
- 230000003013 cytotoxicity Effects 0.000 description 4
- 231100000135 cytotoxicity Toxicity 0.000 description 4
- 210000001787 dendrite Anatomy 0.000 description 4
- 230000008929 regeneration Effects 0.000 description 4
- 238000011069 regeneration method Methods 0.000 description 4
- 229920006126 semicrystalline polymer Polymers 0.000 description 4
- 239000007787 solid Substances 0.000 description 4
- 239000007790 solid phase Substances 0.000 description 4
- 238000007920 subcutaneous administration Methods 0.000 description 4
- 230000001225 therapeutic effect Effects 0.000 description 4
- 210000004204 blood vessel Anatomy 0.000 description 3
- 239000011248 coating agent Substances 0.000 description 3
- 230000037369 collagen remodeling Effects 0.000 description 3
- 210000000981 epithelium Anatomy 0.000 description 3
- 230000001815 facial effect Effects 0.000 description 3
- 239000000835 fiber Substances 0.000 description 3
- 230000033001 locomotion Effects 0.000 description 3
- 238000012423 maintenance Methods 0.000 description 3
- 238000002844 melting Methods 0.000 description 3
- 230000008018 melting Effects 0.000 description 3
- 210000004379 membrane Anatomy 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 230000004936 stimulating effect Effects 0.000 description 3
- QLZJUIZVJLSNDD-UHFFFAOYSA-N 2-(2-methylidenebutanoyloxy)ethyl 2-methylidenebutanoate Chemical compound CCC(=C)C(=O)OCCOC(=O)C(=C)CC QLZJUIZVJLSNDD-UHFFFAOYSA-N 0.000 description 2
- 208000019695 Migraine disease Diseases 0.000 description 2
- 208000028389 Nerve injury Diseases 0.000 description 2
- 208000002193 Pain Diseases 0.000 description 2
- 239000004743 Polypropylene Substances 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 210000001789 adipocyte Anatomy 0.000 description 2
- 229910052787 antimony Inorganic materials 0.000 description 2
- WATWJIUSRGPENY-UHFFFAOYSA-N antimony atom Chemical compound [Sb] WATWJIUSRGPENY-UHFFFAOYSA-N 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000037424 autonomic function Effects 0.000 description 2
- JRPBQTZRNDNNOP-UHFFFAOYSA-N barium titanate Chemical compound [Ba+2].[Ba+2].[O-][Ti]([O-])([O-])[O-] JRPBQTZRNDNNOP-UHFFFAOYSA-N 0.000 description 2
- 229910002113 barium titanate Inorganic materials 0.000 description 2
- 229910052797 bismuth Inorganic materials 0.000 description 2
- JCXGWMGPZLAOME-UHFFFAOYSA-N bismuth atom Chemical compound [Bi] JCXGWMGPZLAOME-UHFFFAOYSA-N 0.000 description 2
- 230000009514 concussion Effects 0.000 description 2
- 230000008828 contractile function Effects 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 238000001816 cooling Methods 0.000 description 2
- 230000002596 correlated effect Effects 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 230000002638 denervation Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 230000018109 developmental process Effects 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000002500 effect on skin Effects 0.000 description 2
- 229920001971 elastomer Polymers 0.000 description 2
- 239000000806 elastomer Substances 0.000 description 2
- 230000005611 electricity Effects 0.000 description 2
- 210000004955 epithelial membrane Anatomy 0.000 description 2
- 229920000840 ethylene tetrafluoroethylene copolymer Polymers 0.000 description 2
- 229920006244 ethylene-ethyl acrylate Polymers 0.000 description 2
- 239000005042 ethylene-ethyl acrylate Substances 0.000 description 2
- 210000004709 eyebrow Anatomy 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 238000007710 freezing Methods 0.000 description 2
- 230000008014 freezing Effects 0.000 description 2
- 208000014617 hemorrhoid Diseases 0.000 description 2
- 229920001903 high density polyethylene Polymers 0.000 description 2
- 239000004700 high-density polyethylene Substances 0.000 description 2
- 239000008240 homogeneous mixture Substances 0.000 description 2
- 230000001976 improved effect Effects 0.000 description 2
- 230000001939 inductive effect Effects 0.000 description 2
- 150000002500 ions Chemical class 0.000 description 2
- 150000002632 lipids Chemical class 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 239000007791 liquid phase Substances 0.000 description 2
- 229920001684 low density polyethylene Polymers 0.000 description 2
- 239000004702 low-density polyethylene Substances 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 229910044991 metal oxide Inorganic materials 0.000 description 2
- 150000004706 metal oxides Chemical class 0.000 description 2
- 206010027599 migraine Diseases 0.000 description 2
- 230000007659 motor function Effects 0.000 description 2
- 230000008764 nerve damage Effects 0.000 description 2
- 210000000944 nerve tissue Anatomy 0.000 description 2
- 239000012811 non-conductive material Substances 0.000 description 2
- 238000013021 overheating Methods 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 206010033675 panniculitis Diseases 0.000 description 2
- 229920001610 polycaprolactone Polymers 0.000 description 2
- 239000004632 polycaprolactone Substances 0.000 description 2
- 239000002861 polymer material Substances 0.000 description 2
- 229920001155 polypropylene Polymers 0.000 description 2
- 229920002620 polyvinyl fluoride Polymers 0.000 description 2
- 229910052761 rare earth metal Inorganic materials 0.000 description 2
- 150000002910 rare earth metals Chemical class 0.000 description 2
- 230000027756 respiratory electron transport chain Effects 0.000 description 2
- 239000004065 semiconductor Substances 0.000 description 2
- 230000037152 sensory function Effects 0.000 description 2
- 229910052712 strontium Inorganic materials 0.000 description 2
- CIOAGBVUUVVLOB-UHFFFAOYSA-N strontium atom Chemical compound [Sr] CIOAGBVUUVVLOB-UHFFFAOYSA-N 0.000 description 2
- 210000004304 subcutaneous tissue Anatomy 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- BQCIDUSAKPWEOX-UHFFFAOYSA-N 1,1-Difluoroethene Chemical compound FC(F)=C BQCIDUSAKPWEOX-UHFFFAOYSA-N 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000023514 Barrett esophagus Diseases 0.000 description 1
- 208000023665 Barrett oesophagus Diseases 0.000 description 1
- 108030001720 Bontoxilysin Proteins 0.000 description 1
- 208000000094 Chronic Pain Diseases 0.000 description 1
- 208000034656 Contusions Diseases 0.000 description 1
- 208000008454 Hyperhidrosis Diseases 0.000 description 1
- 206010020880 Hypertrophy Diseases 0.000 description 1
- 208000034693 Laceration Diseases 0.000 description 1
- 208000007101 Muscle Cramp Diseases 0.000 description 1
- 208000000112 Myalgia Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010029350 Neurotoxicity Diseases 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 208000037062 Polyps Diseases 0.000 description 1
- 206010038074 Rectal polyp Diseases 0.000 description 1
- 208000005392 Spasm Diseases 0.000 description 1
- 206010044221 Toxic encephalopathy Diseases 0.000 description 1
- 108010057266 Type A Botulinum Toxins Proteins 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000023555 blood coagulation Effects 0.000 description 1
- 230000036760 body temperature Effects 0.000 description 1
- 229940089093 botox Drugs 0.000 description 1
- 229940053031 botulinum toxin Drugs 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 239000003990 capacitor Substances 0.000 description 1
- 210000001736 capillary Anatomy 0.000 description 1
- 210000004534 cecum Anatomy 0.000 description 1
- 210000003855 cell nucleus Anatomy 0.000 description 1
- 210000003850 cellular structure Anatomy 0.000 description 1
- 238000005253 cladding Methods 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 230000009519 contusion Effects 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 238000002316 cosmetic surgery Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 231100000433 cytotoxic Toxicity 0.000 description 1
- 230000001472 cytotoxic effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 235000012489 doughnuts Nutrition 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 238000010891 electric arc Methods 0.000 description 1
- 239000012777 electrically insulating material Substances 0.000 description 1
- 230000002357 endometrial effect Effects 0.000 description 1
- 125000002573 ethenylidene group Chemical group [*]=C=C([H])[H] 0.000 description 1
- 230000005284 excitation Effects 0.000 description 1
- 210000001508 eye Anatomy 0.000 description 1
- 210000001097 facial muscle Anatomy 0.000 description 1
- 230000009975 flexible effect Effects 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 210000004907 gland Anatomy 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 210000002216 heart Anatomy 0.000 description 1
- 230000020169 heat generation Effects 0.000 description 1
- 230000037315 hyperhidrosis Effects 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 210000003000 inclusion body Anatomy 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000030214 innervation Effects 0.000 description 1
- 239000011810 insulating material Substances 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000002690 local anesthesia Methods 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000004377 microelectronic Methods 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 230000009854 mucosal lesion Effects 0.000 description 1
- 208000013465 muscle pain Diseases 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 208000004296 neuralgia Diseases 0.000 description 1
- 239000003176 neuroleptic agent Substances 0.000 description 1
- 230000000701 neuroleptic effect Effects 0.000 description 1
- 210000000715 neuromuscular junction Anatomy 0.000 description 1
- 230000007135 neurotoxicity Effects 0.000 description 1
- 231100000228 neurotoxicity Toxicity 0.000 description 1
- 239000002858 neurotransmitter agent Substances 0.000 description 1
- 239000000615 nonconductor Substances 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- 239000013307 optical fiber Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 210000004789 organ system Anatomy 0.000 description 1
- 230000010355 oscillation Effects 0.000 description 1
- 210000001672 ovary Anatomy 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 210000002741 palatine tonsil Anatomy 0.000 description 1
- 229920013653 perfluoroalkoxyethylene Polymers 0.000 description 1
- 230000010287 polarization Effects 0.000 description 1
- 208000014081 polyp of colon Diseases 0.000 description 1
- 208000022075 polyp of rectum Diseases 0.000 description 1
- -1 polypropylene Polymers 0.000 description 1
- 229920002981 polyvinylidene fluoride Polymers 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 230000001953 sensory effect Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000002459 sustained effect Effects 0.000 description 1
- 210000000106 sweat gland Anatomy 0.000 description 1
- 210000000225 synapse Anatomy 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
- BFKJFAAPBSQJPD-UHFFFAOYSA-N tetrafluoroethene Chemical group FC(F)=C(F)F BFKJFAAPBSQJPD-UHFFFAOYSA-N 0.000 description 1
- 230000035924 thermogenesis Effects 0.000 description 1
- 210000001685 thyroid gland Anatomy 0.000 description 1
- 230000008467 tissue growth Effects 0.000 description 1
- 230000007838 tissue remodeling Effects 0.000 description 1
- 238000007483 tonsillectomy Methods 0.000 description 1
- 230000001052 transient effect Effects 0.000 description 1
- 210000003901 trigeminal nerve Anatomy 0.000 description 1
- 210000003932 urinary bladder Anatomy 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 229920002554 vinyl polymer Polymers 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
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
- A61B18/082—Probes or electrodes 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
- A61B18/1402—Probes for open surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- 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
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum 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
- A61B2018/00059—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
- A61B2018/00059—Material properties
- A61B2018/00089—Thermal conductivity
- A61B2018/00101—Thermal conductivity low, i.e. thermally 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
- A61B2018/00136—Coatings on the energy applicator with polymer
-
- 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
-
- 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
- A61B2018/00791—Temperature
-
- 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
- A61B2018/00791—Temperature
- A61B2018/00821—Temperature measured by a thermocouple
-
- 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
- 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
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Physics & Mathematics (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Dentistry (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/652,262 | 2010-01-05 | ||
US12/652,262 US9044232B2 (en) | 2010-01-05 | 2010-01-05 | Medical heating device and method with self-limiting electrical heating element |
US12/783,714 US8512335B2 (en) | 2010-05-20 | 2010-05-20 | High frequency alternating current medical device with self-limiting conductive material and method |
US12/783,714 | 2010-05-20 | ||
PCT/US2011/020136 WO2011084957A1 (en) | 2010-01-05 | 2011-01-04 | Medical heating device and method with self-limiting electrical heating element |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016207529A Division JP2017012862A (ja) | 2010-01-05 | 2016-10-24 | 自己制御式電気加熱要素を有する医療用加熱デバイスおよび方法 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013516281A JP2013516281A (ja) | 2013-05-13 |
JP2013516281A5 JP2013516281A5 (enrdf_load_stackoverflow) | 2014-02-27 |
JP6054748B2 true JP6054748B2 (ja) | 2016-12-27 |
Family
ID=44305764
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012548075A Expired - Fee Related JP6054748B2 (ja) | 2010-01-05 | 2011-01-04 | 自己制御式電気加熱要素を有する医療用加熱デバイス |
JP2016207529A Pending JP2017012862A (ja) | 2010-01-05 | 2016-10-24 | 自己制御式電気加熱要素を有する医療用加熱デバイスおよび方法 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016207529A Pending JP2017012862A (ja) | 2010-01-05 | 2016-10-24 | 自己制御式電気加熱要素を有する医療用加熱デバイスおよび方法 |
Country Status (6)
Country | Link |
---|---|
EP (1) | EP2521503A4 (enrdf_load_stackoverflow) |
JP (2) | JP6054748B2 (enrdf_load_stackoverflow) |
KR (1) | KR101844086B1 (enrdf_load_stackoverflow) |
CN (1) | CN102811676B (enrdf_load_stackoverflow) |
BR (1) | BR112012016579A2 (enrdf_load_stackoverflow) |
WO (1) | WO2011084957A1 (enrdf_load_stackoverflow) |
Families Citing this family (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP6009779B2 (ja) * | 2012-02-24 | 2016-10-19 | 株式会社アドメテック | 組織凝固器具 |
US20140018793A1 (en) * | 2012-07-12 | 2014-01-16 | Covidien Lp | Heat-distribution indicators, thermal zone indicators, electrosurgical systems including same and methods of directing energy to tissue using same |
US9439712B2 (en) | 2012-07-12 | 2016-09-13 | Covidien Lp | Heat-distribution indicators, thermal zone indicators, electrosurgical systems including same and methods of directing energy to tissue using same |
CN106456986A (zh) * | 2014-04-17 | 2017-02-22 | 波士顿科学国际有限公司 | 用于治疗性热处理的装置和方法 |
CN111671517A (zh) * | 2014-04-29 | 2020-09-18 | 威廉·迪恩·华莱士 | 电外科设备 |
JP2016027839A (ja) * | 2014-07-11 | 2016-02-25 | サンメディカル株式会社 | 医療用加熱機器 |
CN104173105A (zh) * | 2014-09-18 | 2014-12-03 | 安隽医疗科技(南京)有限公司 | 一种新型消融双极针 |
CN106137382A (zh) * | 2015-03-30 | 2016-11-23 | 安隽医疗科技(南京)有限公司 | 温度控制 |
US10285754B2 (en) * | 2015-05-18 | 2019-05-14 | Biosense Webster (Israel) Ltd. | Catheter with coaxial thermocouple |
US9839470B2 (en) | 2015-06-30 | 2017-12-12 | Covidien Lp | Electrosurgical generator for minimizing neuromuscular stimulation |
JPWO2017130384A1 (ja) * | 2016-01-29 | 2018-12-13 | オリンパス株式会社 | 処置具及び処置システム |
ES2846351T3 (es) * | 2016-11-16 | 2021-07-28 | Integra Lifesciences Entpr Lllp | Pieza de mano quirúrgica ultrasónica |
US10993557B2 (en) | 2018-08-03 | 2021-05-04 | American Sterilizer Company | Pressure management warming headrest |
CN107994756A (zh) * | 2017-11-21 | 2018-05-04 | 西南石油大学 | 一种热感式能量采集器 |
JP6848089B2 (ja) * | 2017-11-22 | 2021-03-24 | オリンパス株式会社 | 処置具及び処置具の製造方法 |
CN119908835A (zh) * | 2018-12-04 | 2025-05-02 | 柯惠有限合伙公司 | 用于确定微波发生器的设备专用运行配置的系统和方法 |
CN110403578A (zh) * | 2019-08-30 | 2019-11-05 | 福建医科大学 | 一种测量大鼠皮瓣神经恢复的热传导装置 |
CN110890795B (zh) * | 2019-10-14 | 2021-08-27 | 宴晶科技(北京)有限公司 | 一种基于非接触供电的肿瘤热消融装置 |
EP4096598A1 (en) | 2020-01-31 | 2022-12-07 | American Sterilizer Company | Ptc heating element and warming device including same for use in a patient warming system |
AU2021214577B2 (en) | 2020-01-31 | 2024-11-28 | American Sterilizer Company | Patient warming system |
CN112054765B (zh) * | 2020-08-27 | 2023-01-31 | 平潭煜想时代科技有限公司 | 太阳能集电器发电方法和太阳能集电器以及计算机设备 |
US20240315723A1 (en) * | 2023-03-24 | 2024-09-26 | Verb Surgical Inc. | Method and system for estimating temperature of an end effector of an ultrasonic instrument |
WO2024200259A1 (en) * | 2023-03-28 | 2024-10-03 | Sanofi | Injection device |
Family Cites Families (34)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4026300A (en) | 1975-03-14 | 1977-05-31 | Liberty Mutual | Method and apparatus for interfacing to nerves |
US4411266A (en) | 1980-09-24 | 1983-10-25 | Cosman Eric R | Thermocouple radio frequency lesion electrode |
JPS5923809B2 (ja) * | 1980-10-29 | 1984-06-05 | 株式会社東芝 | 加熱治療器具 |
US4514620A (en) | 1983-09-22 | 1985-04-30 | Raychem Corporation | Conductive polymers exhibiting PTC characteristics |
US4616660A (en) * | 1984-12-10 | 1986-10-14 | Suncoast Medical Manufacturing, Inc. | Variable alternating current output nerve locator/stimulator |
JPH0321229Y2 (enrdf_load_stackoverflow) * | 1985-04-05 | 1991-05-09 | ||
JPH0614937B2 (ja) * | 1985-09-26 | 1994-03-02 | オリンパス光学工業株式会社 | 焼灼止血プロ−ブ |
GB8527024D0 (en) * | 1985-11-01 | 1985-12-04 | Elmwood Sensors | Excess current protection device |
JPS62127045A (ja) * | 1985-11-28 | 1987-06-09 | オリンパス光学工業株式会社 | 外科用器具 |
US5190517A (en) | 1991-06-06 | 1993-03-02 | Valleylab Inc. | Electrosurgical and ultrasonic surgical system |
WO1994009714A1 (en) * | 1992-11-04 | 1994-05-11 | Charles Edward Taylor | Electrically operated heating tool |
JP2547302B2 (ja) * | 1993-04-09 | 1996-10-23 | 恒之 板野 | 爪開孔器 |
US5345305A (en) | 1993-04-22 | 1994-09-06 | Chen Chi Der | Aquarium light meter |
US5400969A (en) * | 1993-09-20 | 1995-03-28 | Keene; Christopher M. | Liquid vaporizer and diffuser |
US5554679A (en) | 1994-05-13 | 1996-09-10 | Cheng; Tai C. | PTC conductive polymer compositions containing high molecular weight polymer materials |
GB9521772D0 (en) | 1995-10-24 | 1996-01-03 | Gyrus Medical Ltd | An electrosurgical instrument |
EP0964650A1 (en) | 1997-02-12 | 1999-12-22 | Oratec Interventions, Inc. | Electrode for electrosurgical ablation of tissue and method of manufacturing the same |
US6132426A (en) | 1998-05-05 | 2000-10-17 | Daig Corporation | Temperature and current limited ablation catheter |
US6139545A (en) | 1998-09-09 | 2000-10-31 | Vidaderm | Systems and methods for ablating discrete motor nerve regions |
US6451011B2 (en) | 1999-01-19 | 2002-09-17 | Hosheng Tu | Medical device having temperature sensing and ablation capabilities |
JP2001112771A (ja) * | 1999-10-20 | 2001-04-24 | Aloka Co Ltd | 止血装置 |
US6312392B1 (en) | 2000-04-06 | 2001-11-06 | Garrett D. Herzon | Bipolar handheld nerve locator and evaluator |
US20040030327A1 (en) * | 2000-09-12 | 2004-02-12 | Gady Golan | Surgical cauterizing instrument particularly useful as a cauterizing scalpel |
US7160296B2 (en) * | 2001-05-10 | 2007-01-09 | Rita Medical Systems, Inc. | Tissue ablation apparatus and method |
US7070597B2 (en) | 2001-10-18 | 2006-07-04 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US6770072B1 (en) | 2001-10-22 | 2004-08-03 | Surgrx, Inc. | Electrosurgical jaw structure for controlled energy delivery |
CN1214766C (zh) * | 2002-02-25 | 2005-08-17 | 中国科学院理化技术研究所 | 用于人体腔道肿瘤冷冻治疗的柔性冷刀探针 |
US7483738B2 (en) | 2002-11-29 | 2009-01-27 | Power Paper Ltd. | Combination stimulating and exothermic heating device and method of use thereof |
US7326202B2 (en) * | 2003-03-07 | 2008-02-05 | Starion Instruments Corporation | Tubular resistance heater with electrically insulating high thermal conductivity core for use in a tissue welding device |
US7309849B2 (en) | 2003-11-19 | 2007-12-18 | Surgrx, Inc. | Polymer compositions exhibiting a PTC property and methods of fabrication |
US7476242B2 (en) | 2004-01-30 | 2009-01-13 | Ams Research Corporation | Electrically heated/phase change probe temperature control |
US7220951B2 (en) | 2004-04-19 | 2007-05-22 | Surgrx, Inc. | Surgical sealing surfaces and methods of use |
US20050283148A1 (en) | 2004-06-17 | 2005-12-22 | Janssen William M | Ablation apparatus and system to limit nerve conduction |
KR20150043515A (ko) | 2006-07-28 | 2015-04-22 | 메르츠 노스 아메리카 인코포레이티드 | 신경 전도를 제한하기 위한 절제 장치 및 시스템 |
-
2011
- 2011-01-04 BR BR112012016579A patent/BR112012016579A2/pt not_active Application Discontinuation
- 2011-01-04 CN CN201180012016.9A patent/CN102811676B/zh not_active Expired - Fee Related
- 2011-01-04 JP JP2012548075A patent/JP6054748B2/ja not_active Expired - Fee Related
- 2011-01-04 EP EP11732051.5A patent/EP2521503A4/en not_active Withdrawn
- 2011-01-04 WO PCT/US2011/020136 patent/WO2011084957A1/en active Application Filing
- 2011-01-04 KR KR1020127020546A patent/KR101844086B1/ko not_active Expired - Fee Related
-
2016
- 2016-10-24 JP JP2016207529A patent/JP2017012862A/ja active Pending
Also Published As
Publication number | Publication date |
---|---|
KR20120117019A (ko) | 2012-10-23 |
CN102811676B (zh) | 2017-03-08 |
KR101844086B1 (ko) | 2018-03-30 |
EP2521503A1 (en) | 2012-11-14 |
BR112012016579A2 (pt) | 2018-07-31 |
EP2521503A4 (en) | 2017-02-08 |
JP2017012862A (ja) | 2017-01-19 |
WO2011084957A1 (en) | 2011-07-14 |
JP2013516281A (ja) | 2013-05-13 |
CN102811676A (zh) | 2012-12-05 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6054748B2 (ja) | 自己制御式電気加熱要素を有する医療用加熱デバイス | |
US9044232B2 (en) | Medical heating device and method with self-limiting electrical heating element | |
US8512335B2 (en) | High frequency alternating current medical device with self-limiting conductive material and method | |
US20110009856A1 (en) | Combination Radio Frequency Device for Electrosurgery | |
Gerhard | Surgical Electrotechnology: Quo Vadis? | |
EP1018994B1 (en) | Systems and methods for electrosurgical tissue contraction | |
US7094215B2 (en) | Systems and methods for electrosurgical tissue contraction | |
US8475452B2 (en) | Instruments and methods for thermal tissue treatment | |
US8187272B2 (en) | Surgical instrument for coagulation and suction | |
WO2007059769A1 (en) | Method and apparatus for substantial and uniform ablation about a linear bipolar array of electrodes | |
US20140081256A1 (en) | Portable electrosurgical instruments and method of using same | |
US20100268207A1 (en) | Adjustable ferromagnetic coated conductor thermal surgical tool | |
US20060089688A1 (en) | Method and apparatus to reduce wrinkles through application of radio frequency energy to nerves | |
AU2011323341A1 (en) | System and method for electrosurgical conductive gas cutting for improving eschar, sealing vessels and tissues | |
US20140364844A1 (en) | Miniaturized dual-mode electrosurgical device and methods of using same | |
US6602250B2 (en) | Echogenic wire knife | |
US20090125011A1 (en) | Devices, Methods and Kits for Substantial and Uniform Ablation about a Linear Bipolar Array of Electrodes | |
Li et al. | Understanding the principles of Electrosurgery for endoscopic surgery and third space Endoscopy | |
Smith et al. | Radiofrequency electrosurgery | |
US20180071008A1 (en) | Instruments and methods for thermal tissue treatment | |
Hay | Electrosurgery | |
US20240423702A1 (en) | Systems and methods for rf-assisted liposuction | |
US20130338653A1 (en) | Minimally invasive apocrine gland incapacitation apparatus and methods | |
Nguyen et al. | Overview of electrosurgery in head and neck surgery | |
Brill | FUNDAMENTALS AND BIOPHYSICS OF ELECTRICITY |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20131227 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20131227 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20140821 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20140827 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20141120 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20150119 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20150414 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20150512 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20151104 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20160203 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20160229 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20160322 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20160415 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20160928 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20161024 |
|
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: 20161117 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20161201 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6054748 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
LAPS | Cancellation because of no payment of annual fees |