JP6194026B2 - 外科用の直流電流カッター - Google Patents

外科用の直流電流カッター Download PDF

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Publication number
JP6194026B2
JP6194026B2 JP2015562097A JP2015562097A JP6194026B2 JP 6194026 B2 JP6194026 B2 JP 6194026B2 JP 2015562097 A JP2015562097 A JP 2015562097A JP 2015562097 A JP2015562097 A JP 2015562097A JP 6194026 B2 JP6194026 B2 JP 6194026B2
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Japan
Prior art keywords
implant
instrument
cutting
electrode
current
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JP2015562097A
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Japanese (ja)
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JP2016509908A5 (enExample
JP2016509908A (ja
Inventor
ショステック ゼバスチアン
ショステック ゼバスチアン
ホー チ−ギア
ホー チ−ギア
メルバート ミヒャエル
メルバート ミヒャエル
オー シュール マルク
オー シュール マルク
ゴットヴァルト トーマス
ゴットヴァルト トーマス
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オヴェスコ エンドスコピー アーゲー
オヴェスコ エンドスコピー アーゲー
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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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A61B18/1447—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod wherein sliding surfaces cause opening/closing of the end effectors
    • 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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00672—Sensing and controlling the application of energy using a threshold value lower
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00714—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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/0072—Current
    • 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
    • A61B2018/00761—Duration
    • 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
    • A61B2018/00767—Voltage
    • 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
    • A61B18/1206—Generators therefor
    • A61B2018/1266—Generators therefor with DC current output
    • 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
    • A61B2018/142—Electrodes having a specific shape at least partly surrounding the target, e.g. concave, curved or in the form of a cave
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/044—Oesophagi or esophagi or gullets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2002/9528—Instruments specially adapted for placement or removal of stents or stent-grafts for retrieval of stents

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (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)
JP2015562097A 2013-03-11 2014-03-11 外科用の直流電流カッター Active JP6194026B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102013102418.1 2013-03-11
DE102013102418.1A DE102013102418A1 (de) 2013-03-11 2013-03-11 Chirurgischer Gleichstromschneider
PCT/EP2014/054740 WO2014140039A1 (de) 2013-03-11 2014-03-11 Chirurgischer gleichstromschneider

Publications (3)

Publication Number Publication Date
JP2016509908A JP2016509908A (ja) 2016-04-04
JP2016509908A5 JP2016509908A5 (enExample) 2017-03-16
JP6194026B2 true JP6194026B2 (ja) 2017-09-06

Family

ID=50241439

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2015562097A Active JP6194026B2 (ja) 2013-03-11 2014-03-11 外科用の直流電流カッター

Country Status (6)

Country Link
US (1) US10881454B2 (enExample)
EP (1) EP2967712B1 (enExample)
JP (1) JP6194026B2 (enExample)
DE (1) DE102013102418A1 (enExample)
ES (1) ES2628101T3 (enExample)
WO (1) WO2014140039A1 (enExample)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3243452B1 (en) * 2016-05-11 2018-11-14 Ovesco Endoscopy AG Medical dc current generator and bipolar medical implant fragmentation device equipped therewith
IL269091B2 (en) * 2017-03-08 2024-04-01 Momentis Surgical Ltd A device for surgery with the help of electricity
US11350977B2 (en) 2017-03-08 2022-06-07 Memic Innovative Surgery Ltd. Modular electrosurgical device
DE202018101753U1 (de) 2018-03-28 2018-05-08 Tuebingen Scientific Medical Gmbh Elektroden-Applikationsinstrument
USD888950S1 (en) * 2018-10-10 2020-06-30 Bolder Surgical, Llc Yoke assembly for a surgical instrument
CN112168343B (zh) * 2020-10-09 2023-05-16 杭州埃杜医疗科技有限公司 一次性射频等离子手术电极
EP4236847A1 (en) * 2020-10-28 2023-09-06 United States Endoscopy Group, Inc. Cap for endoscope

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3431384A (en) 1965-09-24 1969-03-04 Sperry Rand Corp Means for cutting wire by wire-melting electrical pulses
US3354478A (en) * 1965-10-22 1967-11-28 Ingersoll Rand Co Wire cutting and connecting tool
US6736813B2 (en) * 1998-01-23 2004-05-18 Olympus Optical Co., Ltd. High-frequency treatment tool
JP4783790B2 (ja) * 2005-08-18 2011-09-28 オリンパスメディカルシステムズ株式会社 バイポーラカッター
DE102005053764B4 (de) 2005-11-10 2012-01-19 Günter Farin Instrument zur endoskopisch kontrollierten Kürzung und/oder Fragmentierung von Stents
US20080015575A1 (en) * 2006-07-14 2008-01-17 Sherwood Services Ag Vessel sealing instrument with pre-heated electrodes
JP5244804B2 (ja) 2006-10-05 2013-07-24 エルベ・エレクトロメディティン・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング 筒状の軸機器
DE102007003838A1 (de) 2007-01-25 2008-08-07 Erbe Elektromedizin Gmbh Bipolares Instrument und Verfahren zur endoskopisch kontrollierten Kürzung und/oder Fragmentierung von im Gastrointestinaltrakt, im Tracheobronchialsystem oder in anderen Hohlorganen befindlichen Stents
US9168054B2 (en) 2009-10-09 2015-10-27 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US8540749B2 (en) 2010-06-02 2013-09-24 Covidien Lp Apparatus for performing an electrosurgical procedure
US9089327B2 (en) * 2010-09-24 2015-07-28 Ethicon Endo-Surgery, Inc. Surgical instrument with multi-phase trigger bias
US9226767B2 (en) * 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device

Also Published As

Publication number Publication date
EP2967712B1 (de) 2017-03-08
EP2967712A1 (de) 2016-01-20
US20160022356A1 (en) 2016-01-28
ES2628101T3 (es) 2017-08-01
US10881454B2 (en) 2021-01-05
DE102013102418A1 (de) 2014-09-11
JP2016509908A (ja) 2016-04-04
WO2014140039A1 (de) 2014-09-18

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