JP6482560B2 - 電気外科手術用エンドエフェクタ - Google Patents
電気外科手術用エンドエフェクタ Download PDFInfo
- Publication number
- JP6482560B2 JP6482560B2 JP2016539078A JP2016539078A JP6482560B2 JP 6482560 B2 JP6482560 B2 JP 6482560B2 JP 2016539078 A JP2016539078 A JP 2016539078A JP 2016539078 A JP2016539078 A JP 2016539078A JP 6482560 B2 JP6482560 B2 JP 6482560B2
- Authority
- JP
- Japan
- Prior art keywords
- electrode
- end effector
- jaw member
- return electrode
- electrosurgical
- 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
- 239000012636 effector Substances 0.000 title claims description 205
- 238000005520 cutting process Methods 0.000 claims description 69
- 238000007789 sealing Methods 0.000 claims description 35
- 238000000034 method Methods 0.000 claims description 30
- 210000000707 wrist Anatomy 0.000 claims description 16
- 238000004891 communication Methods 0.000 claims description 5
- 229910010293 ceramic material Inorganic materials 0.000 claims description 3
- 230000006835 compression Effects 0.000 description 5
- 238000007906 compression Methods 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- MCMNRKCIXSYSNV-UHFFFAOYSA-N Zirconium dioxide Chemical compound O=[Zr]=O MCMNRKCIXSYSNV-UHFFFAOYSA-N 0.000 description 4
- 230000000712 assembly Effects 0.000 description 4
- 238000000429 assembly Methods 0.000 description 4
- 238000004590 computer program Methods 0.000 description 4
- 238000002788 crimping Methods 0.000 description 4
- 238000005345 coagulation Methods 0.000 description 3
- 230000015271 coagulation Effects 0.000 description 3
- 238000007667 floating Methods 0.000 description 3
- -1 but not limited to Substances 0.000 description 2
- 239000000919 ceramic Substances 0.000 description 2
- 238000001035 drying Methods 0.000 description 2
- 239000012777 electrically insulating material Substances 0.000 description 2
- 239000003779 heat-resistant material Substances 0.000 description 2
- 230000013011 mating Effects 0.000 description 2
- 239000007769 metal material Substances 0.000 description 2
- 238000002432 robotic surgery Methods 0.000 description 2
- 238000002679 ablation Methods 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 230000036571 hydration Effects 0.000 description 1
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- 238000000926 separation method Methods 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000002792 vascular Effects 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
- A61B18/14—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
- 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
-
- 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
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B34/37—Leader-follower robots
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- 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
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- 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
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
-
- 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
- A61B2018/162—Indifferent or passive electrodes for grounding located on the probe body
-
- 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
- A61B2018/165—Multiple indifferent electrodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B34/32—Surgical robots operating autonomously
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Robotics (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
- Manipulator (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201361917591P | 2013-12-18 | 2013-12-18 | |
| US61/917,591 | 2013-12-18 | ||
| PCT/US2014/063653 WO2015094493A1 (en) | 2013-12-18 | 2014-11-03 | Electrosurgical end effectors |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2017506919A JP2017506919A (ja) | 2017-03-16 |
| JP2017506919A5 JP2017506919A5 (enExample) | 2017-12-14 |
| JP6482560B2 true JP6482560B2 (ja) | 2019-03-13 |
Family
ID=53403482
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2016539078A Expired - Fee Related JP6482560B2 (ja) | 2013-12-18 | 2014-11-03 | 電気外科手術用エンドエフェクタ |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US10159525B2 (enExample) |
| EP (1) | EP3082635B1 (enExample) |
| JP (1) | JP6482560B2 (enExample) |
| CN (1) | CN105828734B (enExample) |
| CA (1) | CA2932459C (enExample) |
| WO (1) | WO2015094493A1 (enExample) |
Families Citing this family (49)
| Publication number | Priority date | Publication date | Assignee | Title |
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| US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
| US9186214B2 (en) * | 2012-09-27 | 2015-11-17 | City Of Hope | Coaptive surgical sealing tool |
| US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
| WO2016028980A1 (en) | 2014-08-20 | 2016-02-25 | City Of Hope | Hand-held grasping device |
| US10973517B2 (en) | 2015-11-13 | 2021-04-13 | Intuitive Surgical Operations, Inc. | Stapler with composite cardan and screw drive |
| US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
| US11134978B2 (en) | 2016-01-15 | 2021-10-05 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with self-diagnosing control switches for reusable handle assembly |
| WO2018009354A1 (en) * | 2016-07-07 | 2018-01-11 | Intuitive Surgical Operations, Inc. | Electrode configurations for electrical flux delivery instruments, and related systems |
| US11490978B2 (en) | 2016-07-14 | 2022-11-08 | Intuitive Surgical Operations, Inc. | Instruments with electrically isolated components, related systems and methods |
| US10531929B2 (en) | 2016-08-16 | 2020-01-14 | Ethicon Llc | Control of robotic arm motion based on sensed load on cutting tool |
| US10709511B2 (en) | 2016-08-16 | 2020-07-14 | Ethicon Llc | Control of jaw or clamp arm closure in concert with advancement of device |
| US10390895B2 (en) * | 2016-08-16 | 2019-08-27 | Ethicon Llc | Control of advancement rate and application force based on measured forces |
| US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
| US11717361B2 (en) * | 2017-05-24 | 2023-08-08 | Covidien Lp | Electrosurgical robotic system having tool presence detection |
| US20210153927A1 (en) * | 2017-06-30 | 2021-05-27 | Intuitive Surgical Operations, Inc. | Electrosurgical instrument with compliant elastomeric electrode |
| US11590345B2 (en) * | 2017-08-08 | 2023-02-28 | Pulse Biosciences, Inc. | Treatment of tissue by the application of energy |
| US10850095B2 (en) | 2017-08-08 | 2020-12-01 | Pulse Biosciences, Inc. | Treatment of tissue by the application of energy |
| DE102017119310A1 (de) * | 2017-08-23 | 2019-02-28 | Olympus Winter & Ibe Gmbh | Elektrochirurgisches Maulinstrument mit unterschiedlichen Schneidefunktionen |
| US10857347B2 (en) | 2017-09-19 | 2020-12-08 | Pulse Biosciences, Inc. | Treatment instrument and high-voltage connectors for robotic surgical system |
| US11357565B2 (en) | 2017-11-03 | 2022-06-14 | City Of Hope | Energy-enhanced, hand-held vascular sealer |
| US12150692B2 (en) | 2017-12-19 | 2024-11-26 | Intuitive Surgical Operations, Inc. | Simultaneous electrosurgical sealing and cutting |
| US11446079B2 (en) * | 2018-01-17 | 2022-09-20 | Covidien Lp | Surgical instruments incorporating ultrasonic and electrosurgical functionality |
| US11564733B2 (en) | 2018-01-17 | 2023-01-31 | Covidien Lp | Surgical instruments incorporating ultrasonic and electrosurgical functionality |
| EP3806758A4 (en) * | 2018-08-17 | 2022-04-06 | Auris Health, Inc. | BIPOLAR MEDICAL INSTRUMENT |
| USD904611S1 (en) | 2018-10-10 | 2020-12-08 | Bolder Surgical, Llc | Jaw design for a surgical instrument |
| US11723661B2 (en) | 2018-12-21 | 2023-08-15 | Intuitive Surgical Operations, Inc. | Surgical instruments with switches for deactivating and/or identifying stapler cartridges |
| US11571569B2 (en) | 2019-02-15 | 2023-02-07 | Pulse Biosciences, Inc. | High-voltage catheters for sub-microsecond pulsing |
| US11376063B2 (en) * | 2019-04-04 | 2022-07-05 | Cilag Gmbh International | Monopolar and bipolar functionality |
| US11896224B2 (en) | 2019-05-31 | 2024-02-13 | Intuitive Surgical Operations, Inc. | Staple cartridge for a surgical instrument |
| US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
| US20210196357A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with asynchronous energizing electrodes |
| US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
| BR112022012756A2 (pt) * | 2019-12-30 | 2022-09-06 | Cilag Gmbh Int | Instrumento eletrocirúrgico com eletrodos de ener-gização assíncronos |
| US12076006B2 (en) | 2019-12-30 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an orientation detection system |
| US12343063B2 (en) | 2019-12-30 | 2025-07-01 | Cilag Gmbh International | Multi-layer clamp arm pad for enhanced versatility and performance of a surgical device |
| US12262937B2 (en) | 2019-12-30 | 2025-04-01 | Cilag Gmbh International | User interface for surgical instrument with combination energy modality end-effector |
| US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
| US11986234B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Surgical system communication pathways |
| US12336747B2 (en) | 2019-12-30 | 2025-06-24 | Cilag Gmbh International | Method of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector |
| US12053224B2 (en) | 2019-12-30 | 2024-08-06 | Cilag Gmbh International | Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction |
| US20210196361A1 (en) * | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with monopolar and bipolar energy capabilities |
| US20210369333A1 (en) * | 2020-05-29 | 2021-12-02 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Monolithic ceramic surgical device and method |
| EP3954285A1 (en) * | 2020-08-10 | 2022-02-16 | Gyrus ACMI, Inc. d/b/a Olympus Surgical Technologies America | Bipolar forceps with vessel seal testing |
| US20230310063A1 (en) * | 2020-09-01 | 2023-10-05 | Covidien Lp | Thermal cutting elements, electrosurgical instruments including thermal cutting elements, and methods of manufacturing |
| WO2022066343A1 (en) * | 2020-09-24 | 2022-03-31 | Covidien Lp | End effector assembly with thermal cutting element |
| JP7520678B2 (ja) * | 2020-10-07 | 2024-07-23 | 株式会社メディカロイド | 手術器具 |
| US12402883B2 (en) | 2021-01-08 | 2025-09-02 | Intuitive Surgical Operations, Inc. | Surgical instrument with linear and purse string suture staples |
| CN116983076B (zh) * | 2023-02-27 | 2025-11-21 | 深圳康诺思腾科技有限公司 | 用于电外科手术的末端执行器及电外科手术器械 |
| CN116211475A (zh) * | 2023-03-21 | 2023-06-06 | 四川大学 | 一种多自由度皮肤缝合器 |
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| US20120004655A1 (en) * | 2010-06-30 | 2012-01-05 | Harrison Jay Kim | Bipolar Connector System |
| DE102010043584A1 (de) | 2010-11-08 | 2012-05-10 | Kuka Laboratories Gmbh | Medizinscher Arbeitsplatz |
| EP3300678B1 (en) * | 2011-02-18 | 2025-05-07 | Intuitive Surgical Operations, Inc. | Fusing and cutting surgical instrument |
| US8968305B2 (en) * | 2011-03-28 | 2015-03-03 | Covidien Lp | Surgical forceps with external cutter |
-
2014
- 2014-11-03 CN CN201480069428.XA patent/CN105828734B/zh not_active Expired - Fee Related
- 2014-11-03 JP JP2016539078A patent/JP6482560B2/ja not_active Expired - Fee Related
- 2014-11-03 EP EP14870749.0A patent/EP3082635B1/en active Active
- 2014-11-03 US US15/104,766 patent/US10159525B2/en active Active
- 2014-11-03 WO PCT/US2014/063653 patent/WO2015094493A1/en not_active Ceased
- 2014-11-03 CA CA2932459A patent/CA2932459C/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| US10159525B2 (en) | 2018-12-25 |
| CN105828734B (zh) | 2018-08-03 |
| EP3082635A4 (en) | 2017-10-18 |
| WO2015094493A1 (en) | 2015-06-25 |
| CN105828734A (zh) | 2016-08-03 |
| CA2932459A1 (en) | 2015-06-25 |
| CA2932459C (en) | 2022-01-04 |
| EP3082635B1 (en) | 2022-05-04 |
| JP2017506919A (ja) | 2017-03-16 |
| US20160317216A1 (en) | 2016-11-03 |
| EP3082635A1 (en) | 2016-10-26 |
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