JP6553359B2 - 血管封止器具 - Google Patents

血管封止器具 Download PDF

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Publication number
JP6553359B2
JP6553359B2 JP2014560953A JP2014560953A JP6553359B2 JP 6553359 B2 JP6553359 B2 JP 6553359B2 JP 2014560953 A JP2014560953 A JP 2014560953A JP 2014560953 A JP2014560953 A JP 2014560953A JP 6553359 B2 JP6553359 B2 JP 6553359B2
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JP
Japan
Prior art keywords
jaw member
switch
tissue
handle
jaw
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JP2014560953A
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English (en)
Japanese (ja)
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JP2015513433A5 (enExample
JP2015513433A (ja
Inventor
ライアン シー. アルテール,
ライアン シー. アルテール,
トニー モウア,
トニー モウア,
ロバート エム. シャープ,
ロバート エム. シャープ,
Original Assignee
コヴィディエン リミテッド パートナーシップ
コヴィディエン リミテッド パートナーシップ
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Priority claimed from US13/415,471 external-priority patent/US9345534B2/en
Application filed by コヴィディエン リミテッド パートナーシップ, コヴィディエン リミテッド パートナーシップ filed Critical コヴィディエン リミテッド パートナーシップ
Publication of JP2015513433A publication Critical patent/JP2015513433A/ja
Publication of JP2015513433A5 publication Critical patent/JP2015513433A5/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/285Surgical forceps combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00184Moving parts
    • A61B2018/00196Moving parts reciprocating lengthwise
    • 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
    • A61B2018/0063Sealing
    • 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
    • A61B2018/00892Voltage
    • 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
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (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)
  • Orthopedic Medicine & Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
JP2014560953A 2012-03-08 2013-02-28 血管封止器具 Active JP6553359B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US13/415,471 US9345534B2 (en) 2010-10-04 2012-03-08 Vessel sealing instrument
US13/415,471 2012-03-08
PCT/US2013/028286 WO2013134044A1 (en) 2012-03-08 2013-02-28 Vessel sealing instrument

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2016250735A Division JP2017094119A (ja) 2012-03-08 2016-12-26 血管封止器具

Publications (3)

Publication Number Publication Date
JP2015513433A JP2015513433A (ja) 2015-05-14
JP2015513433A5 JP2015513433A5 (enExample) 2015-12-10
JP6553359B2 true JP6553359B2 (ja) 2019-07-31

Family

ID=49117202

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2014560953A Active JP6553359B2 (ja) 2012-03-08 2013-02-28 血管封止器具
JP2016250735A Pending JP2017094119A (ja) 2012-03-08 2016-12-26 血管封止器具

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2016250735A Pending JP2017094119A (ja) 2012-03-08 2016-12-26 血管封止器具

Country Status (6)

Country Link
EP (2) EP3106113B1 (enExample)
JP (2) JP6553359B2 (enExample)
CN (2) CN104302239B (enExample)
AU (2) AU2013230575B2 (enExample)
CA (1) CA2865579C (enExample)
WO (1) WO2013134044A1 (enExample)

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* Cited by examiner, † Cited by third party
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US9949785B2 (en) 2013-11-21 2018-04-24 Ethicon Llc Ultrasonic surgical instrument with electrosurgical feature
EP2982325B1 (de) 2014-08-04 2020-03-18 Erbe Elektromedizin GmbH Verfahren zur Herstellung einer Branche und chirurgisches Instrument mit einem Branchen aufweisenden Werkzeug
ES2768761T3 (es) * 2014-12-23 2020-06-23 Applied Med Resources Sellador y divisor electro-quirúrgico bipolar
US10758257B2 (en) 2015-04-24 2020-09-01 Covidien Lp Vessel sealing device with fine dissection function
EP3318209A4 (en) * 2015-08-05 2019-03-27 Olympus Corporation TREATMENT TOOL
US10987159B2 (en) * 2015-08-26 2021-04-27 Covidien Lp Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread
JP6897670B2 (ja) * 2016-03-31 2021-07-07 日本ゼオン株式会社 鉗子型処置具
US10973567B2 (en) 2017-05-12 2021-04-13 Covidien Lp Electrosurgical forceps for grasping, treating, and/or dividing tissue
US11172980B2 (en) 2017-05-12 2021-11-16 Covidien Lp Electrosurgical forceps for grasping, treating, and/or dividing tissue
US11471211B2 (en) 2018-10-12 2022-10-18 Covidien Lp Electrosurgical forceps
US11376062B2 (en) 2018-10-12 2022-07-05 Covidien Lp Electrosurgical forceps
US11350982B2 (en) 2018-12-05 2022-06-07 Covidien Lp Electrosurgical forceps
US11523861B2 (en) 2019-03-22 2022-12-13 Covidien Lp Methods for manufacturing a jaw assembly for an electrosurgical forceps
CN110051429B (zh) * 2019-05-15 2020-08-18 成都五义医疗设备有限公司 一种用于微创手术器械的头部组件和细长轴组件
PL3744266T3 (pl) * 2019-05-27 2024-05-06 Erbe Elektromedizin Gmbh Instrument elektrochirurgiczny
US11617612B2 (en) 2020-03-16 2023-04-04 Covidien Lp Forceps with linear trigger mechanism
CN111407330B (zh) * 2020-04-13 2024-11-29 中国人民解放军联勤保障部队第九〇九医院 一种封闭消化道全层组织装置
DE112022005010B4 (de) * 2021-10-21 2025-12-11 Olympus Corporation Medizinisches interventionsgerät mit vielseitigem griff

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US2176479A (en) 1937-03-20 1939-10-17 David A Willis Apparatus for finding and removing metal particles from human and animal bodies
US4031898A (en) 1974-12-03 1977-06-28 Siegfried Hiltebrandt Surgical instrument for coagulation purposes
US4005714A (en) 1975-05-03 1977-02-01 Richard Wolf Gmbh Bipolar coagulation forceps
US4370980A (en) 1981-03-11 1983-02-01 Lottick Edward A Electrocautery hemostat
US5026370A (en) 1981-03-11 1991-06-25 Lottick Edward A Electrocautery instrument
CA1192465A (en) 1981-03-11 1985-08-27 Edward A. Lottick Removable switch electrocautery instruments
US5116332A (en) 1981-03-11 1992-05-26 Lottick Edward A Electrocautery hemostat
US5484436A (en) 1991-06-07 1996-01-16 Hemostatic Surgery Corporation Bi-polar electrosurgical instruments and methods of making
DE4130064A1 (de) 1991-09-11 1993-03-18 Wolf Gmbh Richard Endoskopische koagulationsfasszange
DE4131176C2 (de) 1991-09-19 1994-12-08 Wolf Gmbh Richard Medizinische Zange
US5443463A (en) 1992-05-01 1995-08-22 Vesta Medical, Inc. Coagulating forceps
US5827274A (en) 1995-07-18 1998-10-27 Richard Wolf Gmbh Electrode for vaporizing tissue
US5951549A (en) 1996-12-20 1999-09-14 Enable Medical Corporation Bipolar electrosurgical scissors
US6010516A (en) * 1998-03-20 2000-01-04 Hulka; Jaroslav F. Bipolar coaptation clamps
US7267677B2 (en) * 1998-10-23 2007-09-11 Sherwood Services Ag Vessel sealing instrument
US7244257B2 (en) * 2002-11-05 2007-07-17 Sherwood Services Ag Electrosurgical pencil having a single button variable control
US7131970B2 (en) * 2003-11-19 2006-11-07 Sherwood Services Ag Open vessel sealing instrument with cutting mechanism
US7252667B2 (en) * 2003-11-19 2007-08-07 Sherwood Services Ag Open vessel sealing instrument with cutting mechanism and distal lockout
US7143925B2 (en) * 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7628791B2 (en) * 2005-08-19 2009-12-08 Covidien Ag Single action tissue sealer
US7722607B2 (en) * 2005-09-30 2010-05-25 Covidien Ag In-line vessel sealer and divider
DE102006042985A1 (de) * 2005-10-04 2007-04-19 Erbe Elektromedizin Gmbh Elektrochirurgisches Instrument
JP4370302B2 (ja) * 2006-01-13 2009-11-25 オリンパスメディカルシステムズ株式会社 押圧操作型二段スイッチ装置及びこれを適用する内視鏡
US8298232B2 (en) * 2006-01-24 2012-10-30 Tyco Healthcare Group Lp Endoscopic vessel sealer and divider for large tissue structures
US8241282B2 (en) * 2006-01-24 2012-08-14 Tyco Healthcare Group Lp Vessel sealing cutting assemblies
US8062236B2 (en) 2006-02-02 2011-11-22 Tyco Healthcare Group, Lp Method and system to determine an optimal tissue compression time to implant a surgical element
US7744615B2 (en) * 2006-07-18 2010-06-29 Covidien Ag Apparatus and method for transecting tissue on a bipolar vessel sealing instrument
US8758342B2 (en) * 2007-11-28 2014-06-24 Covidien Ag Cordless power-assisted medical cauterization and cutting device
GB2467883B (en) * 2007-12-18 2013-02-13 Bovie Medical Corp Surgical apparatus with removable tool cartridge
BRPI0903064B8 (pt) * 2008-02-14 2021-06-22 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação acionado a motor com circuito de controle para otimizar o uso de bateria
US8328802B2 (en) * 2008-03-19 2012-12-11 Covidien Ag Cordless medical cauterization and cutting device
US8834465B2 (en) * 2008-07-15 2014-09-16 Immersion Corporation Modular tool with signal feedback
WO2011121827A1 (ja) * 2010-03-31 2011-10-06 オリンパスメディカルシステムズ株式会社 医療装置及び外科用処置具
US9017372B2 (en) 2010-10-01 2015-04-28 Covidien Lp Blade deployment mechanisms for surgical forceps
US9655672B2 (en) * 2010-10-04 2017-05-23 Covidien Lp Vessel sealing instrument

Also Published As

Publication number Publication date
CA2865579A1 (en) 2013-09-12
WO2013134044A1 (en) 2013-09-12
CN104302239A (zh) 2015-01-21
CA2865579C (en) 2021-03-02
EP2822495A1 (en) 2015-01-14
AU2017201783B2 (en) 2018-04-19
JP2017094119A (ja) 2017-06-01
EP2822495B1 (en) 2018-04-04
CN104302239B (zh) 2017-07-11
EP2822495A4 (en) 2015-10-14
CN107361819A (zh) 2017-11-21
EP3106113A1 (en) 2016-12-21
JP2015513433A (ja) 2015-05-14
EP3106113B1 (en) 2021-11-10
AU2013230575B2 (en) 2017-01-19
CN107361819B (zh) 2021-07-09
AU2017201783A1 (en) 2017-04-06
AU2013230575A1 (en) 2014-09-11

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