JP6732013B2 - 組織切除デバイス - Google Patents

組織切除デバイス Download PDF

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Publication number
JP6732013B2
JP6732013B2 JP2018510378A JP2018510378A JP6732013B2 JP 6732013 B2 JP6732013 B2 JP 6732013B2 JP 2018510378 A JP2018510378 A JP 2018510378A JP 2018510378 A JP2018510378 A JP 2018510378A JP 6732013 B2 JP6732013 B2 JP 6732013B2
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JP
Japan
Prior art keywords
tissue
inner sleeve
insulating layer
sleeve
window
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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.)
Active
Application number
JP2018510378A
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English (en)
Japanese (ja)
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JP2018525130A (ja
JP2018525130A5 (enExample
Inventor
アーロン ジャーメイン
アーロン ジャーメイン
マイケル ディー ウォーカー
マイケル ディー ウォーカー
ジェイコブ ローランド
ジェイコブ ローランド
ヤン エチェベリー
ヤン エチェベリー
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Publication of JP2018525130A publication Critical patent/JP2018525130A/ja
Publication of JP2018525130A5 publication Critical patent/JP2018525130A5/ja
Priority to JP2020117081A priority Critical patent/JP6967124B2/ja
Application granted granted Critical
Publication of JP6732013B2 publication Critical patent/JP6732013B2/ja
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Classifications

    • 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
    • A61B18/1485Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • 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
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • 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
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320028Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium
    • 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
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00166Multiple lumina
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00184Moving parts
    • A61B2018/00202Moving parts rotating
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
    • 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
    • A61B2018/00601Cutting
    • 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
    • A61B2018/00982Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • 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
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/142Electrodes having a specific shape at least partly surrounding the target, e.g. concave, curved or in the form of a cave
    • 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
    • A61B18/16Indifferent or passive electrodes for grounding
    • A61B2018/162Indifferent or passive electrodes for grounding located on the probe body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Radiology & Medical Imaging (AREA)
JP2018510378A 2015-08-27 2016-08-24 組織切除デバイス Active JP6732013B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2020117081A JP6967124B2 (ja) 2015-08-27 2020-07-07 組織切除デバイス

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562210540P 2015-08-27 2015-08-27
US62/210,540 2015-08-27
PCT/US2016/048342 WO2017035205A1 (en) 2015-08-27 2016-08-24 Tissue resecting device

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2020117081A Division JP6967124B2 (ja) 2015-08-27 2020-07-07 組織切除デバイス

Publications (3)

Publication Number Publication Date
JP2018525130A JP2018525130A (ja) 2018-09-06
JP2018525130A5 JP2018525130A5 (enExample) 2020-01-30
JP6732013B2 true JP6732013B2 (ja) 2020-07-29

Family

ID=56943914

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2018510378A Active JP6732013B2 (ja) 2015-08-27 2016-08-24 組織切除デバイス
JP2020117081A Active JP6967124B2 (ja) 2015-08-27 2020-07-07 組織切除デバイス

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2020117081A Active JP6967124B2 (ja) 2015-08-27 2020-07-07 組織切除デバイス

Country Status (6)

Country Link
US (3) US20170056102A1 (enExample)
EP (1) EP3340915B1 (enExample)
JP (2) JP6732013B2 (enExample)
CN (1) CN107949336B (enExample)
AU (1) AU2016312493B2 (enExample)
WO (1) WO2017035205A1 (enExample)

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US20210186308A1 (en) 2019-12-20 2021-06-24 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Endoscope with detachable handle module
US12357755B2 (en) 2020-01-30 2025-07-15 Boston Scientific Scimed, Inc. Fluid management system and method for controlling intracavity pressure
US12004708B2 (en) * 2020-04-30 2024-06-11 Gyrus Acmi, Inc. Insertion sheath for modular disposable endoscope components
EP3943029B1 (de) * 2020-07-23 2025-04-02 Erbe Elektromedizin GmbH Plasmasonde mit verbessertem zündverhalten
CN112998844B (zh) * 2021-02-05 2021-12-21 上海睿刀医疗科技有限公司 一种球囊电极导管
CN116688361B (zh) * 2023-05-10 2025-06-20 中国科学技术大学 一种可视化治疗肠道肿瘤的低温等离子体装置

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Also Published As

Publication number Publication date
AU2016312493B2 (en) 2019-01-17
JP2020168464A (ja) 2020-10-15
JP6967124B2 (ja) 2021-11-17
JP2018525130A (ja) 2018-09-06
EP3340915B1 (en) 2024-10-09
US20240245450A1 (en) 2024-07-25
US11957406B2 (en) 2024-04-16
WO2017035205A1 (en) 2017-03-02
EP3340915A1 (en) 2018-07-04
US20220031384A1 (en) 2022-02-03
CN107949336A (zh) 2018-04-20
AU2016312493A1 (en) 2018-03-08
US12402939B2 (en) 2025-09-02
US20170056102A1 (en) 2017-03-02
CN107949336B (zh) 2021-10-22

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