JP6776277B2 - ユーザー適応可能なアルゴリズムを備えた外科用器具 - Google Patents

ユーザー適応可能なアルゴリズムを備えた外科用器具 Download PDF

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Publication number
JP6776277B2
JP6776277B2 JP2017568263A JP2017568263A JP6776277B2 JP 6776277 B2 JP6776277 B2 JP 6776277B2 JP 2017568263 A JP2017568263 A JP 2017568263A JP 2017568263 A JP2017568263 A JP 2017568263A JP 6776277 B2 JP6776277 B2 JP 6776277B2
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Prior art keywords
generator
end effector
surgical
instrument
tissue
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JP2017568263A
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Japanese (ja)
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JP2018527049A (ja
JP2018527049A5 (cg-RX-API-DMAC7.html
Inventor
アッシャー・ライアン・エム
ファラー・クレイグ・エヌ
シャイブ・チャールズ・ジェイ
リステンバーグ・ポール・エフ
ジー・ジェイコブ・エス
ボイド・ベンジャミン・エム
ディッカーソン・ベンジャミン・ディー
ルイス・オルティス・ラファエル・ジェイ
ワイゼンバーグ・ザ・セカンド・ウィリアム・ビー
ガルマイヤー・トーマス・シー
ヒブナー・ジョン・エイ
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Ethicon LLC
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Ethicon LLC
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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
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    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
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    • 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
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    • 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
    • A—HUMAN NECESSITIES
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    • 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
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    • A—HUMAN NECESSITIES
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    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
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    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
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    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
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    • A61B2018/00589—Coagulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00607—Coagulation and cutting with the same instrument
    • A—HUMAN NECESSITIES
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    • A61B2018/0063—Sealing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/0066—Sensing and controlling the application of energy without feedback, i.e. open loop control
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    • A61B2018/00958—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device for switching between different working modes of the main function
    • A—HUMAN NECESSITIES
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    • A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • A—HUMAN NECESSITIES
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    • 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
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    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0803—Counting the number of times an instrument is used

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
JP2017568263A 2015-06-30 2016-06-24 ユーザー適応可能なアルゴリズムを備えた外科用器具 Active JP6776277B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/788,468 US10034704B2 (en) 2015-06-30 2015-06-30 Surgical instrument with user adaptable algorithms
US14/788,468 2015-06-30
PCT/US2016/039215 WO2017003850A1 (en) 2015-06-30 2016-06-24 Surgical instrument with user adaptable algorithms

Publications (3)

Publication Number Publication Date
JP2018527049A JP2018527049A (ja) 2018-09-20
JP2018527049A5 JP2018527049A5 (cg-RX-API-DMAC7.html) 2020-09-10
JP6776277B2 true JP6776277B2 (ja) 2020-10-28

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JP2017568263A Active JP6776277B2 (ja) 2015-06-30 2016-06-24 ユーザー適応可能なアルゴリズムを備えた外科用器具

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Country Link
US (3) US10034704B2 (cg-RX-API-DMAC7.html)
EP (3) EP4623856A3 (cg-RX-API-DMAC7.html)
JP (1) JP6776277B2 (cg-RX-API-DMAC7.html)
CN (1) CN107809976B (cg-RX-API-DMAC7.html)
BR (1) BR112017028369B1 (cg-RX-API-DMAC7.html)
MX (1) MX2018000193A (cg-RX-API-DMAC7.html)
WO (1) WO2017003850A1 (cg-RX-API-DMAC7.html)

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