JP6884412B2 - 電気外科用スネア - Google Patents

電気外科用スネア Download PDF

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Publication number
JP6884412B2
JP6884412B2 JP2018503789A JP2018503789A JP6884412B2 JP 6884412 B2 JP6884412 B2 JP 6884412B2 JP 2018503789 A JP2018503789 A JP 2018503789A JP 2018503789 A JP2018503789 A JP 2018503789A JP 6884412 B2 JP6884412 B2 JP 6884412B2
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JP
Japan
Prior art keywords
snare
coaxial cable
surgical
wire
end cap
Prior art date
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Active
Application number
JP2018503789A
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English (en)
Japanese (ja)
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JP2018530360A (ja
JP2018530360A5 (enExample
Inventor
ハンコック，クリストファー・ポール
ホワイト，マルコルム
モリス，スティーブン
グリフォード，クレイグ
スウェイン，サンドラ・メイ・バーナデット
チョードリー，モハメッド・サビフ
ソーンダーズ，ブライアン
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Creo Medical Ltd
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Creo Medical Ltd
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Publication of JP2018530360A publication Critical patent/JP2018530360A/ja
Publication of JP2018530360A5 publication Critical patent/JP2018530360A5/ja
Priority to JP2021077861A priority Critical patent/JP7276905B2/ja
Priority to JP2021077860A priority patent/JP7296646B2/ja
Application granted granted Critical
Publication of JP6884412B2 publication Critical patent/JP6884412B2/ja
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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
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32056—Surgical snare instruments
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • A—HUMAN NECESSITIES
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    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
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    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • A—HUMAN NECESSITIES
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    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • A—HUMAN NECESSITIES
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    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
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    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A—HUMAN NECESSITIES
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    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00321—Head or parts thereof
    • A61B2018/00327—Ear, nose or throat
    • A—HUMAN NECESSITIES
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    • A61B2018/00482—Digestive system
    • A—HUMAN NECESSITIES
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    • A61B2018/00482—Digestive system
    • A61B2018/00494—Stomach, intestines or bowel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • 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
    • A61B2018/00589—Coagulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2018/00595—Cauterization
    • 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
    • A61B2018/00607—Coagulation and cutting with the same instrument
    • 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
    • A61B2018/00982—Surgical 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
    • 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
    • A61B2018/00994—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
    • 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
    • A61B2018/1407—Loop
    • 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
    • A61B2018/1407—Loop
    • A61B2018/141—Snare
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/183—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves characterised by the type of antenna
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/183—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves characterised by the type of antenna
    • A61B2018/1853—Monopole antennas
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Plasma & Fusion (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
JP2018503789A 2015-09-07 2016-09-06 電気外科用スネア Active JP6884412B2 (ja)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2021077861A JP7276905B2 (ja) 2015-09-07 2021-04-30 電気外科用スネア
JP2021077860A JP7296646B2 (ja) 2015-09-07 2021-04-30 電気外科用スネア

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1515828.0A GB2541946B (en) 2015-09-07 2015-09-07 Electrosurgical snare
GB1515828.0 2015-09-07
PCT/EP2016/070990 WO2017042169A1 (en) 2015-09-07 2016-09-06 Electrosurgical snare

Related Child Applications (2)

Application Number Title Priority Date Filing Date
JP2021077860A Division JP7296646B2 (ja) 2015-09-07 2021-04-30 電気外科用スネア
JP2021077861A Division JP7276905B2 (ja) 2015-09-07 2021-04-30 電気外科用スネア

Publications (3)

Publication Number Publication Date
JP2018530360A JP2018530360A (ja) 2018-10-18
JP2018530360A5 JP2018530360A5 (enExample) 2021-01-14
JP6884412B2 true JP6884412B2 (ja) 2021-06-09

Family

ID=54345880

Family Applications (3)

Application Number Title Priority Date Filing Date
JP2018503789A Active JP6884412B2 (ja) 2015-09-07 2016-09-06 電気外科用スネア
JP2021077860A Active JP7296646B2 (ja) 2015-09-07 2021-04-30 電気外科用スネア
JP2021077861A Active JP7276905B2 (ja) 2015-09-07 2021-04-30 電気外科用スネア

Family Applications After (2)

Application Number Title Priority Date Filing Date
JP2021077860A Active JP7296646B2 (ja) 2015-09-07 2021-04-30 電気外科用スネア
JP2021077861A Active JP7276905B2 (ja) 2015-09-07 2021-04-30 電気外科用スネア

Country Status (12)

Country Link
US (2) US11172985B2 (enExample)
EP (1) EP3346929B1 (enExample)
JP (3) JP6884412B2 (enExample)
KR (1) KR20180051526A (enExample)
CN (3) CN112998850B (enExample)
AU (3) AU2016318761B2 (enExample)
BR (2) BR122019018352B1 (enExample)
CA (1) CA2991841A1 (enExample)
ES (1) ES2950996T3 (enExample)
GB (1) GB2541946B (enExample)
SG (1) SG10201907831SA (enExample)
WO (1) WO2017042169A1 (enExample)

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GB2579561B (en) * 2018-12-03 2022-10-19 Creo Medical Ltd Electrosurgical instrument
GB2589589A (en) * 2019-12-03 2021-06-09 Creo Medical Ltd Electrosurgical instrument
CA3190444A1 (en) 2020-07-30 2022-02-03 Boston Scientific Medical Device Limited Elongated medical needle
KR102621839B1 (ko) * 2021-08-27 2024-01-09 주식회사 바이오유닛 조립이 용이한 바이폴라 전극
WO2024107227A1 (en) * 2022-11-18 2024-05-23 Bard Peripheral Vascular, Inc. Endovascular snare apparatus
KR20250038903A (ko) 2023-09-13 2025-03-20 엘라보메디 주식회사 내시경용 스네어 루프 와이어 및 이를 포함하는 내시경용 스네어 장치
KR102870066B1 (ko) 2025-04-16 2025-10-21 엘라보메디 주식회사 내시경용 스네어 루프 와이어 및 이를 포함하는 내시경용 스네어 장치

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GB2541946A (en) 2017-03-08
CN113143453A (zh) 2021-07-23
AU2020204545A1 (en) 2020-07-30
CN112998850B (zh) 2024-06-11
JP2021130000A (ja) 2021-09-09
CN112998850A (zh) 2021-06-22
US20220022958A1 (en) 2022-01-27
KR20180051526A (ko) 2018-05-16
AU2016318761A1 (en) 2018-02-08
WO2017042169A1 (en) 2017-03-16
GB201515828D0 (en) 2015-10-21
AU2020204545B2 (en) 2022-02-24
EP3346929C0 (en) 2023-06-07
BR112018002100A2 (pt) 2018-09-18
EP3346929A1 (en) 2018-07-18
JP7276905B2 (ja) 2023-05-18
CN107920828A (zh) 2018-04-17
US11172985B2 (en) 2021-11-16
ES2950996T3 (es) 2023-10-17
JP2021130001A (ja) 2021-09-09
GB2541946B (en) 2020-10-28
US20180206916A1 (en) 2018-07-26
CN107920828B (zh) 2021-04-02
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SG10201907831SA (en) 2019-10-30
BR122019018352B1 (pt) 2022-08-02

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