JP6990258B2 - 被覆電気手術血管シーラー電極 - Google Patents
被覆電気手術血管シーラー電極 Download PDFInfo
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
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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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
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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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00107—Coatings on the energy applicator
- A61B2018/0013—Coatings on the energy applicator non-sticking
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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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00107—Coatings on the energy applicator
- A61B2018/00136—Coatings on the energy applicator with polymer
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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
- 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
- A61B2018/00345—Vascular system
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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
- 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
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00386—Coronary vessels
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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
- 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
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
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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
- 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
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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
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D—PROCESSES FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D3/00—Pretreatment of surfaces to which liquids or other fluent materials are to be applied; After-treatment of applied coatings, e.g. intermediate treating of an applied coating preparatory to subsequent applications of liquids or other fluent materials
- B05D3/02—Pretreatment of surfaces to which liquids or other fluent materials are to be applied; After-treatment of applied coatings, e.g. intermediate treating of an applied coating preparatory to subsequent applications of liquids or other fluent materials by baking
- B05D3/0254—After-treatment
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D—PROCESSES FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D3/00—Pretreatment of surfaces to which liquids or other fluent materials are to be applied; After-treatment of applied coatings, e.g. intermediate treating of an applied coating preparatory to subsequent applications of liquids or other fluent materials
- B05D3/12—Pretreatment of surfaces to which liquids or other fluent materials are to be applied; After-treatment of applied coatings, e.g. intermediate treating of an applied coating preparatory to subsequent applications of liquids or other fluent materials by mechanical means
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D—PROCESSES FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D5/00—Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures
- B05D5/02—Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures to obtain a matt or rough surface
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D—PROCESSES FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D5/00—Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures
- B05D5/08—Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures to obtain an anti-friction or anti-adhesive surface
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Description
本出願は、2017年6月15日に出願された米国仮特許出願第62/520,126号の優先権を主張する。
電気手術血管シーラーは、血管の閉塞と外科手術中の出血の停止に使用される。血管シーラーの電極は、電極間にクランプ留めされた血管の乾燥および密封のために、高周波(RF)エネルギーを電極に選択的に供給できる電気手術発電機に相互接続されている。ブレードは、通電された電極によって生成されるシールの中間部分に沿って密封された血管を切断するために、顎部に追加的に組み込まれてもよい。
Claims (10)
- 血管密封装置であって、
開位置と閉位置との間で移動可能な一対の電極であって、それぞれの前記電極は面を含む、前記一対の電極と、
前記一対の電極のそれぞれの前記面にわたって塗布された非導電性材料から形成された不均一な被覆であって、前記一対の電極のそれぞれの前記不均一な被覆が、中心線平均から-5.8マイクロメートル~6.2マイクロメートルの間で変化する合計プロファイルと、中心線平均から-6.5マイクロメートル~6.5マイクロメートルの間で変化する粗さプロファイルとを有する不均一なトポロジー表面を有し、前記不均一なトポロジー表面は、厚さ0.001~0.003インチ(0.0254~0.0762ミリメートル)の領域と、被覆されていないかまたは0.001~0.003インチよりも薄く被覆されている領域を伴い、血管が存在しない時に短絡を防止するように前記電極間の間隔を提供し、血管がその間に位置付けられた時に高周波エネルギーが前記一対の電極の間を通過可能にする、不均一な被膜と、を備える、血管密封装置。 - 前記一対の電極が、血管の周りに接触して位置付けられるとき、100ボルトの電圧で、25ワットの定電力モードで、400オームの始動抵抗を有する、請求項1に記載の血管密封装置。
- 前記電極のそれぞれの面に形成された一連の溝をさらに備える、請求項2に記載の血管密封装置。
- 前記電極のそれぞれの前記面の前記一連の溝が、前記電極のそれぞれの前記面の長手方向軸に対して横方向に延びる、請求項3に記載の血管密封装置。
- 前記電極のそれぞれの前記面の前記一連の溝が、ヘリンボーンパターンで配向される、請求項4に記載の血管密封装置。
- 前記電極のそれぞれの前記面が、二つの対向する側壁から内側トラックへ延びる、請求項5に記載の血管密封装置。
- 前記被覆が前記側壁の少なくとも一部分を横切って延びる、請求項6に記載の血管密封装置。
- それぞれが面を含む一対の電極を有する血管密封装置を作製する方法であって、
少なくとも一つの前記電極の面をテクスチャ加工する工程と、
非導電性材料をそれぞれの前記電極の前記面に不均一に塗布し、不均一な被覆を形成する工程であって、前記一対の電極のそれぞれの前記不均一な被覆が、中心線平均から-5.8マイクロメートル~6.2マイクロメートルの間で変化する合計プロファイルと、中心線平均から-6.5マイクロメートル~6.5マイクロメートルの間で変化する粗さプロファイルとを有する不均一なトポロジー表面を有し、前記不均一なトポロジー表面は、厚さ0.001~0.003インチ(0.0254~0.0762ミリメートル)の領域と、被覆されていないかまたは0.001~0.003インチよりも薄く被覆されている領域を伴い、血管が存在しない時に短絡を防止するように前記電極間の間隔を提供し、血管がその間に位置付けられた時に高周波エネルギーが前記一対の電極の間を通過可能にする、不均一な被膜を形成する工程と、を含む、方法。 - 前記一対の電極が、前記血管の周りに接触して位置付けられるとき、100ボルトの電圧で、25ワットの定電力モードで、400オームの始動抵抗を有する、請求項8に記載の方法。
- 少なくとも一つの前記電極の前記面をテクスチャ加工する前記工程は、前記面をグリットブラストすることを含む、請求項9に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762520126P | 2017-06-15 | 2017-06-15 | |
US62/520,126 | 2017-06-15 | ||
PCT/US2018/037697 WO2018232206A1 (en) | 2017-06-15 | 2018-06-15 | Coated electrosurgical vessel sealer electrodes |
Publications (2)
Publication Number | Publication Date |
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JP2020523147A JP2020523147A (ja) | 2020-08-06 |
JP6990258B2 true JP6990258B2 (ja) | 2022-01-12 |
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JP2019569360A Active JP6990258B2 (ja) | 2017-06-15 | 2018-06-15 | 被覆電気手術血管シーラー電極 |
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Country | Link |
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US (1) | US11696798B2 (ja) |
EP (1) | EP3638142B1 (ja) |
JP (1) | JP6990258B2 (ja) |
KR (1) | KR102320680B1 (ja) |
CN (1) | CN111163722B (ja) |
AU (1) | AU2018285681B2 (ja) |
CA (1) | CA3067043C (ja) |
WO (1) | WO2018232206A1 (ja) |
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KR20240089300A (ko) * | 2021-11-30 | 2024-06-20 | 펄스 바이오사이언스, 인크. | 아크 완화 기능을 갖춘 전극 |
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US11497546B2 (en) * | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
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2018
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JP2008073531A (ja) | 2006-09-22 | 2008-04-03 | Ethicon Endo Surgery Inc | 電気外科器具用の被覆層を有するエンドエフェクタ |
US20130274376A1 (en) | 2012-04-17 | 2013-10-17 | Xerox Corporation | Surface coating and fuser member |
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US20210145507A1 (en) | 2021-05-20 |
AU2018285681B2 (en) | 2021-06-24 |
JP2020523147A (ja) | 2020-08-06 |
CN111163722A (zh) | 2020-05-15 |
WO2018232206A1 (en) | 2018-12-20 |
KR102320680B1 (ko) | 2021-11-03 |
CA3067043A1 (en) | 2018-12-20 |
EP3638142A1 (en) | 2020-04-22 |
AU2018285681A1 (en) | 2020-01-16 |
KR20200014372A (ko) | 2020-02-10 |
CN111163722B (zh) | 2023-10-27 |
US11696798B2 (en) | 2023-07-11 |
EP3638142B1 (en) | 2024-04-03 |
CA3067043C (en) | 2022-07-26 |
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