JP7228916B2 - 電気手術切除器具 - Google Patents

電気手術切除器具 Download PDF

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Publication number
JP7228916B2
JP7228916B2 JP2020519972A JP2020519972A JP7228916B2 JP 7228916 B2 JP7228916 B2 JP 7228916B2 JP 2020519972 A JP2020519972 A JP 2020519972A JP 2020519972 A JP2020519972 A JP 2020519972A JP 7228916 B2 JP7228916 B2 JP 7228916B2
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JP
Japan
Prior art keywords
blade element
electrode
cutting instrument
electrosurgical cutting
electrosurgical
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Active
Application number
JP2020519972A
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English (en)
Japanese (ja)
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JP2020536636A5 (enExample
JP2020536636A (ja
Inventor
ハンコック，クリストファー・ポール
ターナー，ルイス
バーン，パトリック
ホワイト，マルコム
メドウクロフト，サイモン
ウルリヒ，ジョージ・クリスチャン
ウェッブ，デイビッド・エドワード
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Creo Medical Ltd
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Creo Medical Ltd
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Publication of JP2020536636A publication Critical patent/JP2020536636A/ja
Publication of JP2020536636A5 publication Critical patent/JP2020536636A5/ja
Priority to JP2023016882A priority Critical patent/JP7496157B2/ja
Priority to JP2023016884A priority patent/JP7496159B2/ja
Priority to JP2023016883A priority patent/JP7496158B2/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
    • 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
    • A61B18/1447—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 wherein sliding surfaces cause opening/closing of the end effectors
    • 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
    • A61B18/1442—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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    • 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
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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    • A—HUMAN NECESSITIES
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    • A61B2018/00166—Multiple lumina
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00184—Moving parts
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00577—Ablation
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    • A—HUMAN NECESSITIES
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    • A—HUMAN NECESSITIES
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    • 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
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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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1412—Blade
    • A61B2018/1415—Blade multiple blades
    • 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
    • A61B2018/145—Probes having pivoting end effectors, e.g. forceps wherein the effectors remain parallel during closing and opening
    • 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
    • A61B2018/1457—Probes having pivoting end effectors, e.g. forceps including means for cutting having opposing blades cutting tissue grasped by the jaws, i.e. combined scissors and pliers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B2018/146—Scissors
    • 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
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
    • A—HUMAN NECESSITIES
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    • 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
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    • 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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    • 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
    • A61B2018/1876—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 multiple frequencies

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
JP2020519972A 2017-10-13 2018-10-12 電気手術切除器具 Active JP7228916B2 (ja)

Priority Applications (3)

Application Number Priority Date Filing Date Title
JP2023016882A JP7496157B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具
JP2023016884A JP7496159B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具
JP2023016883A JP7496158B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1716865.9A GB2567480A (en) 2017-10-13 2017-10-13 Electrosurgical resector tool
GB1716865.9 2017-10-13
PCT/EP2018/077880 WO2019073037A1 (en) 2017-10-13 2018-10-12 ELECTROSURGICAL RESECTION TOOL

Related Child Applications (3)

Application Number Title Priority Date Filing Date
JP2023016883A Division JP7496158B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具
JP2023016882A Division JP7496157B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具
JP2023016884A Division JP7496159B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具

Publications (3)

Publication Number Publication Date
JP2020536636A JP2020536636A (ja) 2020-12-17
JP2020536636A5 JP2020536636A5 (enExample) 2021-11-04
JP7228916B2 true JP7228916B2 (ja) 2023-02-27

Family

ID=60419373

Family Applications (4)

Application Number Title Priority Date Filing Date
JP2020519972A Active JP7228916B2 (ja) 2017-10-13 2018-10-12 電気手術切除器具
JP2023016882A Active JP7496157B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具
JP2023016884A Active JP7496159B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具
JP2023016883A Active JP7496158B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具

Family Applications After (3)

Application Number Title Priority Date Filing Date
JP2023016882A Active JP7496157B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具
JP2023016884A Active JP7496159B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具
JP2023016883A Active JP7496158B2 (ja) 2017-10-13 2023-02-07 電気手術切除器具

Country Status (15)

Country Link
US (1) US12396784B2 (enExample)
EP (4) EP3841993B1 (enExample)
JP (4) JP7228916B2 (enExample)
KR (1) KR20200072469A (enExample)
CN (1) CN111954502B (enExample)
AU (1) AU2018350160A1 (enExample)
BR (1) BR112020006158A2 (enExample)
CA (1) CA3076876A1 (enExample)
ES (3) ES3013784T3 (enExample)
GB (1) GB2567480A (enExample)
IL (1) IL273694A (enExample)
PT (1) PT3694435T (enExample)
SG (1) SG11202002906WA (enExample)
WO (1) WO2019073037A1 (enExample)
ZA (1) ZA202002035B (enExample)

Families Citing this family (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US11033322B2 (en) 2015-09-30 2021-06-15 Ethicon Llc Circuit topologies for combined generator
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10779849B2 (en) 2016-01-15 2020-09-22 Ethicon Llc Modular battery powered handheld surgical instrument with voltage sag resistant battery pack
US12193698B2 (en) 2016-01-15 2025-01-14 Cilag Gmbh International Method for self-diagnosing operation of a control switch in a surgical instrument system
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
DE102019121034A1 (de) * 2019-08-05 2021-02-11 Karl Storz Se & Co. Kg Endoskopische Vorrichtung
GB2590078A (en) 2019-11-28 2021-06-23 Creo Medical Ltd Electrosurgical resector tool
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US12336747B2 (en) 2019-12-30 2025-06-24 Cilag Gmbh International Method of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US12343063B2 (en) 2019-12-30 2025-07-01 Cilag Gmbh International Multi-layer clamp arm pad for enhanced versatility and performance of a surgical device
US11744636B2 (en) 2019-12-30 2023-09-05 Cilag Gmbh International Electrosurgical systems with integrated and external power sources
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US12262937B2 (en) 2019-12-30 2025-04-01 Cilag Gmbh International User interface for surgical instrument with combination energy modality end-effector
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US20210196361A1 (en) * 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
GB2600959A (en) * 2020-11-12 2022-05-18 Creo Medical Ltd Electrosurgical resector tool
GB2602122A (en) 2020-12-18 2022-06-22 Creo Medical Ltd Electrosurgical resector tool
KR102286804B1 (ko) * 2020-12-31 2021-08-05 최인상 전기수술 핸드피이스용 전도성 전극 및 그 제조방법
EP4302717A4 (en) * 2021-03-04 2024-11-20 Nikkiso Co., Ltd. Medical treatment tool
GB202117879D0 (en) 2021-12-10 2022-01-26 Creo Medical Ltd Electrosurgical resector tool
CN114668488B (zh) * 2022-03-21 2024-11-12 北京中医药大学第三附属医院 一种脊柱微创外科手术器械
WO2024260633A1 (en) * 2023-06-19 2024-12-26 Creo Medical Limited Electrosurgical instrument and electrosurgical apparatus
US20250049495A1 (en) * 2023-08-08 2025-02-13 Cilag Gmbh International Electrosurgical device
CN119791785A (zh) * 2025-01-25 2025-04-11 首都医科大学附属北京世纪坛医院 一种腔镜用微波电剪复合能量刀头
CN119632663B (zh) * 2025-02-14 2025-12-02 温州医科大学附属第一医院 手术执行器、手术工具及手术机器人
CN119632662A (zh) * 2025-02-14 2025-03-18 温州医科大学附属第一医院 一种单双极复合式手术工具及手术机器人

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007282666A (ja) 2006-04-12 2007-11-01 Saney Seiko Inc 医療用処置具
WO2011081196A1 (ja) 2009-12-28 2011-07-07 国立大学法人 滋賀医科大学 医療用処置具
JP2014511191A (ja) 2011-01-11 2014-05-15 クレオ・メディカル・リミテッド 電気手術器具
WO2016009703A1 (ja) 2014-07-15 2016-01-21 株式会社Jimro 医療用処置具及びその処置部

Family Cites Families (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5170800A (en) 1991-04-04 1992-12-15 Symbiosis Corporation Hermaphroditic endoscopic claw extractors
CA2094220A1 (en) * 1992-05-21 1993-11-22 Mark A. Rydell Surgical scissors with bipolar coagulation feature
US5431674A (en) * 1993-09-07 1995-07-11 Pa Consulting Group Compound motion cutting device
GB9425781D0 (en) 1994-12-21 1995-02-22 Gyrus Medical Ltd Electrosurgical instrument
US6464701B1 (en) * 1995-03-07 2002-10-15 Enable Medical Corporation Bipolar electrosurgical scissors
US5702390A (en) 1996-03-12 1997-12-30 Ethicon Endo-Surgery, Inc. Bioplar cutting and coagulation instrument
US5908420A (en) * 1997-10-03 1999-06-01 Everest Medical Corporation Surgical scissors with bipolar distal electrodes
US6193718B1 (en) * 1998-06-10 2001-02-27 Scimed Life Systems, Inc. Endoscopic electrocautery instrument
US5906630A (en) * 1998-06-30 1999-05-25 Boston Scientific Limited Eccentric surgical forceps
DE19858512C1 (de) * 1998-12-18 2000-05-25 Storz Karl Gmbh & Co Kg Bipolares medizinisches Instrument
DE102004055670A1 (de) * 2004-08-11 2006-02-23 Erbe Elektromedizin Gmbh Elektrochirurgisches Instrument
EP2007293B1 (de) 2006-04-11 2013-01-23 Erbe Elektromedizin GmbH Endoskopisches multifunktions-chirurgiegerät
DE602007014245D1 (de) * 2006-11-09 2011-06-09 Nat University Corp Shiga University Of Medical Science Mikrowellen-endoskop-zange
US20100249769A1 (en) * 2009-03-24 2010-09-30 Tyco Healthcare Group Lp Apparatus for Tissue Sealing
WO2010109908A1 (ja) * 2009-03-27 2010-09-30 国立大学法人 滋賀医科大学 医療用処置具
US20120046661A1 (en) * 2009-05-21 2012-02-23 Sumitomo Bakelite Co., Ltd. High-frequency treatment instrument
JP2011212315A (ja) * 2010-03-31 2011-10-27 Fujifilm Corp 内視鏡用高周波処置具
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
US9339327B2 (en) * 2011-06-28 2016-05-17 Aesculap Ag Electrosurgical tissue dissecting device
JP5698084B2 (ja) * 2011-07-07 2015-04-08 山科精器株式会社 内視鏡鉗子
US8968307B2 (en) * 2011-08-18 2015-03-03 Covidien Lp Surgical forceps
US9259268B2 (en) * 2011-12-06 2016-02-16 Covidien Lp Vessel sealing using microwave energy
GB2503673A (en) * 2012-07-03 2014-01-08 Creo Medical Ltd Electrosurgical device with convex under surface
GB201317713D0 (en) * 2013-10-07 2013-11-20 Creo Medical Ltd Electrosurgical device
US10111700B2 (en) * 2013-11-08 2018-10-30 Covidien Lp Surgical instruments including 3D injection molded electrical circuits and connections
GB201322844D0 (en) * 2013-12-23 2014-02-12 Creo Medical Ltd Electrosurgical device
GB201323171D0 (en) * 2013-12-31 2014-02-12 Creo Medical Ltd Electrosurgical apparatus and device
WO2016009704A1 (ja) * 2014-07-15 2016-01-21 株式会社Jimro 医療用処置具
CN107106198B (zh) * 2014-10-29 2020-05-08 住友电木株式会社 内窥镜用剪刀及内窥镜用高频处置器具
PL3132765T3 (pl) * 2015-08-21 2022-06-06 Erbe Elektromedizin Gmbh Instrument do koagulacji i dysekcji o ulepszonej obsłudze
CA3020683C (en) * 2016-04-11 2020-10-13 Buffalo Filter Llc Electrosurgical device with vacuum port
GB2550375B (en) * 2016-05-17 2021-12-01 Creo Medical Ltd Electrosurgical cutting tool
GB201705171D0 (en) * 2017-03-30 2017-05-17 Creo Medical Ltd Elecrosurgical instrument
JP7372260B2 (ja) * 2018-04-16 2023-10-31 ブラスケム・エス・エー バイオベースエラストマーｅｖａ組成物及びその物品及びその方法
JP7215445B2 (ja) * 2020-02-20 2023-01-31 株式会社デンソー 電池モジュール

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007282666A (ja) 2006-04-12 2007-11-01 Saney Seiko Inc 医療用処置具
WO2011081196A1 (ja) 2009-12-28 2011-07-07 国立大学法人 滋賀医科大学 医療用処置具
JP2014511191A (ja) 2011-01-11 2014-05-15 クレオ・メディカル・リミテッド 電気手術器具
WO2016009703A1 (ja) 2014-07-15 2016-01-21 株式会社Jimro 医療用処置具及びその処置部

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