JP7261492B2 - 電気外科装置 - Google Patents

電気外科装置 Download PDF

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Publication number
JP7261492B2
JP7261492B2 JP2020514258A JP2020514258A JP7261492B2 JP 7261492 B2 JP7261492 B2 JP 7261492B2 JP 2020514258 A JP2020514258 A JP 2020514258A JP 2020514258 A JP2020514258 A JP 2020514258A JP 7261492 B2 JP7261492 B2 JP 7261492B2
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Japan
Prior art keywords
jaws
control wire
instrument
pair
jaw
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Active
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JP2020514258A
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English (en)
Japanese (ja)
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JP2020536596A5 (enExample
JP2020536596A (ja
Inventor
ハンコック，クリストファー・ポール
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
ターナー，ルイス
メドウクロフト，サイモン
ジョンソン，ジェシ
タイミスト，ミリアム
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Creo Medical Ltd
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Creo Medical Ltd
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Publication of JP2020536596A5 publication Critical patent/JP2020536596A5/ja
Priority to JP2022209981A priority Critical patent/JP7482550B2/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
    • 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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • 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
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • 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
    • 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
    • A61B2018/00184—Moving parts
    • A61B2018/00202—Moving parts rotating
    • 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
    • A61B2018/00571—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
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/0094—Types of switches or controllers
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/0094—Types of switches or controllers
    • A61B2018/00946—Types of switches or controllers slidable
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/0094—Types of switches or controllers
    • A61B2018/00952—Types of switches or controllers rotatable
    • 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
    • A61B2018/1412—Blade
    • 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
    • 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
    • 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
    • A61B2018/1823—Generators 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
    • 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

Landscapes

  • 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)
  • Cardiology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
JP2020514258A 2017-10-13 2018-10-12 電気外科装置 Active JP7261492B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2022209981A JP7482550B2 (ja) 2017-10-13 2022-12-27 電気外科装置

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1716778.4 2017-10-13
GB1716778.4A GB2567469A (en) 2017-10-13 2017-10-13 Electrosurgical apparatus
PCT/EP2018/077879 WO2019073036A2 (en) 2017-10-13 2018-10-12 ELECTROSURGICAL APPARATUS

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2022209981A Division JP7482550B2 (ja) 2017-10-13 2022-12-27 電気外科装置

Publications (3)

Publication Number Publication Date
JP2020536596A JP2020536596A (ja) 2020-12-17
JP2020536596A5 JP2020536596A5 (enExample) 2021-11-11
JP7261492B2 true JP7261492B2 (ja) 2023-04-20

Family

ID=60419239

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2020514258A Active JP7261492B2 (ja) 2017-10-13 2018-10-12 電気外科装置
JP2022209981A Active JP7482550B2 (ja) 2017-10-13 2022-12-27 電気外科装置

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2022209981A Active JP7482550B2 (ja) 2017-10-13 2022-12-27 電気外科装置

Country Status (14)

Country Link
US (1) US11950843B2 (enExample)
EP (2) EP3808303B1 (enExample)
JP (2) JP7261492B2 (enExample)
KR (1) KR20200073205A (enExample)
CN (2) CN111093547B (enExample)
AU (1) AU2018350159A1 (enExample)
BR (1) BR112020004123A2 (enExample)
CA (1) CA3074256A1 (enExample)
ES (2) ES2927728T3 (enExample)
GB (1) GB2567469A (enExample)
IL (1) IL272989A (enExample)
PT (1) PT3808303T (enExample)
SG (1) SG11202002305XA (enExample)
WO (1) WO2019073036A2 (enExample)

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GB2590078A (en) * 2019-11-28 2021-06-23 Creo Medical Ltd Electrosurgical resector tool
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US20220241006A1 (en) * 2021-02-03 2022-08-04 Olympus Medical Systems Corp. Treatment device
CN113679431B (zh) * 2021-08-30 2023-08-29 江苏唯德康医疗科技有限公司 一种可旋转且带注水管的热活检钳
KR102838546B1 (ko) * 2022-04-26 2025-07-25 엘라보메디 주식회사 회동 조작이 가능한 바이폴라 겸자
WO2023244506A1 (en) * 2022-06-13 2023-12-21 The Regents Of The University Of Michigan Endovascular aortic septotomy device for type b aortic dissection
GB202213944D0 (en) * 2022-09-23 2022-11-09 Creo Medical Ltd Electrosurgical instrument and electrosurgical apparatus
GB202213948D0 (en) * 2022-09-23 2022-11-09 Creo Medical Ltd Electrosurgical instrument and electrosurgical apparatus
GB202213954D0 (en) * 2022-09-23 2022-11-09 Creo Medical Ltd Electrosurgical instrument and electrosurgical apparatus
US20240173065A1 (en) * 2022-11-28 2024-05-30 St. Jude Medical, Cardiology Division, Inc. Transcatheter Tools for Basilica or Lampoon Procedure and Methods of Using Same
DE102024106144A1 (de) 2023-03-28 2024-10-02 Exedy Corporation Antriebseinheit
CN118634064B (zh) * 2024-02-27 2025-04-22 爱美客技术发展股份有限公司 一种内镜颅底硬脑膜递送和涂胶装置
DE102024110881B3 (de) * 2024-04-18 2025-04-24 Karl Storz Se & Co. Kg Kraftübertragungselement, chirurgisches Instrument und Verfahren zur Herstellung des Kraftübertragungselements
CN120788713B (zh) * 2025-09-16 2025-12-09 核工业总医院 一种腔镜电凝器械及配置有该腔镜电凝器械的机器人

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US20050137585A1 (en) 2003-12-23 2005-06-23 Jamie Landman Back loading endoscopic instruments
JP2007195982A (ja) 2006-01-24 2007-08-09 Sherwood Services Ag 大きな組織構造体のための脈管シーラーおよび分割器
US20140358140A1 (en) 2008-10-21 2014-12-04 Microcube, Llc Microwave treatment devices and methods
WO2010134273A1 (ja) 2009-05-21 2010-11-25 住友ベークライト株式会社 高周波処置具
JP2012125339A (ja) 2010-12-14 2012-07-05 Olympus Corp 治療用処置装置
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
WO2016063376A1 (ja) 2014-10-22 2016-04-28 オリンパス株式会社 医療用処置装置
WO2017055595A2 (en) 2015-10-02 2017-04-06 Creo Medical Limited Biopsy forceps tool

Also Published As

Publication number Publication date
CN111093547A (zh) 2020-05-01
KR20200073205A (ko) 2020-06-23
CN116965920A (zh) 2023-10-31
SG11202002305XA (en) 2020-04-29
ES2952148T3 (es) 2023-10-27
EP3694436B1 (en) 2023-06-07
JP7482550B2 (ja) 2024-05-14
RU2020110335A (ru) 2021-11-15
IL272989A (en) 2020-04-30
WO2019073036A2 (en) 2019-04-18
RU2020110335A3 (enExample) 2021-12-10
JP2023052117A (ja) 2023-04-11
PT3808303T (pt) 2022-09-23
JP2020536596A (ja) 2020-12-17
ES2927728T3 (es) 2022-11-10
EP3694436C0 (en) 2023-06-07
CA3074256A1 (en) 2019-04-18
BR112020004123A2 (pt) 2020-09-01
AU2018350159A1 (en) 2020-03-19
US11950843B2 (en) 2024-04-09
EP3808303A1 (en) 2021-04-21
CN111093547B (zh) 2023-09-01
GB2567469A (en) 2019-04-17
GB201716778D0 (en) 2017-11-29
WO2019073036A3 (en) 2019-05-31
EP3808303B1 (en) 2022-08-24
EP3694436A2 (en) 2020-08-19
US20200253664A1 (en) 2020-08-13

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