JP7281197B2 - 生物組織を凝結及び焼灼するための電気手術器具 - Google Patents

生物組織を凝結及び焼灼するための電気手術器具 Download PDF

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Publication number
JP7281197B2
JP7281197B2 JP2019560670A JP2019560670A JP7281197B2 JP 7281197 B2 JP7281197 B2 JP 7281197B2 JP 2019560670 A JP2019560670 A JP 2019560670A JP 2019560670 A JP2019560670 A JP 2019560670A JP 7281197 B2 JP7281197 B2 JP 7281197B2
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tissue
treatment zone
cryogen
electrosurgical
instrument
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Japanese (ja)
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JP2020521526A5 (enExample
JP2020521526A (ja
Inventor
ハンコック，クリストファー・ポール
ホワイト，マルコム
バーン，パトリック
クレッグ，ピーター
シャー，パラブ
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Creo Medical Ltd
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Creo Medical Ltd
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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
    • A61B18/18—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
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B18/0218—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques with open-end cryogenic probe, e.g. for spraying fluid directly on tissue or via a tissue-contacting porous tip
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • 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
    • A61B2018/00541—Lung or bronchi
    • 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
    • A61B2018/00577—Ablation
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0237—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes
    • A61B2018/0243—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink
    • A61B2018/025—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink by circulating liquid
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0237—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes
    • A61B2018/0243—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink
    • A61B2018/0256—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink by circulating gas, e.g. air
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
    • 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)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electromagnetism (AREA)
  • Physics & Mathematics (AREA)
  • Surgical Instruments (AREA)
JP2019560670A 2017-06-01 2018-06-01 生物組織を凝結及び焼灼するための電気手術器具 Active JP7281197B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1708725.5A GB2563203A (en) 2017-06-01 2017-06-01 Electrosurgical apparatus
GB1708725.5 2017-06-01
PCT/EP2018/064465 WO2018220177A1 (en) 2017-06-01 2018-06-01 Electrosurgical instrument for freezing and ablating biological tissue

Publications (3)

Publication Number Publication Date
JP2020521526A JP2020521526A (ja) 2020-07-27
JP2020521526A5 JP2020521526A5 (enExample) 2021-07-26
JP7281197B2 true JP7281197B2 (ja) 2023-05-25

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Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019560670A Active JP7281197B2 (ja) 2017-06-01 2018-06-01 生物組織を凝結及び焼灼するための電気手術器具

Country Status (14)

Country Link
US (1) US20200289199A1 (enExample)
EP (2) EP3629962B1 (enExample)
JP (1) JP7281197B2 (enExample)
KR (1) KR20200014271A (enExample)
CN (1) CN110785140B (enExample)
AU (1) AU2018277276A1 (enExample)
BR (1) BR112019022252A2 (enExample)
CA (1) CA3060480A1 (enExample)
DK (1) DK3629962T3 (enExample)
ES (2) ES2869132T3 (enExample)
GB (1) GB2563203A (enExample)
PT (1) PT3629962T (enExample)
WO (1) WO2018220177A1 (enExample)
ZA (1) ZA201906943B (enExample)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2583492B (en) * 2019-04-30 2022-11-23 Creo Medical Ltd Electrosurgical instrument with non-liquid thermal transfer
WO2022224256A1 (en) * 2021-04-21 2022-10-27 Nedlin Yakov Method and apparatus for high-power ablation
CN114848138B (zh) * 2022-05-27 2025-06-10 南京臻泰微波科技有限公司 一种热冷复合消融针
CN117918942A (zh) * 2024-02-22 2024-04-26 河北卫勤医疗科技有限公司 一种快速冷冻消融装置

Citations (4)

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US20020143323A1 (en) 1997-05-23 2002-10-03 Johnston Mark H. Method and apparatus for cryogenic spray ablation of gastrointestinal mucosa
JP2008513154A (ja) 2004-09-20 2008-05-01 エルベ エレクトロメディジン ゲーエムベーハー 凍結手術用の装置および方法
US20140276743A1 (en) 2013-03-15 2014-09-18 Thermedical, Inc. Methods and devices for fluid enhanced microwave ablation therapy
JP2016511077A (ja) 2013-03-15 2016-04-14 スパイレーション インコーポレイテッド 熱化学反応アブレーションカテーテル

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US6858025B2 (en) * 2002-08-06 2005-02-22 Medically Advanced Designs, Llc Cryo-surgical apparatus and method of use
US7803154B2 (en) * 2006-08-03 2010-09-28 Arbel Medical Ltd. Cryogenic probe for treating enlarged volume of tissue
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CN108289712B (zh) * 2015-09-30 2021-05-25 Gem公司 电磁组织消融装置
GB2547941A (en) * 2016-03-04 2017-09-06 Creo Medical Ltd Electrosurgical instrument
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Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020143323A1 (en) 1997-05-23 2002-10-03 Johnston Mark H. Method and apparatus for cryogenic spray ablation of gastrointestinal mucosa
JP2008513154A (ja) 2004-09-20 2008-05-01 エルベ エレクトロメディジン ゲーエムベーハー 凍結手術用の装置および方法
US20140276743A1 (en) 2013-03-15 2014-09-18 Thermedical, Inc. Methods and devices for fluid enhanced microwave ablation therapy
JP2016511077A (ja) 2013-03-15 2016-04-14 スパイレーション インコーポレイテッド 熱化学反応アブレーションカテーテル

Also Published As

Publication number Publication date
GB2563203A (en) 2018-12-12
EP3847984B1 (en) 2024-12-18
US20200289199A1 (en) 2020-09-17
EP3847984C0 (en) 2024-12-18
CN110785140B (zh) 2023-06-20
GB201708725D0 (en) 2017-07-19
ES3013232T3 (en) 2025-04-11
WO2018220177A1 (en) 2018-12-06
EP3629962B1 (en) 2021-03-24
ZA201906943B (en) 2022-05-25
CN110785140A (zh) 2020-02-11
EP3629962A1 (en) 2020-04-08
JP2020521526A (ja) 2020-07-27
DK3629962T3 (da) 2021-05-03
CA3060480A1 (en) 2018-12-06
BR112019022252A2 (pt) 2020-05-19
ES2869132T3 (es) 2021-10-25
AU2018277276A1 (en) 2019-11-07
PT3629962T (pt) 2021-04-28
KR20200014271A (ko) 2020-02-10
EP3847984A1 (en) 2021-07-14

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