JP7305651B2 - 電気外科用システムの状況認識 - Google Patents

電気外科用システムの状況認識 Download PDF

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Publication number
JP7305651B2
JP7305651B2 JP2020535539A JP2020535539A JP7305651B2 JP 7305651 B2 JP7305651 B2 JP 7305651B2 JP 2020535539 A JP2020535539 A JP 2020535539A JP 2020535539 A JP2020535539 A JP 2020535539A JP 7305651 B2 JP7305651 B2 JP 7305651B2
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Prior art keywords
surgical
tissue
ultrasonic
surgical instrument
closure
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Japanese (ja)
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JP2021509604A (ja
Inventor
ウィデンハウス・タマラ
イェイツ・デビッド・シー
シェルトン・ザ・フォース・フレデリック・イー
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Ethicon LLC
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Ethicon LLC
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Priority claimed from US16/115,211 external-priority patent/US20190201039A1/en
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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
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A61B2017/0003—Conductivity or impedance, e.g. of tissue of parts of the instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • 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
    • A61B2018/00636—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
    • A61B2018/00994—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
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/066—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring torque
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/067—Measuring instruments not otherwise provided for for measuring angles
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0809—Indication of cracks or breakages
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/37—Master-slave robots

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
JP2020535539A 2017-12-28 2018-10-12 電気外科用システムの状況認識 Active JP7305651B2 (ja)

Applications Claiming Priority (11)

Application Number Priority Date Filing Date Title
US201762611341P 2017-12-28 2017-12-28
US201762611340P 2017-12-28 2017-12-28
US201762611339P 2017-12-28 2017-12-28
US62/611,339 2017-12-28
US62/611,340 2017-12-28
US62/611,341 2017-12-28
US201862721998P 2018-08-23 2018-08-23
US62/721,998 2018-08-23
US16/115,211 US20190201039A1 (en) 2017-12-28 2018-08-28 Situational awareness of electrosurgical systems
US16/115,211 2018-08-28
PCT/IB2018/057940 WO2019130108A1 (en) 2017-12-28 2018-10-12 Situational awareness of electrosurgical systems

Publications (2)

Publication Number Publication Date
JP2021509604A JP2021509604A (ja) 2021-04-01
JP7305651B2 true JP7305651B2 (ja) 2023-07-10

Family

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Application Number Title Priority Date Filing Date
JP2020535539A Active JP7305651B2 (ja) 2017-12-28 2018-10-12 電気外科用システムの状況認識
JP2020535543A Active JP7263366B2 (ja) 2017-12-28 2018-10-12 電気外科用器具の異なる電気機械的システムを制御するための機構

Family Applications After (1)

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JP2020535543A Active JP7263366B2 (ja) 2017-12-28 2018-10-12 電気外科用器具の異なる電気機械的システムを制御するための機構

Country Status (4)

Country Link
JP (2) JP7305651B2 (pt)
CN (2) CN111526820B (pt)
BR (2) BR112020013014A2 (pt)
WO (2) WO2019130108A1 (pt)

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CN109620415B (zh) * 2019-02-14 2024-03-26 北京水木天蓬医疗技术有限公司 机器人辅助超声骨动力系统
US11883052B2 (en) * 2020-10-02 2024-01-30 Cilag Gmbh International End effector updates
US11963683B2 (en) 2020-10-02 2024-04-23 Cilag Gmbh International Method for operating tiered operation modes in a surgical system
US11877792B2 (en) 2020-10-02 2024-01-23 Cilag Gmbh International Smart energy combo control options
US11830602B2 (en) 2020-10-02 2023-11-28 Cilag Gmbh International Surgical hub having variable interconnectivity capabilities
US11672534B2 (en) 2020-10-02 2023-06-13 Cilag Gmbh International Communication capability of a smart stapler
US11748924B2 (en) 2020-10-02 2023-09-05 Cilag Gmbh International Tiered system display control based on capacity and user operation
US11883022B2 (en) 2020-10-02 2024-01-30 Cilag Gmbh International Shared situational awareness of the device actuator activity to prioritize certain aspects of displayed information
US11877897B2 (en) 2020-10-02 2024-01-23 Cilag Gmbh International Situational awareness of instruments location and individualization of users to control displays
US11992372B2 (en) 2020-10-02 2024-05-28 Cilag Gmbh International Cooperative surgical displays
US11510743B2 (en) 2020-10-02 2022-11-29 Cilag Gmbh International Communication control for a surgeon controlled secondary display and primary display
US11911030B2 (en) 2020-10-02 2024-02-27 Cilag Gmbh International Communication capability of a surgical device with component
CN112315551A (zh) * 2020-10-15 2021-02-05 湖南瀚德微创医疗科技有限公司 包皮超声切割器
CN112948091B (zh) * 2021-03-24 2024-01-30 国网上海市电力公司 应用系统的迁移方法、装置、电子设备及存储介质
CN113596324B (zh) * 2021-07-13 2023-09-01 上海艾为电子技术股份有限公司 拍摄模组的马达控制方法和系统、电子设备
CN115813492A (zh) * 2022-07-22 2023-03-21 武汉迈瑞医疗技术研究院有限公司 超声刀能量输出控制系统、方法及计算机可读存储介质

Citations (4)

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JP2006288431A (ja) 2005-04-05 2006-10-26 Olympus Medical Systems Corp 超音波手術装置
JP2015513990A (ja) 2012-04-09 2015-05-18 エシコン・エンド−サージェリィ・インコーポレイテッド 超音波外科用器具のための回転可能な電気接続部
US20170000552A1 (en) 2015-06-30 2017-01-05 Ethicon Endo-Surgery, Llc Surgical instrument with user adaptable algorithms
US20170105754A1 (en) 2015-10-19 2017-04-20 Ethicon Endo-Surgery, Llc Surgical instrument with dual mode end effector and side-loaded clamp arm assembly

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BRPI1007522A2 (pt) 2009-01-30 2016-02-16 Univ Columbia fonte magnética controlável para fixação de aparelho intracorporal
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US9161803B2 (en) * 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9949785B2 (en) * 2013-11-21 2018-04-24 Ethicon Llc Ultrasonic surgical instrument with electrosurgical feature
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US10898256B2 (en) * 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US10687884B2 (en) 2015-09-30 2020-06-23 Ethicon Llc Circuits for supplying isolated direct current (DC) voltage to surgical instruments
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US10842523B2 (en) * 2016-01-15 2020-11-24 Ethicon Llc Modular battery powered handheld surgical instrument and methods therefor
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument

Patent Citations (4)

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Publication number Priority date Publication date Assignee Title
JP2006288431A (ja) 2005-04-05 2006-10-26 Olympus Medical Systems Corp 超音波手術装置
JP2015513990A (ja) 2012-04-09 2015-05-18 エシコン・エンド−サージェリィ・インコーポレイテッド 超音波外科用器具のための回転可能な電気接続部
US20170000552A1 (en) 2015-06-30 2017-01-05 Ethicon Endo-Surgery, Llc Surgical instrument with user adaptable algorithms
US20170105754A1 (en) 2015-10-19 2017-04-20 Ethicon Endo-Surgery, Llc Surgical instrument with dual mode end effector and side-loaded clamp arm assembly

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Publication number Publication date
CN111526820B (zh) 2023-11-14
CN111526818B (zh) 2023-10-03
WO2019130109A1 (en) 2019-07-04
JP2021509319A (ja) 2021-03-25
BR112020013032A2 (pt) 2020-11-24
WO2019130108A1 (en) 2019-07-04
JP2021509604A (ja) 2021-04-01
BR112020013014A2 (pt) 2020-11-24
CN111526820A (zh) 2020-08-11
JP7263366B2 (ja) 2023-04-24
CN111526818A (zh) 2020-08-11

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