JP7389821B2 - 電気外科手術用患者パッドモニタ - Google Patents

電気外科手術用患者パッドモニタ Download PDF

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Publication number
JP7389821B2
JP7389821B2 JP2021568323A JP2021568323A JP7389821B2 JP 7389821 B2 JP7389821 B2 JP 7389821B2 JP 2021568323 A JP2021568323 A JP 2021568323A JP 2021568323 A JP2021568323 A JP 2021568323A JP 7389821 B2 JP7389821 B2 JP 7389821B2
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Japan
Prior art keywords
transformer
current
signal
electrosurgical system
complex
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JP2021568323A
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English (en)
Japanese (ja)
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JPWO2020232146A5 (enExample
JP2022532751A (ja
Inventor
アルベルト アビラ
ジョン グラバーソン
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CooperSurgical Inc
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CooperSurgical Inc
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Publication of JPWO2020232146A5 publication Critical patent/JPWO2020232146A5/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B18/1233Generators therefor with circuits for assuring patient safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/16Indifferent or passive electrodes for grounding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00827Current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00892Voltage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1273Generators therefor including multiple generators in one device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1286Generators therefor having a specific transformer

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Surgical Instruments (AREA)
JP2021568323A 2019-05-15 2020-05-13 電気外科手術用患者パッドモニタ Active JP7389821B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US16/412,615 US11376060B2 (en) 2019-05-15 2019-05-15 Electrosurgery patient pad monitor
US16/412,615 2019-05-15
PCT/US2020/032709 WO2020232146A1 (en) 2019-05-15 2020-05-13 Electrosurgery patient pad monitor

Publications (3)

Publication Number Publication Date
JP2022532751A JP2022532751A (ja) 2022-07-19
JPWO2020232146A5 JPWO2020232146A5 (enExample) 2023-05-22
JP7389821B2 true JP7389821B2 (ja) 2023-11-30

Family

ID=70857302

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Application Number Title Priority Date Filing Date
JP2021568323A Active JP7389821B2 (ja) 2019-05-15 2020-05-13 電気外科手術用患者パッドモニタ

Country Status (7)

Country Link
US (2) US11376060B2 (enExample)
EP (1) EP3968883A1 (enExample)
JP (1) JP7389821B2 (enExample)
KR (1) KR102769495B1 (enExample)
CN (1) CN114144134B (enExample)
AU (1) AU2020274118B2 (enExample)
WO (1) WO2020232146A1 (enExample)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11376060B2 (en) 2019-05-15 2022-07-05 Coopersurgical, Inc. Electrosurgery patient pad monitor

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110172660A1 (en) 2010-01-12 2011-07-14 Bales Jr Thomas O Battery-Powered Electrosurgical Forceps With Multi-Turn Selectable-Ratio Transformer

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0566725B1 (en) * 1991-11-08 2003-06-04 Boston Scientific Limited Ablation electrode with insulated temperature sensing elements
US5817093A (en) * 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5496313A (en) * 1994-09-20 1996-03-05 Conmed Corporation System for detecting penetration of medical instruments
AU701320B2 (en) * 1994-12-22 1999-01-28 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
JP3315623B2 (ja) 1997-06-19 2002-08-19 オリンパス光学工業株式会社 電気メス装置の帰還電極剥離モニタ
US6229725B1 (en) * 2000-06-28 2001-05-08 Hughes Electronics Corporation Full bridge converter current sense approach using virtual current summing and cancellation
US6860881B2 (en) * 2002-09-25 2005-03-01 Sherwood Services Ag Multiple RF return pad contact detection system
EP2069014B1 (en) * 2006-10-10 2013-06-12 Medical Device Innovations Limited Apparatus for treating tissue with microwave radiation and antenna calibration system and method
US8388614B2 (en) * 2009-09-29 2013-03-05 Covidien Lp Return electrode temperature prediction
US9277960B2 (en) * 2011-09-08 2016-03-08 Kardium Inc. Intra-cardiac mapping and ablating
US10695119B2 (en) * 2013-09-24 2020-06-30 Covidien Lp Power and bi directional data interface assembly and surgical system including the same
US10993765B2 (en) * 2015-06-30 2021-05-04 Smith & Nephew, Inc. Temperature measurement of electrically conductive fluids
US10646266B2 (en) * 2015-11-13 2020-05-12 Covidien Lp System and method for return electrode monitoring
JP6636368B2 (ja) * 2016-03-25 2020-01-29 日置電機株式会社 インピーダンス測定装置
US10034258B2 (en) * 2016-06-29 2018-07-24 Infineon Technologies Ag Signal detector device and method
EP3629966B1 (en) * 2017-05-31 2024-10-02 Intuitive Surgical Operations, Inc. System and method to protect against insulation breach in an electrosurgical instrument
US11376060B2 (en) 2019-05-15 2022-07-05 Coopersurgical, Inc. Electrosurgery patient pad monitor

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110172660A1 (en) 2010-01-12 2011-07-14 Bales Jr Thomas O Battery-Powered Electrosurgical Forceps With Multi-Turn Selectable-Ratio Transformer

Also Published As

Publication number Publication date
CN114144134A (zh) 2022-03-04
CN114144134B (zh) 2023-09-15
EP3968883A1 (en) 2022-03-23
AU2020274118A1 (en) 2021-12-16
KR102769495B1 (ko) 2025-02-17
KR20220013376A (ko) 2022-02-04
US12171479B2 (en) 2024-12-24
US20220378492A1 (en) 2022-12-01
AU2020274118B2 (en) 2023-07-27
JP2022532751A (ja) 2022-07-19
WO2020232146A1 (en) 2020-11-19
US20200360074A1 (en) 2020-11-19
BR112021023018A2 (pt) 2022-01-25
US11376060B2 (en) 2022-07-05

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