JP7492771B2 - 電気手術器具 - Google Patents

電気手術器具 Download PDF

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Publication number
JP7492771B2
JP7492771B2 JP2022533212A JP2022533212A JP7492771B2 JP 7492771 B2 JP7492771 B2 JP 7492771B2 JP 2022533212 A JP2022533212 A JP 2022533212A JP 2022533212 A JP2022533212 A JP 2022533212A JP 7492771 B2 JP7492771 B2 JP 7492771B2
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Japan
Prior art keywords
electrode
electrosurgical instrument
transmission line
coaxial transmission
energy
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Application number
JP2022533212A
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English (en)
Japanese (ja)
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JP2023505478A5 (enExample
JP2023505478A (ja
Inventor
ハンコック，クリストファー・ポール
ターナー，ルイス
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 JP2023505478A5 publication Critical patent/JP2023505478A5/ja
Application granted granted Critical
Publication of JP7492771B2 publication Critical patent/JP7492771B2/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
    • A61B18/1492—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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • 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
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • 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
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible 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
    • A61B2018/00571—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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589—Coagulation
    • 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
    • A61B2018/00595—Cauterization
    • 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
    • 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
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
    • 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
    • A61B18/1206—Generators therefor
    • A61B2018/1286—Generators therefor having a specific transformer
    • 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
    • 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
    • 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
    • A61B2018/183—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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electromagnetism (AREA)
  • Surgical Instruments (AREA)
JP2022533212A 2019-12-03 2020-12-01 電気手術器具 Active JP7492771B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1917619.7 2019-12-03
GB1917619.7A GB2589589A (en) 2019-12-03 2019-12-03 Electrosurgical instrument
PCT/EP2020/084128 WO2021110677A1 (en) 2019-12-03 2020-12-01 Electrosurgical instrument

Publications (3)

Publication Number Publication Date
JP2023505478A JP2023505478A (ja) 2023-02-09
JP2023505478A5 JP2023505478A5 (enExample) 2023-11-02
JP7492771B2 true JP7492771B2 (ja) 2024-05-30

Family

ID=69147258

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2022533212A Active JP7492771B2 (ja) 2019-12-03 2020-12-01 電気手術器具

Country Status (12)

Country Link
US (1) US20230000552A1 (enExample)
EP (1) EP4069120B1 (enExample)
JP (1) JP7492771B2 (enExample)
KR (1) KR20220110491A (enExample)
CN (1) CN114746041B (enExample)
AU (1) AU2020397429A1 (enExample)
BR (1) BR112022010416A2 (enExample)
CA (1) CA3162953A1 (enExample)
ES (1) ES2976654T3 (enExample)
GB (1) GB2589589A (enExample)
IL (1) IL293440A (enExample)
WO (1) WO2021110677A1 (enExample)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2015093100A (ja) 2013-11-13 2015-05-18 茂美 平岡 加熱プローブ
JP2016525902A (ja) 2013-05-13 2016-09-01 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ 二重機能プラズマおよび非電離マイクロ波凝固電気手術器具ならびにこれを組み込んだ電気手術装置
JP2018114299A (ja) 2009-11-17 2018-07-26 パーセオン・コーポレーション マイクロ波凝固アプリケータ及びシステム
JP2019500948A (ja) 2015-12-17 2019-01-17 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ マイクロ波エネルギーを送達するための電気外科プローブ

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5833689A (en) * 1994-10-26 1998-11-10 Snj Company, Inc. Versatile electrosurgical instrument capable of multiple surgical functions
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
US10588691B2 (en) * 2012-09-12 2020-03-17 Relievant Medsystems, Inc. Radiofrequency ablation of tissue within a vertebral body
GB201323171D0 (en) * 2013-12-31 2014-02-12 Creo Medical Ltd Electrosurgical apparatus and device
GB2541946B (en) * 2015-09-07 2020-10-28 Creo Medical Ltd Electrosurgical snare
GB2547941A (en) * 2016-03-04 2017-09-06 Creo Medical Ltd Electrosurgical instrument
GB2561167A (en) * 2017-03-30 2018-10-10 Creo Medical Ltd Electrosurgical energy conveying structure and electrosurgical device incorporating the same
US10716619B2 (en) * 2017-06-19 2020-07-21 Covidien Lp Microwave and radiofrequency energy-transmitting tissue ablation systems
GB2569812A (en) * 2017-12-27 2019-07-03 Creo Medical Ltd Electrosurgical ablation instrument
GB2574219A (en) * 2018-05-30 2019-12-04 Creo Medical Ltd Electrosurgical instrument

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2018114299A (ja) 2009-11-17 2018-07-26 パーセオン・コーポレーション マイクロ波凝固アプリケータ及びシステム
JP2016525902A (ja) 2013-05-13 2016-09-01 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ 二重機能プラズマおよび非電離マイクロ波凝固電気手術器具ならびにこれを組み込んだ電気手術装置
JP2015093100A (ja) 2013-11-13 2015-05-18 茂美 平岡 加熱プローブ
JP2019500948A (ja) 2015-12-17 2019-01-17 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ マイクロ波エネルギーを送達するための電気外科プローブ

Also Published As

Publication number Publication date
CN114746041B (zh) 2024-11-26
JP2023505478A (ja) 2023-02-09
CA3162953A1 (en) 2021-06-10
ES2976654T3 (es) 2024-08-06
IL293440A (en) 2022-07-01
CN114746041A (zh) 2022-07-12
WO2021110677A1 (en) 2021-06-10
EP4069120A1 (en) 2022-10-12
US20230000552A1 (en) 2023-01-05
BR112022010416A2 (pt) 2022-08-23
EP4069120B1 (en) 2024-01-31
AU2020397429A1 (en) 2022-06-16
KR20220110491A (ko) 2022-08-08
EP4069120C0 (en) 2024-01-31
GB201917619D0 (en) 2020-01-15
GB2589589A (en) 2021-06-09

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