JP7557870B2 - 電気手術器具 - Google Patents

電気手術器具 Download PDF

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Publication number
JP7557870B2
JP7557870B2 JP2020549816A JP2020549816A JP7557870B2 JP 7557870 B2 JP7557870 B2 JP 7557870B2 JP 2020549816 A JP2020549816 A JP 2020549816A JP 2020549816 A JP2020549816 A JP 2020549816A JP 7557870 B2 JP7557870 B2 JP 7557870B2
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JP
Japan
Prior art keywords
dielectric
electrosurgical instrument
distal
radiating tip
conductor
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JP2020549816A
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English (en)
Japanese (ja)
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JP2021531837A (ja
JPWO2020011546A5 (enExample
Inventor
ハンコック，クリストファー・ポール
バーン，パトリック
シャー，パラブ
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Creo Medical Ltd
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Creo Medical Ltd
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Publication of JP2021531837A publication Critical patent/JP2021531837A/ja
Publication of JPWO2020011546A5 publication Critical patent/JPWO2020011546A5/ja
Priority to JP2024069726A priority Critical patent/JP2024099688A/ja
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Publication of JP7557870B2 publication Critical patent/JP7557870B2/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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • 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
    • 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
    • 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
    • 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
    • A61B18/18—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
    • A61B17/00234—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
    • A61B2017/00305—Constructional details of the flexible 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • 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
    • A61B2018/00345—Vascular system
    • 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
    • A61B2018/00571—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
    • A61B2018/00583—Coblation, i.e. ablation using a cold plasma
    • 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
    • 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
    • A61B2018/1465—Deformable electrodes
    • 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
    • A61B2018/183—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
    • A61B2018/1838—Dipole antennas
    • 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
    • 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
    • A61B2018/1892—Details of electrical isolations of the antenna
    • 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
    • A61B2034/302—Surgical robots specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Plasma & Fusion (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
JP2020549816A 2018-07-12 2019-06-27 電気手術器具 Active JP7557870B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2024069726A JP2024099688A (ja) 2018-07-12 2024-04-23 電気手術器具

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1811434.8 2018-07-12
GB1811434.8A GB2575485A (en) 2018-07-12 2018-07-12 Electrosurgical instrument
PCT/EP2019/067166 WO2020011546A1 (en) 2018-07-12 2019-06-27 Electrosurgical instrument

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2024069726A Division JP2024099688A (ja) 2018-07-12 2024-04-23 電気手術器具

Publications (3)

Publication Number Publication Date
JP2021531837A JP2021531837A (ja) 2021-11-25
JPWO2020011546A5 JPWO2020011546A5 (enExample) 2022-06-15
JP7557870B2 true JP7557870B2 (ja) 2024-09-30

Family

ID=63273262

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2020549816A Active JP7557870B2 (ja) 2018-07-12 2019-06-27 電気手術器具
JP2024069726A Pending JP2024099688A (ja) 2018-07-12 2024-04-23 電気手術器具

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2024069726A Pending JP2024099688A (ja) 2018-07-12 2024-04-23 電気手術器具

Country Status (16)

Country Link
US (1) US12458426B2 (enExample)
EP (1) EP3820392B1 (enExample)
JP (2) JP7557870B2 (enExample)
KR (1) KR20210031851A (enExample)
CN (3) CN111867509B (enExample)
AU (1) AU2019299918A1 (enExample)
BR (1) BR112020018468A2 (enExample)
CA (1) CA3093033A1 (enExample)
ES (1) ES2927662T3 (enExample)
GB (1) GB2575485A (enExample)
IL (1) IL277300A (enExample)
PT (1) PT3820392T (enExample)
RU (1) RU2770276C1 (enExample)
SG (1) SG11202008903PA (enExample)
WO (1) WO2020011546A1 (enExample)
ZA (1) ZA202005691B (enExample)

Families Citing this family (5)

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JP7439550B2 (ja) * 2020-02-05 2024-02-28 住友ベークライト株式会社 内視鏡用針状メス
RU199430U1 (ru) * 2020-02-06 2020-09-01 Общество с ограниченной ответственностью фирма "ТЕХНОСВЕТ" Универсальная установка для комплексного разрушения биоткани
IT202100005798A1 (it) * 2021-03-11 2022-09-11 Biomedical S R L Ago applicatore per termoablatore a microonde
US11786303B2 (en) * 2021-03-19 2023-10-17 Quicker-Instrument Inc. Microwave ablation probe
GB202318579D0 (en) * 2023-12-05 2024-01-17 Creo Medical Ltd Electrosurgical instrument

Citations (5)

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JP2007507263A (ja) 2003-10-03 2007-03-29 マイクロサリス リミテッド 中空の解剖学的構造の治療装置および治療方法
WO2011066445A2 (en) 2009-11-30 2011-06-03 Medwaves, Inc. Radio frequency ablation system with tracking sensor
JP2013525075A (ja) 2010-05-03 2013-06-20 ニューウェーブ メディカル，インコーポレイテッド エネルギー送達システムおよびその使用
JP2015514504A (ja) 2012-04-19 2015-05-21 メリディアン・メディカル・システムズ，エルエルシー 低侵襲用途の加熱／検出カテーテル装置
WO2017103209A1 (en) 2015-12-17 2017-06-22 Creo Medical Limited Electrosurgical probe for delivering microwave energy

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Patent Citations (5)

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Publication number Priority date Publication date Assignee Title
JP2007507263A (ja) 2003-10-03 2007-03-29 マイクロサリス リミテッド 中空の解剖学的構造の治療装置および治療方法
WO2011066445A2 (en) 2009-11-30 2011-06-03 Medwaves, Inc. Radio frequency ablation system with tracking sensor
JP2013525075A (ja) 2010-05-03 2013-06-20 ニューウェーブ メディカル，インコーポレイテッド エネルギー送達システムおよびその使用
JP2015514504A (ja) 2012-04-19 2015-05-21 メリディアン・メディカル・システムズ，エルエルシー 低侵襲用途の加熱／検出カテーテル装置
WO2017103209A1 (en) 2015-12-17 2017-06-22 Creo Medical Limited Electrosurgical probe for delivering microwave energy

Also Published As

Publication number Publication date
ZA202005691B (en) 2022-05-25
GB201811434D0 (en) 2018-08-29
JP2024099688A (ja) 2024-07-25
GB2575485A (en) 2020-01-15
ES2927662T3 (es) 2022-11-10
JP2021531837A (ja) 2021-11-25
WO2020011546A1 (en) 2020-01-16
CN111867509A (zh) 2020-10-30
IL277300A (en) 2020-10-29
AU2019299918A1 (en) 2020-10-01
KR20210031851A (ko) 2021-03-23
US12458426B2 (en) 2025-11-04
RU2770276C1 (ru) 2022-04-15
CN111867509B (zh) 2024-06-07
CN118453104A (zh) 2024-08-09
CN118453105A (zh) 2024-08-09
US20210052317A1 (en) 2021-02-25
CA3093033A1 (en) 2020-01-16
EP3820392B1 (en) 2022-08-31
EP3820392A1 (en) 2021-05-19
SG11202008903PA (en) 2020-10-29
BR112020018468A2 (pt) 2021-01-26
PT3820392T (pt) 2022-10-03

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