JP7637417B2 - 電気外科システム - Google Patents

電気外科システム Download PDF

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Publication number
JP7637417B2
JP7637417B2 JP2021564210A JP2021564210A JP7637417B2 JP 7637417 B2 JP7637417 B2 JP 7637417B2 JP 2021564210 A JP2021564210 A JP 2021564210A JP 2021564210 A JP2021564210 A JP 2021564210A JP 7637417 B2 JP7637417 B2 JP 7637417B2
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JP
Japan
Prior art keywords
distal
tip portion
microwave energy
proximal
radiating tip
Prior art date
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Active
Application number
JP2021564210A
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English (en)
Japanese (ja)
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JPWO2020221750A5 (https=
JP2022530792A (ja
JP2022530792A5 (https=
Inventor
ハンコック，クリストファー
プレストン，ショーン
ウルリヒ，ジョージ
ウェッブ，デイビッド
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Creo Medical Ltd
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Creo Medical Ltd
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Publication of JP2022530792A5 publication Critical patent/JP2022530792A5/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
    • 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • 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
    • A61B2018/00166—Multiple lumina
    • 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
    • A61B2018/00172—Connectors and adapters therefor
    • A61B2018/00178—Electrical connectors
    • 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
    • A61B2018/00529—Liver
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00761—Duration
    • 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
    • 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
    • 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
    • A61B2018/1869—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 interstitially inserted into the body, e.g. needles
    • 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
    • A61B2018/1876—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 multiple frequencies
    • 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
    • A61B2018/1884—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 non-uniform emissions

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Surgical Instruments (AREA)
JP2021564210A 2019-04-30 2020-04-28 電気外科システム Active JP7637417B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1906009.4 2019-04-30
GB1906009.4A GB2583715A (en) 2019-04-30 2019-04-30 Electrosurgical system
PCT/EP2020/061763 WO2020221750A1 (en) 2019-04-30 2020-04-28 Electrosurgical system

Publications (4)

Publication Number Publication Date
JP2022530792A JP2022530792A (ja) 2022-07-01
JPWO2020221750A5 JPWO2020221750A5 (https=) 2023-05-01
JP2022530792A5 JP2022530792A5 (https=) 2023-05-01
JP7637417B2 true JP7637417B2 (ja) 2025-02-28

Family

ID=66809112

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2021564210A Active JP7637417B2 (ja) 2019-04-30 2020-04-28 電気外科システム

Country Status (13)

Country Link
US (1) US12274495B2 (https=)
EP (1) EP3962392B1 (https=)
JP (1) JP7637417B2 (https=)
KR (1) KR20220002906A (https=)
CN (1) CN113825465B (https=)
AU (1) AU2020266010A1 (https=)
BR (1) BR112021021269A2 (https=)
CA (1) CA3137412A1 (https=)
ES (1) ES2955237T3 (https=)
GB (1) GB2583715A (https=)
IL (1) IL287524A (https=)
SG (1) SG11202111816QA (https=)
WO (1) WO2020221750A1 (https=)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB202119001D0 (en) * 2021-12-24 2022-02-09 Creo Medical Ltd Surgical instrument

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010039416A1 (en) 1999-06-17 2001-11-08 Vivant Medical Needle kit and method for microwave ablation, track coagulation, and biopsy
US20100125269A1 (en) 2008-10-21 2010-05-20 Microcube, Limited Liability Corporation Microwave treatment devices and methods
US20100137857A1 (en) 2008-10-21 2010-06-03 Microcube, Limited Liability Corporation Methods and devices for applying energy to bodily tissues
US20110077632A1 (en) 2009-09-28 2011-03-31 Vivant Medical, Inc. Feedpoint Optimization for Microwave Ablation Dipole Antenna With Integrated Tip
US20120041433A1 (en) 2006-09-29 2012-02-16 Vivant Medical, Inc. Microwave Antenna Assembly and Method of Using the Same
US20160038232A1 (en) 2013-03-15 2016-02-11 Covidien Lp Microwave energy-delivery device and system
US20160113700A1 (en) 2013-05-13 2016-04-28 Creo Medical Limited Dual-function plasma and non-ionising microwave coagulating electrosurgical instrument and electrosurgical apparatus incorporating the same

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CN1018334B (zh) * 1990-01-16 1992-09-23 中国人民解放军第二○二医院 Y形宫腔微波辐射器
GB9904373D0 (en) * 1999-02-25 1999-04-21 Microsulis Plc Radiation applicator
US6932776B2 (en) * 2003-06-02 2005-08-23 Meridian Medicalssystems, Llc Method and apparatus for detecting and treating vulnerable plaques
CN100405989C (zh) * 2005-04-26 2008-07-30 中国人民解放军第二军医大学 直接穿刺治疗肿瘤的微波辐射天线
US9050115B2 (en) * 2006-10-10 2015-06-09 Creo Medical Limited Surgical antenna
US8280525B2 (en) * 2007-11-16 2012-10-02 Vivant Medical, Inc. Dynamically matched microwave antenna for tissue ablation
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
JP2014516614A (ja) 2011-04-08 2014-07-17 コビディエン エルピー 自然管腔又は人口管腔のための可撓性マイクロ波カテーテル
EP2831604B1 (en) * 2012-03-31 2019-10-16 Microcube, LLC Returned power for microwave applications
US10342606B2 (en) * 2014-05-06 2019-07-09 Cosman Instruments, Llc Electrosurgical generator
GB2545465A (en) * 2015-12-17 2017-06-21 Creo Medical Ltd Electrosurgical probe for delivering microwave energy
US11000332B2 (en) * 2016-08-02 2021-05-11 Covidien Lp Ablation cable assemblies having a large diameter coaxial feed cable reduced to a small diameter at intended site
GB2563377A (en) * 2017-05-04 2018-12-19 Creo Medical Ltd Electrosurgical apparatus and method of tissue ablation
GB2569812A (en) * 2017-12-27 2019-07-03 Creo Medical Ltd Electrosurgical ablation instrument
CN108938080B (zh) * 2018-07-26 2024-02-09 南京康友医疗科技有限公司 一种超声内镜下柔性微波消融针

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010039416A1 (en) 1999-06-17 2001-11-08 Vivant Medical Needle kit and method for microwave ablation, track coagulation, and biopsy
US20120041433A1 (en) 2006-09-29 2012-02-16 Vivant Medical, Inc. Microwave Antenna Assembly and Method of Using the Same
US20100125269A1 (en) 2008-10-21 2010-05-20 Microcube, Limited Liability Corporation Microwave treatment devices and methods
US20100137857A1 (en) 2008-10-21 2010-06-03 Microcube, Limited Liability Corporation Methods and devices for applying energy to bodily tissues
US20110077632A1 (en) 2009-09-28 2011-03-31 Vivant Medical, Inc. Feedpoint Optimization for Microwave Ablation Dipole Antenna With Integrated Tip
US20160038232A1 (en) 2013-03-15 2016-02-11 Covidien Lp Microwave energy-delivery device and system
US20160113700A1 (en) 2013-05-13 2016-04-28 Creo Medical Limited Dual-function plasma and non-ionising microwave coagulating electrosurgical instrument and electrosurgical apparatus incorporating the same

Also Published As

Publication number Publication date
GB2583715A (en) 2020-11-11
AU2020266010A1 (en) 2021-11-11
EP3962392C0 (en) 2023-06-07
IL287524A (en) 2021-12-01
BR112021021269A2 (pt) 2021-12-21
CA3137412A1 (en) 2020-11-05
KR20220002906A (ko) 2022-01-07
US20220211434A1 (en) 2022-07-07
EP3962392B1 (en) 2023-06-07
US12274495B2 (en) 2025-04-15
WO2020221750A1 (en) 2020-11-05
CN113825465A (zh) 2021-12-21
ES2955237T3 (es) 2023-11-29
EP3962392A1 (en) 2022-03-09
GB201906009D0 (en) 2019-06-12
CN113825465B (zh) 2024-09-03
SG11202111816QA (en) 2021-11-29
JP2022530792A (ja) 2022-07-01

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