JP7794477B2 - 電気外科用切除ツール - Google Patents

電気外科用切除ツール

Info

Publication number
JP7794477B2
JP7794477B2 JP2023516596A JP2023516596A JP7794477B2 JP 7794477 B2 JP7794477 B2 JP 7794477B2 JP 2023516596 A JP2023516596 A JP 2023516596A JP 2023516596 A JP2023516596 A JP 2023516596A JP 7794477 B2 JP7794477 B2 JP 7794477B2
Authority
JP
Japan
Prior art keywords
electrode
jaw
electrode pair
energy
pair
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2023516596A
Other languages
English (en)
Japanese (ja)
Other versions
JP2023549008A5 (enExample
JP2023549008A (ja
Inventor
ウルリヒ，ジョージ・クリスチャン
ハンコック，クリストファー・ポール
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Creo Medical Ltd
Original Assignee
Creo Medical Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Creo Medical Ltd filed Critical Creo Medical Ltd
Publication of JP2023549008A publication Critical patent/JP2023549008A/ja
Publication of JP2023549008A5 publication Critical patent/JP2023549008A5/ja
Priority to JP2025177764A priority Critical patent/JP2026031939A/ja
Application granted granted Critical
Publication of JP7794477B2 publication Critical patent/JP7794477B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • 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
    • 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
    • A61B18/04—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
    • A61B18/16—Indifferent or passive electrodes for grounding
    • 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
    • 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
    • A61B2018/00184—Moving parts
    • A61B2018/00196—Moving parts reciprocating lengthwise
    • 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
    • A61B2018/00202—Moving parts rotating
    • 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
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • 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
    • A61B2018/00571—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
    • A61B2018/00601—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
    • 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
    • A61B2018/00982—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
    • 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
    • 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
    • A61B2018/146—Scissors
    • 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
    • A61B18/04—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
    • A61B2018/147—Electrodes transferring energy by capacitive coupling, i.e. with a dielectricum between electrode and target tissue
    • 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
    • A61B18/16—Indifferent or passive electrodes for grounding
    • A61B2018/162—Indifferent or passive electrodes for grounding located on the probe body

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Surgical Instruments (AREA)
JP2023516596A 2020-11-12 2021-10-06 電気外科用切除ツール Active JP7794477B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025177764A JP2026031939A (ja) 2020-11-12 2025-10-22 電気外科用切除ツール

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB2017867.9 2020-11-12
GB2017867.9A GB2600959A (en) 2020-11-12 2020-11-12 Electrosurgical resector tool
PCT/EP2021/077621 WO2022100934A1 (en) 2020-11-12 2021-10-06 Electrosurgical resector tool

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2025177764A Division JP2026031939A (ja) 2020-11-12 2025-10-22 電気外科用切除ツール

Publications (3)

Publication Number Publication Date
JP2023549008A JP2023549008A (ja) 2023-11-22
JP2023549008A5 JP2023549008A5 (enExample) 2024-10-03
JP7794477B2 true JP7794477B2 (ja) 2026-01-06

Family

ID=74046526

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2023516596A Active JP7794477B2 (ja) 2020-11-12 2021-10-06 電気外科用切除ツール
JP2025177764A Pending JP2026031939A (ja) 2020-11-12 2025-10-22 電気外科用切除ツール

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2025177764A Pending JP2026031939A (ja) 2020-11-12 2025-10-22 電気外科用切除ツール

Country Status (10)

Country Link
US (1) US12569291B2 (enExample)
EP (1) EP4243716B1 (enExample)
JP (2) JP7794477B2 (enExample)
KR (1) KR20230104859A (enExample)
CN (1) CN116056652A (enExample)
AU (1) AU2021379027A1 (enExample)
CA (1) CA3192178A1 (enExample)
GB (1) GB2600959A (enExample)
IL (1) IL301157A (enExample)
WO (1) WO2022100934A1 (enExample)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB202117879D0 (en) * 2021-12-10 2022-01-26 Creo Medical Ltd Electrosurgical resector tool
CN122398442A (zh) * 2025-01-17 2026-07-17 波士顿科学医疗设备有限公司 电外科医疗装置

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2017501001A (ja) 2013-12-23 2017-01-12 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ Ｒｆエネルギーおよび／またはマイクロ波エネルギーを生物組織に送達するための電気外科鉗子
WO2018178254A1 (en) 2017-03-30 2018-10-04 Creo Medical Limited Electrosurgical instrument
WO2019073037A1 (en) 2017-10-13 2019-04-18 Creo Medical Limited ELECTROSURGICAL RESECTION TOOL
JP2019516426A (ja) 2016-05-17 2019-06-20 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ 電気外科用切断器具

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5275615A (en) * 1992-09-11 1994-01-04 Anthony Rose Medical instrument having gripping jaws
US6447511B1 (en) * 1994-12-13 2002-09-10 Symbiosis Corporation Bipolar endoscopic surgical scissor blades and instrument incorporating the same
US6391029B1 (en) * 1995-03-07 2002-05-21 Enable Medical Corporation Bipolar electrosurgical scissors
US5951549A (en) * 1996-12-20 1999-09-14 Enable Medical Corporation Bipolar electrosurgical scissors
US7143925B2 (en) * 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US8394115B2 (en) * 2006-03-22 2013-03-12 Ethicon Endo-Surgery, Inc. Composite end effector for an ultrasonic surgical instrument
US7419490B2 (en) * 2006-07-27 2008-09-02 Applied Medical Resources Corporation Bipolar electrosurgical scissors
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
GB201100443D0 (en) 2011-01-11 2011-02-23 Creo Medical Ltd Electrosurgical instrument
GB2552925A (en) * 2016-05-17 2018-02-21 Creo Medical Ltd Electrosurgical instrument
GB2567469A (en) * 2017-10-13 2019-04-17 Creo Medical Ltd Electrosurgical apparatus

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2017501001A (ja) 2013-12-23 2017-01-12 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ Ｒｆエネルギーおよび／またはマイクロ波エネルギーを生物組織に送達するための電気外科鉗子
JP2019516426A (ja) 2016-05-17 2019-06-20 クレオ・メディカル・リミテッドＣｒｅｏ Ｍｅｄｉｃａｌ Ｌｉｍｉｔｅｄ 電気外科用切断器具
WO2018178254A1 (en) 2017-03-30 2018-10-04 Creo Medical Limited Electrosurgical instrument
WO2019073037A1 (en) 2017-10-13 2019-04-18 Creo Medical Limited ELECTROSURGICAL RESECTION TOOL

Also Published As

Publication number Publication date
EP4243716B1 (en) 2026-06-10
GB202017867D0 (en) 2020-12-30
US12569291B2 (en) 2026-03-10
GB2600959A (en) 2022-05-18
JP2026031939A (ja) 2026-02-25
US20230355296A1 (en) 2023-11-09
KR20230104859A (ko) 2023-07-11
AU2021379027A1 (en) 2023-04-06
WO2022100934A1 (en) 2022-05-19
CA3192178A1 (en) 2022-05-19
IL301157A (en) 2023-05-01
CN116056652A (zh) 2023-05-02
EP4243716A1 (en) 2023-09-20
JP2023549008A (ja) 2023-11-22

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