JPH10510460A - 血管封鎖用エネルギー供給システム - Google Patents
血管封鎖用エネルギー供給システムInfo
- Publication number
- JPH10510460A JPH10510460A JP9512512A JP51251297A JPH10510460A JP H10510460 A JPH10510460 A JP H10510460A JP 9512512 A JP9512512 A JP 9512512A JP 51251297 A JP51251297 A JP 51251297A JP H10510460 A JPH10510460 A JP H10510460A
- Authority
- JP
- Japan
- Prior art keywords
- tissue
- power
- electrosurgical
- surgical instrument
- blood vessels
- 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.)
- Granted
Links
Classifications
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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
- A61B18/1206—Generators therefor
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00026—Conductivity or impedance, e.g. of tissue
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
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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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
-
- 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
- A61B2018/00773—Sensed parameters
- A61B2018/00779—Power or energy
-
- 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
- A61B2018/00773—Sensed parameters
- A61B2018/00869—Phase
-
- 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
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
-
- 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
- A61B2018/00773—Sensed parameters
- A61B2018/00892—Voltage
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Physics & Mathematics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Making Paper Articles (AREA)
- Closing Of Containers (AREA)
- Basic Packing Technique (AREA)
- Pressure Vessels And Lids Thereof (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1. 患者13の血管やその他の組織を封鎖するための電気外科エネルギー供 給システム10であって、 出力電圧と出力電流とを生成することにより制御されたレベルの電気外科電力 を供給することのできるゼネレータ11と、 電気外科電力を受け取るためにゼネレータ11に電気的に接続されており、患 者13の血管やその他の組織を把持し、電気外科電力をこの血管やその他の組織 に送るように配置された導電部材14と、この導電部材14間に既知の閉鎖力を 維持するための手段とを有する外科用器具12と、 外科用器具12に供給される電気外科電力のレベルを自動的にシーケンスする ためにゼネレータ11内に設けられた電力制御回路と、 から構成され、 上記シークエンスには、外科用器具12が閉鎖力を加えている間に出力電流を RMS値で約2アンペアより大きな最大振幅にまで上げ、そのあと血管やその他 の組織を焼き焦がさずに乾燥させるに充分なレベルにまで上記電気外科電力を下 げ、更にこのあと外科用器具12への電気外科エネルギーの伝送を止めることが 含まれることを特徴とする、電気エネルギー供給システム。 2. 外科用器具12における上記閉鎖力を維持するための手段が更に導電部 材14間に複数レベルの閉鎖力を選択的に加える手段を含むことを特徴とする、 請求項1記載の電気エネルギー供給システム10。 3. ゼネレータ11が、患者13の血管やその他の組織が外科用器具12の 部材14によって把持されている際にこの血管やその他の組織のインピーダンス を概算するための手段を更に含むことを特徴とする、請求項1記載の電気エネル ギー供給システム10。 4. 上記電力制御回路が、血管やその他の組織のインピーダンスが約100 0オームより高い値に上昇したときに外科用器具12への電力供給を実質的に止 める電力遮断機能を含むことを特徴とする、請求項3記載の電気エネルギー供給 システム10。 5. 上記電力制御回路が、 第1のインピーダンス中断点に至るまで血管やその他の組織への出力電流供給 を急速に増やすための出力電流供給能力と、 血管やその他の組織のタンパク質が融けるまで血管やその他の組織へのコンス タントな電力供給を維持するための一定電力供給能力と、 第2のインピーダンス中断点に至るまで血管やその他の組織への低い電力供給 を維持するための低電力供給能力と、 を更に含むことを特徴とする、請求項3記載の電気エネルギー供給システム10 。 6. 上記第1のインピーダンス中断点が約16オームに在り、一方上記第2 のインピーダンス中断点は約2048オームに在ることを特徴とする、請求項5 記載の電気エネルギー供給システム10。 7. ゼネレータ11が、約50度より大きい角度分だけ出力電流が出力電圧 より進んでいる時に外科用器具12への電力供給を実質的に止めるための手段を 含み、あるいは ゼネレータ11が、出力電圧のレベルをRMS値で約160ボルトより低く抑 えるための出力電圧制限手段を有する ことを特徴とする、請求項1記載の電気エネルギー供給システム10。 8. ゼネレータ11が、出力電流がRMS値で約200ミリアンペアよりも 低い値に下がった際に外科用器具12への電力供給を実質的に止めるための手段 を含むことを特徴とする、請求項1記載の電気エネルギー供給システム10。 9. ゼネレータ11が、 外科用器具12への電力供給を実質的に止めるための手段と、 実質的に外科用器具12への電力供給をとめた後、組織にかかっている閉鎖力 をゆるめるよう外科医に告げるための指示器と、 を含むことを特徴とする、請求項1記載の電気エネルギー供給システム10。 10. 外科用器具12のエンドエフェクタを通して加えられる出力電圧と出 力電流とを有する電気外科電力を用いた電気外科エネルギー供給システムを操作 する方法であって、 実質的に閉鎖されるように上記エンドエフェクタを充てるステップと、 上記エンドエフェクタ間でタンパク質を融かすに足る最高値に出力電流が達す るまで、上記エンドエフェクタに供給される電気外科電力のレベルを増加するス テップと、 上記エンドエフェクタへの電気外科電力供給を減らすステップと、 上記エンドエフェクタを冷却するに足る充分な時間、実質的にゼロになるまで 電気外科電力を減少するステップと、 上記エンドエフェクタにかかっている閉鎖力をゆるめるステップと、 を含む電気外科エネルギー供給システムを操作する方法。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US530,495 | 1995-09-19 | ||
US08/530,495 | 1995-09-19 | ||
US08/530,495 US5827271A (en) | 1995-09-19 | 1995-09-19 | Energy delivery system for vessel sealing |
PCT/IB1996/000669 WO1997010763A1 (en) | 1995-09-19 | 1996-07-11 | Energy delivery system for vessel sealing |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH10510460A true JPH10510460A (ja) | 1998-10-13 |
JP3207435B2 JP3207435B2 (ja) | 2001-09-10 |
Family
ID=24113828
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP51251297A Expired - Fee Related JP3207435B2 (ja) | 1995-09-19 | 1996-07-11 | 電気外科エネルギー供給システム |
Country Status (9)
Country | Link |
---|---|
US (1) | US5827271A (ja) |
EP (1) | EP0862386B1 (ja) |
JP (1) | JP3207435B2 (ja) |
AT (1) | ATE218304T1 (ja) |
AU (1) | AU723001B2 (ja) |
CA (1) | CA2228890C (ja) |
DE (1) | DE69621636T2 (ja) |
ES (1) | ES2174078T3 (ja) |
WO (1) | WO1997010763A1 (ja) |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2002325772A (ja) * | 2001-05-07 | 2002-11-12 | Olympus Optical Co Ltd | 電気手術装置 |
US6663623B1 (en) | 2000-03-13 | 2003-12-16 | Olympus Optical Co., Ltd. | Electric surgical operation apparatus |
JP2009153620A (ja) * | 2007-12-25 | 2009-07-16 | Olympus Corp | 生体組織接合装置および生体組織接合方法 |
JP2010194319A (ja) * | 2009-02-23 | 2010-09-09 | Covidien Ag | 組織シーリングのためのシステムおよび方法 |
JP2018167023A (ja) * | 2017-03-29 | 2018-11-01 | エルベ エレクトロメディジン ゲーエムベーハーErbe Elektromedizin GmbH | 凝固器具に電力供給するための発電機およびその制御方法 |
Families Citing this family (847)
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US6626901B1 (en) * | 1997-03-05 | 2003-09-30 | The Trustees Of Columbia University In The City Of New York | Electrothermal instrument for sealing and joining or cutting tissue |
US6033399A (en) * | 1997-04-09 | 2000-03-07 | Valleylab, Inc. | Electrosurgical generator with adaptive power control |
US6096037A (en) | 1997-07-29 | 2000-08-01 | Medtronic, Inc. | Tissue sealing electrosurgery device and methods of sealing tissue |
AU739648B2 (en) | 1997-09-10 | 2001-10-18 | Covidien Ag | Bipolar instrument for vessel fusion |
US6187003B1 (en) | 1997-11-12 | 2001-02-13 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
US6352536B1 (en) * | 2000-02-11 | 2002-03-05 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US7435249B2 (en) | 1997-11-12 | 2008-10-14 | Covidien Ag | Electrosurgical instruments which reduces collateral damage to adjacent tissue |
US6726686B2 (en) | 1997-11-12 | 2004-04-27 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US6228083B1 (en) | 1997-11-14 | 2001-05-08 | Sherwood Services Ag | Laparoscopic bipolar electrosurgical instrument |
US6736813B2 (en) * | 1998-01-23 | 2004-05-18 | Olympus Optical Co., Ltd. | High-frequency treatment tool |
US6562037B2 (en) * | 1998-02-12 | 2003-05-13 | Boris E. Paton | Bonding of soft biological tissues by passing high frequency electric current therethrough |
US6398779B1 (en) | 1998-10-23 | 2002-06-04 | Sherwood Services Ag | Vessel sealing system |
US7118570B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealing forceps with disposable electrodes |
US20040167508A1 (en) * | 2002-02-11 | 2004-08-26 | Robert Wham | Vessel sealing system |
US7364577B2 (en) * | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
US7137980B2 (en) | 1998-10-23 | 2006-11-21 | Sherwood Services Ag | Method and system for controlling output of RF medical generator |
US7582087B2 (en) | 1998-10-23 | 2009-09-01 | Covidien Ag | Vessel sealing instrument |
US7267677B2 (en) | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
JP4164235B2 (ja) | 1998-10-23 | 2008-10-15 | コビディエン アクチェンゲゼルシャフト | 内視鏡バイポーラ電気外科鉗子 |
US7901400B2 (en) | 1998-10-23 | 2011-03-08 | Covidien Ag | Method and system for controlling output of RF medical generator |
US6796981B2 (en) | 1999-09-30 | 2004-09-28 | Sherwood Services Ag | Vessel sealing system |
US6436129B1 (en) | 1999-01-20 | 2002-08-20 | Oratec Interventions, Inc. | Method and apparatus for stimulating nerve regeneration |
US6174309B1 (en) | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
US6203541B1 (en) * | 1999-04-23 | 2001-03-20 | Sherwood Services Ag | Automatic activation of electrosurgical generator bipolar output |
US7850703B2 (en) | 1999-07-28 | 2010-12-14 | Cardica, Inc. | System for performing anastomosis |
US6391038B2 (en) | 1999-07-28 | 2002-05-21 | Cardica, Inc. | Anastomosis system and method for controlling a tissue site |
US7303570B2 (en) | 1999-07-28 | 2007-12-04 | Cardica, Inc. | Anastomosis tool having a connector holder |
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US7300444B1 (en) | 1999-07-28 | 2007-11-27 | Cardica, Inc. | Surgical system and method for connecting hollow tissue structures |
US7682368B1 (en) | 1999-07-28 | 2010-03-23 | Cardica, Inc. | Anastomosis tool actuated with stored energy |
US7887535B2 (en) | 1999-10-18 | 2011-02-15 | Covidien Ag | Vessel sealing wave jaw |
US20030109875A1 (en) | 1999-10-22 | 2003-06-12 | Tetzlaff Philip M. | Open vessel sealing forceps with disposable electrodes |
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US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
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US9848938B2 (en) | 2003-11-13 | 2017-12-26 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
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- 1996-07-11 DE DE69621636T patent/DE69621636T2/de not_active Expired - Lifetime
- 1996-07-11 EP EP96921013A patent/EP0862386B1/en not_active Expired - Lifetime
- 1996-07-11 JP JP51251297A patent/JP3207435B2/ja not_active Expired - Fee Related
- 1996-07-11 CA CA002228890A patent/CA2228890C/en not_active Expired - Fee Related
- 1996-07-11 ES ES96921013T patent/ES2174078T3/es not_active Expired - Lifetime
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JP2009153620A (ja) * | 2007-12-25 | 2009-07-16 | Olympus Corp | 生体組織接合装置および生体組織接合方法 |
JP2010194319A (ja) * | 2009-02-23 | 2010-09-09 | Covidien Ag | 組織シーリングのためのシステムおよび方法 |
JP2018167023A (ja) * | 2017-03-29 | 2018-11-01 | エルベ エレクトロメディジン ゲーエムベーハーErbe Elektromedizin GmbH | 凝固器具に電力供給するための発電機およびその制御方法 |
Also Published As
Publication number | Publication date |
---|---|
AU723001B2 (en) | 2000-08-17 |
CA2228890C (en) | 2001-09-11 |
ATE218304T1 (de) | 2002-06-15 |
DE69621636T2 (de) | 2002-12-05 |
EP0862386A1 (en) | 1998-09-09 |
CA2228890A1 (en) | 1997-03-27 |
ES2174078T3 (es) | 2002-11-01 |
EP0862386B1 (en) | 2002-06-05 |
JP3207435B2 (ja) | 2001-09-10 |
MX9801151A (es) | 1998-05-31 |
DE69621636D1 (de) | 2002-07-11 |
WO1997010763A1 (en) | 1997-03-27 |
US5827271A (en) | 1998-10-27 |
AU6237896A (en) | 1997-04-09 |
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