KR20190142315A - 조직 절제의 전기 외과 장치 및 방법 - Google Patents

조직 절제의 전기 외과 장치 및 방법 Download PDF

Info

Publication number
KR20190142315A
KR20190142315A KR1020197021990A KR20197021990A KR20190142315A KR 20190142315 A KR20190142315 A KR 20190142315A KR 1020197021990 A KR1020197021990 A KR 1020197021990A KR 20197021990 A KR20197021990 A KR 20197021990A KR 20190142315 A KR20190142315 A KR 20190142315A
Authority
KR
South Korea
Prior art keywords
fluid
electrosurgical
microwave energy
fluid delivery
instrument
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.)
Ceased
Application number
KR1020197021990A
Other languages
English (en)
Korean (ko)
Inventor
크리스토퍼 폴 핸콕
패트릭 번
챨리 캠피언
루이스 터너
Original Assignee
크리오 메디컬 리미티드
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 크리오 메디컬 리미티드 filed Critical 크리오 메디컬 리미티드
Publication of KR20190142315A publication Critical patent/KR20190142315A/ko
Ceased legal-status Critical Current

Links

Images

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
    • A61B18/18—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
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M25/0084—Catheter tip comprising a tool being one or more injection needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • 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
    • A61B2017/0034—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482—Digestive system
    • A61B2018/00494—Stomach, intestines or bowel
    • 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
    • A61B2018/00982—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
    • A61B2018/183—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
    • 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
    • A61B2018/1884—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
    • 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
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M25/0084—Catheter tip comprising a tool being one or more injection needles
    • A61M2025/0089—Single injection needle protruding axially, i.e. along the longitudinal axis of the catheter, from the distal tip

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Surgical Instruments (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
KR1020197021990A 2017-05-04 2018-05-03 조직 절제의 전기 외과 장치 및 방법 Ceased KR20190142315A (ko)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1707112.7 2017-05-04
GB1707112.7A GB2563377A (en) 2017-05-04 2017-05-04 Electrosurgical apparatus and method of tissue ablation
PCT/EP2018/061316 WO2018202758A1 (en) 2017-05-04 2018-05-03 Electrosurgical apparatus for tissue ablation

Publications (1)

Publication Number Publication Date
KR20190142315A true KR20190142315A (ko) 2019-12-26

Family

ID=59065580

Family Applications (1)

Application Number Title Priority Date Filing Date
KR1020197021990A Ceased KR20190142315A (ko) 2017-05-04 2018-05-03 조직 절제의 전기 외과 장치 및 방법

Country Status (15)

Country Link
US (3) US11547478B2 (enExample)
EP (3) EP3847988B1 (enExample)
JP (3) JP7214226B2 (enExample)
KR (1) KR20190142315A (enExample)
CN (3) CN115337100A (enExample)
AU (1) AU2018262612A1 (enExample)
BR (1) BR112019016662A2 (enExample)
CA (1) CA3051319A1 (enExample)
DK (1) DK3618745T3 (enExample)
ES (3) ES2973367T3 (enExample)
GB (1) GB2563377A (enExample)
PT (2) PT3847988T (enExample)
SG (1) SG11201906823RA (enExample)
WO (1) WO2018202758A1 (enExample)
ZA (3) ZA201905053B (enExample)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2563377A (en) * 2017-05-04 2018-12-19 Creo Medical Ltd Electrosurgical apparatus and method of tissue ablation
GB2563203A (en) * 2017-06-01 2018-12-12 Creo Medical Ltd Electrosurgical apparatus
GB2577706A (en) 2018-10-03 2020-04-08 Creo Medical Ltd Electrosurgical instrument
GB2579561B (en) 2018-12-03 2022-10-19 Creo Medical Ltd Electrosurgical instrument
GB2583715A (en) 2019-04-30 2020-11-11 Creo Medical Ltd Electrosurgical system
DE102020214134A1 (de) * 2020-11-10 2022-05-12 MAPAL Fabrik für Präzisionswerkzeuge Dr. Kress KG Werkzeug
GB2601789A (en) * 2020-12-10 2022-06-15 Creo Medical Ltd Raman spectroscopy probe, Raman spectroscopy apparatus including the Raman spectroscopy probe and elongate assembly
CN113413210B (zh) * 2021-07-23 2024-05-24 南京瑞波医学科技有限公司 一种带有注射抽吸功能的消融天线
US12629757B2 (en) * 2021-12-13 2026-05-19 Iscar, Ltd. Cutting tool part having an additively manufactured cutting portion with integrally formed guide pads and method of manufacturing same
CN114039209B (zh) * 2021-12-23 2024-06-14 南京臻泰微波科技有限公司 一种采用空心内导体同轴电缆的微波消融针

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0422350A (ja) * 1990-05-18 1992-01-27 Olympus Optical Co Ltd 溶解治療装置
US6770070B1 (en) * 2000-03-17 2004-08-03 Rita Medical Systems, Inc. Lung treatment apparatus and method
WO2002054941A2 (en) * 2001-01-11 2002-07-18 Rita Medical Systems Inc Bone-treatment instrument and method
JP4194842B2 (ja) * 2001-01-18 2008-12-10 ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア 低侵襲的緑内障外科用器具および方法
AU2002353016A1 (en) * 2001-12-03 2003-06-17 Ekos Corporation Small vessel ultrasound catheter
US8380299B2 (en) * 2007-07-30 2013-02-19 Nuvue Therapeutics, Inc. Fluid flowing device and method for tissue diagnosis or therapy
US8439907B2 (en) * 2007-11-07 2013-05-14 Mirabilis Medica Inc. Hemostatic tissue tunnel generator for inserting treatment apparatus into tissue of a patient
US9980774B2 (en) * 2008-10-21 2018-05-29 Microcube, Llc Methods and devices for delivering microwave energy
US9113925B2 (en) * 2009-09-09 2015-08-25 Covidien Lp System and method for performing an ablation procedure
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
US20120310230A1 (en) * 2011-06-01 2012-12-06 Angiodynamics, Inc. Coaxial dual function probe and method of use
US20130218143A1 (en) * 2012-02-20 2013-08-22 Tyco Healthcare Group Lp Combined Thermal Therapy and Hydrogel with Embedded Stem Cell Treatment
CN104487854B (zh) 2012-03-31 2018-05-04 微立方有限责任公司 用于微波应用的返回功率
WO2013172361A1 (ja) * 2012-05-14 2013-11-21 国立大学法人 滋賀医科大学 臓器切離操作具
GB201323171D0 (en) * 2013-12-31 2014-02-12 Creo Medical Ltd Electrosurgical apparatus and device
CN103892907A (zh) * 2014-04-02 2014-07-02 南京维京九洲医疗器械研发中心 用于肿瘤消融治疗的注射型微波针形天线
CN104027168A (zh) * 2014-06-20 2014-09-10 章建全 具有抽液结构的囊肿微波消融治疗针形天线
US9649148B2 (en) * 2014-07-24 2017-05-16 Arthrocare Corporation Electrosurgical system and method having enhanced arc prevention
WO2016029022A1 (en) * 2014-08-20 2016-02-25 Covidien Lp Systems and methods for spherical ablations
US20160317218A1 (en) * 2015-04-29 2016-11-03 Cook Medical Technologies Llc Handle and cable assemblies for electrosurgical devices and cyst ablation techniques
CN104983464A (zh) * 2015-06-03 2015-10-21 南京康友医疗科技有限公司 一种带有内置管道的微波消融天线
GB2547941A (en) * 2016-03-04 2017-09-06 Creo Medical Ltd Electrosurgical instrument
GB2563377A (en) * 2017-05-04 2018-12-19 Creo Medical Ltd Electrosurgical apparatus and method of tissue ablation

Also Published As

Publication number Publication date
PT3618745T (pt) 2021-05-31
WO2018202758A1 (en) 2018-11-08
JP2023040209A (ja) 2023-03-22
US20230096272A1 (en) 2023-03-30
CA3051319A1 (en) 2018-11-08
DK3618745T3 (da) 2021-05-25
EP3847988B1 (en) 2022-08-31
ES2973367T3 (es) 2024-06-19
ES2927821T3 (es) 2022-11-11
GB2563377A (en) 2018-12-19
BR112019016662A2 (pt) 2020-04-07
CN115337099A (zh) 2022-11-15
ZA201905053B (en) 2022-04-28
JP7214226B2 (ja) 2023-01-30
EP3847987B1 (en) 2023-12-27
US20230099311A1 (en) 2023-03-30
US20190380778A1 (en) 2019-12-19
ZA202108346B (en) 2022-07-27
CN110312485A (zh) 2019-10-08
US12268441B2 (en) 2025-04-08
AU2018262612A1 (en) 2019-08-22
ES2879317T3 (es) 2021-11-22
JP7378180B2 (ja) 2023-11-13
PT3847988T (pt) 2022-10-07
JP2020518306A (ja) 2020-06-25
CN115337100A (zh) 2022-11-15
JP2023040210A (ja) 2023-03-22
EP3847987C0 (en) 2023-12-27
EP3618745B1 (en) 2021-04-14
CN110312485B (zh) 2022-10-11
EP3618745A1 (en) 2020-03-11
EP3847987A1 (en) 2021-07-14
US11547478B2 (en) 2023-01-10
JP7470459B2 (ja) 2024-04-18
SG11201906823RA (en) 2019-11-28
ZA202108345B (en) 2022-07-27
GB201707112D0 (en) 2017-06-21
EP3847988A1 (en) 2021-07-14

Similar Documents

Publication Publication Date Title
JP7378180B2 (ja) 組織切除のための電気手術機器
JP5230633B2 (ja) 針、および針生検装置
JP7539182B2 (ja) 電気外科焼灼器具
CA2934981C (en) Electrosurgical apparatus for delivering rf and/or microwave energy into biological tissue
US20050245920A1 (en) Cell necrosis apparatus with cooled microwave antenna
JP2001517528A (ja) 偏向可能間質切除装置
JP2020518306A5 (enExample)
KR20220002893A (ko) 전기 수술 시스템
KR20220092512A (ko) 전기 수술 기구용 도입기
US20170231695A1 (en) Systems and methods for determining the status of a fluid-cooled microwave ablation system
HK40077674A (en) Electrosurgical apparatus for tissue ablation
HK40077673A (en) Electrosurgical apparatus for tissue ablation
HK40013341A (en) Electrosurgical apparatus for tissue ablation
HK40013341B (en) Electrosurgical apparatus for tissue ablation

Legal Events

Date Code Title Description
PA0105 International application

Patent event date: 20190725

Patent event code: PA01051R01D

Comment text: International Patent Application

PG1501 Laying open of application
A201 Request for examination
PA0201 Request for examination

Patent event code: PA02012R01D

Patent event date: 20210419

Comment text: Request for Examination of Application

E902 Notification of reason for refusal
PE0902 Notice of grounds for rejection

Comment text: Notification of reason for refusal

Patent event date: 20230118

Patent event code: PE09021S01D

E601 Decision to refuse application
PE0601 Decision on rejection of patent

Patent event date: 20230323

Comment text: Decision to Refuse Application

Patent event code: PE06012S01D

Patent event date: 20230118

Comment text: Notification of reason for refusal

Patent event code: PE06011S01I