MX2018000195A - Sistema quirurgico con tecnicas adaptables al usuario que emplea modalidades simultaneas de energia con base en parametros de tejidos. - Google Patents

Sistema quirurgico con tecnicas adaptables al usuario que emplea modalidades simultaneas de energia con base en parametros de tejidos.

Info

Publication number
MX2018000195A
MX2018000195A MX2018000195A MX2018000195A MX2018000195A MX 2018000195 A MX2018000195 A MX 2018000195A MX 2018000195 A MX2018000195 A MX 2018000195A MX 2018000195 A MX2018000195 A MX 2018000195A MX 2018000195 A MX2018000195 A MX 2018000195A
Authority
MX
Mexico
Prior art keywords
end effector
tissue
energy
surgical instrument
surgical system
Prior art date
Application number
MX2018000195A
Other languages
English (en)
Inventor
Kevin L Houser
David C Yates
Original Assignee
Ethicon Llc
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 Ethicon Llc filed Critical Ethicon Llc
Priority claimed from PCT/US2016/039224 external-priority patent/WO2017003855A1/en
Publication of MX2018000195A publication Critical patent/MX2018000195A/es

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
    • A61B18/1206—Generators therefor
    • A61B18/1233—Generators therefor with circuits for assuring patient safety
    • 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
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    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
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    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
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    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • A—HUMAN NECESSITIES
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    • A61B2018/00589—Coagulation
    • A—HUMAN NECESSITIES
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    • A—HUMAN NECESSITIES
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    • 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
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    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
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    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00648—Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
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    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00654—Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
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    • A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
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    • A61B2018/00708—Power or energy switching the power on or off
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    • A61B2018/00726—Duty cycle
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    • A61B2018/00886—Duration
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    • 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
    • A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension

Abstract

Varias formas se dirigen a sistemas y métodos para la disección y coagulación de tejidos; un instrumento quirúrgico incluye un efector de extremo configurado para diseccionar y sellar tejidos en un extremo distal del mismo, y un generador que está acoplado de manera eléctrica al instrumento quirúrgico y que está configurado para suministrar energía al efector de extremo; el instrumento quirúrgico incluye un efector de extremo configurado para interactuar con un tejido en un extremo distal del mismo, un generador acoplado de manera eléctrica al instrumento quirúrgico y configurado para suministrar energía de radiofrecuencia (RF) y energía ultrasónica al efector de extremo para permitir que el efector de extremo interactúe con el tejido; la energía suministrada al efector de extremo alterna entre energía RF y energía ultrasónica con base en una determinación de varios factores como impudencia tisular.
MX2018000195A 2015-06-30 2016-06-24 Sistema quirurgico con tecnicas adaptables al usuario que emplea modalidades simultaneas de energia con base en parametros de tejidos. MX2018000195A (es)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US201562186984P 2015-06-30 2015-06-30
US201562235368P 2015-09-30 2015-09-30
US201562235260P 2015-09-30 2015-09-30
US201562235466P 2015-09-30 2015-09-30
US201662279635P 2016-01-15 2016-01-15
US201662330669P 2016-05-02 2016-05-02
US15/177,466 US10765470B2 (en) 2015-06-30 2016-06-09 Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
PCT/US2016/039224 WO2017003855A1 (en) 2015-06-30 2016-06-24 Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters

Publications (1)

Publication Number Publication Date
MX2018000195A true MX2018000195A (es) 2018-06-22

Family

ID=57682971

Family Applications (1)

Application Number Title Priority Date Filing Date
MX2018000195A MX2018000195A (es) 2015-06-30 2016-06-24 Sistema quirurgico con tecnicas adaptables al usuario que emplea modalidades simultaneas de energia con base en parametros de tejidos.

Country Status (5)

Country Link
US (3) US11141213B2 (es)
JP (3) JP6869906B2 (es)
CN (2) CN107847262A (es)
BR (1) BR112017028508B1 (es)
MX (1) MX2018000195A (es)

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US20170000554A1 (en) 2017-01-05
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