MX2019013876A - Instrumento de combinacion ultrasonico y electroquirurgico con un proceso de sellado ultrasonico basado en la fuerza de sujecion de produccion y metodos relacionados. - Google Patents

Instrumento de combinacion ultrasonico y electroquirurgico con un proceso de sellado ultrasonico basado en la fuerza de sujecion de produccion y metodos relacionados.

Info

Publication number
MX2019013876A
MX2019013876A MX2019013876A MX2019013876A MX2019013876A MX 2019013876 A MX2019013876 A MX 2019013876A MX 2019013876 A MX2019013876 A MX 2019013876A MX 2019013876 A MX2019013876 A MX 2019013876A MX 2019013876 A MX2019013876 A MX 2019013876A
Authority
MX
Mexico
Prior art keywords
ultrasonic
clamp force
seal process
production clamp
related methods
Prior art date
Application number
MX2019013876A
Other languages
English (en)
Inventor
S Sawhney Amrita
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
Publication of MX2019013876A publication Critical patent/MX2019013876A/es

Links

Classifications

    • 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
    • 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
    • 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
    • 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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • 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
    • 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
    • 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
    • A61B2017/00084—Temperature
    • 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
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • 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
    • A61B2017/00137—Details of operation mode
    • A61B2017/00154—Details of operation mode pulsed
    • A61B2017/00181—Means for setting or varying the pulse energy
    • A61B2017/0019—Means for setting or varying the pulse width
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • 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
    • A61B2017/320072—Working tips with special features, e.g. extending parts
    • A61B2017/320074—Working tips with special features, e.g. extending parts blade
    • A61B2017/320075—Working tips with special features, e.g. extending parts blade single edge blade, e.g. for cutting
    • 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
    • A61B2017/320088—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
    • 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
    • A61B2017/320094—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
    • 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
    • A61B2017/320095—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
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00642—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
    • 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
    • A61B2018/00642—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
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00672—Sensing and controlling the application of energy using a threshold value lower
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • A61B2018/00708—Power or energy switching the power on or off
    • 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
    • A61B2018/00714—Temperature
    • 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
    • A61B2018/00755—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
    • A61B2018/00696—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
    • A61B2018/00636—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
    • A61B2018/00791—Temperature
    • 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
    • A61B2018/00845—Frequency
    • 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
    • A61B2018/0088—Vibration
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/00928—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by sending a signal to an external energy source
    • 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
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
    • 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
    • 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
    • A61B2018/1457—Probes having pivoting end effectors, e.g. forceps including means for cutting having opposing blades cutting tissue grasped by the jaws, i.e. combined scissors and pliers
    • 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
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

Un instrumento quirúrgico ultrasónico (12) y método de sellado de un tejido basado en una fuerza de sujeción de producción incluyen determinar un proceso de sellado ultrasónico con el controlador (46) basándose en la fuerza de sujeción de producción entre una mordaza superior y una mordaza inferior de un efector de extremo (20) y activar la energía ultrasónica o la energía de RF de acuerdo con el proceso de sellado ultrasónico determinado; el instrumento quirúrgico ultrasónico (12) incluye, además, un efector de extremo (20) que tiene una cuchilla ultrasónica (28), una mordaza, un electrodo de RF (30), y un controlador (46); la mordaza está ubicada de manera movible con respecto a la cuchilla ultrasónica (28) y están configuradas para moverse entre una posición abierta y una posición cerrada y sujetarse entre sí con una fuerza de sujeción de producción en la posición cerrada; el controlador (46) se conecta operativamente a la cuchilla ultrasónica (28) y el electrodo de RF (30) e incluye el proceso de sellado ultrasónico basándose en la fuerza de sujeción de producción almacenada en él para accionar la cuchilla ultrasónica (28) o el electrodo de RF (30).
MX2019013876A 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con un proceso de sellado ultrasonico basado en la fuerza de sujecion de produccion y metodos relacionados. MX2019013876A (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762509336P 2017-05-22 2017-05-22
US15/967,770 US11266455B2 (en) 2017-05-22 2018-05-01 Combination ultrasonic and electrosurgical instrument with a production clamp force based ultrasonic seal process and related methods
PCT/US2018/033305 WO2018217549A1 (en) 2017-05-22 2018-05-18 Combination ultrasonic and electrosurgical instrument with a production clamp force based ultrasonic seal process and related methods

Publications (1)

Publication Number Publication Date
MX2019013876A true MX2019013876A (es) 2020-01-20

Family

ID=64269673

Family Applications (7)

Application Number Title Priority Date Filing Date
MX2019013895A MX2019013895A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con modalidades de energia ajustables y metodo para limitar la temperatura de la cuchilla.
MX2019013877A MX2019013877A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido con diversos parametros de terminacion.
MX2019013902A MX2019013902A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido en fases sucesivas.
MX2019013903A MX2019013903A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con entrada de posicion del brazo de sujecion y metodo para identificar el estado del tejido.
MX2019013876A MX2019013876A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con un proceso de sellado ultrasonico basado en la fuerza de sujecion de produccion y metodos relacionados.
MX2019013888A MX2019013888A (es) 2017-05-22 2018-05-18 Instrumento de combinacion electroquirurgico y ultrasonico con modalidades de energia ajustables y metodo para sellar tejido e inhibir la reseccion de tejido.
MX2023012942A MX2023012942A (es) 2017-05-22 2019-11-21 Instrumento de combinacion ultrasonico y electroquirurgico con entrada de posicion del brazo de sujecion y metodo para identificar el estado del tejido.

Family Applications Before (4)

Application Number Title Priority Date Filing Date
MX2019013895A MX2019013895A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con modalidades de energia ajustables y metodo para limitar la temperatura de la cuchilla.
MX2019013877A MX2019013877A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido con diversos parametros de terminacion.
MX2019013902A MX2019013902A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido en fases sucesivas.
MX2019013903A MX2019013903A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con entrada de posicion del brazo de sujecion y metodo para identificar el estado del tejido.

Family Applications After (2)

Application Number Title Priority Date Filing Date
MX2019013888A MX2019013888A (es) 2017-05-22 2018-05-18 Instrumento de combinacion electroquirurgico y ultrasonico con modalidades de energia ajustables y metodo para sellar tejido e inhibir la reseccion de tejido.
MX2023012942A MX2023012942A (es) 2017-05-22 2019-11-21 Instrumento de combinacion ultrasonico y electroquirurgico con entrada de posicion del brazo de sujecion y metodo para identificar el estado del tejido.

Country Status (7)

Country Link
US (9) US11229473B2 (es)
EP (6) EP3629954B1 (es)
JP (7) JP2020520725A (es)
CN (6) CN110662500B (es)
BR (6) BR112019024345B1 (es)
MX (7) MX2019013895A (es)
WO (6) WO2018217551A1 (es)

Families Citing this family (83)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10945779B2 (en) 2017-05-22 2021-03-16 Ethicon Llc Combination ultrasonic and electrosurgical instrument having electrically insulating features
US11229473B2 (en) 2017-05-22 2022-01-25 Cilag Gmbh International Combination ultrasonic and electrosurgical instrument with clamp arm position input and method for identifying tissue state
US11534226B2 (en) * 2017-09-22 2022-12-27 Covidien Lp Systems and methods for minimizing arcing of bipolar forceps
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10980560B2 (en) 2017-10-30 2021-04-20 Ethicon Llc Surgical instrument systems comprising feedback mechanisms
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
US10595887B2 (en) 2017-12-28 2020-03-24 Ethicon Llc Systems for adjusting end effector parameters based on perioperative information
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11701162B2 (en) * 2018-03-08 2023-07-18 Cilag Gmbh International Smart blade application for reusable and disposable devices
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11839396B2 (en) 2018-03-08 2023-12-12 Cilag Gmbh International Fine dissection mode for tissue classification
US11589865B2 (en) 2018-03-28 2023-02-28 Cilag Gmbh International Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11291445B2 (en) 2019-02-19 2022-04-05 Cilag Gmbh International Surgical staple cartridges with integral authentication keys
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
CN109646109B (zh) * 2019-02-19 2021-04-13 深圳市世格赛思医疗科技有限公司 一种超声刀组织自适应切割止血控制方法及装置
CN109998617A (zh) 2019-04-29 2019-07-12 上海博洽医疗器械有限公司 多用途的腔镜外科器械
AU2020267650B2 (en) 2019-05-09 2023-09-21 GYRUS ACMI, INC., d/b/a Olympus Surgical Technologies America Electrosurgical systems and methods
GB2594438A (en) * 2019-12-05 2021-11-03 Creo Medical Ltd Electrosurgical instrument, generator and apparatus
US11832916B2 (en) * 2020-01-29 2023-12-05 Covidien Lp System and methods for identifying vessels within tissue
US20210346083A1 (en) * 2020-05-07 2021-11-11 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Electro-surgical device with stable jaw temperature
CN112006719A (zh) * 2020-08-31 2020-12-01 厚凯(北京)医疗科技有限公司 一种高频电刀
US11617599B2 (en) * 2020-10-15 2023-04-04 Covidien Lp Ultrasonic surgical instrument
US11998228B2 (en) 2020-10-22 2024-06-04 Cilag Gmbh International Ultrasonic surgical instrument with a carrier kart and reusable stage
US12016587B2 (en) * 2020-10-22 2024-06-25 Cilag Gmbh International Carrier kart and jaw closure of an ultrasonic surgical instrument
US11931059B2 (en) 2020-10-22 2024-03-19 Cilag Gmbh International Surgical instrument with a carrier kart and various communication cable arrangements
US11992257B2 (en) 2020-12-29 2024-05-28 Cilag Gmbh International Energized surgical instrument system with multi-generator output monitoring
US12011217B2 (en) 2020-12-29 2024-06-18 Cilag Gmbh International Electrosurgical instrument with modular component contact monitoring
US20220202476A1 (en) * 2020-12-29 2022-06-30 Ethicon Llc Electrosurgical instrument with electrical resistance monitor at rotary coupling
CN112716594B (zh) * 2020-12-31 2022-08-12 杭州堃博生物科技有限公司 射频操作对象数据异常的保护方法、射频主机和存储介质
CN116940294A (zh) * 2021-03-02 2023-10-24 柯惠有限合伙公司 结合超声和电外科功能的手术器械、系统和方法
US20220409232A1 (en) * 2021-06-24 2022-12-29 Covidien Lp Energy based surgical instruments and systems
DE112021007732T5 (de) * 2021-07-26 2024-04-11 Olympus Medical Systems Corp. Energiebehandlungssystem
CN114191041B (zh) * 2021-12-09 2024-04-02 上海益超医疗器械有限公司 向外科器械输出驱动信号的方法、设备、装置及电子设备
CN114027937A (zh) * 2021-12-24 2022-02-11 上海益超医疗器械有限公司 向外科器械输出驱动信号的设备
CN114831725B (zh) * 2022-05-05 2024-01-26 以诺康医疗科技（苏州）有限公司 一种电外科发生器、电外科系统及其控制方法

Family Cites Families (82)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5657429A (en) 1992-08-10 1997-08-12 Computer Motion, Inc. Automated endoscope system optimal positioning
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
EP0699053B1 (en) 1993-05-14 1999-03-17 Sri International Surgical apparatus
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US6364888B1 (en) 1996-09-09 2002-04-02 Intuitive Surgical, Inc. Alignment of master and slave in a minimally invasive surgical apparatus
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US6231565B1 (en) 1997-06-18 2001-05-15 United States Surgical Corporation Robotic arm DLUs for performing surgical tasks
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US6309400B2 (en) 1998-06-29 2001-10-30 Ethicon Endo-Surgery, Inc. Curved ultrasonic blade having a trapezoidal cross section
CA2276316C (en) 1998-06-29 2008-02-12 Ethicon Endo-Surgery, Inc. Method of balancing asymmetric ultrasonic surgical blades
US6459926B1 (en) 1998-11-20 2002-10-01 Intuitive Surgical, Inc. Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
JP4037582B2 (ja) * 1999-12-02 2008-01-23 オリンパス株式会社 電気手術装置及び電気手術装置の出力制御方法
US6423082B1 (en) 2000-03-31 2002-07-23 Ethicon Endo-Surgery, Inc. Ultrasonic surgical blade with improved cutting and coagulation features
US6500176B1 (en) 2000-10-23 2002-12-31 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
CA2792000C (en) 2001-06-29 2016-08-16 Intuitive Surgical, Inc. Platform link wrist mechanism
US6929644B2 (en) 2001-10-22 2005-08-16 Surgrx Inc. Electrosurgical jaw structure for controlled energy delivery
US7311709B2 (en) 2001-10-22 2007-12-25 Surgrx, Inc. Electrosurgical instrument and method of use
US7354440B2 (en) 2001-10-22 2008-04-08 Surgrx, Inc. Electrosurgical instrument and method of use
US7189233B2 (en) 2001-10-22 2007-03-13 Surgrx, Inc. Electrosurgical instrument
US7125409B2 (en) 2001-10-22 2006-10-24 Surgrx, Inc. Electrosurgical working end for controlled energy delivery
CA2473798C (en) 2002-01-22 2015-11-03 Sciogen Llc Electrosurgical instrument and method of use
US7169146B2 (en) 2003-02-14 2007-01-30 Surgrx, Inc. Electrosurgical probe and method of use
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7309849B2 (en) 2003-11-19 2007-12-18 Surgrx, Inc. Polymer compositions exhibiting a PTC property and methods of fabrication
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US7220951B2 (en) 2004-04-19 2007-05-22 Surgrx, Inc. Surgical sealing surfaces and methods of use
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US9675375B2 (en) 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
US8574252B2 (en) 2006-06-01 2013-11-05 Ethicon Endo-Surgery, Inc. Ultrasonic blade support
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8512365B2 (en) * 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8623027B2 (en) 2007-10-05 2014-01-07 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US9179912B2 (en) * 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8058771B2 (en) * 2008-08-06 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating with stepped output
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8377052B2 (en) * 2009-04-17 2013-02-19 Domain Surgical, Inc. Surgical tool with inductively heated regions
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
EP2453813B1 (en) * 2009-07-15 2017-07-05 Ethicon LLC Electrosurgical ultrasonic instrument
US9017326B2 (en) * 2009-07-15 2015-04-28 Ethicon Endo-Surgery, Inc. Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments
US8939974B2 (en) 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
US9039695B2 (en) * 2009-10-09 2015-05-26 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US9089327B2 (en) 2010-09-24 2015-07-28 Ethicon Endo-Surgery, Inc. Surgical instrument with multi-phase trigger bias
US9220559B2 (en) 2010-09-24 2015-12-29 Ethicon Endo-Surgery, Inc. Articulation joint features for articulating surgical device
US9545253B2 (en) 2010-09-24 2017-01-17 Ethicon Endo-Surgery, Llc Surgical instrument with contained dual helix actuator assembly
US9877720B2 (en) 2010-09-24 2018-01-30 Ethicon Llc Control features for articulating surgical device
US9782214B2 (en) 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
US9161803B2 (en) 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
US10729458B2 (en) * 2011-03-30 2020-08-04 Covidien Lp Ultrasonic surgical instruments
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9237921B2 (en) 2012-04-09 2016-01-19 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9226766B2 (en) * 2012-04-09 2016-01-05 Ethicon Endo-Surgery, Inc. Serial communication protocol for medical device
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9788851B2 (en) * 2012-04-18 2017-10-17 Ethicon Llc Surgical instrument with tissue density sensing
US9681884B2 (en) 2012-05-31 2017-06-20 Ethicon Endo-Surgery, Llc Surgical instrument with stress sensor
US20140135804A1 (en) * 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US9572622B2 (en) 2012-12-10 2017-02-21 Ethicon Endo-Surgery, Llc Bipolar electrosurgical features for targeted hemostasis
US9949785B2 (en) 2013-11-21 2018-04-24 Ethicon Llc Ultrasonic surgical instrument with electrosurgical feature
US9750521B2 (en) 2014-07-22 2017-09-05 Ethicon Llc Ultrasonic blade overmold
US10194972B2 (en) * 2014-08-26 2019-02-05 Ethicon Llc Managing tissue treatment
CN204542303U (zh) * 2015-01-28 2015-08-12 吴江麦道纺织有限公司 降低组织热损伤的超声外科器械
AU2015249032B2 (en) * 2015-02-24 2017-03-23 Covidien Lp Ultrasonic surgical instrument with cooling system
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10813684B2 (en) 2015-03-30 2020-10-27 Ethicon Llc Control of cutting and sealing based on tissue mapped by segmented electrode
US10617463B2 (en) 2015-04-23 2020-04-14 Covidien Lp Systems and methods for controlling power in an electrosurgical generator
US10034684B2 (en) * 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US11229473B2 (en) 2017-05-22 2022-01-25 Cilag Gmbh International Combination ultrasonic and electrosurgical instrument with clamp arm position input and method for identifying tissue state
US10945779B2 (en) 2017-05-22 2021-03-16 Ethicon Llc Combination ultrasonic and electrosurgical instrument having electrically insulating features

Also Published As

Publication number Publication date
BR112019023459B1 (pt) 2024-01-09
CN111031944B (zh) 2023-11-17
EP3634268B1 (en) 2022-03-09
US20220202466A1 (en) 2022-06-30
EP3629953A1 (en) 2020-04-08
BR112019023456A2 (pt) 2020-06-30
BR112019023653A2 (pt) 2020-05-26
JP2020520726A (ja) 2020-07-16
JP7463107B2 (ja) 2024-04-08
CN110662499B (zh) 2023-05-05
US20180333190A1 (en) 2018-11-22
JP7278966B2 (ja) 2023-05-22
BR112019023653B1 (pt) 2024-01-16
CN110662500A (zh) 2020-01-07
US11278340B2 (en) 2022-03-22
US11737804B2 (en) 2023-08-29
BR112019024297A2 (pt) 2020-06-16
CN110662501A (zh) 2020-01-07
MX2019013888A (es) 2020-01-20
BR112019024303B1 (pt) 2024-01-09
BR112019023456B1 (pt) 2024-01-09
JP7159217B2 (ja) 2022-10-24
US20180333182A1 (en) 2018-11-22
EP3634270A1 (en) 2020-04-15
EP3634270B1 (en) 2021-06-23
US11229473B2 (en) 2022-01-25
BR112019024345A2 (pt) 2020-06-16
US20220202465A1 (en) 2022-06-30
CN110662501B (zh) 2023-05-02
CN110662498B (zh) 2023-01-17
CN110662500B (zh) 2023-09-01
US11266455B2 (en) 2022-03-08
CN110662503B (zh) 2023-06-06
CN110662499A (zh) 2020-01-07
EP3634269B1 (en) 2022-03-02
EP3629953B1 (en) 2022-03-09
JP7500787B2 (ja) 2024-06-17
EP3629954B1 (en) 2022-09-28
CN110662498A (zh) 2020-01-07
JP2020520725A (ja) 2020-07-16
US20230346447A1 (en) 2023-11-02
EP3634268A1 (en) 2020-04-15
CN110662503A (zh) 2020-01-07
WO2018217548A3 (en) 2019-02-07
MX2019013903A (es) 2020-01-21
US20180333187A1 (en) 2018-11-22
BR112019024297B1 (pt) 2024-02-06
BR112019024303A2 (pt) 2020-06-16
US11229475B2 (en) 2022-01-25
MX2023012942A (es) 2023-11-13
JP2023026661A (ja) 2023-02-24
WO2018217550A1 (en) 2018-11-29
EP3634269A1 (en) 2020-04-15
US11229474B2 (en) 2022-01-25
JP7254717B2 (ja) 2023-04-10
BR112019024345B1 (pt) 2024-01-09
EP3634267A1 (en) 2020-04-15
MX2019013877A (es) 2020-01-20
JP2023036997A (ja) 2023-03-14
US20180333188A1 (en) 2018-11-22
WO2018217552A1 (en) 2018-11-29
US11259856B2 (en) 2022-03-01
JP2020520722A (ja) 2020-07-16
BR112019023459A2 (pt) 2020-06-30
WO2018217547A1 (en) 2018-11-29
WO2018217549A1 (en) 2018-11-29
WO2018217551A1 (en) 2018-11-29
MX2019013895A (es) 2020-01-20
EP3629954A2 (en) 2020-04-08
JP2020520721A (ja) 2020-07-16
CN111031944A (zh) 2020-04-17
WO2018217548A2 (en) 2018-11-29
EP3634267B1 (en) 2022-03-30
MX2019013902A (es) 2020-01-20
US20180333189A1 (en) 2018-11-22
JP2020520719A (ja) 2020-07-16
US20180333185A1 (en) 2018-11-22
JP2020520720A (ja) 2020-07-16

Similar Documents

Publication Publication Date Title
MX2019013876A (es) Instrumento de combinacion ultrasonico y electroquirurgico con un proceso de sellado ultrasonico basado en la fuerza de sujecion de produccion y metodos relacionados.
MX2016006647A (es) Instrumento quirurgico ultrasonico con caracteristica electroquirurgica.
EP3777708A3 (en) Surgical instrument comprising improved jaw control
WO2016057280A3 (en) Methods and devices for articulating laparoscopic energy device
MX2013010732A (es) Instrumento electroquirurgico articulable con accionador de articulacion que se puede estabilizar.
WO2014149318A3 (en) Surgical instrument with partial trigger lockout
WO2009067649A3 (en) Bipolar forceps having a cutting element
WO2016025122A3 (en) Surgical instruments and methods for performing tonsillectomy and adenoidectomy procedures
MX2023000595A (es) Metodos de corte y engrapado quirurgicos.
BR112019024361A2 (pt) instrumento eletrocirúrgico e ultrassônico combinado que tem eletrodo de braço de aperto
CA2932459C (en) Electrosurgical end effectors
EP2754403A3 (en) Surgical forceps
EP3725236A3 (en) Method of applying a buttress to a surgical stapler
MX2016011043A (es) Instrumento quirurgico con borde con propiedades optimizadas para la adhesion.
JP6224840B2 (ja) 処置具及び処置システム
JP2016129675A (ja) 電気手術器具用のエンドエフェクタ
MX2016008378A (es) Instrumentos de corte y engrapado quirurgicos con efectores de extremo articulados.
DE602006016921D1 (de) Vorrichtung zur regulierung von gewebeschweissbacken
MX2016003663A (es) Caracteristicas de alineacion para instrumentos quirurgicos ultrasonicos.
CN205885520U (zh) 电外科器械
MX2020001566A (es) Aplicador de clips quirúrgicos.
WO2018144090A3 (en) Electrosurgical tissue and vessel sealing device
MX2020001562A (es) Alineamiento de mordazas del aplicador de clips quirúrgicos.
WO2014179199A3 (en) Electrosurgical instrument with dual blade end effector
CN204147117U (zh) 双极微创切凝钳