MX2019013879A - Instrumento ultrasonico y electroquirurgico en combinacion que tiene unidad de contacto electrico con anillo deslizable. - Google Patents

Instrumento ultrasonico y electroquirurgico en combinacion que tiene unidad de contacto electrico con anillo deslizable.

Info

Publication number
MX2019013879A
MX2019013879A MX2019013879A MX2019013879A MX2019013879A MX 2019013879 A MX2019013879 A MX 2019013879A MX 2019013879 A MX2019013879 A MX 2019013879A MX 2019013879 A MX2019013879 A MX 2019013879A MX 2019013879 A MX2019013879 A MX 2019013879A
Authority
MX
Mexico
Prior art keywords
electrical contact
contact
shaft assembly
contact assembly
slip ring
Prior art date
Application number
MX2019013879A
Other languages
English (en)
Inventor
A Corbett Catherine
T Davis Craig
b weisenburgh ii William
R Lesko Jason
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 MX2019013879A publication Critical patent/MX2019013879A/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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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    • 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
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00738—Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
    • A—HUMAN NECESSITIES
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    • A61B2017/00831—Material properties
    • A61B2017/00929—Material properties isolating electrical current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
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    • A61B2017/320072—Working tips with special features, e.g. extending parts
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    • A61B2017/320078—Tissue manipulating surface
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    • 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
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    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320089—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00136—Coatings on the energy applicator with polymer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00172—Connectors and adapters therefor
    • A61B2018/00178—Electrical connectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00607—Coagulation and cutting with the same instrument
    • 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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    • A—HUMAN NECESSITIES
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    • A61B2018/00988—Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
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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
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    • 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
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    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/142—Electrodes having a specific shape at least partly surrounding the target, e.g. concave, curved or in the form of a cave
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    • 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
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0803—Counting the number of times an instrument is used

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 incluye un cuerpo, una unidad de vástago rotatoria con relación al cuerpo, y un efector de extremo en un extremo distal de la unidad de vástago y que tiene un electrodo de RF operable para sellar tejido con energía de RF; una unidad de contacto eléctrico se dispone proximalmente del efector de extremo y se configura para acoplar eléctricamente el electrodo de RF con una fuente de energía de RF; la unidad de contacto eléctrico incluye un primer contacto eléctrico asegurado al cuerpo y un segundo contacto eléctrico asegurado a la unidad de vástago; el primer contacto se configura para acoplarse eléctricamente con la fuente de energía de RF; el segundo contacto se acopla eléctricamente con el electrodo de RF y el primer contacto, y se configura para rotar con la unidad de vástago con relación al primer contacto; el primer y segundo contactos eléctricos se configuran para permanecer eléctricamente acoplados durante la rotación de la unidad de vástago con relación al cuerpo.
MX2019013879A 2017-05-22 2018-05-21 Instrumento ultrasonico y electroquirurgico en combinacion que tiene unidad de contacto electrico con anillo deslizable. MX2019013879A (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762509351P 2017-05-22 2017-05-22
US15/967,746 US10945778B2 (en) 2017-05-22 2018-05-01 Combination ultrasonic and electrosurgical instrument having slip ring electrical contact assembly
PCT/US2018/033603 WO2018217596A2 (en) 2017-05-22 2018-05-21 Combination ultrasonic and electrosurgical instrument having slip ring electrical contact assembly

Publications (1)

Publication Number Publication Date
MX2019013879A true MX2019013879A (es) 2020-01-20

Family

ID=62620977

Family Applications (8)

Application Number Title Priority Date Filing Date
MX2019013898A MX2019013898A (es) 2017-05-22 2018-05-21 Combinacion de instrumento ultrasonico y electroquirurgico que tiene caracteristicas de aislamiento electrico.
MX2019013882A MX2019013882A (es) 2017-05-22 2018-05-21 Instrumento ultrasonico y electroquirurgico en combinacion que tiene guia de onda ultrasonica con miembro sobremoldeado distal.
MX2019013883A MX2019013883A (es) 2017-05-22 2018-05-21 Instrumento de combinacion ultrasonico y electroquirurgico que tiene electrodo de brazo de abrazadera.
MX2019013907A MX2019013907A (es) 2017-05-22 2018-05-21 Instrumento ultrasonico y electroquirurgico en combinacion que tiene circuitos electricos con trayectoria de retorno compartida.
MX2019013879A MX2019013879A (es) 2017-05-22 2018-05-21 Instrumento ultrasonico y electroquirurgico en combinacion que tiene unidad de contacto electrico con anillo deslizable.
MX2019013906A MX2019013906A (es) 2017-05-22 2018-05-21 Instrumento de combinacion ultrasonico y electroquirurgico que tiene cuchilla ultrasonica curva.
MX2019013908A MX2019013908A (es) 2017-05-22 2018-05-21 Sistema ultrasonico y electroquirurgico combinado que tiene sistema de circuitos de filtro generador.
MX2019013909A MX2019013909A (es) 2017-05-22 2018-05-21 Sistema de combinacion ultrasonico y electroquirurgico que tiene componentes eeprom y asic.

Family Applications Before (4)

Application Number Title Priority Date Filing Date
MX2019013898A MX2019013898A (es) 2017-05-22 2018-05-21 Combinacion de instrumento ultrasonico y electroquirurgico que tiene caracteristicas de aislamiento electrico.
MX2019013882A MX2019013882A (es) 2017-05-22 2018-05-21 Instrumento ultrasonico y electroquirurgico en combinacion que tiene guia de onda ultrasonica con miembro sobremoldeado distal.
MX2019013883A MX2019013883A (es) 2017-05-22 2018-05-21 Instrumento de combinacion ultrasonico y electroquirurgico que tiene electrodo de brazo de abrazadera.
MX2019013907A MX2019013907A (es) 2017-05-22 2018-05-21 Instrumento ultrasonico y electroquirurgico en combinacion que tiene circuitos electricos con trayectoria de retorno compartida.

Family Applications After (3)

Application Number Title Priority Date Filing Date
MX2019013906A MX2019013906A (es) 2017-05-22 2018-05-21 Instrumento de combinacion ultrasonico y electroquirurgico que tiene cuchilla ultrasonica curva.
MX2019013908A MX2019013908A (es) 2017-05-22 2018-05-21 Sistema ultrasonico y electroquirurgico combinado que tiene sistema de circuitos de filtro generador.
MX2019013909A MX2019013909A (es) 2017-05-22 2018-05-21 Sistema de combinacion ultrasonico y electroquirurgico que tiene componentes eeprom y asic.

Country Status (9)

Country Link
US (10) US11129661B2 (es)
EP (10) EP3881782B1 (es)
JP (9) JP2020520723A (es)
CN (8) CN110678130B (es)
BR (8) BR112019024331A2 (es)
GB (2) GB2608896B (es)
MX (8) MX2019013898A (es)
PL (1) PL3634274T3 (es)
WO (8) WO2018217598A1 (es)

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US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US10779849B2 (en) 2016-01-15 2020-09-22 Ethicon Llc Modular battery powered handheld surgical instrument with voltage sag resistant battery pack
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
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
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CN110650697B (zh) 2022-12-13
BR112019024335A2 (pt) 2020-06-16
GB2608896A (en) 2023-01-18
CN110650697A (zh) 2020-01-03
WO2018217600A3 (en) 2019-01-24
WO2018217607A1 (en) 2018-11-29
CN110662505A (zh) 2020-01-07
US20180333184A1 (en) 2018-11-22
BR112019024307A2 (pt) 2020-06-16
MX2019013907A (es) 2020-01-21
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JP7179775B2 (ja) 2022-11-29
MX2019013883A (es) 2020-01-20
BR112019024342A2 (pt) 2020-06-16
CN110650698A (zh) 2020-01-03
BR112019024552A2 (pt) 2020-06-09
CN110662496A (zh) 2020-01-07
EP3881782C0 (en) 2023-06-07
EP3634274B1 (en) 2021-05-05
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JP2020520730A (ja) 2020-07-16
US20180333180A1 (en) 2018-11-22
US20210346078A1 (en) 2021-11-11
BR112019024361A2 (pt) 2020-06-09
EP4005511A1 (en) 2022-06-01
MX2019013908A (es) 2020-01-21
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WO2018217596A2 (en) 2018-11-29
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WO2018217595A1 (en) 2018-11-29
MX2019013909A (es) 2020-01-21
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