MX352427B - Dispositivos y técnicas para cortar y coagular tejido. - Google Patents

Dispositivos y técnicas para cortar y coagular tejido.

Info

Publication number
MX352427B
MX352427B MX2014012238A MX2014012238A MX352427B MX 352427 B MX352427 B MX 352427B MX 2014012238 A MX2014012238 A MX 2014012238A MX 2014012238 A MX2014012238 A MX 2014012238A MX 352427 B MX352427 B MX 352427B
Authority
MX
Mexico
Prior art keywords
electrical signal
baseline
techniques
cutting
devices
Prior art date
Application number
MX2014012238A
Other languages
English (en)
Other versions
MX2014012238A (es
Inventor
James R Giordano
Eitan T Wiener
Brian D Bertke
Foster B Stulen
Jeffrey L Aldridge
Jeffrey D Messerly
Karalyn R Tellio
David C Yates
Original Assignee
Ethicon Endo Surgery Inc
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 Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of MX2014012238A publication Critical patent/MX2014012238A/es
Publication of MX352427B publication Critical patent/MX352427B/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
    • 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
    • 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
    • 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
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A61B2017/0003—Conductivity or impedance, e.g. of tissue of parts of the instruments
    • 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
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • 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
    • A61B2017/00132—Setting operation time of a device
    • 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
    • A61B2017/00172—Pulse trains, bursts, intermittent continuous operation
    • A61B2017/00176—Two pulses, e.g. second pulse having an effect different from the first one
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00898—Alarms or notifications created in response to an abnormal condition
    • 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

Landscapes

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

Abstract

Se dirigen varias formas a sistemas y métodos para el accionamiento de un efector de extremo acoplado a un sistema de accionamiento ultrasónico de un instrumento quirúrgico; un generador puede generar al menos una señal eléctrica puede monitorearse contra un primer conjunto de condiciones lógicas; cuando una impedancia ultrasónica del instrumento quirúrgico supera un umbral de impedancia, una frecuencia de resonancia de la al menos una señal eléctrica puede almacenarse como una frecuencia de línea base; una primera respuesta del generador puede activarse ante la ocurrencia de ya sea que el primer conjunto de condiciones lógicas se cumpla o la frecuencia de resonancia de la al menos una señal eléctrica difiera de la frecuencia de línea base por un umbral de desviación de línea base.
MX2014012238A 2012-04-09 2013-04-05 Dispositivos y técnicas para cortar y coagular tejido. MX352427B (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201261621876P 2012-04-09 2012-04-09
US13/839,014 US9237921B2 (en) 2012-04-09 2013-03-15 Devices and techniques for cutting and coagulating tissue
PCT/US2013/035361 WO2013154919A2 (en) 2012-04-09 2013-04-05 Devices and techniques for cutting and coagulating tissue

Publications (2)

Publication Number Publication Date
MX2014012238A MX2014012238A (es) 2015-05-11
MX352427B true MX352427B (es) 2017-11-23

Family

ID=48128632

Family Applications (1)

Application Number Title Priority Date Filing Date
MX2014012238A MX352427B (es) 2012-04-09 2013-04-05 Dispositivos y técnicas para cortar y coagular tejido.

Country Status (11)

Country Link
US (2) US9237921B2 (es)
EP (2) EP3549536B1 (es)
JP (1) JP6466319B2 (es)
KR (1) KR20150003291A (es)
CN (1) CN104363842B (es)
AU (1) AU2013246231B2 (es)
BR (1) BR112014025089B1 (es)
CA (1) CA2869890C (es)
MX (1) MX352427B (es)
RU (1) RU2014145013A (es)
WO (1) WO2013154919A2 (es)

Families Citing this family (706)

* Cited by examiner, † Cited by third party
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US20160120563A1 (en) 2016-05-05
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BR112014025089B1 (pt) 2021-08-24
CA2869890C (en) 2020-07-28
EP2836141A2 (en) 2015-02-18
MX2014012238A (es) 2015-05-11
CN104363842B (zh) 2017-06-09
US9700343B2 (en) 2017-07-11
AU2013246231B2 (en) 2018-02-22
RU2014145013A (ru) 2016-05-27
JP6466319B2 (ja) 2019-02-06
EP3549536A2 (en) 2019-10-09
KR20150003291A (ko) 2015-01-08
EP3549536A3 (en) 2020-03-18
US9237921B2 (en) 2016-01-19
CN104363842A (zh) 2015-02-18
JP2015514474A (ja) 2015-05-21
BR112014025089A2 (pt) 2017-06-20

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