RU2016119258A - Нейтральный электрод для воздействия током вч, электрохирургическая система с таким электродом и способ изготовления такого электрода - Google Patents

Нейтральный электрод для воздействия током вч, электрохирургическая система с таким электродом и способ изготовления такого электрода Download PDF

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RU2016119258A
RU2016119258A RU2016119258A RU2016119258A RU2016119258A RU 2016119258 A RU2016119258 A RU 2016119258A RU 2016119258 A RU2016119258 A RU 2016119258A RU 2016119258 A RU2016119258 A RU 2016119258A RU 2016119258 A RU2016119258 A RU 2016119258A
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substrate
neutral electrode
phase transition
blocks
electrode
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RU2698053C2 (ru
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Уве ШНИЦЛЕР
Петер ЗЕЛИГ
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Эрбе Электромедицин Гмбх
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/10Power sources therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/16Indifferent or passive electrodes for grounding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1402Probes for open surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00047Cooling or heating of the probe or tissue immediately surrounding the probe using Peltier effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00089Thermal conductivity
    • A61B2018/00095Thermal conductivity high, i.e. heat conducting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00136Coatings on the energy applicator with polymer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00452Skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607Coagulation and cutting with the same instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/16Indifferent or passive electrodes for grounding
    • A61B2018/167Passive electrodes capacitively coupled to the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/02Compresses or poultices for effecting heating or cooling
    • A61F2007/0292Compresses or poultices for effecting heating or cooling using latent heat produced or absorbed during phase change of materials, e.g. of super-cooled solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/02Compresses or poultices for effecting heating or cooling
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C39/00Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor
    • B29C39/003Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor characterised by the choice of material
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C39/00Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor
    • B29C39/02Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor for making articles of definite length, i.e. discrete articles
    • B29C39/10Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor for making articles of definite length, i.e. discrete articles incorporating preformed parts or layers, e.g. casting around inserts or for coating articles
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C39/00Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor
    • B29C39/22Component parts, details or accessories; Auxiliary operations
    • B29C39/38Heating or cooling
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29KINDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS OR TO MATERIALS FOR MOULDS, REINFORCEMENTS, FILLERS OR PREFORMED PARTS, e.g. INSERTS
    • B29K2667/00Use of polyesters or derivatives thereof for preformed parts, e.g. for inserts
    • B29K2667/003PET, i.e. poylethylene terephthalate
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29KINDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS OR TO MATERIALS FOR MOULDS, REINFORCEMENTS, FILLERS OR PREFORMED PARTS, e.g. INSERTS
    • B29K2995/00Properties of moulding materials, reinforcements, fillers, preformed parts or moulds
    • B29K2995/0012Properties of moulding materials, reinforcements, fillers, preformed parts or moulds having particular thermal properties
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29LINDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
    • B29L2031/00Other particular articles
    • B29L2031/753Medical equipment; Accessories therefor
    • B29L2031/7546Surgical equipment

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  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Claims (24)

1. Нейтральный электрод для воздействия током ВЧ на биологическую ткань, содержащий подложку (40), имеющую первую и вторую стороны; по меньшей мере один электрод (34, 34'), расположенный на первой стороне подложки (40); и материал с фазовым переходом (МФП) для поглощения теплоты, расположенный на второй стороне подложки (40), отличающийся тем, что материал с фазовым переходом по меньшей мере частично выполнен в виде блоков (37, 37'), расположенных на второй стороне подложки (40) по меньшей мере частично на расстоянии друг от друга с образованием проходов (38, 38').
2. Нейтральный электрод по п. 1, отличающийся тем, что содержит множество электродов (34, 34'), выполненных из алюминиевого сплава.
3. Нейтральный электрод по любому из пп. 1 или 2, отличающийся тем, что содержит токопроводящее вещество, в частности, выбранное из группы вязкоупругих жидкостей, например, гидрогель (36).
4. Нейтральный электрод по п. 1, отличающийся тем, что блоки (37, 37') представляют собой геометрические тела, предпочтительно многогранники.
5. Нейтральный электрод по п. 1, отличающийся тем, что блоки (37, 37') сужены в направлении от подложки.
6. Нейтральный электрод по п. 1, отличающийся тем, что проходы (38, 38'), ограниченные блоками (37, 37'), предпочтительно расположены по всей подложке (40) вдоль прямых линий.
7. Нейтральный электрод по п. 1, отличающийся тем, что блоки (37, 37') имеют одинаковую форму и расположены на подложке (40) предпочтительно на одинаковом расстоянии друг от друга и/или с одинаковым смещением относительно друг друга.
8. Нейтральный электрод по п. 1, отличающийся тем, что по меньшей мере некоторые блоки (37, 37') содержат термохромные красители и/или цветные пигменты.
9. Нейтральный электрод по п. 1, отличающийся тем, что по меньшей мере некоторые блоки (37, 37') содержат первый предпочтительно нижний слой (37а), имеющий первый материал с фазовым переходом, и второй предпочтительно верхний слой (37с), имеющий второй материал с фазовым переходом, причем первый материал с фазовым переходом имеет температуру плавления выше, в частности, на 5% и/или по меньшей мере на 10%, чем температура плавления второго материала с фазовым переходом.
10. Электрохирургическая система для коагуляции и/или разрезания ткани, содержащая:
нейтральный электрод (30) по любому из пп. 1-9;
по меньшей мере один электрохирургический, в частности, однополюсный инструмент (20);
ВЧ генератор, соединенный с нейтральным электродом (30) и с по меньшей мере одним инструментом (20).
11. Способ изготовления нейтрального электрода, в частности, нейтрального электрода (30) по пп. 1-9, содержащий этапы, на которых
изготавливают подложку (40);
размещают литейную форму (50), по меньшей мере частично открытую снизу, на подложке (40), причем литьевая форма (50) содержит множество сегментов (52, 52') для изготовления блоков (37, 37'), которые отделены от смежных сегментов (52, 52') перегородками (51, 51');
нагревают материал с фазовым переходом (МФП) так, что он по меньшей мере частично становится жидким;
вводят нагретый материал с фазовым переходом в литейную форму (50);
удаляют литейную форму (50).
12. Способ по п. 11, отличающийся тем, что на этапе изготовления подложки (40) наносят по меньшей мере один электрод (34, 34') на пленку, в частности, ПЭТ-подложку (33) и наносят, предпочтительно наклеивают, волокнистую структуру, в частности, нетканую основу (32) на указанную пленку со стороны, обращенной в сторону от электрода (34, 34').
13. Способ по п. 12, отличающийся тем, что выбирают такую волокнистую структуру и вводят материал с фазовым переходом в литейную форму (50) так, чтобы между этим материалом и указанной пленкой образовалось неразъемное соединение.
14. Способ по любому из пп. 11-13, отличающийся тем, что в литейную форму (50) последовательно вводят несколько различных материалов с фазовым переходом, которые отличаются друг от друга температурой плавления.
15. Способ по любому из пп. 11-13, отличающийся тем, что по меньшей мере один материал с фазовым переходом выполнен в виде губчатой полимерной структуры.
16. Способ по п. 14, отличающийся тем, что по меньшей мере один материал с фазовым переходом выполнен в виде губчатой полимерной структуры.
RU2016119258A 2015-05-19 2016-05-18 Нейтральный электрод для воздействия током вч, электрохирургическая система с таким электродом и способ изготовления такого электрода RU2698053C2 (ru)

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EP15168061.8A EP3095406B1 (de) 2015-05-19 2015-05-19 Neutralelektrodenvorrichtung zur applikation eines hf-stroms, elektrochirurgisches system mit entsprechender neutralelektrodenvorrichtung und verfahren zur herstellung einer neutralelektrodenvorrichtung
EP15168061.8 2015-05-19

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Publication number Priority date Publication date Assignee Title
US11737822B2 (en) * 2018-07-24 2023-08-29 Avent, Inc. Dispersive return pad with phase change material for active thermal management during an ablation procedure
US11185362B2 (en) 2019-05-16 2021-11-30 Covidien Lp System and method for indicating return electrode contact

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6319599B1 (en) * 1992-07-14 2001-11-20 Theresa M. Buckley Phase change thermal control materials, method and apparatus
US6004662A (en) 1992-07-14 1999-12-21 Buckley; Theresa M. Flexible composite material with phase change thermal storage
US6533781B2 (en) * 1997-12-23 2003-03-18 Team Medical Llc Electrosurgical instrument
DE10303334A1 (de) * 2003-01-29 2004-08-12 Cognis Deutschland Gmbh & Co. Kg Zusammensetzung zur kontrollierten Temperierung durch Phasenwechsel, deren Herstellung und Verwendung
DE10305125B3 (de) * 2003-02-07 2004-09-09 Erbe Elektromedizin Gmbh Neutralelektrode für die HF-Chirurgie
EP1527760A1 (fr) * 2003-10-29 2005-05-04 Normand, Jacques Coussin thermique et son utilisation
DE102008046300A1 (de) * 2008-09-09 2010-03-18 Erbe Elektromedizin Gmbh Neutralelektrodenvorrichtung, Elektrochirurgisches Instrument mit entsprechender Neutralelektrodenvorrichtung, Kontaktmittel und Verwendung eines Latentwärmespeichers zur Kühlung einer Elektrode
US7220951B2 (en) * 2004-04-19 2007-05-22 Surgrx, Inc. Surgical sealing surfaces and methods of use
KR20080107374A (ko) * 2006-01-17 2008-12-10 엔디미온 메디칼 리미티드 위상 제어된 고주파 에너지를 사용하는 전기외과적 방법 및장치
CN2865631Y (zh) * 2006-01-23 2007-02-07 刘波 冰敷用具
US20090112202A1 (en) * 2007-10-31 2009-04-30 Boston Scientific Scimed, Inc. Dispersive electrode with thermochromatic properties
JP4621264B2 (ja) * 2008-03-11 2011-01-26 山一株式会社 蓄熱性温熱器具
DE202011001473U1 (de) * 2011-01-13 2011-05-05 Radspieler, Andreas Kühlbares flexibles Flächengebilde
EP2559411A1 (de) * 2011-08-19 2013-02-20 Leifheit Ag Wärmespendendes Produkt

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EP3095406B1 (de) 2020-04-29
RU2698053C2 (ru) 2019-08-21
BR102016010717A2 (pt) 2016-11-22
CN106166087A (zh) 2016-11-30
EP3095406A1 (de) 2016-11-23
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PL3095406T3 (pl) 2020-07-13
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