WO2013038042A1 - Dispositif et procédé électrochirurgical bipolaire de coagulation et de section de tissus biologiques - Google Patents

Dispositif et procédé électrochirurgical bipolaire de coagulation et de section de tissus biologiques Download PDF

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Publication number
WO2013038042A1
WO2013038042A1 PCT/ES2012/070586 ES2012070586W WO2013038042A1 WO 2013038042 A1 WO2013038042 A1 WO 2013038042A1 ES 2012070586 W ES2012070586 W ES 2012070586W WO 2013038042 A1 WO2013038042 A1 WO 2013038042A1
Authority
WO
WIPO (PCT)
Prior art keywords
electrodes
cutting
tissue
coagulation
biological
Prior art date
Application number
PCT/ES2012/070586
Other languages
English (en)
Spanish (es)
Inventor
Enrique Berjano Zanon
Fernando Burdio Pinilla
Luis GRANDE POSA
Original Assignee
Universidad Politécnica De Valencia
Fundacio Institut Mar D'investigacions Mediques (Imim)
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 Universidad Politécnica De Valencia, Fundacio Institut Mar D'investigacions Mediques (Imim) filed Critical Universidad Politécnica De Valencia
Publication of WO2013038042A1 publication Critical patent/WO2013038042A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1402—Probes for open surgery
    • 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
    • A61B18/148—Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • A61B2018/00166—Multiple lumina
    • 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
    • A61B2018/00589—Coagulation
    • 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
    • A61B2018/00601—Cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration
    • A61B2218/008—Aspiration for smoke evacuation

Landscapes

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

Abstract

Dispositif électrochirurgical bipolaire de coagulation et de section de tissus biologiques, qui comprend une lame (4) pour la section du tissu et deux électrodes (2, 2') dotées d'un conduit interne (14) pour un liquide de refroidissement, ce dispositif étant caractérisé en ce qu'il comprend un élément de liaison isolant (3) qui est fixé sur les électrodes (2, 2') et sur la partie inférieure duquel est placée la lame (4), cette dernière faisant saillie entre les deux électrodes. L'élément de liaison (3) comprend un orifice (5) destiné à recevoir un tube d'aspiration des fumées produites lors de la coagulation. L'invention concerne en outre un procédé consistant à refroidir les électrodes (2, 2') et à les placer sur ledit tissu biologique et à appliquer un courant aux électrodes pour produire la coagulation du tissu, puis à réaliser la section dudit tissu biologique coagulé, en déplaçant le dispositif (1) sur le tissu biologique. À mesure que le tissu est sectionné, les électrodes descendent plus profondément dans la zone, augmentant la profondeur de la zone de coagulation avant la section.
PCT/ES2012/070586 2011-09-14 2012-07-30 Dispositif et procédé électrochirurgical bipolaire de coagulation et de section de tissus biologiques WO2013038042A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ES201131490A ES2419159B1 (es) 2011-09-14 2011-09-14 Dispositivo y procedimiento electroquirurgico bipolar para coagulacion y corte de tejidos biologicos
ESP201131490 2011-09-14

Publications (1)

Publication Number Publication Date
WO2013038042A1 true WO2013038042A1 (fr) 2013-03-21

Family

ID=47882667

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/ES2012/070586 WO2013038042A1 (fr) 2011-09-14 2012-07-30 Dispositif et procédé électrochirurgical bipolaire de coagulation et de section de tissus biologiques

Country Status (2)

Country Link
ES (1) ES2419159B1 (fr)
WO (1) WO2013038042A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9775672B2 (en) 2012-08-31 2017-10-03 Nico Corporation Bi-polar surgical instrument
US10383680B2 (en) 2012-08-31 2019-08-20 Nico Corporation Bi-polar surgical instrument
US11607266B2 (en) * 2016-09-26 2023-03-21 Kylix S.R.L. Electrosurgical device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
US9283027B2 (en) 2011-10-24 2016-03-15 Ethicon Endo-Surgery, Llc Battery drain kill feature in a battery powered device
US10159524B2 (en) 2014-12-22 2018-12-25 Ethicon Llc High power battery powered RF amplifier topology
US10959771B2 (en) 2015-10-16 2021-03-30 Ethicon Llc Suction and irrigation sealing grasper
US10959806B2 (en) 2015-12-30 2021-03-30 Ethicon Llc Energized medical device with reusable handle
US10987156B2 (en) 2016-04-29 2021-04-27 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
US10856934B2 (en) 2016-04-29 2020-12-08 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting and tissue engaging members
US10751117B2 (en) 2016-09-23 2020-08-25 Ethicon Llc Electrosurgical instrument with fluid diverter
US11033325B2 (en) 2017-02-16 2021-06-15 Cilag Gmbh International Electrosurgical instrument with telescoping suction port and debris cleaner
US11497546B2 (en) 2017-03-31 2022-11-15 Cilag Gmbh International Area ratios of patterned coatings on RF electrodes to reduce sticking
US11490951B2 (en) 2017-09-29 2022-11-08 Cilag Gmbh International Saline contact with electrodes
US11484358B2 (en) * 2017-09-29 2022-11-01 Cilag Gmbh International Flexible electrosurgical instrument
US11033323B2 (en) 2017-09-29 2021-06-15 Cilag Gmbh International Systems and methods for managing fluid and suction in electrosurgical systems
US11957342B2 (en) 2021-11-01 2024-04-16 Cilag Gmbh International Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation

Citations (6)

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Publication number Priority date Publication date Assignee Title
US5445638A (en) * 1993-03-08 1995-08-29 Everest Medical Corporation Bipolar coagulation and cutting forceps
US5647871A (en) * 1995-03-10 1997-07-15 Microsurge, Inc. Electrosurgery with cooled electrodes
DE202006006329U1 (de) * 2006-04-19 2007-08-30 Talaj, Darius R. Applikationssystem zum Schneiden und Koagulieren von biologischem Gewebe
ES2307426A1 (es) * 2007-04-30 2008-11-16 Universidad Politecnica De Valencia Dispositivo aplicador para ablacion por radiofrecuencia de tejidos biologicos.
ES2307427A1 (es) * 2007-05-02 2008-11-16 Universidad De Barcelona Instrumento electroquirurgico para coagulacion y corte de tejido.
US7771420B2 (en) * 2004-03-05 2010-08-10 Medelec-Minimeca S.A. Saline-enhanced catheter for radiofrequency tumor ablation

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5445638A (en) * 1993-03-08 1995-08-29 Everest Medical Corporation Bipolar coagulation and cutting forceps
US5445638B1 (en) * 1993-03-08 1998-05-05 Everest Medical Corp Bipolar coagulation and cutting forceps
US5647871A (en) * 1995-03-10 1997-07-15 Microsurge, Inc. Electrosurgery with cooled electrodes
US7771420B2 (en) * 2004-03-05 2010-08-10 Medelec-Minimeca S.A. Saline-enhanced catheter for radiofrequency tumor ablation
DE202006006329U1 (de) * 2006-04-19 2007-08-30 Talaj, Darius R. Applikationssystem zum Schneiden und Koagulieren von biologischem Gewebe
ES2307426A1 (es) * 2007-04-30 2008-11-16 Universidad Politecnica De Valencia Dispositivo aplicador para ablacion por radiofrecuencia de tejidos biologicos.
ES2307427A1 (es) * 2007-05-02 2008-11-16 Universidad De Barcelona Instrumento electroquirurgico para coagulacion y corte de tejido.

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
CLASEN S. ET AL.: "Bipolar radiofrequency ablation using internally cooled electrodes in ex vivo bovine liver. Prediction of coagulation volume from applied energy", INVESTIGATIVE RADIOLOGY, vol. 42, no. 1, January 2007 (2007-01-01), pages 29 - 36 *
HAECKER A. ET AL.: "Bipolar and multipolar radiofrequency ablation with resistance controlled power output: Standardized ex vivo kidney tissue evaluation", JOURNAL OF UROLOGY, vol. 175, no. 3, March 2006 (2006-03-01), pages 1122 - 1126 *

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9775672B2 (en) 2012-08-31 2017-10-03 Nico Corporation Bi-polar surgical instrument
US9782220B2 (en) 2012-08-31 2017-10-10 Nico Corporation Bi-polar surgical instrument
US10383680B2 (en) 2012-08-31 2019-08-20 Nico Corporation Bi-polar surgical instrument
US11607266B2 (en) * 2016-09-26 2023-03-21 Kylix S.R.L. Electrosurgical device

Also Published As

Publication number Publication date
ES2419159B1 (es) 2014-06-24
ES2419159R1 (es) 2013-08-27
ES2419159A2 (es) 2013-08-19

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