WO2013156400A1 - Medizinisches tft-instrument mit schwenkbarem elektrodenlager - Google Patents

Medizinisches tft-instrument mit schwenkbarem elektrodenlager Download PDF

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Publication number
WO2013156400A1
WO2013156400A1 PCT/EP2013/057662 EP2013057662W WO2013156400A1 WO 2013156400 A1 WO2013156400 A1 WO 2013156400A1 EP 2013057662 W EP2013057662 W EP 2013057662W WO 2013156400 A1 WO2013156400 A1 WO 2013156400A1
Authority
WO
WIPO (PCT)
Prior art keywords
electrode
medical
holder
instrument
instrument according
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/EP2013/057662
Other languages
German (de)
English (en)
French (fr)
Inventor
Dieter Weisshaupt
Christoph Rothweiler
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Aesculap AG
Original Assignee
Aesculap AG
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 Aesculap AG filed Critical Aesculap AG
Priority to BR112014023727-1A priority Critical patent/BR112014023727B1/pt
Priority to ES13716281.4T priority patent/ES2532940T3/es
Priority to EP13716281.4A priority patent/EP2670330B1/de
Priority to CN201380020935.XA priority patent/CN104271061B/zh
Priority to KR1020147028963A priority patent/KR101571260B1/ko
Priority to US14/388,925 priority patent/US10092347B2/en
Priority to JP2015506190A priority patent/JP6014750B2/ja
Publication of WO2013156400A1 publication Critical patent/WO2013156400A1/de
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

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
    • 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
    • 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
    • A61B2018/00619—Welding
    • 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
    • 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
    • A61B2018/145—Probes having pivoting end effectors, e.g. forceps wherein the effectors remain parallel during closing and opening
    • 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
    • A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws

Definitions

  • Electrodes between which the RF voltage is applied are led directly to the surgical site.
  • the circuit is closed by the tissue in between.
  • the thermal effect then takes place in the tissue between the electrodes.
  • the spring elements in particular in spiral spring design used in receiving pockets, which are formed in the electrode holder.
  • At least the electrode mounted on the separate electrode holder has a U-shape in its plan view, wherein between the parallel to each other in
  • the HF instrument (the bipolar type) exemplified in FIG. 1 according to a first preferred embodiment of the invention has in principle a jaw part M consisting of two tweezers, forceps or scissors-shaped mutually movable (elongated) electrode branches 1, 2 and an instrument grip G to
  • the first sector 1 is also formed with a continuous longitudinal slot substantially congruent to the longitudinal gap of the first electrode 6, in which the cutting electrode 24 is relatively movable and inserted in an insulated manner.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)
PCT/EP2013/057662 2012-04-20 2013-04-12 Medizinisches tft-instrument mit schwenkbarem elektrodenlager Ceased WO2013156400A1 (de)

Priority Applications (7)

Application Number Priority Date Filing Date Title
BR112014023727-1A BR112014023727B1 (pt) 2012-04-20 2013-04-12 Instrumento médico hf em construção bipolar
ES13716281.4T ES2532940T3 (es) 2012-04-20 2013-04-12 Instrumento de AF médico con soporte de electrodo pivotante
EP13716281.4A EP2670330B1 (de) 2012-04-20 2013-04-12 Medizinisches hf-instrument mit schwenkbarem elektrodenlager
CN201380020935.XA CN104271061B (zh) 2012-04-20 2013-04-12 包括可枢转电极支撑件的医用高频外科手术器械
KR1020147028963A KR101571260B1 (ko) 2012-04-20 2013-04-12 피봇가능한 전극 베어링을 가지는 의료용 tft 기구
US14/388,925 US10092347B2 (en) 2012-04-20 2013-04-12 Medical TFT instrument comprising a pivotable electrode support
JP2015506190A JP6014750B2 (ja) 2012-04-20 2013-04-12 枢動可能な電極支持体を備える医療用ｔｆｔ器具

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102012103503A DE102012103503A1 (de) 2012-04-20 2012-04-20 Medizinisches TFT-Instrument mit schwenkbarem Elektrodenlager
DE102012103503.2 2012-04-20

Publications (1)

Publication Number Publication Date
WO2013156400A1 true WO2013156400A1 (de) 2013-10-24

Family

ID=48095849

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2013/057662 Ceased WO2013156400A1 (de) 2012-04-20 2013-04-12 Medizinisches tft-instrument mit schwenkbarem elektrodenlager

Country Status (9)

Country Link
US (1) US10092347B2 (enExample)
EP (1) EP2670330B1 (enExample)
JP (1) JP6014750B2 (enExample)
KR (1) KR101571260B1 (enExample)
CN (1) CN104271061B (enExample)
BR (1) BR112014023727B1 (enExample)
DE (1) DE102012103503A1 (enExample)
ES (1) ES2532940T3 (enExample)
WO (1) WO2013156400A1 (enExample)

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US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
CN108366822B (zh) * 2015-08-21 2021-02-19 艾凡诺医疗公司 经皮动静脉造瘘的系统与方法
US11058475B2 (en) 2015-09-30 2021-07-13 Cilag Gmbh International Method and apparatus for selecting operations of a surgical instrument based on user intention
US10973517B2 (en) 2015-11-13 2021-04-13 Intuitive Surgical Operations, Inc. Stapler with composite cardan and screw drive
US12193698B2 (en) 2016-01-15 2025-01-14 Cilag Gmbh International Method for self-diagnosing operation of a control switch in a surgical instrument system
US10709469B2 (en) 2016-01-15 2020-07-14 Ethicon Llc Modular battery powered handheld surgical instrument with energy conservation techniques
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
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10610291B2 (en) * 2016-09-26 2020-04-07 Gyrus Acmi, Inc. Reconfigurable instrument
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
WO2019006068A1 (en) 2017-06-30 2019-01-03 Intuitive Surgical Operations, Inc. ELECTROSURGICAL INSTRUMENT WITH FLEXIBLE ELASTOMERIC ELECTRODE
KR102038835B1 (ko) * 2017-12-12 2019-10-31 연세대학교 산학협력단 경요도적 절제기구의 전극 조립체
EP3616637A1 (de) 2018-08-29 2020-03-04 Erbe Elektromedizin GmbH Medizinisches instrument
WO2020131685A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Surgical instruments with switches for deactivating and/or identifying stapler cartridges
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US20210196357A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with asynchronous energizing electrodes
US12349961B2 (en) 2019-12-30 2025-07-08 Cilag Gmbh International Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US12336747B2 (en) 2019-12-30 2025-06-24 Cilag Gmbh International Method of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US12343063B2 (en) 2019-12-30 2025-07-01 Cilag Gmbh International Multi-layer clamp arm pad for enhanced versatility and performance of a surgical device
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11911063B2 (en) * 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11944366B2 (en) * 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
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GB2535222A (en) * 2015-02-13 2016-08-17 Gyrus Medical Ltd End effector for electrosurgical instrument
GB2535222B (en) * 2015-02-13 2020-08-12 Gyrus Medical Ltd End effector for electrosurgical instrument

Also Published As

Publication number Publication date
EP2670330A1 (de) 2013-12-11
DE102012103503A1 (de) 2013-10-24
CN104271061A (zh) 2015-01-07
JP2015515334A (ja) 2015-05-28
US20150088131A1 (en) 2015-03-26
ES2532940T3 (es) 2015-04-06
BR112014023727A2 (enExample) 2017-06-20
JP6014750B2 (ja) 2016-10-25
US10092347B2 (en) 2018-10-09
KR101571260B1 (ko) 2015-11-23
CN104271061B (zh) 2016-08-24
KR20150011342A (ko) 2015-01-30
BR112014023727B1 (pt) 2021-09-08
EP2670330B1 (de) 2015-01-28

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