WO2015008286A1 - Vessel sealing and cutting devices, methods and systems - Google Patents
Vessel sealing and cutting devices, methods and systems Download PDFInfo
- Publication number
- WO2015008286A1 WO2015008286A1 PCT/IL2014/050646 IL2014050646W WO2015008286A1 WO 2015008286 A1 WO2015008286 A1 WO 2015008286A1 IL 2014050646 W IL2014050646 W IL 2014050646W WO 2015008286 A1 WO2015008286 A1 WO 2015008286A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- vessel
- tip
- sealing
- specified
- energy
- Prior art date
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
- 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
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B6/00—Light guides; Structural details of arrangements comprising light guides and other optical elements, e.g. couplings
- G02B6/10—Light guides; Structural details of arrangements comprising light guides and other optical elements, e.g. couplings of the optical waveguide type
- G02B6/14—Mode converters
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B6/00—Light guides; Structural details of arrangements comprising light guides and other optical elements, e.g. couplings
- G02B6/24—Coupling light guides
- G02B6/26—Optical coupling means
- G02B6/262—Optical details of coupling light into, or out of, or between fibre ends, e.g. special fibre end shapes or associated optical elements
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B6/00—Light guides; Structural details of arrangements comprising light guides and other optical elements, e.g. couplings
- G02B6/24—Coupling light guides
- G02B6/26—Optical coupling means
- G02B6/28—Optical coupling means having data bus means, i.e. plural waveguides interconnected and providing an inherently bidirectional system by mixing and splitting signals
- G02B6/2804—Optical coupling means having data bus means, i.e. plural waveguides interconnected and providing an inherently bidirectional system by mixing and splitting signals forming multipart couplers without wavelength selective elements, e.g. "T" couplers, star couplers
- G02B6/2852—Optical coupling means having data bus means, i.e. plural waveguides interconnected and providing an inherently bidirectional system by mixing and splitting signals forming multipart couplers without wavelength selective elements, e.g. "T" couplers, star couplers using tapping light guides arranged sidewardly, e.g. in a non-parallel relationship with respect to the bus light guides (light extraction or launching through cladding, with or without surface discontinuities, bent structures)
-
- 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
- A61B2017/320093—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 cutting 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00321—Head or parts thereof
- A61B2018/00327—Ear, nose or throat
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
- A61B2018/00511—Kidney
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
- A61B2018/00517—Urinary bladder or urethra
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00529—Liver
- A61B2018/00535—Biliary tract
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00559—Female reproductive organs
-
- 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
- A61B2018/00577—Ablation
-
- 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
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B2018/2255—Optical elements at the distal end of probe tips
- A61B2018/2266—Optical elements at the distal end of probe tips with a lens, e.g. ball tipped
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/905,833 US20160157928A1 (en) | 2013-07-17 | 2014-07-17 | Vessel sealing and cutting devices, methods and systems |
EP14826819.6A EP3021778B1 (en) | 2013-07-17 | 2014-07-17 | Vessel sealing and cutting devices |
CN201480045589.5A CN105592815A (en) | 2013-07-17 | 2014-07-17 | Vessel sealing and cutting devices, methods and systems |
JP2016526752A JP2016526999A (en) | 2013-07-17 | 2014-07-17 | Tube sealing and cutting device, method and system |
KR1020167004149A KR20160044483A (en) | 2013-07-17 | 2014-07-17 | Vessel sealing and cutting devices, methods and systems |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361847090P | 2013-07-17 | 2013-07-17 | |
US61/847,090 | 2013-07-17 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2015008286A1 true WO2015008286A1 (en) | 2015-01-22 |
Family
ID=52345806
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/IL2014/050646 WO2015008286A1 (en) | 2013-07-17 | 2014-07-17 | Vessel sealing and cutting devices, methods and systems |
Country Status (6)
Country | Link |
---|---|
US (1) | US20160157928A1 (en) |
EP (1) | EP3021778B1 (en) |
JP (1) | JP2016526999A (en) |
KR (1) | KR20160044483A (en) |
CN (1) | CN105592815A (en) |
WO (1) | WO2015008286A1 (en) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2019058178A1 (en) | 2017-09-25 | 2019-03-28 | Mitracore Technologies Inc. | Apparatuses and methods for cutting a tissue bridge and/or removing a heart valve clip or suture |
US11602367B2 (en) | 2011-09-28 | 2023-03-14 | Evalve, Inc. | Apparatuses and methods for cutting a tissue bridge and/or removing a heart valve clip or suture |
US11963712B2 (en) | 2016-06-20 | 2024-04-23 | Evalve, Inc. | Transapical removal device |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20150080925A1 (en) * | 2013-09-19 | 2015-03-19 | Ethicon Endo-Surgery, Inc. | Alignment features for ultrasonic surgical instrument |
US20180263693A1 (en) * | 2017-03-14 | 2018-09-20 | Covidien Lp | Surgical instruments incorporating light energy tissue treatment functionality |
US20220370118A1 (en) * | 2019-11-04 | 2022-11-24 | Intekmedi | Tissue ablation device, image generation module, and tissue ablation system comprising same |
WO2022038604A1 (en) | 2020-08-19 | 2022-02-24 | Tag Dream Medical Ltd. | Hybrid laser cutter |
Citations (11)
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US5336221A (en) * | 1992-10-14 | 1994-08-09 | Premier Laser Systems, Inc. | Method and apparatus for applying thermal energy to tissue using a clamp |
US20020151879A1 (en) * | 2001-04-11 | 2002-10-17 | Loeb Marvin P. | Multi-fiber laser device for shrinking tissue |
US7116870B2 (en) * | 2004-08-31 | 2006-10-03 | Eigenlight Corporation | Broadband fiber optic tap |
US20090299353A1 (en) * | 2008-04-11 | 2009-12-03 | Lumenis Ltd. | Tissue Treatment Device and Method |
US20110288369A1 (en) * | 2008-05-27 | 2011-11-24 | Fred Ginnebaugh | Surgical instrument and method |
US20120022525A1 (en) * | 2010-07-22 | 2012-01-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US20120296324A1 (en) * | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | Optical Energy-Based Methods and Apparatus for Tissue Sealing |
US20120316549A1 (en) * | 2009-04-07 | 2012-12-13 | Lumenis Ltd. | Tissue Treatment Apparatus and Methods |
US20130090642A1 (en) * | 2011-07-06 | 2013-04-11 | Arqos Surgical, Inc. | Laparscopic tissue morcellator systems and methods |
US20130131657A1 (en) * | 2011-11-18 | 2013-05-23 | Advanced Fiber Tools Gmbh | Apparatus for medical treatment of tissue by means of laser light |
WO2013084227A1 (en) * | 2011-12-04 | 2013-06-13 | Asymmetric Medical Ltd. | A lesion treatment device and methods for treating lesions |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4878492A (en) * | 1987-10-08 | 1989-11-07 | C. R. Bard, Inc. | Laser balloon catheter |
JPH04221543A (en) * | 1990-12-25 | 1992-08-12 | Olympus Optical Co Ltd | Laser probe |
JP2001057984A (en) * | 1999-08-20 | 2001-03-06 | Olympus Optical Co Ltd | Ultrasonic treating tool |
WO2009049038A1 (en) * | 2007-10-11 | 2009-04-16 | Tufts University | Systems, devices, and methods employing fiber optic shape tracking |
JP2011145520A (en) * | 2010-01-15 | 2011-07-28 | Mitsubishi Cable Ind Ltd | Optical fiber |
US9113934B2 (en) * | 2011-05-16 | 2015-08-25 | Covidien Lp | Optical energy-based methods and apparatus for tissue sealing |
US9375282B2 (en) * | 2012-03-26 | 2016-06-28 | Covidien Lp | Light energy sealing, cutting and sensing surgical device |
-
2014
- 2014-07-17 EP EP14826819.6A patent/EP3021778B1/en not_active Not-in-force
- 2014-07-17 KR KR1020167004149A patent/KR20160044483A/en not_active Application Discontinuation
- 2014-07-17 JP JP2016526752A patent/JP2016526999A/en active Pending
- 2014-07-17 CN CN201480045589.5A patent/CN105592815A/en active Pending
- 2014-07-17 US US14/905,833 patent/US20160157928A1/en not_active Abandoned
- 2014-07-17 WO PCT/IL2014/050646 patent/WO2015008286A1/en active Application Filing
Patent Citations (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5336221A (en) * | 1992-10-14 | 1994-08-09 | Premier Laser Systems, Inc. | Method and apparatus for applying thermal energy to tissue using a clamp |
US20020151879A1 (en) * | 2001-04-11 | 2002-10-17 | Loeb Marvin P. | Multi-fiber laser device for shrinking tissue |
US7116870B2 (en) * | 2004-08-31 | 2006-10-03 | Eigenlight Corporation | Broadband fiber optic tap |
US20090299353A1 (en) * | 2008-04-11 | 2009-12-03 | Lumenis Ltd. | Tissue Treatment Device and Method |
US20110288369A1 (en) * | 2008-05-27 | 2011-11-24 | Fred Ginnebaugh | Surgical instrument and method |
US20120316549A1 (en) * | 2009-04-07 | 2012-12-13 | Lumenis Ltd. | Tissue Treatment Apparatus and Methods |
US20120022525A1 (en) * | 2010-07-22 | 2012-01-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US20120296324A1 (en) * | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | Optical Energy-Based Methods and Apparatus for Tissue Sealing |
US20130090642A1 (en) * | 2011-07-06 | 2013-04-11 | Arqos Surgical, Inc. | Laparscopic tissue morcellator systems and methods |
US20130131657A1 (en) * | 2011-11-18 | 2013-05-23 | Advanced Fiber Tools Gmbh | Apparatus for medical treatment of tissue by means of laser light |
WO2013084227A1 (en) * | 2011-12-04 | 2013-06-13 | Asymmetric Medical Ltd. | A lesion treatment device and methods for treating lesions |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11602367B2 (en) | 2011-09-28 | 2023-03-14 | Evalve, Inc. | Apparatuses and methods for cutting a tissue bridge and/or removing a heart valve clip or suture |
US11963712B2 (en) | 2016-06-20 | 2024-04-23 | Evalve, Inc. | Transapical removal device |
WO2019058178A1 (en) | 2017-09-25 | 2019-03-28 | Mitracore Technologies Inc. | Apparatuses and methods for cutting a tissue bridge and/or removing a heart valve clip or suture |
EP3687427A4 (en) * | 2017-09-25 | 2021-06-16 | Evalve, Inc. | Apparatuses and methods for cutting a tissue bridge and/or removing a heart valve clip or suture |
Also Published As
Publication number | Publication date |
---|---|
JP2016526999A (en) | 2016-09-08 |
KR20160044483A (en) | 2016-04-25 |
EP3021778A1 (en) | 2016-05-25 |
EP3021778A4 (en) | 2017-04-05 |
US20160157928A1 (en) | 2016-06-09 |
EP3021778B1 (en) | 2018-09-05 |
CN105592815A (en) | 2016-05-18 |
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