WO2019130114A1 - Instrument chirurgical ayant un circuit souple - Google Patents

Instrument chirurgical ayant un circuit souple Download PDF

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Publication number
WO2019130114A1
WO2019130114A1 PCT/IB2018/058265 IB2018058265W WO2019130114A1 WO 2019130114 A1 WO2019130114 A1 WO 2019130114A1 IB 2018058265 W IB2018058265 W IB 2018058265W WO 2019130114 A1 WO2019130114 A1 WO 2019130114A1
Authority
WO
WIPO (PCT)
Prior art keywords
surgical
surgical instrument
flexible
circuit
conductive trace
Prior art date
Application number
PCT/IB2018/058265
Other languages
English (en)
Inventor
Iv Frederick E. Shelton
Jason L. Harris
David C. Yates
Eitan T. Wiener
Jeffrey L. Aldridge
Jeffrey D. Messerly
Tamara S. Widenhouse
Jerome R. Morgan
Original Assignee
Ethicon Llc
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
Priority claimed from US16/024,132 external-priority patent/US11832840B2/en
Application filed by Ethicon Llc filed Critical Ethicon Llc
Priority to JP2020534975A priority Critical patent/JP2021509309A/ja
Priority to CN201880083569.5A priority patent/CN111566748A/zh
Priority to BR112020012718-3A priority patent/BR112020012718A2/pt
Publication of WO2019130114A1 publication Critical patent/WO2019130114A1/fr
Priority to JP2023147464A priority patent/JP2023165002A/ja

Links

Classifications

    • 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
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • 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
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • 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
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • 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
    • A61B2018/00994Surgical 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
    • 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
    • A61B2018/1465Deformable electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details 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
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details 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
    • A61B2218/007Aspiration
    • A61B2218/008Aspiration for smoke evacuation

Abstract

La présente invention concerne un circuit souple d'un instrument chirurgical, ledit circuit souple comprenant une section rigide et une section souple. La section rigide est configurée de sorte à se verrouiller mécaniquement avec un composant de l'instrument chirurgical et sur laquelle au moins l'un des éléments suivants est monté : (1) un dispositif de traitement et (2) un élément logique. La section souple est alignée sur l'un des éléments suivants : (1) une partie de courbure active d'un ensemble arbre de l'instrument chirurgical et (2) un joint d'articulation de l'ensemble arbre.
PCT/IB2018/058265 2017-12-28 2018-10-23 Instrument chirurgical ayant un circuit souple WO2019130114A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2020534975A JP2021509309A (ja) 2017-12-28 2018-10-23 可撓性回路を有する外科用器具
CN201880083569.5A CN111566748A (zh) 2017-12-28 2018-10-23 具有柔性电路的外科器械
BR112020012718-3A BR112020012718A2 (pt) 2017-12-28 2018-10-23 instrumento cirúrgico que tem um circuito flexível
JP2023147464A JP2023165002A (ja) 2017-12-28 2023-09-12 可撓性回路を有する外科用器具

Applications Claiming Priority (10)

Application Number Priority Date Filing Date Title
US201762611340P 2017-12-28 2017-12-28
US201762611341P 2017-12-28 2017-12-28
US201762611339P 2017-12-28 2017-12-28
US62/611,340 2017-12-28
US62/611,339 2017-12-28
US62/611,341 2017-12-28
US201862691230P 2018-06-28 2018-06-28
US62/691,230 2018-06-28
US16/024,132 US11832840B2 (en) 2017-12-28 2018-06-29 Surgical instrument having a flexible circuit
US16/024,132 2018-06-29

Publications (1)

Publication Number Publication Date
WO2019130114A1 true WO2019130114A1 (fr) 2019-07-04

Family

ID=64332350

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2018/058265 WO2019130114A1 (fr) 2017-12-28 2018-10-23 Instrument chirurgical ayant un circuit souple

Country Status (4)

Country Link
JP (2) JP2021509309A (fr)
CN (1) CN111566748A (fr)
BR (1) BR112020012718A2 (fr)
WO (1) WO2019130114A1 (fr)

Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5817093A (en) 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US20070219551A1 (en) * 2003-09-22 2007-09-20 Honour Kirk S Medical device with flexible printed circuit
US7982776B2 (en) 2007-07-13 2011-07-19 Ethicon Endo-Surgery, Inc. SBI motion artifact removal apparatus and method
US7995045B2 (en) 2007-04-13 2011-08-09 Ethicon Endo-Surgery, Inc. Combined SBI and conventional image processor
US20110306840A1 (en) 2009-01-30 2011-12-15 The Trustees Of Columbia University In The City Of New York Controllable magnetic source to fixture intracorporeal apparatus.
US20120172696A1 (en) * 2009-09-10 2012-07-05 Cathprint Ab Flexible Conductor Carrier for Catheter and Catheter Fitted with a Conductor Carrier
US20140012130A1 (en) * 2009-03-10 2014-01-09 Medtronic Xomed, Inc. Flexible Circuit Sheet
US20140243597A1 (en) 2013-02-27 2014-08-28 Ethicon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9060775B2 (en) 2009-10-09 2015-06-23 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US20150366508A1 (en) * 2013-02-08 2015-12-24 Acutus Medical., Inc. Expandable catheter assembly with flexible printed circuit board (pcb) electrical pathways
EP3082588A1 (fr) * 2014-01-28 2016-10-26 St. Jude Medical, Cardiology Division, Inc. Dispositifs médicaux allongés incorporant un substrat flexible, un capteur, et des pistes électriquement conductrices
US20170086914A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Techniques for operating generator for digitally generating electrical signal waveforms and surgical instruments
US9717141B1 (en) * 2013-01-03 2017-07-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Flexible printed circuit with removable testing portion
US20170296213A1 (en) 2016-04-15 2017-10-19 Ethicon Endo-Surgery, Llc Systems and methods for controlling a surgical stapling and cutting instrument

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3259873B2 (ja) * 1993-10-05 2002-02-25 住友電気工業株式会社 高周波回路用フレックスリジッド多層板
JP2000196205A (ja) * 1998-12-28 2000-07-14 Fujitsu Ltd フレキシブルプリント基板
US8214007B2 (en) * 2006-11-01 2012-07-03 Welch Allyn, Inc. Body worn physiological sensor device having a disposable electrode module
US8864675B2 (en) * 2007-06-28 2014-10-21 W. L. Gore & Associates, Inc. Catheter
US9326767B2 (en) * 2013-03-01 2016-05-03 Ethicon Endo-Surgery, Llc Joystick switch assemblies for surgical instruments
JP2017045882A (ja) * 2015-08-27 2017-03-02 富士通株式会社 フレキシブル基板及びその製造方法並びに電子装置
US10555769B2 (en) * 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument

Patent Citations (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5817093A (en) 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US20070219551A1 (en) * 2003-09-22 2007-09-20 Honour Kirk S Medical device with flexible printed circuit
US7995045B2 (en) 2007-04-13 2011-08-09 Ethicon Endo-Surgery, Inc. Combined SBI and conventional image processor
US7982776B2 (en) 2007-07-13 2011-07-19 Ethicon Endo-Surgery, Inc. SBI motion artifact removal apparatus and method
US20110306840A1 (en) 2009-01-30 2011-12-15 The Trustees Of Columbia University In The City Of New York Controllable magnetic source to fixture intracorporeal apparatus.
US20140012130A1 (en) * 2009-03-10 2014-01-09 Medtronic Xomed, Inc. Flexible Circuit Sheet
US20120172696A1 (en) * 2009-09-10 2012-07-05 Cathprint Ab Flexible Conductor Carrier for Catheter and Catheter Fitted with a Conductor Carrier
US9060775B2 (en) 2009-10-09 2015-06-23 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9717141B1 (en) * 2013-01-03 2017-07-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Flexible printed circuit with removable testing portion
US20150366508A1 (en) * 2013-02-08 2015-12-24 Acutus Medical., Inc. Expandable catheter assembly with flexible printed circuit board (pcb) electrical pathways
US20140243597A1 (en) 2013-02-27 2014-08-28 Ethicon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
EP3082588A1 (fr) * 2014-01-28 2016-10-26 St. Jude Medical, Cardiology Division, Inc. Dispositifs médicaux allongés incorporant un substrat flexible, un capteur, et des pistes électriquement conductrices
US20170086914A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Techniques for operating generator for digitally generating electrical signal waveforms and surgical instruments
US20170296213A1 (en) 2016-04-15 2017-10-19 Ethicon Endo-Surgery, Llc Systems and methods for controlling a surgical stapling and cutting instrument

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
"ATM-MPLS Network Interworking 2.0", ATM FORUM, August 2001 (2001-08-01)
"IEEE 802.3 Standard", December 2008, INSTITUTE OF ELECTRICAL AND ELECTRONICS ENGINEERS (IEEE

Also Published As

Publication number Publication date
BR112020012718A2 (pt) 2020-12-01
JP2023165002A (ja) 2023-11-14
CN111566748A (zh) 2020-08-21
JP2021509309A (ja) 2021-03-25

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