ATE541523T1 - Chirurgische operationsvorrichtung - Google Patents

Chirurgische operationsvorrichtung

Info

Publication number
ATE541523T1
ATE541523T1 AT09004507T AT09004507T ATE541523T1 AT E541523 T1 ATE541523 T1 AT E541523T1 AT 09004507 T AT09004507 T AT 09004507T AT 09004507 T AT09004507 T AT 09004507T AT E541523 T1 ATE541523 T1 AT E541523T1
Authority
AT
Austria
Prior art keywords
grasping member
electrode portion
living tissue
distance
narrow width
Prior art date
Application number
AT09004507T
Other languages
English (en)
Inventor
Masuda Shinya
Original Assignee
Olympus Medical Systems Corp
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 Olympus Medical Systems Corp filed Critical Olympus Medical Systems Corp
Application granted granted Critical
Publication of ATE541523T1 publication Critical patent/ATE541523T1/de

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • 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
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
AT09004507T 2008-03-28 2009-03-27 Chirurgische operationsvorrichtung ATE541523T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US12/057,490 US8048074B2 (en) 2008-03-28 2008-03-28 Surgical operating apparatus

Publications (1)

Publication Number Publication Date
ATE541523T1 true ATE541523T1 (de) 2012-02-15

Family

ID=40636922

Family Applications (1)

Application Number Title Priority Date Filing Date
AT09004507T ATE541523T1 (de) 2008-03-28 2009-03-27 Chirurgische operationsvorrichtung

Country Status (5)

Country Link
US (1) US8048074B2 (de)
EP (1) EP2105100B1 (de)
JP (1) JP5215216B2 (de)
CN (1) CN101543426B (de)
AT (1) ATE541523T1 (de)

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US7931649B2 (en) 2002-10-04 2011-04-26 Tyco Healthcare Group Lp Vessel sealing instrument with electrical cutting mechanism
US7367976B2 (en) 2003-11-17 2008-05-06 Sherwood Services Ag Bipolar forceps having monopolar extension
US7909823B2 (en) 2005-01-14 2011-03-22 Covidien Ag Open vessel sealing instrument
US8206410B2 (en) * 2008-03-31 2012-06-26 Olympus Medical Systems Corp. Surgical operating apparatus
US8142473B2 (en) 2008-10-03 2012-03-27 Tyco Healthcare Group Lp Method of transferring rotational motion in an articulating surgical instrument
US8016827B2 (en) 2008-10-09 2011-09-13 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8114122B2 (en) 2009-01-13 2012-02-14 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8187273B2 (en) 2009-05-07 2012-05-29 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8246618B2 (en) 2009-07-08 2012-08-21 Tyco Healthcare Group Lp Electrosurgical jaws with offset knife
US8430876B2 (en) 2009-08-27 2013-04-30 Tyco Healthcare Group Lp Vessel sealer and divider with knife lockout
US8133254B2 (en) 2009-09-18 2012-03-13 Tyco Healthcare Group Lp In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor
US8112871B2 (en) 2009-09-28 2012-02-14 Tyco Healthcare Group Lp Method for manufacturing electrosurgical seal plates
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
WO2011089769A1 (ja) 2010-01-21 2011-07-28 オリンパスメディカルシステムズ株式会社 外科処置装置
US9113940B2 (en) 2011-01-14 2015-08-25 Covidien Lp Trigger lockout and kickback mechanism for surgical instruments
BR302012001339S1 (pt) * 2011-09-20 2014-08-19 Storz Karl Gmbh & Co Kg Configuração aplicada em instrumento médico
USD680220S1 (en) 2012-01-12 2013-04-16 Coviden IP Slider handle for laparoscopic device
EP2810612B1 (de) * 2012-02-01 2016-09-14 Olympus Corporation Greif- und behandlungsvorrichtung
JP5519874B2 (ja) * 2012-03-19 2014-06-11 オリンパスメディカルシステムズ株式会社 把持処置装置
CN105012012B (zh) * 2012-03-19 2017-12-29 奥林巴斯株式会社 把持处理装置
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9408622B2 (en) 2012-06-29 2016-08-09 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
EP2932930B1 (de) * 2012-12-13 2018-06-27 Olympus Corporation Behandlungsinstrument
CN104507404B (zh) * 2012-12-13 2016-09-28 奥林巴斯株式会社 处理器具
JP5797353B2 (ja) 2013-08-29 2015-10-21 オリンパス株式会社 把持処置装置及び把持ユニット
US9943325B2 (en) * 2013-11-26 2018-04-17 Ethicon Llc Handpiece and blade configurations for ultrasonic surgical instrument
CN106999241B (zh) * 2015-04-24 2019-09-17 奥林巴斯株式会社 医疗设备
WO2016175038A1 (ja) * 2015-04-30 2016-11-03 オリンパス株式会社 処置具
WO2016190171A1 (ja) * 2015-05-27 2016-12-01 オリンパス株式会社 外科手術装置
WO2016190173A1 (ja) 2015-05-27 2016-12-01 オリンパス株式会社 外科手術装置
US10736685B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
US10213250B2 (en) 2015-11-05 2019-02-26 Covidien Lp Deployment and safety mechanisms for surgical instruments
US10743901B2 (en) 2015-12-29 2020-08-18 Ethicon Llc Snap fit clamp pad for ultrasonic surgical instrument
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
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
US10828058B2 (en) 2016-01-15 2020-11-10 Ethicon Llc Modular battery powered handheld surgical instrument with motor control limits 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
US11602364B2 (en) 2016-11-16 2023-03-14 Cilag Gmbh International Surgical instrument with removable end effector components
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
WO2020026453A1 (ja) * 2018-08-03 2020-02-06 オリンパス株式会社 処置具及び処置具用気密部材
WO2020084674A1 (ja) 2018-10-22 2020-04-30 オリンパス株式会社 処置装置
US12023085B2 (en) 2019-08-29 2024-07-02 Covidien Lp Ultrasonic systems and methods with tissue resistance sensing
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US12702409B2 (en) 2019-12-30 2026-08-11 Cilag Gmbh International Surgical instrument comprising a flex circuit
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11786291B2 (en) * 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
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
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US12262937B2 (en) 2019-12-30 2025-04-01 Cilag Gmbh International User interface for surgical instrument with combination energy modality end-effector
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US20210196358A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes biasing support
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
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
CN116997302A (zh) 2021-03-18 2023-11-03 柯惠有限合伙公司 结合超声和电外科功能的外科器械、系统和方法
US12629200B2 (en) 2021-05-03 2026-05-19 Covidien Lp Surgical instruments, systems, and methods incorporating ultrasonic and electrosurgical functionality
WO2026023042A1 (ja) * 2024-07-25 2026-01-29 オリンパスメディカルシステムズ株式会社 超音波処置具

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US6056735A (en) * 1996-04-04 2000-05-02 Olympus Optical Co., Ltd. Ultrasound treatment system
US6953461B2 (en) * 2002-05-16 2005-10-11 Tissuelink Medical, Inc. Fluid-assisted medical devices, systems and methods
US20040199194A1 (en) * 2001-12-18 2004-10-07 Witt David A. Curved clamp arm tissue pad attachment for use with ultrasonic surgical instruments
JP4307890B2 (ja) * 2003-04-14 2009-08-05 オリンパス株式会社 超音波処置装置
EP1757242B1 (de) * 2004-06-15 2013-06-05 Olympus Corporation Ultraschallwerkzeug
JP4481313B2 (ja) * 2004-09-14 2010-06-16 オリンパス株式会社 超音波処置具、並びに、超音波処置具用のプローブ、処置部及び太径部
JP4402629B2 (ja) 2005-08-19 2010-01-20 オリンパスメディカルシステムズ株式会社 超音波凝固切開装置
JP4157574B2 (ja) 2006-07-04 2008-10-01 オリンパスメディカルシステムズ株式会社 外科用処置具

Also Published As

Publication number Publication date
JP5215216B2 (ja) 2013-06-19
CN101543426A (zh) 2009-09-30
CN101543426B (zh) 2011-09-14
US20090248051A1 (en) 2009-10-01
US8048074B2 (en) 2011-11-01
EP2105100A1 (de) 2009-09-30
EP2105100B1 (de) 2012-01-18
JP2009240773A (ja) 2009-10-22

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