CR20210617A - Sistema y métodos electroquirúrgicos - Google Patents
Sistema y métodos electroquirúrgicosInfo
- Publication number
- CR20210617A CR20210617A CR20210617A CR20210617A CR20210617A CR 20210617 A CR20210617 A CR 20210617A CR 20210617 A CR20210617 A CR 20210617A CR 20210617 A CR20210617 A CR 20210617A CR 20210617 A CR20210617 A CR 20210617A
- Authority
- CR
- Costa Rica
- Prior art keywords
- biological tissue
- engaged
- termination criterion
- examples
- electrical power
- Prior art date
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Classifications
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- 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
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- 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
- A61B18/1233—Generators therefor with circuits for assuring patient safety
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- 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
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00137—Details of operation mode
- A61B2017/00154—Details of operation mode pulsed
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- 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
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- 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
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- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
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- A—HUMAN NECESSITIES
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- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
- A61B2018/00648—Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00666—Sensing and controlling the application of energy using a threshold value
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00666—Sensing and controlling the application of energy using a threshold value
- A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
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- A—HUMAN NECESSITIES
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- A61B2018/00702—Power or energy
- A61B2018/00708—Power or energy switching the power on or off
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- A61B2018/00755—Resistance or impedance
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- A—HUMAN NECESSITIES
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- A61B2018/00767—Voltage
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- A—HUMAN NECESSITIES
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- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B2018/00886—Duration
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- A61B2018/00773—Sensed parameters
- A61B2018/00892—Voltage
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- A—HUMAN NECESSITIES
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- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00898—Alarms or notifications created in response to an abnormal condition
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/00928—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by sending a signal to an external energy source
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B2018/00994—Surgical 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
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- 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
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Surgical Instruments (AREA)
- Power Engineering (AREA)
- Electromagnetism (AREA)
- General Physics & Mathematics (AREA)
- Radar, Positioning & Navigation (AREA)
- Automation & Control Theory (AREA)
Abstract
El aparato y los métodos asociados se refieren al control de la energía eléctrica de una señal electroterapéutica que se proporciona a un tejido biológico comprometido por un instrumento electroquirúrgico durante un procedimiento médico. La energía eléctrica, producto de una diferencia de voltaje a través y una corriente eléctrica conducida por el tejido biológico comprometido, se controla de acuerdo con un programa terapéutico. El programa electroterapéutico puede reducirse o terminarse en respuesta al cumplimiento de un criterio de terminación. En algunos ejemplos, el criterio de terminación es una característica actual como, por ejemplo, una disminución de la corriente conducida por el tejido biológico comprometido. En algunos ejemplos, el criterio de terminación es una característica de resistencia biológica del tejido, como, por ejemplo, un aumento en la resistencia biológica del tejido que supera un valor de resistencia delta predeterminado
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201962845647P | 2019-05-09 | 2019-05-09 | |
| US201962905318P | 2019-09-24 | 2019-09-24 | |
| US201962905337P | 2019-09-24 | 2019-09-24 | |
| US201962905366P | 2019-09-24 | 2019-09-24 | |
| US201962905360P | 2019-09-24 | 2019-09-24 | |
| US201962905345P | 2019-09-24 | 2019-09-24 | |
| PCT/US2020/031857 WO2020227519A1 (en) | 2019-05-09 | 2020-05-07 | Electrosurgical systems and methods |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CR20210617A true CR20210617A (es) | 2022-05-03 |
Family
ID=73046076
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CR20210617A CR20210617A (es) | 2019-05-09 | 2020-05-07 | Sistema y métodos electroquirúrgicos |
Country Status (10)
| Country | Link |
|---|---|
| US (25) | US12059191B2 (es) |
| EP (1) | EP3965676A1 (es) |
| JP (3) | JP7318006B2 (es) |
| KR (1) | KR102713085B1 (es) |
| CN (10) | CN118648967B (es) |
| AU (2) | AU2020267650B2 (es) |
| CR (1) | CR20210617A (es) |
| DO (1) | DOP2021000231A (es) |
| NZ (1) | NZ782248A (es) |
| SG (1) | SG11202111518WA (es) |
Families Citing this family (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
| US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
| US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
| CN118648967B (zh) | 2019-05-09 | 2026-04-14 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 外科发生器 |
| CN112807071B (zh) * | 2020-12-31 | 2022-03-04 | 杭州堃博生物科技有限公司 | 射频操作中的射频主机 |
| US12402935B2 (en) * | 2021-02-22 | 2025-09-02 | Olympus Medical Systems Corp. | Apparatus and method for electrosurgery |
| US12558150B2 (en) * | 2021-10-19 | 2026-02-24 | Verb Surgical Inc. | Integrated sensors for energy tools |
| US12433588B2 (en) | 2021-10-19 | 2025-10-07 | Verb Surgical | Integrated sensors for surgical staplers |
| WO2023073524A2 (en) * | 2021-10-25 | 2023-05-04 | Cilag Gmbh International | Electrodes and methods for use with a multi-layer clamp arm pad to enhance the performance of a surgical device |
| US11698311B2 (en) * | 2021-10-25 | 2023-07-11 | Infineon Technologies Ag | Metamaterial based torque and shaft rotational speed sensor |
| US12465390B2 (en) | 2021-10-25 | 2025-11-11 | Cilag Gmbh International | Electrodes and methods for use with a multi-layer clamp arm pad to enhance the performance of a surgical device |
| US11896353B2 (en) * | 2021-10-26 | 2024-02-13 | Samsung Electronics Co., Ltd. | Apparatus for estimating bio-information, and method of determining false detection of bio-signal peaks |
| 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 |
| US12433668B1 (en) * | 2021-11-08 | 2025-10-07 | Relievant Medsystems, Inc. | Impedance stoppage mitigation during radiofrequency tissue ablation procedures |
| CN116407760A (zh) * | 2021-12-29 | 2023-07-11 | 精能医学股份有限公司 | 电刺激方法、电刺激装置和电脑可读存储媒体 |
| CN114404030B (zh) * | 2022-01-25 | 2024-09-20 | 深圳市创谷科技发展有限公司 | 高频电刀运行控制装置及高频电刀系统 |
| CN114831725B (zh) * | 2022-05-05 | 2024-01-26 | 以诺康医疗科技(苏州)有限公司 | 一种电外科发生器、电外科系统及其控制方法 |
| US20240000499A1 (en) * | 2022-06-30 | 2024-01-04 | Cilag Gmbh International | Electrosurgical instrument for applying non-therapeutic rf signals |
| CN115005961B (zh) * | 2022-07-07 | 2023-05-12 | 上海普实医疗器械股份有限公司 | 心脏脉冲电场消融系统 |
| CN114983551B (zh) * | 2022-07-12 | 2022-10-25 | 深圳迈微医疗科技有限公司 | 组织消融装置以及电化学阻抗测量装置 |
| CN115714591A (zh) * | 2022-11-03 | 2023-02-24 | 河南翔宇医疗设备股份有限公司 | 一种波形量化装置及方法 |
| US11896327B1 (en) * | 2022-12-28 | 2024-02-13 | Cilag Gmbh International | Tissue sensing circuit for surgical instrument |
| CN116650097B (zh) * | 2023-05-30 | 2026-04-28 | 天津瑞奇外科器械股份有限公司 | 封合过程中组织变性点检测方法、装置及电外科器械 |
| WO2025136834A1 (en) * | 2023-12-18 | 2025-06-26 | GYRUS ACMI, INC., d/b/a Olympus Surgical Technologies America | Tissue therapy energy feedback systems and methods |
| US20260026860A1 (en) * | 2024-07-25 | 2026-01-29 | Cilag Gmbh International | Electrosurgical instrument with impedance spectroscopy and method of monitoring state of instrument jaws and tissue |
| US20260102201A1 (en) * | 2024-10-15 | 2026-04-16 | Cilag Gmbh International | Detecting tissue tear and providing operator feedback |
| CN121176999A (zh) * | 2025-11-25 | 2025-12-23 | 湘潭医卫职业技术学院 | 一种电刀系统及其控制方法 |
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