ES2532940T3 - Instrumento de AF médico con soporte de electrodo pivotante - Google Patents
Instrumento de AF médico con soporte de electrodo pivotante Download PDFInfo
- Publication number
- ES2532940T3 ES2532940T3 ES13716281.4T ES13716281T ES2532940T3 ES 2532940 T3 ES2532940 T3 ES 2532940T3 ES 13716281 T ES13716281 T ES 13716281T ES 2532940 T3 ES2532940 T3 ES 2532940T3
- Authority
- ES
- Spain
- Prior art keywords
- instrument
- electrode
- electrode holder
- medical
- row
- 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.)
- Active
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
-
- 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
-
- 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
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)
Abstract
Instrumento de AF médico de tipo de construcción bipolar con dos soportes (1, 2) de electrodo que pueden moverse uno hacia el otro, en los que en cada caso se dispone al menos un electrodo o fila (6, 7) de electrodos de sellado o soldadura que se extiende(n) longitudinalmente, presentando el instrumento de AF un portaelectrodos independiente, que está colocado de manera giratoria, pivotante o basculante en uno de los soportes (1, 2) de electrodo, caracterizado porque al menos un electrodo o fila (6) de electrodos de sellado o soldadura se coloca(n) de manera flexible en el portaelectrodos (4) independiente.
Description
Claims (1)
-
imagen1 imagen2
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102012103503A DE102012103503A1 (de) | 2012-04-20 | 2012-04-20 | Medizinisches TFT-Instrument mit schwenkbarem Elektrodenlager |
| DE102012103503 | 2012-04-20 | ||
| PCT/EP2013/057662 WO2013156400A1 (de) | 2012-04-20 | 2013-04-12 | Medizinisches tft-instrument mit schwenkbarem elektrodenlager |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2532940T3 true ES2532940T3 (es) | 2015-04-06 |
Family
ID=48095849
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES13716281.4T Active ES2532940T3 (es) | 2012-04-20 | 2013-04-12 | Instrumento de AF médico con soporte de electrodo pivotante |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US10092347B2 (es) |
| EP (1) | EP2670330B1 (es) |
| JP (1) | JP6014750B2 (es) |
| KR (1) | KR101571260B1 (es) |
| CN (1) | CN104271061B (es) |
| BR (1) | BR112014023727B1 (es) |
| DE (1) | DE102012103503A1 (es) |
| ES (1) | ES2532940T3 (es) |
| WO (1) | WO2013156400A1 (es) |
Families Citing this family (44)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
| 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 |
| GB2535222B (en) * | 2015-02-13 | 2020-08-12 | Gyrus Medical Ltd | End effector for electrosurgical instrument |
| WO2017035034A1 (en) * | 2015-08-21 | 2017-03-02 | Avenu Medical, Inc. | Systems and methods for percutaneous access and formation of arteriovenous fistulas |
| US10687884B2 (en) | 2015-09-30 | 2020-06-23 | Ethicon Llc | Circuits for supplying isolated direct current (DC) voltage to surgical instruments |
| US10973517B2 (en) | 2015-11-13 | 2021-04-13 | Intuitive Surgical Operations, Inc. | Stapler with composite cardan and screw drive |
| 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 |
| US11058448B2 (en) | 2016-01-15 | 2021-07-13 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multistage generator circuits |
| 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 |
| 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 |
| CN110709023A (zh) * | 2017-06-30 | 2020-01-17 | 直观外科手术操作公司 | 具有柔顺性弹性体电极的电外科手术器械 |
| KR102038835B1 (ko) * | 2017-12-12 | 2019-10-31 | 연세대학교 산학협력단 | 경요도적 절제기구의 전극 조립체 |
| EP3616637B1 (de) * | 2018-08-29 | 2026-03-25 | 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 |
| WO2020131290A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Articulation assemblies for surgical instruments |
| CN119745453A (zh) | 2019-05-31 | 2025-04-04 | 直观外科手术操作公司 | 用于外科器械的订合钉仓 |
| US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
| US12114912B2 (en) | 2019-12-30 | 2024-10-15 | Cilag Gmbh International | Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode |
| US12262937B2 (en) | 2019-12-30 | 2025-04-01 | Cilag Gmbh International | User interface for surgical instrument with combination energy modality end-effector |
| US12082808B2 (en) | 2019-12-30 | 2024-09-10 | Cilag Gmbh International | Surgical instrument comprising a control system responsive to software configurations |
| 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 |
| US11723716B2 (en) | 2019-12-30 | 2023-08-15 | Cilag Gmbh International | Electrosurgical instrument with variable control mechanisms |
| US11937863B2 (en) * | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
| 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 |
| US11786291B2 (en) * | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
| US12349961B2 (en) | 2019-12-30 | 2025-07-08 | Cilag Gmbh International | Electrosurgical instrument with electrodes operable in bipolar and monopolar modes |
| US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
| US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
| US11986234B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Surgical system communication pathways |
| US11986201B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Method for operating a surgical instrument |
| 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 |
| 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 |
| US12076006B2 (en) | 2019-12-30 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an orientation detection system |
| EP4274492B1 (en) | 2021-01-08 | 2026-01-28 | Intuitive Surgical Operations, Inc. | Surgical instrument with linear and purse string suture staples |
| WO2022150215A1 (en) | 2021-01-08 | 2022-07-14 | Intuitive Surgical Operations, Inc. | Surgical stapling instruments |
| DE102024112669A1 (de) * | 2024-05-06 | 2025-11-06 | Aesculap Ag | Chirurgisches Instrument mit Maulteil |
| CN118662220B (zh) * | 2024-08-21 | 2024-11-26 | 四川锦江电子医疗器械科技股份有限公司 | 一种具有中心电极的篮式组件 |
| DE102024127260A1 (de) * | 2024-09-20 | 2026-03-26 | Aesculap Ag | Elektrochirurgische bipolare Zange mit einem wippenden Maulteil |
Family Cites Families (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6096037A (en) * | 1997-07-29 | 2000-08-01 | Medtronic, Inc. | Tissue sealing electrosurgery device and methods of sealing tissue |
| US6102909A (en) * | 1997-08-26 | 2000-08-15 | Ethicon, Inc. | Scissorlike electrosurgical cutting instrument |
| DE10042095C1 (de) | 2000-08-26 | 2002-01-17 | Winter & Ibe Olympus | Urologisches Resektoskop mit Kontaktiereinrichtung |
| US20050090817A1 (en) * | 2003-10-22 | 2005-04-28 | Scimed Life Systems, Inc. | Bendable endoscopic bipolar device |
| JP4727575B2 (ja) | 2004-06-15 | 2011-07-20 | オリンパス株式会社 | エネルギー処置具 |
| US7918848B2 (en) * | 2005-03-25 | 2011-04-05 | Maquet Cardiovascular, Llc | Tissue welding and cutting apparatus and method |
| US7491202B2 (en) * | 2005-03-31 | 2009-02-17 | Covidien Ag | Electrosurgical forceps with slow closure sealing plates and method of sealing tissue |
| US20090204114A1 (en) * | 2005-03-31 | 2009-08-13 | Covidien Ag | Electrosurgical Forceps with Slow Closure Sealing Plates and Method of Sealing Tissue |
| US7803156B2 (en) * | 2006-03-08 | 2010-09-28 | Aragon Surgical, Inc. | Method and apparatus for surgical electrocautery |
| US8696662B2 (en) | 2005-05-12 | 2014-04-15 | Aesculap Ag | Electrocautery method and apparatus |
| 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 |
| US20080018325A1 (en) | 2006-07-21 | 2008-01-24 | Hon Hai Precision Industry Co., Ltd. | Apparatus and method for measuring an output power of a power supply |
| US8700176B2 (en) * | 2006-07-27 | 2014-04-15 | Pollogen Ltd. | Apparatus and method for non-invasive treatment of skin tissue |
| DE102006000399A1 (de) | 2006-08-10 | 2008-02-14 | Novineon Healthcare Technology Partners Gmbh | Medizinisches Instrument |
| DE102008008309A1 (de) * | 2008-02-07 | 2009-08-20 | Olympus Winter & Ibe Gmbh | Endoskopische Zange mit Abstandhalter |
| US8795274B2 (en) * | 2008-08-28 | 2014-08-05 | Covidien Lp | Tissue fusion jaw angle improvement |
| US8784417B2 (en) * | 2008-08-28 | 2014-07-22 | Covidien Lp | Tissue fusion jaw angle improvement |
| US20100057081A1 (en) * | 2008-08-28 | 2010-03-04 | Tyco Healthcare Group Lp | Tissue Fusion Jaw Angle Improvement |
| US8317787B2 (en) * | 2008-08-28 | 2012-11-27 | Covidien Lp | Tissue fusion jaw angle improvement |
| US20100185197A1 (en) * | 2009-01-21 | 2010-07-22 | Satomi Sakao | Medical treatment apparatus, treatment instrument and treatment method for living tissue using energy |
| US20110278343A1 (en) | 2009-01-29 | 2011-11-17 | Cardica, Inc. | Clamping of Hybrid Surgical Instrument |
| GB2472216A (en) * | 2009-07-28 | 2011-02-02 | Gyrus Medical Ltd | Bipolar electrosurgical instrument with four electrodes |
| KR100947491B1 (ko) | 2009-08-07 | 2010-03-17 | 주식회사 래보 | 외과 수술용 장치의 인스트루먼트 |
| KR20120139661A (ko) * | 2010-02-04 | 2012-12-27 | 아에스쿨랍 아게 | 복강경 고주파 수술장치 |
| JP5479970B2 (ja) | 2010-03-26 | 2014-04-23 | テルモ株式会社 | 外科用処置具 |
| US8709035B2 (en) * | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
| US9149325B2 (en) * | 2013-01-25 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | End effector with compliant clamping jaw |
-
2012
- 2012-04-20 DE DE102012103503A patent/DE102012103503A1/de not_active Withdrawn
-
2013
- 2013-04-12 BR BR112014023727-1A patent/BR112014023727B1/pt active IP Right Grant
- 2013-04-12 KR KR1020147028963A patent/KR101571260B1/ko active Active
- 2013-04-12 WO PCT/EP2013/057662 patent/WO2013156400A1/de not_active Ceased
- 2013-04-12 JP JP2015506190A patent/JP6014750B2/ja active Active
- 2013-04-12 US US14/388,925 patent/US10092347B2/en active Active
- 2013-04-12 CN CN201380020935.XA patent/CN104271061B/zh active Active
- 2013-04-12 ES ES13716281.4T patent/ES2532940T3/es active Active
- 2013-04-12 EP EP13716281.4A patent/EP2670330B1/de active Active
Also Published As
| Publication number | Publication date |
|---|---|
| KR20150011342A (ko) | 2015-01-30 |
| CN104271061B (zh) | 2016-08-24 |
| BR112014023727B1 (pt) | 2021-09-08 |
| DE102012103503A1 (de) | 2013-10-24 |
| EP2670330B1 (de) | 2015-01-28 |
| CN104271061A (zh) | 2015-01-07 |
| JP2015515334A (ja) | 2015-05-28 |
| US10092347B2 (en) | 2018-10-09 |
| JP6014750B2 (ja) | 2016-10-25 |
| EP2670330A1 (de) | 2013-12-11 |
| WO2013156400A1 (de) | 2013-10-24 |
| BR112014023727A2 (es) | 2017-06-20 |
| KR101571260B1 (ko) | 2015-11-23 |
| US20150088131A1 (en) | 2015-03-26 |
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