MX2019013902A - Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido en fases sucesivas. - Google Patents

Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido en fases sucesivas.

Info

Publication number
MX2019013902A
MX2019013902A MX2019013902A MX2019013902A MX2019013902A MX 2019013902 A MX2019013902 A MX 2019013902A MX 2019013902 A MX2019013902 A MX 2019013902A MX 2019013902 A MX2019013902 A MX 2019013902A MX 2019013902 A MX2019013902 A MX 2019013902A
Authority
MX
Mexico
Prior art keywords
tissue
ultrasonic
sealing
electrosurgical instrument
successive phases
Prior art date
Application number
MX2019013902A
Other languages
English (en)
Inventor
K Madan Ashvani
M Krumm Amy
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
Application filed by Ethicon Llc filed Critical Ethicon Llc
Publication of MX2019013902A publication Critical patent/MX2019013902A/es

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • 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
    • AHUMAN NECESSITIES
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    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • AHUMAN NECESSITIES
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    • 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
    • A61B18/1233Generators therefor with circuits for assuring patient safety
    • AHUMAN NECESSITIES
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    • 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
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    • 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
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    • A61B18/1445Probes 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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    • A61B2017/00026Conductivity or impedance, e.g. of tissue
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    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (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)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

Un instrumento quirúrgico ultrasónico (12) y método para sellar un tejido incluye generar una presión de rompimiento deseada en el tejido, sellar el tejido, verificar que el tejido está sellado con la aplicación adicional de al menos una de la energía ultrasónica y la energía de RF; el instrumento quirúrgico ultrasónico (12) incluye, además, un efector de extremo (20) que tiene una cuchilla ultrasónica (28), un electrodo de RF (30) y un controlador (46); el controlador (46) se conecta operativamente a la cuchilla ultrasónica (28) y el electrodo de RF (30) y se configura para dirigir la aplicación de energías ultrasónica y de RF de acuerdo con una fase inicial (1514), una fase de potencia (1516) y una fase de terminación (1518) para generar respectivamente una presión de rompimiento deseada en el tejido, sellar el tejido y verificar el sellado del tejido mientras se inhibe la transección del tejido.
MX2019013902A 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido en fases sucesivas. MX2019013902A (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762509336P 2017-05-22 2017-05-22
US15/967,784 US11259856B2 (en) 2017-05-22 2018-05-01 Combination ultrasonic and electrosurgical instrument and method for sealing tissue in successive phases
PCT/US2018/033311 WO2018217552A1 (en) 2017-05-22 2018-05-18 Combination ultrasonic and electrosurgical instrument and method for sealing tissue in successive phases

Publications (1)

Publication Number Publication Date
MX2019013902A true MX2019013902A (es) 2020-01-20

Family

ID=64269673

Family Applications (7)

Application Number Title Priority Date Filing Date
MX2019013895A MX2019013895A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con modalidades de energia ajustables y metodo para limitar la temperatura de la cuchilla.
MX2019013877A MX2019013877A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido con diversos parametros de terminacion.
MX2019013888A MX2019013888A (es) 2017-05-22 2018-05-18 Instrumento de combinacion electroquirurgico y ultrasonico con modalidades de energia ajustables y metodo para sellar tejido e inhibir la reseccion de tejido.
MX2019013902A MX2019013902A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido en fases sucesivas.
MX2019013903A MX2019013903A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con entrada de posicion del brazo de sujecion y metodo para identificar el estado del tejido.
MX2019013876A MX2019013876A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con un proceso de sellado ultrasonico basado en la fuerza de sujecion de produccion y metodos relacionados.
MX2023012942A MX2023012942A (es) 2017-05-22 2019-11-21 Instrumento de combinacion ultrasonico y electroquirurgico con entrada de posicion del brazo de sujecion y metodo para identificar el estado del tejido.

Family Applications Before (3)

Application Number Title Priority Date Filing Date
MX2019013895A MX2019013895A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico con modalidades de energia ajustables y metodo para limitar la temperatura de la cuchilla.
MX2019013877A MX2019013877A (es) 2017-05-22 2018-05-18 Instrumento de combinacion ultrasonico y electroquirurgico y metodo para sellar tejido con diversos parametros de terminacion.
MX2019013888A MX2019013888A (es) 2017-05-22 2018-05-18 Instrumento de combinacion electroquirurgico y ultrasonico con modalidades de energia ajustables y metodo para sellar tejido e inhibir la reseccion de tejido.

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