DK2994066T3 - Indretning til styring af effekt afgivet af en elektrokirurgisk sonde - Google Patents

Indretning til styring af effekt afgivet af en elektrokirurgisk sonde Download PDF

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Publication number
DK2994066T3
DK2994066T3 DK14717848.7T DK14717848T DK2994066T3 DK 2994066 T3 DK2994066 T3 DK 2994066T3 DK 14717848 T DK14717848 T DK 14717848T DK 2994066 T3 DK2994066 T3 DK 2994066T3
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DK
Denmark
Prior art keywords
controlling power
power delivered
electrosurgical probe
electrosurgical
probe
Prior art date
Application number
DK14717848.7T
Other languages
English (en)
Inventor
Francis Amoah
Christopher Paul Hancock
Martin Jarman
Nuwan Dharmisiri
Original Assignee
Creo Medical Ltd
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 Creo Medical Ltd filed Critical Creo Medical Ltd
Application granted granted Critical
Publication of DK2994066T3 publication Critical patent/DK2994066T3/da

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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
    • A61B18/1206—Generators 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
    • 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
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00148—Coatings on the energy applicator with metal
    • 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
    • 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
    • A61B2018/00601—Cutting
    • 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
    • A61B2018/00636—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
    • 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
    • A61B2018/00666—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
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/0072—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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00827—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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61B2018/00773—Sensed parameters
    • A61B2018/00892—Voltage
    • 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
    • A61B2018/00994—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
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1412—Blade
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1823—Generators 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (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)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
DK14717848.7T 2013-05-08 2014-04-14 Indretning til styring af effekt afgivet af en elektrokirurgisk sonde DK2994066T3 (da)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB1308209.4A GB2514100B (en) 2013-05-08 2013-05-08 Apparatus for Controlling Power Delivered by Electrosurgical Probe
PCT/GB2014/051164 WO2014181077A1 (en) 2013-05-08 2014-04-14 Method and apparatus for controlling power delivered by electrosurgical probe

Publications (1)

Publication Number Publication Date
DK2994066T3 true DK2994066T3 (da) 2020-05-25

Family

ID=48627410

Family Applications (1)

Application Number Title Priority Date Filing Date
DK14717848.7T DK2994066T3 (da) 2013-05-08 2014-04-14 Indretning til styring af effekt afgivet af en elektrokirurgisk sonde

Country Status (15)

Country Link
US (1) US10299850B2 (da)
EP (1) EP2994066B1 (da)
JP (1) JP6523254B2 (da)
KR (1) KR102304488B1 (da)
CN (2) CN105338918A (da)
AU (1) AU2014264488B2 (da)
BR (1) BR112015028065B1 (da)
CA (1) CA2911846C (da)
DK (1) DK2994066T3 (da)
ES (1) ES2788136T3 (da)
GB (1) GB2514100B (da)
HK (1) HK1221629A1 (da)
PT (1) PT2994066T (da)
SG (1) SG11201509041PA (da)
WO (1) WO2014181077A1 (da)

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US10448986B2 (en) 2013-09-27 2019-10-22 Covidien Lp Electrosurgical medical device with power modulation
US11446078B2 (en) 2015-07-20 2022-09-20 Megadyne Medical Products, Inc. Electrosurgical wave generator
GB2552921A (en) 2016-04-04 2018-02-21 Creo Medical Ltd Electrosurgical probe for delivering RF and microwave energy
US10869712B2 (en) * 2016-05-02 2020-12-22 Covidien Lp System and method for high frequency leakage reduction through selective harmonic elimination in electrosurgical generators
GB2552452A (en) * 2016-05-23 2018-01-31 Creo Medical Ltd Electrosurgical apparatus and method for promoting haemostasis in biological tissue
GB2551339B (en) * 2016-06-13 2021-12-08 Creo Medical Ltd Electrosurgical device with integrated microwave source
US10376305B2 (en) * 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
KR101910643B1 (ko) 2017-02-10 2018-10-23 부산대학교 산학협력단 다중 인터페이싱 기반 수술 중 신경모니터링 시스템
GB2565575A (en) * 2017-08-17 2019-02-20 Creo Medical Ltd Electrosurgical apparatus for delivering RF and/or microwave energy into biological tissue
WO2019080078A1 (zh) * 2017-10-27 2019-05-02 上海诺英医疗器械有限公司 一种低温等离子圈套刀手术设备、***及方法
WO2019080079A1 (zh) * 2017-10-27 2019-05-02 上海诺英医疗器械有限公司 一种低温等离子切开刀手术设备、***及方法
WO2019080081A1 (zh) * 2017-10-27 2019-05-02 上海诺英医疗器械有限公司 一种低温等离子剥离刀手术设备、***及方法
CN107736935A (zh) * 2017-10-27 2018-02-27 上海诺英医疗器械有限公司 一种低温等离子切开刀手术***及方法
CN107693111A (zh) * 2017-10-27 2018-02-16 上海诺英医疗器械有限公司 一种低温等离子切开刀手术设备
CN107736932A (zh) * 2017-10-27 2018-02-27 上海诺英医疗器械有限公司 一种低温等离子剥离刀手术***及方法
CN107693113A (zh) * 2017-10-27 2018-02-16 上海诺英医疗器械有限公司 一种低温等离子圈套刀手术***及方法
CN113811255A (zh) * 2019-05-09 2021-12-17 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) 电外科***和方法
DE102020108614A1 (de) 2020-03-27 2021-09-30 Olympus Winter & Ibe Gmbh Elektrochirurgie-Generator, Elektrochirurgiesystem und Verfahren zum Betreiben eines Elektrochirurgie-Generators
GB2597751A (en) * 2020-08-03 2022-02-09 Creo Medical Ltd Electrosurgical apparatus, and methods for cutting and coagulation

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US6210403B1 (en) * 1993-10-07 2001-04-03 Sherwood Services Ag Automatic control for energy from an electrosurgical generator
US5514129A (en) * 1993-12-03 1996-05-07 Valleylab Inc. Automatic bipolar control for an electrosurgical generator
US6165173A (en) * 1997-10-06 2000-12-26 Somnus Medical Technologies, Inc. Memory for regulating device utilization and behavior
US7300435B2 (en) * 2003-11-21 2007-11-27 Sherwood Services Ag Automatic control system for an electrosurgical generator
US9474564B2 (en) * 2005-03-31 2016-10-25 Covidien Ag Method and system for compensating for external impedance of an energy carrying component when controlling an electrosurgical generator
JPWO2008053532A1 (ja) * 2006-10-31 2010-02-25 オリンパスメディカルシステムズ株式会社 高周波焼灼電源装置
ES2651687T3 (es) * 2008-03-31 2018-01-29 Applied Medical Resources Corporation Sistema electroquirúrgico con un módulo de memoria
US8142429B2 (en) * 2008-10-03 2012-03-27 Olympus Medical Systems Corp. High-frequency treatment based upon a calculated impedance
JP4567811B2 (ja) * 2008-10-03 2010-10-20 オリンパスメディカルシステムズ株式会社 電気手術装置、電気手術装置の制御方法、高周波処置装置、及び、高周波処置方法
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GB201021032D0 (en) * 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
US9379643B2 (en) * 2010-12-23 2016-06-28 The Regents Of The University Of Colorado, A Body Corporate Electrosurgical generator controller for regulation of electrosurgical generator output power
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US9480523B2 (en) * 2012-01-27 2016-11-01 Covidien Lp Systems and methods for phase predictive impedance loss model calibration and compensation

Also Published As

Publication number Publication date
CN107397585B (zh) 2020-06-30
CA2911846A1 (en) 2014-11-13
CN107397585A (zh) 2017-11-28
GB2514100B (en) 2020-04-01
GB2514100A (en) 2014-11-19
PT2994066T (pt) 2020-05-07
CA2911846C (en) 2023-04-04
JP6523254B2 (ja) 2019-05-29
AU2014264488B2 (en) 2018-07-26
BR112015028065A2 (pt) 2017-07-25
BR112015028065B1 (pt) 2022-03-15
KR20160005766A (ko) 2016-01-15
US10299850B2 (en) 2019-05-28
AU2014264488A1 (en) 2015-11-26
WO2014181077A1 (en) 2014-11-13
CN105338918A (zh) 2016-02-17
SG11201509041PA (en) 2015-12-30
HK1221629A1 (zh) 2017-06-09
US20160074091A1 (en) 2016-03-17
EP2994066A1 (en) 2016-03-16
GB201308209D0 (en) 2013-06-12
KR102304488B1 (ko) 2021-09-23
JP2016517754A (ja) 2016-06-20
ES2788136T3 (es) 2020-10-20
EP2994066B1 (en) 2020-03-25

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