JP4796748B2 - 電気外科用静脈ストリッパ - Google Patents
電気外科用静脈ストリッパ Download PDFInfo
- Publication number
- JP4796748B2 JP4796748B2 JP2003501356A JP2003501356A JP4796748B2 JP 4796748 B2 JP4796748 B2 JP 4796748B2 JP 2003501356 A JP2003501356 A JP 2003501356A JP 2003501356 A JP2003501356 A JP 2003501356A JP 4796748 B2 JP4796748 B2 JP 4796748B2
- Authority
- JP
- Japan
- Prior art keywords
- electrodes
- vein
- stripper
- venous
- probe
- 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.)
- Expired - Fee Related
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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
- A61B18/14—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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
-
- 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
- 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
- A61B2018/1407—Loop
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Saccharide Compounds (AREA)
- Finger-Pressure Massage (AREA)
- Electrophonic Musical Instruments (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Chemical And Physical Treatments For Wood And The Like (AREA)
- Veneer Processing And Manufacture Of Plywood (AREA)
Description
Claims (24)
- 不健全な静脈を除去する静脈ストリッパにして、静脈内に挿入可能な探子と、基本体と該基本体の引張り方向の一端に配置される少なくとも2つの電極を有する凝固切削器具とを含み、該探子が前記少なくとも2つの環状の電極の内方に形成された正面開口部を通過するようになっている静脈ストリッパにおいて、前記探子が、前記基本体の引張り方向の他端における所定の位置において前記凝固切削器具に連結されていて且つ前記少なくとも2つの環状の電極によって同軸関係で取り囲まれていることを特徴とする静脈ストリッパ。
- 前記電極の少なくとも1つはリング形状である請求項1に記載の静脈ストリッパ。
- 前記電極の少なくとも1つがらせん形状を有する請求項1に記載の静脈ストリッパ。
- 前記電極の少なくとも1つが中断部を有する請求項1に記載の静脈ストリッパ。
- 前記電極の少なくとも1つがファン状フィンガを含む請求項1に記載の静脈ストリッパ。
- 前記凝固切削器具は静脈に沿って自動的に移動するための駆動装置を含む請求項1に記載の静脈ストリッパ。
- 前記少なくとも2つの電極が、少なくとも3つの電極を有するように更なる電極を含む請求項1に記載の静脈ストリッパ。
- 前記電極が前記凝固切削器具の外側壁面に配置されている請求項7に記載の静脈ストリッパ。
- 前記電極はそれぞれから異なる距離で隔置されている請求項7に記載の静脈ストリッパ。
- 前記電極の少なくとも1つに連結する抵抗器を更に含む請求項1に記載の静脈ストリッパ。
- 前記凝固切削器具が縦軸を画定する基本体を有し、該凝固切削器具の少なくとも2つの電極が前記基本体の縦軸に対して実質的に平行の関係で対称軸を画定しており、これらの電極が前記対称軸の軸方向に実質的に重なり合っている領域を画定している請求項1に記載の静脈ストリッパ。
- 前記基本体は実質的に円筒状の空間を囲んでいる請求項11に記載の静脈ストリッパ。
- 更に、前記電極を電力供給源に連結し且つ前記探子の一端上の2つの接点に連結するため該探子内に供された電線を含み、前記凝固切削器具が前記電極に導電接続された2つの接点を有して、前記探子が前記凝固切削器具内に受入れられ且つ確保された時に、前記電極と前記電力供給源との間に電気的な導電接続を形成するようになっている請求項1に記載の静脈ストリッパ。
- 更に、長手方向に静脈を切り込む縦方向切込み装置を含む請求項1に記載の静脈ストリッパ。
- 前記縦方向切込み装置は、単極切削用の切込み電極、双極切削用の切込み電極、及び機械的切刃で成る群から選択された1つの部材を有する請求項14に記載の静脈ストリッパ。
- 前記電極を電力供給源に連結する電線を更に含み、前記縦方向切込み装置は前記凝固切削器具に連結されていて且つ前記電線か又は更なる電線に接続された切り込み電極を含む請求項14に記載の静脈ストリッパ。
- 前記凝固切削器具は、前記電極間の領域に、イオン化可能気体の出口のための少なくとも1つの出口開口部を備えている請求項1に記載の静脈ストリッパ。
- 前記ガスはアルゴンである請求項17に記載の静脈ストリッパ。
- 前記凝固切削器具は、縦軸を画定し且つ少なくとも2つの電極を配置するための前端を有する基本体を有し、前記出口開口部は前記基本体の後端における気体供給口に連結されている請求項17に記載の静脈ストリッパ。
- 前記凝固切削器具は、煙を除去するための少なくとも1つの吸引開口部を有する請求項1に記載の静脈ストリッパ。
- 更に、前記正面開口部の近傍において前記電極の領域に配置されたリング状超音波共振器を含む請求項1に記載の静脈ストリッパ。
- 前記探子はガイドワイヤである請求項1に記載の静脈ストリッパ。
- 更に、前記電極を電力供給源に接続するために前記凝固切削器具に固定された電気ケーブルを含む請求項1に記載の静脈ストリッパ。
- 前記凝固切削器具は、前記探子を固定するように、前記引張り方向の他端に、前記所定の位置を定めるための溝を含む請求項1に記載の静脈ストリッパ。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ATA874/2001 | 2001-06-05 | ||
AT8742001A AT411012B (de) | 2001-06-05 | 2001-06-05 | Koagulations- und schneidegerät |
AT2592002A AT410893B (de) | 2001-06-05 | 2002-02-20 | Venenstripper |
ATA259/2002 | 2002-02-20 | ||
ATA790/2002 | 2002-05-23 | ||
AT0079002A AT411013B (de) | 2001-06-05 | 2002-05-23 | Venenstripper |
PCT/AT2002/000168 WO2002098310A1 (de) | 2001-06-05 | 2002-06-05 | Elektrochirurgischer venenstripper |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008229410A Division JP2009006166A (ja) | 2001-06-05 | 2008-09-08 | 電気外科用静脈ストリッパ |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2004527357A JP2004527357A (ja) | 2004-09-09 |
JP4796748B2 true JP4796748B2 (ja) | 2011-10-19 |
Family
ID=27151282
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2003501356A Expired - Fee Related JP4796748B2 (ja) | 2001-06-05 | 2002-06-05 | 電気外科用静脈ストリッパ |
JP2008229410A Pending JP2009006166A (ja) | 2001-06-05 | 2008-09-08 | 電気外科用静脈ストリッパ |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008229410A Pending JP2009006166A (ja) | 2001-06-05 | 2008-09-08 | 電気外科用静脈ストリッパ |
Country Status (19)
Country | Link |
---|---|
US (1) | US6858027B2 (ja) |
EP (2) | EP1512378A1 (ja) |
JP (2) | JP4796748B2 (ja) |
CN (1) | CN1287748C (ja) |
AT (2) | AT411013B (ja) |
AU (1) | AU2002344336B2 (ja) |
BR (1) | BR0210171A (ja) |
CA (1) | CA2448998C (ja) |
CZ (1) | CZ20033289A3 (ja) |
DE (1) | DE50204034D1 (ja) |
DK (1) | DK1397085T3 (ja) |
ES (1) | ES2244811T3 (ja) |
HK (1) | HK1067515A1 (ja) |
HU (1) | HU225512B1 (ja) |
NO (1) | NO20035388D0 (ja) |
NZ (1) | NZ529514A (ja) |
PL (1) | PL202659B1 (ja) |
PT (1) | PT1397085E (ja) |
WO (1) | WO2002098310A1 (ja) |
Families Citing this family (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6960209B2 (en) * | 2002-10-23 | 2005-11-01 | Medtronic, Inc. | Electrosurgical methods and apparatus for making precise incisions in body vessels |
US20050283174A1 (en) * | 2004-01-27 | 2005-12-22 | Opie John C | Vein stripping tool and method of use |
DE102004052320B4 (de) * | 2004-10-28 | 2009-06-10 | Härter Werkzeugbau GmbH | Venenstripper |
JP2008529610A (ja) * | 2005-02-11 | 2008-08-07 | デール ヴィクター マッカイ、 | 電気手術用プロープ |
US20090018563A1 (en) * | 2007-07-13 | 2009-01-15 | E-Globe Technologies Ltd. | Stripping device for removal of varicose veins |
WO2009030226A2 (de) * | 2007-09-03 | 2009-03-12 | Protagen Ag | Markersequenzen für rheumatoide arthritis und deren verwendung |
DE102009020930B4 (de) * | 2009-05-12 | 2014-02-13 | Erbe Elektromedizin Gmbh | Applikationselektrode, elektrochirurgisches Instrument mit Applikationselektrode, elektrochirurgisches Gerät |
WO2011088441A2 (en) * | 2010-01-18 | 2011-07-21 | Ceramoptec Industries, Inc. | Improved device and method for removing veins |
US9498278B2 (en) | 2010-09-08 | 2016-11-22 | Covidien Lp | Asymmetrical electrodes for bipolar vessel sealing |
US10531891B2 (en) * | 2012-09-14 | 2020-01-14 | The Spectranetics Corporation | Tissue slitting methods and systems |
US10835279B2 (en) | 2013-03-14 | 2020-11-17 | Spectranetics Llc | Distal end supported tissue slitting apparatus |
CN109700525A (zh) * | 2018-12-28 | 2019-05-03 | 先健科技(深圳)有限公司 | 造口器械 |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4793346A (en) * | 1986-09-04 | 1988-12-27 | Bruce Mindich | Process and apparatus for harvesting vein |
SU1498473A1 (ru) | 1987-07-03 | 1989-08-07 | Семипалатинский Государственный Медицинский Институт | Веноэкстрактор |
US5817013A (en) * | 1996-03-19 | 1998-10-06 | Enable Medical Corporation | Method and apparatus for the minimally invasive harvesting of a saphenous vein and the like |
US5989249A (en) | 1996-04-29 | 1999-11-23 | Kirwan Surgical Products, Inc. | Bipolar suction coagulator |
US6019771A (en) * | 1996-12-02 | 2000-02-01 | Cardiothoracic Systems, Inc. | Devices and methods for minimally invasive harvesting of a vessel especially the saphenous vein for coronary bypass grafting |
DE19737965C1 (de) * | 1997-08-30 | 1999-05-12 | Steffen Dr Hoffmann | Gerät zur Behandlung von Varizen |
US5899912A (en) * | 1997-12-17 | 1999-05-04 | Eaves, Iii; Felmont F. | Apparatus and method for endoscopic harvesting of elongate tissue structure |
US6293944B1 (en) | 1999-09-10 | 2001-09-25 | Alan G. Ellman | Combined syringe and electrosurgical electrode for sclerotherapy |
-
2002
- 2002-05-23 AT AT0079002A patent/AT411013B/de not_active IP Right Cessation
- 2002-06-04 US US10/161,859 patent/US6858027B2/en not_active Expired - Fee Related
- 2002-06-05 ES ES02776493T patent/ES2244811T3/es not_active Expired - Lifetime
- 2002-06-05 JP JP2003501356A patent/JP4796748B2/ja not_active Expired - Fee Related
- 2002-06-05 DK DK02776493T patent/DK1397085T3/da active
- 2002-06-05 PT PT02776493T patent/PT1397085E/pt unknown
- 2002-06-05 PL PL364107A patent/PL202659B1/pl not_active IP Right Cessation
- 2002-06-05 DE DE50204034T patent/DE50204034D1/de not_active Expired - Lifetime
- 2002-06-05 EP EP04029280A patent/EP1512378A1/de not_active Ceased
- 2002-06-05 HU HU0400949A patent/HU225512B1/hu not_active IP Right Cessation
- 2002-06-05 CA CA2448998A patent/CA2448998C/en not_active Expired - Fee Related
- 2002-06-05 CZ CZ20033289A patent/CZ20033289A3/cs unknown
- 2002-06-05 AT AT02776493T patent/ATE302571T1/de active
- 2002-06-05 CN CNB028113934A patent/CN1287748C/zh not_active Expired - Fee Related
- 2002-06-05 EP EP02776493A patent/EP1397085B1/de not_active Expired - Lifetime
- 2002-06-05 NZ NZ529514A patent/NZ529514A/en unknown
- 2002-06-05 BR BR0210171-8A patent/BR0210171A/pt not_active Application Discontinuation
- 2002-06-05 AU AU2002344336A patent/AU2002344336B2/en not_active Ceased
- 2002-06-05 WO PCT/AT2002/000168 patent/WO2002098310A1/de active IP Right Grant
-
2003
- 2003-12-04 NO NO20035388A patent/NO20035388D0/no not_active Application Discontinuation
-
2005
- 2005-01-05 HK HK05100059A patent/HK1067515A1/xx not_active IP Right Cessation
-
2008
- 2008-09-08 JP JP2008229410A patent/JP2009006166A/ja active Pending
Also Published As
Publication number | Publication date |
---|---|
ATE302571T1 (de) | 2005-09-15 |
EP1397085A1 (de) | 2004-03-17 |
JP2004527357A (ja) | 2004-09-09 |
CA2448998C (en) | 2010-08-10 |
HU225512B1 (en) | 2007-01-29 |
CZ20033289A3 (cs) | 2004-05-12 |
NO20035388D0 (no) | 2003-12-04 |
PL202659B1 (pl) | 2009-07-31 |
EP1397085B1 (de) | 2005-08-24 |
US20020183744A1 (en) | 2002-12-05 |
HK1067515A1 (en) | 2005-04-15 |
CA2448998A1 (en) | 2002-12-12 |
WO2002098310A1 (de) | 2002-12-12 |
CN1287748C (zh) | 2006-12-06 |
BR0210171A (pt) | 2004-04-27 |
HUP0400949A2 (en) | 2004-08-30 |
CN1512854A (zh) | 2004-07-14 |
ATA7902002A (de) | 2003-02-15 |
PL364107A1 (en) | 2004-12-13 |
AT411013B (de) | 2003-09-25 |
NZ529514A (en) | 2005-12-23 |
US6858027B2 (en) | 2005-02-22 |
AU2002344336B2 (en) | 2007-11-15 |
DK1397085T3 (da) | 2005-10-17 |
JP2009006166A (ja) | 2009-01-15 |
DE50204034D1 (de) | 2005-09-29 |
PT1397085E (pt) | 2005-11-30 |
EP1512378A1 (de) | 2005-03-09 |
ES2244811T3 (es) | 2005-12-16 |
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