[go: up one dir, main page]

MX2018007072A - Efector de extremo para instrumento con caracteristicas ultrasonicas y electroquirurgicas. - Google Patents

Efector de extremo para instrumento con caracteristicas ultrasonicas y electroquirurgicas.

Info

Publication number
MX2018007072A
MX2018007072A MX2018007072A MX2018007072A MX2018007072A MX 2018007072 A MX2018007072 A MX 2018007072A MX 2018007072 A MX2018007072 A MX 2018007072A MX 2018007072 A MX2018007072 A MX 2018007072A MX 2018007072 A MX2018007072 A MX 2018007072A
Authority
MX
Mexico
Prior art keywords
grip pad
electrode
ultrasonic blade
end effector
ultrasonic
Prior art date
Application number
MX2018007072A
Other languages
English (en)
Other versions
MX381887B (es
Inventor
Chad P Boudreaux
Eitan T Wiener
Mark A Davison
Gregory W Johnson
Matthew C Miller
Jeffrey D Messerly
Jason R Lesko
L Estera Frederick
C Worrell Barry
M Krumm Amy (Porter)
A Corbett Catherine
A Hibner John
Isosaki Joseph
Wan Shan
OTREMBIAK Candice
B Ii Weisenburgh William
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 MX2018007072A publication Critical patent/MX2018007072A/es
Publication of MX381887B publication Critical patent/MX381887B/es

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
    • A61B18/1206—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • 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
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • A61B2017/2825—Inserts of different material in jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00595—Cauterization
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • 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
    • A61B2018/0091—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
    • A61B2018/00922—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by switching or controlling the treatment energy directly within the hand-piece
    • 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
    • A61B2018/142—Electrodes having a specific shape at least partly surrounding the target, e.g. concave, curved or in the form of a cave
    • 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)
  • 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)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

Un aparato incluye un cuerpo, un ensamble de eje y un efector de extremo, el efector de extremo incluye una cuchilla ultrasónica y un ensamble de brazo de agarradera; la cuchilla ultrasónica está en comunicación acústica con una guía de onda acústica del ensamble de eje; el ensamble de brazo de agarradera puede girar hacia y alejándose de la cuchilla ultrasónica; el ensamble de brazo de agarradera incluye una almohadilla de agarre y un electrodo; la almohadilla de agarre se configura para comprimir tejido contra la cuchilla ultrasónica; la almohadilla de agarre tiene un extremo proximal, un extremo distal y un par de lados laterales que se extienden desde el extremo proximal al extremo distal; el electrodo se puede operar para aplicar energía de radiofrecuencia al tejido; el electrodo se extiende a lo largo de ambos lados laterales de la almohadilla de agarre; el electrodo se extiende además alrededor del extremo distal de la almohadilla de agarre.
MX2018007072A 2015-12-10 2016-12-08 Efector de extremo para instrumento con caracteristicas ultrasonicas y electroquirurgicas. MX381887B (es)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201562265611P 2015-12-10 2015-12-10
US201662324428P 2016-04-19 2016-04-19
US201662365543P 2016-07-22 2016-07-22
US15/355,836 US20170164972A1 (en) 2015-12-10 2016-11-18 End effector for instrument with ultrasonic and electrosurgical features
PCT/US2016/065570 WO2017100423A2 (en) 2015-12-10 2016-12-08 End effector for instrument with ultrasonic and electrosurgical features

Publications (2)

Publication Number Publication Date
MX2018007072A true MX2018007072A (es) 2018-12-12
MX381887B MX381887B (es) 2025-03-13

Family

ID=57681756

Family Applications (1)

Application Number Title Priority Date Filing Date
MX2018007072A MX381887B (es) 2015-12-10 2016-12-08 Efector de extremo para instrumento con caracteristicas ultrasonicas y electroquirurgicas.

Country Status (7)

Country Link
US (2) US20170164972A1 (es)
EP (1) EP3621540A2 (es)
JP (1) JP6869985B2 (es)
CN (1) CN108366827B (es)
BR (1) BR112018011660B1 (es)
MX (1) MX381887B (es)
WO (1) WO2017100423A2 (es)

Families Citing this family (114)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
EP1802245B8 (en) 2004-10-08 2016-09-28 Ethicon Endo-Surgery, LLC Ultrasonic surgical instrument
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
WO2009046234A2 (en) 2007-10-05 2009-04-09 Ethicon Endo-Surgery, Inc Ergonomic surgical instruments
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
JP6234932B2 (ja) 2011-10-24 2017-11-22 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 医療用器具
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US9393037B2 (en) 2012-06-29 2016-07-19 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
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US10159524B2 (en) 2014-12-22 2018-12-25 Ethicon Llc High power battery powered RF amplifier topology
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10959771B2 (en) 2015-10-16 2021-03-30 Ethicon Llc Suction and irrigation sealing grasper
US10660692B2 (en) 2015-12-10 2020-05-26 Ethicon Llc End effector for instrument with ultrasonic blade and bipolar clamp arm
US20170164997A1 (en) 2015-12-10 2017-06-15 Ethicon Endo-Surgery, Llc Method of treating tissue using end effector with ultrasonic and electrosurgical features
US10959806B2 (en) 2015-12-30 2021-03-30 Ethicon Llc Energized medical device with reusable handle
US10537351B2 (en) 2016-01-15 2020-01-21 Ethicon Llc Modular battery powered handheld surgical instrument with variable motor control limits
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
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
US10987156B2 (en) 2016-04-29 2021-04-27 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
US10856934B2 (en) 2016-04-29 2020-12-08 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting and tissue engaging members
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
USD847990S1 (en) * 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US11350959B2 (en) 2016-08-25 2022-06-07 Cilag Gmbh International Ultrasonic transducer techniques for ultrasonic surgical instrument
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10751117B2 (en) 2016-09-23 2020-08-25 Ethicon Llc Electrosurgical instrument with fluid diverter
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US11033325B2 (en) 2017-02-16 2021-06-15 Cilag Gmbh International Electrosurgical instrument with telescoping suction port and debris cleaner
US10799284B2 (en) 2017-03-15 2020-10-13 Ethicon Llc Electrosurgical instrument with textured jaws
US11497546B2 (en) * 2017-03-31 2022-11-15 Cilag Gmbh International Area ratios of patterned coatings on RF electrodes to reduce sticking
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US11490951B2 (en) 2017-09-29 2022-11-08 Cilag Gmbh International Saline contact with electrodes
US11484358B2 (en) 2017-09-29 2022-11-01 Cilag Gmbh International Flexible electrosurgical instrument
US11033323B2 (en) 2017-09-29 2021-06-15 Cilag Gmbh International Systems and methods for managing fluid and suction in electrosurgical systems
CN111556729B (zh) * 2017-10-30 2023-09-15 爱惜康有限责任公司 包括自动夹具进给系统的外科施夹器
US11446079B2 (en) 2018-01-17 2022-09-20 Covidien Lp Surgical instruments incorporating ultrasonic and electrosurgical functionality
US11589889B2 (en) 2018-01-17 2023-02-28 Covidien Lp Surgical instruments incorporating ultrasonic and electrosurgical functionality
US11564733B2 (en) 2018-01-17 2023-01-31 Covidien Lp Surgical instruments incorporating ultrasonic and electrosurgical functionality
US11478267B2 (en) 2018-01-17 2022-10-25 Covidien Lp Surgical instruments incorporating ultrasonic and electrosurgical functionality
WO2019186662A1 (ja) * 2018-03-26 2019-10-03 オリンパス株式会社 コードレス手術機器、制御方法、及び制御プログラム
WO2019198217A1 (ja) * 2018-04-12 2019-10-17 オリンパス株式会社 医療機器システム、異常判定方法、及び異常判定プログラム
JP7596292B2 (ja) * 2019-03-26 2024-12-09 コヴィディエン リミテッド パートナーシップ 組織を密封、切断、および／または感知するための超音波および多重エネルギー外科用器具、システム、および方法
DE102019108141A1 (de) * 2019-03-28 2020-10-01 Karl Storz Se & Co. Kg Bipolares elektrochirurgisches Werkzeug
US11179177B2 (en) * 2019-04-30 2021-11-23 Cilag Gmbh International Ultrasonic blade and clamp arm matching design
US12023085B2 (en) 2019-08-29 2024-07-02 Covidien Lp Ultrasonic systems and methods with tissue resistance sensing
CN110584751B (zh) * 2019-09-27 2024-10-01 湖南瀚德微创医疗科技有限公司 一种提高超声切割止血刀使用寿命的钳头
GB2594438A (en) * 2019-12-05 2021-11-03 Creo Medical Ltd Electrosurgical instrument, generator and apparatus
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11944366B2 (en) * 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11937863B2 (en) * 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
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
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
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
US20210196352A1 (en) * 2019-12-30 2021-07-01 Ethicon Llc Partially conductive clamp arm pad to enable electrode wear through and minimize short circuiting
US12064109B2 (en) 2019-12-30 2024-08-20 Cilag Gmbh International Surgical instrument comprising a feedback control circuit
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
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
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
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
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
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
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11974801B2 (en) 2019-12-30 2024-05-07 Cilag Gmbh International Electrosurgical instrument with flexible wiring assemblies
US11786291B2 (en) * 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
BR112022012996A2 (pt) * 2019-12-30 2022-09-13 Cilag Gmbh Int Instrumento cirúrgico com recursos de alinhamento de garras
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
CN111166429B (zh) 2020-02-18 2024-07-26 北京水木天蓬医疗设备有限公司 超声外科系统
CN111938759B (zh) * 2020-09-04 2025-06-17 盈甲医疗器械制造（上海）有限公司 具有可同时按压的刀头按钮的超声外科器械
US12471982B2 (en) 2020-12-02 2025-11-18 Cilag Gmbh International Method for tissue treatment by surgical instrument
EP4259018A2 (en) * 2020-12-08 2023-10-18 Covidien LP Surgical instruments, systems, and methods incorporating ultrasonic and electrosurgical functionality
CN112754608B (zh) * 2021-01-21 2025-07-04 武汉联影智融医疗科技有限公司 一种末端夹持装置及超声刀系统
CN113796929B (zh) * 2021-07-21 2024-01-30 上海益超医疗器械有限公司 一种超声外科执行设备
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
US12508021B2 (en) 2021-11-01 2025-12-30 Cilag Gmbh International Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation
CN114366285A (zh) * 2022-01-25 2022-04-19 武汉半边天医疗技术发展有限公司 一种导电四氟射频超声刀
CN116746986B (zh) * 2023-08-16 2024-01-12 厚凯(北京)医疗科技有限公司 超声振动组件及其超声手术器械和制造方法
CN116942262B (zh) * 2023-09-18 2023-12-08 武汉半边天医疗技术发展有限公司 一种分体便捷式射频手术系统及附件

Family Cites Families (58)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5324299A (en) 1992-02-03 1994-06-28 Ultracision, Inc. Ultrasonic scalpel blade and methods of application
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
CA2276316C (en) 1998-06-29 2008-02-12 Ethicon Endo-Surgery, Inc. Method of balancing asymmetric ultrasonic surgical blades
US6309400B2 (en) 1998-06-29 2001-10-30 Ethicon Endo-Surgery, Inc. Curved ultrasonic blade having a trapezoidal cross section
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US6423082B1 (en) 2000-03-31 2002-07-23 Ethicon Endo-Surgery, Inc. Ultrasonic surgical blade with improved cutting and coagulation features
US6500176B1 (en) 2000-10-23 2002-12-31 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US7112201B2 (en) 2001-10-22 2006-09-26 Surgrx Inc. Electrosurgical instrument and method of use
US6929644B2 (en) 2001-10-22 2005-08-16 Surgrx Inc. Electrosurgical jaw structure for controlled energy delivery
US7125409B2 (en) 2001-10-22 2006-10-24 Surgrx, Inc. Electrosurgical working end for controlled energy delivery
US7311709B2 (en) 2001-10-22 2007-12-25 Surgrx, Inc. Electrosurgical instrument and method of use
US7189233B2 (en) 2001-10-22 2007-03-13 Surgrx, Inc. Electrosurgical instrument
US7354440B2 (en) 2001-10-22 2008-04-08 Surgrx, Inc. Electrosurgical instrument and method of use
US7169146B2 (en) 2003-02-14 2007-01-30 Surgrx, Inc. Electrosurgical probe and method of use
US7232440B2 (en) * 2003-11-17 2007-06-19 Sherwood Services Ag Bipolar forceps having monopolar extension
WO2005052959A2 (en) 2003-11-19 2005-06-09 Surgrx, Inc. Polymer compositions exhibiting a ptc property and method of fabrication
US7442193B2 (en) * 2003-11-20 2008-10-28 Covidien Ag Electrically conductive/insulative over-shoe for tissue fusion
US8182501B2 (en) * 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US20050192610A1 (en) * 2004-02-27 2005-09-01 Houser Kevin L. Ultrasonic surgical shears and tissue pad for same
US7220951B2 (en) 2004-04-19 2007-05-22 Surgrx, Inc. Surgical sealing surfaces and methods of use
EP1802245B8 (en) 2004-10-08 2016-09-28 Ethicon Endo-Surgery, LLC Ultrasonic surgical instrument
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7645278B2 (en) * 2006-02-22 2010-01-12 Olympus Corporation Coagulating cutter
US8394115B2 (en) * 2006-03-22 2013-03-12 Ethicon Endo-Surgery, Inc. Composite end effector for an ultrasonic surgical instrument
US7749222B2 (en) * 2006-05-19 2010-07-06 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8114104B2 (en) 2006-06-01 2012-02-14 Ethicon Endo-Surgery, Inc. Mechanism for assembly of ultrasonic instrument
JP4157574B2 (ja) * 2006-07-04 2008-10-01 オリンパスメディカルシステムズ株式会社 外科用処置具
BRPI0806674A2 (pt) 2007-01-16 2014-05-13 Ethicon Endo Surgery Inc Dispositivo ultrassônico para corte e coagulação
US7935114B2 (en) * 2007-02-14 2011-05-03 Olympus Medical Systems Corp. Curative treatment system, curative treatment device, and treatment method for living tissue using energy
JP5575490B2 (ja) * 2007-03-22 2014-08-20 エシコン・エンド−サージェリィ・インコーポレイテッド 超音波外科用器具ブレード
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
JP2010527704A (ja) * 2007-05-22 2010-08-19 デイビッド エー． シェクター 組織付着・強化のための装置、組織強化のための装置、組織を付着させ強化する方法、ならびに組織を強化する方法
WO2009046234A2 (en) 2007-10-05 2009-04-09 Ethicon Endo-Surgery, Inc Ergonomic surgical instruments
US8147488B2 (en) * 2007-12-28 2012-04-03 Olympus Medical Systems Corp. Surgical operating apparatus
US8636687B1 (en) * 2008-03-06 2014-01-28 Spinnaker Medical Llc Tissue sealing method
CA2736870A1 (en) 2008-09-12 2010-03-18 Ethicon Endo-Surgery, Inc. Ultrasonic device for fingertip control
US8461744B2 (en) * 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
JP5710610B2 (ja) * 2009-07-15 2015-04-30 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 超音波手術器具のための電気外科手術用電気発生器
US8951248B2 (en) 2009-10-09 2015-02-10 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US9782214B2 (en) * 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
US9381058B2 (en) 2010-11-05 2016-07-05 Ethicon Endo-Surgery, Llc Recharge system for medical devices
JP5379931B1 (ja) * 2012-02-01 2013-12-25 オリンパスメディカルシステムズ株式会社 把持処置装置
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9226767B2 (en) * 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9487870B2 (en) * 2012-07-11 2016-11-08 Ecolab Usa Inc. Apparatus, method and system for rapid service, removal and replacement of an electrolytic cell
US9681908B2 (en) * 2012-10-08 2017-06-20 Covidien Lp Jaw assemblies for electrosurgical instruments and methods of manufacturing jaw assemblies
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US20140135804A1 (en) * 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US9237900B2 (en) * 2013-05-10 2016-01-19 Ethicon Endo-Surgery, Inc. Surgical instrument with split jaw
CN105451676B (zh) * 2013-06-06 2019-06-07 奥林巴斯株式会社 手柄单元及外科手术用装置
US9949785B2 (en) 2013-11-21 2018-04-24 Ethicon Llc Ultrasonic surgical instrument with electrosurgical feature
US20150313628A1 (en) * 2014-05-02 2015-11-05 Covidien Lp Electrosurgical instruments including end-effector assembly configured to provide mechanical cutting action on tissue

Also Published As

Publication number Publication date
CN108366827A (zh) 2018-08-03
WO2017100423A2 (en) 2017-06-15
EP3621540A2 (en) 2020-03-18
JP2019500101A (ja) 2019-01-10
BR112018011660A2 (pt) 2018-12-04
WO2017100423A3 (en) 2017-11-16
US20220039858A1 (en) 2022-02-10
BR112018011660B1 (pt) 2023-01-31
MX381887B (es) 2025-03-13
US20170164972A1 (en) 2017-06-15
JP6869985B2 (ja) 2021-05-12
CN108366827B (zh) 2021-10-01

Similar Documents

Publication Publication Date Title
MX2018007072A (es) Efector de extremo para instrumento con caracteristicas ultrasonicas y electroquirurgicas.
MX383640B (es) Instrumento quirúrgico con aplicación gradual de energía electroquirúrgica y ultrasónica.
WO2017100427A3 (en) End effector for instrument with ultrasonic blade and bipolar clamp arm
MX2022015009A (es) Instrumento quirurgico ultrasonico con porcion de unidad de vastago desmontable.
MX2016006843A (es) Pieza de mano y configuraciones de cuchillas para instrumento quirurgico ultrasonico.
MX2016006849A (es) Accesorios de manguitos para una cuchilla ultrasonica de un instrumento quirurgico.
BR112018007743A2 (pt) instrumento cirúrgico com atuador de extremidade de dupla função e conjunto de braço de aperto carregado lateralmente
MX2019013883A (es) Instrumento de combinacion ultrasonico y electroquirurgico que tiene electrodo de brazo de abrazadera.
WO2015038317A3 (en) Electrosurgical (rf) medical instruments for cutting and coagulating tissue
MX2017016511A (es) Hoja quirurgica ultrasonica para usar con instrumentos quirurgicos ultrasonicos.
MX2023012942A (es) Instrumento de combinacion ultrasonico y electroquirurgico con entrada de posicion del brazo de sujecion y metodo para identificar el estado del tejido.
RU2014148146A (ru) Ультразвуковое устройство для рассечения и коагуляции
EP3735920A3 (en) Articulation features for ultrasonic surgical instrument
MX2015007175A (es) Cuchilla quirurgica ultrasonica.
EP4316361A3 (en) Medical devices with a flexible electrode assembly coupled to an ablation tip
WO2014149298A3 (en) Tissue clamping features of surgical instrument end effector
WO2014088957A3 (en) Surgical instrument with secondary jaw closure feature
WO2016081674A3 (en) Energy delivery device having a translating outer sheath
BR112017028508A2 (pt) sistema cirúrgico com técnicas adaptáveis pelo usuário que emprega modalidades simultâneas de energia com base em parâmetros de tecido
MX2017013282A (es) Instrumento quirurgico ultrasonico con efector de extremo de articulacion que tienen una cuchilla curvada.
WO2014012032A3 (en) Low frequency ultrasound surgical systems for the treatment of soft tissues
BR112016001520A8 (pt) instrumento cirúrgico bipolar
WO2014150169A3 (en) Ultrasonic surgical shears with clamping feature
WO2014144943A3 (en) Rf tissue ablation devices and methods of using the same
CN205268270U (zh) 等离子耳鼻喉手术刀