WO2012040445A1 - Articulation joint features for articulating surgical device - Google Patents
Articulation joint features for articulating surgical device Download PDFInfo
- Publication number
- WO2012040445A1 WO2012040445A1 PCT/US2011/052734 US2011052734W WO2012040445A1 WO 2012040445 A1 WO2012040445 A1 WO 2012040445A1 US 2011052734 W US2011052734 W US 2011052734W WO 2012040445 A1 WO2012040445 A1 WO 2012040445A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- end effector
- articulation section
- articulation
- jaw
- section
- Prior art date
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
-
- 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
- A61B18/1447—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 wherein sliding surfaces cause opening/closing of the end effectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
-
- 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
- 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00314—Separate linked members
-
- 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
- A61B2018/0063—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
- A61B2018/1452—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
Definitions
- a variety of surgical instruments include a tissue cutting element and one or more elements that transmit RF energy to tissue (e.g., to coagulate or seal the tissue).
- tissue e.g., to coagulate or seal the tissue
- ENSEAL® Tissue Sealing Device by Ethicon Endo- Surgery, Inc., of Cincinnati, Ohio.
- Further examples of such devices and related concepts are disclosed in U.S. Pat. No. 6,500,176 entitled “Electrosurgical Systems and Techniques for Sealing Tissue," issued December 31, 2002, the disclosure of which is incorporated by reference herein; U.S. Pat. No. 7,112,201 entitled “Electrosurgical Instrument and Method of Use," issued September 26, 2006, the disclosure of which is incorporated by reference herein; U.S. Pat. No.
- a PTC thermistor bodies (54, 56) at end effector (40) may automatically reduce the energy delivery at electrode surfaces (50, 52) as the temperature of the tissue and/or end effector (40) increases, thereby reducing the likelihood of overheating.
- a PTC thermistor element is in series with power source (80) and electrode surface (50, 52); and the PTC thermistor provides an increased impedance (reducing flow of current) in response to temperatures exceeding a threshold.
- electrode surfaces (50, 52) may be used as sensors (e.g., to sense tissue impedance, etc.).
- Recesses (632, 622) are configured to form a channel that receives an actuation rod (660), which will be described in greater detail below, when bodies (610, 620) are assembled together. It should be understood that actuation rod (660) may translate within articulation section (600) and rotate within articulation section (600). Recesses (634, 635) are configured to form a channel that receives an articulation band (650) when bodies (610, 620) are assembled together. It should be understood that at least a part of articulation band (650) may translate within articulation section (600).
- FIG. 37 shows yet another configuration (1500) enabling an end effector (1540) to be selectively articulated at various positions relative to a shaft section (1520).
- end effector (1540) includes an integral coupling (1542), which presents a plurality of coupling channels (1544) at various positions and orientations.
- a wire (1546) extends from coupling (1542) and is operable to transmit power from a power source to end effector (1540).
- Channels (1544) are configured to selectively receive the distal end of shaft section (1520).
- Shaft section (1520) of this example provides structural support to end effector (1540) when coupling (1542) is secured to shaft section (1520).
- FIGS. 39A-39B show a dual pivoting jaw assembly (1700) that may be incorporated into any version of electrosurgical device (10) described herein.
- lower jaw (44) remains substantially stationary relative to pivotal coupling (43), such that only upper jaw (42) moves when jaws (42, 44) are opened and closed.
- pivotal coupling (1743) is disposed at the distal end of a shaft assembly (1730).
- any of the devices described herein may be modified to include a motor or other electrically powered device to drive an otherwise manually moved component.
- Various examples of such modifications are described in U.S. Patent App. No. 13/151,481, entitled “Motor Driven Electrosurgical Device with Mechanical and Electrical Feedback,” filed June 2, 1011, the disclosure of which is incorporated by reference herein.
- Various other suitable ways in which a motor or other electrically powered device may be incorporated into any of the devices herein will be apparent to those of ordinary skill in the art in view of the teachings herein.
Abstract
Description
Claims
Priority Applications (8)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR1020137010205A KR101926344B1 (en) | 2010-09-24 | 2011-09-22 | Articulation joint features for articulating surgical device |
AU2011305410A AU2011305410B8 (en) | 2010-09-24 | 2011-09-22 | Articulation joint features for articulating surgical device |
JP2013530307A JP5937079B2 (en) | 2010-09-24 | 2011-09-22 | Articulating features for articulating surgical devices |
EP11764436.9A EP2618762B1 (en) | 2010-09-24 | 2011-09-22 | Articulation joint features for articulating surgical device |
CA2811298A CA2811298C (en) | 2010-09-24 | 2011-09-22 | Articulation joint features for articulating surgical device |
BR112013006969-4A BR112013006969B1 (en) | 2010-09-24 | 2011-09-22 | ELECTROSURGICAL DEVICE |
RU2013118683/14A RU2577811C2 (en) | 2010-09-24 | 2011-09-22 | Articulation joint elements for articulated surgical device |
CN201180046162.3A CN103298425B (en) | 2010-09-24 | 2011-09-22 | For the articulated joint structure of hinged surgical device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US38611710P | 2010-09-24 | 2010-09-24 | |
US61/386,117 | 2010-09-24 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2012040445A1 true WO2012040445A1 (en) | 2012-03-29 |
Family
ID=44736092
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2011/052723 WO2012040438A1 (en) | 2010-09-24 | 2011-09-22 | Articulation joint features for articulating surgical device |
PCT/US2011/052734 WO2012040445A1 (en) | 2010-09-24 | 2011-09-22 | Articulation joint features for articulating surgical device |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2011/052723 WO2012040438A1 (en) | 2010-09-24 | 2011-09-22 | Articulation joint features for articulating surgical device |
Country Status (10)
Country | Link |
---|---|
US (6) | US9402682B2 (en) |
EP (2) | EP2618763B1 (en) |
JP (2) | JP5937079B2 (en) |
KR (2) | KR101926344B1 (en) |
CN (2) | CN103298425B (en) |
AU (2) | AU2011305410B8 (en) |
BR (2) | BR112013006517B1 (en) |
CA (2) | CA2811339C (en) |
RU (2) | RU2581713C2 (en) |
WO (2) | WO2012040438A1 (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2703501C2 (en) * | 2015-05-11 | 2019-10-17 | Эрбе Электромедицин Гмбх | Electrosurgical instrument and electrosurgical apparatus for use on biological tissue |
US11911014B2 (en) | 2019-09-24 | 2024-02-27 | Korea Institute Of Science And Technology | Articulating structure having elastic member and tube inserting device having the same |
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