[미국특허]
Combined ultrasound and HF surgical system
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-018/04
A61B-018/12
A61B-017/32
A61B-018/00
출원번호
US-0392720
(2010-09-10)
등록번호
US-9039690
(2015-05-26)
우선권정보
DE-10 2009 041 329 (2009-09-15)
국제출원번호
PCT/EP2010/063291
(2010-09-10)
§371/§102 date
20120227
(20120227)
국제공개번호
WO2011/032891
(2011-03-24)
발명자
/ 주소
Kersten, Lutz
Strauβ, Timo
Schiddel, Stefan
Fischer, Uwe
출원인 / 주소
OLYMPUS WINTER & IBE GMBH
대리인 / 주소
Oliff PLC
인용정보
피인용 횟수 :
221인용 특허 :
7
초록▼
The invention relates to a combined ultrasound and HF surgical system, including at least one ultrasound generator which operatively provides an excitation signal through which an ultrasound converter can generate an ultrasound vibration, at least one HF generator which operatively generates HF ener
The invention relates to a combined ultrasound and HF surgical system, including at least one ultrasound generator which operatively provides an excitation signal through which an ultrasound converter can generate an ultrasound vibration, at least one HF generator which operatively generates HF energy, and at least one ultrasound and HF instrument electrically connected with the HF generator and the ultrasound generator, wherein the ultrasound vibrations and the HF energy are introducible into biological tissue through the HF instrument which includes at least one ultrasound converter and at least one HF electrode. In order to be able to use HF energy and ultrasound energy simultaneously without damaging the instrument or wearing the it out, the system includes a protective device which prevents sparks operatively generated through HF energy or reduces the probability of occurrence of the sparks.
대표청구항▼
1. A combined ultrasound and HF surgical system, comprising: at least one ultrasound generator which operatively provides an excitation signal;at least one HF generator which operatively generates HF energy;at least one ultrasound and HF instrument electrically connected with the HF generator and th
1. A combined ultrasound and HF surgical system, comprising: at least one ultrasound generator which operatively provides an excitation signal;at least one HF generator which operatively generates HF energy;at least one ultrasound and HF instrument electrically connected with the HF generator and the ultrasound generator, the ultrasound and HF instrument including at least one ultrasound converter and at least one HF electrode wherein: the ultrasound generator operatively provides the excitation signal through which the ultrasound convertor can generate an ultrasound vibration;the ultrasound vibration and the HF energy are introducible into biological tissue through the ultrasound and HF instrument; anda protective device which prevents sparks operatively generated by the HF energy or reduces the probability of occurrence of the sparks, wherein: the protective device includes a HF voltage limiter which prevents a HF voltage above a predetermined threshold voltage between a first HF electrode and a second HF electrode of the at least one HF electrode within a response time of less than 1 ms,the HF voltage limiter includes at least a TVS diode, andthe TVS diode is configured to reduce the HF voltage to the predetermined threshold voltage and to conduct out a damaging energy portion through the TVS diode. 2. The system according to claim 1, wherein the HF voltage limiter prevents the HF voltage above the predetermined threshold voltage within the response time of less than 1 μs. 3. The system according to claim 1, wherein the HF voltage limiter includes at least one switch configured to switch between at least two different threshold voltages. 4. The system according to claim 1, wherein the HF voltage limiter is electrically connected between the HF electrodes. 5. A HF generator for generating HF energy for cutting and/or coagulating biological tissue, comprising: at least two HF outputs with different polarities, at which HF electrodes of a surgical ultrasound and HF instrument are connectable, wherein the HF generator has at least one ultrasound/HF operating mode, in which a HF output energy optimized for the ultrasound and HF instrument is provided at the HF outputs: anda protective device which prevents sparks operatively generated by the HF output energy or reduces their probability of occurrence, wherein: the protective device includes a HF voltage limiter which prevents a HF voltage above a predetermined threshold voltage at the HF outputs within a response time of less than 1 ms,the HF voltage limiter includes at least a TVS diode, andthe TVS diode is configured to reduce the HF voltage to the predetermined threshold voltage and to conduct out a damaging energy portion through the TVS diode. 6. A surgical device for providing an ultrasound energy signal and an HF energy signal for cutting and/or coagulation biological tissue, comprising: an ultra-sound generator which operatively provides an excitation signal, through which an ultrasound converter can generate an ultrasound vibration;at least one ultrasound output connected with the ultrasound generator, wherein an ultrasound and HF instrument is connectable at the ultrasound output;at least one HF energy input, at which a HF generator is connectable for introducing a HF energy signal;at least one energy output, at which the ultrasound and HF instrument is connectable; anda protective device, which prevents sparks operatively generated by the HF energy signal or reduces the probability of occurrence of the sparks, wherein: the protective device includes a HF voltage limiter which prevents a HF voltage above a predetermined threshold voltage at HF energy outputs of the at least one energy output within a response time of less than 1 ms,the HF voltage limiter includes at least a TVS diode, andthe TVS diode is configured to reduce the HF voltage to the predetermined threshold voltage and to conduct out a damaging energy portion through the TVS diode. 7. A surgical ultrasound and HF instrument for cutting and/or coagulating biological tissue, comprising: at least one HF electrode, through which HF energy is introducible into a tissue;an ultrasound converter, which operatively converts an electrical excitation signal into ultrasound vibrations, wherein the ultrasound vibrations are introducible through the ultrasound and HF instrument into biological tissue for cutting and/or coagulating the tissue; anda protective device which prevents sparks operatively generated through HF energy or reduces the probability of occurrence of the sparks, wherein: the protective device includes a HF voltage limiter which prevents a HF voltage above a predetermined threshold voltage between a first HF electrode and a second HF electrode of the at least one HF electrode within a response time of less than 1 ms,the HF voltage limiter includes at least a TVS diode, andthe TVS diode is configured to reduce the HF voltage to the predetermined threshold voltage and to conduct out a damaging energy portion through the TVS diode.
Marshall William H. (Houston TX) Williams Robert E. (Houston TX) Bennett John K. (Houston TX), Apparatus for electrical connection of glove monitor to patient.
Shelton, IV, Frederick E.; Morgan, Jerome R.; Swayze, Jeffrey S.; Vendely, Michael J.; Aronhalt, Taylor W., Actuator for releasing a layer of material from a surgical end effector.
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Shelton, IV, Frederick E.; Morgan, Jerome R.; Yates, David C.; Baxter, III, Chester O.; Beckman, Andrew T., Charging system that enables emergency resolutions for charging a battery.
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Shelton, IV, Frederick E.; Harris, Jason L.; Beckman, Andrew T., Control techniques and sub-processor contained within modular shaft with select control processing from handle.
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Leimbach, Richard L.; Shelton, IV, Frederick E.; Morgan, Jerome R.; Schellin, Emily A., End effector detection and firing rate modulation systems for surgical instruments.
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Swayze, Jeffrey S.; Hueil, Joseph C.; Morgan, Jerome R.; Shelton, IV, Frederick E., Fastener cartridge assembly comprising a fixed anvil and a staple driver arrangement.
Swayze, Jeffrey S.; Hueil, Joseph C.; Morgan, Jerome R.; Shelton, IV, Frederick E., Fastener cartridge assembly comprising a fixed anvil and different staple heights.
Aronhalt, Taylor W.; Vendely, Michael J.; Lloyd, Brandon J.; Miller, Michael J.; Setser, Michael E.; Shelton, IV, Frederick E., Fastener cartridge comprising a releasably attached tissue thickness compensator.
Weaner, Lauren S.; Aronhalt, Taylor W.; Vendely, Michael J.; Schellin, Emily A.; Shelton, IV, Frederick E., Fastener cartridge comprising a tissue thickness compensator and a gap setting element.
Huitema, Thomas W.; Schellin, Emily A.; Shelton, IV, Frederick E.; Hueil, Geoffrey C.; Huang, Zhifan F., Fastener cartridge compromising fastener cavities including fastener control features.
Harris, Jason L.; Casella, Lucia M.; Zeiner, Mark S.; Smith, Bret W.; Crainich, Lawrence; Shelton, IV, Frederick E.; Morgan, Jerome R.; Worthington, Sarah A., Fastener cartridge for creating a flexible staple line.
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Morgan, Jerome R.; Swayze, Jeffrey S.; Shelton, IV, Frederick E.; Schellin, Emily A.; Hall, Steven G., Firing member retraction devices for powered surgical instruments.
Wiener, Eitan T.; Yates, David C., Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments.
Schellin, Emily A.; Vendely, Michael J.; Weaner, Lauren S.; Shelton, IV, Frederick E.; Aronhalt, Taylor W.; Reynolds, II, Donald L.; Timmer, Mark D.; Donners, Jackie J.; Barton, Trevor J., Implantable layers and methods for altering implantable layers for use with surgical fastening instruments.
Schellin, Emily A.; Vendely, Michael J.; Weaner, Lauren S.; Widenhouse, Christopher W.; Aronhalt, Taylor W.; Reynolds, II, Donald L.; Miller, Michael J.; Shelton, IV, Frederick E.; Barton, Trevor J., Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments.
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