WO2003082134A8 - Fluid-assisted medical devices, systems and methods - Google Patents

Fluid-assisted medical devices, systems and methods

Info

Publication number
WO2003082134A8
WO2003082134A8 PCT/US2003/009763 US0309763W WO03082134A8 WO 2003082134 A8 WO2003082134 A8 WO 2003082134A8 US 0309763 W US0309763 W US 0309763W WO 03082134 A8 WO03082134 A8 WO 03082134A8
Authority
WO
WIPO (PCT)
Prior art keywords
fluid
systems
methods
distal end
medical devices
Prior art date
Application number
PCT/US2003/009763
Other languages
French (fr)
Other versions
WO2003082134A1 (en
Inventor
Michael E Mcclurken
David Lipson
David J Flanagan
Scott D O'brien
Original Assignee
Tissuelink Medical Inc
Michael E Mcclurken
David Lipson
David J Flanagan
Scott D O'brien
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 Tissuelink Medical Inc, Michael E Mcclurken, David Lipson, David J Flanagan, Scott D O'brien filed Critical Tissuelink Medical Inc
Priority to AU2003220598A priority Critical patent/AU2003220598A1/en
Priority to US10/486,807 priority patent/US20050059966A1/en
Priority to JP2003579680A priority patent/JP4421302B2/en
Priority to EP03716912.5A priority patent/EP1487365B1/en
Publication of WO2003082134A1 publication Critical patent/WO2003082134A1/en
Publication of WO2003082134A8 publication Critical patent/WO2003082134A8/en
Priority to US10/547,881 priority patent/US7909820B2/en
Priority to PCT/US2004/006520 priority patent/WO2004080278A2/en
Priority to US10/813,736 priority patent/US7998140B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1482Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00065Material properties porous
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00404Blood vessels other than those in or around the heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063Sealing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • A61B2018/00809Temperature measured thermochromatically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1417Ball
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1422Hook
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical 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
    • A61B2018/1861Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation

Abstract

Surgical devices for treating tissue are provided. Also provided are systems for treating tissue and methods of treating tissue. An exemplary surgical device has a handle (20), a shaft (17) extending from the handle having a distal end, and an electrode tip (25) having an electrode surface with at least a portion of the electrode tip extending distally beyond the distal end of the shaft. In one embodiment, preferably the protion of the electrode tip extending distally beyond the distal end of the shaft comprises a cone shaped portion. The device also has a fluid passage being connectable to a fluid source and at least one fluid outlet opening in fluid communication with the fluid passage.
PCT/US2003/009763 2002-02-12 2003-03-27 Fluid-assisted medical devices, systems and methods WO2003082134A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
AU2003220598A AU2003220598A1 (en) 2002-03-27 2003-03-27 Fluid-assisted medical devices, systems and methods
US10/486,807 US20050059966A1 (en) 2002-02-12 2003-03-27 Fluid-assisted medical devices, systems and methods
JP2003579680A JP4421302B2 (en) 2002-03-27 2003-03-27 Fluid-assisted medical device, fluid-assisted medical system, and fluid-assisted medical method
EP03716912.5A EP1487365B1 (en) 2002-03-27 2003-03-27 Fluid-assisted medical devices
US10/547,881 US7909820B2 (en) 2003-03-06 2004-03-03 Electrosurgical generator and bipolar electrosurgical device adaptors
PCT/US2004/006520 WO2004080278A2 (en) 2003-03-06 2004-03-03 Fluid -assisted medical devices, systems and methods
US10/813,736 US7998140B2 (en) 2002-02-12 2004-03-30 Fluid-assisted medical devices, systems and methods

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US36817702P 2002-03-27 2002-03-27
US60/368,177 2002-03-27
US10/365,170 2003-02-11
US10/365,170 US8048070B2 (en) 2000-03-06 2003-02-11 Fluid-assisted medical devices, systems and methods

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US10/486,807 Continuation US20050059966A1 (en) 2002-02-12 2003-03-27 Fluid-assisted medical devices, systems and methods
US10/813,736 Continuation US7998140B2 (en) 2002-02-12 2004-03-30 Fluid-assisted medical devices, systems and methods

Publications (2)

Publication Number Publication Date
WO2003082134A1 WO2003082134A1 (en) 2003-10-09
WO2003082134A8 true WO2003082134A8 (en) 2004-02-12

Family

ID=28678163

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/009763 WO2003082134A1 (en) 2002-02-12 2003-03-27 Fluid-assisted medical devices, systems and methods

Country Status (5)

Country Link
US (5) US8048070B2 (en)
EP (1) EP1487365B1 (en)
JP (1) JP4421302B2 (en)
AU (1) AU2003220598A1 (en)
WO (1) WO2003082134A1 (en)

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CN101394804B (en) * 2005-12-29 2016-09-14 博为医疗公司 Equipment for liquid transportation for ablation of tissue
CN112168342A (en) * 2020-09-30 2021-01-05 山东威高手术机器人有限公司 Monopole electric hook surgical instrument

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CN112168342A (en) * 2020-09-30 2021-01-05 山东威高手术机器人有限公司 Monopole electric hook surgical instrument

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