Erbe Elektromedizin Gmbh

Muller Weingarten Ag

Tobias Amann

Achim Brodbeck

Heiko Schall

Rainer Reichenbach

Volker Mayer

Rolf Weiler

Ralf Kühner

Thomas Spiesshofer

Stefanie Schmidt

Martina Düppuis

Martina Heim

Elias Schiele

Schmidt Steffanie

An instrument () provided for simultaneous coagulation and dissection of tissue has tissue receptacles between the cutting electrode and the sealing electrode for the formation of tissue bulges to secure the tissue in the tool during the sealing process. In order to make it possible to form voluminous tissue bulges and to prevent their atrophy, the cutting electrode is supplied by a current limiting component, preferably in the form of a coupling capacitor. Thereby, in particular, in tissue that can be cut through easily, but which requires a long time for sealing, a high degree of process safety is achieved.

System for simultaneous tissue coagulation and tissue dissection

A sealing instrument () including two branches () with sealing jaws () acted on by a sealing voltage preferably between 80 and 120 volts. Tissue receptacles () are separated from one another by a wall-like extension (), which at its lower edge carries a cutting electrode (), are defined between the branches (). A cutting voltage from 300 to 500 volts is applied between a branch () and the cutting electrode. When the branches are closed the grasped tissue is sealed simultaneously between the sealing jaws (and) and is severed by the cutting electrode (). Even though the tissue is severed completely; for example after 0.3 to 0.5 seconds and the sealing requires more time, the rolls of tissue grasped in the tissue receptacles () act as form-fitting protection of the vessel edges in the tool ().

Surgical instrument

An instrument () according to the invention comprises a cam mechanism drive comprising a locking cam mechanism () and a cam mechanism (), which serves power-transfer and control purposes, so as to initially create a tractive movement at traction elements () and then a sliding movement at a sliding element (). The concept allows for a tolerance-insensitive, functionally reliable design.

Surgical instrument comprising an improved actuating drive

A surgical instrument comprises a tool part and a grip part connected to each other via a ball and socket joint or other double-axis joint. The double axis joint allows the surgeon to work in a non-fatiguing, ergonomic and sensitive manner. The tool on the tool part can be activated e.g., mechanically by an actuation member. Additional actuation elements such as, e.g., electrical switches, can be arranged on the grip part to activate the tool. The transmission connection between the grip part and the tool can be achieved via rigid levers and connecting pieces or also via flexible elements (e.g., a traction cord), or rigid components with an integral hinge. To uncouple a pivoting movement of the grip part towards the tool part from an actuation of the tool, at least one joint of the transmission is arranged in the center of the joint.

Surgical instrument with improved handleability

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Geislingen, Germany

Tobias Amann