JP2000271145A - Device and system for treatment - Google Patents

Device and system for treatment

Info

Publication number
JP2000271145A
JP2000271145A JP11080024A JP8002499A JP2000271145A JP 2000271145 A JP2000271145 A JP 2000271145A JP 11080024 A JP11080024 A JP 11080024A JP 8002499 A JP8002499 A JP 8002499A JP 2000271145 A JP2000271145 A JP 2000271145A
Authority
JP
Japan
Prior art keywords
treatment
coagulation
output
frequency
ultrasonic
Prior art date
Legal status (The legal status 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 status listed.)
Withdrawn
Application number
JP11080024A
Other languages
Japanese (ja)
Inventor
Masahide Oyama
雅英 大山
Kazuya Hijii
一也 肘井
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Olympus Corp
Original Assignee
Olympus Optical Co Ltd
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 Olympus Optical Co Ltd filed Critical Olympus Optical Co Ltd
Priority to JP11080024A priority Critical patent/JP2000271145A/en
Publication of JP2000271145A publication Critical patent/JP2000271145A/en
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • 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
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00973—Surgical instruments, devices or methods, e.g. tourniquets pedal-operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320082—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for incising tissue
    • 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
    • A61B2018/00589—Coagulation
    • 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
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • A61B2018/00708—Power or energy switching the power on or off
    • 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
    • A61B2018/00875—Resistance or impedance
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)

Abstract

PROBLEM TO BE SOLVED: To provide a treatment device system capable of appropriately controlling the output of a plurality of treatment devices which are simultaneously used by making use of the information obtained by one treatment device in other treatment devices. SOLUTION: In this treatment device, a living structure of a patient is treated by giving the treatment energy by a high frequency electrode 6, the physical quantity of the treatment energy is measured, the measured information is transmitted to a drive control part of other ultrasonic cut and coagulation probe 7, and its output is appropriately controlled.

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【０００１】[0001]

【発明の属する技術分野】本発明は、高周波などの処置
エネルギーにより生体組織を処置する治療装置及び治療
システムに関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a treatment apparatus and a treatment system for treating a living tissue with treatment energy such as high frequency.

【０００２】[0002]

【従来の技術】特開平９−２９９３８１号公報には超音
波治療装置が開示される。この超音波治療装置は安定し
た出力状態を維持するために、そのハンドピースの処置
部に伝える超音波を発振する超音波振動子を駆動する電
流の値を測定し、定電流駆動制御を行う。しかし、ここ
で、測定している電流は、超音波発振を行うための電流
のみであり、直接に生体組織の凝固状態を示すものでは
ない。このため、その測定情報を利用して生体組織が凝
固する状態に伴って出力を適切に変えることは出来な
い。2. Description of the Related Art Japanese Patent Application Laid-Open No. 9-299381 discloses an ultrasonic therapy apparatus. In order to maintain a stable output state, this ultrasonic therapy apparatus measures a current value for driving an ultrasonic transducer that oscillates ultrasonic waves to be transmitted to a treatment section of the handpiece, and performs constant current drive control. However, the current measured here is only the current for performing ultrasonic oscillation, and does not directly indicate the coagulation state of the living tissue. For this reason, the output cannot be appropriately changed in accordance with the state in which the living tissue coagulates using the measurement information.

【０００３】一方、特開平１０−２２５４６２号公報の
電気手術装置では、処置用電極に流れる高周波電流、電
圧、またはインピーダンス、さらには電流と電圧の位相
差を検出し、その検出データの変化に基づいて、処置す
る部位の生体組織の凝固状態を判定し、加える出力を適
切に制御するようにしたものである。On the other hand, in the electrosurgical apparatus disclosed in Japanese Patent Application Laid-Open No. 10-225462, a high-frequency current, voltage, or impedance flowing through a treatment electrode, and a phase difference between current and voltage are detected, and based on a change in the detected data. Thus, the coagulation state of the living tissue at the site to be treated is determined, and the applied output is appropriately controlled.

【０００４】[0004]

【発明が解決しようとする課題】しかしながら、上記特
開平９−２９９３８１号公報に示される超音波治療装置
では、生体組織の情報により出力を制御する機構を持た
ず、処置にかかる時間が長くなる問題があった。また、
上記特開平１０−２２５４６２号公報に示される電気手
術装置にあっては、焼灼部位に多量の出血が発生した場
合、その出血の影響を受けて、高周波電流、電圧、イン
ピーダンス、あるいは電流電圧の位相差の変化が、出血
のない場合に比べて小さくなるため、それらを測定する
だけでは組織の凝固状態を正しく認識することができな
いことがあった。However, the ultrasonic therapy apparatus disclosed in Japanese Patent Application Laid-Open No. 9-299381 does not have a mechanism for controlling the output based on the information of the living tissue, so that the time required for the treatment becomes long. was there. Also,
In the electrosurgical apparatus disclosed in the above-mentioned Japanese Patent Application Laid-Open No. 10-225462, when a large amount of bleeding occurs at a cauterized site, the bleeding affects the high-frequency current, voltage, impedance, or current-voltage level. Since the change in the phase difference is smaller than that in the case where there is no bleeding, it may not be possible to correctly recognize the coagulation state of the tissue only by measuring them.

【０００５】本発明は上記課題に着目してなされたもの
であり、その目的とするところは、一つの治療装置で得
られた情報を他の治療装置で利用して複数の治療装置の
出力を適切に制御することが出来るようにした治療装置
及び治療システムを提供することにある。The present invention has been made in view of the above problems, and has as its object to utilize the information obtained by one treatment device in another treatment device to output the outputs of a plurality of treatment devices. An object of the present invention is to provide a treatment device and a treatment system that can be appropriately controlled.

【０００６】[0006]

【課題を解決するための手段及び作用】本発明は、患者
の生体組織に処置エネルギーを与えて処置を行う１の処
置手段と、上記処置エネルギーの物理量を測定する測定
手段と、上記測定手段により測定して得られた情報を他
の処置手段の駆動制御部に送信するための送信手段とを
具備したことを特徴とする治療装置である。別の発明
は、他の治療装置から送信された情報を受ける受信手段
と、他の治療装置から送信された情報を受信し、その情
報に基づいて患者の生体組織に与える処置エネルギーの
出力を制御する制御手段と、上記情報に基づいて患者の
生体組織に処置エネルギーを与えて処置を行う処置手段
とを具備したことを特徴とする治療装置である。さらに
別の発明は、上記両治療装置を含むことを特徴とする治
療システムである。SUMMARY OF THE INVENTION The present invention provides a treatment means for applying treatment energy to a living tissue of a patient to perform treatment, a measuring means for measuring a physical quantity of the treatment energy, and the measuring means. A transmission unit for transmitting information obtained by the measurement to a drive control unit of another treatment unit. Another invention is a receiving means for receiving information transmitted from another treatment apparatus, receiving information transmitted from another treatment apparatus, and controlling an output of treatment energy given to a living tissue of a patient based on the information. And a treatment means for applying treatment energy to the living tissue of the patient based on the information to perform treatment. Still another aspect of the present invention is a treatment system including the two treatment devices.

【０００７】[0007]

【発明の実施の形態】［第１の実施形態］図１を参照し
て本発明の第１の実施形態に係る治療装置及び治療シス
テムについて説明する。DESCRIPTION OF THE PREFERRED EMBODIMENTS [First Embodiment] A treatment apparatus and a treatment system according to a first embodiment of the present invention will be described with reference to FIG.

【０００８】図１は本発明に係る治療システムを示し、
この治療システムは高周波焼灼電源１、超音波切開凝固
装置本体２、テレビカメラ３、モニター４、スコープ
５、高周波電極６及び超音波切開凝固装置プローブ７を
有する。さらに、高周波焼灼電源１には高周波焼灼電源
用フットスイッチ８が接続され、超音波切開凝固装置本
体２には超音波切開凝固装置用フットスイッチ９が接続
されている。高周波焼灼電源１とテレビカメラ３は第１
の通信ケーブル１１によって接続され、高周波焼灼電源
１と超音波切開凝固装置本体２は第２の通信ケーブル１
２によって接続されている。FIG. 1 shows a treatment system according to the present invention,
This treatment system includes a high-frequency ablation power source 1, an ultrasonic incision coagulation device main body 2, a television camera 3, a monitor 4, a scope 5, a high-frequency electrode 6, and an ultrasonic incision coagulation device probe 7. Further, a high frequency ablation power source foot switch 8 is connected to the high frequency ablation power source 1, and an ultrasonic incision coagulation device foot switch 9 is connected to the ultrasonic incision coagulation device main body 2. High frequency ablation power supply 1 and TV camera 3
The high-frequency ablation power source 1 and the ultrasonic incision coagulation device main body 2 are connected by a second communication cable 1.
2 are connected.

【０００９】高周波焼灼電源用フットスイッチ８は、凝
固ペダル８ａと切開ペダル８ｂの２つのペダルを有す
る。超音波切開凝固用フットスイッチ９は設定値ペダル
９ａと１００％ペダル９ｂの２つのペダルを有する。The high frequency ablation power switch 8 has two pedals, a coagulation pedal 8a and an incision pedal 8b. The ultrasonic incision coagulation foot switch 9 has two pedals, a set value pedal 9a and a 100% pedal 9b.

【００１０】尚、高周波電極６のハンドル部に凝固操作
スイッチボタンと切開操作スイッチボタンの２つのスイ
ッチ操作ボタンを設けるようにしても良い。また、上記
超音波切開凝固装置プローブ７に組み込まれる超音波伝
達部材は通常、金属で作られており、そこで、上記超音
波伝達部材を高周波通電路として利用し、上記超音波切
開凝固装置プローブ７を高周波電極６として使用するよ
うに構成する事も出来る。The handle of the high-frequency electrode 6 may be provided with two switch operation buttons, a coagulation operation switch button and a cutting operation switch button. Further, the ultrasonic transmission member incorporated in the ultrasonic incision coagulation device probe 7 is usually made of metal, and therefore, the ultrasonic transmission member is used as a high-frequency current path, and the ultrasonic incision coagulation device probe 7 is used. Can be used as the high-frequency electrode 6.

【００１１】上記高周波焼灼電源１の構成を図２に示
す。この高周波焼灼電源１は電源回路２１を有し、この
電源回路２１にはアンプ２２が接続されている。アンプ
２２は出力トランス２３、電圧センサー２４、電流セン
サー２５を経て、上記高周波電極６が接続される出力ポ
ート２６に接続されている。FIG. 2 shows the configuration of the high-frequency ablation power source 1. The high-frequency ablation power supply 1 has a power supply circuit 21, and an amplifier 22 is connected to the power supply circuit 21. The amplifier 22 is connected to an output port 26 to which the high-frequency electrode 6 is connected via an output transformer 23, a voltage sensor 24, and a current sensor 25.

【００１２】高周波電極６は患者の生体組織に高周波エ
ネルギーを与えて高周波処置を行う１の処置手段を構成
し、超音波切開凝固装置プローブ７は同じく患者の生体
組織に超音波エネルギーを与えて超音波処置を行う他の
処置手段を構成している。The high-frequency electrode 6 constitutes one treatment means for applying high-frequency energy to the living tissue of the patient to perform high-frequency treatment, and the ultrasonic incision coagulation device probe 7 similarly applies ultrasonic energy to the living tissue of the patient to produce a high-frequency treatment. This constitutes another treatment means for performing sonic treatment.

【００１３】一般に、高周波電極６はモノポーラ電極の
ものとバイポーラ電極のものがあるが、ここでは能動
（活性）電極６ａと体外電極６ｂを備えたモノポーラ電
極形とした。Generally, the high-frequency electrode 6 has a monopolar electrode type and a bipolar electrode type. In this case, the high-frequency electrode 6 is of a monopolar electrode type having an active (active) electrode 6a and an extracorporeal electrode 6b.

【００１４】上記電圧センサー２４は高周波電極６に供
給する出力の電圧値を検出し、電流センサー２５は上記
高周波電極６に供給する電流値を検出する。つまり、電
圧センサー２４及び電流センサー２５は処置手段に与え
る処置エネルギーの物理量を測定する測定手段を構成す
る。The voltage sensor 24 detects a voltage value of an output supplied to the high frequency electrode 6, and a current sensor 25 detects a current value supplied to the high frequency electrode 6. That is, the voltage sensor 24 and the current sensor 25 constitute a measuring unit that measures the physical quantity of the treatment energy given to the treatment unit.

【００１５】電圧センサー２４と電流センサー２５はい
ずれもＡ／Ｄコンバーター２７に接続され、そのＡ／Ｄ
コンバーター２７により電圧センサー２４により検出し
た電圧値と電流センサー２５により検出した電流値がそ
れぞれデジタルデータに変換される。Ａ／Ｄコンバータ
ー２７は制御回路２８に接続され、この制御回路２８に
は上記デジタルデータが取り込まれる。制御回路２８に
おいては電圧センサー２４により検出した電圧値と電流
センサー２５により検出した電流値との位相差が算出さ
れる。Both the voltage sensor 24 and the current sensor 25 are connected to an A / D converter 27, and the A / D converter 27
The converter 27 converts the voltage value detected by the voltage sensor 24 and the current value detected by the current sensor 25 into digital data. The A / D converter 27 is connected to a control circuit 28, which takes in the digital data. In the control circuit 28, the phase difference between the voltage value detected by the voltage sensor 24 and the current value detected by the current sensor 25 is calculated.

【００１６】制御回路２８はそれぞれ別の制御線３１，
３２を介して上記電源回路２１と、この電源回路２１で
生成された電力を切開または凝固などの高周波処置に適
する高周波出力の波形信号を発生する波形発生回路３３
に接続されている。制御回路２８は通信線３４を介し
て、上記第１の通信ケーブル１１と第２の通信ケーブル
１２がそれぞれ接続される通信コネクター３５に接続さ
れている。そして、上記測定手段により測定して得られ
た情報を他の治療装置に送信する送信手段と、上記テレ
ビカメラ３に送信する送信手段を構成する。また、他の
治療装置からの情報を受信し、制御回路２８に取り込む
ための受信手段を構成しても良い。この後者の場合は他
の治療装置からの情報に基づいて高周波処置の動作を制
御するようにする。The control circuit 28 has separate control lines 31,
32, and a waveform generating circuit 33 for generating a high-frequency output waveform signal suitable for high-frequency treatment such as incision or coagulation of the electric power generated by the power supply circuit 21.
It is connected to the. The control circuit 28 is connected via a communication line 34 to a communication connector 35 to which the first communication cable 11 and the second communication cable 12 are connected. The transmitting means for transmitting the information obtained by the measurement by the measuring means to another treatment apparatus and the transmitting means for transmitting to the television camera 3 are constituted. Further, a receiving means for receiving information from another treatment device and taking it into the control circuit 28 may be configured. In the latter case, the operation of the high-frequency treatment is controlled based on information from another treatment device.

【００１７】次に、上記超音波切開凝固装置本体２を説
明する。この超音波切開凝固装置本体２の構成を図３に
示す。超音波切開凝固装置本体２は位相追尾回路（ＰＬ
Ｌ）４０を有し、この位相追尾回路４０の出力は掛算器
４１により誤差増幅器４２の出力と掛け合わされて制御
され、アンプ４３に入力される。アンプ４３の出力は電
流電圧検出部４４及び出力トランス４５を経由し、出力
ポート４６に接続される超音波切開凝固装置プローブ７
に入力する。Next, the ultrasonic incision coagulation apparatus main body 2 will be described. The configuration of the ultrasonic incision coagulation device main body 2 is shown in FIG. The ultrasonic incision coagulation device main body 2 has a phase tracking circuit (PL).
L) 40, and the output of the phase tracking circuit 40 is controlled by being multiplied by the output of the error amplifier 42 by the multiplier 41 and input to the amplifier 43. The output of the amplifier 43 passes through the current / voltage detection unit 44 and the output transformer 45 and is connected to the output port 46 of the ultrasonic incision coagulation device probe 7.
To enter.

【００１８】上記超音波切開凝固装置プローブ７には図
示しない把持力検出部があり、ここで検出した信号はＡ
／Ｄコンバーター４７を経由し、制御回路４８に入力す
る。The ultrasonic incision coagulation device probe 7 has a gripping force detecting unit (not shown).
The signal is input to the control circuit 48 via the / D converter 47.

【００１９】上記制御回路４８は信号線４９を介して上
記誤差増幅器４２の入力端に接続される。また、制御回
路４８には、誤差増幅器４２の出力端に接続されている
Ａ／Ｄコンバーター５１が接続されている。さらに、制
御回路４８には、信号線５２を介して、前述した通信ケ
ーブル１２が接続される通信コネクター５３に接続され
ている。これにより他の治療装置から送信された情報を
受ける受信手段と他の治療装置に送信する送信手段を構
成する。また、制御回路４８は後述する如く、その受信
した情報に基づいて患者の生体組織に与える高周波処置
エネルギーの出力を制御することが出来る。The control circuit 48 is connected to the input terminal of the error amplifier 42 via a signal line 49. An A / D converter 51 connected to the output terminal of the error amplifier 42 is connected to the control circuit 48. Further, the control circuit 48 is connected via a signal line 52 to a communication connector 53 to which the above-described communication cable 12 is connected. This constitutes a receiving unit that receives information transmitted from another treatment device and a transmission unit that transmits information to another treatment device. Further, the control circuit 48 can control the output of the high-frequency treatment energy given to the living tissue of the patient based on the received information, as described later.

【００２０】次に、本実施形態の治療システムの動作を
説明する。まず、術者が高周波焼灼電源用フットスイッ
チ８の凝固ぺダル８ａのみを足で踏むことにより、高周
波焼灼電源１より高周波の出力がなされ、高周波電極６
を通じて患者の生体組織に高周波電流が印加され、高周
波焼灼がなされる。Next, the operation of the treatment system of the present embodiment will be described. First, when the surgeon steps on only the coagulation pedal 8a of the high-frequency cautery power switch 8 with a foot, a high-frequency output is generated from the high-frequency cautery power supply 1 and the high-frequency electrode 6
A high-frequency current is applied to the living tissue of the patient through this, and high-frequency ablation is performed.

【００２１】この高周波電流の印加に加えて、通常、他
の術者が超音波切開凝固用フットスイッチ９の設定値ペ
ダル９ａを足で踏むと、超音波切開凝固装置用プローブ
７を通じて超音波が生体組織部位に印加され、超音波処
置がなされる。ここで、通常は超音波切開凝固装置本体
２に第２の通信ケーブル１２が接続されていないが、こ
の場合において、超音波切開凝固用フットスイッチ９の
設定値ペダル９ａを踏むと、設定値に従った出力が行わ
れる。また、１００％ペダル９ｂを踏むと、最大値での
出力が行われる。太い血管等を処置するためには、凝固
に時間をかける必要があるために設定値出力が使用され
る。In addition to the application of the high-frequency current, when another operator normally steps on the set value pedal 9a of the ultrasonic incision coagulation foot switch 9, the ultrasonic waves are transmitted through the ultrasonic incision coagulation device probe 7. The ultrasonic treatment is applied to the living tissue site. Here, normally, the second communication cable 12 is not connected to the ultrasonic incision coagulation apparatus main body 2, but in this case, when the set value pedal 9a of the ultrasonic incision coagulation foot switch 9 is depressed, the set value is set. The output according to is performed. When the pedal 9b is depressed 100%, the output at the maximum value is performed. In order to treat a thick blood vessel or the like, it is necessary to take a long time for coagulation, and thus the set value output is used.

【００２２】一方、高周波焼灼電源１より供給される高
周波電流は、電流センサー２５により電流値の測定がな
され、その電流値のデーターはＡ／Ｄコンバーター２７
によりデジタル信号に変換されて制御回路２８に取り込
まれる。制御回路２８はこれに取り込まれた電流値のデ
ーターが、図４（ａ）に示す如く、時間Ｔ1 の時、最大
値Ｉmax を記憶し、また電流値がＩmax の８０％まで減
少した時（時間Ｔ2 ）、生体組織が凝固終了したと判断
する。On the other hand, the high-frequency current supplied from the high-frequency ablation power source 1 is measured by a current sensor 25, and the data of the current value is stored in an A / D converter 27.
Is converted into a digital signal, and is taken into the control circuit 28. The control circuit 28 stores the maximum value Imax at the time T1 as shown in FIG. 4A, and stores the maximum value Imax at 80% of the Imax (time T2) It is determined that coagulation of the living tissue has been completed.

【００２３】また、生体組織の凝固終了は、電圧センサ
ー２４で測定される電圧値の変化によって判断しても良
い。つまり、Ａ／Ｄコンバーター２７を介して制御回路
２８に取り込まれる電圧値を、上記電流センサー２５に
より測定した電流値で割り、インピーダンスを求め、そ
のインピーダンスの変化により判断する。さらには、Ａ
／Ｄコンバーター２７から得られる電圧と電流の位相差
を表す信号の変化により凝固終了を判断するようにして
も良い。The completion of coagulation of the living tissue may be determined by a change in the voltage value measured by the voltage sensor 24. That is, the voltage value taken into the control circuit 28 via the A / D converter 27 is divided by the current value measured by the current sensor 25 to obtain an impedance, and the impedance is determined based on a change in the impedance. Furthermore, A
The end of coagulation may be determined based on a change in a signal representing the phase difference between the voltage and the current obtained from the / D converter 27.

【００２４】このようにして、高周波焼灼電源１で得ら
れた凝固終了の情報は、高周波焼灼電源１の送信手段に
より第２の通信ケーブル１２を介して、上記超音波切開
凝固装置本体２へ送信される。超音波切開凝固装置本体
２では、第２の通信ケーブル１２及び通信コネクター５
３を介してその情報を制御回路４８に取り込む。The information on the completion of coagulation obtained by the high-frequency ablation power source 1 is transmitted to the ultrasonic incision-coagulation device main body 2 via the second communication cable 12 by the transmission means of the high-frequency ablation power source 1. Is done. In the ultrasonic incision coagulation device main body 2, the second communication cable 12 and the communication connector 5
The information is fetched to the control circuit 48 through the control circuit 3.

【００２５】この情報を受信した制御回路４８は、図４
（ｂ）に示す如く、超音波出力を設定値から１００％に
変更する指示を誤差増幅器４２に対して行う。すると、
誤差増幅器４２の出力が位相追尾回路４０の出力と掛け
合わされ、アンプ４３に出力される。アンプ４３の出力
は電流電圧検出部４４、出力トランス４５を経由して超
音波切開凝固装置プローブ７に伝達される。超音波切開
凝固装置プローブ７は１００％の超音波出力で生体組織
に対して超音波処置を行う。The control circuit 48 which has received this information,
As shown in (b), an instruction is given to the error amplifier 42 to change the ultrasonic output from the set value to 100%. Then
The output of the error amplifier 42 is multiplied by the output of the phase tracking circuit 40 and output to the amplifier 43. The output of the amplifier 43 is transmitted to the ultrasonic incision coagulation device probe 7 via the current / voltage detection unit 44 and the output transformer 45. The ultrasonic incision coagulation device probe 7 performs ultrasonic treatment on a living tissue with an ultrasonic output of 100%.

【００２６】一方、前述の生体組織が凝固終了したとの
情報が高周波焼灼電源１から第１の通信ケーブル１１を
介してテレビカメラ３に伝達される。テレビカメラ３で
は、その凝固終了したという旨の生体情報の表示５５が
モニター４の画面上に表示される。モニター４の画面上
に生体情報がスコープ画像と共に表示されるので、視認
性が向上する。On the other hand, information indicating that the living tissue has been coagulated is transmitted from the high-frequency ablation power source 1 to the television camera 3 via the first communication cable 11. In the television camera 3, a display 55 of the biological information indicating that the coagulation has been completed is displayed on the screen of the monitor 4. Since the biological information is displayed on the screen of the monitor 4 together with the scope image, the visibility is improved.

【００２７】超音波切開凝固装置本体２では、組織の凝
固が進むと、電流電圧検出部４４で測定される音響イン
ピーダンスが上昇することを利用して、ある程度組織の
凝固状態を認識することができる。しかしながら、音響
インピーダンスは超音波切開凝固装置プローブ７を操作
する把持力量によっても変化してしまうため、認識の精
度は低かった。In the ultrasonic incision coagulation apparatus main body 2, the coagulation state of the tissue can be recognized to some extent by utilizing the fact that the acoustic impedance measured by the current / voltage detector 44 increases as the coagulation of the tissue progresses. . However, since the acoustic impedance changes depending on the amount of gripping force for operating the ultrasonic incision coagulation device probe 7, the recognition accuracy is low.

【００２８】本実施形態では、組織の凝固を正確に認識
し、凝固が終了した後には１００％の超音波出力で短時
間で切除を行なうことができる。In this embodiment, the coagulation of the tissue can be accurately recognized, and after the coagulation is completed, the excision can be performed in a short time with 100% ultrasonic output.

【００２９】以上の様に、治療装置で得られた情報を他
の治療装置で利用することにより、適切な出力制御を行
うことができる。As described above, appropriate output control can be performed by using the information obtained by one treatment device in another treatment device.

【００３０】尚、本実施形態では、高周波焼灼電源用フ
ットスイッチ８と超音波切開凝固装置用フットスイッチ
９を備えるが、一つのフットスイッチペダルを踏むこと
により、高周波の出力と超音波の出力を同時に行う構成
としてもよい。さらに、本実施形態では、モノポーラ電
極を使用したが、バイポーラ電極を使用してもよい。ま
た、超音波切開凝固装置用プローブ７を高周波電極とし
て、モノポーラまたはバイポーラ方式で使用してもよ
い。In the present embodiment, the high-frequency cautery power switch 8 and the ultrasonic incision coagulation device foot switch 9 are provided. When one foot switch pedal is depressed, the high-frequency output and the ultrasonic output are output. It is good also as a structure performed simultaneously. Further, in the present embodiment, a monopolar electrode is used, but a bipolar electrode may be used. Further, the ultrasonic incision coagulation device probe 7 may be used as a high-frequency electrode in a monopolar or bipolar system.

【００３１】［第２の実施形態］第２の実施形態に係る
治療装置及び治療システムの基本的構成は前述した第１
実施形態のものと同様であるが、以下に述べる機能を備
える点で相違する。[Second Embodiment] The basic configuration of the treatment apparatus and the treatment system according to the second embodiment is the same as that of the first embodiment described above.
It is the same as the embodiment, but differs in that it has the functions described below.

【００３２】すなわち、本実施形態の治療システムは以
下の通りに機能する。まず、術者が高周波焼灼電源用フ
ットスイッチ８の凝固ペダル８ａを踏むことにより高周
波焼灼電源１より高周波電極６を介して生体組織に高周
波電流が印加され、高周波焼灼が行われる。That is, the treatment system of the present embodiment functions as follows. First, when the operator steps on the coagulation pedal 8a of the high-frequency ablation power supply foot switch 8, a high-frequency current is applied to the living tissue from the high-frequency ablation power supply 1 via the high-frequency electrode 6, and the high-frequency ablation is performed.

【００３３】その時、他の術者が超音波切開凝固用フッ
トスイッチ９の設定値ペダル９ａを足で踏むことにより
超音波切開凝固装置用プローブ７を介して超音波が組織
に印加され、超音波処置が高周波焼灼に合せて行われ
る。At this time, when another operator steps on the set value pedal 9a of the ultrasonic incision coagulation foot switch 9, the ultrasonic wave is applied to the tissue through the ultrasonic incision coagulation device probe 7, and the ultrasonic wave is applied to the tissue. The procedure is performed in line with induction cautery.

【００３４】ここで、高周波焼灼電源１より供給される
電流は電流センサー２５により測定され、この測定値
は、Ａ／Ｄコンバーター２７によりデジタルデーターに
変換され、制御回路２８に取り込まれる。制御回路２８
に取り込まれた電流値は、図４（ａ）に示す如く、時間
Ｔ1 の時、最大値Ｉmax を記憶し、電流がＩmax の８０
％に減少した時（時間Ｔ2 ）、組織の凝固が終了したと
判断する。組織の凝固が終了したと判断した時、制御回
路２８は高周波電力を設定値の５０％に減少させる指示
を電源回路２１に対して行う。電源回路２１の出力電圧
が低下する。これによって、アンプ２２、出力トランス
２３、高周波電極６を経由して、生体組織に加えられる
高周波電力の設定値が５０％に減少する。Here, the current supplied from the high-frequency ablation power source 1 is measured by the current sensor 25, and the measured value is converted into digital data by the A / D converter 27 and taken into the control circuit 28. Control circuit 28
4A, the maximum value Imax is stored at time T1 as shown in FIG.
% (Time T2), it is determined that the coagulation of the tissue has been completed. When determining that the coagulation of the tissue has been completed, the control circuit 28 instructs the power supply circuit 21 to reduce the high frequency power to 50% of the set value. The output voltage of the power supply circuit 21 decreases. As a result, the set value of the high-frequency power applied to the living tissue via the amplifier 22, the output transformer 23, and the high-frequency electrode 6 is reduced to 50%.

【００３５】一方、超音波切開凝固装置本体２では電流
電圧検出部４４の検出信号を受ける誤差増幅器４２の出
力がＡ／Ｄコンバーター５１を介して制御回路４８に取
り込まれる。また、超音波切開凝固装置プローブ７から
の把持力に関する信号が別のＡ／Ｄコンバーター４７を
介して同じく制御回路４８に取り込まれる。制御回路４
８ではその２つの信号より、生体組織の音響インピーダ
ンスを計算する。On the other hand, in the ultrasonic incision coagulation apparatus main body 2, the output of the error amplifier 42 that receives the detection signal of the current / voltage detector 44 is taken into the control circuit 48 via the A / D converter 51. Further, a signal regarding the gripping force from the ultrasonic incision coagulation device probe 7 is also taken into the control circuit 48 via another A / D converter 47. Control circuit 4
In step 8, the acoustic impedance of the living tissue is calculated from the two signals.

【００３６】一般に超音波切開凝固装置は、通常、定電
流制御を行っており、そのアンプの出力は電圧で現れる
が、プローブにかかる負荷が大きい程、その電圧が上が
る。プローブにかかる負荷は組織の音響インピーダンス
と把持力量によって決まる。従って、アンプの電圧から
分かるプローブにかかる負荷から把持力量の影響を取り
除くと、組織の音響インピーダンスが分かる。しかし、
実際には組織とプローブの接触状態等の影響によって把
持力量を正確に計測する事は難しく、計測した組織の音
響インピーダンスは誤差が大きい。このため、本実施形
態で示す高周波電流の測定結果で判断すれば、組織の凝
固状態の認識の精度が向上する。In general, an ultrasonic incision coagulation apparatus normally performs constant current control, and the output of the amplifier appears as a voltage. However, the voltage increases as the load applied to the probe increases. The load on the probe is determined by the acoustic impedance of the tissue and the amount of gripping force. Therefore, if the influence of the amount of gripping force is removed from the load on the probe that can be determined from the voltage of the amplifier, the acoustic impedance of the tissue can be determined. But,
In practice, it is difficult to accurately measure the amount of gripping force due to the influence of the contact state between the tissue and the probe, and the acoustic impedance of the measured tissue has a large error. Therefore, if the determination is made based on the measurement result of the high-frequency current shown in the present embodiment, the recognition accuracy of the coagulation state of the tissue is improved.

【００３７】ここで、上記制御回路４８は図５（ａ）に
示される如く、音響インピーダンスが、時間Ｔ1 の時、
最小値Ｚmin を記憶し、音響インピーダンスが最小値Ｚ
minの１２０％に増加した時（時間Ｔ2 ）に生体組織が
凝固終了したと判断する。Here, as shown in FIG. 5A, when the acoustic impedance is at the time T1 as shown in FIG.
The minimum value Zmin is stored, and the acoustic impedance is set to the minimum value Z.
When it has increased to 120% of the min (time T2), it is determined that the coagulation of the living tissue has been completed.

【００３８】また、超音波切開凝固装置本体２ではその
送信手段を利用して、第２の通信ケーブル１２を介し、
その情報を高周波焼灼電源１へ送信する。高周波焼灼電
源１では通信コネクター３５の受信手段を介して、その
情報を制御回路２８に取り込む。制御回路２８ではこの
情報を受け取った場合、前述した高周波電流による凝固
の終了判断が行われていない場合でも、図５（ｂ）に示
すように、高周波電力を、設定値の５０％に減少させる
指示を電源回路２１に対して行う。すると、電源回路２
１の出力電圧が低下し、これにより、アンプ２２、出力
トランス２３を経由して、上記高周波電極６により生体
組織に加えられる高周波電力が設定値の５０％まで減少
する。Further, the ultrasonic incision coagulation apparatus main body 2 uses the transmitting means to transmit the signal through the second communication cable 12.
The information is transmitted to the high-frequency ablation power supply 1. The high-frequency ablation power source 1 takes the information into the control circuit 28 via the receiving means of the communication connector 35. When the control circuit 28 receives this information, the high-frequency power is reduced to 50% of the set value, as shown in FIG. 5B, even when the termination of coagulation by the high-frequency current is not performed. An instruction is issued to the power supply circuit 21. Then, the power supply circuit 2
1, the high-frequency power applied to the living tissue by the high-frequency electrode 6 via the amplifier 22 and the output transformer 23 is reduced to 50% of the set value.

【００３９】尚、上記各実施形態において、高周波焼灼
電源１に接続された高周波焼灼電源用フットスイッチ８
が２つのペダル８ａ，８ｂを有しているが、その２つの
ペダル８ａ，８ｂが誤操作されたとき、意図しない出力
を防止し、誤操作であることの警告を行うようにする。
例えば、２つのペダル８ａ，８ｂが同時にオンした場合
には出力を行わず、警告を行う。また、図６のフローチ
ャートに示したように１つのペダル８ａまたは８ｂが踏
まれ、その後、もう片方のペダル８ａまたは８ｂが踏ま
れ、さらに最初に踏まれたペダル８ａまたは８ｂが離さ
れた場合も出力を行わず、警告を行う。In each of the above embodiments, the high frequency ablation power supply foot switch 8 connected to the high frequency ablation power supply 1
Has two pedals 8a and 8b, but when the two pedals 8a and 8b are erroneously operated, an unintended output is prevented and a warning that the operation is erroneous is issued.
For example, when the two pedals 8a and 8b are simultaneously turned on, no output is performed, and a warning is issued. Also, as shown in the flowchart of FIG. 6, when one pedal 8a or 8b is depressed, then the other pedal 8a or 8b is depressed, and then the pedal 8a or 8b that is depressed first is released. Issue a warning without output.

【００４０】本実施形態では、出血が多く、組織の凝固
終了が高周波電流から判定できない場合でも、超音波出
力から分かる組織の音響インピーダンスよりおおよその
判定を行い、高周波出力を低減する。これにより、凝固
終了後に過大な高周波出力を行い、組織を炭化させてし
まうことが低減できる。In the present embodiment, even when bleeding is large and the end of coagulation of the tissue cannot be determined from the high-frequency current, a rough determination is made based on the acoustic impedance of the tissue that can be determined from the ultrasonic output, and the high-frequency output is reduced. Thereby, it is possible to reduce the possibility of performing excessive high-frequency output after coagulation and carbonizing the tissue.

【００４１】以上の様に、治療装置で得られた情報を他
の治療装置で利用することにより、適切な出力制御を行
うことができる。As described above, by using the information obtained by one treatment device in another treatment device, appropriate output control can be performed.

【００４２】本発明は上記各実施形態のものに限定され
るものではない。例えば上記各実施形態での送受信手段
は有線のものであったが、無線方式のものでも良い。ま
た、上記説明によれば、以下の事項またはそれらの事項
の任意のものを組み合わせた事項のものが得られる。The present invention is not limited to the above embodiments. For example, the transmission / reception means in each of the above embodiments is of a wired type, but may be of a wireless type. According to the above description, the following items or items obtained by combining any of those items can be obtained.

【００４３】＜付記＞ １．患者の生体組織に処置エネルギーを与えて処置を行
う１の処置手段と、上記処置エネルギーの物理量を測定
する測定手段と、上記測定手段により測定して得られた
情報を他の処置手段の駆動制御部に送信するための送信
手段とを具備したことを特徴とする治療装置。<Supplementary Notes> One treatment means for applying treatment energy to a living tissue of a patient to perform treatment, a measurement means for measuring a physical quantity of the treatment energy, and a drive control of another treatment means based on information obtained by the measurement means. And a transmitting unit for transmitting to the unit.

【００４４】２．他の治療装置から送信された情報を受
ける受信手段と、他の治療装置から送信された情報を受
信し、その情報に基づいて、患者の生体組織に与える処
置エネルギーの出力を制御する制御手段と、上記情報に
基づいて患者の生体組織に処置エネルギーを与えて処置
を行う処置手段とを具備したことを特徴とする治療装
置。 ３．第１項に記載の治療装置と第２項に記載の治療装置
とを含むことを特徴とする治療システム。2. A receiving unit that receives information transmitted from another treatment device, a control unit that receives information transmitted from the other treatment device, and controls output of treatment energy given to a living tissue of a patient based on the information; A treatment unit for applying treatment energy to a living tissue of a patient based on the information to perform treatment. 3. A treatment system comprising the treatment device according to claim 1 and the treatment device according to claim 2.

【００４５】４．患者の生体組織に処置エネルギーを与
えて、処置を行う１の処置手段と、上記処置エネルギー
の物理量を測定する測定手段と、上記測定手段により測
定して得られた情報を送信する送信手段と、上記送信手
段により送信された情報を受け、その情報に基づいて上
記生体組織部位に処置エネルギーを与えて上記１の処置
手段と異なる処置を行う１つ以上の他の処置手段とを具
備したことを特徴とする治療装置。4. A treatment unit that applies treatment energy to a living tissue of a patient to perform treatment, a measurement unit that measures a physical quantity of the treatment energy, a transmission unit that transmits information obtained by the measurement unit, One or more other treatment units that receive the information transmitted by the transmission unit, apply treatment energy to the living tissue site based on the information, and perform a treatment different from the one treatment unit. Characteristic treatment device.

【００４６】５．１の処置手段は、患者の生体組織部位
に与える処置エネルギーが高周波電力であり、他の１の
処置手段は、患者の生体組織部位に与える処置エネルギ
ーが超音波であることを特徴とする第１，２または３項
に記載の治療装置。 ６．患者の生体組織に供給する処置エネルギーが高周波
電力であり、測定する物理量が電圧、電流、インピーダ
ンスまたは電流電圧の位相差、及びそれらの１つまたは
それらを組み合わせたものであることを特徴とする上記
各付記項の１のもの。The treatment means of 5.1 is that the treatment energy given to the living tissue site of the patient is high-frequency power, and the other treatment means is that the treatment energy given to the living tissue site of the patient is ultrasonic waves. 4. The treatment device according to the first, second or third feature. 6. The treatment energy supplied to the living tissue of the patient is high-frequency power, and the physical quantity to be measured is a voltage, a current, an impedance or a phase difference between the current and the voltage, and one or a combination thereof. One of the additional items.

【００４７】７．他の治療装置へ送信される情報は、生
体組織の凝固状態である上記各付記項の１のもの。 ８．上記生体組織の凝固状態は、電流値、電圧、インピ
ーダンスまたは電流電圧の位相差の変化から推定される
ものであることを特徴とする第７項のもの。7. The information transmitted to the other treatment device is one of the above-mentioned additional items, which is the coagulation state of the living tissue. 8. The method according to claim 7, wherein the coagulation state of the living tissue is estimated from a change in a current value, a voltage, an impedance, or a phase difference between the current and the voltage.

【００４８】９．患者の生体組織に供給するエネルギー
が超音波であり、測定する物理量が生体組織の音響イン
ピーダンスであることを特徴とする第７項のもの。 １０．他の治療装置へ送信される情報は、音響インピー
ダンスである第７項のもの。9. 8. The method according to claim 7, wherein the energy supplied to the living tissue of the patient is ultrasound, and the physical quantity to be measured is the acoustic impedance of the living tissue. 10. The information transmitted to the other treatment device is the one in item 7, which is the acoustic impedance.

【００４９】１１．患者の生体組織にエネルギーを与え
て、処置を行う第１の処置手段と、上記エネルギーの物
理量を測定する測定手段と、上記第１の処置手段から情
報を得る第２の処置手段、観測手段または表示手段と、
上記測定手段による測定より得られた情報を、第２の処
置手段、観測手段または表示手段に送信する送信手段を
有することを特徴とする治療システム。11. First treatment means for applying treatment to a living tissue of a patient to perform treatment, measurement means for measuring a physical quantity of the energy, second treatment means for obtaining information from the first treatment means, observation means or Display means;
A therapy system, comprising: a transmission unit that transmits information obtained by the measurement by the measurement unit to a second treatment unit, an observation unit, or a display unit.

【００５０】１２．第１の処置手段が供給するエネルギ
ーが高周波電力であり、測定する物理量が電圧、電流、
インピーダンスまたは電流電圧の位相差、及びそれらの
組み合わせであり、第２の処置手段が超音波を利用した
治療装置であることを特徴とする第１１項のもの。 １３．第１の処置手段が供給するエネルギーが高周波電
力であり、測定する物理量が電圧、電流、インピーダン
スまたは電流電圧の位相差、及びそれらの組み合わせで
あり、表示手段が医療画像の表示装置である第１１項の
もの。12. The energy supplied by the first treatment means is high-frequency power, and the physical quantities to be measured are voltage, current,
12. The method according to claim 11, wherein the second treatment means is a therapeutic device using ultrasonic waves, wherein the treatment device is an impedance or a phase difference between current and voltage, and a combination thereof. 13. The energy supplied by the first treatment means is high-frequency power, the physical quantity to be measured is voltage, current, impedance or a phase difference between current and voltage, and a combination thereof, and the display means is a medical image display device. Items.

【００５１】１４．第１の処置手段が供給するエネルギ
ーが超音波であり、測定する物理量が音響インピーダン
スであり、第２の処置手段が高周波焼灼電源であること
を特徴とする第１１項のもの。 １５．高周波焼灼電源に接続された高周波焼灼電源用フ
ットスイッチが少なくとも２つのペダルを有している場
合、その少なくとも２つのペダルが同時にオン操作され
た場合、上記高周波焼灼電源は出力を行わず、警告を行
うようにしたもの。14. 12. The method according to claim 11, wherein the energy supplied by the first treatment means is an ultrasonic wave, the physical quantity to be measured is acoustic impedance, and the second treatment means is a high-frequency ablation power supply. 15. If the high-frequency ablation power supply foot switch connected to the high-frequency ablation power supply has at least two pedals, and if at least two pedals are simultaneously turned on, the high-frequency ablation power supply does not output and issues a warning. What you did.

【００５２】１６．第１５項のものにおいて、１つのペ
ダルが踏まれ、その後、もう片方のペダルが踏まれ、さ
らに最初に踏まれたペダルが離された場合にも出力を行
わずに警告を行うもの。16. Item 15. A warning is issued without outputting even when one pedal is depressed, then the other pedal is depressed, and then the first depressed pedal is released.

【００５３】１７．患者の生体組織に第１の処置エネル
ギーを与えて処置を行う第１の処置手段と、上記処置エ
ネルギーとは異なる種類の第２のエネルギーを組織に与
える第２の処置手段と、上記第２の処置エネルギーの物
理量を測定する測定手段とを具備し、上記測定手段より
測定して得られた情報を用い、上記第１または第２の処
置エネルギーのうち少なくとも片方の処置エネルギーの
制御を行う治療システム。17. First treatment means for applying a first treatment energy to a living tissue of a patient to perform a treatment, second treatment means for applying a second energy of a different type to the tissue to the tissue, and the second treatment means A measuring system for measuring a physical quantity of the treatment energy, wherein the treatment system controls at least one of the first and second treatment energies using information obtained by the measurement by the measuring unit. .

【００５４】１８．患者の生体組織に処置エネルギーを
与えて切開／凝固の処置を行う１の処置手段と、上記処
置エネルギーの物理量を測定する測定手段と、上記測定
手段により測定して得られた上記生体組織の処置部位の
凝固状態に関する情報を、上記１の処置手段と併用され
る他の処置手段の駆動制御部に送信するための通信手段
とを具備したことを特徴とする治療装置。18. One treatment means for performing treatment of incision / coagulation by applying treatment energy to a living tissue of a patient, measuring means for measuring a physical quantity of the treatment energy, and treatment of the living tissue obtained by the measurement means A treatment apparatus comprising: communication means for transmitting information on a coagulation state of a part to a drive control unit of another treatment means used in combination with the first treatment means.

【００５５】１９．第１８項の治療装置から送信された
上記凝固状態に関する情報を受ける受信手段と、上記受
信手段により受信された上記凝固状態に関する情報に基
づいて患者の生体組織に与える処置エネルギーの出力を
制御する制御手段と、上記情報に基づいて患者の生体組
織に処置エネルギーを与えて処置を行う処置手段とを具
備したことを特徴とする治療装置。 ２０．第１８項に記載の治療装置と第１９項に記載の治
療装置とを含むことを特徴とする治療システム。19. Receiving means for receiving the information on the coagulation state transmitted from the treatment apparatus according to claim 18, and control for controlling the output of treatment energy given to the living tissue of the patient based on the information on the coagulation state received by the reception means And a treatment means for applying treatment energy to a living tissue of a patient based on the information to perform treatment. 20. A treatment system comprising the treatment device according to claim 18 and the treatment device according to claim 19.

【００５６】[0056]

【発明の効果】以上説明したように本発明によれば、治
療装置で得られた情報を他の治療装置で利用することに
より、例えば、凝固が終了していないうちに切開出力を
行ってしまうことがなく、凝固終了後に更なる凝固出力
を行って組織を不必要に炭化させることがないように適
切な出力制御を行うことが出来る。As described above, according to the present invention, the incision output is performed before the coagulation is completed, for example, by using the information obtained by one treatment apparatus in another treatment apparatus. Therefore, appropriate output control can be performed so that further coagulation output is performed after the completion of coagulation so that the tissue is not unnecessarily carbonized.

【図面の簡単な説明】[Brief description of the drawings]

【図１】本発明の第１の実施形態に係る治療装置及び治
療システムの説明図。FIG. 1 is an explanatory diagram of a treatment apparatus and a treatment system according to a first embodiment of the present invention.

【図２】同実施形態における高周波焼灼電源の構成の説
明図。FIG. 2 is an explanatory diagram of a configuration of a high-frequency ablation power source in the embodiment.

【図３】同実施形態における超音波切開凝固装置本体の
構成の説明図。FIG. 3 is an explanatory diagram of a configuration of an ultrasonic incision coagulation device main body in the embodiment.

【図４】（ａ）は同実施形態における高周波焼灼電源よ
り供給される電流の動作特性図、（ｂ）は同実施形態に
おける超音波切開凝固装置本体より供給される超音波出
力の動作特性図。4A is an operation characteristic diagram of a current supplied from a high-frequency ablation power supply according to the embodiment, and FIG. 4B is an operation characteristic diagram of an ultrasonic output supplied from an ultrasonic incision coagulation apparatus main body according to the embodiment; .

【図５】（ａ）は第２の実施形態における超音波切開凝
固装置本体の制御回路に取り込まれる音響インピーダン
スの特性図、（ｂ）は同実施形態における高周波焼灼電
源より供給される電流の動作特性図。FIG. 5A is a characteristic diagram of acoustic impedance taken into a control circuit of the ultrasonic incision coagulation apparatus main body according to the second embodiment, and FIG. 5B is an operation of a current supplied from a high-frequency ablation power supply according to the second embodiment; Characteristic diagram.

【図６】変形例のフローチャート。FIG. 6 is a flowchart of a modified example.

【符号の説明】[Explanation of symbols]

１ …高周波焼灼電源 ２ …超音波切開凝固装置本体 ３ …テレビカメラ ４ …モニター ５ …スコープ ６ …高周波電極 ７ …超音波切開凝固装置プローブ ８ …高周波焼灼電源用フットスイッチ ９ …超音波切開凝固装置用フットスイッチ ２１…電源回路 ２２…アンプ ２３…出力トランス ２４…電圧センサー ２５…電流センサー ２７…Ａ／Ｄコンバーター ２８…制御回路 ３３…波形発生回路 ３５…通信コネクター ４０…位相追尾回路 ４１…掛算器 ４２…誤差増幅器 ４３…アンプ ４４…電流電圧検出部 ４５…出力トランス ４７…Ａ／Ｄコンバーター ４８…制御回路 DESCRIPTION OF SYMBOLS 1 ... High frequency cautery power supply 2 ... Ultrasonic incision coagulation device main body 3 ... TV camera 4 ... Monitor 5 ... Scope 6 ... High frequency electrode 7 ... Ultrasonic incision coagulation device probe 8 ... High frequency cautery power switch 9 ... Ultrasonic incision coagulation device Foot switch 21 ... Power supply circuit 22 ... Amplifier 23 ... Output transformer 24 ... Voltage sensor 25 ... Current sensor 27 ... A / D converter 28 ... Control circuit 33 ... Waveform generation circuit 35 ... Communication connector 40 ... Phase tracking circuit 41 ... Multiplier 42 error amplifier 43 amplifier 44 current / voltage detector 45 output transformer 47 A / D converter 48 control circuit

Claims (3)

【特許請求の範囲】[Claims] 【請求項１】患者の生体組織に処置エネルギーを与えて
処置を行う１の処置手段と、 上記処置エネルギーの物理量を測定する測定手段と、 上記測定手段により測定して得られた情報を他の処置手
段の駆動制御部に送信するための送信手段とを具備した
ことを特徴とする治療装置。1. A treatment means for applying a treatment energy to a living tissue of a patient to carry out a treatment, a measuring means for measuring a physical quantity of the treatment energy, and information obtained by the measurement by the measuring means. A transmitting unit for transmitting to the drive control unit of the treatment unit. 【請求項２】他の治療装置から送信された情報を受ける
受信手段と、他の治療装置から送信された情報を受信
し、その情報に基づいて患者の生体組織に与える処置エ
ネルギーの出力を制御する制御手段と、上記情報に基づ
いて患者の生体組織に処置エネルギーを与えて処置を行
う処置手段とを具備したことを特徴とする治療装置。2. Receiving means for receiving information transmitted from another treatment device, receiving information transmitted from another treatment device, and controlling output of treatment energy given to a living tissue of a patient based on the information. A treatment apparatus comprising: control means for performing treatment; and treatment means for performing treatment by applying treatment energy to a living tissue of a patient based on the information. 【請求項３】請求項１に記載の治療装置と請求項２に記
載の治療装置とを含むことを特徴とする治療システム。3. A treatment system comprising the treatment device according to claim 1 and the treatment device according to claim 2.
JP11080024A 1999-03-24 1999-03-24 Device and system for treatment Withdrawn JP2000271145A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP11080024A JP2000271145A (en) 1999-03-24 1999-03-24 Device and system for treatment

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP11080024A JP2000271145A (en) 1999-03-24 1999-03-24 Device and system for treatment

Publications (1)

Publication Number Publication Date
JP2000271145A true JP2000271145A (en) 2000-10-03

Family

ID=13706727

Family Applications (1)

Application Number Title Priority Date Filing Date
JP11080024A Withdrawn JP2000271145A (en) 1999-03-24 1999-03-24 Device and system for treatment

Country Status (1)

Country Link
JP (1) JP2000271145A (en)

Cited By (129)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003033369A (en) * 2001-07-26 2003-02-04 Aloka Co Ltd Operation apparatus
JP2005058616A (en) * 2003-08-19 2005-03-10 Olympus Corp Control device for medical system and method of control for medical system
JP2006288431A (en) * 2005-04-05 2006-10-26 Olympus Medical Systems Corp Ultrasonic surgical system
JP2009247893A (en) * 2008-04-01 2009-10-29 Olympus Medical Systems Corp Treatment system for therapy
JP2010005370A (en) * 2008-06-26 2010-01-14 Olympus Medical Systems Corp Surgical operation system
EP2371313A1 (en) * 2008-12-31 2011-10-05 Olympus Medical Systems Corp. System for operation and method of control
WO2013042498A1 (en) * 2011-09-20 2013-03-28 オリンパスメディカルシステムズ株式会社 Surgical system
JP2013078585A (en) * 2011-10-03 2013-05-02 Ethicon Endo Surgery Inc Surgical generator for ultrasonic and electrosurgical device
JP2013119039A (en) * 2011-12-08 2013-06-17 Biosense Webster (Israel) Ltd Prevention of incorrect catheter rotation
US8500735B2 (en) 2008-04-01 2013-08-06 Olympus Medical Systems Corp. Treatment method for living tissue using energy
US8500736B2 (en) 2008-04-01 2013-08-06 Olympus Medical Systems Corp. Treatment method for living tissue using energy
EP2750618A1 (en) * 2011-08-30 2014-07-09 Covidien LP System and method for dc tissue impedance sensing
WO2016091400A1 (en) * 2014-12-08 2016-06-16 Olympus Winter & Ibe Gmbh A combined ultrasonic and hf surgical system as well as a control device and a method thereof
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US9713507B2 (en) 2012-06-29 2017-07-25 Ethicon Endo-Surgery, Llc Closed feedback control for electrosurgical device
US9737326B2 (en) 2012-06-29 2017-08-22 Ethicon Endo-Surgery, Llc Haptic feedback devices for surgical robot
US9743947B2 (en) 2013-03-15 2017-08-29 Ethicon Endo-Surgery, Llc End effector with a clamp arm assembly and blade
US9795808B2 (en) 2008-08-06 2017-10-24 Ethicon Llc Devices and techniques for cutting and coagulating tissue
US9795405B2 (en) 2012-10-22 2017-10-24 Ethicon Llc Surgical instrument
US9848901B2 (en) 2010-02-11 2017-12-26 Ethicon Llc Dual purpose surgical instrument for cutting and coagulating tissue
WO2018011972A1 (en) * 2016-07-15 2018-01-18 オリンパス株式会社 Energy treatment tool, control device, and treatment system
US9883884B2 (en) 2007-03-22 2018-02-06 Ethicon Llc Ultrasonic surgical instruments
US9913656B2 (en) 2007-07-27 2018-03-13 Ethicon Llc Ultrasonic surgical instruments
US9925003B2 (en) 2012-02-10 2018-03-27 Ethicon Endo-Surgery, Llc Robotically controlled surgical instrument
US9962182B2 (en) 2010-02-11 2018-05-08 Ethicon Llc Ultrasonic surgical instruments with moving cutting implement
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US10034684B2 (en) 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US10117667B2 (en) 2010-02-11 2018-11-06 Ethicon Llc Control systems for ultrasonically powered surgical instruments
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10194973B2 (en) 2015-09-30 2019-02-05 Ethicon Llc Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US10201382B2 (en) 2009-10-09 2019-02-12 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10251664B2 (en) 2016-01-15 2019-04-09 Ethicon Llc Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10278721B2 (en) 2010-07-22 2019-05-07 Ethicon Llc Electrosurgical instrument with separate closure and cutting members
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
US10299810B2 (en) 2010-02-11 2019-05-28 Ethicon Llc Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10335182B2 (en) 2012-06-29 2019-07-02 Ethicon Llc Surgical instruments with articulating shafts
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10349999B2 (en) 2014-03-31 2019-07-16 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
WO2019142251A1 (en) * 2018-01-17 2019-07-25 オリンパス株式会社 Control device and method for operating control device
US10363086B2 (en) 2014-10-31 2019-07-30 Medtronic Advanced Energy Llc Power monitoring circuitry and method for reducing leakage current in RF generators
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10398497B2 (en) 2012-06-29 2019-09-03 Ethicon Llc Lockout mechanism for use with robotic electrosurgical device
US10398466B2 (en) 2007-07-27 2019-09-03 Ethicon Llc Ultrasonic end effectors with increased active length
US10420580B2 (en) 2016-08-25 2019-09-24 Ethicon Llc Ultrasonic transducer for surgical instrument
US10420579B2 (en) 2007-07-31 2019-09-24 Ethicon Llc Surgical instruments
US10426507B2 (en) 2007-07-31 2019-10-01 Ethicon Llc Ultrasonic surgical instruments
US10433900B2 (en) 2011-07-22 2019-10-08 Ethicon Llc Surgical instruments for tensioning tissue
US10441310B2 (en) 2012-06-29 2019-10-15 Ethicon Llc Surgical instruments with curved section
US10441308B2 (en) 2007-11-30 2019-10-15 Ethicon Llc Ultrasonic surgical instrument blades
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
JP2019213894A (en) * 2008-03-31 2019-12-19 アプライド メディカル リソーシーズ コーポレイション Electrosurgical system
US10517627B2 (en) 2012-04-09 2019-12-31 Ethicon Llc Switch arrangements for ultrasonic surgical instruments
US10524854B2 (en) 2010-07-23 2020-01-07 Ethicon Llc Surgical instrument
US10531910B2 (en) 2007-07-27 2020-01-14 Ethicon Llc Surgical instruments
US10537352B2 (en) 2004-10-08 2020-01-21 Ethicon Llc Tissue pads for use with surgical instruments
US10543008B2 (en) 2012-06-29 2020-01-28 Ethicon Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
USRE47996E1 (en) 2009-10-09 2020-05-19 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US10688321B2 (en) 2009-07-15 2020-06-23 Ethicon Llc Ultrasonic surgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US10722261B2 (en) 2007-03-22 2020-07-28 Ethicon Llc Surgical instruments
US10765470B2 (en) 2015-06-30 2020-09-08 Ethicon Llc Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
US10779848B2 (en) 2006-01-20 2020-09-22 Ethicon Llc Ultrasound medical instrument having a medical ultrasonic blade
US10779845B2 (en) 2012-06-29 2020-09-22 Ethicon Llc Ultrasonic surgical instruments with distally positioned transducers
US10779879B2 (en) 2014-03-18 2020-09-22 Ethicon Llc Detecting short circuits in electrosurgical medical devices
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US10828059B2 (en) 2007-10-05 2020-11-10 Ethicon Llc Ergonomic surgical instruments
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US10842580B2 (en) 2012-06-29 2020-11-24 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10856896B2 (en) 2005-10-14 2020-12-08 Ethicon Llc Ultrasonic device for cutting and coagulating
US10856929B2 (en) 2014-01-07 2020-12-08 Ethicon Llc Harvesting energy from a surgical generator
US10874418B2 (en) 2004-02-27 2020-12-29 Ethicon Llc Ultrasonic surgical shears and method for sealing a blood vessel using same
US10881449B2 (en) 2012-09-28 2021-01-05 Ethicon Llc Multi-function bi-polar forceps
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US10912603B2 (en) 2013-11-08 2021-02-09 Ethicon Llc Electrosurgical devices
US10912580B2 (en) 2013-12-16 2021-02-09 Ethicon Llc Medical device
US10925659B2 (en) 2013-09-13 2021-02-23 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10987123B2 (en) 2012-06-28 2021-04-27 Ethicon Llc Surgical instruments with articulating shafts
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US11033292B2 (en) 2013-12-16 2021-06-15 Cilag Gmbh International Medical device
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US11058447B2 (en) 2007-07-31 2021-07-13 Cilag Gmbh International Temperature controlled ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
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
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
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US11311326B2 (en) 2015-02-06 2022-04-26 Cilag Gmbh International Electrosurgical instrument with rotation and articulation mechanisms
US11324527B2 (en) 2012-11-15 2022-05-10 Cilag Gmbh International Ultrasonic and electrosurgical devices
US11337747B2 (en) 2014-04-15 2022-05-24 Cilag Gmbh International Software algorithms for electrosurgical instruments
US11399855B2 (en) 2014-03-27 2022-08-02 Cilag Gmbh International Electrosurgical devices
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11589916B2 (en) 2019-12-30 2023-02-28 Cilag Gmbh International Electrosurgical instruments with electrodes having variable energy densities
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11723716B2 (en) 2019-12-30 2023-08-15 Cilag Gmbh International Electrosurgical instrument with variable control mechanisms
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
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
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
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11998230B2 (en) 2022-02-04 2024-06-04 Cilag Gmbh International End effector control and calibration

Cited By (239)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
JP4713779B2 (en) * 2001-07-26 2011-06-29 日立アロカメディカル株式会社 Surgical equipment
JP2003033369A (en) * 2001-07-26 2003-02-04 Aloka Co Ltd Operation apparatus
JP2005058616A (en) * 2003-08-19 2005-03-10 Olympus Corp Control device for medical system and method of control for medical system
US7353068B2 (en) 2003-08-19 2008-04-01 Olympus Corporation Control device for a medical system and control method for medical system
US11730507B2 (en) 2004-02-27 2023-08-22 Cilag Gmbh International Ultrasonic surgical shears and method for sealing a blood vessel using same
US10874418B2 (en) 2004-02-27 2020-12-29 Ethicon Llc Ultrasonic surgical shears and method for sealing a blood vessel using same
US10537352B2 (en) 2004-10-08 2020-01-21 Ethicon Llc Tissue pads for use with surgical instruments
US11006971B2 (en) 2004-10-08 2021-05-18 Ethicon Llc Actuation mechanism for use with an ultrasonic surgical instrument
JP2006288431A (en) * 2005-04-05 2006-10-26 Olympus Medical Systems Corp Ultrasonic surgical system
US10856896B2 (en) 2005-10-14 2020-12-08 Ethicon Llc Ultrasonic device for cutting and coagulating
US10779848B2 (en) 2006-01-20 2020-09-22 Ethicon Llc Ultrasound medical instrument having a medical ultrasonic blade
US10828057B2 (en) 2007-03-22 2020-11-10 Ethicon Llc Ultrasonic surgical instruments
US9883884B2 (en) 2007-03-22 2018-02-06 Ethicon Llc Ultrasonic surgical instruments
US9987033B2 (en) 2007-03-22 2018-06-05 Ethicon Llc Ultrasonic surgical instruments
US10722261B2 (en) 2007-03-22 2020-07-28 Ethicon Llc Surgical instruments
US11690641B2 (en) 2007-07-27 2023-07-04 Cilag Gmbh International Ultrasonic end effectors with increased active length
US10398466B2 (en) 2007-07-27 2019-09-03 Ethicon Llc Ultrasonic end effectors with increased active length
US11607268B2 (en) 2007-07-27 2023-03-21 Cilag Gmbh International Surgical instruments
US9913656B2 (en) 2007-07-27 2018-03-13 Ethicon Llc Ultrasonic surgical instruments
US10531910B2 (en) 2007-07-27 2020-01-14 Ethicon Llc Surgical instruments
US10420579B2 (en) 2007-07-31 2019-09-24 Ethicon Llc Surgical instruments
US11666784B2 (en) 2007-07-31 2023-06-06 Cilag Gmbh International Surgical instruments
US10426507B2 (en) 2007-07-31 2019-10-01 Ethicon Llc Ultrasonic surgical instruments
US11877734B2 (en) 2007-07-31 2024-01-23 Cilag Gmbh International Ultrasonic surgical instruments
US11058447B2 (en) 2007-07-31 2021-07-13 Cilag Gmbh International Temperature controlled ultrasonic surgical instruments
US10828059B2 (en) 2007-10-05 2020-11-10 Ethicon Llc Ergonomic surgical instruments
US11253288B2 (en) 2007-11-30 2022-02-22 Cilag Gmbh International Ultrasonic surgical instrument blades
US11690643B2 (en) 2007-11-30 2023-07-04 Cilag Gmbh International Ultrasonic surgical blades
US11439426B2 (en) 2007-11-30 2022-09-13 Cilag Gmbh International Ultrasonic surgical blades
US10433866B2 (en) 2007-11-30 2019-10-08 Ethicon Llc Ultrasonic surgical blades
US10433865B2 (en) 2007-11-30 2019-10-08 Ethicon Llc Ultrasonic surgical blades
US10441308B2 (en) 2007-11-30 2019-10-15 Ethicon Llc Ultrasonic surgical instrument blades
US10888347B2 (en) 2007-11-30 2021-01-12 Ethicon Llc Ultrasonic surgical blades
US10045794B2 (en) 2007-11-30 2018-08-14 Ethicon Llc Ultrasonic surgical blades
US10265094B2 (en) 2007-11-30 2019-04-23 Ethicon Llc Ultrasonic surgical blades
US10463887B2 (en) 2007-11-30 2019-11-05 Ethicon Llc Ultrasonic surgical blades
US11766276B2 (en) 2007-11-30 2023-09-26 Cilag Gmbh International Ultrasonic surgical blades
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US10245065B2 (en) 2007-11-30 2019-04-02 Ethicon Llc Ultrasonic surgical blades
US11266433B2 (en) 2007-11-30 2022-03-08 Cilag Gmbh International Ultrasonic surgical instrument blades
JP2019213894A (en) * 2008-03-31 2019-12-19 アプライド メディカル リソーシーズ コーポレイション Electrosurgical system
US8500736B2 (en) 2008-04-01 2013-08-06 Olympus Medical Systems Corp. Treatment method for living tissue using energy
US10098688B2 (en) 2008-04-01 2018-10-16 Olympus Corporation Treatment system, and treatment method for living tissue using energy
JP2009247893A (en) * 2008-04-01 2009-10-29 Olympus Medical Systems Corp Treatment system for therapy
US9642669B2 (en) 2008-04-01 2017-05-09 Olympus Corporation Treatment system, and treatment method for living tissue using energy
US8500735B2 (en) 2008-04-01 2013-08-06 Olympus Medical Systems Corp. Treatment method for living tissue using energy
JP2010005370A (en) * 2008-06-26 2010-01-14 Olympus Medical Systems Corp Surgical operation system
US8372070B2 (en) 2008-06-26 2013-02-12 Olympus Medical Systems Corp. Surgical system and surgical operation method
US8808286B2 (en) 2008-06-26 2014-08-19 Olympus Medical Systems Corp. Surgical system
JP4579324B2 (en) * 2008-06-26 2010-11-10 オリンパスメディカルシステムズ株式会社 Surgical system
US10022568B2 (en) 2008-08-06 2018-07-17 Ethicon Llc Devices and techniques for cutting and coagulating tissue
US10335614B2 (en) 2008-08-06 2019-07-02 Ethicon Llc Devices and techniques for cutting and coagulating tissue
US11890491B2 (en) 2008-08-06 2024-02-06 Cilag Gmbh International Devices and techniques for cutting and coagulating tissue
US10022567B2 (en) 2008-08-06 2018-07-17 Ethicon Llc Devices and techniques for cutting and coagulating tissue
US9795808B2 (en) 2008-08-06 2017-10-24 Ethicon Llc Devices and techniques for cutting and coagulating tissue
EP2371313A1 (en) * 2008-12-31 2011-10-05 Olympus Medical Systems Corp. System for operation and method of control
EP2371313A4 (en) * 2008-12-31 2012-07-25 Olympus Medical Systems Corp System for operation and method of control
US8303579B2 (en) 2008-12-31 2012-11-06 Olympus Medical Systems Corp. Surgical operation system and surgical operation method
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US10709906B2 (en) 2009-05-20 2020-07-14 Ethicon Llc Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US10688321B2 (en) 2009-07-15 2020-06-23 Ethicon Llc Ultrasonic surgical instruments
US11717706B2 (en) 2009-07-15 2023-08-08 Cilag Gmbh International Ultrasonic surgical instruments
USRE47996E1 (en) 2009-10-09 2020-05-19 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US10263171B2 (en) 2009-10-09 2019-04-16 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US10201382B2 (en) 2009-10-09 2019-02-12 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US10265117B2 (en) 2009-10-09 2019-04-23 Ethicon Llc Surgical generator method for controlling and ultrasonic transducer waveform for ultrasonic and electrosurgical devices
US11871982B2 (en) 2009-10-09 2024-01-16 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US11382642B2 (en) 2010-02-11 2022-07-12 Cilag Gmbh International Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US10299810B2 (en) 2010-02-11 2019-05-28 Ethicon Llc Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US11369402B2 (en) 2010-02-11 2022-06-28 Cilag Gmbh International Control systems for ultrasonically powered surgical instruments
US9962182B2 (en) 2010-02-11 2018-05-08 Ethicon Llc Ultrasonic surgical instruments with moving cutting implement
US10117667B2 (en) 2010-02-11 2018-11-06 Ethicon Llc Control systems for ultrasonically powered surgical instruments
US10835768B2 (en) 2010-02-11 2020-11-17 Ethicon Llc Dual purpose surgical instrument for cutting and coagulating tissue
US9848901B2 (en) 2010-02-11 2017-12-26 Ethicon Llc Dual purpose surgical instrument for cutting and coagulating tissue
US10278721B2 (en) 2010-07-22 2019-05-07 Ethicon Llc Electrosurgical instrument with separate closure and cutting members
US10524854B2 (en) 2010-07-23 2020-01-07 Ethicon Llc Surgical instrument
US10433900B2 (en) 2011-07-22 2019-10-08 Ethicon Llc Surgical instruments for tensioning tissue
EP2750618A4 (en) * 2011-08-30 2015-04-01 Covidien Lp System and method for dc tissue impedance sensing
US9033973B2 (en) 2011-08-30 2015-05-19 Covidien Lp System and method for DC tissue impedance sensing
EP2750618A1 (en) * 2011-08-30 2014-07-09 Covidien LP System and method for dc tissue impedance sensing
US9878183B2 (en) 2011-09-20 2018-01-30 Olympus Corporation Surgical operation system
JP5465353B2 (en) * 2011-09-20 2014-04-09 オリンパスメディカルシステムズ株式会社 Surgery system
CN103826561A (en) * 2011-09-20 2014-05-28 奥林巴斯医疗株式会社 Surgical system
WO2013042498A1 (en) * 2011-09-20 2013-03-28 オリンパスメディカルシステムズ株式会社 Surgical system
US11141212B2 (en) 2011-09-20 2021-10-12 Olympus Corporation Surgical operation system
JP2013078585A (en) * 2011-10-03 2013-05-02 Ethicon Endo Surgery Inc Surgical generator for ultrasonic and electrosurgical device
JP2013119039A (en) * 2011-12-08 2013-06-17 Biosense Webster (Israel) Ltd Prevention of incorrect catheter rotation
US10729494B2 (en) 2012-02-10 2020-08-04 Ethicon Llc Robotically controlled surgical instrument
US9925003B2 (en) 2012-02-10 2018-03-27 Ethicon Endo-Surgery, Llc Robotically controlled surgical instrument
US11419626B2 (en) 2012-04-09 2022-08-23 Cilag Gmbh International Switch arrangements for ultrasonic surgical instruments
US10517627B2 (en) 2012-04-09 2019-12-31 Ethicon Llc Switch arrangements for ultrasonic surgical instruments
US10987123B2 (en) 2012-06-28 2021-04-27 Ethicon Llc Surgical instruments with articulating shafts
US10966747B2 (en) 2012-06-29 2021-04-06 Ethicon Llc Haptic feedback devices for surgical robot
US9713507B2 (en) 2012-06-29 2017-07-25 Ethicon Endo-Surgery, Llc Closed feedback control for electrosurgical device
US11602371B2 (en) 2012-06-29 2023-03-14 Cilag Gmbh International Ultrasonic surgical instruments with control mechanisms
US10543008B2 (en) 2012-06-29 2020-01-28 Ethicon Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US10842580B2 (en) 2012-06-29 2020-11-24 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US10335182B2 (en) 2012-06-29 2019-07-02 Ethicon Llc Surgical instruments with articulating shafts
US11583306B2 (en) 2012-06-29 2023-02-21 Cilag Gmbh International Surgical instruments with articulating shafts
US9737326B2 (en) 2012-06-29 2017-08-22 Ethicon Endo-Surgery, Llc Haptic feedback devices for surgical robot
US11096752B2 (en) 2012-06-29 2021-08-24 Cilag Gmbh International Closed feedback control for electrosurgical device
US11717311B2 (en) 2012-06-29 2023-08-08 Cilag Gmbh International Surgical instruments with articulating shafts
US10524872B2 (en) 2012-06-29 2020-01-07 Ethicon Llc Closed feedback control for electrosurgical device
US10779845B2 (en) 2012-06-29 2020-09-22 Ethicon Llc Ultrasonic surgical instruments with distally positioned transducers
US10441310B2 (en) 2012-06-29 2019-10-15 Ethicon Llc Surgical instruments with curved section
US10335183B2 (en) 2012-06-29 2019-07-02 Ethicon Llc Feedback devices for surgical control systems
US11426191B2 (en) 2012-06-29 2022-08-30 Cilag Gmbh International Ultrasonic surgical instruments with distally positioned jaw assemblies
US11871955B2 (en) 2012-06-29 2024-01-16 Cilag Gmbh International Surgical instruments with articulating shafts
US10993763B2 (en) 2012-06-29 2021-05-04 Ethicon Llc Lockout mechanism for use with robotic electrosurgical device
US10398497B2 (en) 2012-06-29 2019-09-03 Ethicon Llc Lockout mechanism for use with robotic electrosurgical device
US10881449B2 (en) 2012-09-28 2021-01-05 Ethicon Llc Multi-function bi-polar forceps
US9795405B2 (en) 2012-10-22 2017-10-24 Ethicon Llc Surgical instrument
US11179173B2 (en) 2012-10-22 2021-11-23 Cilag Gmbh International Surgical instrument
US11324527B2 (en) 2012-11-15 2022-05-10 Cilag Gmbh International Ultrasonic and electrosurgical devices
US11272952B2 (en) 2013-03-14 2022-03-15 Cilag Gmbh International Mechanical fasteners for use with surgical energy devices
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US9743947B2 (en) 2013-03-15 2017-08-29 Ethicon Endo-Surgery, Llc End effector with a clamp arm assembly and blade
US10925659B2 (en) 2013-09-13 2021-02-23 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US10912603B2 (en) 2013-11-08 2021-02-09 Ethicon Llc Electrosurgical devices
US10912580B2 (en) 2013-12-16 2021-02-09 Ethicon Llc Medical device
US11033292B2 (en) 2013-12-16 2021-06-15 Cilag Gmbh International Medical device
US10856929B2 (en) 2014-01-07 2020-12-08 Ethicon Llc Harvesting energy from a surgical generator
US10779879B2 (en) 2014-03-18 2020-09-22 Ethicon Llc Detecting short circuits in electrosurgical medical devices
US10932847B2 (en) 2014-03-18 2021-03-02 Ethicon Llc Detecting short circuits in electrosurgical medical devices
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US11399855B2 (en) 2014-03-27 2022-08-02 Cilag Gmbh International Electrosurgical devices
US10349999B2 (en) 2014-03-31 2019-07-16 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US11471209B2 (en) 2014-03-31 2022-10-18 Cilag Gmbh International Controlling impedance rise in electrosurgical medical devices
US11337747B2 (en) 2014-04-15 2022-05-24 Cilag Gmbh International Software algorithms for electrosurgical instruments
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
US11413060B2 (en) 2014-07-31 2022-08-16 Cilag Gmbh International Actuation mechanisms and load adjustment assemblies for surgical instruments
US11399885B2 (en) 2014-10-31 2022-08-02 Medtronic Advanced Energy Llc Power monitoring circuitry and method for reducing leakage current in RF generators
US10363086B2 (en) 2014-10-31 2019-07-30 Medtronic Advanced Energy Llc Power monitoring circuitry and method for reducing leakage current in RF generators
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
WO2016091400A1 (en) * 2014-12-08 2016-06-16 Olympus Winter & Ibe Gmbh A combined ultrasonic and hf surgical system as well as a control device and a method thereof
US11311326B2 (en) 2015-02-06 2022-04-26 Cilag Gmbh International Electrosurgical instrument with rotation and articulation mechanisms
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10034684B2 (en) 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US11553954B2 (en) 2015-06-30 2023-01-17 Cilag Gmbh International Translatable outer tube for sealing using shielded lap chole dissector
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US10952788B2 (en) 2015-06-30 2021-03-23 Ethicon Llc Surgical instrument with user adaptable algorithms
US11903634B2 (en) 2015-06-30 2024-02-20 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10765470B2 (en) 2015-06-30 2020-09-08 Ethicon Llc Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US11766287B2 (en) 2015-09-30 2023-09-26 Cilag Gmbh International Methods for operating generator for digitally generating electrical signal waveforms and surgical instruments
US10610286B2 (en) 2015-09-30 2020-04-07 Ethicon Llc Techniques for circuit topologies for combined generator
US11058475B2 (en) 2015-09-30 2021-07-13 Cilag Gmbh International Method and apparatus for selecting operations of a surgical instrument based on user intention
US10194973B2 (en) 2015-09-30 2019-02-05 Ethicon Llc Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US11033322B2 (en) 2015-09-30 2021-06-15 Ethicon Llc Circuit topologies for combined generator
US10687884B2 (en) 2015-09-30 2020-06-23 Ethicon Llc Circuits for supplying isolated direct current (DC) voltage to surgical instruments
US10736685B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
US11559347B2 (en) 2015-09-30 2023-01-24 Cilag Gmbh International Techniques for circuit topologies for combined generator
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US10624691B2 (en) 2015-09-30 2020-04-21 Ethicon Llc Techniques for operating generator for digitally generating electrical signal waveforms and surgical instruments
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US11666375B2 (en) 2015-10-16 2023-06-06 Cilag Gmbh International Electrode wiping surgical device
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US10828058B2 (en) 2016-01-15 2020-11-10 Ethicon Llc Modular battery powered handheld surgical instrument with motor control limits based on tissue characterization
US10709469B2 (en) 2016-01-15 2020-07-14 Ethicon Llc Modular battery powered handheld surgical instrument with energy conservation techniques
US10842523B2 (en) 2016-01-15 2020-11-24 Ethicon Llc Modular battery powered handheld surgical instrument and methods therefor
US11896280B2 (en) 2016-01-15 2024-02-13 Cilag Gmbh International Clamp arm comprising a circuit
US11229450B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with motor drive
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
US10779849B2 (en) 2016-01-15 2020-09-22 Ethicon Llc Modular battery powered handheld surgical instrument with voltage sag resistant battery pack
US10537351B2 (en) 2016-01-15 2020-01-21 Ethicon Llc Modular battery powered handheld surgical instrument with variable motor control limits
US10251664B2 (en) 2016-01-15 2019-04-09 Ethicon Llc Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly
US11751929B2 (en) 2016-01-15 2023-09-12 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11134978B2 (en) 2016-01-15 2021-10-05 Cilag Gmbh International Modular battery powered handheld surgical instrument with self-diagnosing control switches for reusable handle assembly
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
US11051840B2 (en) 2016-01-15 2021-07-06 Ethicon Llc Modular battery powered handheld surgical instrument with reusable asymmetric handle housing
US10299821B2 (en) 2016-01-15 2019-05-28 Ethicon Llc Modular battery powered handheld surgical instrument with motor control limit profile
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11684402B2 (en) 2016-01-15 2023-06-27 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11974772B2 (en) 2016-01-15 2024-05-07 Cilag GmbH Intemational Modular battery powered handheld surgical instrument with variable motor control limits
US11058448B2 (en) 2016-01-15 2021-07-13 Cilag Gmbh International Modular battery powered handheld surgical instrument with multistage generator circuits
US11202670B2 (en) 2016-02-22 2021-12-21 Cilag Gmbh International Method of manufacturing a flexible circuit electrode for electrosurgical instrument
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US11864820B2 (en) 2016-05-03 2024-01-09 Cilag Gmbh International 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
US10966744B2 (en) 2016-07-12 2021-04-06 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US11883055B2 (en) 2016-07-12 2024-01-30 Cilag Gmbh International 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
WO2018011972A1 (en) * 2016-07-15 2018-01-18 オリンパス株式会社 Energy treatment tool, control device, and treatment system
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US11344362B2 (en) 2016-08-05 2022-05-31 Cilag Gmbh International Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
USD924400S1 (en) 2016-08-16 2021-07-06 Cilag Gmbh International Surgical instrument
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10779847B2 (en) 2016-08-25 2020-09-22 Ethicon Llc Ultrasonic transducer to waveguide joining
US11925378B2 (en) 2016-08-25 2024-03-12 Cilag Gmbh International Ultrasonic transducer for surgical instrument
US11350959B2 (en) 2016-08-25 2022-06-07 Cilag Gmbh International Ultrasonic transducer techniques for ultrasonic surgical instrument
US10420580B2 (en) 2016-08-25 2019-09-24 Ethicon Llc Ultrasonic transducer for surgical instrument
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
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
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
WO2019142251A1 (en) * 2018-01-17 2019-07-25 オリンパス株式会社 Control device and method for operating control device
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11986234B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Surgical system communication pathways
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
US11589916B2 (en) 2019-12-30 2023-02-28 Cilag Gmbh International Electrosurgical instruments with electrodes having variable energy densities
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11744636B2 (en) 2019-12-30 2023-09-05 Cilag Gmbh International Electrosurgical systems with integrated and external power sources
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11723716B2 (en) 2019-12-30 2023-08-15 Cilag Gmbh International Electrosurgical instrument with variable control mechanisms
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
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11974801B2 (en) 2019-12-30 2024-05-07 Cilag Gmbh International Electrosurgical instrument with flexible wiring assemblies
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11998229B2 (en) 2020-12-04 2024-06-04 Cilag Gmbh International Ultrasonic device for cutting and coagulating
US11998230B2 (en) 2022-02-04 2024-06-04 Cilag Gmbh International End effector control and calibration

Similar Documents

Publication Publication Date Title
JP2000271145A (en) Device and system for treatment
US8808286B2 (en) Surgical system
US8303579B2 (en) Surgical operation system and surgical operation method
EP2283788B1 (en) System and method for augmented impedance sensing
US7744593B2 (en) High-frequency power supply device and electrosurgical device
EP1894532B1 (en) Surgical instruments
US8292883B2 (en) Electrosurgical apparatus and method of controlling electrosurgical apparatus
EP1566645A2 (en) Method and system for continuity testing of medical electrodes
JP2002065690A (en) Electrosurgical device
JPWO2010064530A1 (en) Surgical system and control method
JPH10225462A (en) Electric operating device
JP3780069B2 (en) Electrosurgical equipment
JP3989166B2 (en) Electrosurgical equipment
EP3459479B1 (en) Systems for providing sensory feedback with an ablation system
JP2001269353A (en) Electrosurgery apparatus
JP2799196B2 (en) Ultrasonic treatment equipment
JP3699825B2 (en) Ultrasonic surgical device
JP3540664B2 (en) Electrosurgical device
JP4040914B2 (en) Ultrasonic surgical device
KR20130136809A (en) Ultrasonic operating apparatus and method
JP2001252284A (en) Electrical surgery system
KR20220144369A (en) Devices, systems and methods for detecting and identifying fat and muscle tissue during medical procedures
JP2003199762A (en) Surgical system
JP2004041737A (en) Ultrasonic treatment apparatus
JP2002360603A (en) Galvanosurgery device

Legal Events

Date Code Title Description
A300 Withdrawal of application because of no request for examination

Free format text: JAPANESE INTERMEDIATE CODE: A300

Effective date: 20060606