JP2001029353A - Ultrasonic treating device - Google Patents
Ultrasonic treating deviceInfo
- Publication number
- JP2001029353A JP2001029353A JP11206237A JP20623799A JP2001029353A JP 2001029353 A JP2001029353 A JP 2001029353A JP 11206237 A JP11206237 A JP 11206237A JP 20623799 A JP20623799 A JP 20623799A JP 2001029353 A JP2001029353 A JP 2001029353A
- Authority
- JP
- Japan
- Prior art keywords
- ultrasonic
- treatment
- monopolar
- living tissue
- coagulation
- 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- Withdrawn
Links
Abstract
Description
【０００１】[0001]
【発明の属する技術分野】本発明は超音波振動によって
生体組織を超音波処置する超音波処置具を備えた超音波
処置装置に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an ultrasonic treatment apparatus provided with an ultrasonic treatment device for ultrasonically treating a living tissue by ultrasonic vibration.
【０００２】[0002]
【従来の技術】一般に、超音波振動によって生体組織を
超音波処置する超音波処置具として例えば実開昭６３−
１８９１７０号公報、ＥＰ０８３０８４５Ａ１、ＥＰ０
６９５５３５Ａ１などがある。この処置具には、生体組
織を挟み込む２つの挟み込み部材が設けられている。そ
して、この処置具の使用時には、これら２つの挟み込み
部材間に生体組織を挟み込んだ状態で、超音波出力によ
る摩擦力、衝撃力を利用して生体組織の切除や、止血を
施すようになっている。2. Description of the Related Art Generally, as an ultrasonic treatment tool for ultrasonically treating a living tissue by ultrasonic vibration, for example, Japanese Utility Model Application Laid-Open No.
No. 189170, EP0830845A1, EP0
6953535A1 and the like. This treatment tool is provided with two sandwiching members for sandwiching the living tissue. When the treatment tool is used, the living tissue is sandwiched between these two sandwiching members, and the living tissue is excised or hemostatically stopped using the frictional force and the impact force of the ultrasonic output. I have.
【０００３】[0003]
【発明が解決しようとする課題】しかしながら、上記従
来構成のものにあっては処置具の２つの挟み込み部材間
に挟み込んだ生体組織の部分のみしか生体組織の切除
や、止血などの処置を施すことができないので、機構的
に生体組織の切除などの処置面積が比較的狭い範囲に限
定される問題がある。そのため、処置具の使用中、生体
組織の処置面積が比較的狭いので、突然の止血時に即応
出来る止血能力が不十分である問題がある。However, in the above-mentioned conventional structure, only the portion of the living tissue sandwiched between the two sandwiching members of the treatment tool is subjected to treatment such as resection of the living tissue or hemostasis. Therefore, there is a problem that a treatment area for excision of a living tissue or the like is mechanically limited to a relatively small range. Therefore, since the treatment area of the living tissue is relatively small during use of the treatment tool, there is a problem that the hemostatic ability that can immediately respond to sudden hemostasis is insufficient.
【０００４】また、従来は超音波処置具は単独で使用さ
れているのが一般的である。そのため、例えば高周波処
置などを行う他の処置具を主に使用し、超音波処置を補
佐的に使用する、又は高周波処置と超音波処置とを同時
併用する場合などの使い方には適していないのが実状で
ある。[0004] Conventionally, ultrasonic treatment tools are generally used alone. Therefore, for example, it is not suitable for use such as when mainly using other treatment tools that perform high-frequency treatment and the like, and using ultrasonic treatment as a supplement, or simultaneously using high-frequency treatment and ultrasonic treatment. Is the actual situation.
【０００５】本発明は上記事情に着目してなされたもの
で、その目的は、処置具の使用中、生体組織の処置面積
を比較的広くすることができ、止血能力を高め、突然の
止血時に十分に即応出来るうえ、高周波処置と超音波処
置とを同時併用する場合の操作性の向上を図ることがで
き、モノポーラ処置や、バイポーラ処置と超音波処置と
の併用などの複数の処置具を組み合わせる処置方法の選
択肢の拡大を図ることができる超音波処置装置を提供す
ることにある。SUMMARY OF THE INVENTION The present invention has been made in view of the above circumstances, and its object is to make it possible to relatively widen the treatment area of a living tissue during use of a treatment tool, to enhance hemostatic ability, and to prevent sudden hemostasis. In addition to being able to respond quickly enough, it is possible to improve operability when using high-frequency treatment and ultrasonic treatment at the same time, and to combine multiple treatment tools such as monopolar treatment and combined use of bipolar treatment and ultrasonic treatment It is an object of the present invention to provide an ultrasonic treatment apparatus capable of expanding options of treatment methods.
【０００６】[0006]
【課題を解決するための手段】本発明は、高周波焼灼電
源に接続された電極と対極板との間で生体組織を挟持し
て、前記生体組織に高周波焼灼処置を行うモノポーラ処
置具と、超音波振動子と超音波振動伝達部材を有し、生
体組織を超音波処置する超音波処置具と、この超音波処
置具にモノポーラ通電可能なモノポーラ通電手段と、前
記超音波処置具および前記モノポーラ処置具がそれぞれ
接続され、前記超音波処置具と前記モノポーラ処置具と
の間でバイポーラ出力を発生可能な高周波焼灼電源装置
と、を具備したことを特徴とする超音波処置装置であ
る。そして、処置時には対極板とモノポーラ処置具との
間で生体組織を挟持して生体組織に高周波焼灼処置を行
うモノポーラ処置と、超音波処置具からの超音波振動に
よって生体組織を処置する超音波処置と、超音波処置具
とモノポーラ処置具との間でバイポーラ出力を発生させ
るバイポーラ処置とを適宜、選択的に行うことにより、
バイポーラ処置時には生体組織の処置面積を比較的広く
する。これにより、止血能力を高め、突然の止血時に十
分に即応出来るうえ、高周波処置と超音波処置とを同時
併用する場合の操作性の向上を図ることができ、モノポ
ーラ処置や、バイポーラ処置と超音波処置との併用など
の複数の処置具を組み合わせる処置方法の選択肢の拡大
を図ることができるようにしたものである。According to the present invention, there is provided a monopolar treatment instrument for sandwiching a living tissue between an electrode connected to a high-frequency ablation power supply and a counter electrode plate to perform a high-frequency ablation treatment on the living tissue, An ultrasonic treatment device having an ultrasonic transducer and an ultrasonic vibration transmission member, for ultrasonically treating a living tissue, a monopolar energizing means capable of monopolar energization of the ultrasonic treatment device, the ultrasonic treatment device and the monopolar treatment And a high-frequency ablation power supply device to which tools are connected and which can generate a bipolar output between the ultrasonic treatment tool and the monopolar treatment tool. At the time of treatment, a monopolar treatment in which the living tissue is sandwiched between the return electrode plate and the monopolar treatment device to perform high-frequency ablation treatment on the living tissue, and an ultrasonic treatment in which the living tissue is treated by ultrasonic vibration from the ultrasonic treatment device By appropriately and selectively performing a bipolar treatment for generating a bipolar output between the ultrasonic treatment tool and the monopolar treatment tool,
At the time of bipolar treatment, the treatment area of the living tissue is made relatively large. As a result, the ability to stop bleeding can be enhanced, and the bleeding can be quickly responded to sudden stoppage of bleeding.In addition, the operability can be improved when the high-frequency treatment and the ultrasonic treatment are simultaneously used. This makes it possible to expand the options of a treatment method for combining a plurality of treatment tools, such as a combination with a treatment.
【０００７】[0007]
【発明の実施の形態】以下、本発明の第１の実施の形態
を図１（Ａ），（Ｂ）を参照して説明する。図１（Ａ）
は本実施の形態の超音波処置装置１のシステム全体の概
略構成を示すものである。本実施の形態の超音波処置装
置１には超音波ジェネレータ２と、高周波焼灼電源装置
３と、モノポーラ処置具４と、超音波処置具である超音
波吸引装置５とが設けられている。DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A first embodiment of the present invention will be described below with reference to FIGS. FIG. 1 (A)
1 shows a schematic configuration of the entire system of the ultrasonic treatment apparatus 1 according to the present embodiment. The ultrasonic treatment apparatus 1 of the present embodiment is provided with an ultrasonic generator 2, a high-frequency ablation power supply 3, a monopolar treatment tool 4, and an ultrasonic suction device 5, which is an ultrasonic treatment tool.
【０００８】ここで、超音波ジェネレータ２には超音波
処置具接続部２ａと、電源スイッチ２ｂとが設けられて
いる。さらに、高周波焼灼電源装置３には高周波出力端
子（バイポーラ出力端子）３ａと、対極板接続端子３ｂ
と、電源スイッチ３ｃとがそれぞれ設けられている。な
お、高周波焼灼電源装置３の高周波出力端子３ａはバイ
ポーラ出力端子としてだけでなくモノポーラ出力端子と
しても使用出来るように設定されている。Here, the ultrasonic generator 2 is provided with an ultrasonic treatment instrument connecting portion 2a and a power switch 2b. Furthermore, the high-frequency ablation power supply 3 has a high-frequency output terminal (bipolar output terminal) 3a and a counter electrode connection terminal 3b.
And a power switch 3c. In addition, the high frequency output terminal 3a of the high frequency ablation power supply 3 is set so that it can be used not only as a bipolar output terminal but also as a monopolar output terminal.
【０００９】また、本実施の形態の超音波吸引装置５に
は超音波発振器が内蔵されたハンドピース６が設けられ
ている。このハンドピース６の先端部には超音波吸引チ
ューブ７が突設されている。さらに、このハンドピース
６の基端部には超音波用ケーブル接続部８と、高周波用
ケーブル接続部９とがそれぞれ設けられている。ここ
で、ハンドピース６の超音波用ケーブル接続部８には超
音波用ケーブル１０の一端部が連結されている。この超
音波用ケーブル１０の他端部にはコネクタ１１が設けら
れている。そして、この超音波用ケーブル１０のコネク
タ１１は超音波ジェネレータ２の超音波処置具接続部２
ａに着脱可能に接続されている。これにより、超音波処
置具である超音波吸引装置５は超音波用ケーブル１０に
よって超音波ジェネレータ２と接続されている。Further, the ultrasonic suction device 5 of the present embodiment is provided with a handpiece 6 having a built-in ultrasonic oscillator. An ultrasonic suction tube 7 protrudes from the tip of the handpiece 6. Further, an ultrasonic cable connection portion 8 and a high-frequency cable connection portion 9 are provided at the base end of the handpiece 6, respectively. Here, one end of an ultrasonic cable 10 is connected to the ultrasonic cable connection portion 8 of the handpiece 6. A connector 11 is provided at the other end of the ultrasonic cable 10. The connector 11 of the ultrasonic cable 10 is connected to the ultrasonic treatment instrument connecting portion 2 of the ultrasonic generator 2.
a is detachably connected to a. Thus, the ultrasonic suction device 5 as an ultrasonic treatment tool is connected to the ultrasonic generator 2 by the ultrasonic cable 10.
【００１０】また、超音波吸引装置５の高周波用ケーブ
ル接続部９には第１の高周波用ケーブル１２の一端部が
接続されている。さらに、モノポーラ処置具４には第２
の高周波用ケーブル１３の一端部が接続されている。こ
れら第１，第２の各高周波用ケーブル１２、１３の他端
部は共に共通ケーブル１４の一端部に接続されている。
この共通ケーブル１４の他端部にはコネクタ１５が取付
けられている。このコネクタ１５は高周波焼灼電源装置
３の高周波出力端子３ａに着脱可能に接続されている。
これにより、高周波焼灼電源装置３の高周波出力端子３
ａにはコネクタ１５、共通ケーブル１４、第１の高周波
用ケーブル１２を順次介して超音波吸引装置５が接続さ
れ、超音波吸引装置５にモノポーラ通電可能なモノポー
ラ通電手段１６が形成されている。One end of a first high-frequency cable 12 is connected to the high-frequency cable connection portion 9 of the ultrasonic suction device 5. Further, the monopolar treatment tool 4 has a second
Of the high-frequency cable 13 is connected. The other ends of the first and second high-frequency cables 12 and 13 are both connected to one end of a common cable 14.
A connector 15 is attached to the other end of the common cable 14. The connector 15 is detachably connected to the high-frequency output terminal 3a of the high-frequency ablation power supply device 3.
Thereby, the high frequency output terminal 3 of the high frequency cautery power supply 3
The ultrasonic suction device 5 is connected to “a” via the connector 15, the common cable 14, and the first high-frequency cable 12 in this order, and a monopolar energizing unit 16 capable of supplying a monopolar current to the ultrasonic suction device 5 is formed.
【００１１】また、高周波焼灼電源装置３の対極板接続
端子３ｂには対極板接続ケーブル１７の一端部に装着さ
れたコネクタ１７ａが接続されている。この対極板接続
ケーブル１７の他端部にはＰプレート（対極板）１８が
接続されている。A connector 17a attached to one end of a counter electrode connection cable 17 is connected to the counter electrode connection terminal 3b of the high frequency ablation power supply device 3. A P plate (counter electrode plate) 18 is connected to the other end of the counter electrode plate connection cable 17.
【００１２】また、モノポーラ処置具４には生体組織を
把持できる例えばピンセットなどの２つの把持アーム１
９ａ，１９ｂが設けられている。そして、このモノポー
ラ処置具４の２つの把持アーム１９ａ，１９ｂ間で生体
組織を挟持した状態で、モノポーラ処置具４とＰプレー
ト１８との間に高周波電流を流すことにより、モノポー
ラ処置具４の２つの把持アーム１９ａ，１９ｂ間の生体
組織を高周波焼灼（モノポーラ処置）できるようになっ
ている。The monopolar treatment tool 4 has two gripping arms 1 such as tweezers, which can grip a living tissue.
9a and 19b are provided. Then, a high-frequency current is passed between the monopolar treatment tool 4 and the P plate 18 in a state where the living tissue is sandwiched between the two gripping arms 19a and 19b of the monopolar treatment tool 4, so that the monopolar treatment tool 4 The living tissue between the two gripping arms 19a and 19b can be subjected to high-frequency ablation (monopolar treatment).
【００１３】なお、超音波処置具としては図１（Ａ）の
超音波吸引装置５に代えて図１（Ｂ）に示す超音波凝固
切開装置２０を使用しても良い。この超音波凝固切開装
置２０には細長い軸部２１の基端部に手元側の操作部２
２が設けられている。この操作部２２には例えば超音波
発振器が内蔵された超音波発振ユニット２３と、固定ハ
ンドル２４と、可動ハンドル２５とが設けられている。As an ultrasonic treatment instrument, an ultrasonic coagulation and incision device 20 shown in FIG. 1B may be used instead of the ultrasonic suction device 5 in FIG. This ultrasonic coagulation and incision device 20 has a proximal operating portion 2
2 are provided. The operation unit 22 includes, for example, an ultrasonic oscillation unit 23 having a built-in ultrasonic oscillator, a fixed handle 24, and a movable handle 25.
【００１４】さらに、軸部２１の先端部には超音波発振
器からの超音波振動が伝達される超音波プローブ２６
と、この超音波プローブ２６に対して開閉可能に設けら
れたジョー２７とが設けられている。このジョー２７は
操作部２２の固定ハンドル２４と可動ハンドル２５との
間のハンドル開閉操作によって超音波プローブ２６に対
して開閉操作されるようになっている。そして、この超
音波凝固切開装置２０ではジョー２７と超音波プローブ
２６との間で生体組織を挟んだ状態で、超音波発振器を
駆動することにより、超音波プローブ２６に超音波振動
が伝達され、ジョー２７と超音波プローブ２６との間の
生体組織に凝固、切開などの超音波処置が行なわれるよ
うになっている。An ultrasonic probe 26 to which ultrasonic vibration from an ultrasonic oscillator is transmitted is provided at the tip of the shaft 21.
And a jaw 27 provided to be openable and closable with respect to the ultrasonic probe 26. The jaw 27 is opened and closed with respect to the ultrasonic probe 26 by opening and closing the handle between the fixed handle 24 and the movable handle 25 of the operation unit 22. Then, in this ultrasonic coagulation and incision apparatus 20, ultrasonic vibration is transmitted to the ultrasonic probe 26 by driving the ultrasonic oscillator with the living tissue sandwiched between the jaw 27 and the ultrasonic probe 26, Ultrasonic treatment such as coagulation and incision is performed on the living tissue between the jaw 27 and the ultrasonic probe 26.
【００１５】また、超音波発振ユニット２３の後端部に
は超音波吸引装置５と同様に超音波用ケーブル接続部８
と、高周波用ケーブル接続部９とがそれぞれ設けられて
いる。そして、この超音波用ケーブル接続部８には超音
波用ケーブル１０、高周波用ケーブル接続部９には第２
の高周波用ケーブル１３がそれぞれ接続されるようにな
っている。Further, the ultrasonic cable connecting portion 8 is provided at the rear end of the ultrasonic oscillation unit 23 similarly to the ultrasonic suction device 5.
And a high-frequency cable connection section 9 are provided. The ultrasonic cable connecting portion 8 has an ultrasonic cable 10 and the high frequency cable connecting portion 9 has a second cable.
The high frequency cables 13 are connected to each other.
【００１６】次に、上記構成の作用について説明する。
本実施の形態の超音波処置装置１の使用時には超音波吸
引装置５は超音波ジェネレータ２の出力により、超音波
吸引処置ができる。Next, the operation of the above configuration will be described.
When using the ultrasonic treatment apparatus 1 of the present embodiment, the ultrasonic suction apparatus 5 can perform the ultrasonic suction treatment by the output of the ultrasonic generator 2.
【００１７】また、本実施の形態の超音波吸引装置５に
はモノポーラ通電手段１６が形成されているので、この
超音波吸引装置５とＰプレート１８との間に生体組織を
挟んだ状態で、高周波電流を流すことにより、超音波吸
引装置５の先端からＰプレート１８の導通経路にて生体
組織を高周波焼灼するモノポーラ処置ができる。さら
に、本実施の形態の超音波吸引装置５では超音波処置
と、モノポーラ処置の同時併用も可能となる。Further, since the monopolar energizing means 16 is formed in the ultrasonic suction device 5 of the present embodiment, the biological tissue is sandwiched between the ultrasonic suction device 5 and the P plate 18. By flowing the high-frequency current, a monopolar treatment for performing high-frequency ablation of the living tissue from the tip of the ultrasonic suction device 5 through the conduction path of the P plate 18 can be performed. Further, in the ultrasonic suction device 5 of the present embodiment, simultaneous use of ultrasonic treatment and monopolar treatment is also possible.
【００１８】また、超音波吸引装置５の第１の高周波用
ケーブル１２およびモノポーラ処置具４の第２の高周波
用ケーブル１３は共に共通ケーブル１４のコネクタ１５
を介して高周波焼灼電源装置３の高周波出力端子３ａに
接続されているので、モノポーラ処置具４の先端部と超
音波吸引装置５の先端部との間に生体組織を挟んで近づ
けた状態で、高周波電流を流すことにより、モノポーラ
処置具４と超音波吸引装置５との間で生体組織を高周波
焼灼するバイポーラ処置ができる。The first high-frequency cable 12 of the ultrasonic suction device 5 and the second high-frequency cable 13 of the monopolar treatment tool 4 are both connected to the connector 15 of the common cable 14.
Is connected to the high-frequency output terminal 3a of the high-frequency cautery power supply device 3 via the interface, so that the living tissue is sandwiched between the distal end portion of the monopolar treatment tool 4 and the distal end portion of the ultrasonic suction device 5, By applying a high-frequency current, a bipolar treatment for performing high-frequency ablation of a living tissue between the monopolar treatment tool 4 and the ultrasonic suction device 5 can be performed.
【００１９】また、高周波焼灼電源装置３の高周波出力
端子３ａはバイポーラ出力端子としてだけでなくモノポ
ーラ出力端子としても使用出来るので、モノポーラ処置
具４の２つの把持アーム１９ａ，１９ｂ間で生体組織を
挟持した状態で、モノポーラ処置具４の先端からＰプレ
ート１８の導通経路にて高周波電流を流すことにより、
モノポーラ処置具４の２つの把持アーム１９ａ，１９ｂ
間の生体組織を高周波焼灼するモノポーラ処置ができ
る。Since the high-frequency output terminal 3a of the high-frequency ablation power supply 3 can be used not only as a bipolar output terminal but also as a monopolar output terminal, a living tissue is held between the two gripping arms 19a and 19b of the monopolar treatment instrument 4. In this state, a high-frequency current is caused to flow from the tip of the monopolar treatment tool 4 through the conduction path of the P plate 18,
Two gripping arms 19a and 19b of the monopolar treatment tool 4
It is possible to perform a monopolar treatment in which the living tissue in between is subjected to high-frequency ablation.
【００２０】さらに、超音波処置具として図１（Ａ）の
超音波吸引装置５に代えて図１（Ｂ）に示す超音波凝固
切開装置２０を使用した場合でも同様にモノポーラ処置
具４の先端部とこの超音波凝固切開装置２０の先端部と
の間に生体組織を挟んで近づけた状態で、高周波電流を
流すことにより、モノポーラ処置具４とこの超音波凝固
切開装置２０との間で生体組織を高周波焼灼するバイポ
ーラ処置ができる。Further, even when an ultrasonic coagulation and incision device 20 shown in FIG. 1B is used in place of the ultrasonic suction device 5 of FIG. A high-frequency current is passed in a state in which the living tissue is sandwiched between the distal portion of the ultrasonic coagulation and incision device 20 and the distal end portion of the ultrasonic coagulation and incision device 20, so that the living body tissue can be moved between the monopolar treatment tool 4 and the ultrasonic coagulation and incision device 20 A bipolar procedure can be used to induction ablate the tissue.
【００２１】そこで、上記構成のものにあっては次の効
果を奏する。すなわち、本実施の形態ではモノポーラ処
置具４と、超音波処置具である超音波吸引装置５とを同
時に併用してモノポーラ処置具４と超音波吸引装置５と
の間で生体組織を高周波焼灼するバイポーラ処置を行う
ことができる。そのため、処置具の使用中、生体組織の
処置面積を従来のように単独の超音波処置具を使用する
場合に比べて広くすることができるので、本実施の形態
では従来の超音波処置具に比べて止血能力を高め、突然
の止血時に十分に即応出来る。Therefore, the above configuration has the following effects. That is, in the present embodiment, the living tissue is subjected to high-frequency ablation between the monopolar treatment device 4 and the ultrasonic suction device 5 by simultaneously using the monopolar treatment device 4 and the ultrasonic suction device 5 which is an ultrasonic treatment device. Bipolar treatment can be performed. Therefore, during the use of the treatment tool, the treatment area of the living tissue can be increased as compared with the case where a single ultrasonic treatment tool is used as in the related art. Hemostatic ability is enhanced compared to that, and it is possible to respond immediately when sudden hemostasis occurs.
【００２２】また、本実施の形態の超音波吸引装置５で
は超音波処置と、モノポーラ処置の同時併用も可能とな
るうえ、モノポーラ処置具４と、超音波処置具である超
音波吸引装置５とを同時に併用してバイポーラ処置を行
うこともできるので、各処置具の汎用性が向上すると共
にモノポーラ処置や、バイポーラ処置と超音波処置との
併用などの複数の処置具を組み合わせる処置方法の選択
枝が広がる効果がある。そのため、処置能力が向上する
だけでなく、高周波処置と超音波処置とを同時併用する
場合の操作性の向上を図ることができる。Further, the ultrasonic suction device 5 of the present embodiment allows simultaneous use of the ultrasonic treatment and the monopolar treatment, and furthermore, the monopolar treatment device 4 and the ultrasonic suction device 5 which is an ultrasonic treatment device. Can be used simultaneously to perform a bipolar treatment, so that the versatility of each treatment tool is improved, and a selection method of a treatment method that combines a plurality of treatment tools such as a monopolar treatment and a combination of a bipolar treatment and an ultrasonic treatment. Has the effect of spreading. Therefore, not only the treatment ability is improved, but also the operability when the high-frequency treatment and the ultrasonic treatment are simultaneously used can be improved.
【００２３】なお、超音波ジェネレータ２と高周波焼灼
電源装置３を一体化した図示しない複合装置を設け、処
置具側に超音波、モノポーラ、超音波とモノポーラの併
用、バイポーラ等の複数の機能を多彩に選択出来るハン
ドスイッチを設ける構成にしてもよい。この場合には処
置の効率化が期待出来るだけでなく、高周波用ケーブル
と超音波用ケーブルを１本にすることにより、ケーブル
配線の煩雑さからも解放される。A combined device (not shown) in which the ultrasonic generator 2 and the high-frequency ablation power supply device 3 are integrated is provided, and a plurality of functions such as ultrasonic, monopolar, combined use of ultrasonic and monopolar, and bipolar are provided on the treatment instrument side. May be provided with a selectable hand switch. In this case, not only can the treatment be made more efficient, but also the complexity of cable wiring can be released by using a single high-frequency cable and ultrasonic cable.
【００２４】また、図２は本発明の第２の実施の形態を
示すものである。本実施の形態は第１の実施の形態（図
１（Ａ），（Ｂ）参照）の超音波処置装置１のシステム
に別の機能を付加させた超音波凝固切開装置４１を設け
たものである。FIG. 2 shows a second embodiment of the present invention. This embodiment is provided with an ultrasonic coagulation and incision device 41 in which another function is added to the system of the ultrasonic treatment device 1 of the first embodiment (see FIGS. 1A and 1B). is there.
【００２５】すなわち、本実施の形態の超音波凝固切開
装置４１には細長い外管部材４２の基端部に手元側の操
作部４３が設けられている。この操作部４３には例えば
超音波発振器が内蔵された超音波発振ユニット４４と、
固定ハンドル４５と、可動ハンドル４６とが設けられて
いる。That is, the ultrasonic coagulating and incising apparatus 41 of the present embodiment is provided with a hand-side operating section 43 at the base end of the elongated outer tube member 42. The operation unit 43 includes, for example, an ultrasonic oscillation unit 44 having a built-in ultrasonic oscillator,
A fixed handle 45 and a movable handle 46 are provided.
【００２６】また、外管部材４２の内部には管状の超音
波プローブ４７が配設されている。この超音波プローブ
４７の基端部は超音波発振ユニット４４内の超音波発振
器に連結されている。そして、この超音波発振器からの
超音波振動が超音波プローブ４７に伝達されるようにな
っている。A tubular ultrasonic probe 47 is provided inside the outer tube member 42. The base end of the ultrasonic probe 47 is connected to an ultrasonic oscillator in the ultrasonic oscillation unit 44. Then, the ultrasonic vibration from the ultrasonic oscillator is transmitted to the ultrasonic probe 47.
【００２７】さらに、外管部材４２の先端部には超音波
プローブ４７に対して開閉可能に支持されたジョー４８
が設けられている。このジョー４８は操作部４３の固定
ハンドル４５と可動ハンドル４６との間のハンドル開閉
操作によって超音波プローブ４７に対して開閉操作され
るようになっている。そして、この超音波凝固切開装置
４１ではジョー４８と超音波プローブ４７との間で生体
組織を挟んだ状態で、超音波発振器を駆動することによ
り、超音波プローブ４７に超音波振動が伝達され、ジョ
ー４８と超音波プローブ４７との間の生体組織に凝固、
切開などの超音波処置が行なわれるようになっている。Further, a jaw 48 supported on the tip of the outer tube member 42 so as to be openable and closable with respect to the ultrasonic probe 47 is provided.
Is provided. The jaw 48 is opened and closed with respect to the ultrasonic probe 47 by opening and closing the handle between the fixed handle 45 and the movable handle 46 of the operation section 43. Then, in the ultrasonic coagulation and incision device 41, ultrasonic vibration is transmitted to the ultrasonic probe 47 by driving the ultrasonic oscillator in a state where the living tissue is sandwiched between the jaw 48 and the ultrasonic probe 47, Coagulation of the living tissue between the jaw 48 and the ultrasonic probe 47,
Ultrasound treatment such as incision is performed.
【００２８】また、超音波プローブ４７の管内には細長
い棒状のスイッチ部材４９が軸方向に移動自在に挿入さ
れている。ここで、スイッチ部材４９の先端部は超音波
プローブ４７の先端開口部から外部側に突没可能になっ
ている。An elongated rod-like switch member 49 is inserted into the tube of the ultrasonic probe 47 so as to be movable in the axial direction. Here, the distal end portion of the switch member 49 can protrude and retract from the distal end opening of the ultrasonic probe 47 to the outside.
【００２９】また、超音波プローブ４７の基端部には大
径なばね収納室５０が形成されている。このばね収納室
５０内には圧縮コイルばね５１が収納されている。そし
て、スイッチ部材４９は外力が加わらない状態ではばね
収納室５０内の圧縮コイルばね５１のばね力によって常
にスイッチ部材４９の先端部が超音波プローブ４７の先
端開口部から外部側に突出された第１の位置で保持され
る状態に付勢されている。ここで、超音波プローブ４７
の先端開口部からスイッチ部材４９の先端までの距離
は、スイッチ部材４９に外力が加わり、スイッチ部材４
９が第１の位置から操作部４３側に押し込まれても必ず
キャビテーション発生時の干渉範囲長より長くなるよう
に設定されている。At the base end of the ultrasonic probe 47, a large-diameter spring storage chamber 50 is formed. A compression coil spring 51 is housed in the spring housing chamber 50. When no external force is applied to the switch member 49, the distal end of the switch member 49 always projects outward from the distal end opening of the ultrasonic probe 47 due to the spring force of the compression coil spring 51 in the spring storage chamber 50. It is urged to be held at the position 1. Here, the ultrasonic probe 47
The external force is applied to the switch member 49 and the distance from the tip opening of the
9 is set to be always longer than the interference range length at the time of cavitation even if it is pushed into the operation unit 43 side from the first position.
【００３０】また、スイッチ部材４９の末端部は機械的
または電気的に超音波発振器の駆動スイッチと連動され
ている。そして、このスイッチ部材４９の突没動作にと
もない超音波発振のＯＮ／ＯＦＦが行なわれるようにな
っている。ここで、超音波発振器の駆動スイッチはスイ
ッチ部材４９が第１の位置で保持されている場合にはオ
フ状態で保持され、スイッチ部材４９が第１の位置から
操作部４３側に押し込まれる動作にともないオン操作さ
れて超音波発振が行なわれるようになっている。The end of the switch member 49 is mechanically or electrically linked to the drive switch of the ultrasonic oscillator. The ultrasonic oscillation is turned ON / OFF in accordance with the protruding / retracting operation of the switch member 49. Here, when the switch member 49 is held at the first position, the drive switch of the ultrasonic oscillator is held in the off state, and the switch member 49 is pushed from the first position to the operation unit 43 side. Ultrasonic oscillation is performed by the on operation.
【００３１】次に、上記構成の作用について説明する。
本実施の形態では超音波凝固切開装置４１の使用時には
処置部位にスイッチ部材４９の先端を突き当てる事によ
り、スイッチ部材４９が超音波プローブ４７に対し後退
し、それと連動して超音波発振を行う。Next, the operation of the above configuration will be described.
In the present embodiment, when the ultrasonic coagulation / cutting device 41 is used, the switch member 49 retreats with respect to the ultrasonic probe 47 by abutting the tip of the switch member 49 on the treatment site, and performs ultrasonic oscillation in conjunction therewith. .
【００３２】また、処置が終了し、超音波プローブ４７
が処置部位から離れてスイッチ部材４９の先端に外力が
加わらなくなるとばね収納室５０内の圧縮コイルばね５
１のばね力によってスイッチ部材４９が第１の位置に復
帰する。このスイッチ部材４９の動作と同時に超音波発
振器の駆動スイッチはオフ操作され、超音波発振も停止
する。When the treatment is completed, the ultrasonic probe 47
When the external force is no longer applied to the distal end of the switch member 49 away from the treatment site, the compression coil spring 5 in the spring storage chamber 50
The switch member 49 returns to the first position by the spring force of 1. At the same time as the operation of the switch member 49, the drive switch of the ultrasonic oscillator is turned off, and the ultrasonic oscillation also stops.
【００３３】そこで、本実施の形態では超音波プローブ
４７の管内に細長い棒状のスイッチ部材４９を設け、こ
のスイッチ部材４９の突没動作にともない超音波発振の
ＯＮ／ＯＦＦが行なわれるようにしたので、例えば操作
部４３に超音波発振のＯＮ／ＯＦＦを操作するスイッチ
を設ける場合に比べて超音波凝固切開装置４１の操作性
が向上する効果がある。Therefore, in the present embodiment, an elongated rod-shaped switch member 49 is provided in the tube of the ultrasonic probe 47, and the ultrasonic oscillation is turned ON / OFF as the switch member 49 moves in and out. For example, the operability of the ultrasonic coagulation / cutting device 41 is improved as compared with a case where a switch for operating ON / OFF of the ultrasonic oscillation is provided in the operation unit 43, for example.
【００３４】また、図３は第２の実施の形態（図２参
照）の超音波凝固切開装置４１の第１の変形例を示すも
のである。本変形例はスイッチ部材４９の先端に例えば
半球形状の滑らかな面で構成した半球形状接触面６１を
形成し、処置部位への誤穿刺を防止させる構成にしたも
のである。FIG. 3 shows a first modification of the ultrasonic coagulation / cutting device 41 of the second embodiment (see FIG. 2). In this modified example, a hemispherical contact surface 61 composed of, for example, a hemispherical smooth surface is formed at the tip of the switch member 49 to prevent erroneous puncture of a treatment site.
【００３５】また、図４は第２の実施の形態（図２参
照）の超音波凝固切開装置４１の第２の変形例を示すも
のである。本変形例は超音波プローブ４７に対して開閉
可能に支持されたジョー４８の先端部に超音波プローブ
４７側に向けて突設部６２を突設し、図４中に点線で示
すように超音波プローブ４７に対してジョー４８を閉じ
た際にジョー４８の突設部６２によってスイッチ部材４
９の先端部を第１の位置から操作部４３側に押し込み操
作して超音波発振のＯＮ／ＯＦＦを自動的に行なう構成
にしたものである。FIG. 4 shows a second modification of the ultrasonic coagulating / cutting apparatus 41 according to the second embodiment (see FIG. 2). In this modification, a projecting portion 62 is provided at the tip of a jaw 48 supported to be openable and closable with respect to the ultrasonic probe 47 toward the ultrasonic probe 47 side, and as shown by a dotted line in FIG. When the jaw 48 is closed with respect to the acoustic probe 47, the switch member 4 is
9 is configured such that the ultrasonic oscillation is automatically turned ON / OFF by pushing the distal end portion 9 from the first position toward the operation section 43 side.
【００３６】さらに、本変形例ではジョー４８の先端形
状が超音波プローブ４７の先端部を覆う形状になってい
るので、キャビテーション効果による不用意な侵襲も防
止できる。Further, in the present modification, the tip of the jaw 48 is shaped to cover the tip of the ultrasonic probe 47, so that inadvertent invasion due to the cavitation effect can be prevented.
【００３７】また、超音波ジェネレータ２側に図示しな
いタイマ回路を設け、スイッチ部材４９が予め設定され
たある一定時間以上押し込まれた事を確認してから超音
波発振を開始する構成にしてもよく、この場合には術者
が意図しない発振を防止させることができる。Also, a timer circuit (not shown) may be provided on the ultrasonic generator 2 side to start the ultrasonic oscillation after confirming that the switch member 49 has been pressed for a predetermined time or more. In this case, it is possible to prevent oscillation not intended by the operator.
【００３８】また、図５は本発明の第３の実施の形態を
示すものである。本実施の形態は第１の実施の形態（図
１（Ａ），（Ｂ）参照）の超音波ジェネレータ２および
超音波凝固切開装置２０の構成を次の通り変更し、第１
実施の形態のシステムに機能を付加させたものである。FIG. 5 shows a third embodiment of the present invention. In this embodiment, the configurations of the ultrasonic generator 2 and the ultrasonic coagulation / cutting apparatus 20 of the first embodiment (see FIGS. 1A and 1B) are changed as follows.
This is a system in which functions are added to the system of the embodiment.
【００３９】すなわち、本実施の形態では第１実施の形
態の超音波ジェネレータ２に通常時の超音波の発振モー
ドの振幅とは異なる高振幅の発振モードおよびこの高振
幅発振モードを作動させるためのクリーニングボタン７
１が設けられている。さらに、超音波処置具である超音
波凝固切開装置２０の操作部２２にも超音波ジェネレー
タ２の高振幅発振モードを作動させるためのクリーニン
グボタン７２が設けられている。That is, in the present embodiment, the ultrasonic generator 2 of the first embodiment has a high-amplitude oscillation mode different from the amplitude of the normal ultrasonic oscillation mode and an operation mode for operating this high-amplitude oscillation mode. Cleaning button 7
1 is provided. Further, a cleaning button 72 for activating the high-amplitude oscillation mode of the ultrasonic generator 2 is also provided on the operation unit 22 of the ultrasonic coagulation / cutting apparatus 20 which is an ultrasonic treatment tool.
【００４０】そして、本実施の形態では超音波凝固切開
装置２０の使用時には超音波ジェネレータ２のクリーニ
ングボタン７１または超音波凝固切開装置２０のクリー
ニングボタン７２のうちのいずれか一方を押すことによ
り、通常時の超音波の発振モードの振幅とは異なる高振
幅の超音波を発振させることができる。そのため、例え
ば高周波処置を併用し、超音波プローブ２６の先端に炭
化した組織片が付着した際に、超音波ジェネレータ２の
クリーニングボタン７１または超音波凝固切開装置２０
のクリーニングボタン７２のうちのいずれか一方を押す
ことにより、超音波プローブ２６に上記高振幅の超音波
が伝達されることによる衝撃で組織片を吹き飛ばすこと
ができる。その結果、処置中に超音波凝固切開装置２０
の超音波プローブ２６の先端を拭き取る作業が不要とな
る。In the present embodiment, when using the ultrasonic coagulation / cutting apparatus 20, one of the cleaning button 71 of the ultrasonic generator 2 and the cleaning button 72 of the ultrasonic coagulation / cutting apparatus 20 is depressed. Ultrasonic waves having a high amplitude different from the amplitude of the ultrasonic oscillation mode at the time can be oscillated. For this reason, for example, when a carbonized tissue piece adheres to the tip of the ultrasonic probe 26 using a high-frequency treatment, the cleaning button 71 of the ultrasonic generator 2 or the ultrasonic coagulating
By pressing one of the cleaning buttons 72, the tissue piece can be blown off by the impact caused by the transmission of the high-amplitude ultrasonic waves to the ultrasonic probe 26. As a result, during the procedure, the ultrasonic
The operation of wiping the tip of the ultrasonic probe 26 becomes unnecessary.
【００４１】さらに、高振幅の超音波によって超音波プ
ローブ２６の先端の汚れを吹き飛ばす点に着目すれば、
超音波プローブ２６の先端を水中に入れて発振すること
により、キャビテーション効果が強く作用し、さらなる
付着物除去効果が期待できるので、洗滌時にも効果的に
用いることができる。Further, if attention is paid to the point that the dirt on the tip of the ultrasonic probe 26 is blown off by the high-amplitude ultrasonic wave,
When the tip of the ultrasonic probe 26 is immersed in water and oscillated, the cavitation effect works strongly and a further effect of removing extraneous matter can be expected, so that the ultrasonic probe 26 can be effectively used even during cleaning.
【００４２】また、超音波ジェネレータ２に図示しない
タイマー回路を組み込み、超音波ジェネレータ２のクリ
ーニングボタン７１または超音波凝固切開装置２０のク
リーニングボタン７２のうちのいずれか一方を押し込む
１回の操作にあたり、例えば３秒程度の適正時間しか高
振幅を発振しない機能を付加してもよい。この場合に
は、超音波ジェネレータ２のクリーニングボタン７１ま
たは超音波凝固切開装置２０のクリーニングボタン７２
のうちのいずれか一方を押し込む１回の操作によって高
振幅を発振し続けることによる不用意な侵襲を防止でき
る。In addition, a timer circuit (not shown) is incorporated in the ultrasonic generator 2, and one operation of pressing one of the cleaning button 71 of the ultrasonic generator 2 and the cleaning button 72 of the ultrasonic coagulating and incising apparatus 20 is as follows. For example, a function of oscillating a high amplitude only for an appropriate time of about 3 seconds may be added. In this case, the cleaning button 71 of the ultrasonic generator 2 or the cleaning button 72 of the ultrasonic
Inadvertent invasion caused by continuing to oscillate a high amplitude by one operation of pushing one of them can be prevented.
【００４３】また、超音波プローブ２６のみを超音波凝
固切開装置２０全体に対して軸回り方向に回転操作する
図示しない回転操作機構を設けることにより、超音波プ
ローブ２６の外周面における炭化した組織片が付着して
いない部分を使用して処置することが可能となる。その
ため、この場合には超音波ジェネレータ２のクリーニン
グボタン７１や、超音波凝固切開装置２０のクリーニン
グボタン７２の多用も防止出来る。Further, by providing a rotation operating mechanism (not shown) for rotating only the ultrasonic probe 26 in the direction around the axis with respect to the entire ultrasonic coagulating and incising apparatus 20, carbonized tissue fragments on the outer peripheral surface of the ultrasonic probe 26 are provided. It is possible to perform treatment using a portion to which is not attached. Therefore, in this case, it is possible to prevent the cleaning button 71 of the ultrasonic generator 2 and the cleaning button 72 of the ultrasonic coagulation / cutting device 20 from being frequently used.
【００４４】また、ジョー２７が開いている場合のみ、
つまり処置操作を実施していない場合のみクリーニング
が実施できる図示しない安全機構を電気的、あるいは機
構的に設けることにより、処置中に高振幅の超音波が誤
発振されることを確実に防止できる。Only when the jaw 27 is open,
That is, by providing a safety mechanism (not shown) that can perform cleaning only when the treatment operation is not performed, either electrically or mechanically, erroneous oscillation of high-amplitude ultrasonic waves during treatment can be reliably prevented.
【００４５】また、超音波凝固切開装置２０の超音波プ
ローブ２６を管体によって形成し、この超音波プローブ
２６の管腔を通して送水吸引する図示しない送水吸引機
能が設けられている場合には、超音波ジェネレータ２の
クリーニングボタン７１または超音波凝固切開装置２０
のクリーニングボタン７２のうちのいずれか一方の押し
込みにより発振される高振幅の超音波振動と同期して送
水または吸引も作動する構成にしてもよい。この場合に
は超音波ジェネレータ２の管腔内のクリーニングも期待
できる。When the ultrasonic probe 26 of the ultrasonic coagulating / cutting apparatus 20 is formed of a tube and provided with a water supply / suction function (not shown) for supplying and sucking water through the lumen of the ultrasonic probe 26, Cleaning button 71 of ultrasonic wave generator 2 or ultrasonic coagulation and incision device 20
The water supply or the suction may also be operated in synchronization with the high-amplitude ultrasonic vibration oscillated by pressing one of the cleaning buttons 72 of the cleaning device 72. In this case, cleaning of the lumen of the ultrasonic generator 2 can also be expected.
【００４６】また、図６は本発明の第４の実施の形態を
示すものである。本実施の形態は第１の実施の形態（図
１（Ａ），（Ｂ）参照）の超音波凝固切開装置２０の構
成を次の通り変更したものである。FIG. 6 shows a fourth embodiment of the present invention. In the present embodiment, the configuration of the ultrasonic coagulation and incision device 20 of the first embodiment (see FIGS. 1A and 1B) is changed as follows.
【００４７】すなわち、本実施の形態の超音波凝固切開
装置２０には超音波発振ユニット２３内の超音波振動子
８１と超音波プローブ２６とを一体化した一体化部材８
２が設けられている。さらに、第３の実施の形態（図５
参照）のクリーニングボタン７２に代えて超音波ジェネ
レータ２の高振幅発振モードを作動させるクリーニング
用のスライドスイッチ８３をこの一体化部材８２に設
け、このスライドスイッチ８３を超音波発振ユニット２
３の外装部材８４に対して超音波プローブ２６の軸方向
にスライドさせる機構を設けたものである。That is, the ultrasonic coagulation and incision apparatus 20 of the present embodiment has an integrated member 8 in which the ultrasonic oscillator 81 and the ultrasonic probe 26 in the ultrasonic oscillation unit 23 are integrated.
2 are provided. Further, a third embodiment (FIG. 5)
), A cleaning slide switch 83 for activating the high-amplitude oscillation mode of the ultrasonic generator 2 is provided on the integrated member 82 instead of the cleaning button 72 of the ultrasonic oscillation unit 2.
A mechanism for sliding the third exterior member 84 in the axial direction of the ultrasonic probe 26 is provided.
【００４８】そして、本実施の形態では超音波凝固切開
装置２０の軸部２１の外装部材８４の先端から超音波プ
ローブ２６の先端が外装部材８４の内部側に引き込まれ
た時点で、スライドスイッチ８３によって超音波ジェネ
レータ２の高振幅発振モードを作動させ、高振幅の超音
波振動を発振させることができる。これにより、高振幅
の超音波振動の発振時に超音波プローブ２６の先端が体
内組織に触れることを防止出来る。In the present embodiment, when the tip of the ultrasonic probe 26 is pulled into the inside of the exterior member 84 from the tip of the exterior member 84 of the shaft portion 21 of the ultrasonic coagulating / cutting apparatus 20, the slide switch 83 is moved. Thereby, the high-amplitude oscillation mode of the ultrasonic generator 2 is operated, and high-amplitude ultrasonic vibration can be oscillated. Thus, it is possible to prevent the tip of the ultrasonic probe 26 from touching the tissue in the body during the oscillation of the high-amplitude ultrasonic vibration.
【００４９】なお、本実施の形態では超音波プローブ２
６の先端の汚れ落ち具合を容易に確認するために、超音
波凝固切開装置２０における軸部２１の外装部材８４の
先端部に透明部分を一部、または全体に採用する構成に
してもよい。In this embodiment, the ultrasonic probe 2
In order to easily check the degree of dirt removal at the tip of No. 6, a transparent portion may be partially or wholly employed at the tip of the exterior member 84 of the shaft portion 21 in the ultrasonic coagulation / cutting device 20.
【００５０】また、図７は本発明の第５の実施の形態を
示すものである。本実施の形態は脳外科用バイポーラフ
ォーセプス９１に超音波振動子９２を組み込む事により
超音波発振機能を付加し、バイポーラフォーセプス９１
の先端部に炭化した組織片が付着した場合に、超音波振
動子９２からの超音波振動をバイポーラフォーセプス９
１の先端部に伝達して炭化した組織片を除去することが
できるようにしたものである。FIG. 7 shows a fifth embodiment of the present invention. In this embodiment, an ultrasonic oscillation function is added by incorporating an ultrasonic vibrator 92 into the bipolar forceps 91 for neurosurgery.
When a carbonized tissue piece adheres to the tip of the device, the ultrasonic vibration from the ultrasonic vibrator 92 is applied to the bipolar forceps 9.
1 to remove the carbonized tissue pieces by transmitting to the tip.
【００５１】そして、本実施の形態の脳外科用バイポー
ラフォーセプス９１では、超音波発振機能を付加するこ
とで、汚れ落としのために通常用いられる送水作業はな
くなり、送水を多用する煩雑さも軽減できる。In the bipolar surgery for brain surgery 91 of the present embodiment, by adding the ultrasonic oscillation function, the water supply work normally used for removing dirt is eliminated, and the complexity of frequently using water supply can be reduced. .
【００５２】また、本実施の形態の脳外科用バイポーラ
フォーセプス９１の手元側に超音波発振と、高周波処置
とを同時に使用するスイッチ９３を設け、生体組織に影
響を与えない超音波発振と、高周波処置とを同時に使用
できるようにすることにより、高周波処置によって炭化
した組織片がバイポーラフォーセプス９１の先端部に付
着することを未然に防止する効果もある。Further, a switch 93 for simultaneously using ultrasonic oscillation and high-frequency treatment is provided at the proximal side of the bipolar forceps 91 for neurosurgery according to the present embodiment, and the ultrasonic oscillation which does not affect the living tissue is provided. By enabling simultaneous use of the high-frequency treatment, there is also an effect of preventing a tissue piece carbonized by the high-frequency treatment from adhering to the tip of the bipolar forceps 91 beforehand.
【００５３】また、図８は本発明の第６の実施の形態を
示すものである。本実施の形態はフック型電極１０１に
超音波振動子１０２を組み込む事により超音波発振機能
を付加し、フック型電極１０１の先端部に炭化した組織
片が付着した場合に、超音波振動子１０２からの超音波
振動をフック型電極１０１の先端部に伝達して炭化した
組織片を除去することができるようにしたものである。FIG. 8 shows a sixth embodiment of the present invention. In the present embodiment, the ultrasonic oscillation function is added by incorporating the ultrasonic transducer 102 into the hook type electrode 101, and when the carbonized tissue piece adheres to the tip of the hook type electrode 101, the ultrasonic transducer 102 The ultrasonic vibration from the horn is transmitted to the tip of the hook-shaped electrode 101 so that the carbonized tissue fragments can be removed.
【００５４】そして、本実施の形態のフック型電極１０
１でも第５の実施の形態（図７参照）の脳外科用バイポ
ーラフォーセプス９１と同様に、超音波発振機能を付加
することで、汚れ落としのために通常用いられる送水作
業はなくなり、送水を多用する煩雑さも軽減できる効果
がある。Then, the hook type electrode 10 of the present embodiment
Even in the case of 1, the ultrasonic oscillation function is added, similarly to the bipolar forceps 91 for brain surgery of the fifth embodiment (see FIG. 7), so that the water supply work normally used for removing dirt is eliminated, and water supply is performed. This has the effect of reducing the complexity of heavy use.
【００５５】また、図９は本発明の第７の実施の形態を
示すものである。本実施の形態は通常の処置具、例えば
送水吸引管１１１に超音波振動子１１２を組み込む事に
より、超音波発振機能を付加する事で、送水吸引管１１
１の管腔内１１３の汚れを除去、防止する構成にしたも
のである。FIG. 9 shows a seventh embodiment of the present invention. In the present embodiment, an ultrasonic oscillator 112 is added to a normal treatment tool, for example, a water supply / suction tube 111 to add an ultrasonic oscillation function.
This is configured to remove and prevent contamination of the inside of the lumen 113.
【００５６】さらに、図示しない硬性光学視管に第５の
実施の形態（図７参照）の脳外科用バイポーラフォーセ
プス９１の超音波発振機能を組込むことにより、硬性光
学視管のレンズ面の汚れ除去、防止に応用することがで
きる。In addition, by incorporating the ultrasonic oscillation function of the bipolar forceps 91 for brain surgery of the fifth embodiment (see FIG. 7) into a rigid telescope (not shown), the lens surface of the rigid telescope is stained. It can be applied to removal and prevention.
【００５７】また、図１０（Ａ），（Ｂ）は本発明の第
８の実施の形態を示すものである。本実施の形態は第１
の実施の形態（図１（Ａ），（Ｂ）参照）の超音波処置
装置１のシステムに別の機能を付加させた超音波凝固切
開具１２１を設けたものである。FIGS. 10A and 10B show an eighth embodiment of the present invention. This embodiment is the first
An ultrasonic coagulation / incision tool 121 which is obtained by adding another function to the system of the ultrasonic treatment apparatus 1 of the embodiment (see FIGS. 1A and 1B) is provided.
【００５８】すなわち、本実施の形態の超音波凝固切開
具１２１には細長い管状の外装部材１２２の内部に略平
板状の超音波プローブ１２３が配設されている。この超
音波プローブ１２３の基端部は図示しない超音波発振器
に連結されている。そして、この超音波発振器からの超
音波振動が超音波プローブ１２３に伝達されるようにな
っている。That is, in the ultrasonic coagulation / incision instrument 121 of this embodiment, a substantially flat ultrasonic probe 123 is provided inside an elongated tubular exterior member 122. The base end of the ultrasonic probe 123 is connected to an ultrasonic oscillator (not shown). Then, the ultrasonic vibration from the ultrasonic oscillator is transmitted to the ultrasonic probe 123.
【００５９】また、外装部材１２２の先端部には超音波
プローブ１２３に対して図示しない開閉機構を介して開
閉可能に支持されたジョー１２４が設けられている。図
１０（Ｂ）に示すようにこのジョー１２４における超音
波プローブ１２３と対向する面の略中央部位には超音波
プローブ１２３の軸方向に延設されたガイド溝１２５が
形成されている。さらに、このジョー１２４における超
音波プローブ１２３との対向面には例えばゴムなどの弾
性部材１２６が取付けられている。A jaw 124 is provided at the tip of the exterior member 122 so as to be openable and closable with respect to the ultrasonic probe 123 via an opening and closing mechanism (not shown). As shown in FIG. 10B, a guide groove 125 extending in the axial direction of the ultrasonic probe 123 is formed at a substantially central portion of a surface of the jaw 124 facing the ultrasonic probe 123. Further, an elastic member 126 such as rubber is attached to a surface of the jaw 124 facing the ultrasonic probe 123.
【００６０】また、外装部材１２２の内部には超音波プ
ローブ１２３の軸方向に進退可能なナイフなどの切断部
材１２７が超音波プローブ１２３と併設されている。こ
の切断部材１２７の先端部には刃部１２８が形成されて
いる。さらに、この切断部材１２７は閉じた状態のジョ
ー１２４のガイド溝１２５に嵌合、摺動する場所に位置
する状態で配設されている。そして、この切断部材１２
７は図示しない操作手段によって超音波プローブ１２３
の軸方向に進退可能に移動操作されるようになってい
る。Further, a cutting member 127 such as a knife capable of moving back and forth in the axial direction of the ultrasonic probe 123 is provided inside the exterior member 122 along with the ultrasonic probe 123. A blade 128 is formed at the tip of the cutting member 127. Further, the cutting member 127 is disposed so as to fit in the guide groove 125 of the jaw 124 in a closed state and to slide. And this cutting member 12
7 denotes an ultrasonic probe 123 by operating means (not shown).
The moving operation is performed so as to be able to advance and retreat in the axial direction.
【００６１】次に、上記構成の作用について説明する。
本実施の形態の超音波凝固切開具１２１ではジョー１２
４と超音波プローブ１２３との間で生体組織を挟んだ状
態で、超音波発振器を駆動することにより、超音波プロ
ーブ１２３に超音波振動が伝達され、ジョー１２４と超
音波プローブ１２３との間の生体組織に凝固、切開など
の超音波処置が行なわれる。このとき、ジョー１２４の
弾性部材１２６は超音波プローブ１２３の平面部とジョ
ー１２４との間で挾み込んだ生体組織の滑り止めとして
機能させることができる。Next, the operation of the above configuration will be described.
In the ultrasonic coagulation incision instrument 121 of the present embodiment, the jaw 12
By driving the ultrasonic oscillator while the living tissue is sandwiched between the ultrasonic probe 123 and the ultrasonic probe 123, ultrasonic vibration is transmitted to the ultrasonic probe 123, and the ultrasonic vibration is transmitted between the jaw 124 and the ultrasonic probe 123. Ultrasonic treatment such as coagulation and incision is performed on the living tissue. At this time, the elastic member 126 of the jaw 124 can function as a non-slip for the living tissue sandwiched between the flat portion of the ultrasonic probe 123 and the jaw 124.
【００６２】さらに、超音波プローブ１２３の平面部と
ジョー１２４との間で生体組織を挟み込んだ状態で、切
断部材１２７を前進させることにより、この切断部材１
２７の刃部１２８によって生体組織を切断することがで
きる。Further, the cutting member 127 is advanced in a state where the living tissue is sandwiched between the flat portion of the ultrasonic probe 123 and the jaw 124, so that the cutting member 1
The living tissue can be cut by the 27 blade portions 128.
【００６３】そこで、上記構成のものにあっては次の効
果を奏する。すなわち、本実施の形態では超音波プロー
ブ１２３の平面部によって生体組織との接触面積を一層
大きくすることができ、生体組織の処置範囲を大きくす
ることができる。さらに、超音波プローブ１２３の平面
部とジョー１２４との間で生体組織を挟み込んだ状態
で、切断部材１２７を前進させることにより、この切断
部材１２７の刃部１２８によって生体組織を切断するこ
とができるので、生体組織の切断を一層確実に実施させ
ることができる。Therefore, the above configuration has the following effects. That is, in the present embodiment, the contact area with the living tissue can be further increased by the flat portion of the ultrasonic probe 123, and the treatment range of the living tissue can be increased. Further, by advancing the cutting member 127 with the living tissue sandwiched between the flat portion of the ultrasonic probe 123 and the jaw 124, the living tissue can be cut by the blade 128 of the cutting member 127. Therefore, the cutting of the living tissue can be more reliably performed.
【００６４】また、図１０（Ｃ）は第８の実施の形態
（図１０（Ａ），（Ｂ）参照）の超音波凝固切開具１２
１の先端形状の変形例を示すものである。本変形例は超
音波プローブ１２３の先端部にも切断部材１２７と同等
のガイド溝１２８を設けたものである。本変形例でも第
８の実施の形態と同様の効果が得られる。FIG. 10C shows the ultrasonic coagulation and incision tool 12 according to the eighth embodiment (see FIGS. 10A and 10B).
9 shows a modification of the tip shape of FIG. In this modification, a guide groove 128 equivalent to the cutting member 127 is also provided at the tip of the ultrasonic probe 123. In this modification, the same effect as in the eighth embodiment can be obtained.
【００６５】また、切断部材１２７は鋭利な刃先が必要
となるため、本切断部品１２７のみ取替え可能なディス
ポーザブル製品としてもよい。さらに、切断部材１２７
も超音波発振機能を持つ構成にしてもよい。この場合に
は、機械的な鋭利な刃先だけに頼らなくても切断部材１
２７の切断能力を向上させることができる。Since the cutting member 127 requires a sharp cutting edge, a disposable product in which only the main cutting component 127 can be replaced may be used. Further, the cutting member 127
May also be configured to have an ultrasonic oscillation function. In this case, the cutting member 1 does not need to rely solely on a mechanical sharp edge.
27 can improve the cutting ability.
【００６６】また、ジョー１２４の開閉動作と、切断部
材１２７の進退動作とを機械的または電気的に連動させ
る図示しない連動機構を設けることにより、１回の操作
で凝固、切断を同時に行うことが出来る。Also, by providing an interlocking mechanism (not shown) for mechanically or electrically interlocking the opening / closing operation of the jaw 124 and the advance / retreat operation of the cutting member 127, coagulation and cutting can be performed simultaneously by one operation. I can do it.
【００６７】また、図１１（Ａ）は第８の実施の形態
（図１０（Ａ），（Ｂ）参照）の切断部材付超音波凝固
切開具１２１の滑り止め用の弾性部材１２６の第１の変
形例を示すものである。本変形例はジョー１２４におけ
る超音波プローブ１２３との対向面に取付けられている
弾性部材１２６の表面に滑り止め用の多数の溝１３１を
設けたものである。FIG. 11A shows a first example of the elastic member 126 for preventing slipping of the ultrasonic coagulation incision tool 121 with a cutting member according to the eighth embodiment (see FIGS. 10A and 10B). This shows a modification of the first embodiment. In this modification, a large number of non-slip grooves 131 are provided on the surface of an elastic member 126 attached to the surface of the jaw 124 facing the ultrasonic probe 123.
【００６８】また、図１１（Ａ）は第８の実施の形態
（図１０（Ａ），（Ｂ）参照）の切断部材付超音波凝固
切開具１２１の滑り止め用の弾性部材１２６の第２の変
形例を示すものである。本変形例はジョー１２４におけ
る超音波プローブ１２３との対向面に滑り止め用のスパ
イク１３２を取付けたものである。FIG. 11A shows a second example of the elastic member 126 for preventing slipping of the ultrasonic coagulation incision instrument 121 with a cutting member according to the eighth embodiment (see FIGS. 10A and 10B). This shows a modification of the first embodiment. In this modification, a spike 132 for preventing slippage is attached to a surface of the jaw 124 facing the ultrasonic probe 123.
【００６９】このように、弾性部材１２６の表面に滑り
止め用の多数の溝１３１を設けたり、ジョー１２４の表
面に滑り止め用のスパイク１３２を取付けることによ
り、第８の実施の形態の一連の操作性の一層の向上が期
待出来る。As described above, by providing a large number of non-slip grooves 131 on the surface of the elastic member 126 and attaching the non-slip spikes 132 to the surface of the jaw 124, a series of the eighth embodiment can be improved. Further improvement in operability can be expected.
【００７０】また、図１２は本発明の第９の実施の形態
を示すものである。本実施の形態では第８の実施の形態
（図１０（Ａ），（Ｂ）参照）の切断部材付超音波凝固
切開具１２１における超音波プローブ１２３の先端部に
断面形状を略台形型の凸形状に形成した凸形状部１４１
が設けられている。FIG. 12 shows a ninth embodiment of the present invention. In this embodiment, a substantially trapezoidal cross section is formed at the tip of an ultrasonic probe 123 in an ultrasonic coagulation incision instrument 121 with a cutting member according to the eighth embodiment (see FIGS. 10A and 10B). Convex part 141 formed in shape
Is provided.
【００７１】さらに、ジョー１２４には超音波プローブ
１２３の凸形状部１４１に合わせた凹形状の断面形状の
凹形状部１４２が設けられている。また、超音波プロー
ブ１２３の凸形状部１４１と、ジョー１２４の凹形状部
１４２との嵌合部には切断部材１２７の進退動作ガイド
用のガイド溝１４３がそれぞれ設けられている。Further, the jaw 124 is provided with a concave portion 142 having a concave cross section corresponding to the convex portion 141 of the ultrasonic probe 123. A guide groove 143 for guiding the cutting member 127 to move forward and backward is provided at a fitting portion between the convex portion 141 of the ultrasonic probe 123 and the concave portion 142 of the jaw 124.
【００７２】そこで、上記構成のものにあっては超音波
プローブ１２３の凸形状部１４１と、ジョー１２４の凹
形状部１４２との嵌合部によって生体組織を凝固処置す
るための接触面積は更に大きくなるので、凝固範囲の拡
大および凝固能力の一層の向上を図ることができる。Therefore, in the above configuration, the contact area for coagulating the living tissue by the fitting portion between the convex portion 141 of the ultrasonic probe 123 and the concave portion 142 of the jaw 124 is further increased. Therefore, the solidification range can be expanded and the solidification ability can be further improved.
【００７３】また、図１３（Ａ），（Ｂ）は本発明の第
１０の実施の形態を示すものである。本実施の形態は第
８の実施の形態（図１０（Ａ），（Ｂ）参照）の切断部
材付超音波凝固切開具１２１における超音波プローブ１
２３と切断部材１２８とを一体化した刃付超音波プロー
ブ１５１を設けたものである。さらに、本実施の形態の
刃付超音波プローブ１５１は軸方向に進退機能が設けら
れている。FIGS. 13A and 13B show a tenth embodiment of the present invention. The present embodiment is directed to an ultrasonic probe 1 in the ultrasonic coagulation and incision instrument 121 with a cutting member according to the eighth embodiment (see FIGS. 10A and 10B).
An ultrasonic probe with a blade 151 in which the cutting member 23 and the cutting member 128 are integrated is provided. Further, the bladed ultrasonic probe 151 of the present embodiment is provided with an advancing and retreating function in the axial direction.
【００７４】そして、本実施の形態では生体組織の凝固
処置後、刃付超音波プローブ１５１を前進させることに
より、生体組織の切断が行えるので、構造が単純化出来
るばかりでなく、刃付超音波プローブ１５１の刃を付け
る位置を超音波の振幅上、減衰しない場所（例えば振幅
の腹と節では節に近い方が良い）に位置させることによ
り、一層効率的な発振出力伝達が実現出来る。In the present embodiment, the living tissue can be cut by advancing the bladed ultrasonic probe 151 after the coagulation treatment of the living tissue, so that not only the structure can be simplified, but also the ultrasonic wave with the blade can be cut. By placing the blade 151 of the probe 151 at a position where it is not attenuated in terms of the amplitude of the ultrasonic wave (for example, it is better to be close to the node between the antinode and the node of the amplitude), more efficient oscillation output transmission can be realized.
【００７５】さらに、本発明は上記実施の形態に限定さ
れるものではなく、本発明の要旨を逸脱しない範囲で種
々変形実施できることは勿論である。次に、本出願の他
の特徴的な技術事項を下記の通り付記する。 記 （付記項１） モノポーラ通電可能な超音波処置具と、
モノポーラ処置具と、前記超音波処置具とモノポーラ処
置具との間でバイポーラ出力を生じせしめる高周波焼灼
電源装置とからなることを特徴とするシステム。Furthermore, the present invention is not limited to the above-described embodiment, and it goes without saying that various modifications can be made without departing from the spirit of the present invention. Next, other characteristic technical matters of the present application will be additionally described as follows. Note (Additional Item 1)
A system comprising: a monopolar treatment device; and a high-frequency ablation power supply for generating a bipolar output between the ultrasonic treatment device and the monopolar treatment device.
【００７６】（付記項２） 超音波処置具は超音波吸引
装置であることを特徴とする付記項１に記載のシステ
ム。(Additional Item 2) The system according to Additional Item 1, wherein the ultrasonic treatment instrument is an ultrasonic suction device.
【００７７】（付記項３） 超音波処置具は超音波凝固
切開装置であることを特徴とする付記項１に記載のシス
テム。(Additional Item 3) The system according to additional item 1, wherein the ultrasonic treatment instrument is an ultrasonic coagulation and incision device.
【００７８】（付記項４） 超音波プローブ先端にスイ
ッチを設けたことを特徴とする付記項１に記載の超音波
処置具。(Additional Item 4) The ultrasonic treatment instrument according to additional item 1, wherein a switch is provided at the tip of the ultrasonic probe.
【００７９】（付記項５） 管腔を有する超音波プロー
ブと、管腔内に位置し超音波プローブ先端から突没可能
なスイッチ部材と、超音波プローブとスイッチ部材とを
付勢する付勢手段を設けたことを特徴とする付記項４に
記載の超音波処置具。(Additional Item 5) An ultrasonic probe having a lumen, a switch member located in the lumen and capable of protruding and retracting from the tip of the ultrasonic probe, and urging means for urging the ultrasonic probe and the switch member The ultrasonic treatment device according to additional item 4, wherein the ultrasonic treatment device is provided.
【００８０】（付記項１〜５の従来技術） 実開昭６３
−１８９１７０号公報、ＥＰ０８３０８４５Ａ１、ＥＰ
０６９５５３５Ａ１がある。これは超音波出力による摩
擦力、衝撃力を利用し、組織を挟み込む事により切除や
止血する処置具である。(Prior Art in Additional Items 1 to 5)
-189170, EP0830845A1, EP
0695535 A1. This is a treatment tool that uses a frictional force and an impact force by an ultrasonic output to cut and stop blood by sandwiching tissue.
【００８１】（付記項１〜５が解決しようとする課題）
しかしこれによると機構的に切除面積が限定されてい
る事。突然の止血時に即応出来る止血能力が不十分な
事。他の処置具（例えば高周波処置）を主に使用し、超
音波処置を補佐的に使用する、又は高周波処置と超音波
処置の同時併用には機構、操作法等が適していない事が
あげられる。(Problems to be Solved by Additional Items 1 to 5)
However, according to this, the resection area is mechanically limited. Insufficient hemostatic ability that can respond immediately to sudden hemostasis. Mainly using other treatment tools (for example, high-frequency treatment) and assisting ultrasonic treatment, or the mechanism and operation method are not suitable for simultaneous use of high-frequency treatment and ultrasonic treatment .
【００８２】（付記項１〜５の目的） これらの問題を
解決する事を目的に、システムを組み合わせることによ
り、これら処置方法の選択肢の拡大、止血能力の向上、
モノポーラ処置やバイポーラ処置と超音波処置との併用
を可能にさせるとともに、それに用いる超音波処置具に
も操作性向上のための例えばスイッチレスの機構を考案
した。(Purposes of Additional Items 1 to 5) For the purpose of solving these problems, by combining the systems, the options of these treatment methods can be expanded, the hemostatic ability can be improved,
For example, a switchless mechanism for improving the operability of the ultrasonic treatment instrument that enables the monopolar treatment or the bipolar treatment to be used in combination with the ultrasonic treatment has been devised.
【００８３】（付記項１〜５の課題を解決するための手
段） （付記項１〜５の効果） 付記項１〜５に記載の構成に
よると、従来技術の有する超音波処置具の切除範囲が狭
く、即応出来る止血能力が不十分であるという問題点が
解決されるうえに、モノポーラ高周波処置具と超音波処
置具との併用でバイポーラ処置も実施できると言う特有
の効果が得られる。更に処置能力が向上するだけでな
く、操作性も向上している。(Means for Solving the Problems of Additional Items 1 to 5) (Effects of Additional Items 1 to 5) According to the configuration of the additional items 1 to 5, the cutting range of the ultrasonic treatment tool according to the related art is In addition to solving the problem that the hemostatic capability is insufficient and the responsive hemostatic ability is insufficient, a unique effect that bipolar treatment can be performed by using a monopolar high-frequency treatment device and an ultrasonic treatment device together can be obtained. Further, not only the treatment ability is improved, but also the operability is improved.
【００８４】[0084]
【発明の効果】本発明によればモノポーラ処置具と、超
音波処置具と、この超音波処置具にモノポーラ通電可能
なモノポーラ通電手段と、超音波処置具とモノポーラ処
置具との間でバイポーラ出力を発生させる高周波焼灼電
源装置とを設けたので、処置具の使用中、生体組織の処
置面積を比較的広くすることができ、止血能力を高め、
突然の止血時に十分に即応出来るうえ、高周波処置と超
音波処置とを同時併用する場合の操作性の向上を図るこ
とができ、モノポーラ処置や、バイポーラ処置と超音波
処置との併用などの複数の処置具を組み合わせる処置方
法の選択肢の拡大を図ることができる。According to the present invention, a monopolar treatment device, an ultrasonic treatment device, a monopolar power supply means capable of supplying a monopolar current to the ultrasonic treatment device, and a bipolar output between the ultrasonic treatment device and the monopolar treatment device. Since the high-frequency ablation power supply device that generates the is provided, during the use of the treatment tool, the treatment area of the living tissue can be relatively widened, and the hemostatic ability is enhanced,
In addition to being able to respond promptly to sudden hemostasis, it is possible to improve the operability when using high-frequency treatment and ultrasonic treatment at the same time, and to use multiple treatments such as monopolar treatment and combination of bipolar treatment and ultrasonic treatment. It is possible to expand the options of the treatment method for combining the treatment tools.
【図１】 本発明の第１の実施の形態を示すもので、
（Ａ）は超音波処置装置全体の概略構成図、（Ｂ）は超
音波凝固切開装置の斜視図。FIG. 1 shows a first embodiment of the present invention;
(A) is a schematic configuration diagram of the entire ultrasonic treatment apparatus, and (B) is a perspective view of an ultrasonic coagulation and incision apparatus.
【図２】 本発明の第２の実施の形態の超音波凝固切開
装置の概略構成を示す斜視図。FIG. 2 is a perspective view showing a schematic configuration of an ultrasonic coagulation and incision apparatus according to a second embodiment of the present invention.
【図３】 第２の実施の形態の超音波凝固切開装置の第
１の変形例を示す要部の斜視図。FIG. 3 is a perspective view of a main part showing a first modified example of the ultrasonic coagulation / cutting apparatus according to the second embodiment;
【図４】 第２の実施の形態の超音波凝固切開装置の第
２の変形例を示す要部の側面図。FIG. 4 is a side view of a main part showing a second modified example of the ultrasonic coagulation / incision apparatus according to the second embodiment;
【図５】 本発明の第３の実施の形態の超音波処置具を
示す要部の斜視図。FIG. 5 is a perspective view of a main part showing an ultrasonic treatment device according to a third embodiment of the present invention.
【図６】 本発明の第４の実施の形態の超音波処置具を
示す要部の斜視図。FIG. 6 is a perspective view of a main part showing an ultrasonic treatment device according to a fourth embodiment of the present invention.
【図７】 本発明の第５の実施の形態を示す振動子付脳
外科用バイポーラフォーセプスの斜視図。FIG. 7 is a perspective view of a bipolar forceps for neurosurgery with a transducer according to a fifth embodiment of the present invention.
【図８】 本発明の第６の実施の形態を示す振動子付フ
ック電極の斜視図。FIG. 8 is a perspective view of a hook electrode with a vibrator showing a sixth embodiment of the present invention.
【図９】 本発明の第７の実施の形態を示す振動子付送
水吸引管の斜視図。FIG. 9 is a perspective view of a water supply / suction tube with a vibrator showing a seventh embodiment of the present invention.
【図１０】 （Ａ）は本発明の第８の実施の形態におけ
る切断部材付超音波凝固切開具の先端部を示す側面図、
（Ｂ）は（Ａ）の超音波凝固切開具の先端部の横断面
図、（Ｃ）は（Ａ）の超音波凝固切開具の先端形状の変
形例を示す横断面図。FIG. 10A is a side view showing a distal end portion of an ultrasonic coagulation incision device with a cutting member according to an eighth embodiment of the present invention.
(B) is a cross-sectional view of the distal end portion of the ultrasonic coagulation and incision tool of (A), and (C) is a cross-sectional view showing a modification of the distal end shape of the ultrasonic coagulation and incision tool of (A).
【図１１】 （Ａ）は第８の実施の形態の切断部材付超
音波凝固切開具の滑り止め用の弾性部材の第１の変形例
を示す要部の側面図、（Ｂ）は第８の実施の形態の切断
部材付超音波凝固切開具の滑り止め用の弾性部材の第２
の変形例を示す要部の側面図。FIG. 11A is a side view of a main part showing a first modified example of a non-slip elastic member of the ultrasonic coagulation incision device with a cutting member according to the eighth embodiment, and FIG. Of the non-slip elastic member of the ultrasonic coagulating incision device with the cutting member according to the embodiment of the present invention.
The side view of the principal part which shows the modification of.
【図１２】 本発明の第９の実施の形態を示す超音波凝
固切開装置の先端部の横断面図。FIG. 12 is a cross-sectional view of a distal end portion of an ultrasonic coagulation / incision apparatus according to a ninth embodiment of the present invention.
【図１３】 本発明の第１０の実施の形態を示すもの
で、（Ａ）は超音波凝固切開装置の先端部の要部の斜視
図、（Ｂ）は同側面図。13A and 13B show a tenth embodiment of the present invention, in which FIG. 13A is a perspective view of a main part of a distal end portion of an ultrasonic coagulation and incision apparatus, and FIG.
３ 高周波焼灼電源装置 ４ モノポーラ処置具 ５ 超音波吸引装置（超音波処置具） １６ モノポーラ通電手段 １８ Ｐプレート（対極板） Reference Signs List 3 High frequency ablation power supply device 4 Monopolar treatment device 5 Ultrasonic suction device (Ultrasonic treatment device) 16 Monopolar energizing means 18 P plate (counter electrode plate)
───────────────────────────────────────────────────── フロントページの続き (72)発明者 岡田 光正 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 柴田 義清 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 小賀坂 高宏 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 木村 健一 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 植田 昌章 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 中土 一孝 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 志賀 明 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 中村 剛明 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 Ｆターム(参考） 4C060 GG38 JJ11 KK03 KK04 KK09 KK10 KK32 KK47 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Mitsumasa Okada 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Industrial Co., Ltd. (72) Yoshiyoshi Shibata 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Takahiro Ogasaka, Inventor 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Kenichi Kimura 2-43-2, Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Co., Ltd. (72) Inventor Masaaki Ueda 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Co., Ltd. (72) Kazutaka Nakachi 2-43-2 Hatagaya, Shibuya-ku, Tokyo No. Olympus Optical Co., Ltd. (72) Inventor Akira Shiga 2-43-2 Hatagaya, Shibuya-ku, Tokyo Scan Optical Industry Co., Ltd. in the (72) inventor Nakamura Takeaki Tokyo, Shibuya-ku, Hatagaya 2-chome No. 43 No. 2 Olympus Optical Industry Co., Ltd. in the F-term (reference) 4C060 GG38 JJ11 KK03 KK04 KK09 KK10 KK32 KK47
Claims (1)
板との間で生体組織を挟持して、前記生体組織に高周波
焼灼処置を行うモノポーラ処置具と、 超音波振動子と超音波振動伝達部材を有し、生体組織を
超音波処置する超音波処置具と、 この超音波処置具にモノポーラ通電可能なモノポーラ通
電手段と、 前記超音波処置具および前記モノポーラ処置具がそれぞ
れ接続され、前記超音波処置具と前記モノポーラ処置具
との間でバイポーラ出力を発生可能な高周波焼灼電源装
置と、 を具備したことを特徴とする超音波処置装置。1. A monopolar treatment tool for holding a living tissue between an electrode connected to a high-frequency ablation power supply and a counter electrode plate and performing a high-frequency ablation treatment on the living tissue, an ultrasonic vibrator and an ultrasonic vibration transmission An ultrasonic treatment device having a member, for ultrasonically treating a living tissue; a monopolar energizing means capable of supplying a monopolar current to the ultrasonic treatment device; and the ultrasonic treatment device and the monopolar treatment device are connected to each other, An ultrasonic treatment apparatus, comprising: a high-frequency ablation power supply device capable of generating a bipolar output between the ultrasonic treatment tool and the monopolar treatment tool.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP11206237A JP2001029353A (en) | 1999-07-21 | 1999-07-21 | Ultrasonic treating device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP11206237A JP2001029353A (en) | 1999-07-21 | 1999-07-21 | Ultrasonic treating device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JP2001029353A true JP2001029353A (en) | 2001-02-06 |
Family
ID=16520027
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP11206237A Withdrawn JP2001029353A (en) | 1999-07-21 | 1999-07-21 | Ultrasonic treating device |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP2001029353A (en) |
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