JP6755349B2 - トルクアシスト機能を備えた超音波手術用器具 - Google Patents
トルクアシスト機能を備えた超音波手術用器具 Download PDFInfo
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
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- A—HUMAN NECESSITIES
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- 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
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- 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
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- 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
- A61B2017/320072—Working tips with special features, e.g. extending parts
-
- 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
- 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
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
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- 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
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/031—Automatic limiting or abutting means, e.g. for safety torque limiting
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Description
本願明細書は、例えば、以下の項目も提供する。
(項目1)
超音波手術器具であって、
近位開口部を画定するハウジングと、
上記近位開口部を通って上記ハウジング内に延在する超音波変換器アセンブリであって、上記超音波変換器アセンブリは、上記ハウジング内に配置されたホーンを含み、上記ホーンは、その自由遠位端に配置された第一係合部材を有し、上記超音波変換器アセンブリは、上記近位開口部を通って延在する内部ハウジングと、上記ハウジングの外部に配置され、上記内部ハウジングの周囲にこれに対して固定された回転向きにて摺動可能に位置決めされている、外部ノブとをさらに含み、上記外部ノブは、上記外部ノブが上記ハウジングから近位的に離間している近位のアンロック位置と、上記外部ノブが上記ハウジングと係合され、それによって上記超音波変換器を上記ハウジングに対して回転可能にロックする遠位のロック位置との間で、上記内部ハウジングに対し選択的に並進可能である、超音波変換器アセンブリと、
遠位端にてブレードを、近位端にて第二係合部材を画定する導波管であって、上記第二係合部材は、上記第一係合部材に解除可能に係合し、それによって上記導波管を上記超音波変換器アセンブリと係合させるように構成されている、導波管と、を備える、超音波手術用器具。
(項目2)
上記ハウジングは、その中に画定され、上記近位開口部の周囲に配列されている、複数の凹部を含み、上記外部ノブは、その遠位へ延在した複数のフィンガを含み、各フィンガは、上記遠位のロック位置における上記凹部の1つ内の係合のために構成され、それによって上記超音波変換器を上記ハウジングに対して回転可能にロックする、上記項目に記載の超音波手術用器具。
(項目3)
上記超音波変換器アセンブリは、上記内部ハウジングと上記外部ノブとの間に配置された付勢部材をさらに含み、上記付勢部材は、上記外部ノブを上記近位のアンロック位置へ付勢するように構成されている、上記項目のいずれかに記載の超音波手術用器具。
(項目4)
上記超音波変換器アセンブリは、圧電スタックをさらに含み、上記内部ハウジングは、上記圧電スタックをその中に包囲する包囲部の少なくとも一部を形成する、上記項目のいずれかに記載の超音波手術用器具。
(項目5)
上記第一および第二係合部材は、それらの間での相対回転時に相互にねじ係合するように構成されている、上記項目のいずれかに記載の超音波手術用器具。
(項目6)
上記第一および第二係合部材間の相対回転時にトルクの付与を制限するために導波管と動作可能に関連付けられたトルクレンチアセンブリをさらに備える、上記項目のいずれかに記載の超音波手術用器具。
(項目7)
上記超音波変換器アセンブリと係合され、変換器および生成器アセンブリを画定する、生成器をさらに備え、上記変換器および生成器アセンブリは、上記ハウジングに解放可能に結合するように構成されている、上記項目のいずれかに記載の超音波手術用器具。
(項目8)
上記ハウジングに解除可能に結合するように構成されたバッテリアセンブリをさらに備え、上記バッテリアセンブリは、上記超音波変換器アセンブリを駆動するために上記生成器に給電するように構成されている、上記項目のいずれかに記載の超音波手術用器具。
(項目9)
上記ハウジングから遠位に延在し、上記導波管の周囲に配置されている、少なくとも1つのスリーブをさらに備え、上記導波管の上記ブレードは、上記少なくとも1つのスリーブから遠位に延在する、上記項目のいずれかに記載の超音波手術用器具。
(項目10)
上記少なくとも1つのスリーブの遠位端に配置されたジョー部材をさらに備え、上記ジョー部材は、上記ブレードに対して、開放位置からクランピング位置へ旋回するように構成されている、上記項目のいずれかに記載の超音波手術用器具。
(項目11)
上記ハウジングと動作可能に関連付けられたトリガをさらに備え、上記少なくとも1つのスリーブの駆動スリーブは、上記トリガの動作が上記ジョー部材を上記ブレードに対して旋回させるように、上記トリガと上記ジョー部材との間に動作可能に結合されている、上記項目のいずれかに記載の超音波手術用器具。
(項目12)
上記少なくとも1つのスリーブは、2つのスリーブ、すなわち駆動スリーブと静止支持スリーブとを含む、上記項目のいずれかに記載の超音波手術用器具。
(項目13)
上記ハウジングに隣接して遠位に位置決めされ、上記導波管に動作可能に結合されている、遠位回転ノブをさらに備え、上記遠位回転ノブの回転は、上記導波管を上記ハウジングに対して回転させる、上記項目のいずれかに記載の超音波手術用器具。
(摘要)
超音波手術用器具はハウジング、超音波変換器アセンブリ、導波管を含む。超音波変換器アセンブリは近位開口部を通ってハウジング内に延在し、また、ハウジング内に配置されて第一係合部を画定するホーンを含む。超音波変換器アセンブリは、近位開口部を通って延在する内部ハウジングと、ハウジングの外部に配置され、内部ハウジングの周囲に、これに対し固定された回転向きに摺動可能に位置決めされた外部ノブとをさらに含む。外部ノブは、超音波変換器をハウジングに対して回転可能にロックするために、近位のアンロック位置および遠位のロック位置から内部ハウジングに対して選択的に並進可能である。導波管は、遠位端にてブレードを、近位端にて第二係合部材を画定する。第二係合部材は、第一係合部材と解除可能に係合することにより、導波管を超音波変換器アセンブリと係合させるように構成されている。
Claims (13)
- 超音波手術器具であって、
近位開口部を画定するハウジングと、
前記近位開口部を通って前記ハウジング内に延在する超音波変換器アセンブリであって、前記超音波変換器アセンブリは、前記ハウジング内に配置されたホーンを含み、前記ホーンは、その自由遠位端に配置された第一の係合部材を有し、前記超音波変換器アセンブリは、内部ハウジングと外部ノブとをさらに含み、前記内部ハウジングは、前記近位開口部を通って延在し、前記外部ノブは、前記ハウジングの外部に配置されており、かつ、前記内部ハウジングの周囲に位置決めされており、前記外部ノブは、前記内部ハウジングに対して回転不可能に固定されており、前記外部ノブは、前記外部ノブが前記ハウジングから近位的に離間している近位の第一の位置と、前記外部ノブが前記ハウジングに係合された遠位の第二の位置との間で、前記内部ハウジングに対して選択的に並進可能であり、前記外部ノブが前記近位の第一の位置にあるとき、前記外部ノブおよび前記超音波変換器アセンブリは、前記ハウジングに対して回転可能であり、前記外部ノブが前記遠位の第二の位置にあるとき、前記外部ノブおよび前記超音波変換器アセンブリは、前記ハウジングに対して回転不可能に固定されている、超音波変換器アセンブリと、
遠位端においてブレードを画定し、かつ、近位端において第二の係合部材を画定する導波管であって、前記第二の係合部材は、前記第一の係合部材に解除可能に係合し、それによって前記導波管を前記超音波変換器アセンブリに係合させるように構成されている、導波管と
を備える、超音波手術用器具。 - 前記ハウジングは、複数の凹部を含み、前記複数の凹部は、前記ハウジングの中に画定されており、かつ、前記近位開口部の周囲に配列されており、前記外部ノブは、前記外部ノブから遠位に延在する複数のフィンガを含み、前記外部ノブが前記遠位の第二の位置にあるとき、各フィンガは、前記複数の凹部のうちの1つに係合するように構成されている、請求項1に記載の超音波手術用器具。
- 前記超音波変換器アセンブリは、前記内部ハウジングと前記外部ノブとの間に配置された付勢部材をさらに含み、前記付勢部材は、前記外部ノブを前記近位の第一の位置に向かって付勢するように構成されている、請求項1に記載の超音波手術用器具。
- 前記超音波変換器アセンブリは、圧電スタックをさらに含み、前記内部ハウジングは、前記圧電スタックを包囲する包囲部の少なくとも一部を形成する、請求項1に記載の超音波手術用器具。
- 前記第一の係合部材および前記第二の係合部材は、それらの間での相対回転時に相互にねじ係合するように構成されている、請求項1に記載の超音波手術用器具。
- 前記第一の係合部材および前記第二の係合部材の間の相対回転時にトルクの付与を制限するように前記導波管に動作可能に関連付けられたトルクレンチアセンブリをさらに備える、請求項5に記載の超音波手術用器具。
- 変換器および生成器アセンブリを画定するように前記超音波変換器アセンブリに係合された生成器をさらに備え、前記変換器および生成器アセンブリは、前記ハウジングに解放可能に結合するように構成されている、請求項1に記載の超音波手術用器具。
- 前記ハウジングに解除可能に結合するように構成されたバッテリアセンブリをさらに備え、前記バッテリアセンブリは、前記超音波変換器アセンブリを駆動するために前記生成器に給電するように構成されている、請求項7に記載の超音波手術用器具。
- 前記ハウジングから遠位に延在し、かつ、前記導波管の周囲に配置された少なくとも1つのスリーブをさらに備え、前記導波管の前記ブレードは、前記少なくとも1つのスリーブから遠位に延在する、請求項1に記載の超音波手術用器具。
- 前記少なくとも1つのスリーブの遠位端に配置されたジョー部材をさらに備え、前記ジョー部材は、前記ブレードに対して、開放位置からクランピング位置に旋回するように構成されている、請求項9に記載の超音波手術用器具。
- 前記ハウジングに動作可能に関連付けられたトリガをさらに備え、前記少なくとも1つのスリーブの駆動スリーブは、前記トリガの動作が前記ジョー部材を前記ブレードに対して旋回させるように、前記トリガと前記ジョー部材との間に動作可能に結合されている、請求項10に記載の超音波手術用器具。
- 前記少なくとも1つのスリーブは、2つのスリーブ、すなわち、前記駆動スリーブと静止支持スリーブとを含む、請求項11に記載の超音波手術用器具。
- 前記ハウジングに隣接して遠位に位置決めされ、かつ、前記導波管に動作可能に結合された遠位回転ノブをさらに備え、前記遠位回転ノブの回転は、前記ハウジングに対して前記導波管を回転させる、請求項1に記載の超音波手術用器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/903,765 US10582944B2 (en) | 2018-02-23 | 2018-02-23 | Ultrasonic surgical instrument with torque assist feature |
US15/903,765 | 2018-02-23 |
Publications (3)
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JP2019141589A JP2019141589A (ja) | 2019-08-29 |
JP2019141589A5 JP2019141589A5 (ja) | 2020-04-23 |
JP6755349B2 true JP6755349B2 (ja) | 2020-09-16 |
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JP2019030308A Active JP6755349B2 (ja) | 2018-02-23 | 2019-02-22 | トルクアシスト機能を備えた超音波手術用器具 |
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2018
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CN110179526B (zh) | 2022-03-18 |
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AU2019201167A1 (en) | 2019-09-12 |
US11304721B2 (en) | 2022-04-19 |
JP2019141589A (ja) | 2019-08-29 |
CA3034337A1 (en) | 2019-08-23 |
US20200155193A1 (en) | 2020-05-21 |
US20190262028A1 (en) | 2019-08-29 |
CN110179526A (zh) | 2019-08-30 |
CA3034337C (en) | 2020-10-27 |
EP3530219B1 (en) | 2020-10-28 |
AU2019201167B2 (en) | 2019-11-07 |
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