WO2009034734A1 - 医療機器システム - Google Patents
医療機器システム Download PDFInfo
- Publication number
- WO2009034734A1 WO2009034734A1 PCT/JP2008/056948 JP2008056948W WO2009034734A1 WO 2009034734 A1 WO2009034734 A1 WO 2009034734A1 JP 2008056948 W JP2008056948 W JP 2008056948W WO 2009034734 A1 WO2009034734 A1 WO 2009034734A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- medical
- electrode
- medical devices
- resistance value
- medical device
- Prior art date
Links
Classifications
-
- 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
- A61B1/00147—Holding or positioning arrangements
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00097—Sensors
-
- 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
- A61B1/005—Flexible endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of the body
- A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6885—Monitoring or controlling sensor contact pressure
-
- 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
- A61B1/012—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 characterised by internal passages or accessories therefor
- A61B1/018—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 characterised by internal passages or accessories therefor for receiving instruments
-
- 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
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
- A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00898—Alarms or notifications created in response to an abnormal condition
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Optics & Photonics (AREA)
- Robotics (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
- Investigating Or Analyzing Materials By The Use Of Electric Means (AREA)
Abstract
体腔内で使用される医療機器21、22間の接触を早期に検出し、医療機器の破損等を防止することができる医療機器システム1を提供する。体腔内で使用され、表面が導電性を有する第1および第2の医療機器21、22と、第1の医療機器の表面と電気的に接続された第1の電極21Eと、第2の医療機器の表面と電気的に接続された第2の電極22Eと、第1の電極21Eと第2の電極22Eとの間の機器間抵抗値を計測する抵抗計測手段37と、機器間抵抗値の下限閾値を記憶する閾値記憶手段36と、前記機器間抵抗値が前記機器間抵抗閾値より低い場合に医療機器が接触したと判断する判断手段34と、警告を発生する警告発生手段35とを有する。
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP08740051.1A EP2189128B1 (en) | 2007-09-12 | 2008-04-08 | Medical device system for detecting contact between two medical devices |
US12/722,149 US8454592B2 (en) | 2007-09-12 | 2010-03-11 | Medical device system for determining contact between first medical device and second medical device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2007237046A JP4912993B2 (ja) | 2007-09-12 | 2007-09-12 | 医療機器システム |
JP2007-237046 | 2007-09-12 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/722,149 Continuation US8454592B2 (en) | 2007-09-12 | 2010-03-11 | Medical device system for determining contact between first medical device and second medical device |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2009034734A1 true WO2009034734A1 (ja) | 2009-03-19 |
Family
ID=40451748
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/JP2008/056948 WO2009034734A1 (ja) | 2007-09-12 | 2008-04-08 | 医療機器システム |
Country Status (4)
Country | Link |
---|---|
US (1) | US8454592B2 (ja) |
EP (1) | EP2189128B1 (ja) |
JP (1) | JP4912993B2 (ja) |
WO (1) | WO2009034734A1 (ja) |
Families Citing this family (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2486846A4 (en) * | 2009-10-09 | 2016-07-13 | Olympus Corp | ENDOSCOPE DEVICE |
WO2012074564A1 (en) | 2010-12-02 | 2012-06-07 | Freehand Endoscopic Devices, Inc. | Surgical tool |
EP2537479B1 (de) * | 2011-06-20 | 2014-04-16 | Erbe Elektromedizin GmbH | Steuerung eines medizinischen Geräts in Abhängigkeit von der Neutralektrodenimpedanz |
JP6368713B2 (ja) * | 2013-07-31 | 2018-08-01 | オリンパス株式会社 | 内視鏡用ガイドチューブ及び内視鏡 |
US10772677B2 (en) | 2017-08-29 | 2020-09-15 | Ethicon Llc | Electrically-powered surgical systems |
US10856928B2 (en) | 2017-08-29 | 2020-12-08 | Ethicon Llc | Electrically-powered surgical systems |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH08275958A (ja) * | 1995-04-07 | 1996-10-22 | Olympus Optical Co Ltd | 手術用マニピュレータ装置 |
JP2002336269A (ja) * | 2001-05-18 | 2002-11-26 | Olympus Optical Co Ltd | 医療器具制御システム |
JP2004081277A (ja) | 2002-08-23 | 2004-03-18 | Yamaguchi Technology Licensing Organization Ltd | 自動干渉回避型内視鏡 |
JP2004089591A (ja) | 2002-09-04 | 2004-03-25 | Hitachi Ltd | 医療用マニピュレータシステム及びその操作方法 |
JP2005334237A (ja) * | 2004-05-26 | 2005-12-08 | Olympus Corp | 内視鏡装置 |
JP2007029232A (ja) * | 2005-07-25 | 2007-02-08 | Hitachi Medical Corp | 内視鏡手術操作支援システム |
Family Cites Families (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP3695779B2 (ja) * | 1994-09-27 | 2005-09-14 | オリンパス株式会社 | マニピュレータシステム |
US6039732A (en) * | 1995-04-18 | 2000-03-21 | Olympus Optical Co., Ltd. | Electric operation apparatus |
US5868742A (en) * | 1995-10-18 | 1999-02-09 | Conmed Corporation | Auxiliary reference electrode and potential referencing technique for endoscopic electrosurgical instruments |
JP3582348B2 (ja) * | 1998-03-19 | 2004-10-27 | 株式会社日立製作所 | 手術装置 |
US6659939B2 (en) * | 1998-11-20 | 2003-12-09 | Intuitive Surgical, Inc. | Cooperative minimally invasive telesurgical system |
US8004229B2 (en) * | 2005-05-19 | 2011-08-23 | Intuitive Surgical Operations, Inc. | Software center and highly configurable robotic systems for surgery and other uses |
DE50113703D1 (de) * | 2001-10-10 | 2008-04-17 | Brainlab Ag | Medizinisches Instrument mit berührungsempfindlicher Spitze |
US7171286B2 (en) * | 2003-02-24 | 2007-01-30 | Intouch Technologies, Inc. | Healthcare tele-robotic system with a robot that also functions as a remote station |
US7566332B2 (en) * | 2003-11-06 | 2009-07-28 | Boston Scientific Scimed, Inc. | Methods and apparatus for dispersing current flow in electrosurgery |
DE102004039202B3 (de) * | 2004-08-12 | 2006-01-19 | Erbe Elektromedizin Gmbh | Vorrichtung zur Messung einer relativen Position eines chirurgischen Arbeitsinstruments sowie Verwendung hierfür |
US9789608B2 (en) * | 2006-06-29 | 2017-10-17 | Intuitive Surgical Operations, Inc. | Synthetic representation of a surgical robot |
US20100168517A1 (en) * | 2006-09-28 | 2010-07-01 | Intromedic Co., Ltd. | Endoscope and a method for finding its location |
-
2007
- 2007-09-12 JP JP2007237046A patent/JP4912993B2/ja not_active Expired - Fee Related
-
2008
- 2008-04-08 EP EP08740051.1A patent/EP2189128B1/en not_active Not-in-force
- 2008-04-08 WO PCT/JP2008/056948 patent/WO2009034734A1/ja active Application Filing
-
2010
- 2010-03-11 US US12/722,149 patent/US8454592B2/en active Active
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH08275958A (ja) * | 1995-04-07 | 1996-10-22 | Olympus Optical Co Ltd | 手術用マニピュレータ装置 |
JP2002336269A (ja) * | 2001-05-18 | 2002-11-26 | Olympus Optical Co Ltd | 医療器具制御システム |
JP2004081277A (ja) | 2002-08-23 | 2004-03-18 | Yamaguchi Technology Licensing Organization Ltd | 自動干渉回避型内視鏡 |
JP2004089591A (ja) | 2002-09-04 | 2004-03-25 | Hitachi Ltd | 医療用マニピュレータシステム及びその操作方法 |
JP2005334237A (ja) * | 2004-05-26 | 2005-12-08 | Olympus Corp | 内視鏡装置 |
JP2007029232A (ja) * | 2005-07-25 | 2007-02-08 | Hitachi Medical Corp | 内視鏡手術操作支援システム |
Non-Patent Citations (1)
Title |
---|
See also references of EP2189128A4 |
Also Published As
Publication number | Publication date |
---|---|
US20100168744A1 (en) | 2010-07-01 |
EP2189128B1 (en) | 2016-06-15 |
JP4912993B2 (ja) | 2012-04-11 |
EP2189128A1 (en) | 2010-05-26 |
EP2189128A4 (en) | 2015-03-04 |
JP2009066144A (ja) | 2009-04-02 |
US8454592B2 (en) | 2013-06-04 |
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