JP3826141B2 - Ultrasonic incision coagulator - Google Patents

Description

  The present invention relates to an ultrasonic incision and coagulation apparatus capable of performing a treatment with a high-frequency current in addition to a treatment for excising or coagulating a living tissue by ultrasonic vibration.

  In recent years, by inserting an elongated insertion portion into a body cavity, various treatment treatments are performed under observation of an endoscopic body organ or the like, and endoscopic observation as necessary.

  As one of the methods for performing the therapeutic treatment under the endoscopic observation, a treatment such as adsorbing or grasping the living tissue and applying ultrasonic vibration to the adsorbing or grasping member to excise or coagulate the living tissue. What to do is known.

  For example, Japanese Patent Laid-Open No. 62-127042 discloses an ultrasonic lithotripsy probe that holds a calculus and is crushed by ultrasonic vibration. JP-A-1-232944 discloses a surgical operation apparatus in which a living tissue is grasped and fixed with grasping forceps and incised with a probe that vibrates ultrasonically. Further, JP-A-1-232945 discloses a surgical operation apparatus in which a living tissue is adsorbed and fixed and incised by a scalpel that is ultrasonically vibrated. Japanese Laid-Open Patent Publication No. 1-223248 discloses a surgical excision forceps that can efficiently excise a living tissue by applying ultrasonic vibration to the excision forceps. Furthermore, in JP-A-1-232949, a surgical procedure in which a living tissue is fixed by a gripping means and treatment is applied to the living tissue by a movable member to which ultrasonic vibration is applied, as in JP-A-1-232944. A surgical device is shown. Further, US Pat. No. 5322055 is provided with a gripping member that is rotatable toward the ultrasonic probe, and the biological tissue is coagulated by gripping the biological tissue with this ultrasonic probe and the gripping member and applying ultrasonic vibration. A clamp coagulation device and cutting system for an ultrasonic surgical instrument that is capable of incision is shown. With these devices that perform treatment using ultrasonic waves, treatment can be performed by grasping a living tissue so as to use normal surgical forceps, and therefore, a better treatment can be performed than when performing treatment with a single probe.

  On the other hand, a treatment instrument for endoscopic surgery as shown in Japanese Patent Application Laid-Open No. 6-179049 is generally used as a treatment that can be performed with a high-frequency current, and most of the treatment uses a high-frequency current called a monopolar from a treatment tool to a living tissue. It was the type which flows through the return part called the body electrode plate through the treatment. This type of treatment tool had excellent hemostatic performance.

On the other hand, the treatment tool called bipolar shown in JP-A-6-30947 is a type in which a high-frequency current circuit is incorporated between gripping members of the forceps. In this type of treatment tool, high-frequency current does not flow through unnecessary portions of living tissue, while electrically insulating the forceps member and insulating the transmission member that drives the forceps member and the sheath. Each was provided with power supply means.
Japanese Patent Laid-Open No. 62-127042 JP-A-1-232944 JP-A-1-232945 JP-A-1-232948 JP-A-1-232949 US Pat. No. 5,322,055 JP-A-6-179049 JP-A-6-30947 Japanese Patent Laid-Open No. 3-1111037 JP-A-5-3348 US Pat. No. 4,931,047

  However, in the apparatus for performing treatment using the ultrasonic waves shown in the above-mentioned JP-A-62-127042, JP-A-1-232944, JP-A-1-232948, etc. Only treatment by sonic vibration could be performed. In general, since treatment with ultrasonic vibration is inferior to hemostasis in comparison with treatment with high-frequency current, a treatment instrument that uses ultrasonic vibration must be replaced with a treatment instrument that uses high-frequency current when urgent hemostasis is desired. The usability was bad.

  On the other hand, in the endoscopic surgical treatment tool disclosed in Japanese Patent Laid-Open No. 6-179049 capable of performing treatment with a high-frequency current, the above-described high-frequency current is used in addition to the problem that current may flow to an unnecessary part of a living tissue. Endoscopic treatment tools that can be treated in this way can only perform treatment with a high-frequency current and have good hemostatic performance, but have a large effect on living tissue and may cause excessive cauterization.

  For this reason, it is ideal for an operator who actually performs treatment to perform treatment by ultrasonic vibration as much as possible, and to perform treatment by high-frequency current only when necessary. It was impossible to perform treatment with ultrasonic vibration and treatment with high-frequency current only when necessary.

  Therefore, in order to solve these problems, Japanese Patent Application Laid-Open No. 3-1111037, Japanese Patent Application Laid-Open No. 5-23348 and US Pat. No. 4,923,047 include an ultrasonic aspirator that can be used with both ultrasonic vibration and high frequency current treatment. A sonication device is shown. In these devices, a probe formed in a rod shape or a spatula shape is pressed against a living tissue to perform treatment. For this reason, it is difficult to perform the treatment by reliably pressing the target living tissue with the probe, and it is necessary to assist with a plurality of forceps or the like in order to perform a fine operation. However, even in operations that are not a problem in normal laparotomy, in endoscopic surgery, using multiple forceps, which are treatment tools for endoscopic surgery, opens a large number of holes in living tissue. Therefore, there was a problem in terms of minimal invasiveness. Furthermore, there is a treatment tool that is difficult to operate in cooperation with a plurality of treatment tools by performing remote control while observing an endoscopic image displayed on the monitor screen, and that can be easily and reliably treated. It was desired. The clamp coagulation apparatus and cutting system of US Pat. No. 5,322,055 solves this problem, but there is a problem that it is impossible to use a treatment using a high-frequency current as described above.

  The present invention has been made in view of the above circumstances. The transmission member and the probe are electrically insulated from the outside, and the transmission member and the probe are electrically insulated from each other. An object of the present invention is to provide an ultrasonic treatment instrument capable of appropriately and easily performing treatment using ultrasonic vibration and treatment using high-frequency current.

The first ultrasonic incision and coagulation apparatus according to the present invention includes an ultrasonic transducer that generates ultrasonic vibrations, a longitudinal axis defined, a distal end portion that is specified by the longitudinal axis, and having conductivity, A probe extending in the axial direction, coupled to the ultrasonic transducer so as to be able to transmit a predetermined vibration corresponding to the ultrasonic vibration generated by the ultrasonic transducer to the tip, and a conductive tip, The living body tissue is grasped between the probe surface formed at the tip of the probe along the extending direction of the probe and the living body tissue is incised or coagulated so that it can be opened and closed with respect to the probe surface. A gripping member to be disposed, an operating means for operating an opening / closing operation of the gripping member, and conductivity, the operation amount is set so that an opening / closing operation corresponding to the operation amount of the operating means is generated on the gripping member. Transmitting means for transmitting, A high-frequency power source electrically coupled to the probe and the gripping member to perform treatment with a high-frequency current on the tissue, and the transmission means and the probe are electrically insulated from each other, and the transmission member and the probe are respectively Electrical insulation means for electrical insulation from the outside.

A second ultrasonic incision and coagulation apparatus according to the present invention includes an ultrasonic vibrator that generates ultrasonic vibrations, a longitudinal axis that is defined, and a tip portion that is specified by the longitudinal axis. A probe extending in the axial direction that is coupled to the ultrasonic transducer so as to be able to transmit a predetermined vibration corresponding to the generated ultrasonic vibration to the distal end portion, and has conductivity, and extends from the distal end portion of the probe A gripping member that is arranged to be openable and closable with respect to the probe surface in order to grip the biological tissue between the probe surface formed at the tip of the probe along the direction and incise or coagulate the biological tissue And an operating means for operating an opening / closing operation of the gripping member, and a transmission means having conductivity and transmitting the operation amount so that the opening / closing operation corresponding to the operation amount of the operating means is generated on the gripping member. , High frequency to the living tissue A high-frequency power source that is electrically coupled to the gripping member to perform treatment by flow, the transmission means and the probe are electrically insulated from each other, and the transmission member and the probe are electrically connected to the outside, respectively. And an electrical insulation means for insulation.

  In the ultrasonic incision and coagulation apparatus according to the present invention, the transmission member and the probe are electrically insulated from the outside, the transmission member and the probe are electrically insulated from each other, and a high frequency current is applied to the probe or forceps member. The treatment can be performed on the living tissue by flowing it, and there is an effect that the treatment by the ultrasonic vibration and the treatment by the high-frequency current can be appropriately and easily performed on the living tissue.

  Embodiments of the present invention will be described below with reference to the drawings.

  1 to 6 relate to one embodiment of the present invention, FIG. 1 is a diagram showing a schematic configuration of an ultrasonic incision coagulation apparatus, FIG. 2 is a cross-sectional view for explaining the distal end side of an insertion portion of the ultrasonic incision coagulation apparatus, FIG. 3 is a cross-sectional view taken along line AA in FIG. 2, FIG. 4 is a cross-sectional view taken along line BB in FIG. 2, FIG. 5 is a cross-sectional view illustrating the proximal side of the insertion portion of the ultrasonic incision and coagulation apparatus, and an operation portion. It is a schematic diagram explaining the circuit structure of a sonic incision coagulation apparatus.

  As shown in FIG. 1, the ultrasonic incision and coagulation apparatus 1 includes a treatment section 2, an insertion section 3 having a duct to be described later for inserting the treatment section 2 into a body cavity, and a fixing operation for operating the treatment section 2. An operation unit 4 having a handle 4a and a movable operation handle 4b is provided. The treatment portion 2 is located at the distal end portion of the insertion portion 3 and includes a probe 5 protruding from the distal end surface of the insertion portion 3 and a gripping member 6. Note that an ultrasonic transducer (described later) for supplying ultrasonic vibration to the probe 5 constituting the treatment section 2 is built in the operation section. Reference numeral 7 denotes a first high-frequency current code, reference numeral 8 denotes a second high-frequency current code, and reference numeral 9 denotes an ultrasonic transducer driving code.

  As shown in FIG. 2, the treatment section 2 located on the distal end side of the insertion section 3 is composed of a probe 5 protruding from the distal end surface of the insertion section 3 and a gripping member 6 disposed to face the probe 5. Has been. When the operator operates the movable operation handle 4b of the operation unit 4, the gripping member 6 causes the transmission member 10 connecting the movable operation handle 4b and the gripping member 6 to advance and retract in the longitudinal direction. The gripping member 6 is opened and closed with respect to the probe 5.

  The insertion portion 3 is a sheath 11 serving as an electrical insulating means formed of a resin member such as polysulfone or BEEK having electrical insulation, and a probe insertion conduit through which the probe 5 is inserted. 12 and a transmission member pipe line 13 through which the transmission member 10 connected to the gripping member 6 is inserted are completely insulated.

  As shown in FIGS. 2 and 3, a distal end cover 14 having electrical insulation is fitted into and fixed to the distal end side opening of the transmission member conduit 13, and, like the sheath 11, a resin such as polysulfone or BEEK. It is made of material or ceramic. The gripping member 6 is rotatably attached to the tip cover 14 by a first pin 21.

  Further, as shown in FIGS. 2 and 4, the gripping member 6 is fixed to the transmission member 10 for transmitting the operation force of the movable operation handle 4b to the gripping member 6 by a second pin 22 so as to be rotatable and slidable. Corresponding to the forward / backward movement of the transmission member 10, the gripping member 6 rotates with respect to the probe 5 around the first pin 21.

  2 to 4, in order to prevent the sheath 11 from being damaged when the probe 5 comes into contact with the sheath 11 and vibrates ultrasonically in the opening on the distal end side of the probe insertion conduit 12. The protective member 15 is disposed. The protective member 15 is formed of a member such as ceramic or PTFE having resistance to ultrasonic vibration, excellent heat resistance, and electrical insulation.

  It should be noted that high-frequency current is prevented from leaking to exposed surface portions other than the surface facing the probe 5 of the gripping member 6 and the portion exposed from the sheath 11 of the tip cover 14, such as insulating coating such as PTFE or alumina ceramic. An electrically insulating ceramic is CVD coated.

  Similarly to the gripping member 6, the probe 5 is exposed to the exposed surface portion except for the tip side other than the surface facing the gripping member 6, thereby leaking high-frequency current to the living tissue. Is further prevented and safety is increased.

  As shown in FIG. 5, the operation unit 4 is provided at the proximal end of the insertion unit 3, and an ultrasonic transducer 16 is provided inside the operation unit 4. Further, the insertion portion 3 is connected and fixed to the upper portion of the fixed handle 4 a located on the distal end side of the operation portion 4. A movable handle 4b is pivotally supported on the fixed handle 4a by a third pin 23, and the rotation of the movable handle 4b is transmitted to the transmission member 10. The fixed handle 4a and the movable handle 4b are both made of an electrically insulating material such as polysulfone or BEEK.

  An engaging member 24 having a spherical portion 24 a is fixed to the proximal end of the transmission member 10. The spherical portion 24a is rotatably held in an engagement groove 24 formed in the upper portion of the movable handle 4b. The engaging groove 24 is provided with a conductive member 25 so as to be in contact with the spherical portion 24a, and a first high-frequency current cord 7 for feeding a high-frequency current from a high-frequency power source to the gripping member 6 to the conductive member 25. Is connected. Further, from the rear part of the ultrasonic transducer 16, a second high frequency current cord 8 for supplying a high frequency current to the probe 5 and an ultrasonic transducer driving for supplying a driving current to the ultrasonic transducer 16. Cord 9 is connected.

  A first packing 31a is provided in an opening portion where the end of the transmission member conduit 13 of the sheath 11 constituting the insertion portion 3 is located. Prevents leakage.

  Further, the proximal end portion of the probe insertion conduit 12 is a tube serving as an electrical insulating means formed of a resin member such as PTFE having resistance to ultrasonic vibration, excellent heat resistance, and electrical insulation. 26 extends through the inside of the movable handle 4b to the ultrasonic transducer housing 27. For this reason, the probe 5 is completely isolated from other members between the probe insertion conduit 12 and the ultrasonic transducer housing 27.

  Further, the rear portion of the ultrasonic transducer housing 27 is sealed with a second packing 32, and the front outlet of the first high-frequency current cord 7 is also sealed with a third packing 33.

  That is, in the ultrasonic incision and coagulation apparatus 1, the probe 5 and the ultrasonic transducer 16, the engagement member 24, the transmission member 10, the tip cover 14, and the gripping member 6 are completely electrically insulated from each other. The probe 5 and the ultrasonic transducer 16, the engaging member 24, the transmission member 10, the tip cover 14, and the gripping member 6 are electrically insulated from the outside.

  As shown in FIG. 6, in the ultrasonic incision and coagulation apparatus 1, the gripping member 6 constituting the treatment unit 2 includes a transmission member 10, an engagement member 24, a conductive member 25, a first high frequency current cord 7, and a gripping member high frequency current. It is connected to the high frequency power supply 28 via the connector 7a. On the other hand, the probe 5 constituting the treatment section 2 is connected to the high frequency power supply 28 via the ultrasonic transducer 16, the second high frequency current cord 8, and the probe high frequency current connector 8a. Further, the ultrasonic transducer 16 is connected to the ultrasonic transducer driving power source 29 via the ultrasonic transducer driving cord 9 and the ultrasonic transducer driving connector 9a.

  The body electrode plate 30 is connected to the feedback portion side of the high frequency power supply 28. Thus, the gripping member 6 and the probe 5 are electrically completely insulated.

The operation of the ultrasonic incision and coagulation apparatus 1 configured as described above will be described.
First, the ultrasonic incision and coagulation apparatus 1 is opposed to a target living tissue in the living body. Then, the gripping member 6 is opened with respect to the probe 5 by operating the movable handle 4 b of the operation unit 4 to be in an open state.

  Next, in order to sandwich the target biological tissue between the grasping member 6 and the probe 5, the movable handle 4 b is operated to be closed to close the grasping member 6 with respect to the probe 5. Hold it.

  Next, in this state, the ultrasonic transducer driving power source 29 supplies the ultrasonic transducer driving current to the ultrasonic transducer 16 to drive the ultrasonic transducer 16. Then, the ultrasonic vibration 16 is vibrated to transmit the ultrasonic vibration to the probe 5, and this ultrasonic vibration is applied to the living tissue to incise or coagulate the living tissue.

  On the other hand, when a treatment using a high-frequency current is performed, a living tissue is grasped between the grasping member 6 and the probe 5 and either the grasping member 6 or the probe 5 or both the grasping member 6 and the probe 5 are provided with the high-frequency power source 28. High frequency current is supplied from At this time, as shown by the broken line in FIG. 6 from the grasping member 6 and the probe 5 to the body electrode plate 30, a high-frequency current is passed through the living tissue and returned to the high-frequency power source 28, thereby cutting or coagulating the living tissue.

  Note that the treatment may be performed by pressing the probe 5 against the living tissue and applying ultrasonic vibration without holding the living tissue between the grasping member 6 and the probe 5. Further, without using the body electrode plate 30, the living tissue may be grasped by the grasping member 6 and the probe 5, and the treatment may be performed by flowing a high-frequency current between the grasping member 6 and the probe 5. . Further, the grasping member 6 and the probe 5 may be separated without grasping the living tissue, or one of them may be pressed to perform the treatment.

  As described above, since the gripping member and the probe are electrically completely insulated, there is no leakage of the high frequency current when performing the treatment with the high frequency current, and the treatment can be performed safely.

  In addition, since treatment with ultrasonic vibration and treatment with high-frequency current can be performed at the same time, treatment with ultrasonic vibration is performed as much as possible, and treatment with high-frequency current is performed only when necessary. Both effects of preventing tissue degeneration can be obtained.

  Furthermore, when treatment is performed by applying a high-frequency current, treatment is performed through the high-frequency current to the living tissue using a body electrode plate, or the living tissue is grasped between the grasping member and the probe without using the body electrode plate. Thus, the operator has a wider range of choice, such as treating the living tissue between the grasping member and the probe through high-frequency current.

FIG. 7 is a diagram for explaining the relationship between the ultrasonic incision coagulation apparatus and the power source.
As shown in the figure, in this embodiment, a gripping member high-frequency current connector 71 for supplying a high-frequency current to the gripping member 6 is provided on the upper portion of the operation unit 4. The holding member high-frequency current connector 71 and the high-frequency power supply 28 are connected by a high-frequency current feeding cord 34. On the other hand, a probe high frequency current / ultrasonic transducer driving connector 72 for supplying a high frequency current to the probe 5 and supplying an ultrasonic transducer driving current to the ultrasonic transducer 16 is provided with a probe high frequency current / The ultrasonic transducer driving cord 35 is provided. A probe power supply terminal 36 and an ultrasonic vibrator power supply terminal 37 are provided independently inside the probe high-frequency current / ultrasonic vibrator drive connector 72, respectively. It is connected to the child 16. Then, the probe high-frequency current / ultrasonic transducer driving cord 35 provided with the probe high-frequency current / ultrasonic transducer driving connector 72 is connected to the ultrasonic transducer driving, high-frequency Used by connecting to the body power supply 41. As a result, the power supply to the probe and the power supply to the ultrasonic transducer can be connected at once, and the gripping member, the probe, and the ultrasonic transducer can be handled separately. is there. A high frequency power source can be used when supplying high frequency current to the gripping member.

FIG. 8 is a diagram for explaining another relationship between the ultrasonic incision coagulation apparatus and the power source.
As shown in the drawing, in this embodiment, a gripping member / probe high-frequency current connector 73 for supplying a high-frequency current to the gripping member 6 and the probe 5 is provided on the gripping member / probe high-frequency cord 38. The gripping member / probe high-frequency current connector 73 is provided with a gripping member feeding terminal 39 and a probe feeding terminal 40 independently of each other, and is connected to the gripping member 6 and the probe 5, respectively. The gripping member / probe high-frequency cord 38 provided with the gripping member / probe high-frequency current connector 73 is connected to the high-frequency power supply 28 for use.

  As a result, the high-frequency current can be connected at a time, and the high-frequency power source and the ultrasonic transducer driving power source can be handled separately.

FIG. 9 is a diagram for explaining another relationship between the ultrasonic incision coagulation apparatus and the power source.
As shown in the drawing, in this embodiment, a high-frequency current is supplied to the gripping member 6 and the probe 5 and a high-frequency current for the gripping member / probe for supplying the ultrasonic transducer drive current to the ultrasonic transducer 16 is used. An ultrasonic transducer driving connector 74 is provided on the gripping member / probe / ultrasonic transducer cord 42. Inside the gripping member / probe high-frequency current / ultrasonic transducer driving connector 74, a gripping member feeding terminal 43, a probe feeding terminal 44, and an ultrasonic transducer feeding terminal 45 are provided independently. Are connected to the gripping member 6, the probe 5, and the ultrasonic transducer 16, respectively. The gripping member / probe / ultrasonic transducer driving connector 74 having the gripping member / probe high-frequency power source is connected to the gripping member / probe / ultrasonic transducer cord 42 having the gripping member / probe high-frequency current / ultrasonic transducer driving connector 74. Used by connecting to an integrated power source 46. As a result, all connections can be made at once, and all power supplies can be integrated.

FIG. 10 is a diagram for explaining another relationship between the ultrasonic incision and coagulation apparatus and the power source.
As shown in the figure, in this embodiment, the gripping member / probe / ultrasonic transducer cord 47 having the gripping member / probe high-frequency current / ultrasonic transducer driving connector 74 is detachable from the operation unit 4. ing. Therefore, a gripping member / probe high-frequency current / ultrasonic transducer driving operation side connector 75 is provided in the operation unit 4, and the gripping member / probe / ultrasonic transducer cord 47 is provided with the gripping member / probe high-frequency current. A detachable gripping member, a probe high frequency current, and an ultrasonic transducer driving cord side connector 76 are provided on the ultrasonic transducer driving operation unit side connector 75. The gripping member / probe / ultrasonic transducer cord is connected to the ultrasonic transducer driving high frequency integrated power supply 48 for use. As a result, the ultrasonic incision coagulation apparatus and the cord can be separated, so that it is easy to exchange cords that are likely to cause troubles such as disconnection. In addition, work can be improved because the work can be performed with the cord separated during cleaning and sterilization. Further, it is possible to use cords having different lengths, and it is possible to easily replace cords that are likely to cause troubles such as disconnection.

[Appendix]
1. A probe that applies ultrasonic vibration from an ultrasonic transducer to a biological tissue, a treatment part that is configured to rotate freely facing the probe, an insertion part that inserts the treatment part into a living body, and the treatment In an ultrasonic incision and coagulation apparatus including an operation unit that opens and closes a grip member of a part with respect to a probe, and a transmission member that transmits an operation force of the operation unit to the grip member,
An ultrasonic incision and coagulation apparatus comprising: an electrical insulating means for electrically insulating the transmission member and the probe from each other and electrically insulating the transmission member and the probe from the outside.

  2. The ultrasonic incision and coagulation apparatus according to supplementary note 1, wherein an ultrasonic transducer that supplies ultrasonic vibrations to the probe is disposed in the operation unit.

  3. The ultrasonic incision and coagulation apparatus according to appendix 1, wherein the transmission member is inserted through the insertion portion.

  4). The ultrasonic incision and coagulation apparatus according to supplementary note 1, wherein a conduit through which the transmission member is inserted and a conduit through which the probe is inserted are electrically insulated.

  As a result, the four conduits through which the transmission member and the gripping member and the probe are inserted are independent in the insertion portion, and the respective conduits are electrically insulated. The transmission member and the probe can be reliably insulated without taking measures such as insulation coating.

  5). The ultrasonic incision and coagulation apparatus according to appendix 1 and appendix 4, wherein gripping member feeding means for connecting a high frequency power source for feeding a high frequency current to the gripping member is provided.

  As a result, it is possible to easily connect or separate the high-frequency power supply to the ultrasonic incision and coagulation apparatus, so that the operation for cleaning and sterilizing the ultrasonic incision and coagulation apparatus or replacement is facilitated.

  6). 6. The ultrasonic incision and coagulation apparatus according to appendix 1 to appendix 5, wherein probe feeding means for connecting a high-frequency power source for feeding a high-frequency current to the probe is provided.

  7). 6. The ultrasonic incision and coagulation apparatus according to appendix 5, wherein the gripping member power supply means is a connector provided in an operation unit.

  8). The ultrasonic incision and coagulation apparatus according to appendix 6, wherein the probe power supply means is a connector provided in an operation section.

  9. 9. The ultrasonic incision and coagulation apparatus according to appendix 7 and appendix 8, comprising a substantially cord-like member for releasing the connector from the operation section.

10. 9. The ultrasonic incision and coagulation apparatus according to appendix 7 and appendix 8, provided with an integrated connector in which a connector for supplying power to the gripping member and the probe is integrated. 11. The ultrasonic incision and coagulation apparatus according to appendix 10, wherein terminals for supplying power to the gripping member and the probe are separately arranged in the integrated connector.

  As a result, when connecting to a high frequency power supply, connection can be made at a time.

12 An ultrasonic vibrator feeding means for connecting the ultrasonic vibrator and an ultrasonic driving power source for feeding a driving current to the ultrasonic vibrator; and the ultrasonic vibrator feeding means is provided in the operation unit. 12. The ultrasonic incision and coagulation apparatus according to appendix 7 to appendix 11, which is a connector.

13. The ultrasonic incision and coagulation apparatus according to appendix 12, further comprising a substantially cord-like member for releasing the connector from the ultrasonic incision and coagulation apparatus.

14 The connector for supplying power to each of the ultrasonic transducer and the probe is integrated, and a terminal for supplying power to the ultrasonic transducer and the probe is separately arranged in the connector. 12 and the ultrasonic incision coagulation apparatus according to appendix 13.

  As a result, when the ultrasonic vibrator driving power source with the built-in probe high-frequency power source is used, there is an effect that the connection can be made at one time.

15. A connector for supplying power to each of the ultrasonic transducer, the probe, and the gripping member is integrated, and a terminal for supplying power to each of the ultrasonic transducer, the probe, and the gripping member is provided in the connector. 15. The ultrasonic incision coagulation apparatus according to supplementary note 14, which is arranged separately.

  As a result, when an ultrasonic transducer driving power source that includes a probe and a high-frequency power source for a gripping member is used, connection can be made at a time.

1 to 6 relate to one embodiment of the present invention, and FIG. 1 is a diagram showing a schematic configuration of an ultrasonic incision coagulation apparatus. Sectional drawing explaining the insertion part front end side of an ultrasonic incision coagulation apparatus AA sectional view of FIG. BB sectional view of FIG. Sectional drawing explaining the insertion part hand side and operation part of an ultrasonic incision coagulation apparatus Schematic diagram explaining the circuit configuration of the ultrasonic incision coagulation apparatus The figure explaining the relationship between an ultrasonic incision coagulation apparatus and a power supply The figure explaining the other relationship between an ultrasonic incision coagulation apparatus and a power supply The figure explaining another relationship between an ultrasonic incision coagulation apparatus and a power supply The figure explaining another relationship between an ultrasonic incision coagulation apparatus and a power supply

Explanation of symbols

1. Ultrasonic incision coagulation device
2 ... treatment section
3 ... Insertion section
6 ... gripping part
10 ... Transmission member
11 ... Sheath (electrical insulation means)
Attorney Susumu Ito

Claims (2)

An ultrasonic transducer that generates ultrasonic vibrations;
A longitudinal axis is defined, has a tip portion specified by the longitudinal axis, has conductivity, and transmits a predetermined vibration corresponding to the ultrasonic vibration generated by the ultrasonic transducer to the tip portion. An axially extending probe coupled to the ultrasonic transducer;
In order to incise or coagulate the living tissue by grasping the living tissue with the probe surface formed on the tip of the probe along the direction in which the tip of the probe extends. A gripping member arranged to be openable and closable with respect to the probe surface;
Operating means for operating the opening and closing operation of the gripping member;
Transmission means having conductivity, and transmitting the operation amount so that an opening / closing operation corresponding to the operation amount of the operation means occurs in the gripping member;
A high-frequency power source electrically coupled to the probe and the gripping member to perform a treatment with a high-frequency current on the living tissue;
Electrically insulating the transmission means and the probe from each other, and electrically insulating the transmission member and the probe from the outside, respectively,
An ultrasonic incision coagulation apparatus comprising:   An ultrasonic transducer that generates ultrasonic vibrations;
  A longitudinal axis is defined and has a tip portion specified by the longitudinal axis, and the ultrasonic transducer is capable of transmitting a predetermined vibration corresponding to the ultrasonic vibration generated by the ultrasonic transducer to the tip portion. An axially extending probe to be coupled;
  In order to incise or coagulate the living tissue by gripping the living tissue with the probe surface formed on the probe tip along the direction in which the tip of the probe extends. A gripping member arranged to be openable and closable with respect to the probe surface;
  Operating means for operating the opening and closing operation of the gripping member;
  Transmission means having conductivity and transmitting the operation amount so that an opening / closing operation corresponding to the operation amount of the operation means occurs in the gripping member;
  A high frequency power source electrically coupled to the grasping member to perform a treatment with a high frequency current on the living tissue;
  Electrically insulating the transmission means and the probe from each other, and electrically insulating the transmission member and the probe from the outside, and
  An ultrasonic incision coagulation apparatus comprising:

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