CN101779979A - Full-longitudinal ultrasonic surgical system - Google Patents
Full-longitudinal ultrasonic surgical system Download PDFInfo
- Publication number
- CN101779979A CN101779979A CN201010022552A CN201010022552A CN101779979A CN 101779979 A CN101779979 A CN 101779979A CN 201010022552 A CN201010022552 A CN 201010022552A CN 201010022552 A CN201010022552 A CN 201010022552A CN 101779979 A CN101779979 A CN 101779979A
- Authority
- CN
- China
- Prior art keywords
- working head
- ultrasonic
- holder arms
- ultrasonic surgical
- cut
- 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.)
- Granted
Links
- 238000005520 cutting process Methods 0.000 claims abstract description 47
- 238000001356 surgical procedure Methods 0.000 claims description 26
- 230000033001 locomotion Effects 0.000 claims description 9
- 238000005452 bending Methods 0.000 claims description 4
- 238000010276 construction Methods 0.000 claims description 3
- 238000010438 heat treatment Methods 0.000 claims description 3
- 230000001112 coagulating effect Effects 0.000 abstract description 4
- 230000005540 biological transmission Effects 0.000 abstract 1
- 238000010494 dissociation reaction Methods 0.000 abstract 1
- 230000005593 dissociations Effects 0.000 abstract 1
- 210000004204 blood vessel Anatomy 0.000 description 11
- 230000000694 effects Effects 0.000 description 8
- 230000007246 mechanism Effects 0.000 description 7
- 238000000034 method Methods 0.000 description 7
- 208000032843 Hemorrhage Diseases 0.000 description 4
- 230000023555 blood coagulation Effects 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 238000012546 transfer Methods 0.000 description 4
- 241001232809 Chorista Species 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 230000001141 propulsive effect Effects 0.000 description 3
- 239000007787 solid Substances 0.000 description 3
- 238000002604 ultrasonography Methods 0.000 description 3
- 230000000740 bleeding effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000009826 distribution Methods 0.000 description 2
- 230000023597 hemostasis Effects 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000005457 optimization Methods 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 101100008048 Caenorhabditis elegans cut-4 gene Proteins 0.000 description 1
- 235000007926 Craterellus fallax Nutrition 0.000 description 1
- 240000007175 Datura inoxia Species 0.000 description 1
- 241000196324 Embryophyta Species 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000000994 depressogenic effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 238000007711 solidification Methods 0.000 description 1
- 230000008023 solidification Effects 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Images
Landscapes
- Surgical Instruments (AREA)
Abstract
The invention discloses a full-longitudinal ultrasonic surgical system, which comprises an ultrasonic generator and an ultrasonic surgical tool. The ultrasonic surgical tool works by using a front end face of a working head, and the cutting direction of the ultrasonic surgical tool is consistent with the axial amplitude direction of the front end face. The full-longitudinal ultrasonic surgical system also comprises a restraint device for tissues to be cut. The restraint device defines the tissues to be cut in front of the cutting direction of the working head of the ultrasonic surgical tool. The foremost end face of a surgical instrument executing end is used for cutting/coagulating the tissues, and the stable quality for cutting and coagulating can be guaranteed by using the stable amplitude at the front end of the working head. The cutting direction during working is consistent with the transmission direction of the ultrasonic energy, and the cutting direction is positioned just on a direct path of the ultrasonic spreading direction, so that the cutting efficiency is improved. The working length of the surgical instrument is unlimited; and the working head is positioned in an external sleeve before cutting, so the clamp and dissociation under the non-cutting condition can be realized by using two clamp arms without any other instrument, and the surgical efficiency is obviously improved.
Description
Technical field
The invention belongs to medical instruments field, relate to ultrasonic surgical instruments.
Background technology
Ultrasonic surgical system is made up of ultrasonic generator and ultrasonic surgical blade tool, ultrasonic generator is by the circuit part output drive electrical power in it, convert supersonic vibration to by its ultrasonic transducer again, finish various surgical functions thereby this vibration can pass to the ultrasonic surgical blade tool.Existing ultrasonic surgical blade tool, see also Fig. 1, it is to adopt the working head 15 in the apparatus trocar sheath 11 and clamp tissue 14 to be cut towards the holding action between the clamp 13 of working head 15 opening and closing (by hinge 12), utilizes the extensional vibration (direction as shown by arrows) of working head 15 to finish again to treat to cut and organize 14 cutting and hemostasis.This moment, tissue 14 to be cut was positioned at the side of working head 15, and the direction of vibration of working head 15 is vertical with the direction that tissue 14 to be cut is cut open, and ultrasonic energy is not directly to transmit and affact in the tissue to go.
In addition, the pairing amplitude of each point is inconsistent on working head 15 and the clamp 13 contact site longitudinal directions, they meet the rule of cosine distribution, as Fig. 2, shown in Figure 3: the head amplitude A m maximum of working head 15, thus the direction of sleeve pipe 11 progressively reduces to cause the cutting to tissue inconsistent with the effect before and after the hemostasis in a longitudinal direction according to the cosine rule outward; Because the cosine distribution of their amplitudes causes the available active length of ultrasonic surgical instruments limited, cutting speed also is subject to the amplitude minimum position simultaneously; For example, material is that effective active length of the ultrasonic surgery cutter of titanium alloy is about 10 millimeters under the 55.5kHz supersonic frequency.This is for the problem of bringing clinically: cut fast near the big position tissue of amplitude during cutting, and the tissue of the other end may still be in the adhesion state, just because of its each point amplitude is inconsistent or differ greatly, so existing ultrasonic surgical instruments can not be applied to closed than trunk, and an easy end supersolidification one end is owed to solidify during sealing blood vessels, even its closed quality of Bi He blood vessel also is lower than expection (occurring easily breaking as carrying out 5 minutes 300mmHg stress tests after the closure), and its short partially effective active length has further reduced operation efficient.In addition, in existing ultrasonic surgery cutter, tissue can only be clamped between holder arms and the working head when work, and working head must smooth surface prevents to produce when slight crack causes ultrasonic work and lost efficacy, so it can not apply effective chucking power and frictional force is given tissue, therefore the free and clamping of tissue must be realized by other apparatuses during surgical operation, has further reduced operation efficient and operating time.
Summary of the invention
The object of the present invention is to provide a kind of full-longitudinal ultrasonic cutting bleeding cutter, propose to utilize ultrasonic stabilized amplitude face to carry out work initiatively, make and output to the structural various parameter unanimities of contact with it, guaranteed to obtain in the cutting of tissue and the process of setting energy of stable and controllable, guarantee to obtain the surgical effect better than existing ultrasound knife, be that cutting speed significantly improves, the blood coagulation effect is better; And, be more convenient for and the robotic surgical device equipment interconnection because the parameter standard operation is unified; The consistent power transfer service efficiency that makes with direction of vibration of cut direction greatly improves simultaneously, and prolongs the active length and the life-span of ultrasonic surgical instruments greatly.
Technical scheme of the present invention is:
The present invention relates to a kind of ultrasonic surgical instruments, it is mainly by holder arms, and trocar sheath, the first-class composition of working, holder arms can make to organize and be in the working head dead ahead always.In particular, the proposition that it is initiative to utilize the ultrasonic stabilized amplitude face of working head also be that the peak swing position is that anti-node location is carried out work simultaneously, be applied (cutting or blood coagulation) tissue and be in its front end always, the feasible width that can cut and organize is not limited, output to the structural various parameter unanimities of contact with it simultaneously, guaranteed to obtain in the cutting of tissue and the process of setting energy of stable and controllable, guarantee to obtain the surgical effect better than existing ultrasound knife, be that cutting speed significantly improves, the blood coagulation effect is better.And, be more convenient for and the robotic surgical device equipment interconnection because the parameter standard operation is unified.The consistent power transfer service efficiency that makes with direction of vibration of cut direction greatly improves simultaneously, and strengthens the working life of ultrasonic surgical instruments greatly.
A kind of ultrasonic surgical system, it comprises: ultrasonic generator, ultrasonic surgery cutter, this ultrasonic surgery cutter use the front end face of its working head to carry out work, and its cut direction is consistent with the axial amplitude direction of this front end face.
Further, also comprise the restraint device of tissue to be cut, this restraint device is defined in tissue to be cut in the place ahead of cutting heading of the working head of ultrasonic surgery cutter.
This ultrasonic surgery cutter has the work body of rod, and this work body of rod is arranged in the sleeve pipe, and its working head is extended outside this sleeve pipe.
This restraint device comprises: go up holder arms, be hinged through the hinge to the sleeve pipe upper front end for one; A following holder arms is connected through the hinge or is fixed in sleeve pipe front end bottom; Upper and lower holder arms middle part is respectively arranged with half groove, forms a complete groove after upper and lower holder arms closure, and the working head of ultrasonic surgery cutter is advanced and retreat in this groove.
The both sides of half groove of this upper and lower holder arms are provided with concaveconvex structure respectively, and the concaveconvex structure of the correspondence position on this upper and lower holder arms is meshing with each other, and form bending, stepped construction on the feasible cutting heading that is organized in working head that is held.
This concaveconvex structure is shown as the curve-like structure on its longitudinal cross-section.
Two arranged outside of the closing face on this upper and lower holder arms have lug edge or salient point.
This working head except that carrying out supersonic vibration, also can be done sagittal relative motion under manpower or electric driving.
This holder arms is provided with pick off or monitor for intellectuality and the more operation of convenient and safe on it; Perhaps, this holder arms is provided with heating, light-emitting device so that abundanter treatment means to be provided on it.
The front end face of this working head is plane or inner sunken face or outer convex surface.
The present invention has proposed vertically to cut/solidify full the ultrasonic surgical instruments of work first.Design makes the end face foremost of operating theater instruments actuating station be used for cutting/solidified structure, and the stable large amplitude that promptly utilizes the working head front end to be had can guarantee to cut the steady quality of blood coagulation, the resulting energy coincidence of tissue each point.The work cut direction is consistent with the direction of transfer of ultrasonic energy, and is on the direct way of transonic direction, makes cutting efficiency improve.Because of having utilized the work cut direction consistent with the direction of transfer of ultrasonic energy, and be on the direct way of transonic direction, make that the active length of ultrasonic surgical instruments is not limited.Simultaneously before cutting, working head is positioned at trocar sheath, can use two holder arms to realize that clamping under the non-cut state with free, no longer needs other apparatuses, significantly improves operation efficient.
When present ultrasonic surgical instrument is used to solidify blood vessel, disconnected with fixed attention position just is in the blood vessel place of gripping between working head and the holder arms, if coagulate disconnected not good will cause hemorrhage, this also is the major reason that ultrasound knife fails to be used for the trunk closure, the invention provides another solution at this problem, promptly wait to coagulate disconnected blood vessel and be horizontally placed on working head the place ahead, for last, following holder arms clamps, projection is inwardly stretched out in upper and lower tongs arm both sides simultaneously, can wait that coagulating the real the right and left that coagulates disconnected position that contacts with working head of disconnected blood vessel all forms pre-pinch off (by last, following holder arms folder closes the state applied force and forms), be on the length of vessel direction, wait to coagulate the both sides, front and back all clamped (being similar to two vascular forcepss) of disconnected position, this pre-pinch off is " breakwater ", can guarantee that blood vessel coagulates in the disconnected process no blood and flows to and coagulate that thereby disconnected position is not hemorrhage guarantees operation safety, simultaneously in the work process herein because of no blood thus blood pressure less help coagulating disconnected.
Description of drawings
Fig. 1 is the structure principle chart of existing ultrasonic surgical blade tool.
Fig. 2 is the sketch map of the active section part of existing ultrasonic surgical blade tool.
Fig. 3 is that the active section of ultrasonic surgical blade tool shown in Figure 2 is partly gone up the pairing amplitude image of each point.
Fig. 4 is the structure principle chart of ultrasonic surgical blade tool of the present invention.
Fig. 5 is that ultrasonic surgical blade tool of the present invention is realized propulsive structure principle chart.
Fig. 6 is the structural representation of a kind of embodiment of ultrasonic surgical blade tool of the present invention.
Fig. 7 is the structural representation of the another kind of embodiment of ultrasonic surgical blade tool of the present invention.
Fig. 8 is the structural representation of another embodiment of ultrasonic surgical blade tool of the present invention.
Fig. 9 is the cross sectional representation of clamping tissue to be cut after the upper and lower tongs closure of a kind of embodiment of cutter head part of the present invention.
Figure 10 is the cross sectional representation of clamping tissue to be cut after the upper and lower tongs closure of the another kind of embodiment of cutter head part of the present invention.
Figure 11 is the cross sectional representation of clamping tissue to be cut after the upper and lower tongs closure of another embodiment of cutter head of the present invention part.
Figure 12 is the side schematic view of clamping tissue to be cut after the upper and lower tongs closure of a kind of embodiment of cutter head part of the present invention.
Figure 13 is the perspective view of a kind of embodiment of ultrasonic surgical blade tool of the present invention.
Figure 14 is a cutter head enlarged diagram partly embodiment illustrated in fig. 13.
Figure 15 is the cross sectional representation of clamping tissue to be cut after the upper and lower tongs closure of another embodiment of cutter head of the present invention part.
Figure 16 is the perspective view of the another kind of embodiment of ultrasonic surgical blade tool of the present invention.
Figure 17 is a cutter head enlarged diagram partly embodiment illustrated in fig. 16.
Figure 18 is the cross sectional representation of clamping tissue to be cut after the upper and lower tongs closure of another embodiment of cutter head of the present invention part.
Figure 19 is that the preceding clamp of one embodiment of the present of invention work does not press from both sides the view (not laying tissue to be cut) when closing.
Figure 20 is that the preceding clamp of one embodiment of the present of invention work does not press from both sides the view (having laid tissue to be cut) when closing.
Figure 21 is the view of one embodiment of the present of invention work fore-clamp clamp when closing.
Figure 22 is that holder arms has pressed from both sides and closes and working head partly cuts open structural representation when not moving in one embodiment of the present of invention work.
Figure 23 is that holder arms has pressed from both sides and closes and working head partly cuts open structural representation when having moved in one embodiment of the present of invention work.
Figure 24 is the sketch map of cutter head front end face of the present invention and the 1st kind of example of shape.
Figure 25 is the sketch map of cutter head front end face of the present invention and the 2nd kind of example of shape.
Figure 26 is the sketch map of cutter head front end face of the present invention and the 3rd kind of example of shape.
Figure 27 is the sketch map of cutter head front end face of the present invention and the 4th kind of example of shape.
Figure 28 is the sketch map of cutter head front end face of the present invention and the 5th kind of example of shape.
Figure 29 is the sketch map of cutter head front end face of the present invention and the 6th kind of example of shape.
Figure 30 is the sketch map of cutter head front end face of the present invention and the 7th kind of example of shape.
The specific embodiment
See also Fig. 4, it has represented basic structure of the present invention: working head 5 is arranged in the trocar sheath 1 also extended, the holder arms 3 of a bending is connected on the trocar sheath 1 by hinge 2, the effect of this holder arms 3 is the place aheads that tissue 4 to be cut retrained or is fixed in the front end face 51 of working head 5, for this reason, this holder arms 3 can be arranged to bending, and can rotate (shown in the arrow that track is camber line) for axle by hinge 2; Can use afterwards this front end face 51 along the longitudinal (is shown in the collinear arrow as track) treat and cut and organize 4 and cut.As previously mentioned, based on the characteristics of ultrasonic surgery cutter as can be known, big and each point is more even at front end face 51 place's amplitudes of working head 5, the direction of vibration of working head 5 is parallel with the direction that tissue 4 to be cut is cut open, and ultrasonic energy can directly transmit and affact in the tissue 4 to be cut and go; And owing to be to cut and organize 4 and cut by working head 5 being pushed ahead gradually, being to use this front end face 51 to treat all the time, so full-longitudinal ultrasonic cutting bleeding cutter of the present invention has more uniform cutting effect, cutting speed faster.
Further, in new ultrasonic surgery cutter relative motion mechanism of the present invention, judgement to the cutting situation will be judged by the cutting progress, propulsion plant adopts the nonrigid power apparatus of giving in the cutting propulsive mechanism, the mode of giving power as embodiments such as spring precompressed, need not perusal like this and judge to organize whether cut off, and the cutting propulsive force of limited range is provided for the dispose procedure of power apparatus by flexibility, treat flexible to power apparatus discharge finish after, cutting also will stop, and the feedway of power F can be mechanical elastic, pneumatic, the hydraulic coupling of surging, the electronic power (as motor-driven) etc. of giving sees also Fig. 5.
Pass through Figure 20, Figure 21, Figure 22 can know this principle of understanding, Figure 20 closes the time view that working head does not also move for clamp before the work does not press from both sides, view when Figure 21 closes working head for holder arms in the work has pressed from both sides and do not move, also can be used for realizing the clamping and the free function of general surgery apparatus this moment, view when Figure 22 closes working head for holder arms in the work has pressed from both sides and moved, working head moves forward and illustrates the relative status of holder arms, tissue, working head when having described ultrasonic cut among the figure to power at this moment.
See also Fig. 6, it is the structural representation of a kind of embodiment of the present invention, it comprises: working head 5, but be arranged in the trocar sheath 1 and relative motion, going up holder arms 3 for one is hinged through the hinge on the trocar sheath 1, a following holder arms 30 also is hinged through the hinge on the trocar sheath 1, and cooperatively interacting of opening and closing between the upper and lower holder arms 3,30 can be treated and be cut and organized (for simplifying drawing, not drawing among the figure) and chosen or clamping; Tissue to be cut was constrained to required form by upper and lower holder arms and was presented in the place ahead of working head 5 this moment, can use these working head 5 front end faces 51 to treat along the longitudinal afterwards to cut and organize 4 to cut.
Fixed handle 61, movable trigger 62 link together by trigger hinge 601, mutual drive mechanism (be connected and fixed is the zero amplitude position for a certain ultrasonic node location on working head 5 bodies of rod a little) can be set on the body of rod 52 of movable trigger 62 and working head 5, when pulling movable trigger 62, the body of rod 52 that connects in working head 5 can be pushed forward, then can realize the vertically lasting cutting of 5 pairs of tissues of working head.
See also the embodiment of Fig. 7, it comprises: working head 5, but be arranged in the trocar sheath 1 and relative motion, going up holder arms 3 for one is hinged through the hinge on the trocar sheath 1, a following holder arms 30 also is hinged through the hinge on the trocar sheath 1, itself and embodiment difference shown in Figure 6 are: be on movable trigger 63 and trocar sheath 1 mutual drive mechanism to be set, when pulling movable trigger 63, can be with trocar sheath 1 toward post-tensioning, 5 of working heads relatively forward, the same realization vertically continues cutting to tissue.
The embodiment that Fig. 8 shows comprises working head 5, but be arranged in the trocar sheath 1 and relative motion, fixed handle 67, movable trigger 66 links together by trigger hinge 603, be with embodiment difference shown in Figure 7: a holder arms 301 is set below working head 5, can treat and cut and organize (for simplifying drawing, do not draw among the figure) retrain, holder arms 301 can be connected and fixed on the trocar sheath 1, when pulling movable trigger 66, trocar sheath 1 also can be driven holder arms 301 simultaneously in opposite directions in working head 5 motions toward post-tensioning, be about to that it will retrain treat to cut and organize pushed cutter cut to, and same the realization vertically continues cutting to tissue.
Need to prove that the serial verb construction form between movable trigger and the working head is not limited to above embodiment, can be designed to other form according to concrete needs, this does not give unnecessary details.
For improving cutting effect and speed, preferably retrain, limit the solid shape that is organized into to be cut before the cutting, this can realize by adopting appropriate holder arms structure, required satisfied requirement comprises at least: parting surface its shape of when contact need be maintained fixed on the ultrasonic surgery cutter, make will separation place thickness less than the height of working head cutting edge on the ultrasonic surgery cutter; Connect through the middle of mechanism that fixation is arranged, make the tissue of solid shape and the relative position of working head contact surface can obtain the location.
As shown in Figure 9, last holder arms 31 cooperates tissue to be cut 4 constraints with following holder arms 32, to be limited to a cross section be in the orthogonal groove, working head is (for simplifying drawing, do not draw among the figure) will cut in direction perpendicular to paper, the thickness of tissue 4 to be cut for this reason need be less than the height of working head cutting edge on the ultrasonic surgery cutter, and the height H that promptly goes up the rectangular channel that forms between holder arms 31 and the following holder arms 32 need be less than the height of cutting edge on the ultrasonic surgery cutter.
As shown in figure 10, last holder arms 33 cooperates tissue 4 constraints to be cut, is limited to a cross section in the circular groove with following holder arms 34, the ultrasonic surgery cutter is (for simplifying drawing, do not draw among the figure) also will cut in direction perpendicular to paper, the diameter of tissue 4 to be cut for this reason need be less than the height of working head cutting edge on the ultrasonic surgery cutter, and the diameter R that promptly goes up the Column groove that forms between holder arms 33 and the following holder arms 34 need be less than the height of working head cutting edge on the ultrasonic surgery cutter.
Existing ultrasonic Separation is directly to be depressed into the mode that applies chucking power on the ultrasonic surgery cutter working head side by holder arms and to provide and separate required counteracting force by organizing, now owing to unsegregated the cutting and organizing that feed that needs on the parting surface than small size to continue, the structure of original holder arms is infeasible, existing improved method is: when adopting clamping in advance to need chorista, not only make between tissue and can be relatively fixed, and when travelling forward, ultrasonic surgery cutter working head can provide enough counteracting forces to applied pressure on the chorista not, when this just requires clamping in advance to need chorista the power of clamping enough greatly with enough clamping devices are provided and organize between frictional force, in the employing, the mode of following holder arms grasping tissue has well solved this problem.
When designs fix is organized required clamping device, more than satisfying, also can carry out function optimization after to the designing requirement of mechanism to mechanism, need provide clamping device under the situation of enough chucking powers, internal pressure when optimizing blood vessel in the time of can be in conjunction with ultrasonic surgery cutter solidification blood pipe and being solidified, the clamping contact surface that design meets the demands.
As Figure 11, Figure 17, shown in Figure 19, last holder arms 35 cooperates with following holder arms 36 tissue 4 to be cut (referring to blood vessel herein especially) is retrained, be limited in the groove, with embodiment illustrated in fig. 10 different be: go up on holder arms 35 and the following holder arms 36 and also be respectively arranged with raised line (or salient point) 351,352,361,362, when being in clamp position, raised line 351,352,361,362 treat and cut and organized for 4 (referring to blood vessel herein especially) extra chucking power can be provided, when breaking with fixed attention, will treat to wait to coagulate both sides, the position formation " breakwater " of breaking on the with fixed attention disconnected length of vessel direction for blood vessel.
For the smaller tissue to be cut of thickness, most effective for making operation technique, should be in once-through operation as much as possible tissue be cut, for this reason, can setting on last holder arms and the following holder arms treat cut and organize take in, the structure of folder function.Figure 12, shown in Figure 23 for example, by some dentate grooves parallel to each other 371 are set on last holder arms 37, some dentate grooves parallel to each other 372 are set on the infra holder arms 38, be shown as zigzag on the end view drawing, and groove 371 can be engaged with each other with groove 372, the structure of this optimization makes the tissue to be cut that is contained in it form meander-shaped, working head can cut more tissue in the unit interval, and this meander-shaped groove also can be other non-jagged concavo-convex curves certainly.Obviously, the thickness of tissue to be cut of meander-shaped equally also need be less than the height of working head cutting edge on the ultrasonic surgery cutter, and promptly the maximum normal distance L between clamp position lower groove 371 and the groove 372 can not be greater than the height of working head cutting edge on the ultrasonic surgery cutter.
See also Figure 13-15 illustrated embodiment, it comprises: working head 5, but be arranged in the trocar sheath 1 and relative motion, going up holder arms 3 for one is hinged through the hinge on the trocar sheath 1, a following holder arms 30 also is hinged through the hinge on the trocar sheath 1, on, following holder arms 3, be respectively arranged with half groove 31 on 30,301, on, following holder arms 3,30 closed backs form a complete working head groove and can hold working head 5 therein, the left and right sides on first groove 31 is provided with some grooves parallel to each other 311 respectively, and the left and right sides on second groove 301 also is provided with some grooves parallel to each other 303; After upper and lower holder arms 3,30 closures, tissue to be cut is clamped, can use its front end face 51 in the working head groove, to advance to treat to cut and organize along the longitudinal after the working head 5 and cut.
See also Figure 16-18 illustrated embodiment, it comprises: working head 5, but be arranged in the trocar sheath 1 and relative motion, go up holder arms 3 for one and be hinged through the hinge on the trocar sheath 1, different with Figure 13-15 illustrated embodiment is: following holder arms is to be fixedly connected on the trocar sheath 1; On upper and lower holder arms 3,30, also be respectively arranged with half groove 31,301 in addition, upper and lower holder arms 3,30 closed backs form a complete working head groove and can hold working head 5 therein, the left and right sides on first groove 31 is provided with some grooves parallel to each other 311 respectively, and the left and right sides on second groove 301 also is provided with some grooves parallel to each other 303; After upper and lower holder arms 3,30 closures, tissue to be cut is clamped, can use its front end face 51 in the working head groove, to advance to treat to cut and organize along the longitudinal after the working head 5 and cut.
This working head end face is plane or inner sunken face or outer convex surface.The shape of working head includes but not limited to sheet shape, axe shape, hook-type, spherical shape, wedge, also includes but not limited to solid and hollow, symmetric figure and asymmetry.Figure 24-30 has illustrated several shapes for your guidance for example.
Further,, the more treatment of convenient and safe operates for being provided, and meticulousr operation control, temperature, pressure, monitoring sensor can be installed on holder arms, so that real-time running parameter to be provided, information materials such as video image are for reference, and 500 places of Figure 15, Figure 18 are seen in its installation site.
The horn of plenty treatment means also can be installed heating, light-emitting device on holder arms in addition, and its installation site also can be arranged in 500 places of Figure 15, Figure 18.
The above-mentioned description to embodiment is can understand and apply the invention for ease of those skilled in the art.The person skilled in the art obviously can easily make various modifications to these embodiment, and needn't pass through performing creative labour being applied in the General Principle of this explanation among other embodiment.Therefore, the invention is not restricted to the embodiment here, those skilled in the art are according to announcement of the present invention, and not breaking away from the improvement that category of the present invention makes and revise all should be within protection scope of the present invention.
Claims (10)
1. ultrasonic surgical system, it comprises: ultrasonic generator, the ultrasonic surgery cutter is characterized in that: this ultrasonic surgery cutter uses the front end face of its working head to carry out work, and its cut direction is consistent with the axial amplitude direction of this front end face.
2. ultrasonic surgical system according to claim 1 is characterized in that: also comprise the restraint device of tissue to be cut, this restraint device is defined in tissue to be cut in the place ahead of cutting heading of the working head of ultrasonic surgery cutter.
3. ultrasonic surgical system according to claim 2 is characterized in that: this ultrasonic surgery cutter has the work body of rod, and this work body of rod is arranged in the sleeve pipe, and its working head is extended outside this sleeve pipe.
4. ultrasonic surgical system according to claim 2 is characterized in that: this restraint device comprises: go up holder arms, be hinged through the hinge to the sleeve pipe upper front end for one; A following holder arms is connected through the hinge or is fixed in sleeve pipe front end bottom; Upper and lower holder arms middle part is respectively arranged with half groove, forms a complete groove after upper and lower holder arms closure, and the working head of ultrasonic surgery cutter is advanced and retreat in this groove.
5. ultrasonic surgical system according to claim 4, it is characterized in that: the both sides of half groove of this upper and lower holder arms are provided with concaveconvex structure respectively, the concaveconvex structure of the correspondence position on this upper and lower holder arms is meshing with each other, and forms bending, stepped construction on the feasible cutting heading that is organized in working head that is held.
6. ultrasonic surgical system according to claim 5 is characterized in that: this concaveconvex structure is shown as the curve-like structure on its longitudinal cross-section.
7. according to claim 4 or 5 described ultrasonic surgical systems, it is characterized in that: two arranged outside of the closing face on this upper and lower holder arms have lug edge or salient point.
8. ultrasonic surgical system according to claim 1 is characterized in that: this working head, except that carrying out supersonic vibration, also can under manpower or electric driving, do sagittal relative motion.
9. ultrasonic surgical system according to claim 4 is characterized in that: this holder arms is provided with pick off or monitor for intellectuality and the more operation of convenient and safe on it; Perhaps, this holder arms is provided with heating, light-emitting device so that abundanter treatment means to be provided on it.
10. according to the described ultrasonic surgical system of claim 1, it is characterized in that: the front end face of this working head is plane or inner sunken face or outer convex surface.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010022552 CN101779979B (en) | 2010-01-08 | 2010-01-08 | Full-longitudinal ultrasonic surgical system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010022552 CN101779979B (en) | 2010-01-08 | 2010-01-08 | Full-longitudinal ultrasonic surgical system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101779979A true CN101779979A (en) | 2010-07-21 |
| CN101779979B CN101779979B (en) | 2013-01-02 |
Family
ID=42520216
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201010022552 Active CN101779979B (en) | 2010-01-08 | 2010-01-08 | Full-longitudinal ultrasonic surgical system |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN101779979B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104783866A (en) * | 2015-04-24 | 2015-07-22 | 重庆康美唯外科器械有限公司 | Ultrasonic knife bar assembly, ultrasonic knife thereof and ultrasonic knife control system |
| CN106102636A (en) * | 2014-03-17 | 2016-11-09 | 直观外科手术操作公司 | The order shaping of vibration is suppressed in Mode change |
| CN107847228A (en) * | 2015-08-11 | 2018-03-27 | 天津瑞奇外科器械股份有限公司 | Double hook ultrasonic surgical blade head |
| US11497542B2 (en) | 2018-10-05 | 2022-11-15 | Erbe Elektromedizin Gmbh | Tissue forceps |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2845548B1 (en) * | 2013-09-10 | 2016-11-16 | Erbe Elektromedizin GmbH | Surgical instrument with pivotable jaws |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2218534Y (en) * | 1995-05-18 | 1996-01-31 | 中国科学技术大学 | Longitudinal composite ultrasonic transduction and energy collection operating knife |
| CN1260161A (en) * | 1999-01-10 | 2000-07-19 | 姜宪委 | Surgical instrument for tissue excision and system for using said instrument |
| US20050234484A1 (en) * | 2004-02-27 | 2005-10-20 | Houser Kevin L | Ultrasonic surgical blade having transverse and longitudinal vibration |
| CN100394897C (en) * | 2004-08-03 | 2008-06-18 | 张毓笠 | Compound vibrated ultrasonic bone surgery apparatus |
-
2010
- 2010-01-08 CN CN 201010022552 patent/CN101779979B/en active Active
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106102636A (en) * | 2014-03-17 | 2016-11-09 | 直观外科手术操作公司 | The order shaping of vibration is suppressed in Mode change |
| US10201390B2 (en) | 2014-03-17 | 2019-02-12 | Intuitive Surgical Operations, Inc. | Command shaping to dampen vibrations in mode transitions |
| CN106102636B (en) * | 2014-03-17 | 2020-04-07 | 直观外科手术操作公司 | Command shaping to suppress vibration during mode transitions |
| US10939969B2 (en) | 2014-03-17 | 2021-03-09 | Intuitive Surgical Operations, Inc. | Command shaping to dampen vibrations in mode transitions |
| CN104783866A (en) * | 2015-04-24 | 2015-07-22 | 重庆康美唯外科器械有限公司 | Ultrasonic knife bar assembly, ultrasonic knife thereof and ultrasonic knife control system |
| CN104783866B (en) * | 2015-04-24 | 2017-07-04 | 重庆康美唯外科器械有限公司 | Ultrasound knife knife bar component and its ultrasound knife and ultrasound knife control system |
| CN107847228A (en) * | 2015-08-11 | 2018-03-27 | 天津瑞奇外科器械股份有限公司 | Double hook ultrasonic surgical blade head |
| US11497542B2 (en) | 2018-10-05 | 2022-11-15 | Erbe Elektromedizin Gmbh | Tissue forceps |
Also Published As
| Publication number | Publication date |
|---|---|
| CN101779979B (en) | 2013-01-02 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN101779979B (en) | Full-longitudinal ultrasonic surgical system | |
| CN100502979C (en) | Ultrasonic device for tissue coagulation | |
| ES2200102T3 (en) | ULTRASONIC DISECTOR. | |
| US6893434B2 (en) | Ultrasonic soft tissue cutting and coagulation systems including a retractable grasper | |
| JP2020526349A (en) | Reusable ultrasonic surgical instruments | |
| US20100030248A1 (en) | Medical Ultrasonic Cauterization and Cutting Device and Method | |
| US20030212422A1 (en) | Ultrasonic soft tissue cutting and coagulation systems with movable vibrating probe and fixed receiving clamp | |
| CN103054625A (en) | Ultrasonic device for cutting and coagulating | |
| CN101378702A (en) | Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel, and method for transecting patient tissue | |
| CN110141308B (en) | Ultrasonic knife with enhanced hemostatic ability | |
| EP3653159A1 (en) | Surgical instrument having electrically-driven clamping mechanism | |
| CN106073836A (en) | A kind of wire twister and there is the knotting system of this wire twister | |
| CN105943125A (en) | Ultrasonic scalpel head with clamping arm driving component | |
| CN206641887U (en) | A kind of ultrasonic surgical instruments | |
| CN205885520U (en) | Electrosurgical instrument | |
| CN108852462A (en) | A kind of flexible medical stings cutting tool | |
| CN102397092A (en) | Exquisite connecting rod double-vision minimally invasive surgery instrument | |
| CN205814366U (en) | A kind of wire twister and there is the knotting system of this wire twister | |
| CN102225026A (en) | Bipolar electric coagulation surgical scissors | |
| CN102327137B (en) | Neonate umbilical cord clamp scissors | |
| CN107714148A (en) | A kind of ultrasonic scalpel system | |
| CN203263456U (en) | Flap drifting pulling device | |
| JP5329413B2 (en) | Method and hair removal apparatus for cosmetically removing body hair | |
| CN210962207U (en) | Gallbladder grasping forceps | |
| CN214857216U (en) | Novel handheld ultrasonic cutter |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| ASS | Succession or assignment of patent right |
Owner name: CHINA SURGICAL (SHANGHAI) CORPORATION Effective date: 20121205 |
|
| C41 | Transfer of patent application or patent right or utility model | ||
| TR01 | Transfer of patent right |
Effective date of registration: 20121205 Address after: 300457, Tianjin economic and Technological Development Zone, Tianjin, Fourth Avenue, No. 5, block four, B Patentee after: REACH SURGICAL, Inc. Patentee after: CHINA SURGICAL (SHANGHAI) Corp. Address before: 300457, Tianjin economic and Technological Development Zone, Tianjin, Fourth Avenue, No. 5, block four, B Patentee before: REACH SURGICAL, Inc. |
|
| CP01 | Change in the name or title of a patent holder |
Address after: 300457, Tianjin economic and Technological Development Zone, Tianjin, Fourth Avenue, No. 5, block four, B Co-patentee after: CHINA SURGICAL (SHANGHAI) Corp. Patentee after: REACH SURGICAL Inc. Address before: 300457, Tianjin economic and Technological Development Zone, Tianjin, Fourth Avenue, No. 5, block four, B Co-patentee before: CHINA SURGICAL (SHANGHAI) Corp. Patentee before: REACH SURGICAL, Inc. |
|
| CP01 | Change in the name or title of a patent holder | ||
| TR01 | Transfer of patent right |
Effective date of registration: 20221028 Address after: No. 120, Xinxing Road, West District, Binhai New Area Development Zone, Tianjin 300462 Patentee after: REACH SURGICAL Inc. Address before: 300457 Floor 4, Building B, No. 5, Fourth Street, Tianjin Economic and Technological Development Zone, Tianjin Patentee before: REACH SURGICAL Inc. Patentee before: CHINA SURGICAL (SHANGHAI) Corp. |
|
| TR01 | Transfer of patent right | ||
| DD01 | Delivery of document by public notice |
Addressee: Wang Wenya Document name: Notice of Conformity |
|
| DD01 | Delivery of document by public notice |