JP2006512149A - 二重プローブ - Google Patents
二重プローブ Download PDFInfo
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- JP2006512149A JP2006512149A JP2004565323A JP2004565323A JP2006512149A JP 2006512149 A JP2006512149 A JP 2006512149A JP 2004565323 A JP2004565323 A JP 2004565323A JP 2004565323 A JP2004565323 A JP 2004565323A JP 2006512149 A JP2006512149 A JP 2006512149A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
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- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Vascular Medicine (AREA)
- Mechanical Engineering (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
- Investigating Or Analyzing Materials By The Use Of Ultrasonic Waves (AREA)
- Particle Formation And Scattering Control In Inkjet Printers (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Mechanical Treatment Of Semiconductor (AREA)
- Length Measuring Devices With Unspecified Measuring Means (AREA)
Abstract
Description
浮動プローブが前記固定プローブに対して且つ該固定プローブの外周に同心状に配置されて設けられ、該浮動プローブは前記固定プローブの周囲を摺動可能である。自由質量が、浮動プローブと結石とに低周波数の衝撃を生じさせるためにアクチュエータの振動に応答してホーンと浮動プローブとの間で振動するように、ホーンと浮動プローブとの間に設けられている。浮動プローブはまた、外側の固定プローブの内側で且つ該固定プローブと同心状とすることができる。
浮動プローブは、固定プローブよりも短くても長くても良く、固定プローブよりも短いときには浮動プローブの振動中に固定プローブの末端長さを越えて延びる。
固定プローブと浮動プローブとは、ホーンから取り外し可能であっても良く、更に、複数の固定プローブと浮動プローブとを使用しても良い。この複数の固定プローブ及び浮動プローブは、異なる設計及び発振器駆動周波数の種々の切り刃を含んでいるのが好ましく、パルスサイクル及びデューティサイクルは、選択された固定プローブ及び浮動プローブの切断/崩壊効率を最適化するように選択するのが好ましい。更に、ばね常数を変えることによって、衝撃エネルギ及びサイクル周波数は影響を受けるであろう。
図1乃至4cを参照すると、結石を砕くか又は骨に穴を開け/芯を抜くための経皮的な外科用器具10が示されており、該器具は、概して、複数の圧電変換素子アセンブリ又は磁歪素子アセンブリ16とバックプレート18とによって形成された超音波周波数の振動を発生するためのアクチュエータ12を含んでいる。
浮動プローブ44は、固定プローブ32に対して同心状で且つ固定プローブ32の上方/下方に配置されており且つ固定プローブの周囲を摺動可能である。
カラー48が、浮動プローブ44の基端に取り付けられており且つホーン22と浮動プローブ44との間でアクチュエータ12の振動に応答して振動するためにホーン22と浮動プローブ44との間に配置されている自由質量56から衝撃を受け取るための手段を提供している。これは、浮動プローブ44に低周波数の衝撃を生じさせ、これは次いで、浮動プローブ44の末端58が固定プローブ32の末端60を越えて駆動されたときに結石に衝撃力を伝える。
Claims (27)
- 結石を砕き又は骨に穴を開けるための経皮的な外科用器具であって、
超音波周波数で振動を発生するためのアクチュエータと、
前記アクチュエータの振動を増幅するために前記アクチュエータに結合されているホーンと、
前記結石と係合し且つ該結石に超音波周波数を導入するために前記ホーンに取り付けられた固定プローブと、
前記固定プローブと同心状に且つ該固定プローブの外周に配置され且つ前記固定プローブの外周を摺動可能である浮動プローブと、
前記アクチュエータの振動に応答して、結石に低周波数の衝撃をもたらすために前記ホーンと前記浮動プローブとの間に設けられてこれらの間で振動するための自由質量と、を含む外科用器具。 - 請求項1に記載の外科用器具であって、
前記固定プローブが、崩壊された結石又は骨を吸引するための貫通内腔を含んでいる外科用器具。 - 請求項2に記載の外科用器具であって、
前記ホーンが前記固定プローブの内腔と連通している貫通内腔を含んでいる外科用器具。 - 請求項1に記載の外科用器具であって、
前記浮動プローブが前記固定プローブよりも長い外科用器具。 - 請求項1に記載の外科用器具であって、
前記浮動プローブが、前記固定プローブよりも短く且つ前記浮動プローブの振動中に前記固定プローブの末端を超えて伸長する外科用器具。 - 請求項1に記載の外科用器具であって、
前記自由質量から衝撃を受け取るために前記固定プローブに固定されたカラーを基端に更に含んでいる外科用器具。 - 請求項1に記載の外科用器具であって、
前記固定プローブによって導入された超音波周波数と前記低周波数の衝撃の振動との両方を変化させるために、前記アクチュエータを所望の周波数、パルスサイクル及びデューティサイクルで駆動するための発振器を更に含んでいる外科用器具。 - 請求項6に記載の外科用器具であって、
前記アクチュエータを含むためのハウジングであって、前記固定プローブと前記浮動プローブとを、前記固定プローブと前記浮動プローブとの末端から隔置された距離のところで包囲している末端を有しているハウジングを更に含んでいる外科用器具。 - 請求項8に記載の外科用器具であって、
前記カラーと前記ハウジングの末端との間に設けられた付勢部材を更に含んでいる外科用器具。 - 請求項1に記載の外科用器具であって、
前記固定プローブと浮動プローブとが、前記ホーンから取り外し可能である外科用器具。 - 請求項10に記載の外科用器具であって、
複数の固定プローブと浮動プローブとを更に含んでいる外科用器具。 - 請求項10に記載の外科用器具であって、
前記複数の固定プローブと浮動プローブとが異なる設計の切り刃を含んでいる外科用器具。 - 請求項1に記載の外科用器具であって、
前記複数の固定プローブのうちの選択された一つと前記複数の浮動プローブのうちの選択された一つとに応じて、前記固定プローブによって導入された超音波周波数と前記低周波数の衝撃の振動との両方を変化させるために、前記アクチュエータを所望の周波数、パルスサイクル及びデューティサイクルで駆動するための発振器を更に含んでいる外科用器具。 - 結石を砕き又は骨に穴を開けるための経皮的な外科用器具であって、
超音波周波数で振動を発生するためのアクチュエータと、
前記アクチュエータの振動を増幅するために前記アクチュエータに結合されているホーンと、
前記結石又は骨と係合し且つ該結石に超音波周波数を導入するために前記ホーンに取り付けられた固定プローブであって、崩壊された結石又は骨を吸引するために貫通内腔を有している固定プローブと、
前記固定プローブと同心状に且つ該固定プローブの外周に配置され且つ該固定プローブの外周を摺動可能である浮動プローブと、
前記アクチュエータの振動に応答して、結石又は骨に低周波数の衝撃をもたらすために前記ホーンと前記浮動プローブとの間に設けられてこれらの間で振動するための自由質量と、を含む外科用器具。 - 請求項14に記載の外科用器具であって、
前記ホーンが前記固定プローブの内腔と連通している貫通内腔を含んでいる外科用器具。 - 請求項14に記載の外科用器具であって、
前記浮動プローブが前記固定プローブよりも長い外科用器具。 - 請求項14に記載の外科用器具であって、
前記浮動プローブが、前記固定プローブよりも短く且つ前記浮動プローブの振動中に前記固定プローブの末端を超えて伸長する外科用器具。 - 請求項14に記載の外科用器具であって、
前記自由質量から衝撃を受けるために、その基端において前記浮動プローブに固定されたカラーを更に含んでいる外科用器具。 - 請求項14に記載の外科用器具であって、
前記固定プローブによって導入された超音波周波数と前記低周波数の衝撃の振動との両方を変化させるために、前記アクチュエータを所望の周波数、パルスサイクル及びデューティサイクルで駆動するための発振器を更に含んでいる外科用器具。 - 請求項19に記載の外科用器具であって、
前記アクチュエータを含むためのハウジングであって、前記固定プローブと前記浮動プローブとを、前記固定プローブと前記浮動プローブとの末端から隔置された距離の位置で包囲している末端を有しているハウジングを更に含んでいる外科用器具。 - 請求項20に記載の外科用器具であって、
前記カラーと前記ハウジングの末端との間に設けられた付勢部材を更に含んでいる外科用器具。 - 請求項14に記載の外科用器具であって、
前記固定プローブと浮動プローブとが、前記ホーンから取り外し可能である外科用器具。 - 請求項22に記載の外科用器具であって、
複数の固定プローブと浮動プローブとを更に含んでいる外科用器具。 - 請求項23に記載の外科用器具であって、
前記複数の固定プローブのうちの選択された一つと前記複数の浮動プローブのうちの選択された一つとに応じて、前記固定プローブによって導入された超音波周波数と前記低周波数の衝撃の振動との両方を変化させるために、前記アクチュエータを所望の周波数、パルスサイクル及びデューティサイクルで駆動するための発振器を更に含んでいる外科用器具。 - 経皮的に結石を砕き又は骨に穴を開ける方法であって、
結石又は骨と係合するために同心状のプローブを経皮的に挿入するステップと、
結石又は骨を粉砕するために、前記同心状のプローブのうちの外側のプローブを低周波数で駆動するステップと、
破壊された結石又は骨を崩壊するために、前記同心状のプローブのうちの内側のプローブを高い周波数で駆動するステップと、
崩壊された結石又は骨を前記内側のプローブの内腔を介して吸引するステップと、を含む方法。 - 結石を砕き又は骨に穴を開けるための経皮的な外科用器具であって、
超音波周波数で振動を発生するためのアクチュエータと、
前記アクチュエータの振動を増幅するために前記アクチュエータに結合されているホーンと、
前記結石と係合し且つ該結石に超音波周波数を導くために前記ホーンに取り付けられた固定プローブと、
前記固定プローブと同心状に且つ該固定プローブの内側に配置され且つ前記固定プローブの内側を摺動可能である浮動プローブと、
前記アクチュエータの振動に応答して、結石に低周波数の衝撃をもたらすために前記ホーンと前記浮動プローブとの間に設けられてこれらの間で振動するための自由質量と、を含む外科用器具。 - 請求項1に記載の外科用器具であって、
前記アクチュエータが、前記ホーンに対する容量性作用を低減するための極性化されていない絶縁体によって構成されている外科用器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/334,486 US6875220B2 (en) | 2002-12-30 | 2002-12-30 | Dual probe |
PCT/US2003/039218 WO2004060141A2 (en) | 2002-12-30 | 2003-12-09 | Dual probe |
Publications (2)
Publication Number | Publication Date |
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JP2006512149A true JP2006512149A (ja) | 2006-04-13 |
JP4482458B2 JP4482458B2 (ja) | 2010-06-16 |
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Application Number | Title | Priority Date | Filing Date |
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JP2004565323A Expired - Fee Related JP4482458B2 (ja) | 2002-12-30 | 2003-12-09 | 二重プローブ |
Country Status (12)
Country | Link |
---|---|
US (1) | US6875220B2 (ja) |
EP (1) | EP1581125B1 (ja) |
JP (1) | JP4482458B2 (ja) |
CN (1) | CN100382769C (ja) |
AT (1) | ATE500788T1 (ja) |
AU (1) | AU2003297812A1 (ja) |
CA (1) | CA2539963C (ja) |
DE (1) | DE60336342D1 (ja) |
ES (1) | ES2363013T3 (ja) |
HK (1) | HK1088803A1 (ja) |
RU (1) | RU2334477C2 (ja) |
WO (1) | WO2004060141A2 (ja) |
Cited By (86)
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WO2012114977A1 (ja) * | 2011-02-23 | 2012-08-30 | オリンパスメディカルシステムズ株式会社 | 超音波プローブ及び超音波処置装置 |
JP2013519437A (ja) * | 2010-02-11 | 2013-05-30 | エシコン・エンド−サージェリィ・インコーポレイテッド | 回転可能なブレード及び中空のシース構成を有する超音波外科用器具 |
WO2013183715A1 (ja) * | 2012-06-06 | 2013-12-12 | オリンパスメディカルシステムズ株式会社 | 超音波処置装置 |
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Also Published As
Publication number | Publication date |
---|---|
US20040127925A1 (en) | 2004-07-01 |
HK1088803A1 (en) | 2006-11-17 |
ATE500788T1 (de) | 2011-03-15 |
ES2363013T3 (es) | 2011-07-18 |
CA2539963A1 (en) | 2004-07-22 |
WO2004060141A2 (en) | 2004-07-22 |
CN1756512A (zh) | 2006-04-05 |
EP1581125A4 (en) | 2009-08-05 |
DE60336342D1 (de) | 2011-04-21 |
EP1581125A2 (en) | 2005-10-05 |
US6875220B2 (en) | 2005-04-05 |
CA2539963C (en) | 2011-11-01 |
AU2003297812A8 (en) | 2004-07-29 |
CN100382769C (zh) | 2008-04-23 |
RU2005120731A (ru) | 2006-01-20 |
EP1581125B1 (en) | 2011-03-09 |
JP4482458B2 (ja) | 2010-06-16 |
WO2004060141A3 (en) | 2004-11-11 |
AU2003297812A1 (en) | 2004-07-29 |
RU2334477C2 (ru) | 2008-09-27 |
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