JP2007195993A - 可変速度モータを有するハンドピースを備えており、ハンドピース速度に応じてハンドピースモータの消費電流をカスタム調整できる電動外科用器具システム - Google Patents
可変速度モータを有するハンドピースを備えており、ハンドピース速度に応じてハンドピースモータの消費電流をカスタム調整できる電動外科用器具システム Download PDFInfo
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Abstract
【解決手段】本発明は、電動外科用ハンドピースはアタッチメントを駆動するモータと制御信号を発するスイッチとモータに関するデータを有するメモリとを備え、制御卓は、モータがメモリに記載の最高速度を超えた速度で作動しないように制御信号に基づきモータの速度を調整し、モータ速度と個々の速度で許容されるモータ最大許容電流を表すメモリ内のデータとに基づいてモータが消費する最大許容電流を計算し、モータ消費電流と最大許容電流との比較により最大許容電流を越える電流をモータが消費したと示される場合には、モータへの付勢信号付与を調整するように構成されたことを特徴とする。
【選択図】図1
Description
本発明の電動外科用機器システムは、各ハンドピースの操作パラメータに関する情報がハンドピース内のメモリの中に保存されるように構成されている。システムが初期設定されるとき、制御卓は、このデータを読み出し、適正な付勢信号をハンドピースに供給するよう構成する。従って、本発明のシステムは、付勢信号を低速から高速までで回転でき、異なる電力規定を有するモータのついたハンドピースに送るのに使用することができる単体の制御卓を提供することができ、そのような広い範囲の機器に使用できる単体の制御卓を提供することができることにより、複数の制御卓を準備しなければならないことによるコストや手術室の混乱を除去することができる。
また、制御卓は、ハンドピースの内部のモータを作動させるのに必要な付勢信号を供給するだけでなく、ハンドピースへ直接駆動付勢信号を送ることができる。これにより、さらに、システムに組みこむことができるハンドピースの数や種類が増え、さらに、準備しなければならない追加の制御卓の数を減らすことができる。
さらに、制御卓は、ハンドピースの内部のメモリを読み出すことによって、自動的にハンドピースのモータが駆動されるべき最高速度とハンドピースが消費することができる電流に関する制限値を確立する。これにより、人間の過ちによって、制御卓をモータの過励振やハンドピースによる過度の電流の消費につながる付勢信号を加える結果となるように構成してしまう可能性をなくすことができる。
図1は、本発明における一体構造の外科用器具システムの基本的な構成要素を表したものである。
図2は、一体構造の外科用器具システムの一部として採用できる一つのハンドピースの断面図である。
図3は、ハンドピースモータの内部にある構成要素の組立分解図である。
図4は、フレックス回路がハンドピースの後部外郭の中にどのように収容されているかを表した底面図である。
図5Aは、ハンドピースに付勢信号を送るために使用し、ハンドピースと制御卓の間で交換する制御信号のための線渠として働く基本的なケーブルの断面図である。
図5Bは、図5に示すケーブル内に位置する一本のモータ用導体の詳細を表す断面図である。
図6は、着脱式ハンドスイッチがどのようにハンドピースに取り付けられているかを示す、組立分解図である。
図7は、着脱式ハンドスイッチを形成する構成要素の組立分解図である。
図8は、着脱式ライト‐アンド‐ウォータクリップがどのようにハンドピースに取り付けられているかを示す組立分解図である。
図9は、図8のライト‐アンド‐ウォータクリップを形成している構成要素を表した組立分解図である。
図10は、図9のライト‐アンド‐ウォータクリップとともに使用する制御ケーブルの断面図である。
図11は、図10で使用した制御ケーブルの制御卓端部のプラグの断面図である。
図12は、図10のケーブルがハンドピースとライト‐アンド‐ウォータクリップにどのように接続されているかを表した断面図である。
図12Aは、ケーブルとライト‐アンド‐ウォータクリップとの間の電気接続を表した断面図である。
図12Bは、ケーブルとライト‐アンド‐ウォータクリップとの間の水系統の連結を表した断面図である。
図13は、ハンドピース内の不揮発性メモリに保存されたデータのブロック図である。
図14は、ハンドピース内のモータの最大トルクがハンドピースの速度の関数としてどのように変化するかを表した図である。
図15は、ハンドピース内の読み出し/書き込みメモリの中のデータフィールドを表す図である。
図16は、一体化構造の器具システムの制御卓内で制御回路を形成する要素の基本的なブロック図を形成するためには、16Aと16Bをどのように組み立てればよいかを表した青写真である。
図17は、制御回路の主要プロセッサの主要な構成要素のブロック図を形成するためには図17Aおよび17Bをどのように組み立てればよいかを表した青写真である。
図18A、18Bおよび18Cは、制御回路のハンドピースインターフェースを形成する構成要素の略図である。
図19は、制御回路の表示装置−入力/出力制御装置のブロック図を形成するには、図19Aと図19Bをどのように組立てればよいかを表したブロック図である。
図20は、制御回路のモータ制御装置と電流検出回路のブロック図を形成するためには、図20Aと図20Bとをどのように組み立てればよいかを表したブロック図である。
図21は、制御回路のモータ駆動装置の略図である。
図22は、主要制御装置内のマイクロプロセッサによってアクセスするメモリのブロック図であり、システムの操作中にマイクロプロセッサが選択的に実行するモジュールを表したものである。
図23は、主要モジュール内に含まれた命令に基づいて、主要制御装置内のマイクロプロセッサが実行する主要処理ステップのフローチャートである。
図24は、システムを初期設定するときに制御卓が表示する、サインオン画面の画像の図である。
図25は、ハンドピースのモータ用の過電流制限超過タイムアウト時間がハンドピースの現行の動作速度の関数としてどのように変化するかを表したグラフである。
図26は、システムが初期設定された後、少なくとも一つのハンドピースが制御卓の中に差し込まれた時、すなわち、システムが初期設定されたときに制御卓が表示する最初の使用者の時間画像を表した図である。
図27は、相補形のハンドピースが制御卓に取り付けられていない状態のケーブルがあるときに、制御卓が表す、ケーブルのみ/ハンドピースが接続されていません(cable only / no handpiece connected)という画像を示しており、それぞれがケーブルの作動における関心事を表している。
図28は、速度設定モジュールに含まれる命令に基づいて主要制御装置内でマイクロプロセッサが実行する処理ステップのフローチャートである。
図29は、電流設定モジュール内に含まれる命令に基づいて主要制御装置内でマイクロプロセッサが実行する処理ステップのフローチャートである。
図30は、ハンドピースが作動したときに制御卓が表示する実行時間の画像を表したものである。
図31は、制御卓が表示する外科医のセレクタの図である。
図32は、ハンドピースメモリの中に呈示することができる一組の付属品ヘッドのデータフィールドを表したブロック図である。
図33は、本発明の外科用器具システムの一部として採用することができる代替のハンドピースの斜視図である。
図34は、図33に示したハンドピースの組立分解図である。
図35は、図33に示したハンドピースの断面図である。
図36は、図33に示したハンドピースを部分的に分解した、前面端部の図である。
図37は、図33に示したハンドピースで採用している磁気スライドの側面図である。
図38は、図33に示したハンドピースのトリムスリーブの斜視図である。
図39は、取り付けたハンドピースがロック状態から解放状態に、そして再びロック状態に移るときにシステムが実行するプロセスステップのフローチャートである。
ライト‐アンド‐ウォータークリップ45の前部外郭246は主台枠270と主台枠上にスナップ形式で取り付ける相補形のカバー272とを有する。主台枠270は、ハンドピース33上にスナップ形式ではめ込むような寸法のおおむねC字型の締付け部材274を有する形状である。締付け部材274にはヘッドピース276が取り付けてある。ヘッドピース276上には外郭カバーがスナップ形式ではめ込まれており、その間に搬送管244の前端部を固定しやすいように構成してある。ヘッドピース276には、電球248を収容する第1の孔278が形成されている。(搬送管内の電球248と導体268との間の接続は図示されていない。)電球248の回りには電球が生成する熱が放射されないように防ぐための熱シールド280が取り付けてある。
ここで、xは、装置AまたはBが生成した信号のディジタル化したバージョンである。
結果のyは、制御卓の内部のダウンライン処理モジュールが使用する。
フィールド372と378には、係数“a”を表すデータが含まれる;すなわち、フィールド374および380には、係数“b”を表すデータが含まれる;そして、フィールド380および382には、係数“c”を表すデータが含まれる。従って、フィールド372〜382内のデータは、個々の装置の出力特性における差によって起こる、ハンドピース装置が生成する信号の標準値からの偏差に対する不等一次修正のための係数を提供する。
で提供する。
付勢信号の初回の生成を制御するために反復されるRESET(RST)およびENABLE(ENB)信号;付勢信号が生成されるべきシーケンスを調整する
およびマイクロプロセッサ518が、ハンドピース32内のモータ52を減速しやすくする付勢信号を生成する必要があると判断した時にアクティブにされるBRAKE(BRK)信号が含まれている。
の状態で確認する。伝送制御装置のハンドピース32に向いた側には、二本の同一の信号経路があり、その中を通って保存したデータを含むHP_RECx信号がマイクロプロセッサまで供給される。それぞれの信号経路には、+5VDC電圧供給源に接続されたプルアップ抵抗器566が設けられている。逆偏向ジーナー・ダイオードとして略図で示してあるサージサプレッサ568が抵抗器566の間に位置しており、過電圧がハンドピース32または33にかからないように防ぐ。
の関数である。
によって制御される。このコレクタ出力信号は、例えば、抵抗器626aおよび627aの接続点に送られ、FET616aのゲートの電圧を元の電圧より下に下げてFETをオンにする。従って、マイクロプロセッサ518によってLIGHT_CONROL信号をアクティブにすることにより、信号が印加されるFET616aまたは616bが周期的にオンとオフに切り替わる。FET616aまたは616bを周期的にオンにすることにより、付勢電圧が付属のライト‐アンド‐ウォータークリップの電球248に印加される。
表示装置入力/出力制御装置512について、図19Aおよび19Bに基づいて説明する。まず、タッチスクリーン表示装置37は、表示画面652と、その表示画面上にはめ込んだ透明なタッチスクリーン653の両方を含むということを認識しておく必要がある。表示画面652は、外科医が見る画像を作成する表示装置37の一部である。本発明のある形態では、表示画面652は、液晶表示装置である。プロセッサは、表示装置と一体構造であり、表示装置内の電極の付勢を制御し、希望の画像を表示する(プロセッサと電極は図示していない)。タッチスクリーン653は、外科医が選択的に接触して制御卓36内に指示および承認を入力するスイッチ表面を有する表示装置の要素である。タッチスクリーン653には、可変コンデンサスイッチなどのような画像を表示画面652上に表示することによって視覚的に形成された、透明で圧力または熱に敏感なスイッチを多数含んでいる。
BRAKE、RESETおよびENABLE信号はモータ制御チップ686に印加される。モータ制御チップ686は、
の状態を利用して、ハンドピースのモータ52が回転すべき方向を決定する。BRAKE信号がモータ制御チップ686に印加されることにより、チップ686は、ハンドピースのモータ52の回転子56に磁界による減速を引き起こさせるために巻線へ送る信号をアクティブにする。RESETおよびENABLE信号をモータ制御チップ686に印加して、モータ52の回転を起動する。RESETおよびENABLE信号の状態に基づき、モータ制御チップ686は、回転子60を完全に停止した状態から加速するのに必要な、初期のMOTOR_POWERとアースを接続せしめる信号をアクティブにする。
によって制御される。継電器746は、
がアクティブにされない限り、開状態になるように構成されている。導体744は、個々の継電器748を介して対応するソケット接点に接続されている。継電器748は、
がアクティブにされたときにのみ閉じる。
図21を見るとわかるように、モータ駆動装置および電流感知回路510の電流感知部分では、FET732のドレーンとアースの間に抵抗器754が接続されている。抵抗器754は、電流測定抵抗器として機能し、巻線が消費する電流を測定するときに通る。抵抗器754の両端の電圧は、ISENSE+およびISENSE−信号として測定する。
を否定またはアクティブにする。
32・33 電動外科用ハンドピース
34・35 アタッチメント
36 制御卓
37 表示装置
39 ハンドスイッチ
40 ポンプ
41 水源
46 足踏スイッチ組立体
50 モータハウジング
52 モータ
68 カップリング組立体
72・74 記憶装置(メモリ)
Claims (9)
- アタッチメントを駆動する電動外科用ハンドピースであって、このアタッチメントを駆動するため付勢信号により駆動される可変速度モータを備えたハンドピースを設け、
制御信号を発する前記モータ速度調節用のスイッチを設け、
前記ハンドピースに一体化した不揮発性メモリであって、前記モータの最高速度と、個々の速度においてモータが消費すべき最大電流とを表すデータを有する不揮発性メモリを設け、
付勢信号を前記モータに付与するよう前記ハンドピースに連結するとともに前記メモリからデータを読むために前記メモリに連結し、また前記制御信号を受け取るため前記スイッチに連結した制御卓を設け、
この制御卓は、前記モータが前記メモリに記載の最高速度を超えた速度で作動しないように前記制御信号に基づき前記モータの速度を調整し、
前記モータの速度を監視し、
前記モータが消費する電流を監視し、
前記制御信号および前記モータの速度に基づき前記モータに付勢信号を付与し、
前記モータ速度と個々の速度で許容されるモータ最大許容電流を表す前記メモリ内のデータとに基づいて前記モータが消費する最大許容電流を計算し、
前記モータが消費した電流と前記最大許容電流とを比較し、
そして前記モータ消費電流と前記最大許容電流との比較により前記モータが駆動する速度で許容される最大許容電流を越える電流を前記モータが消費したと示される場合には、前記モータへの付勢信号付与を調整するように構成されたことを特徴とする電動外科用器具システム。 - 前記メモリは、個々のモータ速度における前記モータの最大トルクを表すデータを含む第1セットのデータフィールドと、前記モータのトルク−電流関係係数を含む第2セットのデータフィールドとを含み、
前記制御卓は、前記モータの速度と前記モータの最大トルクを表す前記メモリ内のデータとに基づき前記モータの最大許容トルクを決定するとともに、前記モータの最大許容トルクと前記モータの前記トルク−電流関係係数とに基づいて前記モータの最大許容電流を計算することにより前記モータの最大許容電流を計算するように構成して設けたことを特徴とする請求項1に記載の電動外科用器具システム。 - 前記スイッチは、前記ハンドピース外に位置する制御メンバと、前記ハンドピース内に位置するスイッチセンサとを有しており、
前記制御メンバは、前記スイッチセンサに対して移動可能であり、
前記スイッチセンサは、前記制御メンバの前記スイッチに対する相対位置に応じた制御信号を発するように設け、
前記メモリは、前記制御信号を補正する一セットの係数を有しており、
前記制御卓は、さらに前記スイッチセンサからの前記制御信号と前記制御信号補正係数とに基いた補正制御信号を発し、前記補正制御信号とモータ速度とに基いて付勢信号を前記モータに付与するように構成して設けたことを特徴とする請求項1または請求項2に記載の電動外科用器具システム。 - 前記メモリは、前記ハンドピース内に配設したことを特徴とする請求項1、請求項2、または請求項3に記載の電動外科用器具システム。
- ハウジングを設け、
このハウジング内にはアタッチメントを駆動するため付勢信号により駆動される可変速度モータを設け、
前記アタッチメントを前記モータに連結するカップリング組立体を設け、
前記ハンドピースに一体化したメモリであって、前記モータに付与される付勢信号の性質を記載したデータを含有するメモリを設け、このデータは、モータが駆動すべき最高速度、および個々の速度においてモータが消費すべき最大電流を表すことを特徴とする電動外科用ハンドピース。 - 前記メモリは、個々の速度における前記モータ最大許容トルクを表すデータと、前記モータのトルク−電流消費関係を表すデータとを含むことを特徴とする請求項5に記載の電動外科用ハンドピース。
- 前記メモリは、前記ハウジング内に設けたことを特徴とする請求項5または請求項6に記載の電動外科用ハンドピース。
- 本体と、
この本体内に設けた動力発生ユニットと、
前記本体に連通しており、前記動力発生ユニットが発生した動力を手術部位に与えるため前記動力発生ユニットに連結したアタッチメントと、
前記本体に取り外し可能に装着されるように少なくとも部分的に前記本体を包囲する静止部材と、
前記静止部材に可動的に取り付けられており、被検出部材を有するスイッチ要素と、
前記被検出部材のセンサに対する近さを監視するとともに前記被検出部材の近さに応じて可変センサ信号を出力するように構成した、前記本体内に設けたセンサと、を設けたことを特徴とする外科用ハンドピース。 - 複数の外科用ハンドピースを駆動する制御卓であって、
各外科用ハンドピースは、与えられる付勢信号により作動する動力発生ユニットと、付勢信号の性質を記載するメモリとを設け、
前記制御卓は、各外科用ハンドピースが同時にそこに連結される複数のソケットと、
このソケットを介して外科用ハンドピースの動力発生ユニットに付勢信号を供給するパワーサプライと、
前記ソケットを介してハンドピース内のデータを検索する制御プロセッサとを設け、
前記制御プロセッサは、ハンドピースメモリからの検索データに基づいて前記パワーサプライが各ハンドピースの動力発生ユニットに付勢信号を供給するように、前記パワーサプライに連結して付勢信号供給を調整することを特徴とする制御卓。
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US08/689,866 US6017354A (en) | 1996-08-15 | 1996-08-15 | Integrated system for powered surgical tools |
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JP2007040406A Expired - Lifetime JP4895856B2 (ja) | 1996-08-15 | 2007-02-21 | 可変速度モータを有するハンドピースを備えており、ハンドピース速度に応じてハンドピースモータの消費電流をカスタム調整できる電動外科用器具システム |
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Also Published As
Publication number | Publication date |
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WO1998006338A3 (en) | 1998-06-11 |
US7998157B2 (en) | 2011-08-16 |
EP2210565A3 (en) | 2011-07-27 |
US6017354A (en) | 2000-01-25 |
US20040225310A1 (en) | 2004-11-11 |
WO1998006338A2 (en) | 1998-02-19 |
JP2001500031A (ja) | 2001-01-09 |
JP2012035088A (ja) | 2012-02-23 |
EP2210565A2 (en) | 2010-07-28 |
US20080114388A1 (en) | 2008-05-15 |
US6329778B1 (en) | 2001-12-11 |
US6752816B2 (en) | 2004-06-22 |
EP1674039A2 (en) | 2006-06-28 |
US7517351B2 (en) | 2009-04-14 |
EP0929262A2 (en) | 1999-07-21 |
EP2210565B1 (en) | 2012-07-25 |
US8653919B2 (en) | 2014-02-18 |
US6090123A (en) | 2000-07-18 |
US20020087179A1 (en) | 2002-07-04 |
US20110266124A1 (en) | 2011-11-03 |
JP4118339B2 (ja) | 2008-07-16 |
EP1674039A3 (en) | 2009-03-18 |
JP4895856B2 (ja) | 2012-03-14 |
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