JP4801220B2 - 治療処置装置および治療用処置具 - Google Patents

治療処置装置および治療用処置具 Download PDF

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Publication number
JP4801220B2
JP4801220B2 JP2010527275A JP2010527275A JP4801220B2 JP 4801220 B2 JP4801220 B2 JP 4801220B2 JP 2010527275 A JP2010527275 A JP 2010527275A JP 2010527275 A JP2010527275 A JP 2010527275A JP 4801220 B2 JP4801220 B2 JP 4801220B2
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energy
tissue
unit
holding
treatment
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Expired - Fee Related
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JP2010527275A
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Japanese (ja)
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JPWO2010084683A1 (ja
Inventor
智美 坂尾
浩司 飯田
原理 稲垣
智之 高篠
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Olympus Medical Systems Corp
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Olympus Medical Systems Corp
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • A61B18/085—Forceps, scissors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00827—Current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00869—Phase
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00892—Voltage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1475—Electrodes retractable in or deployable from a housing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
JP2010527275A 2009-01-21 2009-12-22 治療処置装置および治療用処置具 Expired - Fee Related JP4801220B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US12/356,767 2009-01-21
US12/356,767 US20100185196A1 (en) 2009-01-21 2009-01-21 Medical treatment apparatus, treatment instrument and treatment method for living tissue using energy
PCT/JP2009/071275 WO2010084683A1 (ja) 2009-01-21 2009-12-22 治療処置装置および治療用処置具

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2011120738A Division JP2011218182A (ja) 2009-01-21 2011-05-30 治療処置装置および治療用処置具

Publications (2)

Publication Number Publication Date
JP4801220B2 true JP4801220B2 (ja) 2011-10-26
JPWO2010084683A1 JPWO2010084683A1 (ja) 2012-07-12

Family

ID=42337533

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2010527275A Expired - Fee Related JP4801220B2 (ja) 2009-01-21 2009-12-22 治療処置装置および治療用処置具
JP2011120738A Pending JP2011218182A (ja) 2009-01-21 2011-05-30 治療処置装置および治療用処置具

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2011120738A Pending JP2011218182A (ja) 2009-01-21 2011-05-30 治療処置装置および治療用処置具

Country Status (5)

Country Link
US (1) US20100185196A1 (https=)
EP (1) EP2380515A4 (https=)
JP (2) JP4801220B2 (https=)
CN (1) CN102292045B (https=)
WO (1) WO2010084683A1 (https=)

Cited By (1)

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US9895160B2 (en) 2014-04-16 2018-02-20 Gyrus Acmi Inc. Surgical operating apparatus with temperature control

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US8500735B2 (en) * 2008-04-01 2013-08-06 Olympus Medical Systems Corp. Treatment method for living tissue using energy
US8500736B2 (en) * 2008-04-01 2013-08-06 Olympus Medical Systems Corp. Treatment method for living tissue using energy
EP2745793B1 (en) * 2011-12-12 2016-02-24 Olympus Corporation Treatment system
JP5412602B2 (ja) * 2011-12-12 2014-02-12 オリンパスメディカルシステムズ株式会社 処置システムおよび処置システムの作動方法
WO2013088892A1 (ja) * 2011-12-12 2013-06-20 オリンパスメディカルシステムズ株式会社 処置システム及び処置システムの制御方法
EP2946737A1 (en) * 2012-03-19 2015-11-25 Olympus Medical Systems Corp. Grasping treatment device
JP5572772B2 (ja) * 2012-04-20 2014-08-13 オリンパスメディカルシステムズ株式会社 手術装置
EP2801333A4 (en) * 2012-04-20 2015-10-14 Olympus Medical Systems Corp SURGICAL DEVICE
US9072524B2 (en) 2012-06-29 2015-07-07 Covidien Lp Surgical forceps
US9039691B2 (en) 2012-06-29 2015-05-26 Covidien Lp Surgical forceps
EP2891464A4 (en) * 2012-11-09 2016-04-27 Olympus Corp THERAPEUTIC AGENT AND THERAPEUTIC PROCESS
JP5988868B2 (ja) * 2012-12-27 2016-09-07 オリンパス株式会社 治療用処置装置
JP5677633B2 (ja) * 2013-01-10 2015-02-25 学校法人慶應義塾 手術用高周波電気外科用処置具と手術用高周波電気外科用システム
JP5988885B2 (ja) * 2013-01-30 2016-09-07 オリンパス株式会社 治療用処置装置
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US10231776B2 (en) 2014-01-29 2019-03-19 Covidien Lp Tissue sealing instrument with tissue-dissecting electrode
CN106132331B (zh) * 2014-08-26 2018-10-26 奥林巴斯株式会社 电外科处置系统
US9877777B2 (en) 2014-09-17 2018-01-30 Covidien Lp Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly
US9931158B2 (en) 2014-09-17 2018-04-03 Covidien Lp Deployment mechanisms for surgical instruments
US9987076B2 (en) 2014-09-17 2018-06-05 Covidien Lp Multi-function surgical instruments
US9918785B2 (en) 2014-09-17 2018-03-20 Covidien Lp Deployment mechanisms for surgical instruments
US10080605B2 (en) 2014-09-17 2018-09-25 Covidien Lp Deployment mechanisms for surgical instruments
US9687294B2 (en) 2014-11-17 2017-06-27 Covidien Lp Deployment mechanism for surgical instruments
US9687293B2 (en) 2014-11-17 2017-06-27 Covidien Lp Deployment mechanism for surgical instruments
US9814517B2 (en) 2014-11-17 2017-11-14 Covidien Lp Deployment mechanisms for multi-function surgical instruments
US9867656B2 (en) 2014-11-17 2018-01-16 Covidien Lp Multi-function surgical instruments
US9814516B2 (en) 2014-11-17 2017-11-14 Covidien Lp Deployment mechanisms for multi-function surgical instruments
US9724153B2 (en) 2014-11-17 2017-08-08 Covidien Lp Deployment mechanisms for surgical instruments
US10478245B2 (en) 2014-12-10 2019-11-19 Covidien Lp Energizable attachment for surgical devices
DE112015006004T5 (de) * 2015-02-27 2017-10-26 Olympus Corporation Medizinische Behandlungsvorrichtung, Verfahren zum Bedienen einer medizinischen Behandlungsvorrichtung und Behandlungsverfahren
US10206736B2 (en) 2015-03-13 2019-02-19 Covidien Lp Surgical forceps with scalpel functionality
USD844138S1 (en) 2015-07-17 2019-03-26 Covidien Lp Handle assembly of a multi-function surgical instrument
USD844139S1 (en) 2015-07-17 2019-03-26 Covidien Lp Monopolar assembly of a multi-function surgical instrument
CN107106232B (zh) * 2015-07-24 2019-10-08 奥林巴斯株式会社 能量处置系统、能量控制装置以及能量处置器具
US10537381B2 (en) 2016-02-26 2020-01-21 Covidien Lp Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly
WO2018078797A1 (ja) * 2016-10-28 2018-05-03 オリンパス株式会社 医療用処置装置、及び医療用処置装置の作動方法
US11154348B2 (en) 2017-08-29 2021-10-26 Covidien Lp Surgical instruments and methods of assembling surgical instruments
US11123132B2 (en) 2018-04-09 2021-09-21 Covidien Lp Multi-function surgical instruments and assemblies therefor
CN108523985B (zh) 2018-04-23 2024-05-07 南微医学科技股份有限公司 一种多功能高频电切开刀
US10828756B2 (en) 2018-04-24 2020-11-10 Covidien Lp Disassembly methods facilitating reprocessing of multi-function surgical instruments
US11896291B2 (en) 2018-07-02 2024-02-13 Covidien Lp Electrically-insulative shafts, methods of manufacturing electrically-insulative shafts, and energy-based surgical instruments incorporating electrically-insulative shafts
JP7459311B2 (ja) * 2021-01-25 2024-04-01 オリンパスメディカルシステムズ株式会社 処置具

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JP2002306506A (ja) * 2001-04-19 2002-10-22 Asahi Optical Co Ltd 内視鏡用バイポーラ高周波処置具
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JP2002306506A (ja) * 2001-04-19 2002-10-22 Asahi Optical Co Ltd 内視鏡用バイポーラ高周波処置具
JP2005534451A (ja) * 2002-08-07 2005-11-17 アドバンスト メディカル アプリケーションズ インコーポレーテッド 超音波創傷清浄化装置及び方法
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JP2008212679A (ja) * 2007-02-28 2008-09-18 Olympus Medical Systems Corp 手術用処置装置

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9895160B2 (en) 2014-04-16 2018-02-20 Gyrus Acmi Inc. Surgical operating apparatus with temperature control

Also Published As

Publication number Publication date
US20100185196A1 (en) 2010-07-22
EP2380515A1 (en) 2011-10-26
CN102292045A (zh) 2011-12-21
WO2010084683A1 (ja) 2010-07-29
CN102292045B (zh) 2015-03-18
EP2380515A4 (en) 2013-10-23
JPWO2010084683A1 (ja) 2012-07-12
JP2011218182A (ja) 2011-11-04

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