JP5813954B2 - コードレスで手持ち式の超音波焼灼切断装置 - Google Patents
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Description
簡潔に、本発明の例示的な実施例によると、連続的な超音波切断と焼灼が可能なコードレスで手持ち式の装置が開示されている。本発明は、電源と、制御回路と、駆動回路と、整合回路とを具え、すべてが超音波切断装置のハンドピース内に配置されており、すべてがバッテリの電圧で波形を操作および生成する。好適には、発明は構成要素を異なる装置間で取り替えまたは移動させることができる。
開示された実施例は、発明の単なる実施例にすぎず、様々な形態で具体化されうることを理解されたい。このため、本書に記載される特定の構造と機能の詳細は、限定として説明されず、単にクレームの根拠、および実質的に任意の適切な構造で、当業者に本発明を様々に使用するよう教示する手本の根拠として説明される。さらに、本書に用いられる用語と熟語は限定を意味せず、むしろ本発明の分かり易い記述を提供するものである。
ここに記載されているのは、本発明の一実施例による例示的な装置である。図3を参照すると、ブロック回路図は発明300を示し、これは、マイクロプロセッサ302と、クロック330と、メモリ326と、電源304(例えば、バッテリ)と、スイッチ306(例えば、MOSFET電力スイッチ)と、駆動回路308(PLL)と、変圧器310と、信号平滑回路312(整合回路とも言い、例えば、タンク回路にもなりうる)と、検出回路314と、トランスデューサ316と、導波管とを具え、この導波管は、超音波切断ブレード318で終端し、本書では、単に導波管318として言及される。本発明はまた、導波管318をカバーおよび支持するカニューレ320を含む。本書に用いられるように「導波管動作生成アセンブリ」は、少なくともトランスデューサ316を含むサブアセンブリであるが、駆動回路308(PLL)、変圧器310、信号平滑回路312および/または検出回路314といった他の構成要素も含むことができる。
図7は、トランスデューサ316のようなモデルトランスデューサ700の概略回路図であり、圧電材料を含む。圧電トランスデューサは、従来技術においてよく知られている。圧電材料の質量と剛性は、トランスデューサ内で機械的共振構造を作成する。圧電効果のため、これらの機械的な特性は、電気的に同等な性質として明示される。言い換えると、電気端部で見られる電気共振周波数は、機械共振周波数と等しい。図7に示されているように、トランスデューサ316の力学的質量,剛性,および減衰は、誘導/コイルL、コンデンサC2、および抵抗Rの直列配置によって表され、すべては、別のコンデンサC1と並列である。電気的に等価なトランスデューサモデル700は、結晶用の既知のモデルと極めてよく似ている。
図8は、トランスデューサ700の動電流iMを得る方法を理解するのに有用な発明回路800の概略回路図である。この回路800は、トランスデューサ700の回路要素のすべてを有し、図7のトランスデューサ700と並列してさらに架橋する容量素子CBを加える。しかしながら、CBの値は、C1/CBが所定の比率rと等しくなるよう選択されている。効率のため、CB用に選択された値は比較的低くあるべきである。これは、iMから流用された電流を制限する。可変電源VTは、回路800の接触子802と804にわたり提供され、容量素子CBを通る電流iBと、トランスデューサ700へと流れる電流iTと、コンデンサC1を通り流れる電流iCと、最終的に動電流iMとを生成する。これはその後iM=iT−r×iBを追随する。これは:
したがって、iC=r×iBおよび、等式iM=iT−iCにおいてiCを代用し、iM=iT−r×iBを導く。
図9は、本発明の別の実施例を示し、ここではトランスデューサ316は、抵抗素子R,誘導素子L、および容量素子C4の並列配置として概略で表されている。さらなる容量素子C3は、入力802と抵抗素子R、誘導素子L、および容量素子C4の並列配置間の直列配置にある。この並列配置モデルは、操作の「反共振」モードにおいて、トランスデューサの作用を設計し、これは実質的にわずかに異なる周波数で起こる。トランスデューサ電圧VTは、トランスデューサ316の入力端子802、804間にかけられる。このランスデューサ電圧VTは、抵抗素子R、誘導素子L、および容量素子C4の並列配置にわたり、容量素子C3および動電圧VMをわたる電圧VC間に分割される。導波管318を動かす働きをするのは、動電圧VMである。したがって、この例示的な実施例において、十分に調整されるべきものは動電圧である。
図10は、本発明の例示的な実施例による発明の回路構成1000の例示的な実施例を示す。この回路構成1000は、図9のトランスデューサ900を含み、それに3つのさらなる容量素子C5、C6、およびC7を加える。容量素子C5は図9のトランスデューサ回路900と直列であり、容量素子C6とC7は互いに直列であり、容量素子C5とトランスデューサ回路900の直列する組合せと並列である。
図13乃至図30は、図3の図に示されている発明の装置全体を保持および/または含むのに好適な様々な「ガン」タイプの装置1300、1800、2300の実施例を示す。さらに具体的に、図14の断面図に示されているように、超音波手術装置1300は、防水シール可能なバッテリ保持区画1422と、このバッテリ保持区画1422と電気接触している駆動波生成回路1420と、ハンドルの外側からアクセス可能であり、トランスデューサ1302を(図13において点線で表された)超音波導波管1310に開放可能に物理的に連結するよう操作可能なトランスデューサ取付ドック1404とを有し、この導波管は、導波管取付ドック1406を通じてハンドル1408に連結され、この導波管取付ドックは、超音波導波管1310を受け、この導波管をトランスデューサ1302に物理的に連結するよう配置される。
図18と図19は、本発明の別の例示的な実施例を示しており、ここではガン形状の外側本体1800は、図13と図14の外側本体1300とは異なる形状を有する。この外側本体1800は、より大きな上部部分1802を有して形成されている。この場合において、発電機、バッテリ、およびトランスデューサは、(本書では「超音波動作生成装置」として言及される)アセンブリとして、あるいは別個の構成要素として、外側本体1800の上部部分1802内に、防水の、シール可能な、コードレスの、超音波動作生成アセンブリ保持構成要素1904に挿入可能である。この構成要素1904の内側は、滅菌シール1801の助けにより、手術中、滅菌フィールドの外部のままである。この挿入は、図19の示されているように、開閉可能なドア1806と1906の使用を通じて実行される。閉じられるとき、ドア1806と1906は、ガン1800の外部環境から、ガン1800の内部をシールする。
[トランスデューサ]
Claims (22)
- 超音波手術用アセンブリにおいて、
再利用可能なコードレス超音波トランスデューサと、
ディスポーザブルのハンドル本体であって、
内部にバッテリ保持区画を規定しており、
超音波手術用導波管を具え、
前記トランスデューサから前記導波管に脱着可能に連結するよう操作可能であるハンドル本体とを具え、
前記トランスデューサは、前記ハンドル本体に着脱式に連結可能であり、前記超音波手術用アセンブリは、前記導波管の一部に動きを提供すべく、前記トランスデューサに取り付けられた導波管に沿って共振波をフィードバック制御により随時調整しながら提供し得ることを特徴とする超音波手術用アセンブリ。 - 請求項1に記載の超音波手術用アセンブリにおいて、さらに、前記バッテリ保持区画内に配置されるバッテリを具えることを特徴とする超音波手術用アセンブリ。
- 請求項2に記載の超音波手術用アセンブリにおいて、前記バッテリは、前記ハンドル本体に一体化されるか、前記ハンドル本体から脱着可能のいずれかであることを特徴とする超音波手術用アセンブリ。
- 請求項1に記載の超音波手術用アセンブリにおいて、前記導波管の回転により前記トランスデューサに対応する回転が生じるように、前記ハンドル本体が前記導波管と前記トランスデューサを回転可能に連結していることを特徴とする超音波手術用アセンブリ。
- 請求項1に記載の超音波手術用アセンブリにおいて、前記導波管は、前記ハンドル本体に回転可能に連結されるとともに、前記ハンドル本体から脱着交換可能であることを特徴とする超音波手術用アセンブリ。
- 請求項5に記載の超音波手術用アセンブリにおいて、前記導波管がディスポーザブルであることを特徴とする超音波手術用アセンブリ。
- 超音波手術用アセンブリであって、
超音波手術用導波管と、
再利用可能なコードレス超音波トランスデューサと、
バッテリと、
前記導波管およびトランスデューサと脱着可能に連結するよう操作可能なディスポーザブルのハンドル本体とを具え、前記トランスデューサが前記ハンドル本体から分離可能であり、前記超音波手術用アセンブリは、前記導波管の一部に動きを提供すべく、前記トランスデューサに取り付けられた導波管に沿って共振波をフィードバック制御により随時調整しながら提供し得ることを特徴とする超音波手術用アセンブリ。 - 請求項7に記載の超音波手術用アセンブリにおいて、
前記バッテリは、前記ハンドル本体に一体化されるか、前記ハンドル本体から脱着可能のいずれかであり、
前記ハンドル本体は、前記導波管の回転により前記トランスデューサに対応する回転が生じるように、前記導波管と前記トランスデューサを回転可能に連結しており、
前記導波管は、前記ハンドル本体に回転可能に連結されるとともに、前記ハンドル本体から脱着交換可能であることを特徴とする超音波手術用アセンブリ。 - 超音波手術用アセンブリであって、
近位の連結部を有するディスポーザブルの超音波導波管と、
前記近位の連結部に着脱式に連結可能な遠位の連結部を有する再利用可能なコードレス超音波トランスデューサと、
バッテリと、
内部に前記バッテリを脱着可能に収容する形状のバッテリ保持区画を規定するディスポーザブルのハンドル本体とを具え、当該ハンドル本体が:
周囲に露出され前記トランスデューサを交換可能に保持するよう形成されたトランスデューサドックと、
前記導波管が装着されたときに、前記遠位および近位の連結部を整列させて連結し、前記導波管と前記トランスデューサを前記ハンドル本体に保持する導波管取付ドックと、
前記ハンドル本体のディスポーザブルな駆動波生成回路であって、前記バッテリと前記トランスデューサを電気的に接触させ、前記トランスデューサが前記導波管に連結されたときに、前記トランスデューサを通じて前記導波管に沿って共振波をフィードバック制御により随時調整しながら提供して前記導波管の超音波動作を生じさせ得る生成回路とを具えることを特徴とする超音波手術用アセンブリ。 - 請求項9に記載の超音波手術用アセンブリにおいて、前記遠位と近位の連結部は、ねじ穴とねじロッドを具えることを特徴とする超音波手術用アセンブリ。
- 請求項9に記載の超音波手術用アセンブリにおいて、前記導波管は、前記ハンドル本体に縦に固定されていることを特徴とする超音波手術用アセンブリ。
- 請求項9に記載の超音波手術用アセンブリにおいて、前記導波管は、前記ハンドル本体に解放可能に連結されていることを特徴とする超音波手術用アセンブリ。
- 請求項9に記載の超音波手術用アセンブリにおいて、前記バッテリがディスポーザブルであることを特徴とする超音波手術用アセンブリ。
- 請求項9に記載の超音波手術用アセンブリにおいて、前記バッテリが再利用可能であり、さらに、前記ハンドル本体のバッテリ保持区画部分に可動に取り付けられた区画ドアを具え、当該ドアが:
前記バッテリ保持区画に前記バッテリの出し入れがそれぞれ可能な開位置と、
前記バッテリ保持区画を周囲から無菌閉塞する閉位置とを有することを特徴とする超音波手術用アセンブリ。 - 請求項9に記載の超音波手術用アセンブリにおいて、
前記トランスデューサドックは、内部に前記導波管を回転可能に接続するよう動作可能であり、
前記取付ドックと前記トランスデューサドックは、前記導波管と前記トランスデューサを直接的、物理的に結合するよう形成および配置され、前記導波管が回転すると前記ハンドル本体に対する前記トランスデューサの対応する回転を生じさせることを特徴とする超音波手術用アセンブリ。 - 請求項15に記載の超音波手術用アセンブリにおいて、前記導波管ドックは、前記ハンドル本体に対する内部の導波管の最大回転量を制限するよう動作可能であることを特徴とする超音波手術用アセンブリ。
- 請求項15に記載の超音波手術用アセンブリにおいて、前記トランスデューサドックは、前記ハンドル本体に対する内部のトランスデューサの最大回転量を制限するよう動作可能であることを特徴とする超音波手術用アセンブリ。
- 請求項9に記載の超音波手術用アセンブリにおいて、前記ハンドル本体がハンドグリップを具え、前記バッテリ保持区画は前記ハンドグリップ内にあることを特徴とする超音波手術用アセンブリ。
- 請求項9に記載の超音波手術用アセンブリにおいて、さらに、前記ハンドル本体に連結接続されて、前記導波管、前記トランスデューサ、前記バッテリ、前記生成回路、および前記ハンドル本体のうちの1以上についての情報の少なくとも一部を伝達するよう動作可能なデバイス識別部を具えることを特徴とする超音波手術用アセンブリ。
- 請求項19に記載の超音波手術用アセンブリにおいて、前記情報の少なくとも一部は、導波管の識別子、以前に使用した導波管の情報リスト、トランスデューサの識別子、以前に使用したトランスデューサの情報リスト、バッテリの識別子、以前に使用したバッテリの情報リスト、バッテリ状態、ハンドルの識別子、および以前に使用したハンドルの情報リスト、のうちの少なくとも1つであることを特徴とする超音波手術用アセンブリ。
- 請求項20に記載の超音波手術用アセンブリにおいて、前記デバイス識別部は、前記バッテリが前記バッテリ保持区画にあるときに前記バッテリと通信するよう動作可能であることを特徴とする超音波手術用アセンブリ。
- 請求項9に記載の超音波手術用アセンブリにおいて、前記ハンドル本体が、前記バッテリ保持区画内のバッテリの少なくとも一部をそこから排出するよう動作可能なバッテリイジェクタを前記バッテリ保持区画に具えることを特徴とする超音波手術用アセンブリ。
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