JP6189457B2 - マルチモード振動砕石器 - Google Patents
マルチモード振動砕石器 Download PDFInfo
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- JP6189457B2 JP6189457B2 JP2015555454A JP2015555454A JP6189457B2 JP 6189457 B2 JP6189457 B2 JP 6189457B2 JP 2015555454 A JP2015555454 A JP 2015555454A JP 2015555454 A JP2015555454 A JP 2015555454A JP 6189457 B2 JP6189457 B2 JP 6189457B2
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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
- A61B17/22—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
-
- 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
-
- 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- 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
- A61B2017/22005—Effects, e.g. on tissue
- A61B2017/22011—Combined types of vibration, e.g. ultrasonic and electrohydraulic
-
- 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
- A61B2017/22014—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 the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
-
- 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
- A61B2017/22079—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 with suction of debris
-
- 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
- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/320073—Working tips with special features, e.g. extending parts probe
-
- 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
- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/32008—Working tips with special features, e.g. extending parts preventing clogging of suction channel
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Vascular Medicine (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
Description
[0001]本出願は、2013年5月9日に出願された米国仮特許出願番号61/821,518の利益を主張し、その内容の全体が参照によりここに組み込まれる。
T=Kp(θ2−θ1)+Kd(ω2−ω1)
ここで、Tは導波シャフト220を介して結石66に提供されるトルクであり、Kpは比例ゲインであり、θ2は1ループにおけるロータ最終角度位置であり、θ1は1ループにおける初期ロータ角度位置であり、Kdは微分ゲインであり、ω2は1ループにおけるロータの最終角速度であり、ω1は1ループにおけるロータの初期角速度である。ω2=dθ2/dtであり、ω1=dθ1/dtである。
Claims (6)
- 尿路結石を破砕するための砕石器であって、
超音波周波数を有する超音波波形を生成するように構成される超音波ドライバと、
可聴周波数を有する可聴波形を生成するように構成された可聴ドライバであって、前記可聴ドライバは、前記超音波ドライバに機械的に結合される、可聴ドライバと、
ドライバハウジングであって、前記超音波ドライバと前記可聴ドライバの全体とは、前記ドライバハウジング内に配置される、ドライバハウジングと、
少なくとも一つの尿路結石に前記超音波波形及び前記可聴波形を伝達するための導波管シャフトであって、前記超音波ドライバ及び前記可聴ドライバの少なくとも一つにより生成される前記波形を伝達する、導波管シャフトと、
前記ドライバハウジングの一方の端部と前記可聴ドライバとの間に配置される第1バネ及び前記ドライバハウジングの他方の端部と前記超音波ドライバとの間に配置される第2バネと、を有する、砕石器。 - 請求項1に記載された砕石器において、
前記可聴ドライバは、電磁線形ドライバである、砕石器。 - 請求項2に記載された砕石器において、
前記超音波ドライバ及び前記可聴ドライバは、前記ドライバハウジング内に直列で配置される、砕石器。 - 請求項1に記載された砕石器において、
さらに、前記少なくとも一つの尿路結石のサイズを検知するための結石サイズ検知器を有し、
前記結石サイズ検知器は、光学検知器及び超音波エコー検知器の少なくとも一つを有し、
前記砕石器は、前記結石サイズ検知器によって検知された前記尿路結石の前記サイズに基づき選択された周波数で前記可聴波形を提供するよう前記可聴ドライバを設定するように構成され、
前記少なくとも一つの尿路結石が直径で約10ミリメートルより大きい場合、前記砕石器は第1の周波数で前記可聴波形を提供するように前記可聴ドライバを設定するように構成され、
前記少なくとも一つの尿路結石が直径で約2ミリメートルより大きく直径で約10ミリメートル以下である場合、前記砕石器は第2の周波数で前記可聴波形を提供するよう前記可聴ドライバを設定するように構成され、
前記少なくとも一つの尿路結石が直径で約2ミリメートル以下である場合、前記砕石器は第3の周波数で前記可聴波形を提供するよう前記可聴ドライバを設定するように構成される、砕石器。 - 請求項4に記載された砕石器において、
さらに、前記超音波波形をゲートするように構成される脈動装置を有する、砕石器。 - 請求項1から5のいずれか一項に記載された砕石器において、
前記導波管シャフトは、前記ドライバハウジングの外部に突出した部分を有し、
前記導波管シャフトの前記突出した部分は単一の導波管シャフトから構成される、砕石器。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361821518P | 2013-05-09 | 2013-05-09 | |
US61/821,518 | 2013-05-09 | ||
PCT/US2014/037515 WO2014183048A1 (en) | 2013-05-09 | 2014-05-09 | Multi-mode oscillating lithotripter |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017144417A Division JP6539311B2 (ja) | 2013-05-09 | 2017-07-26 | マルチモード振動砕石器 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2016504171A JP2016504171A (ja) | 2016-02-12 |
JP6189457B2 true JP6189457B2 (ja) | 2017-08-30 |
Family
ID=50877691
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015555454A Active JP6189457B2 (ja) | 2013-05-09 | 2014-05-09 | マルチモード振動砕石器 |
JP2015555455A Active JP6100923B2 (ja) | 2013-05-09 | 2014-05-09 | 振動砕石器先端 |
JP2017144417A Active JP6539311B2 (ja) | 2013-05-09 | 2017-07-26 | マルチモード振動砕石器 |
JP2019106853A Pending JP2019188168A (ja) | 2013-05-09 | 2019-06-07 | マルチモード振動砕石器 |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015555455A Active JP6100923B2 (ja) | 2013-05-09 | 2014-05-09 | 振動砕石器先端 |
JP2017144417A Active JP6539311B2 (ja) | 2013-05-09 | 2017-07-26 | マルチモード振動砕石器 |
JP2019106853A Pending JP2019188168A (ja) | 2013-05-09 | 2019-06-07 | マルチモード振動砕石器 |
Country Status (6)
Country | Link |
---|---|
US (6) | US9877738B2 (ja) |
EP (4) | EP3804639B1 (ja) |
JP (4) | JP6189457B2 (ja) |
CN (2) | CN105025823B (ja) |
ES (1) | ES2855198T3 (ja) |
WO (2) | WO2014183048A1 (ja) |
Cited By (1)
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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US10813653B2 (en) | 2013-05-09 | 2020-10-27 | Gyrus Acmi, Inc. | Oscillating lithotripter |
US11109874B2 (en) | 2013-05-09 | 2021-09-07 | Gyrus Acmi, Inc. | Oscillating lithotripter |
US11911055B2 (en) | 2013-05-09 | 2024-02-27 | Gyrus Acmi, Inc. | Oscillating lithotripter |
Also Published As
Publication number | Publication date |
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ES2855198T3 (es) | 2021-09-23 |
EP3804639B1 (en) | 2023-02-01 |
CN105025823B (zh) | 2018-05-22 |
JP6539311B2 (ja) | 2019-07-03 |
JP2017213392A (ja) | 2017-12-07 |
EP2922481B1 (en) | 2020-12-09 |
US9974552B2 (en) | 2018-05-22 |
JP2016504171A (ja) | 2016-02-12 |
WO2014183048A1 (en) | 2014-11-13 |
US9113935B2 (en) | 2015-08-25 |
US20140336666A1 (en) | 2014-11-13 |
JP2019188168A (ja) | 2019-10-31 |
WO2014183051A1 (en) | 2014-11-13 |
CN105025823A (zh) | 2015-11-04 |
US10813653B2 (en) | 2020-10-27 |
US11109874B2 (en) | 2021-09-07 |
US20180110535A1 (en) | 2018-04-26 |
EP2922481A1 (en) | 2015-09-30 |
US11911055B2 (en) | 2024-02-27 |
US20210322040A1 (en) | 2021-10-21 |
EP3804639A1 (en) | 2021-04-14 |
EP2925238A1 (en) | 2015-10-07 |
JP6100923B2 (ja) | 2017-03-22 |
US20180110534A1 (en) | 2018-04-26 |
CN105101894A (zh) | 2015-11-25 |
EP2925238B1 (en) | 2017-03-22 |
US20150351783A1 (en) | 2015-12-10 |
JP2016504172A (ja) | 2016-02-12 |
US9877738B2 (en) | 2018-01-30 |
CN105101894B (zh) | 2019-03-19 |
US20140336665A1 (en) | 2014-11-13 |
EP4176827A1 (en) | 2023-05-10 |
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