JP6623212B2 - 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム - Google Patents

複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム Download PDF

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JP6623212B2
JP6623212B2 JP2017506766A JP2017506766A JP6623212B2 JP 6623212 B2 JP6623212 B2 JP 6623212B2 JP 2017506766 A JP2017506766 A JP 2017506766A JP 2017506766 A JP2017506766 A JP 2017506766A JP 6623212 B2 JP6623212 B2 JP 6623212B2
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Prior art keywords
drive signal
tip
handpiece
vibration mode
voltage
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Japanese (ja)
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JP2017527349A (ja
JP2017527349A5 (enExample
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ダウニー，アダム
ボールドウィン，ロバート
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Stryker Corp
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Stryker Corp
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    • 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
    • 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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
    • B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
    • B06B1/00—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency
    • B06B1/02—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy
    • B06B1/0207—Driving circuits
    • B06B1/0223—Driving circuits for generating signals continuous in time
    • B06B1/0269—Driving circuits for generating signals continuous in time for generating multiple frequencies
    • B06B1/0276—Driving circuits for generating signals continuous in time for generating multiple frequencies with simultaneous generation, e.g. with modulation, harmonics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A61B2017/0003—Conductivity or impedance, e.g. of tissue of parts of the instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • A61B2017/0011—Sensing or detecting at the treatment site ultrasonic piezoelectric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00137—Details of operation mode
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00137—Details of operation mode
    • A61B2017/00141—Details of operation mode continuous, e.g. wave
    • A61B2017/00146—Details of operation mode continuous, e.g. wave with multiple frequencies
    • A61B2017/0015—Details of operation mode continuous, e.g. wave with multiple frequencies applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00973—Surgical instruments, devices or methods pedal-operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
    • A61B2017/22007—Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing
    • A61B2017/22009—Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing reduced or prevented
    • 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
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • 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
    • A61B2017/320098—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with transverse or torsional motion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
    • B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
    • B06B1/00—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency
    • B06B1/02—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy
    • B06B1/06—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
    • B06B1/0607—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction using multiple elements
    • B06B1/0611—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction using multiple elements in a pile
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
    • B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
    • B06B2201/00—Indexing scheme associated with B06B1/0207 for details covered by B06B1/0207 but not provided for in any of its subgroups
    • B06B2201/70—Specific application
    • B06B2201/76—Medical, dental

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Dentistry (AREA)
  • Surgical Instruments (AREA)
  • Power Engineering (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Apparatuses For Generation Of Mechanical Vibrations (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
JP2017506766A 2014-08-07 2015-08-06 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム Active JP6623212B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201462034585P 2014-08-07 2014-08-07
US62/034,585 2014-08-07
PCT/US2015/044023 WO2016022808A1 (en) 2014-08-07 2015-08-06 Ultrasonic surgical tool capable of vibrating in plural modes and a drive system that induces non-linear vibrations in the tool tip

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2019211273A Division JP7169259B2 (ja) 2014-08-07 2019-11-22 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム

Publications (3)

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JP2017527349A JP2017527349A (ja) 2017-09-21
JP2017527349A5 JP2017527349A5 (enExample) 2018-09-13
JP6623212B2 true JP6623212B2 (ja) 2019-12-18

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JP2017506766A Active JP6623212B2 (ja) 2014-08-07 2015-08-06 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム
JP2019211273A Active JP7169259B2 (ja) 2014-08-07 2019-11-22 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム
JP2022173126A Active JP7695923B2 (ja) 2014-08-07 2022-10-28 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム
JP2025095658A Pending JP2025157213A (ja) 2014-08-07 2025-06-09 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム

Family Applications After (3)

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JP2019211273A Active JP7169259B2 (ja) 2014-08-07 2019-11-22 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム
JP2022173126A Active JP7695923B2 (ja) 2014-08-07 2022-10-28 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム
JP2025095658A Pending JP2025157213A (ja) 2014-08-07 2025-06-09 複数のモードで振動可能な超音波式手術用ツール及びツール先端部の非線形振動をもたらす駆動システム

Country Status (8)

Country Link
US (4) US10561435B2 (enExample)
EP (2) EP4212112B1 (enExample)
JP (4) JP6623212B2 (enExample)
KR (3) KR102480319B1 (enExample)
CN (2) CN107106197B (enExample)
AU (2) AU2015300921B2 (enExample)
CA (1) CA2957281A1 (enExample)
WO (1) WO2016022808A1 (enExample)

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KR102658766B1 (ko) 2013-08-07 2024-04-18 스트리커 코포레이션 초음파 핸드피스를 이 핸드피스의 기계 임피던스의 함수로서 구동시키기 위한 시스템 및 방법
AU2015300921B2 (en) 2014-08-07 2020-05-07 Stryker Corporation Ultrasonic surgical tool capable of vibrating in plural modes and a drive system that induces non-linear vibrations in the tool tip
WO2017106329A1 (en) 2015-12-18 2017-06-22 Stryker Corporation Ultrasonic surgical tool system including a tip capable of simultaneous longitudinal and torsional movement and of substantially torsional oscillations
EP4257066A3 (en) 2016-05-31 2023-11-29 Stryker Corporation Control console comprising a transformer with a leakage control winding and a capacitor
AU2018381241B2 (en) 2017-12-06 2024-11-21 Stryker Corporation System and methods for controlling patient leakage current in a surgical system
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JP7777546B2 (ja) * 2020-06-04 2025-11-28 ストライカー・コーポレイション 組織をプローブして切除するための超音波外科用吸引器
JP2023544234A (ja) * 2020-10-01 2023-10-23 ストライカー・コーポレイション 超音波ツールシステムのためのパルス制御
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Publication number Publication date
CN107106197A (zh) 2017-08-29
EP3177217B1 (en) 2023-03-08
CA2957281A1 (en) 2016-02-11
JP2025157213A (ja) 2025-10-15
EP3177217A1 (en) 2017-06-14
KR102721132B1 (ko) 2024-10-24
EP4212112A1 (en) 2023-07-19
US11617598B2 (en) 2023-04-04
US20200038053A1 (en) 2020-02-06
WO2016022808A1 (en) 2016-02-11
KR20240154705A (ko) 2024-10-25
US10561435B2 (en) 2020-02-18
JP2017527349A (ja) 2017-09-21
KR20170039726A (ko) 2017-04-11
JP7695923B2 (ja) 2025-06-19
AU2020213394B2 (en) 2023-02-16
KR20230003402A (ko) 2023-01-05
JP2020049228A (ja) 2020-04-02
JP2023029830A (ja) 2023-03-07
CN110251204A (zh) 2019-09-20
JP7169259B2 (ja) 2022-11-10
US20230210550A1 (en) 2023-07-06
AU2020213394A1 (en) 2020-08-27
AU2015300921A1 (en) 2017-03-02
US12419663B2 (en) 2025-09-23
AU2015300921B2 (en) 2020-05-07
US20170143369A1 (en) 2017-05-25
EP4212112B1 (en) 2025-09-24
KR102480319B1 (ko) 2022-12-23
CN107106197B (zh) 2019-08-27
US20250160874A1 (en) 2025-05-22

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