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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drive signal
tip
handpiece
vibration mode
voltage
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JP2017527349A (ja
JP2017527349A5 (https=
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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
    • 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
    • A61B2017/0046—Surgical instruments, devices or methods 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
    • A61B2017/00477—Coupling
    • A61B2017/00482—Coupling with a code
    • 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
    • A61B2017/320084—Irrigation sleeves
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • 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)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Dentistry (AREA)
  • Surgical Instruments (AREA)
  • Power Engineering (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Apparatuses For Generation Of Mechanical Vibrations (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)

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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

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JP2017527349A JP2017527349A (ja) 2017-09-21
JP2017527349A5 JP2017527349A5 (https=) 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

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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

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

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AU2020213394B2 (en) 2023-02-16
EP3177217B1 (en) 2023-03-08
CA2957281A1 (en) 2016-02-11
KR20170039726A (ko) 2017-04-11
AU2020213394A1 (en) 2020-08-27
US20230210550A1 (en) 2023-07-06
JP2017527349A (ja) 2017-09-21
AU2015300921B2 (en) 2020-05-07
KR102480319B1 (ko) 2022-12-23
EP4212112A1 (en) 2023-07-19
EP4678124A2 (en) 2026-01-14
KR102721132B1 (ko) 2024-10-24
EP4212112B1 (en) 2025-09-24
CN110251204A (zh) 2019-09-20
US20170143369A1 (en) 2017-05-25
US12419663B2 (en) 2025-09-23
WO2016022808A1 (en) 2016-02-11
JP2020049228A (ja) 2020-04-02
JP7695923B2 (ja) 2025-06-19
KR20240154705A (ko) 2024-10-25
US20200038053A1 (en) 2020-02-06
JP2025157213A (ja) 2025-10-15
CN107106197B (zh) 2019-08-27
AU2015300921A1 (en) 2017-03-02
JP7169259B2 (ja) 2022-11-10
US11617598B2 (en) 2023-04-04
US20250160874A1 (en) 2025-05-22
JP2023029830A (ja) 2023-03-07
KR20230003402A (ko) 2023-01-05
US10561435B2 (en) 2020-02-18
CN107106197A (zh) 2017-08-29
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