JP6662794B2 - 外科用超音波器具 - Google Patents
外科用超音波器具 Download PDFInfo
- Publication number
- JP6662794B2 JP6662794B2 JP2016572916A JP2016572916A JP6662794B2 JP 6662794 B2 JP6662794 B2 JP 6662794B2 JP 2016572916 A JP2016572916 A JP 2016572916A JP 2016572916 A JP2016572916 A JP 2016572916A JP 6662794 B2 JP6662794 B2 JP 6662794B2
- Authority
- JP
- Japan
- Prior art keywords
- surgical
- cutting
- instrument
- longitudinal axis
- surgical ultrasonic
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 239000012530 fluid Substances 0.000 claims description 20
- 238000000034 method Methods 0.000 claims description 20
- 238000012545 processing Methods 0.000 claims description 8
- 238000001356 surgical procedure Methods 0.000 description 23
- 210000000988 bone and bone Anatomy 0.000 description 13
- 210000001331 nose Anatomy 0.000 description 10
- 210000004373 mandible Anatomy 0.000 description 8
- 210000002050 maxilla Anatomy 0.000 description 8
- 210000000845 cartilage Anatomy 0.000 description 5
- 230000002262 irrigation Effects 0.000 description 5
- 238000003973 irrigation Methods 0.000 description 5
- 210000000537 nasal bone Anatomy 0.000 description 5
- 238000002435 rhinoplasty Methods 0.000 description 5
- 210000003625 skull Anatomy 0.000 description 5
- 238000002271 resection Methods 0.000 description 4
- 238000002316 cosmetic surgery Methods 0.000 description 3
- 210000002184 nasal cartilage Anatomy 0.000 description 3
- 230000002572 peristaltic effect Effects 0.000 description 3
- 238000001816 cooling Methods 0.000 description 2
- 238000012937 correction Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 210000001847 jaw Anatomy 0.000 description 2
- 230000037390 scarring Effects 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 238000002604 ultrasonography Methods 0.000 description 2
- 230000004913 activation Effects 0.000 description 1
- 230000003321 amplification Effects 0.000 description 1
- 238000010420 art technique Methods 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 239000012809 cooling fluid Substances 0.000 description 1
- 229910003460 diamond Inorganic materials 0.000 description 1
- 239000010432 diamond Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 229910001092 metal group alloy Inorganic materials 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000000492 nasalseptum Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 238000003199 nucleic acid amplification method Methods 0.000 description 1
- 210000003254 palate Anatomy 0.000 description 1
- 238000005498 polishing Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
Images
Classifications
-
- 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
- A61B17/14—Surgical saws
- A61B17/142—Surgical saws with reciprocating saw blades, e.g. with cutting edges at the distal end of the saw blades
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/14—Surgical saws
- A61B17/142—Surgical saws with reciprocating saw blades, e.g. with cutting edges at the distal end of the saw blades
- A61B17/144—Surgical saws with reciprocating saw blades, e.g. with cutting edges at the distal end of the saw blades with cutting edges at the side of the saw blades
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1659—Surgical rasps, files, planes, or scrapers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1688—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the sinus or nose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/24—Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
-
- 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
- A61B2017/00738—Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00792—Plastic surgery
-
- 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
- A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
-
- 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
- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/320074—Working tips with special features, e.g. extending parts blade
- A61B2017/320075—Working tips with special features, e.g. extending parts blade single edge blade, e.g. for cutting
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Dentistry (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Otolaryngology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Pulmonology (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| FR1451895A FR3018184B1 (fr) | 2014-03-07 | 2014-03-07 | Instrument chirurgical ultrasonore pour rhinoplastie |
| FR1451895 | 2014-03-07 | ||
| PCT/EP2015/054771 WO2015132401A1 (en) | 2014-03-07 | 2015-03-06 | Ultrasonic surgical instrument |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2017507004A JP2017507004A (ja) | 2017-03-16 |
| JP2017507004A5 JP2017507004A5 (enExample) | 2018-04-19 |
| JP6662794B2 true JP6662794B2 (ja) | 2020-03-11 |
Family
ID=51417337
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2016572916A Expired - Fee Related JP6662794B2 (ja) | 2014-03-07 | 2015-03-06 | 外科用超音波器具 |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US10624665B2 (enExample) |
| EP (1) | EP3113693B1 (enExample) |
| JP (1) | JP6662794B2 (enExample) |
| KR (1) | KR102376300B1 (enExample) |
| CN (1) | CN106456187B (enExample) |
| ES (1) | ES2711915T3 (enExample) |
| FR (1) | FR3018184B1 (enExample) |
| WO (1) | WO2015132401A1 (enExample) |
Families Citing this family (37)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
| CA2582520C (en) | 2004-10-08 | 2017-09-12 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument |
| US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
| US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
| US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
| US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
| US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
| US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
| US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
| US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
| US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
| US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
| CA2701962C (en) | 2007-10-05 | 2016-05-31 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
| US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
| US10799260B2 (en) * | 2008-06-12 | 2020-10-13 | Integra Lifesciences (Ireland) Ltd. | Shear stress ultrasonic cutting blade |
| US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
| US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
| US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
| US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
| US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
| EP3050528A4 (en) * | 2013-09-27 | 2017-06-21 | Olympus Corporation | Probe unit, treatment tool, and treatment system |
| WO2015045438A1 (ja) | 2013-09-27 | 2015-04-02 | オリンパスメディカルシステムズ株式会社 | プローブユニット、処置具及び処置システム |
| GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
| US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
| US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
| CN205234577U (zh) * | 2015-11-23 | 2016-05-18 | 北京水木天蓬医疗技术有限公司 | 超声骨刀刀头以及具备此的超声骨刀 |
| US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
| US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
| US10842522B2 (en) * | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
| USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
| US10779847B2 (en) | 2016-08-25 | 2020-09-22 | Ethicon Llc | Ultrasonic transducer to waveguide joining |
| US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
| US10813654B2 (en) * | 2016-10-13 | 2020-10-27 | Mani, Inc. | Nose knife |
| US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
| FR3066378B1 (fr) * | 2017-05-18 | 2021-12-24 | Collin | Instrument chirurgical a portions deviees et installation robotisee comportant un tel instrument |
| US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
| USD974558S1 (en) | 2020-12-18 | 2023-01-03 | Stryker European Operations Limited | Ultrasonic knife |
Family Cites Families (21)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5146990B2 (enExample) * | 1973-12-12 | 1976-12-11 | ||
| JPH0529701Y2 (enExample) * | 1988-11-18 | 1993-07-29 | ||
| US5318570A (en) * | 1989-01-31 | 1994-06-07 | Advanced Osseous Technologies, Inc. | Ultrasonic tool |
| JPH0546427Y2 (enExample) * | 1990-05-11 | 1993-12-06 | ||
| CA2042006C (en) * | 1990-05-11 | 1995-08-29 | Morito Idemoto | Surgical ultrasonic horn |
| US7922721B2 (en) * | 2001-10-09 | 2011-04-12 | Greatbatch Medical S.A. | Acetabular reamer |
| DE50203416D1 (de) * | 2002-08-30 | 2005-07-21 | Sis Ag Surgical Instr Systems | Skalpellklingenhalter und Skalpell |
| JP2005152098A (ja) * | 2003-11-21 | 2005-06-16 | Miwatec:Kk | 超音波ハンドピ−スとこれに使用する超音波ホ−ン |
| US9247952B2 (en) * | 2004-10-15 | 2016-02-02 | Amendia, Inc. | Devices and methods for tissue access |
| GB0426503D0 (en) * | 2004-12-02 | 2005-01-05 | Orthosonics Ltd | Improved osteotome |
| ITTO20060113U1 (it) * | 2006-07-27 | 2008-01-28 | Cornelio Blus | Punte taglienti per chirurgia ossea ad ultrasuoni |
| US20110160624A1 (en) * | 2007-07-13 | 2011-06-30 | Bacoustics, Llc | Apparatus for creating a therapeutic solution and debridement with ultrasound energy |
| US10799260B2 (en) * | 2008-06-12 | 2020-10-13 | Integra Lifesciences (Ireland) Ltd. | Shear stress ultrasonic cutting blade |
| US20100168741A1 (en) * | 2008-12-29 | 2010-07-01 | Hideo Sanai | Surgical operation apparatus |
| ES2387728T3 (es) * | 2009-03-23 | 2012-10-01 | Mectron S.P.A. | Instrumento quirúrgico para cortar hueso |
| CH702066B1 (fr) * | 2009-10-28 | 2019-06-28 | Bien Air Holding Sa | Dispositif d'accouplement entre un arbre moteur d'un instrument chirurgical et un outil. |
| US8801713B2 (en) * | 2011-04-07 | 2014-08-12 | DePuy Synthes Products, LLC | Surgical drill instrument with motor and locking mechanism to receive an attachment and a cutting burr |
| DE102011084792A1 (de) * | 2011-10-19 | 2013-04-25 | Söring GmbH | Sonotrode |
| WO2013071170A1 (en) * | 2011-11-10 | 2013-05-16 | Zadeh Homayoun H | Improved surgical tips for piezoelectric bone surgery |
| US10016208B2 (en) * | 2012-02-03 | 2018-07-10 | DePuy Synthes Products, Inc. | Cutting tips for ultrasonic surgical system |
| CN202654227U (zh) * | 2012-07-02 | 2013-01-09 | 杭州智方医疗科技有限公司 | 一种等离子手术刀 |
-
2014
- 2014-03-07 FR FR1451895A patent/FR3018184B1/fr not_active Expired - Fee Related
-
2015
- 2015-03-06 ES ES15708219T patent/ES2711915T3/es active Active
- 2015-03-06 CN CN201580014904.2A patent/CN106456187B/zh not_active Expired - Fee Related
- 2015-03-06 US US15/123,838 patent/US10624665B2/en not_active Expired - Fee Related
- 2015-03-06 EP EP15708219.9A patent/EP3113693B1/en not_active Not-in-force
- 2015-03-06 JP JP2016572916A patent/JP6662794B2/ja not_active Expired - Fee Related
- 2015-03-06 WO PCT/EP2015/054771 patent/WO2015132401A1/en not_active Ceased
- 2015-03-06 KR KR1020167027797A patent/KR102376300B1/ko active Active
Also Published As
| Publication number | Publication date |
|---|---|
| EP3113693B1 (en) | 2018-11-28 |
| KR20170001955A (ko) | 2017-01-05 |
| US10624665B2 (en) | 2020-04-21 |
| US20170014152A1 (en) | 2017-01-19 |
| KR102376300B1 (ko) | 2022-03-21 |
| FR3018184A1 (fr) | 2015-09-11 |
| EP3113693A1 (en) | 2017-01-11 |
| JP2017507004A (ja) | 2017-03-16 |
| ES2711915T3 (es) | 2019-05-08 |
| CN106456187A (zh) | 2017-02-22 |
| FR3018184B1 (fr) | 2018-04-06 |
| CN106456187B (zh) | 2020-06-26 |
| WO2015132401A1 (en) | 2015-09-11 |
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