JP7493035B2 - 超音波プローブ - Google Patents
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- 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
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- 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
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- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
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- H—ELECTRICITY
- H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
- H02N—ELECTRIC MACHINES NOT OTHERWISE PROVIDED FOR
- H02N2/00—Electric machines in general using piezoelectric effect, electrostriction or magnetostriction
- H02N2/0005—Electric machines in general using piezoelectric effect, electrostriction or magnetostriction producing non-specific motion; Details common to machines covered by H02N2/02 - H02N2/16
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- H—ELECTRICITY
- H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
- H02N—ELECTRIC MACHINES NOT OTHERWISE PROVIDED FOR
- H02N2/00—Electric machines in general using piezoelectric effect, electrostriction or magnetostriction
- H02N2/0005—Electric machines in general using piezoelectric effect, electrostriction or magnetostriction producing non-specific motion; Details common to machines covered by H02N2/02 - H02N2/16
- H02N2/0075—Electrical details, e.g. drive or control circuits or methods
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- H—ELECTRICITY
- H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
- H02N—ELECTRIC MACHINES NOT OTHERWISE PROVIDED FOR
- H02N2/00—Electric machines in general using piezoelectric effect, electrostriction or magnetostriction
- H02N2/02—Electric machines in general using piezoelectric effect, electrostriction or magnetostriction producing linear motion, e.g. actuators; Linear positioners ; Linear motors
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- 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
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- 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
- A61B2017/22015—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 with details of the transmission member
- A61B2017/22018—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 with details of the transmission member segmented along its length
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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
- A61B2017/22027—Features of transducers
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- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2019年9月30日に出願された米国仮特許出願第62/907,971号の優先権の利益を主張するものであり、その内容は全体的に本願に引用して援用する。
これらの非限定的な例の各々は、自立し得るか、または他の例のうちの1つ以上との様々な並び替えもしくは組み合わせで、組み合わされ得る。
Claims (15)
- 音響トランスデューサを備える音響プローブを用いて結石塊を処置するための装置であって、
前記結石塊を標的とする前記音響プローブの音響共鳴周波数を生成するために、複数の周波数に対応する複数の駆動信号成分を提供するように構成される制御器回路と、
前記音響共鳴周波数を生成するために前記複数の駆動信号成分を前記音響トランスデューサに通信するように構成される出力インターフェースと、
前記音響トランスデューサから遠位に延びる導波路であって、前記複数の周波数に含まれる周波数に基づいて生成された前記音響共鳴周波数に基づく音響波形を伝播させるように構成されている導波路と、
前記音響トランスデューサの遠位のプローブ先端であって、前記結石塊を破砕するために、伝播された前記音響波形を使用して長手方向に変位可能であるプローブ先端と、
を備えることを特徴とする装置。 - 請求項1に記載の装置であって、前記音響トランスデューサは、前記制御器回路から前記複数の駆動信号成分を受信するように、および前記複数の駆動信号成分を音響エネルギーに変換するように構成される1つ以上の圧電部材を備えることを特徴とする装置。
- 音響プローブを用いて結石塊を処置するための装置であって、
音響トランスデューサを備える前記音響プローブと、
前記結石塊を標的とする前記音響プローブの音響共鳴周波数を生成するために、前記音響共鳴周波数に対応する周波数を含む複数の周波数に対応する複数の駆動信号成分を制御器回路から受信するように構成される入力インターフェースと、
前記音響トランスデューサから遠位に延びる導波路であって、前記音響共鳴周波数に基づく音響波形を伝播させるように構成されている導波路と、
前記音響トランスデューサの遠位のプローブ先端であって、前記結石塊を破砕するために、前記音響波形によって長手方向に変位可能であるプローブ先端と、
を備えることを特徴とする装置。 - 請求項3に記載の装置であって、前記音響トランスデューサは、前記制御器回路から前記複数の駆動信号成分を受信し、前記複数の駆動信号成分を音響エネルギーに変換するように構成される1つ以上の圧電部材を備えることを特徴とする装置。
- 音響トランスデューサを備える音響プローブを用いて標的を破砕するための装置の作動方法であって、
前記装置において、前記標的に対する前記音響プローブの音響共鳴周波数を生成するために、前記音響共鳴周波数に対応する周波数を含む複数の周波数に対応する複数の駆動信号成分を提供または受信するステップと、
前記装置において、前記音響共鳴周波数を生成するために前記複数の駆動信号成分を前記音響トランスデューサに通信するステップと、
前記装置において、前記複数の周波数に基づいて波形を生成するステップであって、前記複数の周波数のうちの少なくとも1つは前記音響プローブの共鳴のための基本周波数の高調波周波数を含む、ステップと、
を含むことを特徴とする装置の作動方法。 - 請求項5に記載の装置の作動方法であって、前記複数の駆動信号成分は、前記複数の周波数に対応し、前記複数の駆動信号成分の重畳は、前記音響共鳴周波数を結果としてもたらすことを特徴とする装置の作動方法。
- 請求項5または6に記載の装置の作動方法であって、前記複数の駆動信号成分は、前記複数の周波数に対応し、前記複数の周波数のうちの少なくとも1つは、前記音響共鳴周波数であることを特徴とする装置の作動方法。
- 請求項5~7のいずれか1項に記載の装置の作動方法であって、前記複数の周波数は、前記音響共鳴周波数を含む周波数の掃引を含むことを特徴とする装置の作動方法。
- 請求項5に記載の装置の作動方法であって、前記高調波周波数は、奇数調波を含むことを特徴とする装置の作動方法。
- 請求項9に記載の装置の作動方法であって、前記高調波周波数は、第3の高調波周波数または第5の高調波周波数を含むことを特徴とする装置の作動方法。
- 請求項5~10のいずれか1項に記載の装置の作動方法であって、前記複数の駆動信号成分は、方形波を近似する波を含むように結合することを特徴とする装置の作動方法。
- 請求項5~11のいずれか1項に記載の装置の作動方法であって、前記複数の駆動信号成分のうちの少なくとも1つは、前記音響トランスデューサ内の圧電デバイスの形状変化における加速した移行時間を引き起こすことを特徴とする装置の作動方法。
- 請求項5~12のいずれか1項に記載の装置の作動方法であって、前記装置において、前記複数の駆動信号成分の合計に基づいて波形を生成するステップをさらに含むことを特徴とする装置の作動方法。
- 請求項5~13のいずれか1項に記載の装置の作動方法であって、前記装置において前記音響共鳴周波数に基づいて基本周波数を識別するステップ、および前記装置において前記基本周波数に基づいて前記複数の駆動信号成分を選択するステップを含むことを特徴とする装置の作動方法。
- 請求項5~14のいずれか1項に記載の装置の作動方法であって、前記複数の駆動信号成分の各々は、前記複数の周波数のうちの異なる周波数に対応することを特徴とする装置の作動方法。
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US201962907971P | 2019-09-30 | 2019-09-30 | |
US62/907,971 | 2019-09-30 | ||
PCT/US2020/053325 WO2021067302A1 (en) | 2019-09-30 | 2020-09-29 | Ultrasonic probe |
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JP7493035B2 true JP7493035B2 (ja) | 2024-05-30 |
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JP (1) | JP7493035B2 (ja) |
CN (1) | CN114449964A (ja) |
DE (1) | DE112020004001T5 (ja) |
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US20100087759A1 (en) | 2004-11-30 | 2010-04-08 | Hare Bradley A | Apparatus and method for an ultrasonic medical device with variable frequency drive |
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JP4262635B2 (ja) * | 2004-04-28 | 2009-05-13 | オリンパス株式会社 | 超音波処置具 |
ES2855198T3 (es) * | 2013-05-09 | 2021-09-23 | Gyrus Acmi Inc D B A Olympus Surgical Tech America | Litotriptor oscilante multimodal |
US11399858B2 (en) * | 2018-03-08 | 2022-08-02 | Cilag Gmbh International | Application of smart blade technology |
JP7493035B2 (ja) | 2019-09-30 | 2024-05-30 | ジャイラス エーシーエムアイ インク ディー/ビー/エー オリンパス サージカル テクノロジーズ アメリカ | 超音波プローブ |
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US20100087759A1 (en) | 2004-11-30 | 2010-04-08 | Hare Bradley A | Apparatus and method for an ultrasonic medical device with variable frequency drive |
US20150088154A1 (en) | 2013-09-25 | 2015-03-26 | Jeffrey J. Vaitekunas | Ultrasonic generator systems and methods |
JP2016529001A (ja) | 2013-11-14 | 2016-09-23 | ジャイラス・エイシーエムアイ・インコーポレイテッド | フィードバック依存型の砕石術エネルギ送達 |
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