JPS62292153A - 超音波生体組織切除プロ−ブ - Google Patents
超音波生体組織切除プロ−ブInfo
- Publication number
- JPS62292153A JPS62292153A JP61137452A JP13745286A JPS62292153A JP S62292153 A JPS62292153 A JP S62292153A JP 61137452 A JP61137452 A JP 61137452A JP 13745286 A JP13745286 A JP 13745286A JP S62292153 A JPS62292153 A JP S62292153A
- Authority
- JP
- Japan
- Prior art keywords
- ultrasonic
- distal end
- hemostasis
- tissue resection
- rough
- 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.)
- Pending
Links
- 239000000523 sample Substances 0.000 title claims description 13
- 238000003780 insertion Methods 0.000 claims description 16
- 230000037431 insertion Effects 0.000 claims description 16
- 238000002271 resection Methods 0.000 claims description 13
- 230000023597 hemostasis Effects 0.000 claims description 7
- 230000002093 peripheral effect Effects 0.000 claims description 4
- 239000011247 coating layer Substances 0.000 claims 1
- 210000001519 tissue Anatomy 0.000 description 14
- 230000000740 bleeding effect Effects 0.000 description 13
- 230000005540 biological transmission Effects 0.000 description 8
- 230000000694 effects Effects 0.000 description 6
- 210000004204 blood vessel Anatomy 0.000 description 5
- 210000000845 cartilage Anatomy 0.000 description 4
- 210000002307 prostate Anatomy 0.000 description 4
- 238000003825 pressing Methods 0.000 description 2
- 238000002679 ablation Methods 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000003746 surface roughness Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
Abstract
(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。
め要約のデータは記録されません。
Description
【発明の詳細な説明】
３、発明の詳細な説明
〔産業上の利用分野〕
本発明は前立腺や軟骨などを切除するための超音波生体
組織切除プローブに関する。
組織切除プローブに関する。
近年、前立腺や軟骨などを切除するために１強力な超音
波撮動を利用して生体組織を切除することが行われてい
る。この方式による手術は血管などにはほとんど影響を
及ぼさないので、少ない出血で行なえることが１つの特
徴となっている。
波撮動を利用して生体組織を切除することが行われてい
る。この方式による手術は血管などにはほとんど影響を
及ぼさないので、少ない出血で行なえることが１つの特
徴となっている。
しかしながら、太い血管はほとんど影響を及はざないと
しても比較的細い血管等の切断はどうしても避けられず
、少なからぬ出血を招くこともある。このような場合、
別の高周波凝固子やガーゼ等を用いてその出血を早急に
止める必要がある。
しても比較的細い血管等の切断はどうしても避けられず
、少なからぬ出血を招くこともある。このような場合、
別の高周波凝固子やガーゼ等を用いてその出血を早急に
止める必要がある。
しかし、この別の高周波凝固子やガーゼ等を用いる止血
作業は繁雑で、しかも１時間がかがるもので、治療上望
ましくない。
作業は繁雑で、しかも１時間がかがるもので、治療上望
ましくない。
本発明は上記事情に着目してなされたもので。
その目的とするところは、他の止血手段を用意すること
なく、容易かつ迅速に止血できる超音波生体組織切除プ
ローブを提供することにある。
なく、容易かつ迅速に止血できる超音波生体組織切除プ
ローブを提供することにある。
〔問題点を解決するための手段および作用〕上記問題点
を解決するために本発明の超音波生体組織切除プローブ
は、挿入部の先端部分の外周面に振動したときの発熱用
の粗面を形成してなり。
を解決するために本発明の超音波生体組織切除プローブ
は、挿入部の先端部分の外周面に振動したときの発熱用
の粗面を形成してなり。
この粗面を出血部位に押付けて超音波振動を加えて摩擦
熱による焼灼作用で止血できるようにした。
熱による焼灼作用で止血できるようにした。
第１図および第２図は本発明の第１の実施例を示すもの
である。この超音波生体組織切除プローブは手元把持部
１と挿入部２とからなり、挿入部２はパイプ状の伝達管
３によって形成されている。
である。この超音波生体組織切除プローブは手元把持部
１と挿入部２とからなり、挿入部２はパイプ状の伝達管
３によって形成されている。
また９手元把持部１の内部には超音波振動子４が内臓さ
れている。この超音波振動子４は電源コード５を通じて
駆動電力の供給を受け、超音波を発生して図示しないホ
ーンにより増幅して上記挿入部２の伝達管３に伝達する
ようになっている。まＩこ、伝達管３の内孔部と手元把
持部１の内部に形成した孔部は互いに連通して吸引路６
を形成してなり９手元把持部１の後端にはその吸引路６
に連通ずる接続口金７が接続されている。そして、この
接続口金７には吸引チューブ８が接続されていて、この
吸引チューブ８を通じて図示しない吸引ポンプにより上
記吸引路６から体腔内のものを吸引排除できるようにな
っている。
れている。この超音波振動子４は電源コード５を通じて
駆動電力の供給を受け、超音波を発生して図示しないホ
ーンにより増幅して上記挿入部２の伝達管３に伝達する
ようになっている。まＩこ、伝達管３の内孔部と手元把
持部１の内部に形成した孔部は互いに連通して吸引路６
を形成してなり９手元把持部１の後端にはその吸引路６
に連通ずる接続口金７が接続されている。そして、この
接続口金７には吸引チューブ８が接続されていて、この
吸引チューブ８を通じて図示しない吸引ポンプにより上
記吸引路６から体腔内のものを吸引排除できるようにな
っている。
一方、挿入部２の先端部、つまり、伝達管３における先
端側周部分は第１図および第２図で示すように球面状に
膨出して形成されている。そして。
端側周部分は第１図および第２図で示すように球面状に
膨出して形成されている。そして。
この膨出部１０の表面は超音波振動を加えながら生体組
織に接触させたときに摩擦熱が生じる程度の粗い表面、
つまり、粗面１１としである。この粗面１１の表面粗さ
は体腔内組織を傷付けない範囲で、たとえば２５−８程
度がよい。
織に接触させたときに摩擦熱が生じる程度の粗い表面、
つまり、粗面１１としである。この粗面１１の表面粗さ
は体腔内組織を傷付けない範囲で、たとえば２５−８程
度がよい。
しかして、この超音波生体組織切除プローブを使用する
ときには、その挿入部２を図示しない内視鏡のシースな
どを通じて体腔内に挿入し１手元把持部１の超音波振動
子４を作動させることによりこの超音波振動子４で発生
した超音波振動を図示しないホーンにより増幅して上記
挿入部２の伝達管３に伝達する。そして、伝達管３の先
端を患部に当て超音波振動により切除する。上記吸引路
６から体腔内の切除組織片などを吸引排除する。
ときには、その挿入部２を図示しない内視鏡のシースな
どを通じて体腔内に挿入し１手元把持部１の超音波振動
子４を作動させることによりこの超音波振動子４で発生
した超音波振動を図示しないホーンにより増幅して上記
挿入部２の伝達管３に伝達する。そして、伝達管３の先
端を患部に当て超音波振動により切除する。上記吸引路
６から体腔内の切除組織片などを吸引排除する。
このように超音波振動で切除するため、太い血管はほと
んど影響を及ぼさずに切除できる。しかしながら、比較
的細い血管等の切断はどうしても避けられず、出血を招
くこともある。このような場合には第２図で示すように
、挿入部２の先端部にある膨出部１０の表面を出血部位
に押し当てながら超音波振動を加える。これによりその
出血部位の生体組織との間に摩擦熱が生じ、その組織は
焼灼される。この焼灼効果により止血できる。したがっ
て、別の高周波凝固子やガーゼ等を用いる面倒な方法で
止血する必要がない。また、この実施例のものは伝達管
３における先端側周部分を球面状に膨出して形成したか
ら出面部位に押し当て易い。
んど影響を及ぼさずに切除できる。しかしながら、比較
的細い血管等の切断はどうしても避けられず、出血を招
くこともある。このような場合には第２図で示すように
、挿入部２の先端部にある膨出部１０の表面を出血部位
に押し当てながら超音波振動を加える。これによりその
出血部位の生体組織との間に摩擦熱が生じ、その組織は
焼灼される。この焼灼効果により止血できる。したがっ
て、別の高周波凝固子やガーゼ等を用いる面倒な方法で
止血する必要がない。また、この実施例のものは伝達管
３における先端側周部分を球面状に膨出して形成したか
ら出面部位に押し当て易い。
なお、止面用粗面の形成方法としては荒仕上げ面そのま
まとしたり、高摩擦係数を有するコーチインク材をコー
ティングしたりする。
まとしたり、高摩擦係数を有するコーチインク材をコー
ティングしたりする。
また、上記挿入部２の先端部の形状は、その処置部位、
たとえば前立腺や軟骨等の切除部位に応じた形状のもの
を種々容易する。関節鏡と組み合せて軟骨を切除する場
合には第３図で示すような先端形状にする。また、尿道
鏡と組み合せて前立腺を切除する場合には第４図で示す
ようにへら状の先端形状にする。
たとえば前立腺や軟骨等の切除部位に応じた形状のもの
を種々容易する。関節鏡と組み合せて軟骨を切除する場
合には第３図で示すような先端形状にする。また、尿道
鏡と組み合せて前立腺を切除する場合には第４図で示す
ようにへら状の先端形状にする。
以上説明したように本発明によれば、超音波生体組織切
除プローブを使用しているときに処置部位が出血したと
き、その超音波生体組織切除プローブをそのまま使用し
て止血できる。したがって。
除プローブを使用しているときに処置部位が出血したと
き、その超音波生体組織切除プローブをそのまま使用し
て止血できる。したがって。
別の高周波凝固子やガーゼ等を用いる面倒な止血手段を
用意する必要がなく、容易かつ迅速に止血できる。
用意する必要がなく、容易かつ迅速に止血できる。
第１図は本発明の第１の実施例の超音波生体組織切除プ
ローブの側断面図、第２図は同じくその第１の実施例の
挿入部先端部分の斜視図、第３図＝６− および第４図はそれぞれ異なる挿入部先端部分の他の変
形例を示す斜視図である。 ２・・・挿入部、３・・・伝達管、１１・・・粗面。 出願人代理人 弁理士 坪井 淳 第１図 第４図
ローブの側断面図、第２図は同じくその第１の実施例の
挿入部先端部分の斜視図、第３図＝６− および第４図はそれぞれ異なる挿入部先端部分の他の変
形例を示す斜視図である。 ２・・・挿入部、３・・・伝達管、１１・・・粗面。 出願人代理人 弁理士 坪井 淳 第１図 第４図
Claims (4)
- （１）挿入部の先端部分の外周面に、生体組織に触れて
超音波振動したときに摩擦熱を出す止血用の粗面を形成
したことを特徴とする超音波生体組織切除プローブ。 - （２）上記止血用粗面を形成する挿入部の先端部分の外
周面を球形面状に形成したことを特徴とする特許請求の
範囲第１項に記載の超音波生体組織切除プローブ。 - （３）上記止血用粗面を形成する挿入部の先端部分の外
周面を荒仕上げ面から形成したことを特徴とする特許請
求の範囲第１項に記載の超音波生体組織切除プローブ。 - （４）上記止血用粗面を形成する挿入部の先端部分の外
周面は高摩擦係数を有するコーティング層を形成してな
ることを特徴とする特許請求の範囲第１項に記載の超音
波生体組織切除プローブ。
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP61137452A JPS62292153A (ja) | 1986-06-13 | 1986-06-13 | 超音波生体組織切除プロ−ブ |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP61137452A JPS62292153A (ja) | 1986-06-13 | 1986-06-13 | 超音波生体組織切除プロ−ブ |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPS62292153A true JPS62292153A (ja) | 1987-12-18 |
Family
ID=15198937
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP61137452A Pending JPS62292153A (ja) | 1986-06-13 | 1986-06-13 | 超音波生体組織切除プロ−ブ |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPS62292153A (ja) |
Cited By (127)
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| JP2005534451A (ja) * | 2002-08-07 | 2005-11-17 | アドバンスト メディカル アプリケーションズ インコーポレーテッド | 超音波創傷清浄化装置及び方法 |
| JP2010522030A (ja) * | 2007-03-22 | 2010-07-01 | エシコン・エンド−サージェリィ・インコーポレイテッド | 超音波外科用器具、ならびに、超音波外科用器具の軟骨および骨形成ブレード |
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