JPS63272340A - Ultrasonic treatment apparatus - Google Patents

Abstract

PURPOSE:To reduce the installation area of an ultrasonic wave control apparatus, by mounting the ultrasonic wave control apparatus capable of oscillating the ultrasonic wave corresponding to the vibration frequency band and amplitude of a treatment jig and selectively connecting a plurality of treatment jigs. CONSTITUTION:When an untrasonic wave control unit 4 inputs the conditions of vibration frequency and amplitude from an input part not shown in a drawing, a control part 18 operates a vibration frequency change-over circuit 20 to alter the vibration frequency of an ultrasonic wave. Further, when an amplifying part 16 is operated through the control part 18, the amplitude of the ultrasonic wave is altered. An oscillator 1 (used at amplitude of 20-50mum in a vibration frequency band of about 23-26kHz) provided with a lithotomic probe 2 can be connected and an ultrasonic treatment jig of every kind can be used.

Description

DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] The present invention relates to an ultrasonic treatment device that uses ultrasonic waves to destroy, for example, stones formed within a body cavity.

[Prior art] Ultrasonic lithotripsy probes as general treatment instruments are 23 to 2
It is configured to oscillate ultrasonic waves with a frequency band of 6 kHz and an amplitude of 20 to 50 μm to destroy stones and the like generated within the body cavity. Further, an ultrasonic aspirator that destroys abnormal tissue in a body cavity for various treatments is configured to generate ultrasonic waves with a frequency of about 23 KHz and an amplitude of 300 μm.

In this way, the frequency band and amplitude of the ultrasonic waves of the probes as various treatment instruments differ depending on the purpose of use, and each ultrasonic treatment device has one ultrasonic wave for each probe. An ultrasonic control unit is provided as a sonic control device.

[Problems to be Solved by the Invention] As described above, a general ultrasonic treatment device controls the ultrasonic control unit of each frequency band and amplitude according to the frequency band and amplitude of each Q treatment device. Individually owned.

These various types of ultrasonic treatment devices are equipped with ultrasonic control devices according to their respective frequency bands, so when using multiple treatment instruments, multiple models may be used despite having almost the same structure. Ultrasonic wave 1: required a control device, was uneconomical, and required a large equipment area.

The present invention has been made in view of the above circumstances, and aims to provide an ultrasonic treatment device that can oscillate ultrasonic waves of different frequency bands and amplitudes and has an ultrasonic control device to which various treatment tools can be connected. purpose.

[Means and effects for solving the problems] This invention has the following features:
By using an ultrasonic treatment device that is equipped with an ultrasonic control device that can oscillate ultrasonic waves with frequencies and amplitudes that are used in various frequency bands and amplitudes according to various treatment tools, the ultrasonic control device can be This is an economical ultrasonic treatment device that can reduce the equipment area.

[Embodiment] A first embodiment of the present invention will be described with reference to FIGS. 1 to 3.

In FIG. 1, reference numeral 1 denotes an oscillator having a lithotripsy probe 2 as a treatment tool at its tip. A connection cord 3 is connected to the oscillator 1, and a first connector 3a is provided at the end of the connection cord 3. Further, the ultrasonic control unit 4 as an ultrasonic control device has a second connector 4 to which the first connector 3a is connected.
A is provided. Further, the oscillator 1 is provided with a connecting tube 5, and a suction pump 6 is connected to the end of the connecting tube 5.

Here, the oscillator 1 is constructed as shown in FIG. In the figure, 7 is a gripping part, and 8 is an ultrasonic transducer built into the rear side of an exterior case 9 that constitutes the gripping part 7. A conical horn 10 is provided on the tip side of the exterior case 9, and the ultrasonic transducer 8 has a plurality of piezoelectric elements 11 and a plurality of electrode plates 12 arranged alternately, and these are connected to the front metal block. 13 and a rear metal block 14. Further, the front metal block 13 and the horn 10 are connected. For example, a pipe-shaped stone crushing probe 2 is connected to the tip of the horn 10. A through hole 1a penetrating from the tip to the rear end is bored in the axial center of the oscillator 1 formed in this way, and the above-mentioned connection is provided on the rear end side of the through hole 1a. A tube 5 is connected to form a communication state between the tip of the lithotripsy probe 2 provided on the tip side and the suction pump 6. When using the lithotripsy probe 2 formed in this way, the lithotripsy probe 2 is inserted into a sheath (not shown) inserted into a body cavity, and the tip of the lithotripsy probe 2 is brought into contact with a stone; The ultrasonic wave from the ultrasonic control unit 4 destroys the calculus, and the suction force of the suction pump 6 suctions the fragments of the calculus from the tip of the lithotripter probe 2.

Further, the ultrasonic control unit 4 is constructed as shown in FIG. In the figure, 15 is an oscillation section for driving the ultrasonic transducer 8. This oscillation section 15 is connected to an oscillation transformer 17 connected to the ultrasonic transducer 8 via an amplifier section 16. The configuration is such that the ultrasonic vibrator 8 is vibrated by this.

Further, 18 is a control section, and for example, a foot switch 19 is connected to the input side of this control section 18).

The output side of the control section 18 and the input side of the oscillation section 15 are connected via a frequency switching circuit 20 so that the frequency of the ultrasonic transducer 8 can be switched. Further, the output side of the control section 18 is directly connected to the amplifier section 16, so that the amplitude of the ultrasonic wave oscillated at the frequency can be changed. Further, the control section 18 has an input section (not shown), and the user can input various conditions into the input section in accordance with the frequency band and amplitude of the treatment instrument to be used, thereby controlling the operation as described above. configured to be controlled.

That is, in the ultrasonic control unit 4, the frequency and amplitude conditions are inputted from the input section (not shown), and the control section 18 operates the frequency switching circuit 20, thereby changing the frequency of the ultrasonic waves. .

Further, the amplitude of the ultrasonic waves is changed by operating the amplifier section 16 via the control section 18. Note that the oscillation transformer 17 is not necessarily required, and even if the oscillation transformer 17 is not provided, it is possible to function as the ultrasonic control unit 4.

Then, as shown in FIG. 1, an oscillator 1 (used in a frequency band of about 23 to 26 KHz and an amplitude of 20 to 50 μm) equipped with a lithotripsy probe 2 can be connected, and the following Various ultrasonic treatment devices such as those described can be used.

For example, an ultrasonic scalpel 21 as a treatment tool that uses ultrasonic waves with a frequency of about 23 KHz and an amplitude of 20 to 50 μm can be used by connecting to the ultrasonic control unit 4. This ultrasonic scalpel 21 is connected to a dedicated oscillator 22, and is connected to the ultrasonic control unit 4 via a connection cord 23 provided at the rear end of this oscillator 22. A first connector 3a is provided at the end of this connection cord 23, and is configured to be connected to a second connector 4a of the ultrasonic control unit 4.

The ultrasonic aspirator 24, which uses ultrasonic waves with a frequency of about 23 KHz and an amplitude of about 300 μm, is a tube-shaped probe with a tapered diameter toward the tip, and the tip of the oscillator 25 It is set in. A connection cord 26 is provided on the rear end side of this oscillator 25, and the end of this connection cord 26 is connected to a first connector 3a.
is provided and configured to be connected to the second connector 4a of the ultrasonic control unit 4.

Further, a connecting tube 27 is provided at the rear end of the oscillator 25, and this connecting tube 27 is connected to the suction pump 6. The ultrasonic aspirator 24 is configured to aspirate tissue destroyed by ultrasonic waves from the tip of the ultrasonic aspirator 24 through a through hole (not shown) provided through the oscillator 25 from the tip of the ultrasonic aspirator 24. .

Furthermore, the frequency band of 28-40KHz and approximately 100μm
The ultrasonic cleaner 28 used at an amplitude of
It is connected to the ultrasonic control unit 4 via. This ultrasonic cleaner 28 is provided with an oscillator 31 having a waterproof structure on one side of the lower side of a cleaning tank 30, and the connection cord 29 is connected to this oscillator 31. A first connector 3a is provided at the end of this connection cord 29, and is configured to be connected to a second connector 4a of the ultrasonic control unit 4. Then, the probe 32 used for treatment is connected to the oscillator 31, and the cleaning tank 30 is filled with cleaning liquid, so that the oscillator 31
The probe 32 is configured to transmit ultrasonic waves from the probe into the cleaning liquid to clean the used probe 32.

Ultrasonic control unit 4 configured as described above
The ultrasonic treatment device is configured such that the frequency band and amplitude of the ultrasonic waves can be adjusted according to the treatment tool used, and furthermore, the end of the connection cord of the various ultrasonic treatment tools can be adjusted. Connect the first connector 3a of the same type provided in the same ultrasonic control unit 4 to the second connector 3a provided in the same
It is configured so that it can be connected to the connector 4a of. Therefore, by providing only one sound/wave control unit 4, various treatment tools can be used, and an economical ultrasonic treatment device can be provided which can reduce the equipment area and reduce the equipment cost.

In the first embodiment, the lithotripter probe 2, the ultrasonic aspirator 24, etc. are controlled by the ultrasonic control unit 4.
and the suction pump 6,
The ultrasonic control unit 4 and the suction pump 6 may be provided integrally. That is, by integrating the ultrasonic control unit 4 and the suction pump 6, the number of connection cords 3.26 and connection tubes 5.26 led out from the oscillator 1.25 of the treatment instrument 2.24 can be reduced to one. The connection cord and connection tube can be attached to and detached from the ultrasonic control unit 4 with a single touch. Further, the treatment instruments connected to the ultrasonic control unit 4 as an ultrasonic control device are not limited to those described above, and for example, treatment instruments that do not use ultrasound can also be connected to the ultrasonic control unit 4. This also includes those with a similar structure.

A second embodiment of the present invention will be described below with reference to FIGS. 4 to 7, but the basic structure of the oscillator of each 1u tool and the ultrasonic control unit as an ultrasonic control device is as described above. Since this is the same as that shown in the first embodiment, the explanation will be omitted and only the differences will be explained.

In FIG. 4, 33 is an oscillator. This oscillator 33 is provided with a connecting cord 34 and a connecting tube 35 at its rear end. The connection cord 34 is connected to the ultrasonic control unit 4, and the connection tube 35 is connected to the suction pump 36.

A male threaded portion 37 as shown in FIG. 5 is provided at the tip of the conical horn 10 provided on the tip side of the oscillator 33. Further, a connecting ring 40 is fitted to the base end of the lithotripsy probe 38 and is provided with a female threaded portion 39 that can be screwed into the male threaded portion 37 . The horn 10 and the lithotripsy probe 38 are connected by the male threaded portion 37 of the horn 10 and the female threaded portion 39 of the connecting ring 40 screwing together.

The male threaded portion 37 of the horn 10 configured in this manner
An ultrasonic scalpel 41 having a sharp tip as shown in FIG. 6 can also be connected to the holder. A connecting ring 43 is fitted to the base end of the ultrasonic scalpel 41 and is provided with a female threaded portion 42 that is screwed into the male threaded portion 37, and is connected to the horn 10 in the same manner as the lithotripsy probe 38. Can be done.

Further, the male threaded portion 37 of the horn 10 is configured so that an ultrasonic aspirator 44 shown in FIG. 7 can also be connected. This ultrasonic aspirator 44 is formed by a tube formed so that the diameter becomes smaller toward the distal end, and is curved near the proximal end, and a connecting ring 46 is fitted to the proximal end 45. . A female screw portion 46a is provided on the inside of the connecting ring 46 and is screwed into the male screw portion 37 of the horn 10, so that the horn 10 and the ultrasonic aspirator 44 can be connected.

Furthermore, the horn 10 is formed so that a cleaning device 47 shown in FIG. 4 can be connected thereto.

This cleaning device 47 is provided with a male threaded portion 49 on the lower side of the cleaning tank 48 to which the various probes described above can be connected.
A female threaded portion 50 is provided into which the male threaded portion 37 of No. 0 is screwed.

Then, the male threaded portion 39 of the oscillator 33 is attached to the male threaded portion 50.
The used probe 32 is screwed into the cleaning tank 48 and the male threaded portion 49 by oscillating ultrasonic waves.
is vibrated and ultrasonically cleaned in a cleaning liquid filled in a cleaning tank 48.

As described above, by connecting one oscillator 33 to one ultrasonic control unit 4 and one suction pump 36, various ultrasonic treatment tools having different frequency bands and amplitudes can be selectively used as described above. It can be easily used by simply connecting it to the oscillator 33.

As explained in "Effects of the Invention" 2, according to the present invention, it is possible to oscillate ultrasonic waves with different frequency bands and amplitudes in response to multiple types of treatment tools, and select the treatment tool. By providing an ultrasonic control device that can be connected to a single ultrasonic control device, a variety of treatment instruments can be used with one ultrasonic control device, providing an economical ultrasonic treatment device that can significantly reduce equipment area and equipment costs. can.

[Brief explanation of drawings]

1 to 3 show a first embodiment of the present invention, in which FIG. 1 is an exploded view of an ultrasonic treatment device, FIG. 2 is a block diagram of an ultrasonic control device, and FIG. 3 shows a lithotripter probe installed. 4 to 7 are side sectional views of the oscillator shown in FIG. Fig. 6 is a side sectional view of the ultrasonic scalpel,
FIG. 7 is a side sectional view of the ultrasonic aspirator. 2... Lithotripsy probe (treatment tool), 4... Ultrasonic control unit (ultrasonic control device) 21... Ultrasonic scalpel (treatment tool), 24... Ultrasonic suction device (treatment tool),
28... Ultrasonic cleaner (treatment tool). Applicant's representative Patent attorney Atsushi Tsuboi Figure 4 Figure 5 Figure 6 Figure 1, Display of case Patent application No. 1982-108001 2, Name of invention Ultrasonic treatment device 3, Person making amendment Relationship with case Patent application Person (037) Olympus Optical Industry Co., Ltd. 4, Agent UBE Building 7, 3-7-2 Kasumigaseki, Chiyoda-ku, Tokyo;
Contents of the amendment (1) The scope of claims is corrected as shown in the attached sheet. (2) "As various treatment instruments" in the second line of page 2 of the Middle East specification is amended to "as various treatment instruments and cleaning devices." (3) Similarly, in the 10th line of the second page, "imaging frequency band of the treatment instrument" is corrected to "frequency band of the treatment instrument/cleaning device". (4) Similarly, in the 15th line of the second page, "Use multiple treatment instruments" is corrected to "Use multiple treatment instruments/cleaning devices." (5) Similarly, in the first line of the third page, "Connect various treatment tools" is corrected to "Connect various treatment tools/cleaning devices." (6) Similarly, in the 6th line of the third page, "according to various treatment instruments" is corrected to "according to various treatment instruments and cleaning devices." (7) Similarly, in the 4th line to the 9th line of the 9th page, ``It is done. The ultrasonic wave from the oscillator 31 is transmitted into the cleaning liquid through the cleaning tank 30 and the pro-732 itself connected to the oscillator, thereby cleaning the object immersed in the cleaning liquid. It has been corrected.” (8) Similarly, in the 9th page, line 12, "corresponds to the treatment instrument used" is corrected to "corresponds to the treatment instrument/cleaner used." (9) Similarly, "Connection of ultrasonic treatment instrument" on the 14th line of page 9 is corrected to "Connection of ultrasonic treatment instrument/cleaner". (10) Similarly, on page 9, line 19, “Various treatment instruments can be used” has been changed to “Various treatment instruments and cleaning devices can be used.”
and correct it. (11) Similarly, "Connection tube 5.26" on the 10th line of the 10th page is corrected to "Connection tube 5.27". (12) Similarly, in the 15th line of page 10, "also the treatment instruments to be connected" is corrected to "also the treatment instruments and cleaning devices to be connected". (13) Similarly, "oscillation of each treatment tool" on the 20th line of page 10 is corrected to "oscillation of each treatment tool/cleaning device." (14) Similarly, in the 20th line of page 12 to the 1st line of page 13, "this cleaning device 47... is installed" is replaced with "this cleaning device 47 is installed under the cleaning tank 48. The male screw part 49 to which the probe 32a and the various probes 38, 41, and 44 can be connected is corrected as follows. (15) Similarly, page 13, lines 7 to 10, “
Consists of screwed together... The screwed probe 32a is vibrated, and the object to be cleaned is ultrasonically cleaned in the cleaning liquid filled in the cleaning tank 48. In addition, the various used probes 38.4 are attached to the male threaded portion 49.
1.44, the various probes 38, 41, and 44 are vibrated and ultrasonically cleaned in the cleaning liquid filled in the cleaning tank 48. ” he corrected. (Goro) Similarly, on page 13, line 19, r "Compatible with several types of treatment instruments" is changed to "Compatible with several types of treatment instruments and cleaning devices."
and correct it. (17) Similarly, in the 20th line of page 13 to the 1st line of page 14, “selectively use the above treatment instrument”
"Cleaner selectively" is corrected. (18) Similarly, in the second to third lines of page 14, "Use m% of each treatment tool" is corrected to "Use 1 of each type of equipment/cleaning device." (19) Similarly, "Ultrasonic cleaner (treatment instrument)." on the 19th line of page 14 is corrected to "Ultrasonic cleaner." (21) In the drawings, Figures 1 and 4 will be corrected as shown in the attached sheet. 2. Claims: Treatment tool Ultrasonic treatment device.

Claims (1)

[Claims] An ultrasonic treatment device equipped with an ultrasonic controller capable of emitting ultrasonic waves according to the frequency band and amplitude of a treatment tool and selectively connecting a plurality of treatment tools.