JPWO2014156221A1 - 医療器具及び医療システム - Google Patents
医療器具及び医療システム Download PDFInfo
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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Abstract
Description
本発明の第1実施形態に係る医療器具(medical device)について説明する。図1は、本発明の第1実施形態に係る医療器具を示す模式図である。図2は、前記医療器具が内視鏡に取り付けられた状態を示す模式図である。図3は、前記医療器具の先端部分を拡大して示す部分断面図である。図4は、前記医療器具の先端部分を拡大して示す部分断面図である。図5から図7までは、前記医療器具の作用を説明するための図である。
次に、本発明の第2実施形態に係る医療器具について説明する。なお、以下では、既に説明された実施形態に記載された構成と同様の構成要素には同一の符号が付されており、重複する説明は省略されている。
次に、本発明の第3実施形態に係る医療システムについて説明する。
2 挿入部
3 処置部
10 関節部
19、47 収納部
21 駆動力伝達部
30 駆動機構
32 駆動力発生部
50 スイッチ部(スイッチ機構)
111 スレーブマニピュレータ
115 マスタマニピュレータ
120 制御部
121 判定部
上記の医療器具において、前記可撓部は、前記処置部の向きを変えるように湾曲可能に構成され略円筒形状を有する可撓バネ部を有してもよい。前記第一線状部材および前記第二線状部材は、前記可撓バネ部の湾曲動作における湾曲方向に対応して設けられ、前記可撓バネ部の先端に固定されていてもよい。前記第一線状部材および前記第二線状部材のうちの一方が牽引されることによって、前記可撓バネ部は湾曲してもよい。前記可撓バネ部の中心軸線方向に沿って前記第一線状部材および前記第二線状部材の両方が前進または後退することで前記可撓バネ部の前記先端を牽引または押圧することによって、前記可撓バネ部の先端近傍に前記収納部が形成されてもよい。
Claims (6)
- 体内に挿入可能な挿入部と、
前記挿入部に連結された駆動機構と、
を備え、
前記挿入部は、
処置対象部位に対して処置を行う処置部と、
前記処置部を支持し、前記処置部の向きを変更可能に構成された関節部と、
前記関節部に接続され、前記処置部の向きを変更する駆動力を前記関節部に伝達するように構成された駆動力伝達部と、
を有し、
前記駆動機構は、前記駆動力伝達部に接続され前記駆動力を発生させるように構成された駆動力発生部を有し、
前記駆動力発生部から前記駆動力伝達部を介して前記関節部に伝達される前記駆動力によって、前記処置部を前記関節部内に収納するように構成された収納部が前記関節部に形成される
医療器具。 - 請求項1に記載の医療器具であって、
前記関節部は、前記処置部の向きを変えるように湾曲可能に構成され略円筒形状を有する可撓バネ部を有し、
前記駆動力伝達部は、前記関節部の湾曲動作における湾曲方向に対応して設けられ前記可撓バネ部の先端に固定された複数の線状部材を有し、
前記複数の線状部材のうちの少なくとも一つが牽引されることによって、前記可撓バネ部は湾曲し、
前記複数の線状部材のうちの少なくとも二つが、前記可撓バネ部の先端が前記可撓バネ部の中心軸線方向に沿って前進または後退するように均等に牽引または押圧されることにより、前記可撓バネ部の先端近傍に前記収納部が形成される
医療器具。 - 請求項2に記載の医療器具であって、
前記可撓バネ部の外面を覆う被覆管部をさらに備え、
前記収納部は、前記可撓バネ部の先端が前記複数の線状部材によって基端側へと後退されることで前記被覆管部内に形成される
医療器具。 - 請求項2に記載の医療器具であって、
前記可撓バネ部の内部に前記処置部が挿通されており、
前記収納部は、前記可撓バネ部の先端が前記複数の線状部材によって先端側へと前進されることで前記可撓バネ部内に形成される
医療器具。 - 請求項1から請求項4のうちのいずれか1項に記載の医療器具であって、
前記処置部は、高周波電流の供給を受けて生体組織を切開するように構成された切開電極を有し、
前記関節部は、前記切開電極に対する前記高周波電流の通電状態を切り替えるように構成されたスイッチング機構を有し、
前記挿入部は、前記スイッチング機構に接続され前記高周波電流が通電されるように構成された給電ケーブルを有し、
前記駆動機構は、前記給電ケーブルに接続され高周波電源装置に接続可能に構成されたプラグを有し、
前記スイッチング機構は、前記切開電極が前記収納部内に位置しているときには前記給電ケーブルと前記切開電極との通電を遮断し、前記切開電極が前記収納部外に位置しているときには前記給電ケーブルと前記切開電極とを導通させる
医療器具。 - 請求項1から請求項5のうちのいずれか1項に記載の医療器具と、
操作者からの操作入力を受け付けるように構成されたマスタマニピュレータと、
前記マスタマニピュレータに接続された制御部と、
前記制御部に接続されているとともに前記駆動機構に接続されたスレーブマニピュレータと、
前記制御部に設けられ、前記処置部が前記収納部内にある状態と前記処置部が収納部外にある状態とを判定するように構成された判定部と、
を備え、
前記医療器具は、
前記処置部が前記収納部内に位置している状態と、前記処置部が前記収納部外に位置している状態とを前記判定部に判定させるように構成されたスイッチ機構を有する
医療システム。
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US201361806101P | 2013-03-28 | 2013-03-28 | |
US61/806,101 | 2013-03-28 | ||
PCT/JP2014/050414 WO2014156221A1 (ja) | 2013-03-28 | 2014-01-14 | 医療器具及び医療システム |
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JPWO2014156221A1 true JPWO2014156221A1 (ja) | 2017-02-16 |
JP6116667B2 JP6116667B2 (ja) | 2017-04-19 |
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US (1) | US20160128766A1 (ja) |
EP (1) | EP2979657B1 (ja) |
JP (1) | JP6116667B2 (ja) |
CN (1) | CN105101899B (ja) |
WO (1) | WO2014156221A1 (ja) |
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WO2014156244A1 (ja) | 2013-03-28 | 2014-10-02 | オリンパス株式会社 | 医療器具及び医療システム |
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CN101227864A (zh) * | 2005-08-11 | 2008-07-23 | 奥林巴斯株式会社 | 内窥镜用处理器具 |
EP1945298B1 (en) * | 2005-11-09 | 2013-04-17 | Korea University Industrial & Academic Collaboration Foundation | Radio frequency ablation electrode for selected tissue removal |
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WO2008141202A2 (en) * | 2007-05-11 | 2008-11-20 | Board Of Regents, The University Of Texas System | Medical scope carrier and scope as system and method |
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DE102009042491A1 (de) * | 2009-05-29 | 2010-12-02 | Aesculap Ag | Chirurgisches Instrument |
US20110213360A1 (en) * | 2010-02-26 | 2011-09-01 | Tyco Healthcare Group Lp | Tensioning Mechanism for Articulation Drive Cables |
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2014
- 2014-01-14 EP EP14775052.5A patent/EP2979657B1/en not_active Not-in-force
- 2014-01-14 CN CN201480016571.2A patent/CN105101899B/zh active Active
- 2014-01-14 WO PCT/JP2014/050414 patent/WO2014156221A1/ja active Application Filing
- 2014-01-14 JP JP2015508108A patent/JP6116667B2/ja active Active
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2015
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JP2008264253A (ja) * | 2007-04-20 | 2008-11-06 | Olympus Medical Systems Corp | 医療用処置具及び内視鏡処置システム |
JP2009189399A (ja) * | 2008-02-12 | 2009-08-27 | Fujifilm Corp | 内視鏡用スタイレット |
WO2011043126A1 (ja) * | 2009-10-06 | 2011-04-14 | オリンパス株式会社 | ガイド装置 |
WO2013112887A1 (en) * | 2012-01-25 | 2013-08-01 | Boston Scientific Scimed, Inc. | Endoscopic instrument having movable distal tool |
Also Published As
Publication number | Publication date |
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CN105101899A (zh) | 2015-11-25 |
CN105101899B (zh) | 2017-07-14 |
EP2979657B1 (en) | 2018-07-04 |
WO2014156221A1 (ja) | 2014-10-02 |
EP2979657A1 (en) | 2016-02-03 |
US20160128766A1 (en) | 2016-05-12 |
EP2979657A4 (en) | 2016-12-21 |
JP6116667B2 (ja) | 2017-04-19 |
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