JPWO2017141323A1 - エネルギー手術機器 - Google Patents
エネルギー手術機器 Download PDFInfo
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- JPWO2017141323A1 JPWO2017141323A1 JP2017523930A JP2017523930A JPWO2017141323A1 JP WO2017141323 A1 JPWO2017141323 A1 JP WO2017141323A1 JP 2017523930 A JP2017523930 A JP 2017523930A JP 2017523930 A JP2017523930 A JP 2017523930A JP WO2017141323 A1 JPWO2017141323 A1 JP WO2017141323A1
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- gripping piece
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00026—Conductivity or impedance, e.g. of tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00057—Light
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2938—Independently actuatable jaw members, e.g. two actuating rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
- A61B2018/00428—Severing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00607—Coagulation and cutting with the same instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/032—Automatic limiting or abutting means, e.g. for safety pressure limiting, e.g. hydrostatic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Dentistry (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
Abstract
Description
(付記項1)
第1の把持片と第2の把持片との間を閉じ、前記第1の把持片と前記第2の把持片との間で血管を把持することと、
把持されている前記血管の壁厚に関する情報を設定することと、
設定された前記壁厚が所定の厚みよりも厚い場合、前記第1の把持片と前記第2の把持片との間で前記血管を把持する把持力を第1の把持力に調整し、設定された前記壁厚が所定の厚み以下の場合、前記把持力を前記第1の把持力よりも小さい第2の把持力に調整することと、
前記処置対象に処置エネルギーを付与し、前記処置対象を封止することと、
を具備する処置方法。
Claims (4)
- 第1の把持片と、
前記第1の把持片との間が開閉可能であり、前記第1の把持片との間が閉じることにより、前記第1の把持片との間で血管を把持可能な第2の把持片と、
前記第1の把持片及び前記第2の把持片の少なくとも一方に設けられ、前記第1の把持片と前記第2の把持片との間で把持された前記血管に処置エネルギーを付与することにより、前記血管を処置するエネルギー付与部と、
前記血管の壁厚に関する情報を設定する設定部と、
前記設定部で設定された前記壁厚が所定の厚みよりも厚い場合、前記第1の把持片と前記第2の把持片との間で前記血管を把持する把持力を第1の把持力に調整し、前記設定部で設定された前記壁厚が所定の厚み以下の場合、前記把持力を前記第1の把持力よりも小さい第2の把持力に調整する把持力調整部と、
を備えるエネルギー手術機器。
- 前記血管に関する情報を検知する検知部をさらに備え、
前記設定部は、前記検知部での検知結果に基づいて前記壁厚に関する情報を設定する、
請求項1に記載のエネルギー手術機器。
- 前記血管に関する情報が入力される情報入力部をさらに備え、
前記設定部は、前記情報入力部での入力結果に基づいて前記壁厚に関する情報を設定する、
請求項1に記載のエネルギー手術機器。
- 前記設定部で設定された前記壁厚に関する情報に応じて、前記把持力に関するパラメータを決定し、前記決定された前記パラメータに基づいて前記把持力調整部の作動を制御する制御部をさらに備える、請求項1に記載のエネルギー手術機器。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/JP2016/054309 WO2017141323A1 (ja) | 2016-02-15 | 2016-02-15 | エネルギー手術機器 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP6177484B1 JP6177484B1 (ja) | 2017-08-09 |
JPWO2017141323A1 true JPWO2017141323A1 (ja) | 2018-02-22 |
Family
ID=59559126
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017523930A Active JP6177484B1 (ja) | 2016-02-15 | 2016-02-15 | エネルギー手術機器 |
Country Status (5)
Country | Link |
---|---|
US (1) | US20190021784A1 (ja) |
EP (1) | EP3417819A4 (ja) |
JP (1) | JP6177484B1 (ja) |
CN (1) | CN108697452A (ja) |
WO (1) | WO2017141323A1 (ja) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108135652B (zh) * | 2016-04-26 | 2021-01-12 | 奥林巴斯株式会社 | 能量处置器具、处置系统和控制装置 |
JP6857258B2 (ja) * | 2017-12-11 | 2021-04-14 | オリンパス株式会社 | 動力伝達機構および処置具 |
JPWO2023037478A1 (ja) * | 2021-09-09 | 2023-03-16 |
Family Cites Families (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5370659A (en) * | 1992-04-09 | 1994-12-06 | Olympus Optical Co., Ltd. | Grasping forceps for medical treatment |
US6331181B1 (en) * | 1998-12-08 | 2001-12-18 | Intuitive Surgical, Inc. | Surgical robotic tools, data architecture, and use |
AU2001256990B2 (en) * | 2001-04-06 | 2006-02-02 | Covidien Ag | Vessel sealer and divider |
CA2592999C (en) * | 2004-02-26 | 2017-11-07 | Linguaflex Llc | A method and device for the treatment of obstructive sleep apnea and snoring |
JP2005349022A (ja) * | 2004-06-11 | 2005-12-22 | Olympus Corp | 手術用処置具 |
US20070173813A1 (en) * | 2006-01-24 | 2007-07-26 | Sherwood Services Ag | System and method for tissue sealing |
US7776037B2 (en) * | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
US7731717B2 (en) * | 2006-08-08 | 2010-06-08 | Covidien Ag | System and method for controlling RF output during tissue sealing |
US8357158B2 (en) * | 2008-04-22 | 2013-01-22 | Covidien Lp | Jaw closure detection system |
US9060798B2 (en) * | 2009-11-16 | 2015-06-23 | Covidien Lp | Surgical forceps capable of adjusting sealing pressure based on vessel size |
US9113940B2 (en) * | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US9630677B2 (en) * | 2012-06-15 | 2017-04-25 | Sram, Llc | Brake control apparatus |
US9028494B2 (en) * | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US10231782B2 (en) * | 2012-09-06 | 2019-03-19 | Covidien Lp | Medical devices and methods incorporating frustrated total internal reflection for energy-efficient sealing and cutting of tissue using light energy |
US20140073900A1 (en) * | 2012-09-13 | 2014-03-13 | Nellcor Puritan Bennett Llc | System and method for measuring cardiac output |
US9468438B2 (en) * | 2013-03-01 | 2016-10-18 | Eticon Endo-Surgery, LLC | Sensor straightened end effector during removal through trocar |
EP3037053A4 (en) * | 2013-08-21 | 2017-06-07 | Olympus Corporation | Treatment tool and treatment system |
US20150314134A1 (en) * | 2014-05-02 | 2015-11-05 | Krzysztof Slawomir Nowicki | Method of generating life sustaining energy in the terminal and respiratory bronchioles system (trbs) |
US10052044B2 (en) * | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
-
2016
- 2016-02-15 CN CN201680081862.9A patent/CN108697452A/zh active Pending
- 2016-02-15 JP JP2017523930A patent/JP6177484B1/ja active Active
- 2016-02-15 EP EP16890466.2A patent/EP3417819A4/en not_active Withdrawn
- 2016-02-15 WO PCT/JP2016/054309 patent/WO2017141323A1/ja active Application Filing
-
2018
- 2018-08-15 US US15/998,411 patent/US20190021784A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
EP3417819A1 (en) | 2018-12-26 |
WO2017141323A1 (ja) | 2017-08-24 |
JP6177484B1 (ja) | 2017-08-09 |
EP3417819A4 (en) | 2020-01-15 |
US20190021784A1 (en) | 2019-01-24 |
CN108697452A (zh) | 2018-10-23 |
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