KR101715722B1 - An Ultrasonic Applier Having a Improved Cutting Efficiency for Medical Use - Google Patents

An Ultrasonic Applier Having a Improved Cutting Efficiency for Medical Use Download PDF

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Publication number
KR101715722B1
KR101715722B1 KR1020150110424A KR20150110424A KR101715722B1 KR 101715722 B1 KR101715722 B1 KR 101715722B1 KR 1020150110424 A KR1020150110424 A KR 1020150110424A KR 20150110424 A KR20150110424 A KR 20150110424A KR 101715722 B1 KR101715722 B1 KR 101715722B1
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South Korea
Prior art keywords
cutting
ultrasonic
base
handle
unit
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KR1020150110424A
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Korean (ko)
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KR20170017069A (en
Inventor
한희상
최준호
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(주)에이치엔써지컬
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Priority to KR1020150110424A priority Critical patent/KR101715722B1/en
Publication of KR20170017069A publication Critical patent/KR20170017069A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072Working tips with special features, e.g. extending parts

Abstract

The present invention relates to a medical ultrasonic applicator having a cutting efficiency improving structure, and more particularly, to a medical ultrasonic applicator having a cutting efficiency improving structure for firmly fixing a cutting edge portion to cut the ultrasonic wave by ultrasonic waves. The medical ultrasound applier having the cutting efficiency improving structure includes an operating housing 11 in which a handle 112 for operating the ultrasonic vibrator is disposed; A linearly extending connecting tube 13; And a cutting clip 15 connected to one side of the connection tube 13 and composed of a fixing base 151 and a cutting unit 152. The fixing base 151 is moved by the operation of the handle 112 The fixed base 151 is in contact with and separated from the cutting unit 152. The fixed base 151 includes a tip fixing base 23 formed with a cutting groove 232 in which a lower portion of the cutting unit 152 is received in the longitudinal direction, And a cover base 24 coupled to the underside of the handle 23 and having a rotation fixing unit 243 operated according to the operation of the handle 112. [

Figure 112015075862413-pat00001

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention [0001] The present invention relates to a medical ultrasound applier having an improved cutting efficiency,

The present invention relates to a medical ultrasonic applicator having a cutting efficiency improving structure, and more particularly, to a medical ultrasonic applicator having a cutting efficiency improving structure for firmly fixing a cutting edge portion to be cut by ultrasonic waves.

Laparoscopic surgery, in which a laparoscope with a camera attached to its stomach is operated without cutting the abdomen, is commonly used for the treatment of various internal human diseases. In laparoscopic surgery, for example, an ultrasonic cutter may be used to cut a part of the body, such as the stomach or colon. An ultrasonic cutting machine is a surgical tool for holding a part of a body and transmitting an ultrasonic wave to a cutting part and cutting the part into a heat. Such ultrasonic cutting machines are known in the art.

Patent Publication No. 10-2014-0147843 discloses a transducer for generating ultrasonic waves; A transfer rod which is formed in a cylindrical bar shape and transfers the ultrasonic waves generated from the oscillator to the one end from the other end to which the oscillator is connected; A cutter which is formed to extend from one end of the transmission rod and cuts a surgical site using ultrasonic waves transmitted from the transmission rod, wherein a gain step is started at a first oscillation node closest to the one end of the transmission rod A cutter in which a part of a circular cross-sectional area is formed flat from a point corresponding to the first vibration node; A rod cover surrounding the transmission rod with a plurality of vibration nodes formed when ultrasonic waves are transmitted through the cutting rod as connection points; And a tilting coupling to one end of the rod cover, the tilting mechanism being provided at a position opposite to the cutter and engaging with the cutter to grip the surgical site.

U.S. Patent No. 6,893,434 discloses an ultrasonic transducer for generating ultrasonic waves, a gripping assembly connected to the transducer, and a gripping assembly including an ultrasonic cutter including a blade part and gripping teeth movable along the axial direction with respect to the blade part, .

Another prior art related to ultrasonic cutting machines is U.S. Patent Publication No. US 2007/0191713 'Ultrasonic Device for Cutting and Coagulating'. The prior art discloses an ultrasonic cutter comprising an ultrasonic waveguide, a blade connected to the end of the ultrasonic waveguide, a tissue pad, and a clamping member movable relative to the blade.

The ultrasonic applicator disclosed in the prior art does not disclose the structure of the cutting unit that effectively cuts the cutting part while keeping the cutting peripheral part secure and firm.

The present invention has been made to solve the problems of the prior art and has the following purpose.

Prior Art 1: Patent Publication No. 10-2014-0147843 (published by IREMAD Co., Ltd., December 30, 2014) Ultrasonic surgical instrument Prior Art 2: U.S. Patent No. 6,893,434 (Axya Medical, Inc, published May 17, 2005) Ultrasonic Soft Tissue Cutting and Coagulation Systems Including a Retractable Grasper Prior Art 3: United States Patent Application Publication 2007/0191713 (Stephen E. Eichmann et al., Published August 16, 2007) Ultrasonic Device for Cutting and Coagulating

SUMMARY OF THE INVENTION It is an object of the present invention to provide a medical ultrasound applier having a cutting efficiency improving structure that effectively cuts a cutting part while effectively securing a cutting peripheral part.

According to a preferred embodiment of the present invention, the medical ultrasound applier of the cutting efficiency improving structure includes an operating housing in which a handle for operating the ultrasonic transducer is disposed; A linearly extending connecting tube; And a cutting clip which is connected to one side of the connection tube and is composed of a fixed base and a cutting unit, the fixed base is moved and separated from the cutting unit by the operation of the handle, And a lid base having a tip fixing base formed with a cut groove in which a lower portion is received and a lid base coupled to a lower portion of the tip fixing base and having a rotation fixing unit operated according to the operation of the handle.

According to another preferred embodiment of the present invention, the cutting unit includes a cutting tip, the cutting tip having a connecting member having a circular cross-section extending from a transmitting member to which ultrasonic waves are transmitted, And the lower portion of the contact member extends in a small cross-sectional area as compared with the upper portion.

According to another preferred embodiment of the present invention, the cutting clip is adjustable in inclination with respect to the transmitting member, and the inclination adjustment is performed by the inclination adjusting unit.

The ultrasonic applicator according to the present invention allows ultrasonic waves to be efficiently transmitted while the cutting portion is firmly fixed. Also, the ultrasonic applicator according to the present invention is easy to operate and simple in structure, thereby reducing manufacturing cost and maintenance cost.

FIG. 1 illustrates an embodiment of an ultrasonic applicator according to the present invention.
2A and 2B illustrate an embodiment of a cutting unit applied to an ultrasonic applicator according to the present invention.
FIGS. 3A to 3C illustrate an embodiment in which the inclination of the cutting clip is adjusted in the ultrasonic applicator according to the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, the present invention will be described in detail with reference to the embodiments shown in the accompanying drawings, but the present invention is not limited thereto. In the following description, components having the same reference numerals in different drawings have similar functions, so that they will not be described repeatedly unless necessary for an understanding of the invention, and the known components will be briefly described or omitted. However, It should not be understood as being excluded from the embodiment of Fig.

The ultrasonic applicator according to the present invention may be applied to a laparoscopic surgical procedure and may have a function of cutting the stomach, duodenum, or such an organ in the human body by ultrasound. However, it can be applied to various surgical or internal surgery procedures as needed. Cutting can be done through processes such as generation of ultrasonic waves, ultrasonic transmission to the cutting site, thermal transformation of the ultrasonic waves, and heating of the cutting area. The ultrasound transmitted to the cutting site may be, but is not limited to, for example, 1 MHz to 20 MHz. The ultrasonic generator may include a transducer, a transmission oscillator for converting an electric signal into an ultrasonic wave corresponding to a mechanical signal, and a reception oscillator for converting the reflected ultrasonic wave into an electric signal. Transducers having various structures can be applied to the ultrasonic applicator according to the present invention, and the present invention is not limited to the embodiments shown.

FIG. 1 shows an embodiment of an ultrasonic applicator 10 according to the present invention.

Referring to FIG. 1, the ultrasonic applicator 10 includes an operation housing 11 having a handle 112 for operation of the ultrasonic vibrator; A linearly extending connecting tube 13; And a cutting clip 15 connected to one side of the connection tube 13 and composed of a fixing base 151 and a cutting unit 152. The fixing base 151 is moved by the operation of the handle 112 The fixed base 151 is in contact with and separated from the cutting unit 152. The fixed base 151 includes a tip fixing base 23 formed with a cutting groove 232 in which a lower portion of the cutting unit 152 is received in the longitudinal direction, And a cover base 24 coupled to the underside of the handle 23 and having a rotation fixing unit 243 operated according to the operation of the handle 112. [

The operation housing 11 includes a housing case 114 in which parts related to the operation are accommodated, an operation body 111, a transducer for generating ultrasonic waves disposed therein, 151 for controlling the operation of the ultrasonic transducer, and an operation button 113 attached to the upper side of the handle 112 to control the operation of the ultrasonic transducer. Inside the operating body 111 of the operating housing 11, for example, a printed circuit board including a microprocessor or a circuit for controlling the operation of the transducer may be arranged. The actuating housing 11 can be made in a variety of configurations and can have any material or shape known in the art.

The connection tube 13 may be in the form of a hollow cylinder and may receive an ultrasonic transmission member for transmitting ultrasonic waves generated from a transducer disposed inside the operation housing 11 and transmit the operation of the handle 112 An operation member for allowing the fixed base 151 to move can be received. The connecting tube 13 may be made to have an appropriate length or diameter. And a cutting clip 15 may be connected to the end of the connecting tube 13. [

The cutting clip 15 may have a function of transferring the ultrasonic wave to the cutting site and converting it into heat to cut the cutting site. The cutting clip 15 may include a fixed base 151 disposed to be rotatable with respect to one portion and a cutting unit 152 contacting and separating from the fixed base 151 in accordance with rotation of the fixed base 151 . The rotation of the fixed base 151 can be controlled by the handle 112 and specifically the movement of the fixed base 151 can be controlled by connecting the handle 112 and the fixed base 151 by mechanical means . The operation of the fixing base 151 by the handle 112 may be performed according to a method known in the art, and the present invention is not limited to the illustrated embodiments.

The ultrasonic applicator 10 according to the present invention may additionally have a tilt adjustment structure of the cutting clip 15. [ Adjustment of the inclination of the cutting clip 15 means adjustment of the extension direction with respect to the transmitting member to which ultrasonic waves are transmitted. The inclination adjustment may be performed by the adjustment unit 12 including the connection case 121 formed at the end portion of the operation housing 11 and the adjustment handle 122 formed in the connection case 121. [

An embodiment of the cutting clip 15 and the adjustment unit 12 will be described again below.

2A and 2B illustrate an embodiment of a cutting unit applied to an ultrasonic applicator according to the present invention.

Referring to FIG. 2A, the cutting unit includes a cutting tip 22, and the cutting tip 22 includes a connecting member 221 having a circular cross section extending from a transmitting member 21 to which ultrasonic waves are transmitted; And a contact member 222 that extends from the connecting member 221 and has a polygonal cross section and extends linearly and a lower portion 223 of the contact member 222 extends in a small cross sectional area as compared with the upper portion .

Ultrasonic waves generated in the transducer can be transmitted through the transmitting member 21 and transmitted to the cutting tip 22, and the cutting tip 22 can be linear, curved, have. The cutting member 21 or the cutting tip 22 may be any material capable of transmitting ultrasonic waves, and may be made of a metal, an alloy, or a synthetic resin and a material. The material of the cutting member 21 or the cutting tip 22 is not particularly limited since substantially ultrasonic waves are transmitted through solid, liquid and gas. The transmitting member 21 can be made of a material preferably having a circular cross section, whereby ultrasonic waves generated in the transducer can be transmitted without loss. On the other hand, it is advantageous that the cutting tip 22 has a structure capable of easily transferring the ultrasonic wave to the cutting portion, and is preferably made of a material having different medium characteristics as compared with the cutting portion. For this purpose, the cutting tip 22 may have a planar shape in a direction perpendicular to the extending direction, and a length in a direction in which the horizontal direction is perpendicular to the length in the direction perpendicular to the extending direction It can be big. In addition, the tip of the cutting tip 22 may be coated with a medium capable of reflecting the transmitted ultrasonic waves. With such a structure, the structure of the cutting tip 22 may be such that the lower portion 223 extends with a small cross section as compared with the upper portion. Specifically, the cutting tip 22 may be composed of a connecting member 221 having a smaller cross section than the transmitting member 21 and a contacting member 222 extending from the connecting member 221. The connecting member 221 may be integrally formed with the contact member 222 and may be formed by cutting both sides of the connecting member 221 into a planar shape. The lower portion 223 can be made by cutting the lower side of both sides to be inwardly inclined after the side faces are cut again. Accordingly, the upper rectangular portion and the lower triangular portion of the cross section of the contact member 221 may be connected. The cutting tip 22 can be made in various configurations and the invention is not limited to the embodiments shown.

The contact member 222 may be fixed to the cutting groove 232 formed in the tip fixing base 23 in the cutting process. The fixed base (23) has a base plate (231) having an upper portion in a planar shape; A cutting groove (232) formed into a shape in which at least a part of the contact member (221) is received while bisecting the base plate (231) in the longitudinal direction; And a movement restricting projection 233 formed on the upper plane of the base plate 231. [ Further, a coupling blade 234 coupled to the cover base 24 may be formed on one side of the tip fixing base 23. In addition, a separating strip may be formed below the cut groove 232 to prevent the contact member 222 from contacting the side or bottom surface of the cut groove 232. A plurality of separation strips are disposed in a direction perpendicular to the longitudinal direction of the cut groove 232 to prevent the ultrasonic waves from being dispersed through the cut groove 232. The movement restricting protrusion 233 may be formed to have a relatively large height as compared with the base plate 231 as compared with a side portion where one side portion faces each polygonal cross section for fixing the cutting peripheral portion . The movement restricting protrusions 233 may be formed in such a manner that a band inclined with respect to the longitudinal direction of the cut groove 232 is arranged and each of the movement restricting protrusions 233 may be separately arranged at regular intervals.

The lid base 24 can be coupled to the lower side of the tip fixing base 23 and includes a receiving plate 241 and a fixing groove 242 formed in the receiving plate 241 to receive the lower portion of the cutting groove 232, And a rotation fixing unit 243 to which the coupling wing 234 is coupled. An axis projection 243a is formed in the rotation fixing unit 243 so that the fixing base 23 is separated from and contacted with the cutting unit according to the operation of the handle described above.

2B shows a process in which ultrasonic waves are transmitted to the cutting tip 22 for cutting and FIG. 2B shows the cutting tip 22 before or after cutting from the tip fixing base 23 And shows the separated state.

The ultrasonic waves are transmitted to the cutting tip 22 through the transmitting member 21 and can be converted into heat while being transmitted to the cutting site. The divergence of heat can be reduced by fixing the tip fixing base 23 to the cover base 24. The tip fixing base 23 and the cover base 24 before and after cutting can be kept separated from the cutting tip 22 by the rotation fixing unit 243. By operating the handle as described above, the cutting tip 22 and the tip fixing base 23 are brought into contact with each other while the fixed base is rotated with respect to the rotation fixing unit 243, and the ultrasonic waves are transmitted through the transmitting member 21 So that cutting can be performed.

The cutting tip 22 and the tip fixing member 23 can be operated in various ways, and the present invention is not limited to the embodiments shown.

In the ultrasonic applicator according to the present invention, the cutting clip can be inclined with respect to the transmitting member, and the inclination can be adjusted with the inclination adjusting unit.

FIGS. 3A to 3C illustrate an embodiment in which the inclination of the cutting clip is adjusted in the ultrasonic applicator according to the present invention.

Referring to FIGS. 3A and 3B, the inclination adjusting unit includes an adjusting handle 122 having an engaging projection 122a formed therein;

A coupling block 33 coupled to the lower side of the adjustment handle 122; An adjustment block (32) coupled to the lower side of the coupling block (33); An induction plate 34 coupled to the lower side of the engaging block 33; And a movement block 31 for guiding the movement of the adjustment block 32 according to the operation of the adjustment handle 122. And the inclination adjusting unit can be fixed to the connection case by the insertion pin (35).

The moving block 31 is composed of a body 311 having a sliding inner surface 313 and a fixing hole 312 formed therein and the side wing 322 of the adjusting block 32 is fixed to the body 311 through the fixing holes 312 As shown in Fig. The moving protrusion 323 may be formed on the body plate 321 of the adjusting block 32 and the moving protrusion 323 may be moved along the inclined groove 342 formed in the induction body 341 of the induction plate 34 . The guide plate 34 can be coupled to the lower side of the engaging block 33 and the moving protrusion 323 can be moved along the inclined groove 342. [ The engaging block 33 includes an engaging body 331 formed with an engaging groove 333 to which the engaging protrusion 122a formed on the upper plane is engaged. A side wing 334 coupled to the side surface of the adjustment block 32 while fixing the guide plate 34; And a corresponding groove 335 corresponding to the inclined groove 342 may be formed on the rear surface of the coupling body 331. [ The insertion pin 35 may include a rotation inducing portion 351 connected to the adjustment handle 122 and a fixing portion 352 fixed to the connection case.

The connecting member 37 can connect the slope adjusting unit and the cutting clip to each other and one end of the connecting member 37 can be fixed to the lower surface of the moving block 31 having a semi-cylindrical shape. The one end may be fixed to one side of the moving block 31 so that it is deflected and the extension hole 372 may be formed and fixed to form a moving margin. And a fastening hole 371 may be formed at the other end of the connecting member 37. The fastening hole 371 may be coupled to the fastening hole 39 formed on one side of the rotation fixing unit 243 formed in FIG. 3C.

Referring to FIG. 3C, a flexible cutting member 38 may be formed between the cutting tip 22 and the transmitting member 21 as needed. The flexible transmission member 38 can be made of a material that can be easily bent. In this structure, when the adjustment handle 122 is rotated, the movable block is moved and simultaneously moved to the side. With this movement, one end of the connecting member is moved to the side and the front side, so that the cutting tip 22 can be inclined with respect to the extending direction of the transmitting member 21. [ Such an inclined structure facilitates access of the ultrasonic applicator according to the position of the inside of the human body at the cutting site.

The inclination adjustment can be made in various structures and the present invention is not limited to the embodiments shown.

The ultrasonic applicator according to the present invention allows ultrasonic waves to be efficiently transmitted while the cutting portion is firmly fixed. Also, the ultrasonic applicator according to the present invention is easy to operate and simple in structure, thereby reducing manufacturing cost and maintenance cost.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it will be understood by those of ordinary skill in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention . The invention is not limited by these variations and modifications, but is limited only by the claims appended hereto.

10: ultrasonic apple lyer 11: operating housing
12: regulating unit 13: connecting tube
15: cutting clip 21: transmitting member
22: cutting tip 23: tip fixing base
24: cover base 31: moving block
32: regulating block 33: engaging block
34: guide plate 35: insertion pin
37: connecting member 38: soft transmitting member
39: coupling hole 111: operating body
112: handle 113: operation button
114: receiving case 121: connecting case
122: adjusting handle 122a: engaging projection
151: fixed base 152: cutting unit
221: connecting member 222: contact member
223: lower portion 231: base plate
232: cutting groove 233: movement restricting projection
234: coupling wing 241:
242: fixing groove 243: rotation fixing unit
243a: Axial projection 311: Body
312: Fixing hole 313: Inner surface
321: body plate 322: side wing
323: moving projection 331: engaging body
332: guiding portion 333: engaging groove
334: side wing 335: corresponding groove
341: Induction body 342: Inclined groove
351: rotation inducing portion 352: fixed portion
371: Fastening hole 372: Extension hole

Claims (3)

An operating housing (11) in which a handle (112) for the operation of the ultrasonic transducer is disposed;
A linearly extending connecting tube 13; And
And a cutting clip (15) connected to one side of the connection tube (13) and consisting of a fixed base (151) and a cutting unit (152)
The operation of the handle 112 causes the fixed base 151 to move and come into contact with and separate from the cutting unit 152,
The fixing base 151 includes a tip fixing base 23 having a cut groove 232 in which a lower portion of the cutting unit 152 is received in the longitudinal direction of the cutting base 152, And a cover base (24) having a rotation fixing unit (243) which is operated in accordance with the operation of the cover (112)
Wherein a plurality of separation strips are provided in the cutting groove (232) in a direction perpendicular to the longitudinal direction of the cutting groove (232).
The cutting apparatus according to claim 1, wherein the cutting unit (152) includes a cutting tip (22), and the cutting tip (22) comprises a connecting member (221) having a circular cross section extending from a transmitting member (21) And a contact member (222) extending from the connection member (221) and having a polygonal cross section and extending linearly, wherein a lower portion of the contact member (222) extends in a small cross sectional area as compared with an upper portion A medical ultrasound applier with improved cutting efficiency. The medical ultrasound system according to claim 1, wherein the cutting clip (15) is adjustable in inclination with respect to the transmitting member (21), and the inclination is adjusted by the inclination adjusting unit (12) .
KR1020150110424A 2015-08-05 2015-08-05 An Ultrasonic Applier Having a Improved Cutting Efficiency for Medical Use KR101715722B1 (en)

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KR102316810B1 (en) * 2019-06-17 2021-10-25 주식회사 청우메디칼 High Frequency Wave Type of a Cutting Device for a Laparoscopic Surgery

Citations (3)

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Publication number Priority date Publication date Assignee Title
JP2010051779A (en) * 2008-08-29 2010-03-11 Olympus Medical Systems Corp Ultrasonic treatment apparatus
JP2011083618A (en) 2002-10-04 2011-04-28 Tyco Healthcare Group Lp Tool assembly for surgical staple device
EP2848215A1 (en) 2013-09-11 2015-03-18 Covidien LP Ultrasonic surgical instrument with cooling system

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Publication number Priority date Publication date Assignee Title
JP3709226B2 (en) * 1995-11-10 2005-10-26 オリンパス株式会社 Ultrasonic coagulation and incision device
US6893434B2 (en) 2002-05-13 2005-05-17 Axya Medical, Inc. Ultrasonic soft tissue cutting and coagulation systems including a retractable grasper
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
WO2013122274A1 (en) 2012-02-16 2013-08-22 이메드 주식회사 Tool for surgical operation using ultrasonic waves

Patent Citations (3)

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Publication number Priority date Publication date Assignee Title
JP2011083618A (en) 2002-10-04 2011-04-28 Tyco Healthcare Group Lp Tool assembly for surgical staple device
JP2010051779A (en) * 2008-08-29 2010-03-11 Olympus Medical Systems Corp Ultrasonic treatment apparatus
EP2848215A1 (en) 2013-09-11 2015-03-18 Covidien LP Ultrasonic surgical instrument with cooling system

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