KR102480319B1 - 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템 - Google Patents

복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템 Download PDF

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KR102480319B1
KR102480319B1 KR1020177006213A KR20177006213A KR102480319B1 KR 102480319 B1 KR102480319 B1 KR 102480319B1 KR 1020177006213 A KR1020177006213 A KR 1020177006213A KR 20177006213 A KR20177006213 A KR 20177006213A KR 102480319 B1 KR102480319 B1 KR 102480319B1
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tip
handpiece
drive signal
vibration mode
signal
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Korean (ko)
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KR20170039726A (ko
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아담 다우니
로버트 볼드윈
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스트리커 코포레이션
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
    • B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
    • B06B1/00—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency
    • B06B1/02—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy
    • B06B1/0207—Driving circuits
    • B06B1/0223—Driving circuits for generating signals continuous in time
    • B06B1/0269—Driving circuits for generating signals continuous in time for generating multiple frequencies
    • B06B1/0276—Driving circuits for generating signals continuous in time for generating multiple frequencies with simultaneous generation, e.g. with modulation, harmonics
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01R—MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
    • G01R15/00—Details of measuring arrangements of the types provided for in groups G01R17/00 - G01R29/00, G01R33/00 - G01R33/26 or G01R35/00
    • G01R15/14—Adaptations providing voltage or current isolation, e.g. for high-voltage or high-current networks
    • G01R15/18—Adaptations providing voltage or current isolation, e.g. for high-voltage or high-current networks using inductive devices, e.g. transformers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B2017/0003—Conductivity or impedance, e.g. of tissue of parts of the instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • A61B2017/0011—Sensing or detecting at the treatment site ultrasonic piezoelectric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00137—Details of operation mode
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00137—Details of operation mode
    • A61B2017/00141—Details of operation mode continuous, e.g. wave
    • A61B2017/00146—Details of operation mode continuous, e.g. wave with multiple frequencies
    • A61B2017/0015—Details of operation mode continuous, e.g. wave with multiple frequencies applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • A61B2017/00482—Coupling with a code
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00973—Surgical instruments, devices or methods pedal-operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B2017/22005—Effects, e.g. on tissue
    • A61B2017/22007—Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing
    • A61B2017/22009—Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing reduced or prevented
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072—Working tips with special features, e.g. extending parts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320084—Irrigation sleeves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320098—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with transverse or torsional motion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system
    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
    • B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
    • B06B1/00—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency
    • B06B1/02—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy
    • B06B1/06—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
    • B06B1/0607—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction using multiple elements
    • B06B1/0611—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction using multiple elements in a pile
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
    • B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
    • B06B2201/00—Indexing scheme associated with B06B1/0207 for details covered by B06B1/0207 but not provided for in any of its subgroups
    • B06B2201/70—Specific application
    • B06B2201/76—Medical, dental

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Dentistry (AREA)
  • Surgical Instruments (AREA)
  • Power Engineering (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Apparatuses For Generation Of Mechanical Vibrations (AREA)
KR1020177006213A 2014-08-07 2015-08-06 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템 Active KR102480319B1 (ko)

Priority Applications (1)

Application Number Priority Date Filing Date Title
KR1020227044446A KR102721132B1 (ko) 2014-08-07 2015-08-06 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201462034585P 2014-08-07 2014-08-07
US62/034,585 2014-08-07
PCT/US2015/044023 WO2016022808A1 (en) 2014-08-07 2015-08-06 Ultrasonic surgical tool capable of vibrating in plural modes and a drive system that induces non-linear vibrations in the tool tip

Related Child Applications (1)

Application Number Title Priority Date Filing Date
KR1020227044446A Division KR102721132B1 (ko) 2014-08-07 2015-08-06 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템

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Publication Number Publication Date
KR20170039726A KR20170039726A (ko) 2017-04-11
KR102480319B1 true KR102480319B1 (ko) 2022-12-23

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KR1020177006213A Active KR102480319B1 (ko) 2014-08-07 2015-08-06 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템
KR1020227044446A Active KR102721132B1 (ko) 2014-08-07 2015-08-06 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템
KR1020247034891A Pending KR20240154705A (ko) 2014-08-07 2015-08-06 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템

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KR1020227044446A Active KR102721132B1 (ko) 2014-08-07 2015-08-06 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템
KR1020247034891A Pending KR20240154705A (ko) 2014-08-07 2015-08-06 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템

Country Status (7)

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US (4) US10561435B2 (enExample)
EP (3) EP4678124A3 (enExample)
JP (4) JP6623212B2 (enExample)
KR (3) KR102480319B1 (enExample)
CN (2) CN107106197B (enExample)
AU (2) AU2015300921B2 (enExample)
WO (1) WO2016022808A1 (enExample)

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CN105611882B (zh) * 2013-08-07 2018-06-26 史赛克公司 作为手持器具的机械阻抗的函数来驱动超声手持器具的系统和方法
KR102480319B1 (ko) 2014-08-07 2022-12-23 스트리커 코포레이션 복수의 모드에서 진동할 수 있는 초음파 수술 도구 및 도구 팁에서 비-선형 진동을 유도하는 구동 시스템
WO2017106329A1 (en) 2015-12-18 2017-06-22 Stryker Corporation Ultrasonic surgical tool system including a tip capable of simultaneous longitudinal and torsional movement and of substantially torsional oscillations
WO2017210076A2 (en) 2016-05-31 2017-12-07 Stryker Corporation Power console for a surgical tool that includes a transformer with an integrated current source for producing a matched current to offset the parasitic current
CN111601563B (zh) 2017-12-06 2024-10-18 史赛克公司 用于控制手术系统中的患者泄漏电流的系统和方法
CN112752552B (zh) * 2018-09-24 2025-01-28 史赛克公司 超声外科机头组件
US11918245B2 (en) 2018-10-05 2024-03-05 Kogent Surgical, LLC Ultrasonic surgical handpiece with torsional transducer
US11871953B2 (en) 2019-04-30 2024-01-16 Stryker Corporation Adapter and methods for coupling an ultrasonic surgical handpiece to a control console
JP6873494B2 (ja) * 2019-07-26 2021-05-19 ミクロン精密株式会社 ハンドピース型高周波振動装置
AU2020403267A1 (en) 2019-12-12 2022-07-14 Stryker Corporation Control of an ultrasonic handpiece
DE102020112851B4 (de) * 2020-05-12 2026-06-25 Carl Zeiss Meditec Ag Steuergerät für eine elektrische Antriebseinheit eines ophthalmochirurgischen Handstücks und Verfahren zu dessen Betrieb, ophthalmochirurgische Vorrichtung und System
EP4523638A3 (en) * 2020-06-04 2025-05-21 Stryker Corporation Ultrasonic surgical aspirator for probing and ablating tissue
CN116194059A (zh) 2020-10-01 2023-05-30 史赛克公司 用于超声工具系统的脉冲控制
EP4486268A1 (en) 2022-02-28 2025-01-08 Alcon Inc. Bi-modal ultrasonic handpiece system
US12427059B2 (en) * 2023-05-10 2025-09-30 Zevex, Inc. Ultrasonic handpiece assembly
EP4757735A1 (en) * 2023-08-12 2026-06-17 Stryker Corporation Ultrasonic surgical tool system with auxiliary power
WO2025081187A1 (en) 2023-10-11 2025-04-17 Stryker Corporation Tissue sensing with an ultrasonic resection tool

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KR20240154705A (ko) 2024-10-25
CN110251204A (zh) 2019-09-20
WO2016022808A1 (en) 2016-02-11
US20170143369A1 (en) 2017-05-25
EP4678124A3 (en) 2026-06-03
US10561435B2 (en) 2020-02-18
AU2020213394B2 (en) 2023-02-16
CA2957281A1 (en) 2016-02-11
US20250160874A1 (en) 2025-05-22
KR20230003402A (ko) 2023-01-05
JP6623212B2 (ja) 2019-12-18
JP2023029830A (ja) 2023-03-07
EP4212112B1 (en) 2025-09-24
JP7169259B2 (ja) 2022-11-10
EP4212112A1 (en) 2023-07-19
US11617598B2 (en) 2023-04-04
CN107106197A (zh) 2017-08-29
JP2020049228A (ja) 2020-04-02
US20200038053A1 (en) 2020-02-06
US12419663B2 (en) 2025-09-23
EP3177217B1 (en) 2023-03-08
AU2015300921B2 (en) 2020-05-07
AU2020213394A1 (en) 2020-08-27
US20230210550A1 (en) 2023-07-06
JP2025157213A (ja) 2025-10-15
JP2017527349A (ja) 2017-09-21
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EP4678124A2 (en) 2026-01-14
EP3177217A1 (en) 2017-06-14
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