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
    • A61B17/00—Surgical instruments, devices or methods
    • 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)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (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)

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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
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
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

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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
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

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US (4) US10561435B2 (https=)
EP (3) EP4212112B1 (https=)
JP (4) JP6623212B2 (https=)
KR (3) KR102480319B1 (https=)
CN (2) CN107106197B (https=)
AU (2) AU2015300921B2 (https=)
CA (1) CA2957281A1 (https=)
WO (1) WO2016022808A1 (https=)

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KR102457401B1 (ko) 2013-08-07 2022-10-21 스트리커 코포레이션 초음파 핸드피스를 이 핸드피스의 기계 임피던스의 함수로서 구동시키기 위한 시스템 및 방법
EP4212112B1 (en) 2014-08-07 2025-09-24 Stryker Corporation Ultrasonic surgical tool capable of vibrating in plural modes and a drive system that induces non-linear vibrations in the tool tip
US10786275B2 (en) 2015-12-18 2020-09-29 Stryker Corporation Ultrasonic surgical tool system including a tip capable of simultaneous longitudinal and torsional movement and a console capable of applying a drive signal to the tip so the tip engages in substantially torsional oscillations
JP7094230B2 (ja) 2016-05-31 2022-07-01 ストライカー・コーポレイション 寄生容量を相殺する整合電流を生成するための電流源が内蔵された変圧器を備える外科工具用動力コンソール
AU2018381241B2 (en) 2017-12-06 2024-11-21 Stryker Corporation System and methods for controlling patient leakage current in a surgical system
AU2019349653B2 (en) * 2018-09-24 2025-05-22 Stryker Corporation Ultrasonic surgical handpiece assembly
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
DE102020112851A1 (de) * 2020-05-12 2021-11-18 Carl Zeiss Meditec Ag Steuergerät für eine elektrische Antriebseinheit eines ophthalmochirurgischen Handstücks und Verfahren zu dessen Betrieb, ophthalmochirurgische Vorrichtung und System
US20230200835A1 (en) * 2020-06-04 2023-06-29 Stryker Corporation Ultrasonic Surgical Aspirator For Probing And Ablating Tissue
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CN118647348A (zh) 2022-02-28 2024-09-13 爱尔康公司 双模态超声手机系统
US12427059B2 (en) * 2023-05-10 2025-09-30 Zevex, Inc. Ultrasonic handpiece assembly
WO2025038559A1 (en) * 2023-08-12 2025-02-20 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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CN110251204A (zh) 2019-09-20
US20170143369A1 (en) 2017-05-25
US12419663B2 (en) 2025-09-23
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CN107106197B (zh) 2019-08-27
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