WO2009034734A1 - 医療機器システム - Google Patents

医療機器システム Download PDF

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Publication number
WO2009034734A1
WO2009034734A1 PCT/JP2008/056948 JP2008056948W WO2009034734A1 WO 2009034734 A1 WO2009034734 A1 WO 2009034734A1 JP 2008056948 W JP2008056948 W JP 2008056948W WO 2009034734 A1 WO2009034734 A1 WO 2009034734A1
Authority
WO
WIPO (PCT)
Prior art keywords
medical
electrode
medical devices
resistance value
medical device
Prior art date
Application number
PCT/JP2008/056948
Other languages
English (en)
French (fr)
Inventor
Yuta Sugiyama
Kazuhiko Takahashi
Original Assignee
Olympus Medical Systems Corp.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Olympus Medical Systems Corp. filed Critical Olympus Medical Systems Corp.
Priority to EP08740051.1A priority Critical patent/EP2189128B1/en
Publication of WO2009034734A1 publication Critical patent/WO2009034734A1/ja
Priority to US12/722,149 priority patent/US8454592B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00097—Sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6885—Monitoring or controlling sensor contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • 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
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00898—Alarms or notifications created in response to an abnormal condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Investigating Or Analyzing Materials By The Use Of Electric Means (AREA)

Abstract

　体腔内で使用される医療機器２１、２２間の接触を早期に検出し、医療機器の破損等を防止することができる医療機器システム１を提供する。体腔内で使用され、表面が導電性を有する第１および第２の医療機器２１、２２と、第１の医療機器の表面と電気的に接続された第１の電極２１Ｅと、第２の医療機器の表面と電気的に接続された第２の電極２２Ｅと、第１の電極２１Ｅと第２の電極２２Ｅとの間の機器間抵抗値を計測する抵抗計測手段３７と、機器間抵抗値の下限閾値を記憶する閾値記憶手段３６と、前記機器間抵抗値が前記機器間抵抗閾値より低い場合に医療機器が接触したと判断する判断手段３４と、警告を発生する警告発生手段３５とを有する。
PCT/JP2008/056948 2007-09-12 2008-04-08 医療機器システム WO2009034734A1 (ja)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP08740051.1A EP2189128B1 (en) 2007-09-12 2008-04-08 Medical device system for detecting contact between two medical devices
US12/722,149 US8454592B2 (en) 2007-09-12 2010-03-11 Medical device system for determining contact between first medical device and second medical device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2007-237046 2007-09-12
JP2007237046A JP4912993B2 (ja) 2007-09-12 2007-09-12 医療機器システム

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/722,149 Continuation US8454592B2 (en) 2007-09-12 2010-03-11 Medical device system for determining contact between first medical device and second medical device

Publications (1)

Publication Number Publication Date
WO2009034734A1 true WO2009034734A1 (ja) 2009-03-19

Family

ID=40451748

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2008/056948 WO2009034734A1 (ja) 2007-09-12 2008-04-08 医療機器システム

Country Status (4)

Country Link
US (1) US8454592B2 (ja)
EP (1) EP2189128B1 (ja)
JP (1) JP4912993B2 (ja)
WO (1) WO2009034734A1 (ja)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102469927A (zh) * 2009-10-09 2012-05-23 奥林巴斯医疗株式会社 内窥镜装置
EP2645943A1 (en) 2010-12-02 2013-10-09 Agile Endosurgery, Inc. Surgical tool
PL2537479T3 (pl) * 2011-06-20 2014-08-29 Erbe Elektromedizin Sterowanie przyrządem medycznym w zależności od impedancji elektrody neutralnej
EP3028621A4 (en) * 2013-07-31 2017-03-29 Olympus Corporation Guide tube for endoscope and endoscope
US10772677B2 (en) 2017-08-29 2020-09-15 Ethicon Llc Electrically-powered surgical systems
US10856928B2 (en) 2017-08-29 2020-12-08 Ethicon Llc Electrically-powered surgical systems

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08275958A (ja) * 1995-04-07 1996-10-22 Olympus Optical Co Ltd 手術用マニピュレータ装置
JP2002336269A (ja) * 2001-05-18 2002-11-26 Olympus Optical Co Ltd 医療器具制御システム
JP2004081277A (ja) 2002-08-23 2004-03-18 Yamaguchi Technology Licensing Organization Ltd 自動干渉回避型内視鏡
JP2004089591A (ja) 2002-09-04 2004-03-25 Hitachi Ltd 医療用マニピュレータシステム及びその操作方法
JP2005334237A (ja) * 2004-05-26 2005-12-08 Olympus Corp 内視鏡装置
JP2007029232A (ja) * 2005-07-25 2007-02-08 Hitachi Medical Corp 内視鏡手術操作支援システム

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3695779B2 (ja) * 1994-09-27 2005-09-14 オリンパス株式会社 マニピュレータシステム
US6039732A (en) * 1995-04-18 2000-03-21 Olympus Optical Co., Ltd. Electric operation apparatus
US5868742A (en) * 1995-10-18 1999-02-09 Conmed Corporation Auxiliary reference electrode and potential referencing technique for endoscopic electrosurgical instruments
JP3582348B2 (ja) 1998-03-19 2004-10-27 株式会社日立製作所 手術装置
US6659939B2 (en) * 1998-11-20 2003-12-09 Intuitive Surgical, Inc. Cooperative minimally invasive telesurgical system
US8004229B2 (en) * 2005-05-19 2011-08-23 Intuitive Surgical Operations, Inc. Software center and highly configurable robotic systems for surgery and other uses
EP1302172B1 (de) * 2001-10-10 2008-03-05 BrainLAB AG Medizinisches Instrument mit berührungsempfindlicher Spitze
US7171286B2 (en) * 2003-02-24 2007-01-30 Intouch Technologies, Inc. Healthcare tele-robotic system with a robot that also functions as a remote station
US7566332B2 (en) * 2003-11-06 2009-07-28 Boston Scientific Scimed, Inc. Methods and apparatus for dispersing current flow in electrosurgery
DE102004039202B3 (de) * 2004-08-12 2006-01-19 Erbe Elektromedizin Gmbh Vorrichtung zur Messung einer relativen Position eines chirurgischen Arbeitsinstruments sowie Verwendung hierfür
US9789608B2 (en) * 2006-06-29 2017-10-17 Intuitive Surgical Operations, Inc. Synthetic representation of a surgical robot
KR101055322B1 (ko) * 2006-09-28 2011-08-09 아이쓰리시스템 주식회사 내시경 및 내시경 위치 판단 방법

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08275958A (ja) * 1995-04-07 1996-10-22 Olympus Optical Co Ltd 手術用マニピュレータ装置
JP2002336269A (ja) * 2001-05-18 2002-11-26 Olympus Optical Co Ltd 医療器具制御システム
JP2004081277A (ja) 2002-08-23 2004-03-18 Yamaguchi Technology Licensing Organization Ltd 自動干渉回避型内視鏡
JP2004089591A (ja) 2002-09-04 2004-03-25 Hitachi Ltd 医療用マニピュレータシステム及びその操作方法
JP2005334237A (ja) * 2004-05-26 2005-12-08 Olympus Corp 内視鏡装置
JP2007029232A (ja) * 2005-07-25 2007-02-08 Hitachi Medical Corp 内視鏡手術操作支援システム

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP2189128A4

Also Published As

Publication number Publication date
US8454592B2 (en) 2013-06-04
JP2009066144A (ja) 2009-04-02
US20100168744A1 (en) 2010-07-01
EP2189128B1 (en) 2016-06-15
EP2189128A4 (en) 2015-03-04
JP4912993B2 (ja) 2012-04-11
EP2189128A1 (en) 2010-05-26

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