WO2015045431A1 - Ensemble sonde, outil de traitement et système de traitement - Google Patents

Ensemble sonde, outil de traitement et système de traitement Download PDF

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Publication number
WO2015045431A1
WO2015045431A1 PCT/JP2014/051945 JP2014051945W WO2015045431A1 WO 2015045431 A1 WO2015045431 A1 WO 2015045431A1 JP 2014051945 W JP2014051945 W JP 2014051945W WO 2015045431 A1 WO2015045431 A1 WO 2015045431A1
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WIPO (PCT)
Prior art keywords
treatment
unit
probe
marking
vibration
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Application number
PCT/JP2014/051945
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English (en)
Japanese (ja)
Inventor
谷内　千恵
石川　学
Original Assignee
オリンパスメディカルシステムズ株式会社
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Application filed by オリンパスメディカルシステムズ株式会社 filed Critical オリンパスメディカルシステムズ株式会社
Priority to PCT/JP2014/051945 priority Critical patent/WO2015045431A1/fr
Priority to PCT/JP2014/075460 priority patent/WO2015046348A1/fr
Priority to EP14848577.4A priority patent/EP3050528A4/fr
Priority to CN201480053227.0A priority patent/CN105578978B/zh
Priority to JP2015516305A priority patent/JP5784863B1/ja
Publication of WO2015045431A1 publication Critical patent/WO2015045431A1/fr
Priority to US15/003,422 priority patent/US9526517B2/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • 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
    • A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
    • A—HUMAN NECESSITIES
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    • A61B17/1604—Chisels; Rongeurs; Punches; Stamps
    • A—HUMAN NECESSITIES
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    • A—HUMAN NECESSITIES
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    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
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    • A61C1/02—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools
    • A61C1/07—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools with vibratory drive, e.g. ultrasonic
    • A—HUMAN NECESSITIES
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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Pathology (AREA)
  • Mechanical Engineering (AREA)
  • Vascular Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Epidemiology (AREA)
  • Optics & Photonics (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un ensemble sonde, destiné à être utilisé dans le traitement par vibration ultrasonique d'un site de traitement de tissus biologiques, qui est équipé de : une sonde qui comprend une unité de transmission de vibration au travers de laquelle est transmise une vibration ultrasonique de l'extrémité de la base jusqu'à l'extrémité avant, et une unité de traitement qui est placée du côté de l'extrémité avant de l'unité de transmission de vibration et qui peut traiter le site de traitement avec la vibration ultrasonique transmise au travers de l'unité de transmission de vibration ; et une unité de marquage qui fait saillie par rapport à l'unité de traitement de la sonde et qui marque les tissus biologiques de manière à définir une zone de traitement.
PCT/JP2014/051945 2013-09-27 2014-01-29 Ensemble sonde, outil de traitement et système de traitement WO2015045431A1 (fr)

Priority Applications (6)

Application Number Priority Date Filing Date Title
PCT/JP2014/051945 WO2015045431A1 (fr) 2013-09-27 2014-01-29 Ensemble sonde, outil de traitement et système de traitement
PCT/JP2014/075460 WO2015046348A1 (fr) 2013-09-27 2014-09-25 Unité sonde, outil de traitement et système de traitement
EP14848577.4A EP3050528A4 (fr) 2013-09-27 2014-09-25 Unité sonde, outil de traitement et système de traitement
CN201480053227.0A CN105578978B (zh) 2013-09-27 2014-09-25 探头、处理器具及处理系统
JP2015516305A JP5784863B1 (ja) 2013-09-27 2014-09-25 プローブ、処置具及び処置システム
US15/003,422 US9526517B2 (en) 2013-09-27 2016-01-21 Probe, treatment device, and treatment system

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019016945A1 (fr) * 2017-07-21 2019-01-24 オリンパス株式会社 Outil de traitement par ultrasons
CN112168384A (zh) * 2020-10-30 2021-01-05 深圳市速航科技发展有限公司 一种复合运动模式的根管治疗装置
USD974558S1 (en) 2020-12-18 2023-01-03 Stryker European Operations Limited Ultrasonic knife

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10225460A (ja) * 1997-02-17 1998-08-25 Olympus Optical Co Ltd 超音波処置具
WO2006048966A1 (fr) * 2004-11-04 2006-05-11 Olympus Medical Systems Corp. Dispositif de traitement par ultrasons, dispositif endoscopique et procede de traitement
WO2007034708A1 (fr) * 2005-09-26 2007-03-29 Jichi Medical University Instrument pour traitement endoscopique
JP2008194457A (ja) * 2007-02-09 2008-08-28 Olympus Medical Systems Corp 超音波処置装置
JP2012170627A (ja) * 2011-02-22 2012-09-10 Fujifilm Corp 超音波手術装置

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10225460A (ja) * 1997-02-17 1998-08-25 Olympus Optical Co Ltd 超音波処置具
WO2006048966A1 (fr) * 2004-11-04 2006-05-11 Olympus Medical Systems Corp. Dispositif de traitement par ultrasons, dispositif endoscopique et procede de traitement
WO2007034708A1 (fr) * 2005-09-26 2007-03-29 Jichi Medical University Instrument pour traitement endoscopique
JP2008194457A (ja) * 2007-02-09 2008-08-28 Olympus Medical Systems Corp 超音波処置装置
JP2012170627A (ja) * 2011-02-22 2012-09-10 Fujifilm Corp 超音波手術装置

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019016945A1 (fr) * 2017-07-21 2019-01-24 オリンパス株式会社 Outil de traitement par ultrasons
JPWO2019016945A1 (ja) * 2017-07-21 2020-07-02 オリンパス株式会社 超音波処置具のブレード、及び、超音波処置具
CN112168384A (zh) * 2020-10-30 2021-01-05 深圳市速航科技发展有限公司 一种复合运动模式的根管治疗装置
USD974558S1 (en) 2020-12-18 2023-01-03 Stryker European Operations Limited Ultrasonic knife

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