WO2016071983A1 - Trocar and medical wireless power feeding system - Google Patents

Trocar and medical wireless power feeding system Download PDF

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Publication number
WO2016071983A1
WO2016071983A1 PCT/JP2014/079430 JP2014079430W WO2016071983A1 WO 2016071983 A1 WO2016071983 A1 WO 2016071983A1 JP 2014079430 W JP2014079430 W JP 2014079430W WO 2016071983 A1 WO2016071983 A1 WO 2016071983A1
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WO
WIPO (PCT)
Prior art keywords
magnetic body
trocar
insertion hole
power transmission
transmission coil
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Application number
PCT/JP2014/079430
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French (fr)
Japanese (ja)
Inventor
松木 薫
勇太 杉山
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オリンパス株式会社
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Publication date
Application filed by オリンパス株式会社 filed Critical オリンパス株式会社
Priority to PCT/JP2014/079430 priority Critical patent/WO2016071983A1/en
Publication of WO2016071983A1 publication Critical patent/WO2016071983A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles

Definitions

  • the present invention relates to a trocar having a function of supplying power wirelessly to a medical device and a medical wireless power supply system.
  • a plurality of trocars are attached to the abdominal wall, and the treatment tool is introduced into the abdominal cavity through the trocar.
  • the trocar is integrally combined with an inner needle having a sharp puncture needle at the tip, the inner needle is punctured into the body wall of the patient and inserted into the abdominal cavity.
  • the trocar is placed on the body wall by removing the inner needle.
  • the trocar is used as a guide tube for a treatment instrument that performs treatment in the abdominal cavity, and the treatment instrument can be introduced into the body through the guide tube.
  • the treatment instrument inserted into the patient's body through the trocar includes, for example, a treatment instrument using energy, and a cable for supplying power to such a treatment instrument may be connected.
  • a cable for supplying power to such a treatment instrument may be connected.
  • a primary coil (power transmission coil) is disposed on a trocar
  • a secondary coil (power reception coil) is disposed on a treatment instrument inserted in the trocar
  • the treatment instrument is disposed via the trocar.
  • a surgical instrument that performs wireless power feeding.
  • electric power is wirelessly fed to a secondary coil of a treatment instrument that is magnetically coupled to the primary coil via an alternating magnetic field generated from the primary coil.
  • the power receiving coil arranged in the longitudinal direction of the insertion portion of the treatment instrument can supply power only at a position facing the power transmitting coil, a portion of the power receiving coil that does not face the power transmitting coil is fed. Can not be used for. Therefore, in order to improve the power supply efficiency in the surgical instrument of Patent Document 1, it is necessary to widen the range in which the power transmission coil and the power reception coil face each other.
  • the tip of the trocar is inserted into the body while having an insertion hole, the diameter is small and the thickness is thin, so the size of the power transmission coil is increased in the direction in which the insertion hole extends. There is a limit in terms of.
  • the power transmission coil is lengthened in order to widen the power feeding area, an electrical error tends to occur, which is not preferable.
  • the present invention has been made in view of the above circumstances, and an object thereof is to provide a trocar and a medical wireless power supply system that can improve power supply efficiency for a treatment instrument.
  • a trocar according to the present invention includes a puncture needle that punctures the surface of a living body, a housing that has an insertion hole that communicates with the distal end of the puncture needle and into which a treatment instrument having a power receiving coil is inserted, and is wound around the insertion hole A power transmission coil magnetically coupled to the power reception coil, and a magnetic body disposed adjacent to the power transmission coil in the axial direction of the power transmission coil.
  • a medical wireless power feeding system includes a treatment instrument having an insertion portion inserted into the insertion hole and a power receiving coil provided in the insertion portion, and the trocar.
  • the trocar and medical wireless power feeding system of the present invention it is possible to improve the power feeding efficiency in wireless power feeding to the treatment instrument via the trocar.
  • FIG. 1 is a diagram illustrating an overall configuration of a medical wireless power feeding system including a trocar according to a first embodiment of the present invention. It is sectional drawing which shows the state by which the treatment tool was inserted in the trocar which concerns on 1st embodiment of this invention. It is sectional drawing which shows the trocar which concerns on 1st embodiment of this invention. It is a schematic diagram for demonstrating the effect
  • FIG. 1 is a diagram illustrating an overall configuration of a medical wireless power feeding system 100 including a trocar 1 according to the present embodiment.
  • FIG. 2 is a cross-sectional view showing a state where the treatment tool 2 is inserted into the trocar 1.
  • FIG. 3 is a cross-sectional view showing the trocar 1.
  • the medical wireless power feeding system 100 includes a trocar 1, a treatment instrument 2 inserted into the trocar 1, and a power supply device 3 that supplies power to the trocar 1.
  • the puncture needle side where the trocar 1 is inserted into the body wall 200 (the side where the treatment portion of the treatment instrument 2 is provided when the treatment instrument 2 is inserted into the trocar 1) is referred to as the tip, and the trocar 1
  • the side where the treatment instrument 2 is inserted (the side where the handle 24 of the treatment instrument 2 is located when the treatment instrument 2 is inserted into the trocar 1) will be referred to as the base end.
  • the trocar 1 includes a housing 8, a power transmission coil 4, a puncture needle 5, an insertion hole 6, and a magnetic body 7.
  • the housing 8 includes a base end-side main body portion 81 having a substantially cylindrical shape, and a front end portion 82 located on the front end side and having a diameter smaller than that of the main body portion 81.
  • the puncture needle 5 is connected to the distal end portion 82 side of the housing 8. As shown in FIG. 1, the puncture needle 5 is punctured on the living body surface (body wall) in order to attach the trocar 1 to the body wall 200 of the patient P.
  • An insertion hole 6 extending from the distal end of the trocar 1 to the proximal end is formed in the main body portion 81 and the distal end portion 82 of the housing 8.
  • the insertion hole 6 communicates with the tip of the puncture needle 5, and the treatment instrument 2 is inserted during the procedure.
  • the puncture needle 5 is formed integrally with the housing 8 by forming the opening of the insertion hole 6 at the distal end portion 82 of the housing 8 sharply.
  • the puncture needle 5 may be a separate body from the housing 8.
  • the power transmission coil 4 is wound around the insertion hole 6 and arranged.
  • a power transmission capacitor and a connection terminal (not shown) are connected to the power transmission coil 4 in series.
  • the power transmission coil 4 and the power transmission capacitor constitute a series resonance circuit.
  • the central axis of the power transmission coil 4 is arranged so as to be coaxial with the central axis A of the insertion hole 6.
  • the power transmission coil 4 may not be coaxial with the central axis A of the insertion hole 6.
  • the power transmission coil 4 and the power transmission capacitor are covered with an insulating member such as resin.
  • the magnetic body 7 is formed in a cylindrical shape having substantially the same inner diameter as the power transmission coil 4.
  • a material of the magnetic body 7 for example, a soft magnetic material such as iron, silicon steel, soft ferrite, and permalloy can be used.
  • the magnetic body 7 of the present embodiment is a permalloy cylindrical member having a thickness of 1 mm, and is attached to the inner peripheral surface 61 side of the insertion hole 6 at the distal end portion 82. As shown in FIG. 2, the magnetic body 7 is provided so as to surround the periphery of the insertion hole 6.
  • the magnetic body 7 is disposed adjacent to the power transmission coil 4 in the axial direction of the power transmission coil 4. In the present embodiment, the magnetic body 7 is disposed at the distal end portion 82 of the housing 8. Further, the magnetic body 7 is disposed coaxially with the power transmission coil 4.
  • the inner surface 71 of the magnetic body 7 (the surface facing the insertion hole 6) is arranged at a position that matches the inner diameter of the power transmission coil 4. If the inner surface 71 of the magnetic body 7 is larger than the inner diameter of the power transmission coil 4, the magnetic flux emitted from the power transmission coil spreads, and the effect of increasing the power supply efficiency by maintaining a high magnetic flux density cannot be obtained. Moreover, when the inner surface of the magnetic body 7 is narrower than the inner diameter of the power transmission coil 4, the insertion hole 6 of the trocar 1 becomes small, making it difficult to insert the treatment instrument 2, which hinders the original use of the trocar 1. As described above, the inner diameter of the magnetic body 7 is preferably the same as the inner diameter of the power transmission coil 4.
  • the treatment instrument 2 includes a rigid insertion portion 21, a power receiving coil 22, a treatment portion 23, and a handle 24, as shown in FIGS.
  • the insertion portion 21 has a long cylindrical shape.
  • the power receiving coil 22 is wound along the long axis direction of the insertion portion 21 and is disposed in the insertion portion 21.
  • the handle 24 is provided on the proximal end side of the insertion portion 21. Since the power receiving coil 22 is provided over the entire length of the insertion portion 21, the range where the power receiving coil 22 exists is longer than the range where the power transmitting coil 4 exists when the power receiving coil 22 is inserted through the trocar 1.
  • the power receiving coil 22 and the treatment unit 23 are connected to each other through a wiring so as to be energized.
  • the treatment section 23 of the present embodiment is a bipolar electric knife provided with a pair of treatment electrodes 231.
  • the power supply device 3 includes a cable 31 and a switch 32.
  • the power supply device 3 is electrically connected to the trocar 1 via a cable 31.
  • the switch 32 is connected to the power supply device 3 and is provided to perform an ON / OFF operation on the output of high-frequency power in the power supply device 3. By operating the switch 32, power can be supplied from the power supply device 3 to the power transmission coil 4.
  • the operator punctures the body wall 200 of the patient P with the puncture needle of the trocar 1 and attaches the trocar 1 to the body wall 200. Subsequently, when the operator inserts the treatment tool 2 into the insertion hole 6 of the trocar 1, the treatment tool 2 is introduced into the body cavity via the insertion hole 6 of the trocar 1.
  • the operator operates the switch 32. Then, high frequency power is supplied from the power supply device 3 to the power transmission coil 4 of the trocar 1. At this time, in the insertion hole 6, the power transmission coil 4 and the power reception coil 22 are magnetically coupled, and AC power is supplied to the power reception coil 22.
  • the operation of the trocar 1 during power supply will be described with reference to FIG.
  • a magnetic flux M is generated in the power transmission coil 4 as shown in FIG. 4.
  • the magnetic flux density outside the power transmission coil 4 is lower than the magnetic flux density inside the power transmission coil 4. Therefore, the magnetic flux where the power receiving coil 22 and the power transmitting coil 4 cross each other usually decreases greatly when the power transmitting coil 4 and the power receiving coil 22 are out of the opposite positions.
  • the magnetic flux M1 is magnetic even outside the power transmission coil 4 as shown by the arrow M1 in FIG.
  • the body 7 is guided in the direction of the central axis A of the insertion hole 6. As a result, the range where the magnetic flux density in the insertion hole 6 is high can be extended longer. Therefore, even at a position where the power receiving coil 22 does not face the power transmitting coil 4, power can be supplied in the same manner as a position where the power receiving coil 22 and the power transmitting coil 4 face each other, and the power feeding efficiency can be improved.
  • the pair of treatment electrodes 231 of the treatment unit 23 come into contact with the treatment target site, so that the alternating current power supplied to the power receiving coil 22 is converted into the pair of treatment electrodes 231.
  • the treatment target region can be treated by the pair of treatment electrodes 231.
  • the trocar 1 according to the present embodiment is provided with the magnetic body 7, more magnetic flux can be guided to the power receiving coil, so that the power receiving coil is not increased in size as compared with the case where the power transmitting coil is lengthened.
  • the power supply efficiency to 22 can be improved.
  • the power transmission coil 4 is a heating element, the magnetic body itself does not generate heat, so even if a magnetic body is disposed in the vicinity of the puncture needle 5 that punctures the body wall 200, it is not affected by the heat generation. Compared with the case where the power transmission coil 4 is lengthened, the original use of the trocar 1 is hardly hindered.
  • FIG. 5 is a cross-sectional view showing a state where the treatment instrument 2 is inserted into the trocar 11.
  • the second magnetic body 7A is provided adjacent to the proximal end side of the power transmission coil 4.
  • the second magnetic body 7 ⁇ / b> A is provided on the proximal end side of the main body 81 of the housing 8 so as to protrude from the housing 8, and the inner surface 71 ⁇ / b> A is disposed at a position that matches the inner diameter of the power transmission coil 4.
  • the shape and size of the second magnetic body 7A may be the same as those of the first magnetic body 7.
  • the trocar 11 As shown in FIG. 6, the trocar 11 according to the present embodiment is provided with the magnetic bodies 7 and 7 ⁇ / b> A on the proximal end side and the distal end side of the power transmission coil 4, so that the magnetic flux density generated in the power transmission coil 4 is It can be kept high over a longer range. Therefore, since the magnetic flux generated in the power transmission coil 4 and the power reception coil 22 cross in a longer range in the longitudinal direction, the power feeding efficiency is further improved.
  • FIG. 7 is a cross-sectional view showing a state where the treatment instrument 2 is inserted into the trocar 12.
  • the trocar 12 is an example in which the third magnetic body 7 ⁇ / b> B is further provided on the radially outer side of the power transmission coil 4 in the trocar 11 of the second embodiment.
  • the third magnetic body 7B By providing the third magnetic body 7B on the outer periphery of the power transmission coil 4, an effect is obtained that a shield layer that does not allow the magnetic flux M to escape from the insertion hole 6 is formed, as schematically shown in FIG. . Therefore, the magnetic connection among the first magnetic body 7, the power transmission coil 4, and the second magnetic body 7A can be more effectively maintained.
  • FIGS. FIG.9 and FIG.10 is sectional drawing which shows the state by which 2 A of treatment tools were inserted in the trocar 13 which concerns on this embodiment.
  • the second magnetic body 7 ⁇ / b> C is provided on the proximal end side of the power transmission coil 4.
  • the second magnetic body 7C is disposed so as to be able to advance and retract in the direction of the central axis A of the insertion hole 6 with respect to the main body 81a of the housing 8A.
  • the second magnetic body 7C has a cylindrical shape having a diameter larger than the outer diameter of the power transmission coil 4 and smaller than the outer diameter of the main body 81 of the housing 8A, and is made of the same material as the first magnetic body 7. .
  • the second magnetic body 7C is provided in the housing 8A so as to be movable from a state protruding from the housing 8A to a state of being inserted into an insertion hole 83 of the housing 8A described later. Yes.
  • the second magnetic body 7 ⁇ / b> C is arranged so that the central axis of the second magnetic body 7 ⁇ / b> C is substantially coaxial with the central axis A of the insertion hole 6.
  • an insertion hole 83 is formed in the main body 81 a of the housing 8 ⁇ / b> A so as to surround the outer peripheral side of the power transmission coil 4.
  • the insertion hole 83 is formed so as to extend substantially parallel to the central axis A of the insertion hole 6.
  • the second magnetic body 7C is inserted into the insertion hole 83 so as to be able to advance and retract in the direction of the central axis A of the insertion hole 6.
  • the power transmission coil 4 is disposed between the insertion hole 6 and the insertion hole 83, but is not exposed to the insertion hole 6 and the insertion hole 83, and is embedded in the main body 81a of the housing 8A.
  • a compression spring 92 is inserted into the insertion hole 83.
  • the compression spring 92 is disposed between the distal end surface 7C1 of the second magnetic body 7C and the bottom 83a of the insertion hole 83.
  • the distal end 92a of the compression spring 92 abuts on the bottom 83a of the insertion hole 83, and the proximal end 92b of the compression spring 92 is connected to the distal end surface 7C1 of the second magnetic body 7C.
  • the compression spring 92 has an urging force enough to push the second magnetic body 7C toward the proximal end so that the entire second magnetic body 7C protrudes from the insertion hole 83.
  • the second magnetic body 7 ⁇ / b> C is pushed into the insertion hole 83 when a force that presses the distal end side with a force greater than the urging force of the compression spring 92 is applied.
  • the insertion part 21 of the treatment instrument 2A is provided with a protrusion (magnetic body moving part) 91.
  • the protrusion 91 protrudes from the outer periphery of the insertion portion 21 toward the radially outer side of the insertion portion 21.
  • the protrusion amount of the protrusion 91 is larger than the inner diameter of the second magnetic body 7C.
  • the protruding portion 91 is provided at a predetermined position in the longitudinal direction of the insertion portion 21, and when the treatment instrument 2A is inserted into the trocar 13 by a predetermined amount, the protruding portion 91 is the base end surface of the second magnetic body 7C. 7C2 is pressed to move the second magnetic body 7C into the insertion hole 83 (inside the housing 8A).
  • the second magnetic material provided to protrude to the proximal end side of the trocar 13 in accordance with the step of inserting the treatment tool 2A into the insertion hole 6 of the trocar 13.
  • the body 7C is accommodated in the housing 8A. With this configuration, it is possible to prevent the advance / retreat movement of the treatment instrument 2A relative to the trocar 13 from being hindered by the second magnetic body 7C.
  • the shape of the protrusion 91 is not particularly limited as long as the second magnetic body 7C can be pressed toward the tip side.
  • the protrusion 91 an annular shape surrounding the outer periphery of the insertion portion 21, or a protrusion provided at one or more places on a part of the outer periphery of the insertion portion 21 can be applied.
  • the protrusion 91 may be formed of a magnetic material.
  • FIG. 11 is a cross-sectional view showing a first modification of the third embodiment in which the protrusion 91a is made of a magnetic material.
  • the protrusion 91 a has an annular shape that surrounds the outer periphery of the insertion portion 21.
  • the diameter D1 of the protrusion 91a is set to be not less than the inner diameter D2 of the second magnetic body 7C and not more than the outer diameter D3 of the second magnetic body 7C in order to increase power supply efficiency. It is preferable.
  • FIG. 12 is a cross-sectional view showing a second modification of the third embodiment.
  • the protrusion 91 of the third embodiment is made of a magnetic material, as shown in FIG. 12, if the outer peripheral edge on the base end side of the protrusion 91b is chamfered, the lines of magnetic force in the power transmission coil 4 are reduced. It becomes difficult to distort and is more preferable.
  • FIG. 13 and 14 are cross-sectional views showing a third modification of the third embodiment.
  • a permanent magnet 93 magnetic body moving part
  • the permanent magnet 93 moves the second magnetic body 7C in the direction of the insertion hole 83.
  • the permanent magnet 93 approaches the second magnetic body 7C.
  • the second magnetic body 7 ⁇ / b> C moves in the direction of the insertion hole 83 as the permanent magnet 93 moves.
  • the second magnet 7C prevents the second magnetic body 7C from moving forward and backward with respect to the trocar 13 by accommodating the unnecessary second magnetic body 7C in the insertion hole 83 by the permanent magnet 93. Can be prevented.
  • the compression spring 92 is used to cause the second magnetic body 7C to protrude from the housing 8 in a natural state, but air is fed into the insertion hole 83 instead of the compression spring 92. Then, the air pressure in the insertion hole 83 may be adjusted. For example, since a trocar is generally used in conjunction with an insufflation apparatus, the air pressure in the insertion hole 83 may be adjusted using this insufflation apparatus.
  • a trocar and a medical wireless power feeding system that can improve power feeding efficiency in wireless power feeding to a treatment instrument via a trocar.

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  • Health & Medical Sciences (AREA)
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  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
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  • Heart & Thoracic Surgery (AREA)
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Abstract

A trocar (1) has a housing (8). A puncture needle (5) is connected to a tip part (82) of the housing (8). An insertion hole (6) penetrates through the housing (8) and the puncture needle (5). A power transmission coil (4) is arranged coaxially with the insertion hole (6) on the periphery of the insertion hole (6) in a main body (81) of the housing (8). A cylindrical magnetic body (7) is arranged coaxially with the insertion hole (6) on the periphery of the insertion hole (6) in the tip part (82). A rigid insertion part (21) of a treatment instrument (2) is inserted in the insertion hole (6). A power receiving coil (22) is arranged along the entire length of the insertion part (21). The power transmission coil (4) and the power receiving coil (22) are inductively coupled. Therefore, when an alternating current is supplied to the power transmission coil (4), electric power can be extracted from the power receiving coil (22). Through this configuration, electric power can be wirelessly fed to the treatment instrument (2). Arranging the magnetic body (7) as described above enhances the efficiency of power feeding.

Description

トロッカー及び医療用無線給電システムTrocar and medical wireless power supply system
 本発明は、医療機器に対して無線で給電を行う機能を備えるトロッカー及び医療用無線給電システムに関する。 The present invention relates to a trocar having a function of supplying power wirelessly to a medical device and a medical wireless power supply system.
 腹腔内で処置をする低侵襲手術の場合、腹壁に複数のトロッカーを取り付け、トロッカーを通じて処置具が腹腔内へ導入される。トロッカーは、先端に鋭利な穿刺針のある内針と一体的に組み合わせた状態で、内針が患者の体壁に穿刺され腹腔内に挿入される。トロッカーが腹腔内に挿入された後、内針を抜去することによって、トロッカーは体壁に留置される。トロッカーは、腹腔内で処置を行う処置具の案内管として使用され、案内管を通じて処置具を体内へ導入することができる。 In the case of minimally invasive surgery in which treatment is performed in the abdominal cavity, a plurality of trocars are attached to the abdominal wall, and the treatment tool is introduced into the abdominal cavity through the trocar. In a state where the trocar is integrally combined with an inner needle having a sharp puncture needle at the tip, the inner needle is punctured into the body wall of the patient and inserted into the abdominal cavity. After the trocar is inserted into the abdominal cavity, the trocar is placed on the body wall by removing the inner needle. The trocar is used as a guide tube for a treatment instrument that performs treatment in the abdominal cavity, and the treatment instrument can be introduced into the body through the guide tube.
 トロッカーを介して患者の体内に挿入される処置具には、例えばエネルギを用いた処置具もあり、このような処置具に電力を供給するためのケーブルが接続されていることがある。このケーブルがあると、手術を行うときに術者の操作が煩雑となる。このため、術者が処置具を操作する際の操作性を向上させるためには、ケーブルが無い方が好ましい。 The treatment instrument inserted into the patient's body through the trocar includes, for example, a treatment instrument using energy, and a cable for supplying power to such a treatment instrument may be connected. With this cable, the operator's operation becomes complicated when performing the operation. For this reason, in order to improve the operativity at the time of an operator operating a treatment tool, it is preferable that there is no cable.
 この問題を解決するため、特許文献1にはトロッカーに1次コイル(送電コイル)が配置され、トロッカーに挿入された処置具に2次コイル(受電コイル)が配置され、トロッカーを介して処置具に無線給電を行う手術器具が開示されている。特許文献1の手術器具では、1次コイルから発生した交流磁界を介して、1次コイルと磁界結合した処置具の2次コイルに電力を無線給電することが開示されている。 In order to solve this problem, in Patent Document 1, a primary coil (power transmission coil) is disposed on a trocar, a secondary coil (power reception coil) is disposed on a treatment instrument inserted in the trocar, and the treatment instrument is disposed via the trocar. Discloses a surgical instrument that performs wireless power feeding. In the surgical instrument of Patent Document 1, it is disclosed that electric power is wirelessly fed to a secondary coil of a treatment instrument that is magnetically coupled to the primary coil via an alternating magnetic field generated from the primary coil.
日本国特許第4145395号公報Japanese Patent No. 4145395
 特許文献1の手術器具では、処置具の挿入部の長手方向に配置された受電コイルは送電コイルと対向する位置でのみ給電できるので、受電コイルのうち、送電コイルと対向していない部分は給電に使うことが出来ない。したがって、特許文献1の手術器具において給電効率を向上させるためには、送電コイルと受電コイルとが対向する範囲を広げる必要がある。しかし、トロッカーの先端は挿通孔を有しながら、体内に挿入されるため、径が小さく且つ厚さが薄く形成されるため、挿通孔が延びる方向に送電コイルの長さを長くするにはサイズの点で限界がある。また、給電領域を広げるために送電コイルを長くすると、電気的な誤差が生じやすくなる傾向があり、好ましくない。 In the surgical instrument of Patent Document 1, since the power receiving coil arranged in the longitudinal direction of the insertion portion of the treatment instrument can supply power only at a position facing the power transmitting coil, a portion of the power receiving coil that does not face the power transmitting coil is fed. Can not be used for. Therefore, in order to improve the power supply efficiency in the surgical instrument of Patent Document 1, it is necessary to widen the range in which the power transmission coil and the power reception coil face each other. However, since the tip of the trocar is inserted into the body while having an insertion hole, the diameter is small and the thickness is thin, so the size of the power transmission coil is increased in the direction in which the insertion hole extends. There is a limit in terms of. In addition, if the power transmission coil is lengthened in order to widen the power feeding area, an electrical error tends to occur, which is not preferable.
 本発明は上記事情に鑑みて成されたものであり、処置具に対する給電効率を向上させることができるトロッカー及び医療用無線給電システムを提供することを目的とする。 The present invention has been made in view of the above circumstances, and an object thereof is to provide a trocar and a medical wireless power supply system that can improve power supply efficiency for a treatment instrument.
 本発明に係るトロッカーは、生体表面を穿刺する穿刺針と、前記穿刺針の先端に連通し、受電コイルを有する処置具が挿入される挿入孔を有する筐体と、前記挿入孔の周囲に巻き付けられて配置され、前記受電コイルと磁界結合する送電コイルと、前記送電コイルの軸線方向に前記送電コイルと隣接して配置される磁性体と、を備える。 A trocar according to the present invention includes a puncture needle that punctures the surface of a living body, a housing that has an insertion hole that communicates with the distal end of the puncture needle and into which a treatment instrument having a power receiving coil is inserted, and is wound around the insertion hole A power transmission coil magnetically coupled to the power reception coil, and a magnetic body disposed adjacent to the power transmission coil in the axial direction of the power transmission coil.
 本発明に係る医療用無線給電システムは、前記挿入孔に挿入される挿入部と、前記挿入部に設けられる受電コイルと、を有する処置具と、上記トロッカーと、を備える。 A medical wireless power feeding system according to the present invention includes a treatment instrument having an insertion portion inserted into the insertion hole and a power receiving coil provided in the insertion portion, and the trocar.
 本発明のトロッカー及び医療用無線給電システムによれば、トロッカーを介した処置具への無線給電における給電効率を向上させることができる。 According to the trocar and medical wireless power feeding system of the present invention, it is possible to improve the power feeding efficiency in wireless power feeding to the treatment instrument via the trocar.
本発明の第一実施形態に係るトロッカーを備える医療用無線給電システムの全体構成を示す図である。1 is a diagram illustrating an overall configuration of a medical wireless power feeding system including a trocar according to a first embodiment of the present invention. 本発明の第一実施形態に係るトロッカーに処置具が挿入された状態を示す断面図である。It is sectional drawing which shows the state by which the treatment tool was inserted in the trocar which concerns on 1st embodiment of this invention. 本発明の第一実施形態に係るトロッカーを示す断面図である。It is sectional drawing which shows the trocar which concerns on 1st embodiment of this invention. 本発明の第一実施形態の磁性体の作用を説明するための模式図である。It is a schematic diagram for demonstrating the effect | action of the magnetic body of 1st embodiment of this invention. 本発明の第二実施形態に係るトロッカーに処置具が挿入された状態を示す断面図である。It is sectional drawing which shows the state by which the treatment tool was inserted in the trocar which concerns on 2nd embodiment of this invention. 本発明の第二実施形態の磁性体の作用を説明するための模式図である。It is a schematic diagram for demonstrating the effect | action of the magnetic body of 2nd embodiment of this invention. 本発明の第二実施形態に係るトロッカーの変形例を示す図であり、トロッカーに処置具が挿入された状態を示す断面図である。It is a figure which shows the modification of the trocar which concerns on 2nd embodiment of this invention, and is sectional drawing which shows the state by which the treatment tool was inserted in the trocar. 図7のトロッカーの作用を模式的に示した断面図である。It is sectional drawing which showed the effect | action of the trocar of FIG. 7 typically. 本発明の第三実施形態に係る医療用無線給電システムを示す断面図である。It is sectional drawing which shows the medical wireless power supply system which concerns on 3rd embodiment of this invention. 本発明の第三実施形態に係る医療用無線給電システムを示す断面図である。It is sectional drawing which shows the medical wireless power supply system which concerns on 3rd embodiment of this invention. 本発明の第三実施形態の処置具の第一変形例を示す図であり、トロッカーに処置具が挿入された状態を示す断面図である。It is a figure which shows the 1st modification of the treatment tool of 3rd embodiment of this invention, and is sectional drawing which shows the state by which the treatment tool was inserted in the trocar. 本発明の第三実施形態の処置具の第二変形例を示す図であり、トロッカーに処置具が挿入された状態を示す断面図である。It is a figure which shows the 2nd modification of the treatment tool of 3rd embodiment of this invention, and is sectional drawing which shows the state by which the treatment tool was inserted in the trocar. 本発明の第三実施形態の処置具の第三変形例を示す図であり、トロッカーに処置具が挿入された状態を示す断面図である。It is a figure which shows the 3rd modification of the treatment tool of 3rd embodiment of this invention, and is sectional drawing which shows the state by which the treatment tool was inserted in the trocar. 本発明の第三実施形態の処置具の第三変形例を示す図であり、トロッカーに処置具が挿入された状態を示す断面図である。It is a figure which shows the 3rd modification of the treatment tool of 3rd embodiment of this invention, and is sectional drawing which shows the state by which the treatment tool was inserted in the trocar.
[第一実施形態]
 以下、本発明の第一実施形態について図1から図4を参照して説明する。
 図1は、本実施形態に係るトロッカー1を備える医療用無線給電システム100の全体構成を示す図である。図2は、トロッカー1に処置具2が挿入された状態を示す断面図である。図3は、トロッカー1を示す断面図である。
[First embodiment]
Hereinafter, a first embodiment of the present invention will be described with reference to FIGS.
FIG. 1 is a diagram illustrating an overall configuration of a medical wireless power feeding system 100 including a trocar 1 according to the present embodiment. FIG. 2 is a cross-sectional view showing a state where the treatment tool 2 is inserted into the trocar 1. FIG. 3 is a cross-sectional view showing the trocar 1.
 図1に示すように、医療用無線給電システム100は、トロッカー1と、トロッカー1に挿入される処置具2と、トロッカー1に電力を供給する電源装置3とを備える。本明細書では、トロッカー1が体壁200に挿入される穿刺針側(トロッカー1に処置具2が挿入された場合に、処置具2の処置部が設けられる側)を先端と称し、トロッカー1に処置具2が挿入される側(トロッカー1に処置具2が挿入された場合に、処置具2のハンドル24が位置する側)を基端と称して説明する。 As shown in FIG. 1, the medical wireless power feeding system 100 includes a trocar 1, a treatment instrument 2 inserted into the trocar 1, and a power supply device 3 that supplies power to the trocar 1. In this specification, the puncture needle side where the trocar 1 is inserted into the body wall 200 (the side where the treatment portion of the treatment instrument 2 is provided when the treatment instrument 2 is inserted into the trocar 1) is referred to as the tip, and the trocar 1 The side where the treatment instrument 2 is inserted (the side where the handle 24 of the treatment instrument 2 is located when the treatment instrument 2 is inserted into the trocar 1) will be referred to as the base end.
 図2及び図3に示すように、トロッカー1は、筐体8と、送電コイル4と、穿刺針5と、挿入孔6と、磁性体7とを備える。筐体8は、略円筒形状を有する基端側の本体部81と、先端側に位置し、本体部81よりも径が小さい先端部82とを有する。筐体8の先端部82側に穿刺針5が連結されている。図1に示すように、穿刺針5は、トロッカー1を患者Pの体壁200に取り付けるために生体表面(体壁)に穿刺される。 As shown in FIGS. 2 and 3, the trocar 1 includes a housing 8, a power transmission coil 4, a puncture needle 5, an insertion hole 6, and a magnetic body 7. The housing 8 includes a base end-side main body portion 81 having a substantially cylindrical shape, and a front end portion 82 located on the front end side and having a diameter smaller than that of the main body portion 81. The puncture needle 5 is connected to the distal end portion 82 side of the housing 8. As shown in FIG. 1, the puncture needle 5 is punctured on the living body surface (body wall) in order to attach the trocar 1 to the body wall 200 of the patient P.
 筐体8の本体部81及び先端部82には、トロッカー1の先端から基端に延びる挿入孔6が形成されている。挿入孔6は、穿刺針5の先端と連通し、手技時には処置具2が挿入される。本実施形態では、穿刺針5は、筐体8の先端部82における挿入孔6の開口部が鋭利に形成されることにより、穿刺針5が筐体8と一体に形成されている。しかし、穿刺針5が筐体8とは別体であってもよい。 An insertion hole 6 extending from the distal end of the trocar 1 to the proximal end is formed in the main body portion 81 and the distal end portion 82 of the housing 8. The insertion hole 6 communicates with the tip of the puncture needle 5, and the treatment instrument 2 is inserted during the procedure. In the present embodiment, the puncture needle 5 is formed integrally with the housing 8 by forming the opening of the insertion hole 6 at the distal end portion 82 of the housing 8 sharply. However, the puncture needle 5 may be a separate body from the housing 8.
 送電コイル4は、挿入孔6の周囲に巻き付けられて配置されている。送電コイル4には、不図示の送電用コンデンサ及び接続端子が直列で接続されている。送電コイル4と送電用コンデンサとが直列共振回路を構成している。図2に示すように、送電コイル4の中心軸は、挿入孔6の中心軸線Aと同軸となるように配置されている。なお、送電コイル4は、挿入孔6の中心軸線Aと同軸でなくてもよい。送電コイル4及び送電用コンデンサは、樹脂等の絶縁部材で被覆されている。 The power transmission coil 4 is wound around the insertion hole 6 and arranged. A power transmission capacitor and a connection terminal (not shown) are connected to the power transmission coil 4 in series. The power transmission coil 4 and the power transmission capacitor constitute a series resonance circuit. As shown in FIG. 2, the central axis of the power transmission coil 4 is arranged so as to be coaxial with the central axis A of the insertion hole 6. The power transmission coil 4 may not be coaxial with the central axis A of the insertion hole 6. The power transmission coil 4 and the power transmission capacitor are covered with an insulating member such as resin.
 磁性体7は、送電コイル4と内径が略同一の筒状に形成されている。磁性体7の材質としては、例えば、鉄、ケイ素鋼、ソフトフェライト、パーマロイ等の軟磁性材料を用いることができる。本実施形態の磁性体7は、厚さが1mmのパーマロイの筒部材であり、先端部82における挿入孔6の内周面61側に取り付けられている。図2に示すように、磁性体7は、挿入孔6の周囲を囲むように設けられている。磁性体7は、送電コイル4の軸線方向において送電コイル4と隣接するように配置されている。本実施形態では、磁性体7は筐体8の先端部82に配置されている。さらに、磁性体7は、送電コイル4と同軸に配置されている。 The magnetic body 7 is formed in a cylindrical shape having substantially the same inner diameter as the power transmission coil 4. As a material of the magnetic body 7, for example, a soft magnetic material such as iron, silicon steel, soft ferrite, and permalloy can be used. The magnetic body 7 of the present embodiment is a permalloy cylindrical member having a thickness of 1 mm, and is attached to the inner peripheral surface 61 side of the insertion hole 6 at the distal end portion 82. As shown in FIG. 2, the magnetic body 7 is provided so as to surround the periphery of the insertion hole 6. The magnetic body 7 is disposed adjacent to the power transmission coil 4 in the axial direction of the power transmission coil 4. In the present embodiment, the magnetic body 7 is disposed at the distal end portion 82 of the housing 8. Further, the magnetic body 7 is disposed coaxially with the power transmission coil 4.
 上述の配置により、磁性体7の内面71(挿入孔6に対向する面)は、送電コイル4の内径と一致する位置に配置されている。磁性体7の内面71が送電コイル4の内径より大きいと、送電コイルから出る磁束が広がり、磁束密度が高い状態を保持して給電効率を上げる効果が十分に得られない。また、磁性体7の内面が送電コイル4の内径より狭いと、トロッカー1の挿入孔6が小さくなり、処置具2が挿入し難くなり、トロッカー1本来の用途の支障となる。以上より、磁性体7の内径は、送電コイル4の内径と同一であることが好ましい。 With the above arrangement, the inner surface 71 of the magnetic body 7 (the surface facing the insertion hole 6) is arranged at a position that matches the inner diameter of the power transmission coil 4. If the inner surface 71 of the magnetic body 7 is larger than the inner diameter of the power transmission coil 4, the magnetic flux emitted from the power transmission coil spreads, and the effect of increasing the power supply efficiency by maintaining a high magnetic flux density cannot be obtained. Moreover, when the inner surface of the magnetic body 7 is narrower than the inner diameter of the power transmission coil 4, the insertion hole 6 of the trocar 1 becomes small, making it difficult to insert the treatment instrument 2, which hinders the original use of the trocar 1. As described above, the inner diameter of the magnetic body 7 is preferably the same as the inner diameter of the power transmission coil 4.
 処置具2は、図1及び図2に示すように、硬性の挿入部21と、受電コイル22と、処置部23と、ハンドル24とを備える。挿入部21は、長尺な筒形状を有する。受電コイル22は、挿入部21の長軸方向に沿って巻回され、挿入部21内に配置されている。ハンドル24は、挿入部21の基端側に設けられている。受電コイル22は、挿入部21の全長にわたって設けられているため、トロッカー1に挿通した状態では、送電コイル4が存在する範囲より、受電コイル22の存在する範囲の方が長い。受電コイル22と処置部23とは配線を介して通電可能に接続されている。図1に示すように、本実施形態の処置部23は、一対の処置用電極231を備えたバイポーラ型の電気メスである。 The treatment instrument 2 includes a rigid insertion portion 21, a power receiving coil 22, a treatment portion 23, and a handle 24, as shown in FIGS. The insertion portion 21 has a long cylindrical shape. The power receiving coil 22 is wound along the long axis direction of the insertion portion 21 and is disposed in the insertion portion 21. The handle 24 is provided on the proximal end side of the insertion portion 21. Since the power receiving coil 22 is provided over the entire length of the insertion portion 21, the range where the power receiving coil 22 exists is longer than the range where the power transmitting coil 4 exists when the power receiving coil 22 is inserted through the trocar 1. The power receiving coil 22 and the treatment unit 23 are connected to each other through a wiring so as to be energized. As shown in FIG. 1, the treatment section 23 of the present embodiment is a bipolar electric knife provided with a pair of treatment electrodes 231.
 図1に示すように、電源装置3は、ケーブル31と、スイッチ32とを備える。電源装置3は、ケーブル31を介してトロッカー1と電気的に接続されている。スイッチ32は、電源装置3と接続され、電源装置3における高周波電力の出力をON/OFF操作を行うために設けられている。スイッチ32を操作することで、電源装置3から送電コイル4に電力を供給できる。 As shown in FIG. 1, the power supply device 3 includes a cable 31 and a switch 32. The power supply device 3 is electrically connected to the trocar 1 via a cable 31. The switch 32 is connected to the power supply device 3 and is provided to perform an ON / OFF operation on the output of high-frequency power in the power supply device 3. By operating the switch 32, power can be supplied from the power supply device 3 to the power transmission coil 4.
 次に、本実施形態に係るトロッカー1と、処置具2とを備える医療用無線給電システム100を用いる場合の作用の説明をする。まず、術者がトロッカー1の穿刺針を患者Pの体壁200に穿刺して、トロッカー1を体壁200に取り付ける。続いて、術者がトロッカー1の挿入孔6に処置具2を挿入することにより、処置具2がトロッカー1の挿入孔6を介して体腔内に導入される。処置部23が処置対象部位まで挿入されたら、術者はスイッチ32を操作する。すると、電源装置3からトロッカー1の送電コイル4に高周波電力が供給される。このとき、挿入孔6内において、送電コイル4と受電コイル22とが磁界結合し、受電コイル22に交流電力が供給される。 Next, the operation when the medical wireless power feeding system 100 including the trocar 1 according to the present embodiment and the treatment tool 2 is used will be described. First, the operator punctures the body wall 200 of the patient P with the puncture needle of the trocar 1 and attaches the trocar 1 to the body wall 200. Subsequently, when the operator inserts the treatment tool 2 into the insertion hole 6 of the trocar 1, the treatment tool 2 is introduced into the body cavity via the insertion hole 6 of the trocar 1. When the treatment portion 23 is inserted up to the treatment target site, the operator operates the switch 32. Then, high frequency power is supplied from the power supply device 3 to the power transmission coil 4 of the trocar 1. At this time, in the insertion hole 6, the power transmission coil 4 and the power reception coil 22 are magnetically coupled, and AC power is supplied to the power reception coil 22.
 電力供給時におけるトロッカー1の作用について図4を参照して説明する。電源装置3(図1)から所定の周波数の交流電力が送電コイル4に供給されると、図4に示すように、送電コイル4内に磁束Mが生じる。送電コイル4外の磁束密度は、送電コイル4内の磁束密度より低くなる。したがって、受電コイル22と送電コイル4とが交錯する磁束は、通常、送電コイル4と受電コイル22とが対向する位置を外れると、大きく減少する。しかし、本願発明のトロッカー1においては、磁性体7を送電コイル4と隣接して設けているため、図3に矢印M1で示すように、送電コイル4の外であっても、磁束M1が磁性体7により挿入孔6の中心軸線A方向に誘導される。その結果、挿入孔6内の磁束密度が高い範囲をより長く伸ばすことができる。したがって、受電コイル22が送電コイル4と対向していない位置でも、受電コイル22と送電コイル4とが対向している位置と同様に給電することができ、給電効率を向上させることができる。 The operation of the trocar 1 during power supply will be described with reference to FIG. When AC power having a predetermined frequency is supplied from the power supply device 3 (FIG. 1) to the power transmission coil 4, a magnetic flux M is generated in the power transmission coil 4 as shown in FIG. 4. The magnetic flux density outside the power transmission coil 4 is lower than the magnetic flux density inside the power transmission coil 4. Therefore, the magnetic flux where the power receiving coil 22 and the power transmitting coil 4 cross each other usually decreases greatly when the power transmitting coil 4 and the power receiving coil 22 are out of the opposite positions. However, since the magnetic body 7 is provided adjacent to the power transmission coil 4 in the trocar 1 of the present invention, the magnetic flux M1 is magnetic even outside the power transmission coil 4 as shown by the arrow M1 in FIG. The body 7 is guided in the direction of the central axis A of the insertion hole 6. As a result, the range where the magnetic flux density in the insertion hole 6 is high can be extended longer. Therefore, even at a position where the power receiving coil 22 does not face the power transmitting coil 4, power can be supplied in the same manner as a position where the power receiving coil 22 and the power transmitting coil 4 face each other, and the power feeding efficiency can be improved.
 受電コイル22に交流電流が供給された状態で、処置部23の一対の処置用電極231が処置対象部位に接触することにより、受電コイル22に供給された交流電力は、一対の処置用電極231に送られ、一対の処置用電極231により処置対象部位に対する処置を行うことができる。 With the alternating current supplied to the power receiving coil 22, the pair of treatment electrodes 231 of the treatment unit 23 come into contact with the treatment target site, so that the alternating current power supplied to the power receiving coil 22 is converted into the pair of treatment electrodes 231. The treatment target region can be treated by the pair of treatment electrodes 231.
 本実施形態に係るトロッカー1は、磁性体7を設けたので、受電コイルへより多くの磁束を導くことができるため、送電コイルを長くする場合に比べて、サイズを大きくすることなく、受電コイル22への給電効率を向上させることができる。また、送電コイル4は発熱体であるのに対し、磁性体自体は発熱しないため、体壁200に穿刺する穿刺針5の近傍に磁性体を配置しても、発熱の影響を受けることがなく、送電コイル4を長くする場合と比べてトロッカー1の本来の用途を阻害しにくい。 Since the trocar 1 according to the present embodiment is provided with the magnetic body 7, more magnetic flux can be guided to the power receiving coil, so that the power receiving coil is not increased in size as compared with the case where the power transmitting coil is lengthened. The power supply efficiency to 22 can be improved. Further, since the power transmission coil 4 is a heating element, the magnetic body itself does not generate heat, so even if a magnetic body is disposed in the vicinity of the puncture needle 5 that punctures the body wall 200, it is not affected by the heat generation. Compared with the case where the power transmission coil 4 is lengthened, the original use of the trocar 1 is hardly hindered.
[第二実施形態]
 第二実施形態に係るトロッカー11について、図5及び図6を参照して説明する。以下に説明する実施形態において、上述した第1実施形態に係るトロッカー1の構成要素と機能あるいは構造の点において同様である構成要素には、上記実施形態と同一符号が付されており、上記実施形態と重複する説明は省略される。
[Second Embodiment]
The trocar 11 which concerns on 2nd embodiment is demonstrated with reference to FIG.5 and FIG.6. In the embodiment described below, the same components as those in the first embodiment described above are the same as those in the trocar 1 according to the first embodiment described above in terms of function or structure. The description which overlaps with a form is abbreviate | omitted.
 図5は、トロッカー11に処置具2が挿入された状態を示す断面図である。本実施形態に係るトロッカー11では、第一実施形態に加えて、送電コイル4の基端側に隣接して第二磁性体7Aが設けられている。第二磁性体7Aは、筐体8の本体部81の基端側に筐体8よりも突出して設けられ、内面71Aが送電コイル4の内径と一致する位置に配置されている。第二磁性体7Aの形状及び大きさは、第一磁性体7と同じでもよい。 FIG. 5 is a cross-sectional view showing a state where the treatment instrument 2 is inserted into the trocar 11. In the trocar 11 according to the present embodiment, in addition to the first embodiment, the second magnetic body 7A is provided adjacent to the proximal end side of the power transmission coil 4. The second magnetic body 7 </ b> A is provided on the proximal end side of the main body 81 of the housing 8 so as to protrude from the housing 8, and the inner surface 71 </ b> A is disposed at a position that matches the inner diameter of the power transmission coil 4. The shape and size of the second magnetic body 7A may be the same as those of the first magnetic body 7.
 本実施形態に係るトロッカー11は、図6に示すように、送電コイル4の基端側及び先端側にそれぞれ磁性体7、7Aが設けられることにより、送電コイル4にて発生した磁束密度を、より長い範囲において高く保つことができる。したがって、送電コイル4に発生させた磁束と受電コイル22とが、長手方向に渡りより長い範囲で交錯するため、給電効率がさらに向上する。 As shown in FIG. 6, the trocar 11 according to the present embodiment is provided with the magnetic bodies 7 and 7 </ b> A on the proximal end side and the distal end side of the power transmission coil 4, so that the magnetic flux density generated in the power transmission coil 4 is It can be kept high over a longer range. Therefore, since the magnetic flux generated in the power transmission coil 4 and the power reception coil 22 cross in a longer range in the longitudinal direction, the power feeding efficiency is further improved.
 次に、本実施形態の変形例のトロッカー12について、図7を参照して説明する。図7は、トロッカー12に処置具2が挿入された状態を示す断面図である。トロッカー12は、第二実施形態のトロッカー11において、送電コイル4の径方向外側に第三磁性体7Bをさらに設けた例である。送電コイル4の外周に第三磁性体7Bを設けることにより、図8に符号Bで模式的に示すように、磁束Mを挿入孔6内から逃がさないシールド層が形成されるという効果が得られる。したがって、第一磁性体7と、送電コイル4と、第二磁性体7Aとの間の磁気的な接続をより効果的に保つことができる。 Next, a trocar 12 according to a modification of the present embodiment will be described with reference to FIG. FIG. 7 is a cross-sectional view showing a state where the treatment instrument 2 is inserted into the trocar 12. The trocar 12 is an example in which the third magnetic body 7 </ b> B is further provided on the radially outer side of the power transmission coil 4 in the trocar 11 of the second embodiment. By providing the third magnetic body 7B on the outer periphery of the power transmission coil 4, an effect is obtained that a shield layer that does not allow the magnetic flux M to escape from the insertion hole 6 is formed, as schematically shown in FIG. . Therefore, the magnetic connection among the first magnetic body 7, the power transmission coil 4, and the second magnetic body 7A can be more effectively maintained.
[第三実施形態]
 本発明の第三実施形態について、図9及び図10を参照して説明する。図9及び図10は、本実施形態に係るトロッカー13に処置具2Aが挿入された状態を示す断面図である。本実施形態に係るトロッカー13では、送電コイル4の基端側に第二磁性体7Cが設けられている。第二磁性体7Cは、筐体8Aの本体部81aに対し、挿入孔6の中心軸線A方向に進退可能に配置されている。
[Third embodiment]
A third embodiment of the present invention will be described with reference to FIGS. FIG.9 and FIG.10 is sectional drawing which shows the state by which 2 A of treatment tools were inserted in the trocar 13 which concerns on this embodiment. In the trocar 13 according to the present embodiment, the second magnetic body 7 </ b> C is provided on the proximal end side of the power transmission coil 4. The second magnetic body 7C is disposed so as to be able to advance and retract in the direction of the central axis A of the insertion hole 6 with respect to the main body 81a of the housing 8A.
 第二磁性体7Cは、送電コイル4の外径よりも大きく、且つ、筐体8Aの本体部81の外径よりも小さい径の筒形状を有し、第一磁性体7と同じ材料からなる。第二磁性体7Cは、図9及び図10に示すように、筐体8Aから突出した状態から後述する筐体8Aの挿入穴83に挿入される状態に移動可能に筐体8Aに設けられている。第二磁性体7Cは、第二磁性体7Cの中心軸が挿入孔6の中心軸線Aと略同軸となるように配置されている。 The second magnetic body 7C has a cylindrical shape having a diameter larger than the outer diameter of the power transmission coil 4 and smaller than the outer diameter of the main body 81 of the housing 8A, and is made of the same material as the first magnetic body 7. . As shown in FIGS. 9 and 10, the second magnetic body 7C is provided in the housing 8A so as to be movable from a state protruding from the housing 8A to a state of being inserted into an insertion hole 83 of the housing 8A described later. Yes. The second magnetic body 7 </ b> C is arranged so that the central axis of the second magnetic body 7 </ b> C is substantially coaxial with the central axis A of the insertion hole 6.
 図9に示すように、筐体8Aの本体部81aには、送電コイル4の外周側を囲むように挿入穴83が形成されている。挿入穴83は、挿入孔6の中心軸線Aと略平行に延びるように形成されている。挿入穴83には、第二磁性体7Cが、挿入孔6の中心軸線A方向に進退可能に挿入されている。送電コイル4は、挿入孔6と挿入穴83との間に配置されるが、挿入孔6及び挿入穴83には露出せず、筐体8Aの本体部81a内に埋設されている。 As shown in FIG. 9, an insertion hole 83 is formed in the main body 81 a of the housing 8 </ b> A so as to surround the outer peripheral side of the power transmission coil 4. The insertion hole 83 is formed so as to extend substantially parallel to the central axis A of the insertion hole 6. The second magnetic body 7C is inserted into the insertion hole 83 so as to be able to advance and retract in the direction of the central axis A of the insertion hole 6. The power transmission coil 4 is disposed between the insertion hole 6 and the insertion hole 83, but is not exposed to the insertion hole 6 and the insertion hole 83, and is embedded in the main body 81a of the housing 8A.
 図9及び図10に示すように、挿入穴83には、圧縮ばね92が挿入されている。圧縮ばね92は、第二磁性体7Cの先端面7C1と挿入穴83の底部83aとの間に配置されている。圧縮ばね92の先端92aは挿入穴83の底部83aに当接し、圧縮ばね92の基端92bは、第二磁性体7Cの先端面7C1に接続されている。圧縮ばね92は、自然状態では、第二磁性体7C全体が挿入穴83から突出するように、第二磁性体7Cを基端側に押し出す程度の付勢力を有する。第二磁性体7Cは、圧縮ばね92の付勢力以上の力で先端側に押圧する力が加わったときに、挿入穴83内に押し込まれる。 9 and 10, a compression spring 92 is inserted into the insertion hole 83. The compression spring 92 is disposed between the distal end surface 7C1 of the second magnetic body 7C and the bottom 83a of the insertion hole 83. The distal end 92a of the compression spring 92 abuts on the bottom 83a of the insertion hole 83, and the proximal end 92b of the compression spring 92 is connected to the distal end surface 7C1 of the second magnetic body 7C. In the natural state, the compression spring 92 has an urging force enough to push the second magnetic body 7C toward the proximal end so that the entire second magnetic body 7C protrudes from the insertion hole 83. The second magnetic body 7 </ b> C is pushed into the insertion hole 83 when a force that presses the distal end side with a force greater than the urging force of the compression spring 92 is applied.
 処置具2Aの挿入部21には、突起部(磁性体移動部)91が設けられている。突起部91は、挿入部21の外周から挿入部21の径方向外側に向かって突出している。突起部91の突出量は、第二磁性体7Cの内径よりも大きい。突起部91は、挿入部21の長手方向における所定の位置に設けられており、処置具2Aがトロッカー13に対して所定量挿入されたときに、突起部91が第二磁性体7Cの基端面7C2を押圧して、第二磁性体7Cを挿入穴83内(筐体8Aの内側)に移動させる。 The insertion part 21 of the treatment instrument 2A is provided with a protrusion (magnetic body moving part) 91. The protrusion 91 protrudes from the outer periphery of the insertion portion 21 toward the radially outer side of the insertion portion 21. The protrusion amount of the protrusion 91 is larger than the inner diameter of the second magnetic body 7C. The protruding portion 91 is provided at a predetermined position in the longitudinal direction of the insertion portion 21, and when the treatment instrument 2A is inserted into the trocar 13 by a predetermined amount, the protruding portion 91 is the base end surface of the second magnetic body 7C. 7C2 is pressed to move the second magnetic body 7C into the insertion hole 83 (inside the housing 8A).
 トロッカー13と処置具2Aとを備えた医療用無線給電システムでは、処置具2Aをトロッカー13の挿入孔6に挿入する工程に伴って、トロッカー13の基端側に突出して設けられた第二磁性体7Cが筐体8A内に収容される。この構成により、処置具2Aのトロッカー13に対する進退移動が第二磁性体7Cによって妨げられることを防ぐことができる。 In the medical wireless power feeding system including the trocar 13 and the treatment tool 2A, the second magnetic material provided to protrude to the proximal end side of the trocar 13 in accordance with the step of inserting the treatment tool 2A into the insertion hole 6 of the trocar 13. The body 7C is accommodated in the housing 8A. With this configuration, it is possible to prevent the advance / retreat movement of the treatment instrument 2A relative to the trocar 13 from being hindered by the second magnetic body 7C.
 本実施形態において、突起部91の形状は、第二磁性体7Cを先端側に押圧可能であれば特に制限はない。例えば、突起部91は、挿入部21の外周を囲む円環形状や、挿入部21の外周の一部分に1カ所以上設けられた突起等が適用できる。 In the present embodiment, the shape of the protrusion 91 is not particularly limited as long as the second magnetic body 7C can be pressed toward the tip side. For example, as the protrusion 91, an annular shape surrounding the outer periphery of the insertion portion 21, or a protrusion provided at one or more places on a part of the outer periphery of the insertion portion 21 can be applied.
 また、突起部91は磁性体で形成されてもよい。図11は、突起部91aを磁性体で構成した第三実施形態の第一変形例を示す断面図である。突起部を磁性体で形成すると、第二磁性体7Cを押圧する機能に加えて、送電コイル4の給電効率をさらに高める効果が得られる。突起部91aは、挿入部21の外周を囲む円環形状を有する。突起部91aを磁性体で形成する場合、突出部91aの直径D1は、給電効率を高めるためには、第二磁性体7Cの内径D2以上且つ第二磁性体7Cの外径D3以下に設定することが好ましい。 Further, the protrusion 91 may be formed of a magnetic material. FIG. 11 is a cross-sectional view showing a first modification of the third embodiment in which the protrusion 91a is made of a magnetic material. When the protrusion is formed of a magnetic material, an effect of further increasing the power supply efficiency of the power transmission coil 4 can be obtained in addition to the function of pressing the second magnetic material 7C. The protrusion 91 a has an annular shape that surrounds the outer periphery of the insertion portion 21. When the protrusion 91a is formed of a magnetic material, the diameter D1 of the protrusion 91a is set to be not less than the inner diameter D2 of the second magnetic body 7C and not more than the outer diameter D3 of the second magnetic body 7C in order to increase power supply efficiency. It is preferable.
 図12は、第三実施形態の第二変形例を示す断面図である。第三実施形態の突起部91を磁性体で構成する場合、図12に示すように、突起部91bの基端側の外周縁端部が面取りされた形状とすると、送電コイル4内の磁力線が歪みにくくなり、より好ましい。 FIG. 12 is a cross-sectional view showing a second modification of the third embodiment. When the protrusion 91 of the third embodiment is made of a magnetic material, as shown in FIG. 12, if the outer peripheral edge on the base end side of the protrusion 91b is chamfered, the lines of magnetic force in the power transmission coil 4 are reduced. It becomes difficult to distort and is more preferable.
 図13及び図14は、第三実施形態の第三変形例を示す断面図である。本変形例では、第三実施形態の第一変形例の突起部91aに代えて、挿入部21内の受電コイル22の基端部22aに永久磁石93(磁性体移動部)を設けている。この永久磁石93により、第二磁性体7Cを挿入穴83方向に移動させる。図13に示すように、挿入部21を受電コイル22の基端付近まで先端側に押し込むと、永久磁石93が第二磁性体7Cに近付く。この状態で挿入部21をさらに先端側に押し込むと、図14に示すように、永久磁石93の磁力により永久磁石93と第二磁性体7Cとが磁気結合する。そのため、永久磁石93の移動に伴って第二磁性体7Cが挿入穴83方向に移動する。挿入部21の長手方向において、受電コイル22が存在しない部分では、そもそも給電自体が不能であるため、第二磁性体7Cが不要となる。この変形例では、永久磁石93により、不要となった第二磁性体7Cを挿入穴83内に収容させることにより、処置具2Aのトロッカー13に対する進退移動が第二磁性体7Cによって妨げられることを防ぐことができる。 13 and 14 are cross-sectional views showing a third modification of the third embodiment. In this modification, instead of the protrusion 91a of the first modification of the third embodiment, a permanent magnet 93 (magnetic body moving part) is provided at the base end part 22a of the power receiving coil 22 in the insertion part 21. The permanent magnet 93 moves the second magnetic body 7C in the direction of the insertion hole 83. As shown in FIG. 13, when the insertion portion 21 is pushed toward the distal end side to the vicinity of the proximal end of the power receiving coil 22, the permanent magnet 93 approaches the second magnetic body 7C. When the insertion portion 21 is further pushed into the distal end side in this state, the permanent magnet 93 and the second magnetic body 7C are magnetically coupled by the magnetic force of the permanent magnet 93 as shown in FIG. Therefore, the second magnetic body 7 </ b> C moves in the direction of the insertion hole 83 as the permanent magnet 93 moves. In the longitudinal direction of the insertion portion 21, in the portion where the power receiving coil 22 does not exist, the power supply itself is impossible in the first place, so the second magnetic body 7 </ b> C is not necessary. In this modification, the second magnet 7C prevents the second magnetic body 7C from moving forward and backward with respect to the trocar 13 by accommodating the unnecessary second magnetic body 7C in the insertion hole 83 by the permanent magnet 93. Can be prevented.
 上記第三実施形態では、圧縮ばね92を用いて、第二磁性体7Cを自然状態で筐体8から突出させる構成としたが、圧縮ばね92に代えて、挿入穴83内に空気を送入して、挿入穴83内の空気圧を調節してもよい。例えば、トロッカーは一般に気腹装置と併せて使用されるので、この気腹装置を用いて挿入穴83内の空気圧を調整してもよい。 In the third embodiment, the compression spring 92 is used to cause the second magnetic body 7C to protrude from the housing 8 in a natural state, but air is fed into the insertion hole 83 instead of the compression spring 92. Then, the air pressure in the insertion hole 83 may be adjusted. For example, since a trocar is generally used in conjunction with an insufflation apparatus, the air pressure in the insertion hole 83 may be adjusted using this insufflation apparatus.
 以上、本発明の各実施形態を説明したが、本発明の技術範囲は上記実施形態に限定されるものではなく、本発明の趣旨を逸脱しない範囲において各実施形態における構成要素の組み合わせを変えたり、各構成要素に種々の変更を加えたり、削除したりすることが可能である。本発明は前述した説明によって限定されることはなく、添付のクレームの範囲によってのみ限定される。 The embodiments of the present invention have been described above. However, the technical scope of the present invention is not limited to the above embodiments, and combinations of components in the embodiments may be changed without departing from the spirit of the present invention. Various changes can be added to or deleted from each component. The present invention is not limited by the above description, but only by the scope of the appended claims.
 本発明によれば、トロッカーを介した処置具への無線給電における給電効率を向上させることができるトロッカー及び医療用無線給電システムが得られる。 According to the present invention, it is possible to obtain a trocar and a medical wireless power feeding system that can improve power feeding efficiency in wireless power feeding to a treatment instrument via a trocar.
1、11、12、13 トロッカー
2、2A 処置具
4 送電コイル
5 穿刺針
6 挿入孔
7、7A 磁性体
8 筐体
22 受電コイル
21 挿入部
24 ハンドル
91、91a、91b 突起部(磁性体移動部)
93 永久磁石(磁性体移動部)
100 医療用無線給電システム
1, 11, 12, 13 Trocar 2, 2A Treatment tool 4 Power transmission coil 5 Puncture needle 6 Insertion hole 7, 7A Magnetic body 8 Housing 22 Power reception coil 21 Insertion section 24 Handles 91, 91a, 91b Protrusion section (magnetic body movement section) )
93 Permanent magnet (Magnetic body moving part)
100 Medical wireless power supply system

Claims (12)

  1.  生体表面を穿刺する穿刺針と、
     前記穿刺針の先端に連通し、受電コイルを有する処置具が挿入される挿入孔を有する筐体と、
     前記挿入孔の周囲に巻き付けられて配置され、前記受電コイルと磁界結合する送電コイルと、
     前記送電コイルの軸線方向に前記送電コイルと隣接して配置される磁性体と、
    を備えるトロッカー。
    A puncture needle for puncturing the surface of a living body,
    A housing having an insertion hole communicating with the tip of the puncture needle and into which a treatment instrument having a power receiving coil is inserted;
    A power transmission coil that is wound around the insertion hole and is magnetically coupled to the power reception coil;
    A magnetic body disposed adjacent to the power transmission coil in the axial direction of the power transmission coil;
    Trocar equipped with.
  2.  前記磁性体は、前記穿刺針側において前記送電コイルと隣接して配置される請求項1に記載のトロッカー。 The trocar according to claim 1, wherein the magnetic body is disposed adjacent to the power transmission coil on the puncture needle side.
  3.  前記磁性体は、前記挿入孔に前記処置具が挿入される側において前記送電コイルと隣接して配置される請求項1又は請求項2に記載のトロッカー。 The trocar according to claim 1 or 2, wherein the magnetic body is disposed adjacent to the power transmission coil on a side where the treatment tool is inserted into the insertion hole.
  4.  前記磁性体は、筐体から突出して配置される請求項3に記載のトロッカー。 The trocar according to claim 3, wherein the magnetic body is disposed so as to protrude from the housing.
  5.  前記磁性体の前記挿入孔に対向する面が前記送電コイルの内径と一致する位置に配置される請求項2から請求項4のいずれか一項に記載のトロッカー。 The trocar according to any one of claims 2 to 4, wherein a surface of the magnetic body facing the insertion hole is disposed at a position that coincides with an inner diameter of the power transmission coil.
  6.  前記磁性体の前記挿入孔に対向する面が前記送電コイルの外径より外側に配置され、
     前記突出した磁性体は、前記筐体の内側に移動可能に構成される請求項4に記載のトロッカー。
    The surface facing the insertion hole of the magnetic body is disposed outside the outer diameter of the power transmission coil,
    The trocar according to claim 4, wherein the protruding magnetic body is configured to be movable inside the housing.
  7.  前記挿入孔に挿入される挿入部と、前記挿入部に設けられる受電コイルと、を有する処置具と、
     請求項1から請求項6のいずれか一項に記載のトロッカーと、を有する医療用無線給電システム。
    A treatment instrument having an insertion portion inserted into the insertion hole, and a power receiving coil provided in the insertion portion;
    A medical wireless power feeding system comprising the trocar according to any one of claims 1 to 6.
  8.  請求項6に記載のトロッカーを備え、
     前記処置具の前記挿入部には、前記磁性体を前記筐体の内側に移動させる磁性体移動部を有する請求項7に記載の医療用無線給電システム。
    A trocar according to claim 6,
    The medical wireless power feeding system according to claim 7, wherein the insertion portion of the treatment instrument has a magnetic body moving portion that moves the magnetic body to the inside of the housing.
  9.  前記磁性体移動部は、前記磁性体の内径よりも突出量が大きい突起部である請求項8に記載の医療用無線給電システム。 The medical wireless power feeding system according to claim 8, wherein the magnetic body moving portion is a protruding portion having a protruding amount larger than an inner diameter of the magnetic body.
  10.  前記突起部は磁性体からなる請求項9に記載の医療用無線給電システム。 10. The medical wireless power feeding system according to claim 9, wherein the protrusion is made of a magnetic material.
  11.  前記突起部の最大外径は前記磁性体の外径よりも小さい請求項9又は請求項10に記載の医療用無線給電システム。 The medical wireless power feeding system according to claim 9 or 10, wherein a maximum outer diameter of the protrusion is smaller than an outer diameter of the magnetic body.
  12.  前記磁性体移動部は、前記受電コイルとハンドルとの間に配置された永久磁石である請求項8に記載の医療用無線給電システム。 The medical wireless power feeding system according to claim 8, wherein the magnetic body moving unit is a permanent magnet disposed between the power receiving coil and a handle.
PCT/JP2014/079430 2014-11-06 2014-11-06 Trocar and medical wireless power feeding system WO2016071983A1 (en)

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Publication number Priority date Publication date Assignee Title
JP2018148973A (en) * 2017-03-10 2018-09-27 株式会社Jvcケンウッド Surgery system, surgical instrument, trocar, and determination method
CN115998390A (en) * 2023-03-28 2023-04-25 真健康(北京)医疗科技有限公司 Puncture needle assembly, puncture needle insertion structure and puncture device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11104141A (en) * 1997-06-30 1999-04-20 Ethicon Endo Surgery Inc Trocar for inductive coupled electric surgical operation
US20090085701A1 (en) * 2007-10-02 2009-04-02 Schlumberger Technology Corporation Providing an inductive coupler assembly having discrete ferromagnetic segments

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2018148973A (en) * 2017-03-10 2018-09-27 株式会社Jvcケンウッド Surgery system, surgical instrument, trocar, and determination method
CN115998390A (en) * 2023-03-28 2023-04-25 真健康(北京)医疗科技有限公司 Puncture needle assembly, puncture needle insertion structure and puncture device
CN115998390B (en) * 2023-03-28 2023-11-10 真健康(北京)医疗科技有限公司 Puncture device

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