WO2019092845A1 - Outil de traitement - Google Patents

Outil de traitement Download PDF

Info

Publication number
WO2019092845A1
WO2019092845A1 PCT/JP2017/040553 JP2017040553W WO2019092845A1 WO 2019092845 A1 WO2019092845 A1 WO 2019092845A1 JP 2017040553 W JP2017040553 W JP 2017040553W WO 2019092845 A1 WO2019092845 A1 WO 2019092845A1
Authority
WO
WIPO (PCT)
Prior art keywords
main surface
holding member
treatment tool
substrate
positioning
Prior art date
Application number
PCT/JP2017/040553
Other languages
English (en)
Japanese (ja)
Inventor
直輝 大高
工藤　貢一
Original Assignee
オリンパス株式会社
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 オリンパス株式会社 filed Critical オリンパス株式会社
Priority to PCT/JP2017/040553 priority Critical patent/WO2019092845A1/fr
Publication of WO2019092845A1 publication Critical patent/WO2019092845A1/fr

Links

Images

Classifications

    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes

Definitions

  • the present invention relates to a treatment tool.
  • a treatment tool is known that is provided with a heat generating structure for applying thermal energy to a living tissue, and the biological tissue is treated (joined (or anastomosed), cut, etc.) by applying the thermal energy (for example, patent) Reference 1).
  • the heat generating structure (first electrode portion) described in Patent Document 1 includes a heater (electric heat conversion element), a heat transfer plate (first high frequency electrode), and an adhesive member (high thermal conductive heat resistant adhesive sheet) described below.
  • the heater is a seat heater having an electric resistance pattern formed on one surface of the substrate (hereinafter, referred to as a first main surface) to generate heat by energization.
  • the heat transfer plate is made of a conductive material such as copper.
  • the heat transfer plate has a second main surface opposite to the first main surface, and transfers the heat from the electrical resistance pattern to the living tissue (heat energy is applied to the living tissue).
  • the adhesive member is a sheet having good thermal conductivity and electrical insulation.
  • the bonding member is interposed between the first and second main surfaces to bond and fix the heater and the heat transfer plate.
  • both of the first and second main surfaces are respectively formed in planes orthogonal to the thickness direction of the heat generating structure. For this reason, in the hot pressing step, when variations occur in the pressure for compressing the uncured adhesive member and the temperature for heating, the positional relationship between the first and second main surfaces is the predetermined (design) position There is a risk of deviation from the relationship (for example, positional relationship in which the predetermined separation dimensions are parallel to each other).
  • the present invention has been made in view of the above, and it is an object of the present invention to provide a treatment tool capable of easily setting the positional relationship between the first and second main surfaces to a predetermined positional relationship without dispersion. I assume.
  • the treatment tool comprises a first gripping member and a second gripping member for gripping a living tissue
  • the first gripping member being A substrate having a main surface of 1, a heat resistance plate provided on the first main surface, an electrical resistance pattern generating heat by energization, and a heat transfer plate having a second main surface facing the first main surface;
  • an adhesive member interposed between the first main surface and the second main surface and adhesively fixing the substrate and the heat transfer plate, wherein the second main surface is the first main surface. It has a first positioning area that protrudes to the surface side and positions the substrate, and the first main surface abuts on the first positioning area on the second main surface.
  • the positional relationship between the first and second main surfaces can be easily set to the predetermined positional relationship without variation.
  • FIG. 1 is a view schematically showing a treatment system according to the first embodiment.
  • FIG. 2 is a view showing the grip portion.
  • FIG. 3 is a view of the heat generating structure as viewed from the first holding surface side.
  • FIG. 4 is a cross-sectional view taken along the line IV-IV shown in FIG.
  • FIG. 5 is a view showing a heat generating structure according to the second embodiment.
  • FIG. 6 is a view showing a heat generating structure according to the third embodiment.
  • FIG. 7 is a view showing a heat generating structure according to the fourth embodiment.
  • FIG. 8 is a view showing a heat generating structure according to the fifth embodiment.
  • FIG. 1 is a view schematically showing a treatment system 1 according to the first embodiment.
  • the treatment system 1 treats (such as bonding (or anastomosis) and dissection) a living tissue by applying thermal energy to the living tissue to be treated.
  • the treatment system 1 includes a treatment tool 2, a control device 3 and a foot switch 4 as shown in FIG.
  • the treatment tool 2 is, for example, a linear surgical treatment tool for treating a living tissue through the abdominal wall.
  • the treatment tool 2 includes a handle 5, a shaft 6, and a grip 7.
  • the handle 5 is a part held by the operator by hand. Further, as shown in FIG. 1, the handle 5 is provided with an operation knob 51.
  • the shaft 6 has a substantially cylindrical shape, and one end (the right end in FIG. 1) is connected to the handle 5. Further, a grip 7 is attached to the other end (left end in FIG. 1) of the shaft 6.
  • An opening / closing mechanism (shown in the drawing) opens and closes the first and second holding members 8 and 9 (FIG.
  • an electric cable C (FIG. 1) connected to the control device 3 passes from the one end side (right end portion side in FIG. 1) to the other end side (in FIG. 1) It is disposed up to the left end side).
  • FIG. 2 is a view showing the gripping portion 7.
  • the gripping portion 7 is a portion that grips a living tissue to treat the living tissue.
  • the gripping portion 7 includes first and second gripping members 8 and 9 as shown in FIG. 1 or 2.
  • the first and second gripping members 8 and 9 are supported by the other end (left end in FIGS. 1 and 2) of the shaft 6 so as to be able to open and close in the direction of arrow R1 (FIG. 2)
  • R1 FIG. 2
  • the front end side is the front end side of the holding part 7, Comprising: The left side is meant in FIG. 1, FIG. Further, “proximal side” described below means the right side in FIGS. 1 and 2 on the side of the shaft 6 of the grip 7.
  • the first gripping member 8 is disposed below the second gripping member 9 in FIG. 1 or 2.
  • the first gripping member 8 includes a first cover member 10 and a heat generating structure 11.
  • the first cover member 10 is formed of a long plate extending in the longitudinal direction (left and right direction in FIGS. 1 and 2) from the tip end of the grip 7 toward the base end. In the first cover member 10, a recess 101 is formed on the upper surface in FIG.
  • the recess 101 is located at the center in the width direction of the first cover member 10 and extends along the longitudinal direction of the first cover member 10. Moreover, the side wall part by the side of a proximal end among the side wall parts which comprise the recessed part 101 is abbreviate
  • the first cover member 10 is supported by the shaft 6 with the recess 101 facing upward in FIG. 2 while supporting the heat generating structure 11 in the recess 101.
  • FIG. 3 is a view of the heat generating structure 11 as viewed from the first holding surface 121 side.
  • FIG. 4 is a cross-sectional view taken along the line IV-IV shown in FIG. In FIG. 4, the posture of the heat generating structure 11 is shown upside down from FIGS. 1 and 2 for the convenience of description.
  • the heat-generating structure 11 is accommodated in the recess 101 with a part thereof protruding upward from the recess 101 in FIG.
  • the heat generating structure 11 generates thermal energy under the control of the control device 3.
  • the heat generating structure 11 includes a heat transfer plate 12, a heater 13, and an adhesive member 14 (FIG. 4).
  • the heat transfer plate 12 is made of, for example, a material such as copper and has an elongated shape extending in the longitudinal direction of the grip portion 7.
  • the surface of the heat transfer plate 12 in the lower side (the upper side in FIG. 2) in FIG. 4 is a plane orthogonal to the thickness direction of the heat transfer plate 12 (in the vertical direction in FIG. 4) It functions as a first gripping surface 121 for gripping a living tissue between itself and the second gripping member 9. Then, in a state where the heat transfer plate 12 holds the living tissue by the first and second holding members 8 and 9, the first holding surface 121 contacts the living tissue, and the heat from the heater 13 is concerned. Transfer to living tissue (applying thermal energy to living tissue). Further, in the heat transfer plate 12, the surface on the upper side in FIG. 4 that is opposite to the first gripping surface 121 in FIG. 4 corresponds to the second main surface 122 according to the present invention.
  • the second main surface 122 is formed with a recess 123 located at the center in the width direction of the second main surface 122 and extending over the entire length of the second main surface 122 in the longitudinal direction. . That is, the second main surface 122 has a concave shape in which both ends in the width direction protrude upward in FIG. 4 with respect to other regions.
  • the convex portion 124 the protruding portions of both ends in the width direction will be referred to as the convex portion 124.
  • the bottom surface of the recess 123 is formed by a plane orthogonal to the thickness direction of the heat transfer plate 12.
  • the side surfaces of the concave portions 123 are respectively formed by planes parallel to the thickness direction of the heat transfer plate 12.
  • the tips of the respective convex portions 124 are respectively constituted by planes orthogonal to the thickness direction of the heat transfer plate 12, and are located on the same plane.
  • the protruding end of each convex portion 124 constitutes a positioning surface for positioning a substrate 15 which will be described later which constitutes the heater 13. That is, the tips of the respective convex portions 124 are respectively located at both ends in the width direction of the second main surface 122, and extend over the entire length in the longitudinal direction of the second main surface 122, respectively. It corresponds to the first positioning area Ar1 (FIGS. 3 and 4).
  • the heater 13 partially generates heat, and functions as a sheet heater that heats the heat transfer plate 12 by the heat generation.
  • the heater 13 includes a substrate 15 (FIG. 4) and an electrical resistance pattern 16, as shown in FIG. 3 or FIG.
  • the substrate 15 is an elongated plate made of an insulating material such as polyimide and extending in the longitudinal direction of the grip 7.
  • the dimension in the width direction of the substrate 15 is set to be substantially the same as the dimension in the width direction of the heat transfer plate 12.
  • the lower plate surface in FIG. 4 is a plane orthogonal to the thickness direction of the substrate 15 (vertical direction in FIG.
  • the first main surface 151 As a material of the board
  • the electrical resistance pattern 16 is obtained by processing stainless steel (SUS 304), which is a conductive material, and is bonded to the first major surface 151 by thermocompression bonding.
  • the electric resistance pattern 16 extends in a wavelike manner from the proximal end to the distal side, and has a generally U-like shape that is folded at the distal side and extends in a wavelike manner toward the proximal side. Further, at both ends of the electrical resistance pattern 16, two lead wires C1 (FIG. 3) constituting the electrical cable C are joined (connected).
  • the electric resistance pattern 16 generates heat when a voltage is applied (energized) through the two lead wires C1 under the control of the control device 3.
  • the material of the electric resistance pattern 16 is not limited to stainless steel (SUS304), and may be another stainless steel material (for example, No. 400 series), or a conductive material such as platinum or tungsten may be adopted. Further, the electric resistance pattern 16 is not limited to the structure bonded to the first major surface 151 by thermocompression bonding, and may be formed on the first major surface 151 by vapor deposition, printing, or the like.
  • the bonding member 14 is interposed between the first and second main surfaces 151 and 122 as shown in FIG. 4 to bond and fix the heat transfer plate 12 and the heater 13.
  • the adhesive member 14 is a long sheet (long sheet extending in the longitudinal direction of the grip portion 7) which has good thermal conductivity and electrical insulation, withstands high temperature, and has adhesiveness. It is configured.
  • the dimension in the width direction of the uncured adhesive member 14 before the hot pressing process described later is performed is set to be slightly smaller than the width dimension of the recess 123.
  • the thickness dimension of the uncured adhesive member 14 is set to be slightly larger than the depth dimension of the recess 123.
  • the heat generating structure 11 is manufactured as described below.
  • the operator places the uncured adhesive member 14 in the recess 123.
  • the worker superimposes the heater 13 on the adhesive member 14 in a posture in which the electric resistance pattern 16 faces the adhesive member 14 side.
  • the worker makes the thickness direction of the heat generating structure 11 until the first main surface 151 abuts on the projecting end of each convex portion 124 (the first positioning area Ar1 on the second main surface 122).
  • the adhesive member 14 is cured by applying heat to the heat generating structure 11 while compressing the adhesive member 14 in the uncured state in the vertical direction (in FIG. 4). Thereby, the heater 13 and the heat transfer plate 12 are joined, and the heat generating structure 11 is manufactured.
  • the second gripping member 9 includes a second cover member 17 and an opposing plate 18 as shown in FIG.
  • the second cover member 17 has the same shape as the first cover member 10. That is, the 2nd cover member 17 has the recessed part 171 similar to the recessed part 101, as shown in FIG.
  • the second cover member 17 is supported by the shaft 6 in a posture in which the recess 171 faces downward in FIG. 2 (a posture facing the recess 101) while supporting the counter plate 18 in the recess 171.
  • the opposing plate 18 is made of, for example, a conductive material such as copper.
  • the opposing plate 18 is formed of a flat plate having substantially the same planar shape as the recess 171, and is fixed in the recess 171.
  • the lower surface of the opposing plate 18 in FIG. 2 is formed by a plane orthogonal to the thickness direction of the opposing plate 18, and a second biological tissue is grasped with the first gripping surface 121. It functions as a gripping surface 181.
  • the opposing plate 18 is not limited to the conductive material, and may be made of another material, for example, a resin material such as PEEK (polyether ether ketone).
  • the foot switch 4 is a portion operated by the operator with a foot. And according to the said operation to foot switch 4, ON and OFF of electricity supply from control device 3 to treatment implement 2 (electric resistance pattern 16) are changed. In addition, as a means to switch the said on and off, you may employ
  • the control device 3 is configured to include a CPU (Central Processing Unit) or the like, and centrally controls the operation of the treatment tool 2 in accordance with a predetermined control program. Specifically, the control device 3 applies a voltage to the electric resistance pattern 16 through the electric cable C in response to the operation (operation of power on) of the foot switch 4 by the operator, and the heat transfer plate 12 is Heat up.
  • a CPU Central Processing Unit
  • the second main surface 122 has a first positioning area Ar1 that protrudes to the first main surface 151 side to configure a positioning surface for positioning the substrate 15. Then, the first major surface 151 abuts on the first positioning area Ar1. For this reason, in the hot pressing step of producing the heat generating structure 11, the first and second main components are used even when the pressure for compressing the uncured adhesive member 14 and the temperature for heating are varied.
  • the positional relationship between the faces 151 and 122 can be adjusted to the predetermined (designated) positional relationship. That is, the temperature distribution of the heat transfer plate 12 when the heat transfer plate 12 is heated by the heater 13 can be matched with the predetermined temperature distribution.
  • the positional relationship between the first and second main surfaces 151 and 122 can be easily set to the predetermined positional relationship without variation, and a desired treatment can be made.
  • the effect is that the performance can be exhibited.
  • the first positioning regions Ar1 are respectively provided on both sides in the width direction across the adhesive member 14 and extend over the entire length in the longitudinal direction of the second main surface 122 Each extends. Therefore, the area of the first positioning area Ar1 for positioning the substrate 15 can be set large. That is, in the hot pressing step of manufacturing the heat generating structure 11, the positional relationship between the first and second main surfaces 151 and 122 can be well matched with the predetermined positional relationship.
  • FIG. 5 is a view showing a heat generating structure 11A according to the second embodiment. Specifically, FIG. 5 is a cross-sectional view corresponding to FIG.
  • the heat-generating structure 11A according to the second embodiment differs from the heat-generating structure 11 (FIG. 4) described in the first embodiment as described above, as shown in FIG. That is, in the heat generating structure 11A, the separation dimension D1 (FIG. 5) of the electric resistance pattern 16 and the first positioning area Ar1 along the width direction (left and right direction in FIG. 5) of the heat generating structure 11A; The separation dimension D2 (FIG. 5) along the thickness direction (vertical direction in FIG. 5) of the heat generating structure 11A is set identical to the pattern 16 and the bottom surface of the recess 123.
  • the above-described separation dimensions D1 and D2 are set to be the same. Therefore, heat is uniformly transmitted from the heater 13 to the bottom side and the side of the concave portion 123, and the temperature of the first holding surface 121 of the heat transfer plate 12 can be made uniform.
  • FIG. 6 is a view showing a heat generating structure 11B according to the third embodiment. Specifically, FIG. 6 is a cross-sectional view corresponding to FIG.
  • the second main surface 122 (recessed portion 123) is generated with respect to the heat generating structure 11 (FIG. 4) described in the first embodiment.
  • the recess 123B has a shape in which the relief recess 125 is formed on the bottom of the recess 123 described in the first embodiment described above.
  • the relief recess 125 corresponds to a recess according to the present invention.
  • the relief recess 125 is provided on the second main surface 122 B (bottom surface of the recess 123 B) at a position opposed to the electric resistance pattern 16, and substantially U-shaped as a whole corresponding to the shape of the electric resistance pattern 16. It has a shape.
  • the depth dimension of the relief recess 125 is set to be the same as the thickness dimension of the electrical resistance pattern 16.
  • a relief recess 125 is provided at a position facing the electrical resistance pattern 16 on the second main surface 122B.
  • the adhesive member 14 in the uncured state enters into the relief recess 125 by being compressed. That is, when the uncured adhesive member 14 is compressed, the extra adhesive member 14 does not enter between the first major surface 151 and the first positioning area Ar1 in the second major surface 122B. Therefore, the positional relationship between the first and second main surfaces 151 and 122B can be favorably matched with the predetermined positional relationship in the hot pressing process for manufacturing the heat generating structure 11B.
  • FIG. 7 is a view showing a heat generating structure 11C according to the fourth embodiment. Specifically, FIG. 7 is a cross-sectional view corresponding to FIG.
  • the second main surface 122 (convex portion) is generated with respect to the heat generating structure 11 (FIG. 4) described in the first embodiment described above.
  • a heat transfer plate 12C having a second main surface 122C (convex portion 124C) having a shape different from that of 124) is employed.
  • each protrusion 124C has a stepped shape with a small projecting dimension on the inner side in the width direction of the second main surface 122C and a large projecting dimension on the outer side in the width direction. That is, in each of the side surfaces facing each other in each of the convex portions 124C, the separation dimension D4 (FIG. 7) at the tip end side is larger than the separation dimension D3 (FIG. 7) of the other portions.
  • the separation dimension D4 is set larger than the separation dimension D3.
  • the adhesive member 14 in the uncured state enters the step portions of the respective convex portions 124C by being compressed. That is, when the uncured adhesive member 14 is compressed, the extra adhesive member 14 does not enter between the first major surface 151 and the first positioning area Ar1 in the second major surface 122C. Therefore, the positional relationship between the first and second main surfaces 151 and 122C can be favorably matched with the predetermined positional relationship in the hot pressing step of manufacturing the heat generating structure 11C.
  • FIG. 8 is a view showing a heat generating structure 11D according to the fifth embodiment.
  • FIG. 8 is the figure which looked at heat-generation structure 11D from the 1st holding surface 121 side.
  • the second main surface 122 is different from the heat generating structure 11 (FIG. 3) described in the first embodiment described above.
  • a heat transfer plate 12D having a shaped second main surface 122D is employed. Specifically, as shown in FIG.
  • the second main surface 122D is located on the tip side, extends along the width direction of the second main surface 122D, and is connected to the respective convex portions 124.
  • a convex portion 126 is provided.
  • the projecting end of the convex portion 126 is formed by a plane orthogonal to the thickness direction of the heat transfer plate 12D, and is located on the same plane as the projecting end of each convex portion 124.
  • the projecting end of the convex portion 126, together with the projecting end of each convex portion 124, constitutes a positioning surface for positioning the substrate 15. That is, the projecting end of the convex portion 126 corresponds to the second positioning area Ar2 (FIG. 8) according to the present invention.
  • the second major surface 122D serves as a positioning surface for positioning the substrate 15, and includes the second positioning region Ar2 in addition to the first positioning region Ar1.
  • the area of the positioning surface for positioning the substrate 15 can be set large. That is, the positional relationship between the first and second main surfaces 151 and 122D can be favorably matched with the predetermined positional relationship in the hot pressing step in manufacturing the heat generating structure 11D.
  • the present invention is not to be limited only by the above-described first to fifth embodiments.
  • the first positioning areas Ar1 are provided on both sides in the width direction sandwiching the bonding member 14, but the present invention is not limited to this. Any position may be used as long as the substrate 15 can be positioned. It may be provided at the position of. For example, if three protrusions are formed around the bonding member 14, a flat surface can be formed by the tips of the three protrusions. And if the said plane is made into the positioning surface of the board
  • both of the first and second gripping members 8 and 9 are pivotally supported by the shaft 6, and the first and second gripping members 8 and 9 are rotated by pivoting respectively.
  • the first gripping member 8 is fixed to the shaft 6, the second gripping member 9 is pivotally supported on the shaft 6, and the second gripping member 9 is rotated to rotate the first gripping member 8.
  • the first holding member 8 is pivotally supported by the shaft 6, the second holding member 9 is fixed to the shaft 6, and the first holding member 8 is rotated to rotate the second holding member 9
  • a configuration that opens and closes may be adopted.
  • the first and second gripping surfaces 121 and 181 are formed in a plane, but the present invention is not limited to this, and may be formed in a convex shape, a concave shape, a mountain shape or the like. I do not care.
  • the first major surface 151 is not limited to a flat surface, and may have another shape.
  • the configuration for generating thermal energy is employed.
  • the present invention is not limited to this, and a configuration for generating high frequency energy or ultrasonic energy in addition to thermal energy may be employed.
  • the heat generating structures 11, 11A to 11D may be provided on both of the first and second holding members 8 and 9.
  • the separation dimension D4 is set larger than the separation dimension D3 in the fourth embodiment described above, the present invention is not limited to this, and the separation dimension D4 may be set smaller than the separation dimension D3.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Le but de la présente invention concerne un outil de traitement qui peut régler de façon continue et aisée la relation de position d'une première et d'une deuxième surface principale dans une relation de position prédéterminée. Cet outil de traitement comprend un premier et un deuxième élément de maintien qui maintiennent un tissu biologique. Le premier élément de maintien comprend : un substrat (15) qui présente une première surface principale (151) ; un motif électriquement résistif (16) qui est disposé sur la première surface principale (151) et qui est chauffé par excitation ; une plaque échangeuse de chaleur (12) qui présente une deuxième surface principale (122) qui fait face à la première surface principale (151) ; et un élément adhésif (14) qui est interposé entre la première et la deuxième surface principale (151, 122) et qui fixe de manière adhésive le substrat (15) à la plaque échangeuse de chaleur (12). La deuxième surface principale (122) présente une première région de positionnement (Ar1) qui fait saillie vers la première surface principale (151) et qui positionne le substrat (15). La première surface principale (151) vient en butée contre la première région de positionnement (Ar1) de la deuxième surface principale (122).
PCT/JP2017/040553 2017-11-10 2017-11-10 Outil de traitement WO2019092845A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/JP2017/040553 WO2019092845A1 (fr) 2017-11-10 2017-11-10 Outil de traitement

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/JP2017/040553 WO2019092845A1 (fr) 2017-11-10 2017-11-10 Outil de traitement

Publications (1)

Publication Number Publication Date
WO2019092845A1 true WO2019092845A1 (fr) 2019-05-16

Family

ID=66438830

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2017/040553 WO2019092845A1 (fr) 2017-11-10 2017-11-10 Outil de traitement

Country Status (1)

Country Link
WO (1) WO2019092845A1 (fr)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2013094338A (ja) * 2011-10-31 2013-05-20 Olympus Medical Systems Corp 治療用処置装置
JP2015077465A (ja) * 2015-01-09 2015-04-23 オリンパス株式会社 治療用処置装置及びその製造方法
WO2017090165A1 (fr) * 2015-11-26 2017-06-01 オリンパス株式会社 Système de traitement et instrument de traitement

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2013094338A (ja) * 2011-10-31 2013-05-20 Olympus Medical Systems Corp 治療用処置装置
JP2015077465A (ja) * 2015-01-09 2015-04-23 オリンパス株式会社 治療用処置装置及びその製造方法
WO2017090165A1 (fr) * 2015-11-26 2017-06-01 オリンパス株式会社 Système de traitement et instrument de traitement

Similar Documents

Publication Publication Date Title
JP5988885B2 (ja) 治療用処置装置
JP5988868B2 (ja) 治療用処置装置
JP5797348B2 (ja) 治療用処置装置及びその製造方法
US10603097B2 (en) Treatment energy application structure and medical treatment device
JP6487723B2 (ja) 医療用処置装置
WO2019092845A1 (fr) Outil de traitement
JP2015208415A (ja) 治療用処置装置
US20190167338A1 (en) Treatment tool and treatment system
US20180028254A1 (en) Therapeutic energy applying structure and medical treatment device
WO2018150533A1 (fr) Outil de traitement
US20180055555A1 (en) Therapeutic energy applying structure and medical treatment device
CN109475380B (zh) 处置器具
WO2019150496A1 (fr) Procédé de fabrication d'un outil de traitement et outil de traitement
WO2019207807A1 (fr) Outil de traitement et procédé de fabrication d'un outil de traitement
JP6458127B2 (ja) 治療用エネルギ付与構造及び医療用処置装置
US20200275970A1 (en) Treatment device
JP7044895B2 (ja) 医療用ヒータ、処置具、及び処置具の製造方法
WO2017163410A1 (fr) Outil de traitement d'énergie
WO2019092822A1 (fr) Outil de traitement
WO2018146729A1 (fr) Structure d'application d'énergie et outil de traitement
WO2018146730A1 (fr) Structure d'application d'énergie et outil de traitement
WO2020183673A1 (fr) Instrument de traitement et procédé de fabrication d'un instrument de traitement
WO2018150548A1 (fr) Structure d'application d'énergie et outil de traitement
WO2018179303A1 (fr) Structure de chauffage et outil de traitement
WO2017221331A1 (fr) Outil de traitement

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 17931188

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 17931188

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: JP