JP7027424B2 - 超音波ホーン - Google Patents
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- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
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- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
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- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
- A61B2017/00402—Piezo electric actuators
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- A—HUMAN NECESSITIES
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- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
- A61B2017/22014—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
- A61B2017/22015—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire with details of the transmission member
- A61B2017/22018—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire with details of the transmission member segmented along its length
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- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
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- A61B2017/320074—Working tips with special features, e.g. extending parts blade
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320089—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
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- Apparatuses For Generation Of Mechanical Vibrations (AREA)
- Transducers For Ultrasonic Waves (AREA)
Description
d=Asin(ωt)
式中、
ω=周期的振動数fの2π倍に等しい角振動数、及び
A=片振幅
エンドエフェクタ先端の長手方向の振動幅(excursion)は、両振幅(peak-to-peak、p-t-p)として定義され、正弦波の振幅のちょうど2倍又は2Aである。多くの場合、エンドエフェクタはブレードを含み、このブレードは、長手方向の振動幅により組織を切断及び/又は凝固することができる。米国特許第6,283,981号(2001年9月4日発行、発明の名称「METHOD OF BALANCING ASYMMETRIC ULTRASONIC SURGICAL BLADES」)、米国特許第6,309,400号(2001年10月30日発行、発明の名称「CURVED ULTRASONIC BLADE HAVING A TRAPEZOIDAL CROSS SECTION」)、及び米国特許第6,436,115号(2002年8月20日発行、発明の名称「BALANCED ULTRASONIC BLADE INCLUDING A PLURALITY OF BALANCE ASYMMETRIES」)は、様々な超音波手術器具を開示しており、参照によりその全体の開示が本明細書に組み込まれる。
実施例1.超音波ホーンであって、近位フランジと、第1の直径を有し、近位フランジの遠位に配置された第1の円筒部と、第2の直径及び遠位端を含む第2の円筒部であって、第2の円筒部が、第1の円筒部の遠位の位置にあり、第2の直径が第1の直径よりも小さい、第2の円筒部と、第1円筒部と第2円筒部との間に配設されたテーパ部と、フランジと第2の円筒部の遠位端との間の位置において、ホーンの周りに配設された円筒体と、
を含む、超音波ホーンを含むことができる。
実施例2.円筒体が、第1の円筒部においてホーンの周りに配設されている、実施例1に記載の超音波ホーン。
実施例3.円筒体が、第1の円筒部の遠位部分においてホーンの周りに配設されている、実施例1又は2のいずれかに記載の超音波ホーン。
実施例4.円筒体が、テーパ部においてホーンの周りに配設されている、実施例1~3のいずれかに記載の超音波ホーン。
実施例5.円筒体が、第2の円筒部においてホーンの周りに配設されている、実施例1~4のいずれかに記載の超音波ホーン。
実施例6.円筒体が、第2の円筒部の近位部分においてホーンの周りに配設されている、実施例5に記載の超音波ホーン。
実施例7.テーパ部が、第1の曲率半径を有する第1のテーパ部と、第2の曲率半径を有する第2のテーパ部と、を含む、実施例1~6のいずれかに記載の超音波ホーン。
実施例8.前記第1の曲率半径が、前記第2の曲率半径と等しい、実施例7に記載の超音波ホーン。
実施例9.第1の曲率半径が、第2の曲率半径と異なる、実施例7に記載の超音波ホーン。
実施例10.テーパ部が、第1のテーパ部と第2のテーパ部との間の位置に配設された平坦部を更に含む、実施例7に記載の超音波ホーン。
実施例11.円筒体が、第1のテーパ部と第2のテーパ部との間の位置に配設されている、実施例7に記載の超音波ホーン。
実施例12.フランジと第2の円筒部の遠位端との間の位置において、ホーンの周りに配設された第2の円筒体を更に含む、実施例1~11のいずれかに記載の超音波ホーン。
実施例13.超音波システムであって、エンドベルと、超音波ホーンであって、近位フランジと、第1の直径を有し、近位フランジの遠位に配置された第1の円筒部と、第2の直径及び遠位端を含む第2の円筒部であって、第2の円筒部が、第1の円筒部の遠位の位置にあり、第2の直径が第1の直径よりも小さい、第2の円筒部と、第1の円筒部と第2の円筒部との間に配設されたテーパ部と、フランジと第2の円筒部の遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、を含む、超音波ホーンと、エンドベルと超音波ホーンとの間に配設されたトランスデューサ部と、トランスデューサ部を作動させるために、所定の周波数成分を有する電気信号を供給するように構成された超音波電源と、を含むことができる。
実施例14.円筒体が、超音波システムの電気的特性を最適化するように構成された位置において、ホーンの周りに配設されている、実施例13に記載の超音波システム。
実施例15.円筒体が、電気信号に対するトランスデューサ部のインピーダンスを最小化するように構成された位置において、ホーンの周りに配設されている、実施例14に記載の超音波システム。
実施例16.円筒体が、電気信号に対するトランスデューサ部の位相余裕を最大化するように構成された位置において、ホーンの周りに配設されている、実施例14に記載の超音波システム。
実施例17.円筒体が、超音波システムの機械的特性を最適化するように構成された位置において、ホーンの周りに配設されている、実施例13~16のいずれかに記載の超音波システム。
実施例18.円筒体が、電気信号によるトランスデューサ部の作動時に第2の円筒部の遠位端の変位を最大化するように構成された位置において、ホーンの周りに配設されている、実施例17に記載の超音波システム。
実施例19.円筒体が、電気信号によるトランスデューサ部の作動時に第2の円筒部の遠位端の変位とトランスデューサ部の変位との比を最大化するように構成された位置において、ホーンの周りに配設されている、実施例17に記載の超音波システム。
(1) 超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含む、超音波ホーン。
(2) 前記円筒体が、前記第1の円筒部において前記ホーンの周りに配設されている、実施態様1に記載の超音波ホーン。
(3) 前記円筒体が、前記第1の円筒部の遠位部分において前記ホーンの周りに配設されている、実施態様2に記載の超音波ホーン。
(4) 前記円筒体が、前記テーパ部において前記ホーンの周りに配設されている、実施態様1に記載の超音波ホーン。
(5) 前記円筒体が、前記第2の円筒部において前記ホーンの周りに配設されている、実施態様1に記載の超音波ホーン。
(7) 前記テーパ部が、第1の曲率半径を有する第1のテーパ部と、第2の曲率半径を有する第2のテーパ部とを含む、実施態様1に記載の超音波ホーン。
(8) 前記第1の曲率半径が、前記第2の曲率半径と等しい、実施態様7に記載の超音波ホーン。
(9) 前記第1の曲率半径が、前記第2の曲率半径と異なる、実施態様7に記載の超音波ホーン。
(10) 前記テーパ部が、前記第1のテーパ部と前記第2のテーパ部との間の位置に配設された平坦部を更に含む、実施態様7に記載の超音波ホーン。
(12) 前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された第2の円筒体を更に含む、実施態様1に記載の超音波ホーン。
(13) 超音波システムであって、
エンドベルと、
超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含む、超音波ホーンと、
前記エンドベルと前記超音波ホーンとの間に配設されたトランスデューサ部と、
前記トランスデューサ部を作動させるために、所定の周波数成分を有する電気信号を供給するように構成された超音波電源と、
を含む、超音波システム。
(14) 前記円筒体が、前記超音波システムの電気的特性を最適化するように構成された位置において、前記ホーンの周りに配設されている、実施態様13に記載の超音波システム。
(15) 前記円筒体が、前記電気信号に対する前記トランスデューサ部のインピーダンスを最小化するように構成された位置において、前記ホーンの周りに配設されている、実施態様14に記載の超音波システム。
(17) 前記円筒体が、前記超音波システムの機械的特性を最適化するように構成された位置において、前記ホーンの周りに配設されている、実施態様13に記載の超音波システム。
(18) 前記円筒体が、前記電気信号による前記トランスデューサ部の作動時に前記第2の円筒部の前記遠位端の変位を最大化するように構成された位置において、前記ホーンの周りに配設されている、実施態様17に記載の超音波システム。
(19) 前記円筒体が、前記電気信号による前記トランスデューサ部の作動時に前記第2の円筒部の前記遠位端の変位と前記トランスデューサ部の変位との比を最大化するように構成された位置において、前記ホーンの周りに配設されている、実施態様17に記載の超音波システム。
Claims (23)
- 複数の応答パラメータを有する超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置であって、前記複数の応答パラメータのうちの少なくとも1つの大きさを調整するように選択された位置において、前記ホーンの周りに配設された円筒体と、
を含む、超音波ホーン。 - 前記円筒体が、前記第1の円筒部において前記ホーンの周りに配設されている、請求項1に記載の超音波ホーン。
- 前記円筒体が、前記第1の円筒部の遠位部分において前記ホーンの周りに配設されている、請求項2に記載の超音波ホーン。
- 前記円筒体が、前記テーパ部において前記ホーンの周りに配設されている、請求項1に記載の超音波ホーン。
- 超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含み、
前記円筒体が、前記第2の円筒部において前記ホーンの周りに配設されている、超音波ホーン。 - 前記円筒体が、前記第2の円筒部の近位部分において前記ホーンの周りに配設されている、請求項5に記載の超音波ホーン。
- 前記テーパ部が、第1の曲率半径を有する第1のテーパ部と、第2の曲率半径を有する第2のテーパ部とを含む、請求項1に記載の超音波ホーン。
- 前記第1の曲率半径が、前記第2の曲率半径と等しい、請求項7に記載の超音波ホーン。
- 前記第1の曲率半径が、前記第2の曲率半径と異なる、請求項7に記載の超音波ホーン。
- 超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含み、
前記テーパ部が、第1の曲率半径を有する第1のテーパ部と、第2の曲率半径を有する第2のテーパ部とを含み、
前記テーパ部が、前記第1のテーパ部と前記第2のテーパ部との間の位置に配設された平坦部を更に含む、超音波ホーン。 - 前記円筒体が、前記第1のテーパ部と前記第2のテーパ部との間の位置に配設されている、請求項7に記載の超音波ホーン。
- 超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含み、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された第2の円筒体を更に含む、超音波ホーン。 - 超音波システムであって、
エンドベルと、
複数の応答パラメータを有する超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置であって、前記複数の応答パラメータのうちの少なくとも1つの大きさを調整するように選択された位置において、前記ホーンの周りに配設された円筒体と、
を含む、超音波ホーンと、
前記エンドベルと前記超音波ホーンとの間に配設されたトランスデューサ部と、
前記トランスデューサ部を作動させるために、所定の周波数成分を有する電気信号を供給するように構成された超音波電源と、
を含む、超音波システム。 - 超音波システムであって、
エンドベルと、
超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含む、超音波ホーンと、
前記エンドベルと前記超音波ホーンとの間に配設されたトランスデューサ部と、
前記トランスデューサ部を作動させるために、所定の周波数成分を有する電気信号を供給するように構成された超音波電源と、
を含み、
前記円筒体が、前記電気信号に対する前記トランスデューサ部のインピーダンスを最小化するように構成された位置において、前記ホーンの周りに配設されている、超音波システム。 - 超音波システムであって、
エンドベルと、
超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含む、超音波ホーンと、
前記エンドベルと前記超音波ホーンとの間に配設されたトランスデューサ部と、
前記トランスデューサ部を作動させるために、所定の周波数成分を有する電気信号を供給するように構成された超音波電源と、
を含み、
前記円筒体が、前記電気信号に対する前記トランスデューサ部の位相余裕を最大化するように構成された位置において、前記ホーンの周りに配設されている、超音波システム。 - 超音波システムであって、
エンドベルと、
超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含む、超音波ホーンと、
前記エンドベルと前記超音波ホーンとの間に配設されたトランスデューサ部と、
前記トランスデューサ部を作動させるために、所定の周波数成分を有する電気信号を供給するように構成された超音波電源と、
を含み、
前記円筒体が、前記超音波システムの機械的特性を最適化するように構成された位置において、前記ホーンの周りに配設されている、超音波システム。 - 前記円筒体が、前記電気信号による前記トランスデューサ部の作動時に前記第2の円筒部の前記遠位端の変位を最大化するように構成された位置において、前記ホーンの周りに配設されている、請求項16に記載の超音波システム。
- 前記円筒体が、前記電気信号による前記トランスデューサ部の作動時に前記第2の円筒部の前記遠位端の変位と前記トランスデューサ部の変位との比を最大化するように構成された位置において、前記ホーンの周りに配設されている、請求項16に記載の超音波システム。
- 超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含み、
前記円筒体が、超音波振動を生成するトランスデューサ部のインピーダンスを最小化するように構成された位置において、前記ホーンの周りに配設されている、超音波ホーン。 - 超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含み、
前記円筒体が、超音波振動を生成するトランスデューサ部の位相余裕を最大化するように構成された位置において、前記ホーンの周りに配設されている、超音波ホーン。 - 超音波ホーンであって、
近位フランジと、
第1の直径を有し、前記近位フランジの遠位に配置された第1の円筒部と、
第2の直径及び遠位端を含む第2の円筒部であって、前記第2の円筒部が、前記第1の円筒部の遠位の位置にあり、前記第2の直径が前記第1の直径よりも小さい、第2の円筒部と、
前記第1の円筒部と前記第2の円筒部との間に配設されたテーパ部と、
前記フランジと前記第2の円筒部の前記遠位端との間の位置において、前記ホーンの周りに配設された円筒体と、
を含み、
前記円筒体が、前記超音波ホーンの機械的特性を最適化するように構成された位置において、前記ホーンの周りに配設されている、超音波ホーン。 - 前記円筒体が、超音波振動を生成するトランスデューサ部の作動時に前記第2の円筒部の前記遠位端の変位を最大化するように構成された位置において、前記ホーンの周りに配設されている、請求項21に記載の超音波ホーン。
- 前記円筒体が、超音波振動を生成するトランスデューサ部の作動時に前記第2の円筒部の前記遠位端の変位と前記トランスデューサ部の変位との比を最大化するように構成された位置において、前記ホーンの周りに配設されている、請求項21に記載の超音波ホーン。
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