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    • 1. 发明申请
    • SURGICAL SYSTEM AND SURGICAL OPERATION METHOD
    • 手术系统和外科手术方法
    • US20090326569A1
    • 2009-12-31
    • US12146908
    • 2008-06-26
    • Kazue TANAKASatoshi HONDAHideo SANAI
    • Kazue TANAKASatoshi HONDAHideo SANAI
    • A61B17/32
    • A61N7/02A61B17/320068A61B18/1402A61B2018/00702A61B2018/00875A61B2018/0088A61B2018/00916
    • A surgical system includes a surgical instrument including a conducting section transmitting ultrasound vibration generated by an ultrasound transducer to a distal end portion and transmitting a high-frequency output signal to the distal end portion, an ultrasound drive section outputting an ultrasound drive signal to the ultrasound transducer, a high-frequency output section outputting a high-frequency output signal to the conducting section, a detection section detecting an ultrasound impedance of a surgical site to which ultrasound energy and high-frequency energy are provided from the distal end portion by outputting both signals simultaneously to the surgical instrument, a determination section determining whether the detected ultrasound impedance is in a predetermined range, and a control section performing control to increase a high-frequency output value by a first predetermined amount or decrease the high-frequency output value by a second predetermined amount when the detected ultrasound impedance is out of the predetermined range.
    • 手术系统包括外科器械,其包括将由超声波换能器产生的超声波向远端部分发送的高频输出信号发送到前端部的导电部,将超声波驱动信号输出到超声波的超声波驱动部 换能器,向所述导电部输出高频输出信号的高频输出部,检测部,其从所述远端部输出超声波能量和高频能量的外科手术部位的超声阻抗, 信号同时发送到手术器械,确定部分确定检测到的超声波阻抗是否在预定范围内,以及控制部分执行控制以使高频输出值增加第一预定量或降低高频输出值由 当检测器时为第二预定量 d超声阻抗超出预定范围。
    • 2. 发明申请
    • SURGICAL TREATMENT APPARATUS
    • 手术治疗装置
    • US20090216257A1
    • 2009-08-27
    • US12037508
    • 2008-02-26
    • Hideo SANAIKenichi KIMURAMasashi YAMADA
    • Hideo SANAIKenichi KIMURAMasashi YAMADA
    • A61B17/32
    • A61B17/320068A61B17/320092A61B2017/0046A61B2017/00477
    • A surgical treatment apparatus includes a first unit including a first vibration transmission member and a first holding member, a second unit including a second vibration transmission member, a second holding member, and an elastic member provided between the second vibration transmission member and the second holding member, configured to be deformed in accordance with a relative arrangement of the second vibration transmission member and the second holding member with respect to the axial direction to give the second vibration transmission member an elastic force in the axial direction, and an adjustment coupling mechanism to couple the first unit and the second unit with each other, arrange the first vibration transmission member and the second vibration transmission member coaxially to abut the end portion of the first vibration transmission member and the end portion of the second vibration transmission member against each other, and adjust a relative arrangement of the first holding member and the second holding member with respect to the coaxial direction to be constant to adjust a deformation amount of the elastic member to be constant.
    • 手术治疗装置包括:第一单元,包括第一振动传递构件和第一保持构件;第二单元,包括第二振动传递构件,第二保持构件和设置在第二振动传播构件和第二保持构件之间的弹性构件 构件,其被构造成根据第二振动传递构件和第二保持构件相对于轴向的相对布置而变形,以使第二振动传递构件沿轴向方向产生弹性力;以及调节联接机构, 将第一单元和第二单元彼此耦合,将第一振动传递构件和第二振动传递构件同轴布置,以将第一振动传播构件的端部和第二振动传播构件的端部彼此抵接, 并调整第一个霍尔的相对布置 定子构件和第二保持构件相对于同轴方向恒定以将弹性构件的变形量调节为恒定。
    • 3. 发明申请
    • MEDICAL APPARATUS AND SURGICAL TREATMENT INSTRUMENT
    • 医疗器械和手术治疗仪器
    • US20110288451A1
    • 2011-11-24
    • US13084643
    • 2011-04-12
    • Hideo SANAIRyu ONUMA
    • Hideo SANAIRyu ONUMA
    • A61B18/00A61B17/285
    • A61B17/320092A61B18/1445A61B2017/00482A61B2018/00178A61B2018/00994
    • A medical apparatus has a first device, a second device, a cable, a connection signal output portion and a main body apparatus. The first device includes a grasping portion, a probe connected to the grasping portion and capable of transmitting at least one of an ultrasound vibration and a high-frequency current, and a treatment portion provided at a distal end portion of the probe and for transmitting at least one of the ultrasound vibration and the high-frequency current transmitted by the probe, to living tissue. A second device includes a jaw member for holding living tissue between the treatment portion and the jaw member, a movable handle for holding the living tissue by moving the jaw member toward the treatment portion, and a recessed portion for being attachably and detachably engaged with the first device. The connection signal output portion outputs a connection signal indicating that the first device is connected to the recessed portion of the second device. The main body apparatus controls output of a drive signal for supplying at least one of an ultrasound vibration and a high-frequency current to the first device.
    • 医疗装置具有第一装置,第二装置,电缆,连接信号输出部和主体装置。 第一装置包括抓握部分,连接到抓握部分并且能够传送超声波振动和高频电流中的至少一个的探针以及设置在探头的远端部分处的处理部分,并且用于在 超声波振动和由探针传播的高频电流中的至少一个到生物体组织。 第二装置包括用于在处理部分和钳口构件之间保持生物组织的钳口构件,用于通过将钳口构件移向治疗部分来保持生物体组织的可移动手柄,以及用于可靠地和可拆卸地与 第一个装置 连接信号输出部输出表示第一装置连接到第二装置的凹部的连接信号。 主体装置控制用于向第一装置提供超声波振动和高频电流中的至少一个的驱动信号的输出。
    • 4. 发明申请
    • ENERGY TREATMENT INSTRUMENT
    • 能源治疗仪器
    • US20120203143A1
    • 2012-08-09
    • US13364694
    • 2012-02-02
    • Hideo SANAIMitsumasa OKADA
    • Hideo SANAIMitsumasa OKADA
    • A61N7/02
    • A61B17/320092A61B18/1442A61B2018/00428A61B2018/00607A61B2018/00994A61B2018/1452A61B2018/1495
    • An energy treatment instrument includes an electrically conductive probe having a first electrode in a distal end portion and adapted to transmit high-frequency electric current and ultrasound vibration to the first electrode, an electrode member installed on both sides of a longitudinal axis of the first electrode separately from the electrically conductive probe and provided with a second electrode, and a movable member. The movable member is installed at a distal end of the sheath member and configured to be openable and closable with respect to the second electrode. The movable member is placed at a position facing the first electrode installed at the distal end of the probe and the second electrode and includes a third electrode provided with an electrode surface configured to be able to conduct high-frequency electric current between the third electrode and the first and second electrodes.
    • 能量处理器具包括导电探针,该导电探针具有在远端部分中的第一电极,并适于将高频电流和超声波振动传递到第一电极;安装在第一电极的纵轴两侧的电极部件 与导电探针分开并设置有第二电极和可动构件。 可移动部件安装在护套部件的远端,并被构造成相对于第二电极可开启和关闭。 可移动部件被放置在面向设置在探针的远端的第一电极和第二电极的位置,并且包括具有电极表面的第三电极,该电极表面被配置为能够在第三电极和第三电极之间传导高频电流 第一和第二电极。
    • 5. 发明申请
    • SURGICAL TREATMENT APPARATUS
    • 手术治疗装置
    • US20120101493A1
    • 2012-04-26
    • US13281875
    • 2011-10-26
    • Shinya MASUDAHideo SANAITakeshi ONAGANorikiyo SHIBATA
    • Shinya MASUDAHideo SANAITakeshi ONAGANorikiyo SHIBATA
    • A61B18/04
    • A61B17/320092A61B18/1445A61B2017/2825A61B2018/00994
    • A surgical treatment apparatus includes a receptacle which is configured to abut onto a treatment section so that a predetermined clearance is formed between an electrode section and the treatment section when a grip member is closed relative to the treatment section. The surgical treatment apparatus includes a regulating section which is provided in the grip member so that a closing-direction end located on a closing-direction side of the grip member does not protrude from the receptacle toward the closing direction, the regulating section being made of a material harder than the receptacle, and a handle unit configured to operate the grip member so that the regulating section is closed up to a position where the regulating section contacts the treatment section except when the receptacle contacts the treatment section.
    • 手术治疗装置包括容纳部,其被构造成抵接在处理部上,使得当握持部件相对于处理部闭合时,在电极部和处理部之间形成规定的间隙。 手术治疗装置包括:限制部,其设置在握持部件中,使得位于握持部件的关闭方向侧的封闭方向端部不从容器向封闭方向突出,该限制部件由 比所述容器更硬的材料,以及手柄单元,其构造成操作所述握持构件,使得所述调节部分被关闭到所述调节部分接触所述治疗部分的位置,除了所述容器接触所述治疗部分。
    • 6. 发明申请
    • ULTRASOUND OPERATION SYSTEM AND SURGICAL TREATMENT INSTRUMENT
    • 超声操作系统和手术治疗仪
    • US20120029395A1
    • 2012-02-02
    • US13189901
    • 2011-07-25
    • Hideo SANAI
    • Hideo SANAI
    • A61N7/00
    • B06B1/0238A61B2017/00017A61B2017/320093A61B2017/320095
    • An ultrasound operation system includes an output transformer, a hand piece including an object to be driven including an ultrasound transducer which is driven by the output transformer and a treatment portion which is connected to the ultrasound transducer to perform treatment of a living tissue by an ultrasound vibration generated in the ultrasound transducer, and an amplitude regulating portion which is provided between the output transformer and the object to be driven, and perform regulation of an amplitude of the ultrasound transducer by diverting a current which flows into the ultrasound transducer from the output transformer in accordance with a state of a load exerted on the treatment portion and regulating an amount of a current which flows into the ultrasound transducer.
    • 超声波操作系统包括输出变压器,包括被驱动物体的手持件,包括由输出变压器驱动的超声波换能器,以及与超声波换能器连接以通过超声波对生物体组织进行处理的处理部 在超声波换能器中产生的振动,以及设置在输出变压器和待驱动物体之间的振幅调节部,通过从输出变压器转向流入超声波换能器的电流来进行超声波振子的振幅的调节 根据施加在处理部上的负荷的状态,调节流入超声波振子的电流量。