Surgical treatment apparatus

• US 10,368,935 B2
• Filed: 04/24/2017
• Issued: 08/06/2019
• Est. Priority Date: 10/28/2014
• Status: Active Grant

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Corporation
• Inventors: Suzuki, Tatsuya, Sanai, Hideo, Kimura, Kenichi
• Primary Examiner(s): Yabut, Diane D
• Assistant Examiner(s): Boutsikaris, Socrates L
• Application Number:
  US15/495,306
• Publication Number:
  US 20170224403A1
• Time in Patent Office: 834 Days
• Field of Search: 606169
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/320082 for incising tissue
• CPC Class Codes: A61B 2018/00184 Moving parts
• CPC Class Codes: A61B 2018/00928 by sending a signal to an external energy source
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

A surgical treatment apparatus includes a treatment portion unit; at least one operation portion provided in the treatment portion unit that is movable in response to an operation of an operator; a detection subject portion provided in the operation portion; a gripping portion that is detachable and attachable relative to the treatment portion unit; a non-contact type detection portion that is provided in the gripping portion separately from the operation portion and is capable of detecting an operation of the detection subject portion in accordance with the operation of the operation portion; an energy supply portion provided within the gripping portion, that supplies energy to the treatment portion; and a driving device connected to the gripping portion, that supplies energy to the energy supply portion in accordance with a detection result of the detection portion.

Claims

1. A surgical treatment apparatus comprising:

a treatment portion unit including a treatment portion that performs treatment on a living tissue;

at least one operation portion provided in the treatment portion unit, the at least one operation portion being a pushable member that is movable in a radial direction relative to a central axis of the treatment portion unit between an unpressed position and a pressed position in response to an operation of an operator;

a detection subject portion provided in the at least one operation portion;

a gripping portion provided separately from the treatment portion unit, the gripping portion being detachable and attachable relative to the treatment portion unit;

a non-contact type detection portion provided in the gripping portion and separated from the at least one operation portion, the detection portion being configured to detect an operation of the detection subject portion in accordance with whether the at least one operation portion is in the unpressed position or the pressed position;

an energy supply portion provided within the gripping portion, the energy supply portion supplying energy to the treatment portion; and

a driving device connected to the gripping portion, the driving device supplying energy to the energy supply portion in accordance with a detection result of the detection portion,

wherein the detection portion is positioned to face the detection subject portion in the radial direction relative to the central axis of the treatment portion unit so that, when the treatment portion unit is attached to the gripping portion, the detection subject portion is within a range of being able to be detected by the detection portion.

2. The surgical treatment apparatus according to claim 1, wherein:

the energy supply portion includes an ultrasonic transducer that is capable of generating ultrasonic vibration,

the treatment portion is a probe to which the ultrasonic vibration is transmitted, and

the driving device includes an ultrasonic transducer driving portion that drives the ultrasonic transducer.

3. The surgical treatment apparatus according to claim 1, wherein:

the treatment portion is a probe that is capable of supplying a high-frequency current, and

the driving device includes a high-frequency current driving portion that supplies a high-frequency current to the probe through the energy supply portion.

4. The surgical treatment apparatus according to claim 1, further comprising an attachment detection portion provided in the gripping portion, the attachment detection portion being capable of detecting that the treatment portion unit is attached to the gripping portion.

5. The surgical treatment apparatus according to claim 1, wherein the detection subject portion is configured to change a property so that the detection subject portion is undetectable by the detection portion if the treatment portion unit is subjected to a high-temperature sterilization process.

6. The surgical treatment apparatus according to claim 1, wherein the detection subject portion is a magnet, and the detection portion is a magnetic detection element.

7. The surgical treatment apparatus according to claim 6, wherein the detection portion is capable of sensing an operation of the at least one operation portion on an entire perimeter of the gripping portion in a rotation direction.

8. The surgical treatment apparatus according to claim 6, wherein the treatment portion unit is provided with a blocking member that is movable from a first position that is between the operation unit and the detection portion so that the blocking member blocks a magnetic field from the detection subject portion when the operation unit is away from the detection portion, to a second position such that the detection subject portion is exposed toward the detection portion when the at least one operation portion comes close to the detection portion.

9. The surgical treatment apparatus according to claim 1, further comprising a second treatment portion unit that is detachable and attachable relative to the gripping portion so that, in place of the treatment portion unit, the second treatment portion unit includes a second treatment portion that performs treatment on a living tissue and at least one second operation portion that is movable in a radial direction relative to a central axis of the second treatment portion unit between an unpressed position and a pressed position in response to an operation of an operator,

wherein the at least one second operation portion of the second treatment portion unit is different from the at least one operation portion of the treatment portion unit in number, shape, and arrangement, and the second treatment portion of the second treatment portion unit is different from the treatment portion of the treatment portion unit in length and shape.

10. The surgical treatment apparatus according to claim 1, wherein:

the treatment portion unit includes a positioning piece formed of a ferromagnetic body or a magnet in a vicinity of the at least one operation portion, and

the detection portion is mounted on a printed board that is movable relative to a housing of the gripping portion together with an inducement member formed of a magnet, and the detection portion is positioned relative to the at least one operation portion when the inducement member is induced to the positioning piece.

11. The surgical treatment apparatus according to claim 1, wherein:

the treatment portion unit includes a positioning piece formed of a magnet in a vicinity of the at least one operation portion, and

the detection portion is mounted on a printed board that is movable relative to a housing of the gripping portion together with an inducement member formed of a ferromagnetic body, and the detection portion is positioned relative to the at least one operation portion when the inducement member is induced to the positioning piece.

12. The surgical treatment apparatus according to claim 1, further comprising an attachment/detachment mechanism that is configured to move the detection subject portion within a range of being detectable by the detection portion, when the treatment portion unit is attached to the gripping portion.

13. The surgical treatment apparatus according to claim 12, wherein the treatment portion is rotatable relative to the treatment portion unit around a longitudinal axis of the treatment portion.

14. The surgical treatment apparatus according to claim 1, wherein:

the detection subject portion is a magnet, and

the detection portion is capable of detecting an operation of the at least one operation portion based on whether a strength of a magnet field to be detected exceeds a threshold or falls below the threshold.

15. The surgical treatment apparatus according to claim 1, further comprising a spring member provided in the treatment portion and that is elastic relative to the central axis,

wherein the detection portion is positioned to face the detection subject portion when the treatment portion is brought into contact with a vibration transmitting member by an urging force of the spring member.

16. The surgical treatment apparatus according to claim 1, further comprising:

a receiving portion provided in the gripping portion; and

a spring member provided in the treatment portion and that is elastic relative to the central axis,

wherein the detection portion is positioned to face the detection subject portion when the treatment portion is brought into contact with a vibration transmitting member by an urging force of the spring member while the treatment portion unit is rotated by means of the receiving portion relative to the gripping portion.

17. A handpiece comprising:

a treatment portion unit including a treatment portion that performs treatment on a living tissue;

at least one operation portion provided in the treatment portion unit, the at least one operation portion being a pushable member that is movable in a radial direction relative to a central axis of the treatment portion unit between an unpressed position and a pressed position in response to an operation of an operator;

a detection subject portion provided in the at least one operation portion;

a gripping portion provided separately from the treatment portion unit, the gripping portion being detachable and attachable relative to the treatment portion unit;

a non-contact type detection portion provided in the gripping portion and separated from the at least one operation portion, the detection portion being configured to detect an operation of the detection subject portion in accordance with whether the at least one operation portion is in the unpressed position or the pressed position; and

an energy supply portion provided within the gripping portion, the energy supply portion supplying energy to the treatment portion,

wherein;

in accordance with a detection result of the detection portion, energy is supplied to the energy supply portion from a driving device connected to the gripping portion, and

the detection portion is positioned to face the detection subject portion in the radial direction relative to the central axis of the treatment portion unit so that, when the treatment portion unit is attached to the gripping portion, the detection subject portion is within a range of being able to be detected by the detection portion.