Ultrasonic therapeutic apparatus

• US 20030225332A1
• Filed: 05/27/2003
• Published: 12/04/2003
• Est. Priority Date: 05/31/2002
• Status: Abandoned Application

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Inventors: Honma, Satoshi, Okada, Mitsumasa
• Application Number:
  US10/445,581
• Publication Number:
  US 20030225332A1
• Time in Patent Office: Days
• US Class Current: 600/439
• CPC Class Codes: A61B 1/00133 Drive units for endoscopic tools inserted through or with the endoscope
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320071 with articulating means for working tip
• CPC Class Codes: A61B 2017/320082 for incising tissue
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes

Abstract

An ultrasonic therapeutic apparatus is disclosed which includes an endoscope having an inserting section to be inserted into an object, an ultrasonic vibrator for generating ultrasonic vibration, a vibration transmitting section for transmitting the ultrasonic vibration generated by the ultrasonic vibrator to the object, and a holding member for holding the ultrasonic vibrator and the vibration transmitting section in a tip portion of the inserting section of the endoscope. This construction does not need the process of positioning the ultrasonic therapeutic apparatus with respect to the endoscope. An example of the vibration transmitting section is a probe (horn).

Claims

28. An ultrasonic therapeutic apparatus for giving treatment under endoscopic observation, comprising:

an endoscope having a channel in its inside;

an ultrasonic vibrator which is at least partly accommodated in the channel and converts an electrical signal into a mechanical vibration; and

an ultrasonic probe coupled to the ultrasonic vibrator with at least a distal tip portion of the ultrasonic probe positioned in an observing field of view of the endoscope, the ultrasonic probe transmitting an ultrasonic vibration generated by the ultrasonic vibrator.

29. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe has a hollow passage.

30. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe is solid.

31. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe has a hook-shaped distal tip portion.

32. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe has a spatula-shaped distal tip portion.

33. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe is removably attached to the ultrasonic vibrator, a location at which to removably attach the ultrasonic probe corresponding to a node of vibration.

34. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe has a length equivalent to a quarter wavelength of an ultrasonic wave

35. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe and the ultrasonic vibrator are hollow.

36. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe is a solid member having a hook-shaped distal tip portion.

37. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe is a solid member having a spatula-shaped distal tip portion.

38. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic vibrator is fixed to a rotary member rotatable with respect to the channel of the endoscope, the ultrasonic therapeutic apparatus further comprising a transmitting member connected to the rotary member and an operating member connected to the transmitting member.

39. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic vibrator is fixed to a joint member movable with respect to the channel of the endoscope for tilting the ultrasonic probe, the ultrasonic therapeutic apparatus further comprising a transmitting member connected to the joint member and an operating member connected to the transmitting member.

40. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe is movable in the channel of the endoscope in an axial direction of the channel.

41. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe is movable within at least a range in which when the ultrasonic probe is moved to a distal-most position, the distal tip portion of the ultrasonic probe is positioned in an observing field of view, while when the ultrasonic probe is moved to a proximal-most position, the tip portion of the ultrasonic probe is stored in the channel.

42. An ultrasonic therapeutic apparatus according to claim 39, further comprising a jaw, the jaw being disposed at an end surface of a distal tip portion the inserting section of at a position where a line connecting the ultrasonic probe and the jaw crosses at right angles a line connecting the ultrasonic probe and an observing optical system.

43. An ultrasonic therapeutic apparatus according to claim 28, wherein the ultrasonic probe has a hollow passage extending in an axial direction thereof, and further has at least one small hole communicating with the hollow passage, on a front side from a position where the ultrasonic vibrator is fixed in the channel of the endoscope.

44. An ultrasonic therapeutic apparatus comprising:

an endoscope;

an ultrasonic vibrator held in a tip portion of the endoscope in such a manner as not to be removed by at least a user; and

an ultrasonic probe to which a vibration of the ultrasonic vibrator is transmitted.

1. An ultrasonic therapeutic apparatus comprising:

an endoscope having an inserting section to be inserted into an object;

an ultrasonic vibrator for generating ultrasonic vibration;

a vibration transmitting section for transmitting the ultrasonic vibration generated by the ultrasonic vibrator to the object; and

a holding member for holding the ultrasonic vibrator and the vibration transmitting section in a distal tip portion of the inserting section of the endoscope.

2. An ultrasonic therapeutic apparatus according to claim 1, wherein the vibration transmitting section is an ultrasonic probe coupled to the ultrasonic vibrator in such a manner as to be capable of transmitting the ultrasonic vibration generated by the ultrasonic vibrator, and wherein the holding member holding the ultrasonic probe so that a distal tip portion of the ultrasonic probe protrudes from the inserting section of the endoscope at least during treatment.

3. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe has a therapeutic section for giving treatment to the object.

4. An ultrasonic therapeutic apparatus according to claim 2, wherein the distal tip portion of the ultrasonic probe that protrudes from the inserting section of the endoscope includes a therapeutic section for giving treatment to the object.

5. An ultrasonic therapeutic apparatus according to claim 1, wherein the holding member is positioned at a node of ultrasonic vibration generated on the basis of a vibration of the ultrasonic vibrator.

6. An ultrasonic therapeutic apparatus according to claim 1, wherein the vibration transmitting section has a length equivalent to a quarter wavelength of the ultrasonic wave.

7. An ultrasonic therapeutic apparatus according to claim 1, wherein the vibration transmitting section has a hollow passage.

8. An ultrasonic therapeutic apparatus according to claim 1, wherein the vibration transmitting section is solid.

9. An ultrasonic therapeutic apparatus according to claim 1, wherein the vibration transmitting section is solid and has a hook-shaped distal tip portion.

10. An ultrasonic therapeutic apparatus according to claim 1, wherein the vibration transmitting section is solid and has a spatula-shaped distal tip portion.

11. An ultrasonic therapeutic apparatus according to claim 1, wherein the ultrasonic vibrator and the vibration transmitting section are included in an ultrasonic vibration unit, and wherein the ultrasonic vibration unit being held in a hole portion communicating with a channel provided in the distal tip portion of the inserting section of the endoscope.

12. An ultrasonic therapeutic apparatus according to claim 11, wherein the ultrasonic vibration unit is connected to a flexible cable inserted through the channel.

13. An ultrasonic therapeutic apparatus according to claim 11, wherein the ultrasonic vibration unit is connected to a flexible tube inserted through the channel.

14. An ultrasonic therapeutic apparatus according to claim 1, wherein the inserting section of the endoscope is rigid at the distal tip portion and has a flexible portion except the distal tip portion.

15. An ultrasonic therapeutic apparatus according to claim 1, wherein the ultrasonic vibrator and the vibration transmitting section are included in an ultrasonic vibration unit, and wherein the holding member fixes the ultrasonic vibration unit in position in a hole portion communicating with a channel of the endoscope.

16. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe is removably attached to the ultrasonic vibrator.

17. An ultrasonic therapeutic apparatus according to claim 16, wherein a location at which to removably attach the ultrasonic probe corresponds to a node of vibration.

18. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe has a length equivalent to a quarter wavelength of the ultrasonic wave

19. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe is hollow and the ultrasonic vibrator is also hollow.

20. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe is made of a solid member having a hook-shaped tip portion.

21. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe is made of a solid member having a spatula-shaped tip portion.

22. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic vibrator is fixed to a rotary member rotatable with respect to a hole portion provided in the distal tip portion of the inserting section, the rotary member being capable of being rotationally operated by an operating member connected to the rotary member via a transmission member.

23. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic vibrator is fixed to a joint member movable like a joint with respect to a hole portion provided in the distal tip portion of the inserting section, the joint member being capable of being tilted by an operating member connected to the joint member via a transmission member.

24. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe is movable in an axial direction of a hole portion provided in the distal tip portion of the inserting section.

25. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe is movable within at least a range in which when the ultrasonic probe is moved to a distal-most position, the distal tip portion of the ultrasonic probe is positioned in an observing field of view, while when the ultrasonic probe is moved to a proximal-most position, the distal tip portion of the ultrasonic probe is stored in the hole portion.

26. An ultrasonic therapeutic apparatus according to claim 2, further comprising a jaw, the jaw being disposed at an end surface of the distal tip portion of the inserting section at a position where a line connecting the ultrasonic probe and the jaw crosses at right angles a line connecting the ultrasonic probe and an observing optical system.

27. An ultrasonic therapeutic apparatus according to claim 2, wherein the ultrasonic probe has a hollow passage extending in an axial direction thereof, and further has at least one small hole communicating with the hollow passage, on a front side from a position where the ultrasonic vibrator is fixed.

45. An ultrasonic therapeutic apparatus according to claim 44, wherein a distal tip portion of the ultrasonic probe is positioned in an observing field of view of the endoscope.

46. An ultrasonic therapeutic apparatus according to claim 44, wherein the endoscope has a channel, the ultrasonic vibrator being at least partly accommodated in the channel.

47. An ultrasonic therapeutic apparatus according to claim 46, further comprising a mechanism for moving the ultrasonic probe back and forth according to an operation of the user.

48. An ultrasonic therapeutic apparatus according to claim 47, wherein when the ultrasonic probe is moved to a distal-most position, a distal tip portion of the ultrasonic probe is positioned distally to a front end of the channel, while when the ultrasonic probe is moved to a proximal-most position, the distal tip portion of the ultrasonic probe is positioned proximally to the front end of the channel.

49. An ultrasonic therapeutic apparatus according to claim 47, wherein when the ultrasonic probe is moved to the distal-most position, a distal tip portion of the ultrasonic probe is positioned in an observing field of view of the ultrasonic probe.

50. An ultrasonic therapeutic apparatus according to claim 44, further comprising a mechanism for rotating the ultrasonic probe according to an operation of the user.

51. An ultrasonic therapeutic apparatus according to claim 44, further comprising a mechanism for tilting the ultrasonic probe according to an operation of the user.

52. An ultrasonic therapeutic apparatus according to claim 51, further comprising a jaw for grasping an object in cooperation with the ultrasonic probe, the jaw being provided in the distal tip portion of the endoscope.

53. An ultrasonic therapeutic apparatus according to claim 52, wherein a distal tip portion of the jaw is positioned in an observing field of view of the endoscope.

54. An ultrasonic therapeutic apparatus according to claim 46, wherein the ultrasonic vibrator is positioned entirely in the channel, and wherein the ultrasonic therapeutic apparatus further comprising a member for sealing the ultrasonic vibrator in the channel.

55. An ultrasonic therapeutic apparatus according to claim 54, wherein the member for sealing also has a function to hold the ultrasonic vibrator.

56. An ultrasonic therapeutic apparatus according to claim 44, wherein the ultrasonic vibrator is mounted with a screw.

57. An ultrasonic therapeutic apparatus according to claim 44, wherein the ultrasonic probe is interchangeably removable from the ultrasonic vibrator.

57-1. An ultrasonic therapeutic apparatus according to claim 44, wherein the ultrasonic probe has a suction passage in its inside.

58. An endoscope comprising a channel having a structure for holding at least one of an ultrasonic vibrator and an ultrasonic probe, the structure being formed in an inside wall of a distal tip end opening of the endoscope.

59. An endoscope according to claim 58, wherein the structure is a thread formed on the inside wall.

60. An endoscope comprising:

an ultrasonic probe positioned in a distal portion of the endoscope;

means for transmitting ultrasonic vibration to the ultrasonic probe; and

means for one of fixing and movably fixing the ultrasonic probe to the distal portion.