Ultrasonic treatment apparatus, endoscope apparatus, and treatment method
First Claim
Patent Images
1. An ultrasonic treatment apparatus comprising:
- a sheath which has an opening at a distal end thereof;
an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy;
an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer;
a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue; and
a high-frequency power supply unit which supplies a high-frequency current which is of the treatment energy to the treatment unit.
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Accused Products
Abstract
An ultrasonic treatment apparatus includes a sheath which has an opening at a distal-end thereof; an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy; an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer; a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue; and a high-frequency power supply unit which supplies high-frequency current which is of the treatment energy to the treatment unit.
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Citations
79 Claims
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1. An ultrasonic treatment apparatus comprising:
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a sheath which has an opening at a distal end thereof;
an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy;
an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer;
a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue; and
a high-frequency power supply unit which supplies a high-frequency current which is of the treatment energy to the treatment unit. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. An endoscope apparatus comprising:
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an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer, a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, and a high-frequency power supply unit which supplies a high-frequency current which is of the treatment energy to the treatment unit;
a flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit. - View Dependent Claims (10)
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11. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer, a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, and a high-frequency power supply unit which supplies a high-frequency current which is of the treatment energy to the treatment unit;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of a subject in a visual field of the observation unit;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of inserting a tube into the insertion unit of the endoscope apparatus to inject a local injection solution into a lower portion of the treated site through the tube;
an incision and dissection process of incising and dissecting a living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process. - View Dependent Claims (12, 13)
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14. An ultrasonic treatment apparatus comprising:
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a sheath which has an opening at a distal end thereof;
an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy;
an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer;
a treatment unit which has a hollow shaped portion, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration and applying a high-frequency current to a living tissue;
a high-frequency power supply unit which supplies the high-frequency current which is of the treatment energy to the treatment unit; and
a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21)
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22. An endoscope apparatus comprising:
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an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer, a treatment unit which has a hollow shaped portion, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration and applying a high-frequency current to a living tissue, a high-frequency power supply unit which supplies the high-frequency current which is of the treatment energy to the treatment unit, and a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion;
a flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit. - View Dependent Claims (23, 24, 25)
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26. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer, a treatment unit which has a hollow shaped portion, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration and applying a high-frequency current to a living tissue, a high-frequency power supply unit which supplies the high-frequency current which is of the treatment energy to the treatment unit, and a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of a subject in a visual field of the observation unit;
a spreading process of spreading a coloring agent through the tube from the hollow shaped portion to the treated site;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of injecting a local injection solution through the tube from the hollow shaped portion to a lower portion of the treated site;
an incision and dissection process of incising and dissecting a living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process. - View Dependent Claims (27, 28)
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29. An ultrasonic treatment apparatus comprising:
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a sheath which has an opening at a distal end thereof;
an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy;
a treatment unit which has a distal-end surface portion, the distal-end surface portion moving to treat a treated site in a subject in at least two directions, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue; and
an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36, 37)
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38. An ultrasonic treatment apparatus comprising:
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a sheath which has an opening at a distal end thereof;
an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy;
a treatment unit which has a hollow shaped portion and a distal-end surface portion, the distal-end surface portion moving to treat a treated site in a subject in at least two directions, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue;
a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion; and
an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath. - View Dependent Claims (39, 40, 41)
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42. An endoscope apparatus comprising:
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an ultrasonic treatment apparatus including a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a distal-end surface portion, the distal-end surface portion moving to treat a treated site in a subject in at least two directions, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, a high-frequency power supply unit which supplies a high-frequency current which is of the treatment energy to the treatment unit, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
a flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit. - View Dependent Claims (43, 44, 45, 46, 47, 48, 49, 50, 51, 52)
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53. An endoscope apparatus comprising:
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an ultrasonic treatment apparatus including a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a hollow shaped portion and a distal-end surface portion, the distal-end surface portion moving to treat a treated site in a subject in at least two directions, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion, and a high-frequency power supply unit which supplies a high-frequency current which is of the treatment energy to the treatment unit, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
a flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit. - View Dependent Claims (54, 55, 56, 57, 58)
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59. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a distal-end surface portion, the distal-end surface portion moving to treat a treated site in a subject in at least two directions, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of the subject in a visual field of the observation unit;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of inserting a tube into the insertion unit of the endoscope apparatus to inject a local injection solution into a lower portion of the treated site through the tube;
a rotation process of causing the operating unit to rotate the ultrasonic transducer and the treatment unit with respect to the sheath to set the distal-end surface portion such that treatment can be performed in a desired direction to a treated site of the subject;
an incision and dissection process of incising and dissecting a living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process. - View Dependent Claims (60, 61)
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62. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a hollow shaped portion and a distal-end surface portion, the distal-end surface portion moving to treat a treated site in a subject in at least two directions, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of the subject in a visual field of the observation unit;
a spreading process of spreading a coloring agent through the tube from the hollow shaped portion to the treated site;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of injecting a local injection solution through the tube from the hollow shaped portion to a lower portion of the treated site;
a rotation process of causing the operating unit to rotate the ultrasonic transducer and the treatment unit with respect to the sheath to set the distal-end surface portion such that treatment can be performed in a desired direction to the treated site of the subject;
an incision and dissection process of incising and dissecting the living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process. - View Dependent Claims (63, 64)
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65. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer, a treatment unit which has a distal-end surface portion, the distal-end surface portion moving to treat a treated site in a subject in at least two directions, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, a high-frequency power supply unit which supplies high-frequency current which is of treatment energy to the treatment unit, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of the subject in a visual field of the observation unit;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of inserting a tube into the insertion unit of the endoscope apparatus to inject a local injection solution into a lower portion of the treated site through the tube;
a rotation process of causing the operating unit to rotate the ultrasonic transducer and the treatment unit with respect to the sheath to set the distal-end surface portion such that treatment can be performed in a desired direction to the treated site of the subject;
an incision and dissection process of incising and dissecting the living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process. - View Dependent Claims (66, 67)
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68. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer, a treatment unit which has a hollow shaped portion and a distal-end surface portion, the distal-end surface portion moving to treat a treated site in a subject in at least two directions, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, a high-frequency power supply unit which supplies high-frequency current which is of treatment energy to the treated site, a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of the subject in a visual field of the observation unit;
a spreading process of spreading a coloring agent through the tube from the hollow shaped portion to the treated site;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of injecting a local injection solution through the tube from the hollow shaped portion to a lower portion of the treated site;
a rotation process of causing the operating unit to rotate the ultrasonic transducer and the treatment unit with respect to the sheath to set the distal-end surface portion such that treatment can be performed in a desired direction to the treated site of the subject;
an incision and dissection process of incising and dissecting a living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process. - View Dependent Claims (69, 70)
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71. An ultrasonic treatment apparatus comprising:
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a sheath which has an opening at a distal end thereof;
an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy; and
a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue.
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72. An endoscope apparatus comprising
an ultrasonic treatment apparatus including; -
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, and a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, a flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit.
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73. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, and a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of a subject in a visual field of the observation unit;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of inserting a tube into the insertion unit of the endoscope apparatus to inject a local injection solution into a lower portion of the treated site through the tube;
an incision and dissection process of incising and dissecting the living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process.
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74. An ultrasonic treatment apparatus comprising:
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a sheath which has an opening at a distal end thereof;
an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy;
a treatment unit which has a hollow shaped portion, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration and applying the high-frequency current to a living tissue; and
a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion.
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75. An endoscope apparatus comprising:
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an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a hollow shaped portion, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration and applying a high-frequency current to a living tissue, and a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion;
a flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit.
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76. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a hollow shaped portion, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, and a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of a subject in a visual field of the observation unit;
a spreading process of spreading a coloring agent through the tube from the hollow shaped portion to the treated site;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of injecting a local injection solution through the tube from the hollow shaped portion to a lower portion of the treated site;
an incision and dissection process of incising and dissecting the living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process.
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77. An endoscope apparatus comprising:
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an ultrasonic treatment apparatus including a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a hollow shaped portion and a distal-end surface portion, the distal-end surface portion moving to be treated in at least two directions with respect to a treated site in a subject, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
a flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit.
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78. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a distal-end surface portion, the distal-end surface portion moving to be treated in at least two directions with respect to a treated site in a subject, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of the subject in a visual field of the observation unit;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of inserting a tube into the insertion unit of the endoscope apparatus to inject a local injection solution into a lower portion of the treated site through the tube;
a rotation process of causing the operating unit to rotate the ultrasonic transducer and the treatment unit with respect to the sheath to set the distal-end surface portion such that treatment can be performed in a desired direction to the treated site of the subject;
an incision and dissection process of incising and dissecting the living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process.
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79. A treatment method comprising:
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an insertion process of inserting an insertion unit of an endoscope apparatus into a subject, the endoscope apparatus including;
an ultrasonic treatment apparatus including;
a sheath which has an opening at a distal end thereof, an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to rotate in a circumferential direction of the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy, a treatment unit which has a hollow shaped portion and a distal-end surface portion, the distal-end surface portion moving to be treated in at least two directions with respect to a treated site in a subject, the treatment unit being connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue, a tube which has a passageway communicated with the hollow shaped portion, the tube being connected to the hollow shaped portion, and an operating unit which rotatably operates the ultrasonic transducer and the treatment unit with respect to the sheath;
the flexible insertion unit in which the sheath can be arranged; and
an observation unit which is provided inside the insertion unit, the observation unit being able to observe an outside from a distal end of the insertion unit;
an arrangement process of arranging a treated site of the subject in a visual field of the observation unit;
a spreading process of spreading a coloring agent through the tube from the hollow shaped portion to the treated site;
a marking process of performing marking of surrounding tissue of the treated site with the ultrasonic treatment apparatus;
an injection process of injecting a local injection solution through the tube from the hollow shaped portion to a lower portion of the treated site;
a rotation process of causing the operating unit to rotate the ultrasonic transducer and the treatment unit with respect to the sheath to set the distal-end surface portion such that treatment can be performed in a desired direction to the treated site of the subject;
an incision and dissection process of incising and dissecting the living tissue including the treated site with the ultrasonic treatment apparatus, the living tissue being raised by the injection of the local injection solution; and
a hemostatic process of performing hemostasis with the ultrasonic treatment apparatus when bleeding is generated in the incision and dissection process.
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Specification
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Current AssigneeOlympus Corporation
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Original AssigneeOlympus Corporation, Olympus Medical Systems Corporation (Olympus Corporation)
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InventorsOnuki, Yoshio, Yamada, Norihiro, Okada, Mitsumasa, Iwasaka, Masayuki, Miyake, Kiyoshi, Sadamasa, Akihito
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Granted Patent
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Time in Patent OfficeDays
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Field of Search
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US Class Current601/2
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CPC Class CodesA61B 17/2202 the ultrasound transducer b...A61B 17/320092 with additional movable mea...A61B 18/1492 having a flexible, catheter...A61B 2017/00269 endoscopic mucosal resectio...A61B 2017/22008 used or promotedA61B 2017/2927 the angular position of the...A61B 2017/2929 with a head rotatable about...A61B 2017/320069 for ablating tissueA61B 2017/32007 with suction or vacuum meansA61B 2017/320071 with articulating means for...A61B 2017/320073 probeA61B 2017/320082 for incising tissueA61B 2017/320089 node locationA61B 2017/320094 additional movable means pe...A61B 2017/320095 with sealing or cauterizing...
