Ultrasonic treatment apparatus

• US 6,193,709 B1
• Filed: 05/12/1999
• Issued: 02/27/2001
• Est. Priority Date: 05/13/1998
• Status: Active Grant

• Current Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Original Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Inventors: Okada, Mitsumasa, Miyawaki, Makoto, Shibata, Norikiyo, Hashiguchi, Toshihiko
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Ruddy, David M.
• Application Number:
  US09/310,646
• Time in Patent Office: 657 Days
• Field of Search: 601/1-3, 6 3/2, 6 4/1--2, 616/9-1-1, 620/5
• US Class Current: 606/1
• 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 2017/2825 Inserts of different material in jaws
• CPC Class Codes: A61B 2017/320088 with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means

Abstract

An ultrasonic treatment apparatus according to the present invention comprises an ultrasonic transducer for generating ultrasonic vibration, a vibration transmitting member for transmitting the ultrasonic vibration generated by the ultrasonic transducer, the vibration transmitting member having a proximal end connected to the ultrasonic transducer and a distal end portion used to treat a living organism by means of the transmitted ultrasonic vibration, a grasping member opposed to the distal end portion of the vibration transmitting member and having a grasping surface capable of grasping the living organism in cooperation with the distal end portion, an operating mechanism for moving the grasping member between a closed position in which the grasping member engages the distal end portion of the vibration transmitting member and an open position in which the grasping member is separated from distal end portion, and a follow-up mechanism for driving or allowing the grasping member in the closed position to follow a deflective displacement of the distal end portion of the vibration transmitting member so that the substantially whole surface of the grasping surface of the grasping member contacts with the distal end portion of the vibration transmitting member.

Claims

1. An ultrasonic treatment apparatus comprising:

an ultrasonic transducer for generating ultrasonic vibration;

a vibration transmitting member for transmitting the ultrasonic vibration generated by the ultrasonic transducer, the vibration transmitting member having a proximal end connected to the ultrasonic transducer and a distal end portion used to treat a living organism by means of the transmitted ultrasonic vibration;

a grasping member opposed to the distal end portion of the vibration transmitting member and having a grasping surface capable of grasping the living organism in cooperation with the distal end portion;

an operating mechanism for moving the grasping member between a closed position in which the grasping member engages the distal end portion of the vibration transmitting member and an open position in which the grasping member is separated from distal end portion; and

a follow-up mechanism for driving or allowing the grasping member in the closed position to follow a deflective displacement of the distal end portion of the vibration transmitting member so that the substantially whole surface of the grasping surface of the grasping member contacts with the distal end portion of the vibration transmitting member.

2. An ultrasonic treatment apparatus according to claim 1, which further comprises a restricting mechanism for restricting the follow-up movement of the grasping member within a given range.

3. An ultrasonic treatment apparatus according to claim 1, wherein said follow-up mechanism includes an open-close member supporting the grasping member and connected to the operating mechanism and a mechanism for allowing the grasping member and the open-close member to move relative to each other, and said open-close member is operated by the operating mechanism so that the grasping member is moved between the open position and the closed position.

4. An ultrasonic treatment apparatus according to claim 1, wherein said follow-up mechanism includes an open-close member rockably supporting the grasping member for rocking motion and connected to the operating mechanism to be pivoted thereby, and said grasping member is moved between the open position and the closed position as the open-close member is pivoted by the operating mechanism.

5. An ultrasonic treatment apparatus according to claim 4, wherein said open-close member is pivotably attached to a holding member extending from the vibration transmitting member, the holding member being connected to the vibration transmitting member at a position corresponding to a node in the ultrasonic vibration transmitted through the vibration transmitting member.

6. An ultrasonic treatment apparatus according to claim 4, which further comprises a sheath penetrated by the vibration transmitting member, and wherein the distal end portion of said vibration transmitting member projects from the distal end of the sheath and said open-close member is pivotably mounted on the distal end of the sheath.

7. An ultrasonic treatment apparatus according to claim 3, wherein said mechanism for allowing the relative movement of the grasping member and the open-close member includes a spherical engaging portion provided on one of the two members and a spherical receiving portion provided on the other member and capable of receiving and engaging the engaging portion.

8. An ultrasonic treatment apparatus according to claim 3, which further comprises a restricting mechanism for restricting the relative movement of the grasping member and the open-close member.

9. An ultrasonic treatment apparatus according to claim 4, which further comprises a rocking restricting mechanism for restricting the rocking motion of the grasping member within a given range, the rocking restricting mechanism including a slot of a given length formed in one of the two associated members, the open-close member and the grasping member, and an engaging pin provided on the other member and capable of engaging the slot.

10. An ultrasonic treatment apparatus according to claim 4, wherein a clearance is secured between said grasping member and said open-close member such that the grasping member is allowed to rock within a given range and is restrained from rocking as the grasping member abuts against the open-close member.

11. An ultrasonic treatment apparatus according to claim 4, wherein the rocking angle of said grasping member is not greater than 10°

.

12. An ultrasonic treatment apparatus according to claim 4, which further comprises a sheath penetrated by the vibration transmitting member and having a distal opening portion through which the distal end portion of the vibration transmitting member projects, and wherein said operating mechanism includes a fixed handle provided on the proximal end of the sheath, a movable handle pivotably attached to the fixed handle and adapted to approach the fixed handle as the movable handle pivots forward to the distal end of the sheath, and an operating rod connecting the movable handle and the open-close member and passed through the sheath, the point of action at which an operating force from the movable handle is applied to the operating rod being situated between a fulcrum for the pivoting motion of the movable handle and a finger loop portion of the movable handle serving as a point of application to which the operating force is applied, the operating rod being connected to the open-close member so that the grasping member moves to the closed position as the operating rod is pushed out to the distal end side in the sheath by means of the operating force.

13. An ultrasonic treatment apparatus according to claim 1, which further comprises a sheath penetrated by the vibration transmitting member and having a distal opening portion through which the distal end portion of the vibration transmitting member projects, a first support member located in the sheath and adapted to support a distal end side portion of the vibration transmitting member in the sheath when the distal end portion of the vibration transmitting member projecting through the distal opening portion of the sheath is deflected in a first direction, thereby restraining the distal end portion of the vibration transmitting member from deflecting in the first direction, and a second support member located in the sheath and adapted to support a distal end side portion of the vibration transmitting member in the sheath when the distal end portion of the vibration transmitting member is deflected in the first direction, thereby restraining the vibration transmitting member from moving in a second direction opposite to the first direction on the proximal end side of a point of support by the first support member, and wherein said first support member is formed of a low-friction material and situated in a position corresponding to a first node of the ultrasonic vibration transmitted through the vibration transmitting member, said first node being one nearest the distal end portion of the vibration transmitting member, and said second support member is formed of a low-friction material and situated in a position corresponding to a second node of the ultrasonic vibration, which is next to the first node.

14. An ultrasonic treatment apparatus according to claim 13, wherein said vibration transmitting member has on the outer peripheral surface thereof at least one annular support piece for preventing contact between the vibration transmitting member and the sheath by touching the sheath, the support piece being formed of an elastic material and situated in predetermined positions corresponding to other nodes than the first and second nodes in the ultrasonic vibration transmitted through the vibration transmitting member.

15. An ultrasonic treatment apparatus according to claim 14, wherein said support piece has a chevron-shaped cross section taken along an axis of the vibration transmitting member, only the obtuse vertex portion of the support piece being in contact with the sheath.

16. An ultrasonic treatment apparatus according to claim 15, wherein said support piece is situated in an annular groove formed on the outer peripheral surface of the vibration transmitting member.

17. An ultrasonic treatment apparatus according to claim 16, wherein said support piece includes a chevron-shaped body portion and a cylindrical portion forming the base of the body portion, the body portion projecting out from the annular groove, the cylinder portion having an outside diameter smaller than that of that part of the vibration transmitting member on which the annular groove is not formed and being situated inside the annular groove.

18. An ultrasonic treatment apparatus according to claim 3, which further comprises a sheath penetrated by the vibration transmitting member and having a distal opening portion through which the distal end portion of the vibration transmitting member projects and a rod channel provided in the sheath, and wherein said operating mechanism includes an operating rod passed through the rod channel, connected to the open-close member, and adapted to operate the open-close member as it is moved in the rod channel, the cross section of the rod channel having a shape different from that of the operating rod so that a continuous passage for a fluid is formed between the operating rod and the rod channel throughout the length of thereof.

19. An ultrasonic treatment apparatus according to claim 18, wherein the cross section of said rod channel has a flat shape obtained by depressing a circle diametrically inward from two opposite sides thereof.

20. An ultrasonic treatment apparatus according to claim 19, wherein said operating rod is formed of a body member having a circular cross section and has a buckling restraining portion on at least a part thereof for restraining the operating rod from buckling in the rod channel, the buckling restraining portion being formed flat by depressing the body member in a direction perpendicular to the axial direction from two opposite sides thereof in a predetermined position.

21. An ultrasonic treatment apparatus according to claim 20, wherein a plurality of buckling restraining portions are arranged at given spaces in the longitudinal direction of the body member of the operating rod.

22. An ultrasonic treatment apparatus according to claim 1, wherein the distal end portion of said vibration transmitting member is columnar, and the grasping surface of said grasping member is curved to form a recess for receiving the distal end portion of the vibration transmitting member.

23. An ultrasonic treatment apparatus according to claim 22, wherein the grasping surface of said grasping member has an arcuate profile on a cross section perpendicular to the longitudinal direction of the grasping member and a radius of curvature substantially equal to or greater than the radius of the distal end portion of the vibration transmitting member.

24. An ultrasonic treatment apparatus according to claim 22, wherein said grasping member is movable along a support shaft supporting the grasping member for rocking motion with respect to the open-close member.