Surgical operating apparatus

• US 8,147,488 B2
• Filed: 12/28/2007
• Issued: 04/03/2012
• Est. Priority Date: 12/28/2007
• Status: Active Grant

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Medical Systems Corporation (Olympus Corporation)
• Inventors: Masuda, Shinya
• Primary Examiner(s): KOHARSKI, CHRISTOPHER
• Application Number:
  US12/316,658
• Publication Number:
  US 20090216228A1
• Time in Patent Office: 1,558 Days
• Field of Search: 606/27, 606/32, 606/41, 606/45, 606/46, 606/48, 606/50
• US Class Current: 606/48
• 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 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/2925 Pistol grips
• 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

Abstract

A surgical operating apparatus includes a sheath, a probe body which is inserted through the sheath, and in which ultrasonic vibration is configured to be transmitted, a probe distal end portion which is provided at a distal end portion of the probe body and configured to function as one of bipolar electrodes, and a jaw which is rotatably supported on a distal end portion of the sheath, has an engaging surface which is engaged with the probe distal end portion, and has a second electrode section which is the other of the bipolar electrodes, wherein the jaw includes, at a distal end portion of the engaging surface for engagement with the probe distal end portion, a distal end chip which tolerates a positional displacement relative to the probe distal end portion when the jaw is engaged with the probe distal end portion.

Claims

1. A surgical operating apparatus comprising:

a sheath including a distal end portion and a proximal end portion;

a probe body inserted through the sheath and including a distal end portion and a proximal end portion, and in which ultrasonic vibration is adapted to be transmitted;

a probe distal end portion provided at the distal end portion of the probe body and configured to function as one of bipolar electrodes; and

a jaw rotatably supported on the distal end portion of the sheath and including a groove portion configured to be engaged with the probe distal end portion wherein the groove portion includes a bottom part and first and second side parts, and a clearance is formed between the side parts and the probe distal end portion when the bottom part contacts the probe distal end portion, and the bottom part is formed by an insulating contact portion for ultrasonic therapeutic treatment and the side parts are formed by en electrode portion for high-frequency therapeutic treatment configured to function as the other of the bipolar electrodes, at a proximal end side portion of the jaw; and

wherein the bottom part and the side parts are formed by an insulating distal end at a distal end portion of the jaw.

2. The apparatus according to claim 1, wherein an entirety of the distal end portion of the jaw is formed by the distal end.

3. The apparatus according to claim 1, wherein the sheath is detachably connected to the probe body,

the probe distal end portion includes a curved portion curved relative to an axial direction of the probe body, and

the groove portion has a shape corresponding to the curved portion of the probe distal end portion.

4. The apparatus according to claim 1, wherein the jaw includes a slip prevention portion configured to prevent slipping of an object being clamped between the probe distal end portion and the jaw when the jaw and the probe distal end portion clamp the object.

5. The apparatus according to claim 1, wherein the electrode portion includes, at a distal end portion of the electrode portion, a distal-end-side groove width varying section having such a tapering shape that a groove width of the groove portion gradually increases toward a distal end side.

6. The apparatus according to claim 1, wherein the electrode portion includes, at a proximal end portion of the electrode portion, a proximal-end-side groove width varying section having such a tapering shape that a groove width of the groove portion gradually increases toward a proximal end side.

7. The apparatus according to claim 1, wherein the jaw includes, on the groove portion, a wear-prevention portion for preventing wear of the contact portion.

8. The apparatus according to claim 7, wherein the wear-prevention portion

includes an electrically conducting member insulated from the electrode portion by the insulating contact portion.

9. The apparatus according to claim 4, wherein the slip-prevention portion is a wavy-shaped toothed surface formed on the electrode portion.

10. The apparatus according to claim 4, wherein the slip-prevention portion is a wavy-shaped toothed surface formed on the contact portion.