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WO2013081397A1 - Appareil d'opération chirurgicale - Google Patents

Appareil d'opération chirurgicale Download PDF

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Publication number
WO2013081397A1
WO2013081397A1 PCT/KR2012/010251 KR2012010251W WO2013081397A1 WO 2013081397 A1 WO2013081397 A1 WO 2013081397A1 KR 2012010251 W KR2012010251 W KR 2012010251W WO 2013081397 A1 WO2013081397 A1 WO 2013081397A1
Authority
WO
WIPO (PCT)
Prior art keywords
unit
vibration
handle unit
vibrating
ultrasonic
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR2012/010251
Other languages
English (en)
Korean (ko)
Inventor
김송이
김사임
김수정
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
E-MED CO LTD
Original Assignee
E-MED CO LTD
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by E-MED CO LTD filed Critical E-MED CO LTD
Publication of WO2013081397A1 publication Critical patent/WO2013081397A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means

Definitions

  • the present invention relates to a surgical operation device, and more particularly, the structure is improved to prevent the twisting of the wiring of the power supply connecting portion connected to the power supply when using the surgical operation device using ultrasound and to improve the convenience of use It relates to a surgical surgical device.
  • various surgical surgical devices capable of performing invasive treatment, incision, coagulation, or coagulation of living tissues by high frequency, and the treatment by high frequency are disclosed.
  • FIG. 1 is a schematic diagram of a conventional surgical operation device is disclosed in Republic of Korea Patent Publication No. 10-2009-0033057 (published date 2009.04.01).
  • a conventional surgical device includes a handle unit 1 having an operation unit 4, a vibrator unit 2 disposed at a rear end of the handle unit 1 and configured to generate ultrasonic vibrations.
  • the probe unit 3 is provided at the front end of the handle unit 1 to receive ultrasonic vibration from the vibrator unit 2, and the sheath unit 5 is provided to surround the surface of the probe unit 3.
  • a cable for supplying a current for generating ultrasonic vibration from the power supply unit 8 is extended.
  • the conventional surgical operation apparatus adopts a structure in which the vibrator unit 2 and the probe unit 3 are screwed together, the vibrator unit together with the probe unit 3 during the rotation operation of the rotation manipulation knob 50.
  • Rotation of (2) causes a problem that twisting of the cable connected to the power supply main body 8 occurs. Twisting of the cable may impede the flow of current supplied from the power supply body 8 to the vibrator unit 2, and thus, if misplaced, may hinder the smooth ultrasonic generation of the vibrator unit.
  • the conventional surgical operation device is positioned between the arm and shoulder of the operator as the cable interconnecting the vibrator unit 2 and the power supply main body 8 adopts a structure extending from the rear end of the vibrator unit 2. Therefore, there is a problem that acts as an obstacle to surgery that requires a high level of skill and accuracy because the device is stuck when moving the device.
  • the technical problem of the present invention is to provide a surgical surgical device that can prevent the twisting of the wiring of the power supply connecting portion connected to the power supply device when using the surgical operation apparatus using ultrasonic waves and improve the convenience of use.
  • the other end is rotatably provided on the front portion of the handle unit, the rotating knob for rotating the insertion tube according to the operator's operation, and is provided on the rear portion of the handle unit, the ultrasonic unit It includes a vibration unit for generating a vibration by the power supplied from the power supply so as to vibrate and transmitting to the ultrasonic unit, Unit is provided doedoe the handle unit and the separate housing detachably coupled to the mounting portion as a medium in the rear portion of the handle unit; A vibration unit provided inside the housing and detachably coupled to the ultrasonic unit to rotate together with the insertion tube; A power supply connecting portion wired in a vertical direction of the housing from a rear portion of the vibrating portion to connect the vibrating portion and the power supply device; And a rotating part provided on the rear part of the vibrating part and preventing the wire of the power supply connecting part from being twisted when the vibrating part is rotated.
  • the ultrasonic unit has an insertion groove having at least two elastic balls recessed from the surface on one side and disposed to correspond to the surface of the inner circumference, and the vibration unit is formed to protrude from the distal end of the vibration portion to the insertion groove.
  • Removably inserted and may include an insertion protrusion having a locking groove corresponding to the elastic ball on the surface of the outer circumference.
  • the rotating unit may include a first connection terminal electrically connected to the vibrating unit; And a second connection terminal provided to be fixed to a rear portion of the housing and interconnected with the first connection terminal.
  • the mounting portion may include at least one coupling groove recessed from a surface of the rear surface of the handle unit; And a coupling protrusion provided on a front portion of the housing corresponding to the rear portion of the handle unit and protruding from a surface thereof and having a shape corresponding to the coupling groove.
  • the coupling protrusion may be processed to minimize the gap with the coupling groove to prevent easy separation after being inserted into the coupling groove.
  • the mounting portion may be a pair of velcro tapes provided to correspond to the rear portion of the handle unit and the front portion of the housing corresponding to the rear portion of the handle unit.
  • the mounting portion may be at least one snap button provided to correspond to the rear portion of the handle unit and the front portion of the housing corresponding to the rear portion of the handle unit.
  • the technical problem is provided in the handle unit of the shape of the Gun (Gun), which is held in the hands of the operator, and the ultrasonic wave to generate ultrasonic waves by vibrating in front and rear of the handle unit A unit and an insertion tube which transmits ultrasonic waves generated by the ultrasonic unit to a surgical unit provided at one end, and the other end opposite to the one end is rotatably coupled to the front side of the handle unit, and the insertion
  • the other end of the tube is rotatably provided in the front portion of the handle unit to be coupled through, a rotating knob for rotating the insertion tube according to the operator's operation, and is provided on the rear portion of the handle unit, the ultrasonic wave
  • It includes a vibration unit for generating a vibration by the power supplied from the power supply so as to vibrate the unit to transmit to the ultrasonic unit, Vibration unit, is provided integrally to the handle unit, is provided inside the handle unit, the vibration unit is detachably coupled to the ultrasonic unit to rotate
  • the ultrasonic unit may be formed with a screw hole recessed from the surface on one side, and the vibration unit may include an insertion protrusion having a threaded portion protruding from the distal end of the vibrating portion and corresponding to the screw hole on the surface thereof.
  • the rotating unit may include a first connection terminal electrically connected to the vibrating unit; And a second connection terminal provided to be fixed to a rear portion of the handle unit and connected to the first connection terminal.
  • the first connecting terminal is formed with a connecting protrusion projecting from the surface along the circumference
  • the second connecting terminal is formed with a connecting groove protruding from the surface along the circumference and having a shape corresponding to the first connecting terminal.
  • the first connection terminal may be connected to the second connection terminal such that the connection protrusion is inserted into the connection groove, and may rotate relative to the second connection terminal according to the rotation of the vibration unit.
  • the vibration unit is provided between a plurality of vibration plates stacked in a line so that vibration can be generated from the power supplied from the power supply device and is connected to the power supply device to transfer power to the vibration plate by vibrating the vibration plate.
  • the electrode plate may include a main plate in contact with the vibration plate, and a protruding plate protruding from the outer peripheral surface of the main plate.
  • the electrode plate may be provided with a slit at a boundary between the main plate and the protruding plate to prevent the vibrating plate from being disturbed by the protruding plate when the vibrating plate vibrates.
  • the first connecting terminal of the rotating unit is configured to perform a relative rotational movement with respect to the second connecting terminal, thereby connecting the vibrating unit and the power supply device. It is possible to improve the convenience of use while preventing the twisting of the wiring of the power supply unit.
  • FIG. 1 is a schematic diagram of a conventional surgical operation apparatus.
  • FIG. 2 is an exploded perspective view of a surgical operation apparatus according to an embodiment of the present invention.
  • FIG. 3 is a cross-sectional view of the surgical operation apparatus of FIG.
  • FIG. 4 is an enlarged view of a portion “I” of FIG. 3.
  • FIG. 5 is an enlarged view of a portion “II” of FIG. 3.
  • Figure 6 is a cross-sectional view showing the operating state of the surgical operation apparatus according to an embodiment of the present invention.
  • FIG. 7 is a perspective view of a surgical operation apparatus according to another embodiment of the present invention.
  • FIG. 8 is a cross-sectional view of the surgical operation apparatus of FIG.
  • Figure 9 is an enlarged view showing a part of the vibration unit of the vibration unit included in the surgical operation apparatus according to another embodiment of the present invention.
  • FIG. 10 is a perspective view illustrating an electrode plate in the vibrator of FIG. 9.
  • FIG. 2 is an exploded perspective view of a surgical operation apparatus according to an embodiment of the present invention
  • Figure 3 is a cross-sectional view of the surgical operation apparatus of Figure 2
  • Figure 4 is an enlarged view of the 'I' portion of Figure 3
  • 5 is an enlarged view of a portion 'II' of FIG. 3
  • FIG. 6 is a cross-sectional view showing an operating state of a surgical operation apparatus according to an embodiment of the present invention.
  • Surgical operation apparatus 100 is provided in the interior of the handle unit 110 and the handle unit 110 having a gun (Gun) shape Ultrasonic unit 120 for generating ultrasonic waves by vibration, and the other end opposite to the one end to transfer the ultrasonic waves generated by the ultrasonic unit 120 to the surgical unit 132 is provided at one end handle unit 110
  • Insertion tube 130 is rotatably coupled to the front portion of the) and the rotating knob 140 is rotatably provided on the front portion of the handle unit 110 to rotate the insertion tube 130 according to the operator's operation.
  • a vibration unit 150 generating vibration by the power supplied from the power supply device 170 so as to vibrate the ultrasonic unit 120 and transmitting the vibration unit 150 to the ultrasonic unit 120.
  • the handle unit 110 and the vibration unit 150 of the present embodiment are provided separately and have a structure that is detachably coupled to each other.
  • the handle unit 110 is configured to form a main frame of the surgical device and the insertion portion 112 is provided on the rear portion. That is, the handle unit 110 is formed in the shape of a gun (Gun) to be gripped by the operator's hand is formed with an insertion portion 112 connected to the inside of the rear portion.
  • a gun Gun
  • the handle unit 110 is provided with a vibration control switch 113 for adjusting the vibration intensity of the ultrasonic unit 120 and the operating lever 114 for operating the surgical unit 132 of the insertion tube 130.
  • the vibration control switch 113 is provided on the front portion of the handle unit 110 is configured to adjust the vibration intensity of the ultrasonic unit 120 according to the operator's operation.
  • the operation lever 114 is provided at the front portion of the handle unit 110 to be positioned below the vibration control switch 113 and is configured to operate the surgical unit 132 according to the operator's operation.
  • the operation lever 114 is coupled to the front portion of the handle unit 110 via the hinge 114A and then rotated back and forth around the hinge 114A according to the operator's manipulation to insert the insertion tube 130. It is to operate the surgical unit (132).
  • a slider 115 is provided inside the handle unit 110 to move in the front and rear directions to operate the surgical unit 132 of the insertion tube 130 in conjunction with the rotation of the operating lever 114. .
  • the slider 115 is connected via the operation lever 114 and the link 116.
  • the vibration control switch 113 and the operating lever 114 of the handle unit 110 to control the vibration intensity of the ultrasonic unit 120 or to operate the surgical unit 132 of the insertion tube 130 is the present invention Prior to the application of the surgical technique is widely used in the handpiece of the surgical device, so the detailed description thereof will be omitted.
  • Insertion portion 112 is formed to be opened to the rear portion of the handle unit 110 is configured to be coupled to the vibration unit 154 of the vibration unit 150 to be described later and the ultrasonic unit 120.
  • the ultrasonic unit 120 is configured to generate ultrasonic waves.
  • the ultrasonic unit 120 is fixedly coupled to the other end of the insertion tube 130 to be positioned inside the handle unit 110 and generates an ultrasonic wave by the vibration received from the vibration unit 150 to operate the insertion tube 130. Transfer to unit 132.
  • the ultrasonic unit 120 generates ultrasonic waves by vibrating forward and backward of the handle unit 110 by the vibration transmitted from the vibration unit 150.
  • Ultrasound generated by the ultrasonic unit 120 is delivered to the surgical unit 132 by the ultrasonic transfer unit (not shown) of the insertion tube 130 to be described later.
  • the ultrasonic unit 120 is provided with a configuration such as a vibrator for generating vibration by the piezoelectric element, this configuration and vibration generation principle is widely applied in the hand piece which is a surgical operation device using ultrasonic waves before the application of the present invention Since it is a technology for the main pipe, a detailed description thereof will be omitted.
  • the ultrasonic unit 120 is provided with an insertion groove 122 having at least two elastic balls 122A recessed from the surface on one side thereof and disposed to correspond to the surface of the inner circumference, and the vibration of the insertion groove 122 will be described later.
  • the insertion protrusion 155 of the vibrator 154 provided in the unit 150 is inserted and engaged to be engaged. Accordingly, the ultrasonic unit 120 and the vibrator 154 secure a coupling force capable of rotating along with the insertion tube 130 during the rotation of the rotary knob 140 to be described later.
  • the elastic ball 122A of the present embodiment at least two are arranged to correspond to each other inside the insertion groove 122, in another embodiment of the present invention, the elastic ball 122A is inserted into the insertion groove 122 In order to increase the coupling force of the protrusion 155 may be provided in two or more numbers.
  • the insertion tube 130 is a structure provided in the front part of the handle unit 110. As shown in FIG. That is, the insertion tube 130 is formed to have a predetermined length is provided with a surgical unit 132 at one end and the other end opposite to the one end is rotatably coupled to the front portion of the handle unit (110). At this time, the other end of the insertion tube 130 is rotatably coupled to the handle unit 110 via the rotating knob 140.
  • the inside of the insertion tube 130 is provided with an ultrasound delivery unit for transmitting the ultrasound generated by the ultrasound unit 120 to be described later to the surgical unit 132, such an ultrasound delivery unit is a surgical operation device before the application of the present invention Since it is a configuration for the main pipe which is widely applied in the in hand piece, a detailed description thereof will be omitted.
  • the surgical unit 132 is configured to be provided at one end of the insertion tube 130.
  • the surgical unit 132 is treated by the slider 115 and the ultrasonic unit 120 to be described later to operate the operating lever 114 provided in the handle unit 110, such as cutting, excision or coagulation of living tissue. It works.
  • the surgical unit 132 is operated by the slider 115 and the ultrasound unit 120 interlocked according to the manipulation of the manipulation lever 114 to operate the incision, resection, or coagulation of a living tissue.
  • the surgical hand device since it is a technique for the main pipe which is widely applied in the surgical hand device is a detailed description thereof will be omitted.
  • Rotating knob 140 is configured to be rotatably coupled to the front portion of the handle unit (110). That is, the rotating knob 140 is rotatably coupled to the front portion of the handle unit 110 in a state where the other end of the insertion tube 130 is coupled to penetrate. Accordingly, the rotating knob 140 can rotate the insertion tube 130 according to the operator's operation.
  • Vibration unit 150 is a configuration provided in the rear portion of the handle unit 110, the housing 152 is detachably coupled to the rear portion of the handle unit 110, the handle unit is provided in the interior of the handle unit A vibrator 154 detachably coupled to the ultrasonic unit 120 provided inside the 110, a power supply connection unit 156 provided to interconnect the vibrator 154 and the power supply unit 170, and The rotating part 154 includes a rotating part 157 provided so that the wiring of the power supply connecting part 156 is not twisted.
  • the housing 152 is formed separately from the handle unit 110 and is configured to be detachably coupled to the rear portion of the handle unit 110 via the mounting unit 160.
  • the vibrator 154 is formed to generate a vibration, and the insertion protrusion 155 is detachably inserted into the insertion groove 122 of the ultrasonic unit 120 at the front end thereof.
  • the vibrator 154 is inserted into the insertion groove 122 to be locked.
  • the vibration unit 154 of this embodiment has a structure for generating vibration by the power supplied from the power supply device 170, the configuration and vibration generation principle of the vibration unit 154 before applying the ultrasonic wave of the present invention Since it is a technique for the main pipe which is widely applied in the hand-piece which is a surgical operation device to be used, a detailed description thereof will be omitted.
  • the insertion protrusion 155 is configured to be integrally formed at the distal end portion of the vibrator 154 and has a configuration in which a locking groove 155A is provided on the surface of the outer circumference.
  • the locking groove 155A is configured to provide a space in which the elastic ball 122A of the insertion groove 122 provided in the ultrasonic unit 120 can be locked.
  • the locking groove 155A is formed to correspond to the elastic ball 122A.
  • Such a vibrating unit 154 is coupled to be caught by the ultrasonic unit 120 fixedly coupled to the insertion tube 130 when the handle unit 110 and the housing 152 are coupled to each other, thereby rotating according to the operator's operation When the knob 140 rotates, the knob 140 rotates together with the insertion tube 130.
  • the power supply connection unit 156 is configured to connect the vibration unit 154 and the power supply unit 170.
  • the power supply connection unit 156 is formed of an electric wire and is wired to guide the lower side of the housing 152 from the vibration unit 154.
  • the power supply connector 156 is guided downward from the vibrator 154 to the housing 152 to be connected to the lower end of the housing 152, the connector portion provided to connect the cable 171 of the power supply unit 170 ( 153).
  • the rotating part 157 is provided in the housing 152 so as to be disposed on the rear part of the vibrating part 154, and includes a first connecting terminal 158 connected to the vibrating part 154, and a first connecting terminal ( And a second connection terminal 159 provided to be connected to each other.
  • the first connection terminal 158 is configured to be connected to the second connection terminal 159 and has a ring-shaped connection protrusion 158A projecting from the surface along the circumference thereof.
  • the second connection terminal 159 is configured to be connected to the first connection terminal 158 and is formed with a ring-shaped connection groove 159A protruding from the surface along the circumference.
  • the connecting protrusion 158A of the first connecting terminal 158 is inserted into the connecting groove 159A.
  • the second connection terminal 159 is fixed inside the housing 152.
  • the rotating unit 157 supplies the power of the power supply unit 170 to the vibrator 154 in accordance with the connection of the first connection terminal 158 and the second connection terminal 159 while the first connection terminal (
  • the connecting protrusion 158A of the 158 is connected to be inserted into the connecting groove 159A of the second connecting terminal 159 so that the first connecting terminal 158 is coupled with the vibrating unit 154 when the rotating knob 140 rotates.
  • the relative rotational movement of the second connection terminal 159 is achieved.
  • the mounting unit 160 is configured to detachably couple the housing unit 152 of the handle unit 110 and the vibration unit 150 to each other, the coupling groove 162 provided in the handle unit 110, and It includes a coupling protrusion 164 provided in the housing 152.
  • the coupling groove 162 constituting the mounting portion 160 of the present embodiment is provided in the handle unit 110 and the coupling protrusion 164 is provided in the housing 152, as another embodiment of the present invention coupling groove ( 162 may be provided in the housing 152 and the coupling protrusion 164 may be provided in the handle unit 110.
  • Coupling groove 162 is formed in the handle unit 110 is provided to provide a space in which the coupling protrusion 164 can be coupled. That is, the coupling groove 162 is formed recessed from the surface so as to be spaced apart from each other at a predetermined interval below the rear portion of the handle unit (110).
  • Coupling protrusion 164 is formed in the housing 152 and is configured to be coupled to the coupling groove 162.
  • Coupling protrusion 164 is formed to protrude from the surface to have a shape corresponding to the coupling groove 162 in the front portion of the housing 152 corresponding to the lower back of the handle unit 110. At this time, the coupling protrusion 164 is processed to minimize the gap with the coupling groove 162, thereby being inserted into the coupling groove 162 to prevent easy separation through minimization of the void.
  • the vibration unit 150 is detachably coupled to the rear surface of the handle unit 110 according to the coupling structure of the coupling groove 162 and the coupling protrusion 164 of the mounting unit 160.
  • mounting portion 160 of the present embodiment, the coupling groove 162 and the coupling protrusion 164 is provided to be detachably coupled to each other, as another embodiment of the present invention mounting portion 160 is the rear portion of the handle unit 110 And a pair of Velcro tapes (not shown) or a plurality of snap buttons (not shown) which are formed to correspond to the front part of the housing 152 and detachably coupled to each other.
  • Surgical operation apparatus 100 may operate as shown in FIG.
  • the surgical surgical device 100 of the present embodiment is a vibrating unit on the rear of the handle unit 110 for the treatment of incision, resection or coagulation of living tissue using ultrasound during laparoscopic surgery of the patient Mount the 150.
  • the vibration unit 150 is inserted into the insertion groove 122 of the ultrasonic unit 120 through the insertion portion 155 of the vibration unit 154 through the handle 112 of the vibration unit 154 and at the same time
  • the housing 152 is coupled to the handle unit 110 via the mounting unit 160.
  • the elastic ball 122A provided in the insertion groove 122 of the ultrasonic unit 120 is detachably coupled so as to be caught by the locking groove 155A provided in the insertion protrusion 155 of the vibration unit 154 and the handle unit (
  • the coupling protrusion 164 is detachably coupled to the coupling groove 162 of the mounting unit 160 provided to correspond to the 110 and the housing 152 so that the vibration unit 150 is detachably coupled to the handle unit 110.
  • the vibration unit 150 is coupled to the handle unit 110 to perform the procedure while the vibration unit 150 is separated from the handle unit 110 for disinfection of the insertion tube 130 after the procedure is completed, thereby improving convenience in use. It can be.
  • the operator grasps the handle unit 110, inserts the insertion tube 130 into the abdominal cavity of the patient, and then vibrates the unit by the power supplied from the power supply unit 170. Generate vibration at 150. Then, the vibration generated by the vibration unit 150 is transmitted to the ultrasonic unit 120 and the ultrasonic unit 120 vibrates ultrasonic waves forward and backward of the handle unit 110 according to the vibration transmission of the vibration unit 150. It generates and delivers to the surgical unit 132 of the insertion tube 130. Accordingly, the surgical unit 132 is able to perform the treatment, such as incision, incision or coagulation of the biological tissue using the transmitted ultrasound.
  • Insertion tube 130 is rotated with the rotating knob 140 and the vibration unit 154 of the ultrasonic unit 120 and the vibration unit 150 in accordance with the rotation of the insertion tube 130 to the handle unit 110 Relative rotation.
  • the first connection terminal 158 connected to the vibrator 154 performs a relative rotational movement with respect to the second connection terminal 159 fixed inside the housing 152.
  • connection terminal 158 and the second connection terminal 159 are connected to each other via a ring-shaped connection protrusion 158A and a connection groove 159A to supply power from the power supply unit 170 to the vibration unit.
  • the connection protrusion 158A of the first connection terminal 158 is inserted to rotate in the connection groove 159A of the second connection terminal 159, thereby allowing the first to be rotated.
  • the connection terminal 158 is to rotate relative to the second connection terminal 159 when the vibration unit 154 rotates.
  • the vibration unit 150 is detachably mounted to the handle unit 110 to improve the convenience of use while operating the rotary knob 140.
  • the vibrating unit 154 of the vibrating unit 150 rotates by providing a structure in which the first connecting terminal 158 of the rotating unit 157 rotates relative to the second connecting terminal 159, the vibrating unit The twisting of the wires of the power supply connection unit 156 connecting the power supply unit 154 and the power supply unit 170 may be prevented.
  • the power supply connecting portion 156 connecting the vibrating portion 154 and the power supply device 170 is guided from the vibrating portion 154 to the lower side of the housing 152.
  • the cable 171 of the power supply unit 170 is connected to the power supply unit 170 at the lower end of the vibration unit 150 through the structure of the operation of the patient during the operation by the cable 171 in the operation of the patient Can be removed.
  • the cable 171 is connected to the power supply device 170 in the lower portion of the vibration unit 150 to prevent the obstruction factors that the mounting of the cable 171 when the operator uses the surgical device 100. It can be.
  • FIG. 7 is a perspective view of a surgical operation apparatus according to another embodiment of the present invention
  • Figure 8 is a cross-sectional view of the surgical operation apparatus of Figure 7
  • Figure 9 is included in a surgical operation apparatus according to another embodiment of the present invention
  • 10 is an enlarged view illustrating a vibrating unit of the vibrating unit
  • FIG. 10 is a perspective view illustrating an electrode plate in the vibrating unit of FIG. 9.
  • Surgical operation apparatus 200 is provided in the interior of the handle unit 210 and the handle unit 210 having a gun (Gun) shape Ultrasonic unit 220 for generating ultrasonic waves by vibration, and the other end opposite to the one end to transfer the ultrasonic waves generated by the ultrasonic unit 220 to the surgical unit 232 is provided at one end handle unit 210
  • Insertion tube 230 is rotatably coupled to the front portion of the) and the rotary knob 240 is rotatably provided on the front portion of the handle unit 210 to rotate the insertion tube 230 according to the operator's operation
  • a vibration unit 250 generating vibrations by the power supplied from the power supply device 270 so as to vibrate the ultrasound unit 220 and transmitting the vibrations to the ultrasound unit 220.
  • the handle unit 210 and the vibration unit 250 of the present embodiment has a structure formed integrally.
  • the handle unit 210 is formed so that the vibration unit 250 is integrally provided therein. That is, the handle unit 210 is formed in the form of a housing that can incorporate all the configuration of the vibration unit 250, except for this configuration is substantially the same as the above-described embodiment of the present invention, so description thereof is omitted. Let's do it.
  • a connector portion 253 for connecting the cable 271 of the power supply device 270 is provided, the connector portion 253 is a vibrating portion 254 of the vibration unit 250 ) Is connected to the power supply connection unit 256 that is wired to guide the lower side of the handle unit (210).
  • the ultrasonic unit 220 is provided with an insertion protrusion 222 instead of the insertion groove 122 shown in the embodiment of the present invention, in order to be connected to the vibration unit 254 of the vibration unit 250. That is, the insertion protrusion 222 is provided on one surface of the ultrasonic unit 220, and correspondingly, the screw hole 255 is recessed in the vibration unit 250.
  • the insertion protrusion 222 and the screw hole 255 may be provided in the ultrasonic unit 220 and the vibration unit 250 on the contrary. That is, although not shown in the drawings, the screw hole 222 is formed recessed from the surface on one side of the ultrasonic unit 220, the insertion hole of the vibration unit 254 provided in the vibration unit 250 in the screw hole 222 255 may be screwed in.
  • the ultrasonic unit 220 has a structure in which the ultrasonic unit 220 and the vibrating unit 254 of the vibration unit 250 are mutually screwed together, so that the ultrasonic unit 220 and the vibrating unit 254 rotate the rotation knob 240.
  • the inside of the handle unit 210 to ensure a coupling force that can rotate with the insertion tube 230.
  • the vibration unit 250 is provided to be integrally embedded in the rear portion of the handle unit 210. That is, the vibration unit 250 has a structure that is integrally formed with the handle unit 210 to be embedded in the handle unit 210.
  • a screw is formed on a surface of the insertion protrusion 255 provided in the vibrator 254, and thus is screwed into the screw hole 222 of the ultrasonic unit 220.
  • the vibration unit 254 is provided between a plurality of vibration plates 254a stacked in a line so that vibration can be generated by the power supplied from the power supply device 270 and the power supply device 270 and the connection line ( It may include a plurality of electrode plates (254c) connected to 254b.
  • the vibrator 254 transfers the power supplied from the power supply device 270 to the electrode plate 254c through the connection line 254b, and the electrode plate 254c receives the power back to the vibration plate 254a. And vibrate to vibrate plate 254a.
  • the electrode plate 254c protrudes from the outer circumferential surface of the main plate 254b-1 and the main plate 254b-1 in contact with the vibration plate 254a, and is connected to the connection line 254b.
  • -3) may be configured to include a protruding plate 254b-2.
  • the protruding plate 254b-2 may interfere when the vibrating plate 254a vibrates, as shown in the boundary between the main plate 254b-1 and the protruding plate 254b-2.
  • Slits 254b-4 may be provided.
  • the slit 254b-4 is for reducing the connection area between the main plate 254b-1 and the protruding plate 254b-2, and its shape and shape are not limited.
  • vibration unit 250 may be applied to the above-described embodiment of the present invention, of course, except for the remaining components of the vibration unit 250 is substantially the same as the above-described embodiment of the present invention The same will be said, detailed description thereof will be omitted.
  • the surgical operation apparatus 200 As described above, the surgical operation apparatus 200 according to the present embodiment, the vibration unit 254 of the vibration unit 250 in the integrated structure of the handle unit 210 and the vibration unit 250, the rotary knob 240 It will have a structure to prevent the wire twisting of the power supply connection unit 256 when rotating together.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Dentistry (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un appareil d'opération chirurgicale comprenant : une unité de poignée en forme de pistolet destinée à être tenue dans la main d'un opérateur ; une unité ultrasonore pour générer des ondes ultrasonores, disposée à l'intérieur de l'unité de poignée ; un tuyau d'introduction dans lequel les ondes ultrasonores générées par l'unité ultrasonore sont transmises à une unité d'actionnement disposée à une extrémité, et l'autre extrémité opposée à la première extrémité est couplée de manière rotative à la partie avant de l'unité de poignée ; et une unité de vibration, qui est disposée au niveau de la partie arrière de l'unité de poignée, pour générer une vibration par l'énergie électrique fournie à partir d'une alimentation électrique de façon à faire vibrer l'unité ultrasonore et pour transmettre celle-ci à l'unité ultrasonore. L'unité de vibration comprend : une partie de vibration intégrée avec l'unité de poignée, la partie de vibration étant disposée à l'intérieur de l'unité de poignée, et étant couplée de manière détachable à l'unité ultrasonore de façon à être apte à tourner avec le tuyau d'introduction ; une partie de connexion d'alimentation électrique câblée dans la direction verticale du boîtier à partir de la partie arrière de la partie de vibration pour connecter la partie de vibration et l'alimentation électrique ; et une partie de rotation, qui est disposée au niveau de la partie arrière de la partie de vibration, pour empêcher le câblage de la partie de connexion d'alimentation électrique d'être vrillée lorsque la partie de vibration tourne.
PCT/KR2012/010251 2011-11-30 2012-11-29 Appareil d'opération chirurgicale Ceased WO2013081397A1 (fr)

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Application Number Priority Date Filing Date Title
KR1020110127332A KR101359475B1 (ko) 2011-11-30 2011-11-30 외과 수술 장치
KR10-2011-0127332 2011-11-30

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WO2013081397A1 true WO2013081397A1 (fr) 2013-06-06

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Cited By (1)

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CN106367582A (zh) * 2016-11-16 2017-02-01 中车戚墅堰机车车辆工艺研究所有限公司 支撑装置以及具有该支撑装置的便携式超声冲击枪

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KR101676279B1 (ko) * 2014-12-22 2016-11-16 이메드 주식회사 단일 구동버튼 제어 방식의 초음파 수술장치 및 이를 이용한 초음파 출력 제어방법
KR102136319B1 (ko) * 2018-05-16 2020-07-21 주식회사 세종메디칼 외과수술용 의료장치
KR102580851B1 (ko) * 2021-07-13 2023-09-22 대화기기주식회사 바이폴라 에너지 디바이스

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JPH08117234A (ja) * 1994-10-20 1996-05-14 Fuji Photo Optical Co Ltd 超音波診断装置
JPH09253088A (ja) * 1996-03-26 1997-09-30 Olympus Optical Co Ltd 超音波凝固切断具
US6214023B1 (en) * 1999-06-21 2001-04-10 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with removable clamp arm
KR20020083962A (ko) * 2002-08-30 2002-11-04 김구봉 안마기의 전원코드보호장치
JP2005278932A (ja) * 2004-03-30 2005-10-13 Olympus Corp 超音波凝固切開装置およびこの装置の組み立て、分解方法

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JPH08117234A (ja) * 1994-10-20 1996-05-14 Fuji Photo Optical Co Ltd 超音波診断装置
JPH09253088A (ja) * 1996-03-26 1997-09-30 Olympus Optical Co Ltd 超音波凝固切断具
US6214023B1 (en) * 1999-06-21 2001-04-10 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with removable clamp arm
KR20020083962A (ko) * 2002-08-30 2002-11-04 김구봉 안마기의 전원코드보호장치
JP2005278932A (ja) * 2004-03-30 2005-10-13 Olympus Corp 超音波凝固切開装置およびこの装置の組み立て、分解方法

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106367582A (zh) * 2016-11-16 2017-02-01 中车戚墅堰机车车辆工艺研究所有限公司 支撑装置以及具有该支撑装置的便携式超声冲击枪

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KR20130060989A (ko) 2013-06-10
KR101359475B1 (ko) 2014-03-07

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