摘要:
Devices and methods are provided for reducing the effect of frictional forces on the operation of a surgical instrument, particularly when inserted within a tortuous body lumen. A vibratory mechanism coupled to the surgical instrument can be activated to vibrate the shaft and/or the actuator of the surgical instrument to reduce the effect of frictional forces generated between the shaft and the actuator of the surgical instrument, thereby reducing the force necessary to actuate the end effector.
摘要:
An ultrasonic surgical instrument that has a waveguide that protrudes distally from the handpiece and a surgical tool that is configured to be coupled to the waveguide upon application of thermal energy to the waveguide or the surgical tool.
摘要:
A switching structure, which controls driving of equipment, includes a handle unit which is provided on the equipment and is held by a user, a switch operation section which is provided on the handle unit and includes a pressure reception portion which is pressed by the user, and a support portion which supports the pressure reception portion such that the pressure reception portion is pivotable about a pivotal center within the handle unit, relative to the handle unit, and also supports the pressure reception portion such that the pressure reception portion can be pushed from a desired direction toward the pivotal center of the pressure reception portion, when the user presses the pressure reception portion.
摘要:
An ultrasonic surgical blade that includes a blade body that has a treatment region. At least one indentation can be formed in the treatment region of the blade body wherein each indentation forms a tissue cutting edge with an outer surface of the blade body. The indentation may comprise one or more holes, lumens, grooves or dimples or a combination of such structures. In various embodiments, one or more aspiration lumens are provided in the surgical blade which may ultimately communicate with an aspiration lumen or passage in an ultrasonic surgical instrument.
摘要:
An ultrasonic treatment apparatus includes an ultrasonic generating unit which generates an ultrasonic vibration for giving ultrasonic treatment to a desired part in a body cavity; a supporting member which rotatably supports the ultrasonic generating unit at an ultrasonic vibration node; and an operation wire which operates the ultrasonic generating unit.
摘要:
A surgical instrument for enhancing robotic surgery generally includes an elongate shaft with an ultrasound probe, an end effector at the distal end of the shaft, and a base at the proximal end of the shaft. The end effector includes an ultrasound probe tip and the surgical instrument is generally configured for convenient positioning of the probe tip within a surgical site by a robotic surgical system. Ultrasound energy delivered by the probe tip may be used to cut, cauterize, or achieve various other desired effects on tissue at a surgical site. In various embodiments, the end effector also includes a gripper, for gripping tissue in cooperation with the ultrasound probe tip. The base is generally configured to removably couple the surgical instrument to a robotic surgical system and to transmit forces from the surgical system to the end effector, through the elongate shaft. A method for enhancing robotic surgery generally includes coupling the surgical instrument to a robotic surgical system, positioning the probe tip in contact with tissue at a surgical site, and delivering ultrasound energy to the tissue.
摘要:
An ultrasonic therapeutic apparatus is disclosed which includes an endoscope having an inserting section to be inserted into an object, an ultrasonic vibrator for generating ultrasonic vibration, a vibration transmitting section for transmitting the ultrasonic vibration generated by the ultrasonic vibrator to the object, and a holding member for holding the ultrasonic vibrator and the vibration transmitting section in a tip portion of the inserting section of the endoscope. This construction does not need the process of positioning the ultrasonic therapeutic apparatus with respect to the endoscope. An example of the vibration transmitting section is a probe (horn).
摘要:
In a treating apparatus, a forceps body as a treating device is connected to a generator as a control device. The forceps body mainly includes a pair of handle portions, which are used for manipulation by being held by an operator, a pair of jaws provided between the handle portion and the pair of jaws, which are used to coagulate/resect by grasping living-body tissue to be treated and a pair of scissors component members. A heating member, which is a heat generating source as a heat generating portion for applying heat energy to living-body tissue, is embedded at least one of the jaws. A pair of electrode portions, which is a treating energy generator, is provided to the pair of jaws. By supplying bipolar electric surgical knife current between the pair of electrode portions, high frequency current as treating energy is applied to the grasped living-body tissue.
摘要:
Surgical instruments that have an articulation joint and an axially movable firing member. A constant velocity drive shaft assembly spans the articulation joint and is configured to apply rotary drive motions to flexible drive members interfacing with the firing member. The articulation joint consists of a movable exoskeleton that consists of a series of movably interfacing annular rib members that form a passage for receiving the constant velocity drive shaft assembly therethrough.
摘要:
Various embodiments are directed to articulatable surgical instruments. Some embodiments comprise an end effector to treat tissue, where the end effector comprises an ultrasonic blade. A hollow shaft may extend proximally from the end effector along a longitudinal axis. A waveguide may extend through the shaft and may be acoustically coupled to the ultrasonic blade. The waveguide may comprise a distally positioned flange positioned within the hollow shaft proximally from the blade and may be held stationary at a first pivot point positioned within the hollow shaft proximally from the flange. A reciprocating wedge may be positioned within the hollow shaft such that distal motion of the wedge pushes the wedge between the flange and the hollow shaft, causing the ultrasonic blade to pivot about the first pivot point in a first direction.