公开(公告)号：US07494499B2

公开(公告)日：2009-02-24

申请号：US10367538

申请日：2003-02-14

申请人： Toru Nagase ,  Katsumi Sasaki

发明人： Toru Nagase ,  Katsumi Sasaki

IPC分类号： A61B17/00

CPC分类号： A61B17/29 ,  A61B17/2909 ,  A61B2017/00424 ,  A61B2017/2902 ,  A61B2017/291 ,  A61B2017/2919 ,  A61B2017/2927 ,  A61B2017/2939 ,  A61B2017/294

摘要： The disclosed invention relates to an improvement in a surgical therapeutic instrument which includes an inserting part, a manipulating part, and a therapeutic part. In a link mechanism having a transmission shaft for transmitting a driving force applied to the manipulating part to the therapeutic part, the position of the transmission shaft is restricted, and a joint is provided in the transmission shaft to reduce the strain of the transmission shaft. A sheath is also provided in the inserting part to facilitate cleaning thereof. A mechanism is provided for immovably locking the movable portion. A circular arc centered about a turning shaft is introduced into the shape of the manipulating part to improve the manipulability thereof. Further, the structure of a gripping portion of the manipulating part is improved.

摘要翻译： 所公开的发明涉及包括插入部分，操纵部分和治疗部分的外科治疗仪器的改进。 在具有用于将施加到操作部的驱动力传递到治疗部的传动轴的连杆机构中，传动轴的位置被限制，并且在传动轴中设置有接头以减小传动轴的应变。 在插入部分中还设置护套以便于其清洁。 提供了用于不可移动地锁定可动部分的机构。 以转动轴为中心的圆弧被引入操作部的形状，以提高其可操作性。 此外，操作部的把持部的结构得到改善。

公开(公告)号：US20080195090A1

公开(公告)日：2008-08-14

申请号：US11674757

申请日：2007-02-14

申请人： Tomoyuki Takashino ,  Toru Nagase ,  Koji Iida ,  Mai Wakamatsu

发明人： Tomoyuki Takashino ,  Toru Nagase ,  Koji Iida ,  Mai Wakamatsu

IPC分类号： A61B18/00

CPC分类号： A61B18/1445 ,  A61B17/320092 ,  A61B18/22 ,  A61B2018/00023 ,  A61B2018/0063 ,  A61B2018/2261

摘要： A treatment system includes an energy source, a pair of holding portions, an output portion and a cooling section. To hold a living tissue of a treatment target, at least one of the pair of the holding portions relatively moves with respect to the other holding portion. The output portion is disposed on at least one of the holding portions and connected with the energy source. Moreover, the output portion thermally denatures the living tissue, when the energy is supplied from the energy source. The cooling section inhibits the thermal spread in a direction away from the output portion.

摘要翻译： 处理系统包括能量源，一对保持部，输出部和冷却部。 为了保持治疗对象的生物体组织，所述一对保持部中的至少一个相对于另一个保持部相对移动。 输出部分设置在至少一个保持部分上并与能量源连接。 此外，当能量从能量源供给时，输出部分使生物体组织变热。 冷却部分禁止在远离输出部分的方向上的热扩散。

公开(公告)号：US07164940B2

公开(公告)日：2007-01-16

申请号：US09894697

申请日：2001-06-28

申请人： Norihiko Hareyama ,  Toru Nagase ,  Shinji Hatta

发明人： Norihiko Hareyama ,  Toru Nagase ,  Shinji Hatta

IPC分类号： A61B5/05

CPC分类号： A61B18/1815 ,  A61B5/055 ,  A61B6/12 ,  A61B18/18 ,  A61B34/20 ,  A61B90/10 ,  A61B90/11 ,  A61B2090/374 ,  A61B2090/378 ,  A61B2090/3954

摘要： A therapeutic system comprising a therapeutic applicator for treating living tissues and an observation unit for determining the position of the applicator. The therapeutic energy applied from the applicator to the living tissues is controlled in accordance with data representing the position of the applicator, determined by the observation unit. It is therefore easy to operate the system even if the applicator and the observation unit (e.g., an MRI apparatus) are used at the same time. The image of the living tissues remains clear during the use of the therapeutic applicator.

摘要翻译： 一种治疗系统，包括用于治疗活组织的治疗施用器和用于确定施用器位置的观察单元。 根据由观察单元确定的表示施加器的位置的数据来控制从施用器施加到生物体组织的治疗能量。 因此，即使同时使用施用器和观察单元（例如，MRI装置），也容易操作系统。 在使用治疗性施用器期间，活组织的图像保持清晰。

公开(公告)号：US07090689B2

公开(公告)日：2006-08-15

申请号：US10125129

申请日：2002-04-17

申请人： Toru Nagase ,  Katsumi Sasaki

发明人： Toru Nagase ,  Katsumi Sasaki

IPC分类号： A61B17/28 ,  A61B17/32

CPC分类号： A61B17/29 ,  A61B17/0469 ,  A61B17/062 ,  A61B34/70 ,  A61B2017/00738 ,  A61B2017/291 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2939

摘要： A surgical instrument of the present invention comprises a tool section provided at a distal end of the insert section, having first and second tool pieces connected to each other by a first opening/closing pivot axis, and a manipulating section provided at a proximal end of the insert section, having first and second manipulating bodies connected to each other by a second opening/closing pivot axis wherein the first opening/closing pivot axis is positioned at a first side relative to the longitudinal center axis of the insert section, the second opening/closing pivot axis is positioned at a second side relative to the longitudinal center axis of the insert section, and the first side and second side are established to obtain a positional relationship which is substantially symmetrical to each other relative to the longitudinal center axis of the insert section.

公开(公告)号：US20050288747A1

公开(公告)日：2005-12-29

申请号：US11142739

申请日：2005-06-01

申请人： Yukihiro Aoki ,  Toru Nagase

发明人： Yukihiro Aoki ,  Toru Nagase

IPC分类号： A61B18/04 ,  A61B18/08 ,  H05B3/00 ,  H05B3/26 ,  A61F7/00

CPC分类号： A61B18/085 ,  H05B3/262

摘要： A heat generating element of the present invention includes at least a substrate, an insulating film disposed on the substrate, a heat generating portion provided with a thin film resistor disposed on at least a part of the insulating film, and a protective film disposed on the above-described insulating film and the above-described heat generating portion, wherein the above-described substrate and the above-described heat generating portion are composed of the same member. A medical therapeutic instrument of the present invention includes a treatment portion provided with the above-described heat generating element to heat a living body tissue by using the heat generated from the heat generating element and treat the living-body tissue, wherein the above-described heat generating element is mounted on the above-described treatment portion in such a manner that an outer surface of the above-described substrate of the heat generating element serves as a treatment surface.

摘要翻译： 本发明的发热元件至少包括基板，设置在基板上的绝缘膜，设置有设置在绝缘膜的至少一部分上的薄膜电阻器的发热部分和设置在绝缘膜上的保护膜 上述绝缘膜和上述发热部分，其中上述基板和上述发热部分由相同的部件组成。 本发明的医疗器具包括具有上述发热元件的处理部，其通过使用从发热元件产生的热量来加热生物体组织并处理生物体组织，其中上述 发热元件以上述发热元件的基板的外表面用作处理表面的方式安装在上述处理部分上。

公开(公告)号：US20050075664A1

公开(公告)日：2005-04-07

申请号：US10678503

申请日：2003-10-03

申请人： Toru Nagase ,  Kazunori Taniguchi

发明人： Toru Nagase ,  Kazunori Taniguchi

IPC分类号： A61B17/28

CPC分类号： A61B17/29 ,  A61B17/2909 ,  A61B2017/2902 ,  A61B2017/291 ,  A61B2017/292 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2939

摘要： The surgical instrument comprises: an insertion portion; a treatment unit which is provided on the tip portion of the insertion portion and which is capable of turning as to the shaft of the insertion portion and capable of opening and closing; an operating unit provided at the base portion of the insertion portion and which is capable of turning as to the shaft of the insertion portion and capable of opening and closing; a supporting member linking the treatment unit and the operating unit; and a plurality of driving rods arrayed in parallel or generally in parallel with the supporting member, so as to be capable of advancing and retreating; wherein the opening/closing operating mechanism of the treatment unit and the opening/closing operating mechanism of the operating unit are in a parallel mapping relation following the insertion portion.

摘要翻译： 手术器械包括：插入部分; 处理单元，其设置在所述插入部的前端部，并且能够相对于所述插入部的轴转动并且能够打开和关闭; 操作单元，设置在所述插入部的所述基部，并且能够相对于所述插入部的轴转动并且能够打开和关闭; 连接处理单元和操作单元的支撑构件; 以及与支撑构件平行地或大致平行地排列的多个驱动杆，以便能够前进和后退; 其中处理单元的打开/关闭操作机构和操作单元的打开/关闭操作机构在插入部分之后处于并行映射关系。

公开(公告)号：US5380319A

公开(公告)日：1995-01-10

申请号：US955660

申请日：1992-10-02

申请人： Hidetoshi Saito ,  Makoto Inaba ,  Motoyuki Tagawa ,  Toru Nagase

发明人： Hidetoshi Saito ,  Makoto Inaba ,  Motoyuki Tagawa ,  Toru Nagase

IPC分类号： A61F2/82 ,  A61B18/18 ,  A61F7/12 ,  A61M25/00 ,  A61M25/10 ,  A61M29/00 ,  A61M31/00 ,  A61N1/06 ,  A61B17/36

CPC分类号： A61B18/18 ,  A61F7/123 ,  A61M31/00

摘要： A heat using therapeutic device includes an applicator provided with an insertion section, a balloon enclosing a high frequency warming electrode attached to the insertion section of the applicator; medicine ejecting holes arranged on the balloon; and a medicine passage for connecting the medicine ejecting holes to a medicine mouth piece attached to a rear end of the applicator.

摘要翻译： 使用热治疗装置的加热装置包括具有插入部的涂抹器，包围附着在涂布器的插入部的高频加温电极的气囊; 布置在气球上的药物喷射孔; 以及药剂通道，用于将药物喷射孔连接到安装在涂抹器后端的药口部件。

公开(公告)号：US09033983B2

公开(公告)日：2015-05-19

申请号：US12906234

申请日：2010-10-18

申请人： Tomoyuki Takashino ,  Koji Iida ,  Toru Nagase

发明人： Tomoyuki Takashino ,  Koji Iida ,  Toru Nagase

IPC分类号： A61B18/12 ,  A61B18/14 ,  A61B17/00 ,  A61B18/00

CPC分类号： A61B18/1445 ,  A61B18/1482 ,  A61B2017/00212 ,  A61B2018/00023 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00619 ,  A61B2018/00726 ,  A61B2018/1412 ,  A61B2018/1455

摘要： A treatment system includes a seal member, a maintaining member and a control section, and is configured to exert energy to a living tissue to treat the living tissue. The seal member is configured to join a sealed region which seals desirable regions of at least two living tissues when the energy is exerted to the sealed region. The maintaining member is configured to maintain the living tissues in the vicinity of the sealed region being brought into contact with each other when the energy is exerted to the living tissues. The control section is configured to offset energy output timings of the seal member and the maintaining member.

摘要翻译： 处理系统包括密封构件，保持构件和控制部，并且被配置为向生物体组织施加能量以对生物体组织进行处理。 密封构件被构造成当将能量施加到密封区域时，将密封区域接合，该密封区域密封至少两个活组织的期望区域。 维持构件被构造成当能量施加到生物体组织时，使密封区域附近的活体组织保持彼此接触。 控制部被配置为抵消密封构件和保持构件的能量输出定时。

公开(公告)号：US08632563B2

公开(公告)日：2014-01-21

申请号：US10841909

申请日：2004-05-07

申请人： Toru Nagase ,  Kazunori Taniguchi

发明人： Toru Nagase ,  Kazunori Taniguchi

IPC分类号： A61B17/00

CPC分类号： A61B17/29 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/0046 ,  A61B2017/2902 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2939

摘要： A surgical instrument having including a fixed handle and a pivoting handle, an elongated treatment part operating rod connected to the pivoting handle which advances and retracts with the operation of the pivoting handle, an insertion part through which the operating rod is inserted, a pivoting base supported on the distal end portion of the insertion part via a pivoting shaft so that the pivoting base is free to pivot, an elongated pivoting base operating rod whose distal end portion is connected to the pivoting base which causes the pivoting base to pivot about the pivoting shaft, a treatment part base which is connected to the pivoting base, and on which a surgical treatment part which performs an opening-and-closing action is disposed, and a joint member having a plurality of universal joints connects the treatment part operating rod and the surgical treatment part disposed on the treatment part base.

摘要翻译： 一种具有固定手柄和枢转手柄的手术器械，连接到枢转手柄的细长治疗部分操作杆，随着枢转手柄的操作而前进和后退;插入部分，操作杆穿过该插入部分，枢转底座 通过枢转轴支撑在插入部分的远端部分上，使得枢转基座自由枢转;细长的枢转基座操作杆，其远端部分连接到枢转基座，其使得枢转基座围绕枢转 轴，与枢转基座连接的处理部分基座，并且其上设置有执行开闭动作的手术治疗部，并且具有多个万向节的关节部件将处理部操作杆和 设置在治疗部位基部上的外科治疗部。

公开(公告)号：US07666206B2

公开(公告)日：2010-02-23

申请号：US10630509

申请日：2003-07-30

申请人： Kazunori Taniguchi ,  Toru Nagase

发明人： Kazunori Taniguchi ,  Toru Nagase

IPC分类号： A61B17/00

CPC分类号： A61B18/1445 ,  A61B17/2909 ,  A61B2017/2911 ,  A61B2017/2927 ,  A61B2017/2939 ,  A61B2017/2945 ,  A61B2018/1432

摘要： A surgical instrument has an insertion section, an operation section disposed in a proximal end of the insertion section, and a treatment section disposed in a distal end of the insertion section. First and second driving rods are disposed in the insertion section. The operation section is opened/closed and rotated to transmit an opening/closing force to the first driving rod, and a rotating force to the second driving rod. The treatment section comprises a pair of jaws. The treatment section is connected to the distal end portions of the first and second driving rods disposed in the insertion section to rotate and open/close the pair of jaws with respect to the insertion section.

摘要翻译： 手术器械具有插入部，设置在插入部的近端的操作部和设置在插入部的前端的处理部。 第一和第二驱动杆设置在插入部分中。 操作部分打开/关闭并旋转以向第一驱动杆传递打开/关闭力，并向第二驱动杆传递旋转力。 治疗部分包括一对钳口。 处理部连接到设置在插入部中的第一驱动杆和第二驱动杆的前端部，以相对于插入部旋转并打开/关闭该一对夹爪。