公开(公告)号：US20190167239A1

公开(公告)日：2019-06-06

申请号：US16266167

申请日：2019-02-04

Applicant: OLYMPUS CORPORATION

Inventor： Hiroshi OKABE ,  Masahiro FUJII ,  Masatoshi IIDA ,  Yoshiyuki KUMADA

IPC: A61B17/00

Abstract: A surgical-device rotation mechanism according to the present invention includes: a long member; a rotation member rotatably supported by a distal end of the long member and rotates around a longitudinal axis of the long member; an end effector that is fixed to the rotating member; a tension converting member disposed inside the long member along the longitudinal axis and has a distal end to which the rotation member is fixed, and converts tension into rotation around the longitudinal axis; and a rotation restriction mechanism disposed between the long member and the tension converting member and increases or decreases friction between the rotation restriction mechanism and at least one of an inner surface of the long member and an outer surface of the tension converting member so as to restrict or not restrict relative rotation between the long member and the tension converting member around the longitudinal axis.

公开(公告)号：US20190167267A1

公开(公告)日：2019-06-06

申请号：US16272023

申请日：2019-02-11

Applicant: OLYMPUS CORPORATION

Inventor： Masayuki KOBAYASHI ,  Yoshiyuki KUMADA ,  Keisuke TSURIMOTO

IPC: A61B17/072

Abstract: A medical manipulator includes: an elongated support member; an end effector that is supported at a distal end of the support member so as to be movable in a longitudinal axial direction; a first pulling pulley that is supported so as to be rotatable about a first shaft that is secured to the end effector and that is orthogonal to the longitudinal axis; and a first wire that is wound around the first pulling pulley so as to cause, when a proximal end thereof is pulled, tensile forces in substantially the same directions to act on the first pulling pulley on either side of the first pulling pulley flanking the first shaft.

公开(公告)号：US20160317154A1

公开(公告)日：2016-11-03

申请号：US15208283

申请日：2016-07-12

Applicant: OLYMPUS CORPORATION

Inventor： Takehiro KIMURA ,  Kazutoshi KUMAGAI ,  Yoshiro OKAZAKI ,  Naoya SUGIMOTO ,  Hiroki HIBINO ,  Yoshiyuki KUMADA ,  Hiroshi FUKUDA

IPC: A61B17/12 ,  A61B8/06 ,  A61B5/0402 ,  A61B5/026 ,  A61B5/02 ,  A61B5/103 ,  A61B17/128 ,  A61B8/12

CPC classification number: A61B17/12013 ,  A61B5/02007 ,  A61B5/0261 ,  A61B5/0402 ,  A61B5/1032 ,  A61B8/06 ,  A61B8/065 ,  A61B8/0883 ,  A61B8/12 ,  A61B8/488 ,  A61B17/1285 ,  A61B17/32056 ,  A61B2017/00022 ,  A61B2017/00039 ,  A61B2017/00044 ,  A61B2017/00061 ,  A61B2017/00106 ,  A61B2017/00243 ,  A61B2017/00876 ,  A61B2017/2926

Abstract: Completion of atrial-appendage ligation using a ligation loop is confirmed easily and more reliably. Provided is an atrial-appendage ligation treatment tool including: an insertion portion that is introduced into a cardiac sac through a sheath penetrated through a pericardium; a securing part that secures a distal end of the insertion portion to an atrial appendage; and a sensor that is provided at the distal end of the insertion portion and that detects the state of the atrial appendage.

Abstract translation: 使用连接回路完成心房附件连接被确认容易且可靠。 本发明提供了一种心房附件结扎治疗工具，其包括：插入部，其通过穿过心包的鞘被引入心囊; 固定部，其将所述插入部的前端固定为心耳; 以及传感器，其设置在所述插入部的前端，并且检测所述心耳状态。

公开(公告)号：US20190231374A1

公开(公告)日：2019-08-01

申请号：US16376685

申请日：2019-04-05

Applicant: OLYMPUS CORPORATION

Inventor： Kayuri KIMURA ,  Masatoshi IIDA ,  Noriaki YAMANAKA ,  Shuya JOGASAKI ,  Yoshiyuki KUMADA

IPC: A61B17/29 ,  A61B17/00

CPC classification number: A61B17/29 ,  A61B17/00234 ,  A61B17/28 ,  A61B34/71 ,  A61B2017/00323 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2939

Abstract: A medical treatment tool includes an elongated insertion section; a grasper supported by a distal end of the insertion section so as to be openable and closable; a generator disposed at a proximal end of the insertion section and generating a force to drive the grasper; a transmitter transmitting the force generated by the generator to the distal end of the insertion section; an amplifier amplifying the force transmitted through the transmitter; and a toggle amplifying and converting the force amplified by the amplifier into a force directed to open or close the grasper.

公开(公告)号：US20170007259A1

公开(公告)日：2017-01-12

申请号：US15274649

申请日：2016-09-23

Applicant: OLYMPUS CORPORATION

Inventor： Takehiro KIMURA ,  Kazutoshi KUMAGAI ,  Yoshiro OKAZAKI ,  Naoya SUGIMOTO ,  Hiroki HIBINO ,  Yoshiyuki KUMADA ,  Hiroshi FUKUDA

IPC: A61B17/12 ,  A61B17/04

CPC classification number: A61B17/12009 ,  A61B17/0467 ,  A61B17/12013 ,  A61B2017/00243 ,  A61B2017/0619

Abstract: An atrial-appendage ligation treatment tool including: a shaft provided with a lumen having, at a distal end thereof, an opening having an opening diameter that allows passage of a thread of a ligation loop formed in a ring shape, which can be tightened, by connecting an end of the thread at an intermediate position by means of a knot and that does not allow passage of the knot; and a cutting part that is provided at a distal end of the shaft and that cuts, at an inner side of the opening and in the vicinity of the opening, the thread passing through the lumen.

Abstract translation: 一种心房附属结扎治疗工具，包括：具有内腔的轴，所述内腔在其远端处具有开口，所述开口具有开口直径，所述开口直径允许可被紧固的环形形状的结扎环的线的通过， 通过使用结将丝线的一端连接在中间位置，并且不允许结的通过; 以及切割部，其设置在所述轴的远端，并且在所述开口的内侧和所述开口附近切割通过所述内腔的线。

公开(公告)号：US20160317155A1

公开(公告)日：2016-11-03

申请号：US15208759

申请日：2016-07-13

Applicant: OLYMPUS CORPORATION

Inventor： Takehiro KIMURA ,  Kazutoshi KUMAGAI ,  Yoshiro OKAZAKI ,  Naoya SUGIMOTO ,  Hiroki HIBINO ,  Yoshiyuki KUMADA ,  Hiroshi FUKUDA

IPC: A61B17/12 ,  A61B17/29 ,  A61B17/128

CPC classification number: A61B17/12013 ,  A61B17/1285 ,  A61B17/29 ,  A61B17/32056 ,  A61B2017/00243 ,  A61B2017/00331 ,  A61B2017/00353 ,  A61B2017/00876 ,  A61B2017/2906 ,  A61B2017/2926 ,  A61B2017/2944 ,  A61B2017/2946

Abstract: Even if atrial-appendage tissue is damaged due to an excessive force unintentionally exerted during ligation of the atrial appendage, the effect of the damage is minimized. Provided is an atrial-appendage ligation treatment tool that is used, together with an atrial-appendage ligation tool having a ligation part, to perform atrial-appendage ligation treatment. The atrial-appendage ligation treatment tool includes: a compressing portion that is introduced, separately from the ligation part, to a cardiac sac through a sheath penetrated through a pericardium and that compresses the atrial appendage from outside to occlude an internal space therein; and a shaft that is disposed in the sheath in an inserted manner and that supports, at a distal end thereof, the compressing portion.

Abstract translation: 即使由于在结扎术期间无意中施加的过度的力量损伤了心房附件组织，所以损害的效果被最小化。 提供了一种心房结扎治疗工具，与具有连接部分的心房附属结扎工具一起使用以进行心房附属连接治疗。 心房附属连接治疗工具包括：压缩部分，其通过穿过心包的鞘分离引入心脏囊，并从外部压缩心耳以封闭其中的内部空间; 以及以插入方式设置在护套中并且在其远端处支撑压缩部的轴。

公开(公告)号：US20190380800A1

公开(公告)日：2019-12-19

申请号：US16556514

申请日：2019-08-30

Applicant: OLYMPUS CORPORATION

Inventor： Shuya JOGASAKI ,  Yoshiyuki KUMADA ,  Kayuri KIMURA

IPC: A61B34/00 ,  A61B17/29

Abstract: A medical-treatment-tool according to the present invention is provided with: a inserting-portion; a gripping-piece pivots about a shaft orthogonal to a longitudinal axis of the inserting-portion; a driving-portion generates a motive power with which the gripping-piece is driven; a first motive-power transmitting member transmits the motive power to the inserting-portion; a motive-power amplifying mechanism amplifies the motive power; a pulley secured to the shaft of the gripping-piece; a wire-like second motive-power transmitting member wound around the pulley, transmits amplified the motive power to the pulley, and rotates the pulley about the shaft, thus causing the gripping-piece to be pivoted. The motive-power amplifying mechanism is a movable-pulley supported to move in a direction along the longitudinal axis of the inserting-portion, the first motive-power transmitting member is a wire-like member wound around the movable-pulley, and end of the second motive-power transmitting member is attached to the rotation shaft of the movable-pulley.

公开(公告)号：US20160317172A1

公开(公告)日：2016-11-03

申请号：US15206512

申请日：2016-07-11

Applicant: OLYMPUS CORPORATION

Inventor： Yoshiyuki KUMADA ,  Kayuri KIMURA

IPC: A61B17/3205 ,  A61B17/3201

CPC classification number: A61B17/3205 ,  A61B17/07207 ,  A61B17/3201 ,  A61B2017/00398 ,  A61B2017/07221 ,  A61B2017/07285

Abstract: This tissue excision device has the following elements: a jaw disposed at a distal end of an insertion portion and used to sandwich tissue; a cutter movable along a track formed along the shape of the jaw; a drive unit which generates force to drive the cutter; and a force transmission member which connects the drive unit and the cutter and accommodated in an accommodation portion provided along the track, and which transmits the force generated by the drive unit to the cutter, and the drive unit is configured to generate greater force as reaction force from the accommodation portion becomes greater.

Abstract translation: 这种组织切除装置具有以下元件：设置在插入部分的远端并用于夹紧组织的钳口; 可沿着沿着所述钳口的形状形成的轨道移动的切割器; 产生用于驱动切割器的力的驱动单元; 以及力传递构件，其连接所述驱动单元和所述切割器并且容纳在沿着所述轨道设置的容纳部分中，并且将由所述驱动单元产生的力传递到所述切割器，并且所述驱动单元被配置为产生更大的力作为反作用力 来自容纳部的力变大。

公开(公告)号：US20160310155A1

公开(公告)日：2016-10-27

申请号：US15204231

申请日：2016-07-07

Applicant: OLYMPUS CORPORATION

Inventor： Takehiro KIMURA ,  Kazutoshi KUMAGAI ,  Yoshiro OKAZAKI ,  Naoya SUGIMOTO ,  Hiroki HIBINO ,  Yoshiyuki KUMADA ,  Hiroshi FUKUDA

IPC: A61B17/29 ,  A61B34/00 ,  A61B17/12

Abstract: An atrial-appendage ligation surgical tool that includes a pressing part and a shaft, in which the pressing part is guided into a pericardium via a sheath penetrating through a pericardial membrane, and includes contact portions that press the vicinity of a base of an atrial appendage and have a circular cross-sectional shape and round distal ends, and in which the shaft is in an inserted state in the sheath, supports the pressing part at a distal end, and has a rigidity that enables transmission of a pressing force acting in the longitudinal direction, applied from the proximal end side of the sheath.

Abstract translation: 1.一种心房结扎手术工具，其包括按压部和轴，其中所述按压部通过穿透心包膜的鞘被引导到心包中，并且包括按压心房附近附近的接触部 并且具有圆形横截面形状和圆形远端，并且其中轴处于插入状态的护套中，在远端支撑按压部分，并且具有刚性，其能够传递作用在 纵向方向，从护套的近端侧施加。

公开(公告)号：US20160310144A1

公开(公告)日：2016-10-27

申请号：US15203532

申请日：2016-07-06

Applicant: OLYMPUS CORPORATION

Inventor： Takehiro KIMURA ,  Kazutoshi KUMAGAI ,  Yoshiro OKAZAKI ,  Naoya SUGIMOTO ,  Hiroki HIBINO ,  Yoshiyuki KUMADA ,  Hiroshi FUKUDA

IPC: A61B17/12

CPC classification number: A61B17/12013 ,  A61B2017/00243

Abstract: An atrial appendage ligation surgical tool that includes: a tubular loop shaft having an inner hole that penetrates therethrough in a longitudinal direction; and a ligature loop that is in an inserted state in the inner hole of the loop shaft and formed of a wire that forms a loop closed with a knot at a distal end of the loop shaft, the loop being contractible in size by being pulled from a proximal end of the loop shaft. The ligature loop is given a tendency to form a flat ring-shaped loop having a size an atrial appendage is insertable when in a free state, and the knot is placed near an end of the loop in a long axis direction thereof.

Abstract translation: 一种心耳结扎手术工具，包括：具有沿纵向穿过其的内孔的管状环状轴; 以及在环形轴的内孔中处于插入状态并由形成在环轴的远端处用结封闭的环的线的连线环，该环可通过从 环轴的近端。 结扎环具有形成具有尺寸的扁平环形环的趋势，当处于自由状态时，可以插入该尺寸，并且该结被置于靠近该环的端部的长轴方向。