Abstract:
A probe unit includes, a probe configured to treat a bone by ultrasonic vibration, a hollow sheath which surrounds the probe and which has a first portion at a small distance from a central axis, and a second portion at a greater distance from the central axis than the first portion, and a knob configured to rotate the sheath relative to the probe between a first position for insertion between the bone and a living tissue facing the bone so that the first portion is located between the bone and the living tissue and a second position for insertion between the bone and the living tissue so that the second portion is located between the bone and the living tissue.
Abstract:
In an arthroendoscopical surgical method, a resection target area, and a freshening treatment area which becomes repair surfaces with bleeding, are identified, and a resection line and a freshening line are drawn on a tear site in a meniscus, which is emphasized by fluorescence with use of a fluorescent medicine under excitation light. Using an ultrasonic treatment tool and an arthroscope, the resection target area is resected by a probe which generates ultrasonic vibrations, based on the resection line and freshening line under visible-light illumination. Thus, an inclined resection surface is formed, and planar repair surfaces with bleeding are joined and repaird.
Abstract:
A knee joint surgical treatment under an arthroscope includes: excising a treatment object of a synovial membrane by an ultrasonic vibration to the treating portion in a state where the treating portion is in contact with the treatment object of the synovial membrane; facing the treating portion to a treatment object of a meniscus, the treating portion being used in excising the treatment object of the synovial membrane; and removing the treatment object of the meniscus by contacting the treating portion with the treatment object of the meniscus and by the ultrasonic vibration in a state where the treating portion is in contact with the treatment object of the meniscus.
Abstract:
A contact portion, provided in an exposed surface of the treating section, treats a treated object by a transmitted ultrasonic vibration while intruding into the treated object toward an intruding direction from a state being in contact with the treated object. An index portion is disposed on an anti-intruding direction side with respect to the contact portion in the exposed surface. The index portion becomes an index indicating an intruding amount of the contact portion into the treated object toward the intruding direction. The index portion includes index surfaces arranged in the intruding direction, and each of the index surfaces has an angle relative to the intruding direction which is different from the angle of the adjacent index surface.
Abstract:
A method for revision arthroplasty of an embodiment is detaching an existing femur component of an artificial joint from a femur, the existing femur component being fixed by cement, and the artificial joint being composed of the existing femur component and an acetabulum component; breaking and removing the cement and bone remaining in an attaching of the femur from which the existing femur component was detached, by transmitting ultrasonic vibration to a treating section provided at a probe distal end of an ultrasonic treatment device when the treating section is brought into contact with the cement and the bone, and regenerating an attaching hole for a new femur component; applying cement in the regenerated attaching hole; and attaching and fixing a new femur component in the regenerated attaching hole.
Abstract:
An arthroscopic surgery method for ankle ligament reconstruction of this embodiment is removed using an ultrasonic treatment tool, blowing away a synovial membrane, and secures the view for a remnant ligament. Then, bone holes are produced to a fibula, a talus and a calcaneus using the ultrasonic treatment tool.
Abstract:
An arthroscopic surgery method for ankle impingement of the embodiment removes a posterior process of talus from the portal formed in the position specified beforehand by vibrating ultrasonically of an ultrasonic treatment tool which inserted and inserted the ultrasonic treatment tool to the posterior process of talus and a tendon sheath of flexor hallucis longus muscle tendon, and deletes the tendon sheath of flexor hallucis longus muscle tendon by the ultrasonic treatment tool used for deleting the posterior process of talus.
Abstract:
A surgical treatment of a shoulder joint, includes inserting an arthroscope and an ultrasonic device into the shoulder joint, and removing a bursa and removing a bone spur present under an acromion in a state seen with the arthroscope by use of the ultrasonic device which ultrasonically vibrates.
Abstract:
A knee joint surgical treatment under an arthroscope includes: contacting a treating portion of an ultrasonic device with an end region to which an ACL or a PCL of a tibia adheres and with a start region to which the ACL or the PCL of a femur adheres, excising the tibia and a remaining ligament of the ACL, or the tibia and a remaining ligament of the PCL, excising the femur and a remaining ligament of the ACL, or the femur and a remaining ligament of the PCL by ultrasonically vibrating the treating portion, thereby exposing footprints of the tibia and the femur; and forming tunnels between the footprint of the tibia and a medial side of a rough surface of the tibia and between the footprint of the femur and an lateral surface of a lateral condyle of the femur.
Abstract:
A joint surgical treatment includes bringing a treating portion of an ultrasonic device into contact with a damaged region of a cartilage that is a treated object region in the joint, and transmitting an ultrasonic vibration to the treating portion in contact with the treated object region while observing the treated object region with the arthroscope to remove the treated object region of the cartilage. The ultrasonic vibration is used to remove the treated object so as to smoothly continue a removed surface from which the treated object region is removed and a non-removed surface adjacent to the removed surface without forming any corners between the surfaces in the cartilage.