Olympus Corporation

Olympus Medical Systems Corporation

Gyrus Acmi, Inc.

Tsuyoshi Hayashida

Kester Julian Batchelor

Yoshitaka Honda

Danilo Legaspi

Tsunetaka Akagane

Riyad Moe

Nikhil M Murdeshwar

Richard James Curtis

Kazue Tanaka

John Mensch

Theodore C Blus

Shinji Hatta

Ryan J Windgassen

Kazuya Hijii

Jyue Boon Lim

Sadayoshi Takami

Toshifumi Katsuragi

Satoshi Honda

Dennis G Lamser

Sumihito Konishi

Satomi Sakao

Norihiko Hareyama

Kenji Harano

Masahide Ohyama

Kazunori Taniguchi

Tatsuro Yamamoto

Ko Kawashima

Shigeo Nagayama

Ojiro Kitamura

Koji Shimomura

Tadashi Kitayama

Shohei Moriwaki

Akinori Kabaya

Kenji Matsuki

Danilo Jr Baring Legaspi

Ko Shimizu

The procedure instrument includes an end effector for treating biological tissue by grasping biological tissue by opening and closing and imparting treatment energy to biological tissue, a fixed handle grasped by an operator, a movable handle for opening and closing the end effector by moving in a direction close to and away from the fixed handle, respectively, and a first switch provided inside the fixed handle and receiving a user operation for imparting treatment energy to the biological tissue from the end effector in response to the movement of the movable handle, and a second switch provided in a state of being exposed outside the fixed handle and receiving a user operation in response to the movement of the movable handle.

Treatment instrument, treatment system, and control method

Method, device and treatment system for sealing living tissue using high frequency electrical energy provided to the living tissue by an end effector of a treatment instrument applies N cycles (N=natural number from 1 to 5, inclusive) of electrical energy to the living tissue by increasing, in each cycle, an amount of the high frequency electrical energy provided to the living tissue until the impedance of the living tissue increases to an impedance threshold value for that cycle, after which the amount of high frequency electrical energy is decreased to decrease the impedance of the living tissue by a predetermined value. The cycle repeats, with each subsequent cycle having an impedance threshold value greater than in the prior cycle, and the cycles stop when an N+1-th impedance reaches a impedance stop value. Initial values of impedance can be used to determine parameters of the cycles.

Apparatus and method for electrosurgery

A medical device includes: an end effector configured to apply treatment energy for treating a living tissue according to supplied power; a drive source configured to supply the power to the end effector; and a processor configured to classify, in a first time period after a supply of the power to the end effector is started, the living tissue into any one of a plurality of tissue types based on a first parameter detected in the first time period, control an operation of the drive source after the first time period based on the classified tissue type, reclassify the classified living tissue into any one of the plurality of tissue types based on a second parameter detected after the first time period, and control an operation of the drive source based on the tissue type into which the classified living tissue is reclassified.

Medical device and control method

A control device includes a processor configured to: execute a sealing control mode in which electrical power to seal a living tissue by heating the living tissue at a first temperature is supplied, and an incision control mode in which electrical power to incise the living tissue by heating the living tissue at a second temperature higher than the first temperature is supplied; calculate elapsed time, as an index value, since it has reached the second temperature by executing the incision control mode; compare the index value and a threshold; determine a residual heat level of an end effector based on a result of comparison between the index value and the threshold; and perform, based on a determination result of the residual heat level, at least one of: notification of information indicating a warning from a notifying unit; and adjustment of electrical power supplied to the end effector.

Control device, treatment system, residual-heat determining method, and computer readable recording medium

A control device includes: a power source configured to supply a high frequency power to a treatment instrument configured to treat a living tissue; a detecting circuit configured to sequentially detect a phase difference between a voltage and a current of the high frequency power supplied to the treatment instrument; and a processor configured to control operation of the power source, the processor being configured to sequentially calculate a variation of the phase difference detected by the detecting circuit, compare the calculated variation of the phase difference with a first threshold set for a variation of a phase difference, and perform reduction processing to reduce output of the high frequency power to be supplied to the treatment instrument when it is determined that the calculated variation of the phase difference is equal to or smaller than the first threshold.

Control device, treatment system, and control method

In a treatment system, an energy treatment instrument includes a pair of grasping pieces. An energy output source outputs electric energy to the energy treatment instrument, thereby applying treatment energy to a blood vessel grasped between the grasping pieces. A measurement section measures a blood pressure at a site related to the grasped blood vessel. A processor controls output of the electric energy from the energy output source based on a measurement result obtained by the measurement section, and thereby switches an actuation state of the energy treatment instrument between a first mode for coagulating the blood vessel and a second mode for coagulating the blood vessel target that is different from the first mode.

Treatment system, control device and treatment method

An energy treatment system and a output control method thereof according to embodiments of the present invention perform treatment by energy supply in which ultrasonic energy and high frequency energy are combined, stop or suppress discharge by reducing the output of high frequency energy within a set period when a state in which discharge is likely to occur during treatment is detected, and change the output of ultrasonic energy. In addition, in order for a user to continue treatment without feeling uncomfortable and to ensure incision performance, each output is controlled so that the set period is as short as possible or is supplemented, and also, the set period expires, and control is performed so as to reduce the possibility of discharge even at the time of returning.

Energy treatment system and output control method thereof

A treatment system includes a treatment tool and an energy source apparatus used to supply electrical energy to the treatment tool. The treatment tool includes a heater and bipolar electrodes to grip a treatment target. The energy source apparatus includes a processor to control the output to the bipolar electrodes and the heater, respectively. The processor directs the output to the bipolar electrodes and detects an initial value of the impedance of the treatment target. The processor determines whether or not the impedance has reached a minimum value and then retrieves a parameter that is detected before the minimum value of the impedance is detected. The processor performs a first process and/or a second process based on the acquired parameter after the minimum value is detected. The first process determines whether or not the output to the heater is required. The second process sets a target value.

Energy source apparatus

A method of operating a power source device for a high-frequency treatment instrument adapted to perform high-frequency treatment for biological tissue includes causing a high-frequency power source circuit to output power; setting a target impedance value which gradually increases from a change-over impedance value to a stop impedance value; regularly comparing a measured impedance value to the target impedance value; causing the high-frequency power source circuit to lower the power by a first ratio if the measured impedance value is greater than the target impedance value, and to raise the power by a second ratio if the measured impedance value is smaller than the target impedance value; and causing the high-frequency power source circuit to terminate the output upon the value for impedance reaching the stop impedance value.

Operation method of electric power source device, electric power source device, and high-frequency treatment system

A processor of an electric power source device exercises control over a power output before a control switching time point based on a value related to initial impedance, and determines the control switching time point upon detecting that a value related to impedance of a living tissue is at a minimum. The processor sets a set electric-power value of the power output based on a parameter related to controlling the power output before the control switching time point, and performs constant-electric-power control by controlling the power output using the electric-power value at and after the control switching time point.

Electric power source device, high-frequency treatment system, and actuating method of electric power source

A treatment system includes a treatment tool and an energy source apparatus. The treatment tool includes a heater and bipolar electrodes to grip a treatment target. The energy source apparatus supplies electrical energy to the treatment tool. A processor controls the output to the bipolar electrodes and the heater. The processor causes a high-frequency electric power to be output to the bipolar electrodes and detects a parameter that varies depending on tissue volume of the treatment target. The processor sets a target value related to an output control process for controlling the output to the heater. The processor controls the output to the heater so as to modify the treatment target with the heat of the heater. The processor increases the output and temperature to the heater until at least a predetermined point of time after starting the output control process for controlling the output to the heater.

In a treatment system, an energy treatment instrument includes a pair of grasping pieces closing with respect to each other. An energy output source outputs electric energy to the energy treatment instrument, thereby applying treatment energy to a treatment target grasped between the grasping pieces. A processor creates an optical flow of the treatment target observed by an observation element, and switches an actuation state of the energy treatment instrument between a first mode for treating the treatment target and a second mode for treating the treatment target that is different from the first mode, based on the optical flow.

A therapeutic treatment system includes a holding section configured to hold a biological tissue, electrodes provided in the holding section and capable of outputting first high-frequency energy for sealing the biological tissue at a first sealing temperature and second high-frequency energy for dissecting the biological tissue at a first dissection temperature higher than the first sealing temperature, electrodes provided in the holding section and capable of outputting first thermal energy for sealing the biological tissue at a second sealing temperature higher than the first sealing temperature and second thermal energy for dissecting the biological tissue at a second dissection temperature lower than the first dissection temperature and higher than the second sealing temperature, and a control section configured to control temperature of each of the electrodes to output the second thermal energy after the output of the first high-frequency energy.

Therapeutic treatment system and operation method for therapeutic treatment system

An energy treatment instrument includes a first grasping piece, and a second grasping piece which opens or closes relative to the first grasping piece and which grasps a blood vessel between the first grasping piece and the second grasping piece. In accordance with the kind of blood vessel grasped between the first grasping piece and the second grasping piece, an actuation state of the energy treatment instrument is switched between a first mode to coagulate a blood vessel of a circulatory system, and a second mode to coagulate a blood vessel of a pulmonary circulation in contrast to the first mode.

Energy treatment instrument, treatment system, and controller

A controller carries out a single outputting phase in which only first electric energy is supplied to an electrode, and transitions the single outputting phase to a simultaneous outputting phase in which the first electric energy and second electric energy are simultaneously output and treated target is denatured due to both of a high-frequency current and treatment energy generated in a functioning element. The controller sets a control pattern relating to the treatment energy in the simultaneous outputting phase, based on an impedance at a certain time point in the single outputting phase and/or a variation with time of the impedance in the single outputting phase.

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Hachioji, Japan

Tsuyoshi Hayashida