JP2000271141A - 手術装置 - Google Patents

手術装置

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Publication number
JP2000271141A
JP2000271141A JP11078335A JP7833599A JP2000271141A JP 2000271141 A JP2000271141 A JP 2000271141A JP 11078335 A JP11078335 A JP 11078335A JP 7833599 A JP7833599 A JP 7833599A JP 2000271141 A JP2000271141 A JP 2000271141A
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JP
Japan
Prior art keywords
battery
sheet
surgical
ultrasonic
power supply
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
JP11078335A
Other languages
English (en)
Inventor
Tomohisa Sakurai
友尚 櫻井
Takeaki Nakamura
剛明 中村
Masaru Karasawa
勝 唐澤
Shinji Hatta
信二 八田
Akira Shiga
明 志賀
Katsumi Sasaki
勝巳 佐々木
Takeo Usui
健夫 碓井
Yoshinao Ooaki
義直 大明
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Olympus Corp
Original Assignee
Olympus Optical Co Ltd
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Filing date
Publication date
Application filed by Olympus Optical Co Ltd filed Critical Olympus Optical Co Ltd
Priority to JP11078335A priority Critical patent/JP2000271141A/ja
Publication of JP2000271141A publication Critical patent/JP2000271141A/ja
Withdrawn legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated

Landscapes

  • Surgical Instruments (AREA)
  • Battery Mounting, Suspending (AREA)

Abstract

(57)【要約】 【課題】 駆動電源の電気エネルギが不足する場合に
も、容易に電気エネルギを供給することができる手術装
置を提供する。 【解決手段】 超音波手術具４は把持操作部３内には、
発振回路１４の発振出力を増幅器１５で増幅した駆動信
号が印加される超音波振動子１３が内蔵され、その超音
波振動は挿入部２内の振動伝達部材１８を介してその先
端の処置部８側に伝達され、超音波振動を利用して切開
等を行うことができる。発振回路１４等の駆動部にはハ
ンドル部６の電源端子２５ａ，２５ｂを設けた側面に着
脱自在のシート状のバッテリ５を装着することにより、
その正極端子２６ａと負極端子２６ｂとが電源端子２５
ａ，２５ｂと接続されて駆動電源が供給される。バッテ
リ５の電気エネルギが不足するような場合には、バッテ
リ５を容易かつ簡単に交換しることにより、駆動電源を
供給できるようにした。

Description

【発明の詳細な説明】
【０００１】
【発明の属する技術分野】本発明はバッテリにより駆動
部を駆動して治療のための処置を行う手術装置に関す
る。
【０００２】
【従来の技術】近年、腹腔内あるいは関節腔内に挿入し
て観察、処置をする手段として光学視管と併用して電気
的、超音波的手術装置が広く用いられている。また、経
内視鏡的ではない外科手術装置として電気メスあるいは
超音波手術装置も広く用いられている。
【０００３】例えば、特公平２−４３５０１号では内視
鏡チャンネル内にモータを駆動させるドリルを通したも
のであり、モータを駆動する電源は、内視鏡の把持部に
内蔵されている。
【０００４】
【発明が解決しようとする課題】上記従来例では、バッ
テリを内蔵するために内視鏡が重くなり、操作しにく
く、また、別の問題点としては処置中にバッテリが切れ
ることがあり、術中であるため、容易に交換等して電源
を供給できることが望まれるが、容易にできない欠点が
ある。
【０００５】（発明の目的）本発明は、上述した点に鑑
みてなされたもので、駆動電源の電気エネルギが不足す
る場合にも、容易に電気エネルギを供給することができ
る手術装置を提供することを目的としている。
【０００６】また、別の目的は容易にバッテリを交換で
きる手術装置を提供することにある。また、別の目的は
バッテリと手術具とのケーブル長を短縮化し、且つ、手
術具の取り扱い性を向上することにある。また、別の目
的は、駆動電圧が異なる手術具でも、単一の電源供給装
置で駆動可能となるようにすることにある。また、別の
目的は、大容量のバッテリであっても、術者への負担が
軽減し、且つ、バッテリの取り扱い性を向上させること
にある。
【０００７】
【課題を解決するための手段】電気的に駆動部を駆動
し、該駆動部の先端側に設けた処置部により、生体組織
に対する処置を行う手術装置において、前記駆動部を電
気的に駆動する駆動電源として、シート状のバッテリを
手術装置本体の電源端に着脱自在に設けることにより、
シート状のバッテリを採用することで手術装置を軽量化
して操作性を向上すると共に、電気エネルギが不足する
場合にも容易かつ短時間で交換等して電源を供給できる
ようにしている。
【０００８】
【発明の実施の形態】以下、図面を参照して本発明の実
施の形態を説明する。 （第１の実施の形態）図１ないし図３は本発明の第１の
実施の形態に係り、図１は第１の実施の形態の超音波手
術装置（図１（Ａ））及びそのＡ−Ａ線断面によりハン
ドル部４の構成（図１（Ｂ））を示し、図２はシート状
バッテリを外した状態で、超音波手術装置の内部構成を
示し、図３は装着手段を設けたバッテリを示す。
【０００９】図１（Ａ）に示すように本発明の手術装置
の第１実施の形態の超音波手術装置１は体内に挿入され
る細長の挿入部２と、該挿入部２の後端に設けられ、術
者が把持して操作を行う把持操作部３とから構成される
超音波手術具（超音波手術装置本体）４と、該超音波手
術具４に着脱自在で装着されるシート状のバッテリ（或
いはカード状のバッテリ）５とから構成される。
【００１０】超音波手術具４の把持操作部３は術者が手
で把持するハンドル部６と、その把持した手の指を掛け
て操作する操作レバー７とが設けてあり、該ハンドル部
６を把持した指で操作レバー７を操作することにより、
挿入部２の先端の先端部に設けた（超音波振動で切開及
び凝固の処置を行う）処置部８を構成する固定刃８ａに
対して可動刃８ｂを開閉できるようにしている。
【００１１】また、ハンドル部６にはシート状のバッテ
リ５を着脱自在で装着できるようにしている。図２に示
すように挿入部２は、細長い筒状のシース１１で形成さ
れ、このシース１１の基端部は把持操作部３における例
えばハンドル部６の上部側の外装ケース１２の前端の開
口で連結固定されている。
【００１２】この外装ケース１２内部には、駆動部を構
成する例えば超音波振動を発生する超音波振動子１３
と、発振信号を発生する発振回路１４と、該発振信号を
増幅して超音波振動子１３の電極に印加して超音波振動
させる増幅器１５とを有し、この超音波振動で処置する
駆動エネルギを生成する。
【００１３】上記発振回路１４及び増幅器１５には動作
電源（電気エネルギ）がスイッチ１６を介してシート状
のバッテリ５から供給されるようにしている。このスイ
ッチ１６は、例えば把持操作部３の上部側に設けてあ
り、このスイッチ１６をＯＦＦからＯＮすることによ
り、バッテリ５から発振回路１４及び増幅器１５等に動
作電源が供給される。
【００１４】超音波振動子１３はテーパ状のホーン１７
を介して挿入部２内に挿通された超音波を伝達する例え
ば棒状の振動伝達部材１８と接続され、この振動伝達部
材１８は先端部で固定刃８ａと連結されている。そし
て、超音波振動子１３で発生した超音波を振動伝達部材
１８を介してその先端の固定刃８ａに伝達し、該固定刃
８ａの超音波振動により、超音波的な切開及び凝固の処
置を行うことができるようにしている。
【００１５】なお、例えば振動伝達部材１８の基端付近
で、該振動伝達部材１８と外装ケース１２の小径部との
間に介挿したＯリング１９でその後方側の把持操作部３
内部を水密構造にして、消毒等を行えるようにしてい
る。
【００１６】また、挿入部２の先端部には（固定刃８ａ
に対して）開閉する可動刃８ｂがピン２１を中心として
回動自在に支持され、この可動刃８ｂには挿入部２内に
挿通された操作ワイヤ２２の先端が固着され、この操作
ワイヤ２２の後端は把持操作部３の外装ケース１２の先
端付近で前後に移動自在に収納された操作ワイヤ支持部
材２３に固着されている。
【００１７】この操作ワイヤ支持部材２３は中空部を有
し、中空部内部に振動伝達部材１８が挿通されている。
また、この操作ワイヤ支持部材２３の外周面には例えば
その中央がリング状に切り欠かれ、この切り欠き部分に
操作レバー７の基端が側方から係入され、かつ操作レバ
ー７の基端付近に設けた図示しないピンは水平方向のガ
イド溝に係入されている。
【００１８】そして、操作レバー７を回動させる操作を
行うと、操作ワイヤ支持部材２３は前後に移動し、その
移動と共に、操作ワイヤ２２も前後に移動し、固定刃８
ａに対して可動刃８ｂを開閉できるようにしている。
【００１９】本実施の形態では例えばハンドル部６の一
方の側面、つまりバッテリ５が装着される装着面に、例
えば突出する電源端子２５ａ，２５ｂが設けてあり、一
方、バッテリ５における一方の側面には電源端子２５
ａ，２５ｂに押圧して着脱自在に接続される正極端子２
６ａ、負極端子２６ｂが設けてある。
【００２０】なお、このバッテリ５は水密構造にしてあ
り、消毒或いは滅菌が可能である。また、このバッテリ
５を取り去った超音波手術装置本体も水密構造にしてあ
り、消毒或いは滅菌が可能である。
【００２１】また、バッテリ５は例えば充電可能な２次
電池であり、例えばハンドル部６の側面形状と同じほぼ
長方形で、薄板状（シート状）である。
【００２２】図３に示すようにシート状のバッテリ５に
おけるハンドル部６の装着面側となる一方の側面には着
脱自在に接続する手段として（正極端子２６ａ及び負極
端子２６ｂ部分を除いて）粘着層２７が設けてあり、ハ
ンドル部６の装着面側に着脱自在で簡単に装着すること
ができるようにしている。
【００２３】このように超音波手術装置１として、駆動
電源として軽量なシート状のバッテリ５を採用すること
により、この超音波手術装置１を軽量化して、操作性を
確保すると共に、把持操作部３にバッテリ５を側方から
押しつけるのみで簡単かつ迅速に装着することができ、
かつ側方から引き離すような力を加える操作を行うこと
により簡単かつ迅速に取り外すことができるようにし
て、例えば電池が無くなった場合或いは電池容量が不足
する場合、バッテリ交換を容易かつ短時間に行うことで
それらを解消できるようにしている。
【００２４】次に本実施の形態の作用を説明する。例え
ば、腹部内のポリープを切除する手術を内視鏡観察のも
とで行う場合で説明する。まず、充電されたシート状の
バッテリ５をハンドル部６の装着面に側方から押圧し
て、その正極端子２６ａと負極端子２６ｂとを装着面の
電源端子２５ａ，２５ｂとにそれぞれ接続する。この場
合、シート状のバッテリ５には粘着層２７が設けてある
ので、簡単かつ短時間に装着することができる。そし
て、患者の腹部にこの超音波手術装置１の挿入部２を図
示しないトラカールをガイドとして刺入する。
【００２５】そして、内視鏡の観察の下で、術者はハン
ドル部６を把持し、操作レバー７に指を掛け、処置部８
の固定刃８ａに対し可動刃８ｂを開いた状態から閉じる
ように操作レバー７を操作して、ポリープの首部を固定
刃８ａと可動刃８ｂとで把持し、スイッチ１６をＯＮす
る。
【００２６】すると、超音波振動子１３が超音波振動
し、その超音波振動が振動伝達部材１８で伝達されて固
定刃８ｂを超音波振動させ、その際の摩擦熱で把持した
ポリープの首部を切除することができる。
【００２７】このように処置を行う場合、駆動電源とし
てシート状のバッテリ５を採用しているので、超音波手
術装置１全体が軽量化でき、術者はその軽量であること
により、その重さをあまり気にすることなく、操作性が
良い状態で操作できる。
【００２８】また、長時間操作しても疲れを少なくで
き、術者の負担を軽減できる。
【００２９】また、長時間の使用により、仮に手術中に
バッテリ５の電池が少なくなった（電気エネルギが少な
くなった）場合には、挿入部２を体腔内に挿入した状態
のままで、ハンドル部６からバッテリ５を引き離す方向
に力を加えることにより、そのバッテリ５を取り去り、
充電済みの別のバッテリ５を上記のように簡単かつ短時
間に装着することができる。
【００３０】このように本実施の形態によれば、駆動電
源として軽量なシート状のバッテリ５を採用することに
より、この超音波手術装置１を軽量化して、操作性を確
保すると共に、把持操作部３にバッテリ５を側方から押
しつけるのみで簡単かつ迅速に装着することができ、か
つ側方から引き離すような力を加える操作を行うことに
より簡単かつ迅速に取り外すことができるようにして、
バッテリ５の交換を容易かつ短時間にに行うことができ
る。従って、仮に手術中にバッテリ５の電池が無くなっ
ても、短時間かつ容易に充電された別のバッテリに交換
して、電源を供給できる状態にして手術を続行すること
ができる。
【００３１】図４は変形例の超音波手術装置のハンドル
部６を示す（図１（Ａ）のＡ−Ａ線断面により示す）。
この変形例ではハンドル部６には一方及び他方の側面か
らシート状のバッテリ５ａ，５ｂを着脱自在で装着でき
るようにしている。
【００３２】この場合、ハンドル部６の両側面に電源端
子が設けてあり、各電源端子にバッテリ５ａ，５ｂの正
極端子２６ａ、負極端子２６ｂが接続される。そして、
２つのバッテリ５ａ，５ｂにより同時に駆動電源が供給
されるようになっている。
【００３３】そして、長時間の手術を行う場合には、途
中で一方のバッテリ（例えば５ａ）を充電済みの別のバ
ッテリと交換し、その後に残りのバッテリ５ｂも充電済
みの別のバッテリと交換するようにしても良い。
【００３４】この場合、一方のバッテリを交換するため
に取り外した場合にも、他方のバッテリが装着されてい
るので、駆動電源を供給する状態を維持することがで
き、手術を中断させたくない状態にも対応できる。
【００３５】また、以下のようにしても良い。装着され
た２つのバッテリ５ａ，５ｂの一方の電池容量を検出し
て、発振回路１４等を継続して使用する場合に不足する
可能性が高い値になると、他方のバッテリ側が接続され
るように切り替えて使用できる構成にしても良い。
【００３６】このような構成にすると、充電が完了した
２つのバッテリ５ａ，５ｂを装着して使用し、一方の電
池容量が少なくなった場合に、自動的に他方のバッテリ
に切り替えて使用でき、その際に残りの方のバッテリの
電池容量が少なくなるまでの間に先に電池が無くなった
側のバッテリを充電された別のバッテリに交換すれば良
いので、手術中の場合でも、その手術を続行した状態で
その手術中における実際に超音波出力を停止した時のタ
イミング等で交換することができる。つまり、手術中で
もその手術における影響の少ないタイミング等で交換す
ることができる効果がある。なお、上述の実施の形態に
おける粘着層２７の代わりに、例えば磁気的引力を利用
してシート状のバッテリ５をハンドル部６に着脱自在に
しても良い。
【００３７】上述の実施の形態ではシート状のバッテリ
５を手術装置本体に直接着脱自在にして、手術装置本体
の電源端に駆動電源を供給する場合で説明したが、以下
の実施の形態で説明するようにシート状のバッテリに接
続されたコネクタを手術装置本体の電源端に着脱自在に
接続する構造にしても良い。
【００３８】概要を説明すると、この場合にはバッテリ
の電池（電気エネルギ）が不足する場合には、バッテリ
に接続されたコネクタ毎、充電済みのものに交換すれ
ば、電池の不足する事態を解消できる。
【００３９】（第２の実施の形態）次に本発明の第２の
実施の形態の超音波手術装置を図５（Ａ）、（Ｂ）を参
照して説明する。図５（Ａ）は術者の着衣に装着可能な
超音波手術装置を示し、図５（Ｂ）はバッテリと共に充
電器を示す。
【００４０】図５（Ａ）に示すように超音波手術装置２
９は超音波手術具３０と、該超音波手術具３０の電源端
に着脱自在のコネクタ３１を一端に設けたケーブル３２
を介して接続されるシート状のバッテリ３３とから構成
されており、術中にはバッテリ３３を術者（の着衣３
５）に簡単に装着できるようにしている。
【００４１】具体的にはこのシートの状バッテリ３３の
一面にはマジックテープ（登録商標）３４が貼付されて
おり、術中は着衣３５の一部に取り付けたマジックテー
プ３６と貼り合わせることができるようにしている。
【００４２】従って超音波手術具３０にはバッテリは搭
載されないので、この超音波手術具３０は軽量になり、
取扱い性が向上する。また、術者にはシートの状バッテ
リ３３が装着されるが、このシートの状バッテリ３３は
軽量であるので、その重みが術者に負担になることは殆
どない。
【００４３】また、術者に装着できるようにすることに
より、ケーブル３２を長く引き回すことを不必要にし
て、ケーブル短縮化し、取り扱いを向上している。つま
り、術者に装着できない場合には、術者の位置等によ
り、ケーブルを最短距離に配置することが術者にとって
邪魔になり易いので、長くすることが必要になるが、常
時術者に装着できる状態にすることにより、術者の位置
が変わっても、余分な長さを必要としない 。
【００４４】また、超音波手術具３０へ電力を供給する
ケーブルに関する術者の負担を軽減する。
【００４５】また、図５（Ｂ）に示すように、バッテリ
３３には電極３７ａ、３７ｂが設けてあり、商用電源に
接続された充電器３８の挿入口３８ａからシート状のバ
ッテリ３３を挿入し、充電器３８内の電極３９ａ，３９
ｂと接触させることにより、充電を行うことができる。
【００４６】また、長時間の手術に使用する場合のよう
に手術中に電池が無くなった場合（或いは電気エネルギ
が不足する場合）には、超音波手術具３０からコネクタ
３１を外し、充電済みの別のシート状のバッテリ３３と
接続されたコネクタ３１を超音波手術具３０に接続すれ
ば、簡単かつ短時間でバッテリ交換を行うことができ
（換言すると電源を供給できるようにでき）、手術を殆
ど中断することなく続行できる。
【００４７】なお、ケーブル３２のバッテリ３３側の端
部にもバッテリ３３と着脱自在のコネクタを設けるよう
にしても良い。また、バッテリ３３として容量の異なる
ものを複数種類用意しておき、手術時間等に応じて選択
使用できるようにしても良い。
【００４８】（第３の実施の形態）次に本発明の第３の
実施の形態を備えた手術システムを図６を参照して説明
する。図６に示す手術システム４１は、充電器４２を有
し、この充電器４２は複数枚のシート状バッテリ４３
ａ，４３ｂ，４３ｃを収納できる。
【００４９】そして、収納されているバッテリ４３ａ，
４３ｂ，４３ｃの一端をＧＮＤとし、隣接するバッテリ
４３ａ，４３ｂ，４３ｃ同士を、中空部４４を有する導
電部４５で直列に配設する。
【００５０】バッテリ４３ｉ（ｉ＝ａ，ｂ，ｃ，…）を
直列に配することで中空部４４の位置によって負荷され
る電圧は異なる。したがって、駆動電圧が異なる第１の
処置具４５ａと第２の処置具４５ｂに接続される充電部
４６ａ、４６ｂを導電部４５の中空部４４に挿入する
と、各々の処置具はそれぞれ固有の電圧で充電されるよ
うになる。
【００５１】本実施の形態によれば、駆動電圧が異なる
手術具でも、単一の電源供給装置で駆動可能となる効果
がある。また、各処置具はシート状バッテリ４３ｉと着
脱自在に接続されるので、第２の実施の形態とほぼ同様
の作用効果を有する。
【００５２】（第４の実施の形態）次に本発明の第４の
実施の形態を図７（Ａ）、（Ｂ）を参照して説明する。
図７（Ａ）はバッテリを内蔵した滅菌シートを正面図で
示し、図７（Ｂ）は滅菌シートを患者に被せた状態で示
す。
【００５３】図７（Ａ）に示すようにシート状のバッテ
リを内蔵した滅菌シート５０には図６で示した手術具４
５ａ等に電力を供給するためのコネクタ部５１を複数有
している。また、前記シート５０には充電用コネクタ５
２も設けてあり、図示しない充電器にて充電できるよう
にしている。本滅菌シート５０は、図７（Ｂ）に示すよ
うに手術台５３上の患者５４の上に被せられる。
【００５４】このようにすれば、バッテリを大容量化可
能となるので、手術具４５ａなどに確実に電力を供給で
きる。また、電力供給用のケーブルも短縮化できるた
め、手術具の取扱い性が向上する。しかも、シート全体
にバッテリの重量が分散するので、患者の負担も少な
い。なお、シート状バッテリは例えばポリマ電池を用い
ることができる。
【００５５】一方、充電用コネクタ５２を設けないよう
にし、滅菌パックに封入しておいて、使い捨てシートに
してもよい。その際には、充電が必要ないので構造の簡
略化と共に軽量化を図ることができる。本実施の形態に
よれば、バッテリサイズを大きくできるので電力の大容
量化を図ることができ、長時間、安定して電力を供給で
きる。
【００５６】（第５の実施の形態）次に本発明の第５の
実施の形態を図８を参照して説明する。図８に示すよう
にトラカール６０に挿通可能な手術具６１には、薄型の
シート状バッテリを内蔵した対極板６２からケーブル６
３介してコネクタ６４から電力が供給されるようにして
いる。
【００５７】これにより、手術具６１に内蔵される電源
よりサイズを大きくできるため、大容量化を図ることが
できる。
【００５８】なお、この手術具６１として例えば第１の
実施の形態の超音波手術装置１の代わりに高周波手術装
置とし、さらにコネクタ６４が着脱自在に接続される外
部電源端子を設けたものにしても良い。
【００５９】このようにすると、第１の実施の形態の効
果の他に、手術具６１に着脱自在で装着されたシート状
バッテリ５による電池容量を大幅に大容量化できる。
【００６０】（第６の実施の形態）次に本発明の第６の
実施の形態を図９を参照して説明する。手術台７０の上
の手術用シーツ７１には、患者と接触する面に布部７２
を有し、布部７２の裏面に薄型のシート状バッテリ７３
を有する。手術用シーツ７１には対極板７４が配置さ
れ、手術具７５とはケーブル７６で接続されている。第
５の実施の形態よりもシート状バッテリ７３をサイズ的
に大きくできるので、大容量化を図ることができる。
【００６１】（第７の実施の形態）次に本発明の第７の
実施の形態を図１０を参照して説明する。基本構成は第
５の実施の形態、又は第６実施の形態と同様である。本
実施の形態では、薄型のシート状バッテリを内蔵した対
極板８０からの電力が、ケーブル８１からトラカール８
２のコネクタ８３を介して手術具８４に供給されるよう
にしている。手術具８４はトラカール８２により患者の
体腔壁８５のガイド孔を介して体腔内８６に刺入され、
病変部８７に対して処置具８４で処置できる。
【００６２】これにより、手術具８４に設けたシート状
バッテリの電池容量を大容量化して使用できると共に、
電池容量を大容量化できる状態での手術具８４の交換も
容易となる。
【００６３】（第８の実施の形態）次に本発明の第８の
実施の形態を図１１（Ａ）、（Ｂ）、（Ｃ）を参照して
説明する。図１１（Ａ）は手術中における手術用シート
を示し、図１１（Ｂ）はその一部の構成を拡大して示
し、図１１（Ｃ）は収納時の手術用シートを示す。
【００６４】図１１（Ａ）に示す手術用シート９０は、
手術時に患者９１の下に敷かれる。図１１（Ｂ）に示す
ようにこの手術用シート９０は温熱装置９２を患者９１
に接触する面に配し、その裏側に薄型のシート状バッテ
リ９３を配する。そして、絶縁部材９４で覆うようにし
ている。
【００６５】また、図１１（Ａ）に示すように手術用シ
ート９０には充電用コネクタ９５が設けてあり、電源の
容量が低下してきたら、充電用コネクタ９５から充電を
行うことができる。
【００６６】また、手術用シート９０を収納時には図１
１（Ｃ）に示すように巻回してコンパクトにして収納で
きる。
【００６７】また、充電用コネクタ９５に手術具の電源
コネクタを着脱自在で接続することにより、その手術具
に駆動電源を供給することができる。本実施の形態は手
術具がシート状バッテリ等の駆動電源を備えたものであ
る場合には、その電池容量を大幅に増大して使用でき、
また手術具がシート状バッテリ等の駆動電源を備えてい
ない場合には手術用シート９０からその駆動電源を供給
して使用できる。
【００６８】（第９の実施の形態）次に本発明の第９の
実施の形態を図１２（Ａ）、（Ｂ）を参照して説明す
る。図１２（Ａ）は手術台を示し、図１２（Ｂ）は手術
台に設けた充電器の一部を示す。手術台１００の一部
に、該手術台１００に収納・引き出し可能な充電器１０
１を有し、充電器１０１には少なくとも一つの充電部が
あり、充電池１０２が搭載されている。
【００６９】手術台１００に接続されているケーブル１
０３を商用電源に接続することにより、該ケーブル１０
３を介して充電器１０１へ商用電源からの電力が供給さ
れる。
【００７０】上記充電器１０１は図１２（Ｂ）に示すよ
うに接点を有する充電部１０４でもよく、図示しない充
電池を装着すれば充電可能となる。なお、上述した各実
施の形態などを部分的等で組み合わせて構成される実施
の形態なども本発明に属する。
【００７１】［付記］ １．電気的に駆動部を駆動し、該駆動部の先端側に設け
た処置部により、生体組織に対する処置を行う手術装置
において、前記駆動部を電気的に駆動する駆動電源とし
て、シート状のバッテリを手術装置本体の電源端に着脱
自在に設けたことを特徴とする手術装置。
【００７２】２．前記バッテリは一部に装着手段を有す
ることを特徴とする付記１記載の手術装置。 ３．前記装着手段は前記手術装置本体のハンドル部に着
脱自在である付記１記載の手術装置。 ４．前記装着手段はケーブルを介して手術具に電流を供
給すると共に、電流を供給するバッテリを術者の着衣に
固着するための固着手段を有することを特徴とする付記
２記載の手術装置。
【００７３】５．手術具に供給する力ード式バッテリ
と、前記バッテリを複数枚収納可能なバッテリハウジン
グと、前記バッテリハウジングに前記バッテリを直列に
接続する回路と、前記回路に設けた手術具の端子が接続
される複数の端子を有することからなる電源供給装置を
有することを特徴とする手術具装置。
【００７４】６．シート状バッテリを内蔵したことを特
徴とする手術用滅菌シート。 ７．１ヶ所以上の出力用コネクタを有することを特徴と
する付記５記載の手術用滅菌シート。 ８．充電端子を有し、再滅菌と再使用可能な付記５記載
の手術用滅菌シート。
【００７５】９．充電端子が無く、使用前は滅菌パック
に入っており、再利用不可能であることを特徴とする付
記６記載の手術滅菌シート。 １０．バッテリで駆動する高周波処置具において、対極
板にシート状バッテリを内蔵したことを特徴とする手術
システム。 １１．シート状バッテリを内蔵し、少なくともその一部
を対極板で構成したシーツを有することを特徴とする付
記１０記載の手術システム。
【００７６】１２．対極板内のバッテリからの供給電力
の入力端をトラカールに配したことを特徴とする付記１
０項記載の手術システム。 １３．保温シートにシート状電池を内蔵させたことを特
徴とする保温装置。 １４．バッテリで駆動する手術具において、駆動用バッ
テリの充電器を内蔵したベッドからなる手術システム。
【００７７】
【発明の効果】以上説明したように本発明によれば、電
気的に駆動部を駆動し、該駆動部の先端側に設けた処置
部により、生体組織に対する処置を行う手術装置におい
て、前記駆動部を電気的に駆動する駆動電源として、シ
ート状のバッテリを手術装置本体の電源端に着脱自在に
設けているので、シート状のバッテリを採用することで
手術装置を軽量化して操作性を向上すると共に、電気エ
ネルギが不足する場合にも容易かつ短時間で交換等して
電源を供給できる。
【図面の簡単な説明】
【図１】本発明の第１の実施の形態の超音波手術装置の
側面図及びそのＡ−Ａ線の断面図。
【図２】シート状バッテリを外した状態で、超音波手術
装置の内部構成を示す図。
【図３】装着手段を設けたバッテリを示す図。
【図４】変形例におけるＡ−Ａ線の断面図。
【図５】本発明の第２の実施の形態の超音波手術装置及
び充電器等を示す図。
【図６】本発明の第３の実施の形態の手術システムの構
成を示す図。
【図７】本発明の第４の実施の形態における滅菌シート
を示す図。
【図８】本発明の第５の実施の形態の手術装置を示す
図。
【図９】本発明の第６の実施の形態の手術装置を示す
図。
【図１０】本発明の第７の実施の形態の手術装置を示す
図。
【図１１】本発明の第８の実施の形態における手術用シ
ートなどを示す図。
【図１２】本発明の第９の実施の形態における手術台な
どを示す図。
【符号の説明】
１…超音波手術装置 ２…挿入部 ３…把持操作部 ４…超音波手術具（超音波手術装置本体） ５…バッテリ ６…ハンドル部 ７…操作レバー ８…処置部 ８ａ…固定刃 ８ｂ…可動刃 １１…シース １２…外装ケース １３…超音波振動子 １４…発振回路 １５…増幅器 １６…スイッチ １８…振動伝達部材 ２２…操作ワイヤ ２５ａ，２５ｂ…電源端子 ２６ａ…正極端子 ２６ｂ…負極端子 ２７…粘着層 ３４，３６…マジックテープ ３８、４２…充電器 ５０…（滅菌）シート ６１…手術具 ６２、８０…対極板 ７１…手術用シーツ ９０…手術用シート １００…手術台
───────────────────────────────────────────────────── フロントページの続き (51)Int.Cl.7 識別記号 ＦＩ テーマコート゛(参考） Ａ６１Ｂ 18/04 Ｈ０１Ｍ 2/10 Ｙ 18/12 Ａ６１Ｂ 17/36 ３３０ // Ｈ０１Ｍ 2/10 17/38 17/39 (72)発明者 唐澤 勝 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 八田 信二 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 志賀 明 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 佐々木 勝巳 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 碓井 健夫 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 大明 義直 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 Ｆターム(参考） 4C060 EE03 FF21 FF23 FF38 JJ12 JJ22 KK03 KK08 KK14 KK16 LL09 5H020 AA06 AS00 CC04 CC10 CC12 CC16 CC23 CC24 CC28 CC34 DD02 DD06 HH03 MM32

Claims (1)

    【特許請求の範囲】
  1. 【請求項１】 電気的に駆動部を駆動し、該駆動部の先
    端側に設けた処置部により、生体組織に対する処置を行
    う手術装置において、 前記駆動部を電気的に駆動する駆動電源として、シート
    状のバッテリを手術装置本体の電源端に着脱自在に設け
    たことを特徴とする手術装置。
JP11078335A 1999-03-23 1999-03-23 手術装置 Withdrawn JP2000271141A (ja)

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