JP2000139947A - Medical system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To improve operability when an operator operating a foot switch is changed. SOLUTION: In both sides of an operating table 16, foot switches 25a and 25b are arranged for chief operators and an assistant operator, and which foot switch is used to control a medical device such as an electric knife device 12 or the like is selected by a remote controller 20. If the operator of the electric knife device 12 is changed from a chief operator to an assistant operator, by operating the remote controller 20, a foot switch to be connected to the electric knife device 12 is quickly changed from the foot switch 25a to the foot switch 25b, the necessity of transporting the foot switch by hand or eliminated, and thus workability is improved.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

The present invention relates to a medical system, and more particularly, to a medical system characterized by a switch for controlling a medical device.

[0002]

2. Description of the Related Art In general, in an operation such as an endoscopic surgical operation such as a laparoscopic cholecystectomy, for example, an image pickup means such as a CCD and a treatment tool channel through which a forceps and a treatment tool are inserted are provided. Endoscope for observing, examining and treating blood vessels, heat probe for hemostasis, electric scalpel such as laser scalpel as resection tool, insufflator for inflating organs with CO2 gas etc. to facilitate treatment A medical system including various medical devices such as an ultrasonic coagulation and incision device, an ultrasonic suction device, and an image recording device is used.

A hand switch or a foot switch is used when performing control such as operation of these medical devices.

[0004] Compared to the hand switch, the foot switch has the advantages that the hands of the operator are released, the hygiene of the hands of the sterilized operator is maintained, and the complexity of the cables on the operating table can be reduced. Yes, it is heavily used.

[0005] Generally, during the operation, the operator who operates the medical device may be changed. In addition, the operator's standing position may change, such as when the operator moves from the right side to the left side of the operating table.

In such a case, conventionally, every time the surgeon or the standing position is changed, a person other than the surgeon, such as a surgeon or a nurse, carries the foot switch by hand and moves it.

[0007]

However, foot switches on the floor that are not sterilized cannot be moved by the operator in the sterile area.

[0008] Even when an assistant other than the operator moves, every time the operator changes or the standing position changes,
The assistant moved the foot switch to the left or right side of the operating table, etc., so as to dive under the operating table. In addition, the work was performed with great care so as not to touch the operator or the operating table in the sterilized area. Also, since the foot switch was made rugged, he worked while carrying a large and heavy foot switch by hand. They also worked while paying attention to the cable layout. As described above, moving the position of the foot switch is inferior in workability.

[0009] In addition, during the movement of the position of the foot switch, the smooth progress of the operation by the operator has been hindered.

The present invention has been made in view of the above circumstances, and provides a medical system capable of improving the workability when changing the operator who operates the foot switch or changing the standing position and smoothing the operation progress. The challenge is to do.

[0011]

Means for Solving the Problems At least one medical device for performing observation, examination, treatment, and the like on a patient, an operating table on which the patient is placed, and used near the operating table,
A foot switch for controlling the medical device, a foot switch moving means for moving the foot switch without touching the foot switch, or any of the plurality of foot switches By providing at least one of foot switch selection means for selecting a foot switch for controlling the medical device, the foot switch can be operated by a surgeon or an assistant when the operator who operates the foot switch is changed or the standing position is changed. This eliminates the need for the operator to carry the work by hand, improves the operability when the operator who operates the foot switch or changes the standing position, and facilitates the progress of the operation.

[0012]

Embodiments of the present invention will be described below with reference to the drawings.

(First Embodiment) FIGS. 1 to 3 relate to a first embodiment of the present invention. FIG. 1 shows an example of an arrangement of a medical system in an operating room. FIG. 2 shows a remote controller. FIG. 3 is a diagram showing a display example of a centralized display panel.

(Configuration) FIG. 1 shows an arrangement of a medical system in an operating room when performing an endoscopic operation such as laparoscopic cholecystectomy.

On both sides of the operating table 16, two movable carts 1 and 11 each having a medical device mounted thereon are arranged.

The cart 1 includes a TV monitor 2a, endoscope camera devices 3a and 3b, light source devices 4a and 4b, an image mixer 5 for inverting an endoscope image and a VTR 6,
And a controller 7 for centrally controlling devices used in these endoscopic operations.

The controller 7 is connected to each device via a communication line (not shown). The controller 7 is connected to a centralized display panel 8 for centrally displaying the operation status of each device. The centralized display panel 8 is connected to the TV monitor 2a.
It is arranged horizontally.

The cart 11 has a TV monitor 2b, an electrosurgical unit 12, an insufflator 13 for injecting CO2 gas into the body for securing a visual field and an operation field, and a CO2 gas cylinder 27,
The controller 7 mounted on the cart 1 for centrally controlling the electrocautery device 12 and the insufflator 13
And a relay unit 14 and the like connected by the interface cable 9.

On the side of the cart 11, a centralized operation panel 15 for centralized operation is provided.
4 is connected to the controller 7.

In the example of FIG. 1, two endoscopes 18 are operated during the operation.
a and 18 b are used on the operating table 16. Endoscope 18
a and 18b are connected to endoscope camera devices 3a and 3b by camera cables 21a and 21b, respectively. The endoscopes 18a and 18b are connected to the light guide cable 2
2a and 22b are connected to the light source devices 4a and 4b, respectively.

From the electric scalpel device 12, an output cable 23 having an electric scalpel at the tip and a cable 24 for a counter electrode extend onto the operating table 16.

An insufflation tube 28 for feeding CO 2 extends from the insufflator 13 onto the operating table 16.

On the operating table 16, the side rails 17 are provided.
In addition, a scope holder 19 for holding the endoscope 18a and a remote controller 20 for an operator to operate and set each device from a sterilized area are installed.

On the floor below both sides of the operating table 16, foot switches 25a and 25b are arranged on each side. In the present embodiment, the foot switch 2
5a, 25b is an electrocautery device 1 which is one of the medical devices
2 to operate.

The cables 26 extending from the foot switches 25a and 25b are bundled together on the way and connected to a foot switch connector (not shown) provided on the back of the electric scalpel device 12. Foot switch 25a, 25
b has different arrangement locations, so the length of each cable 26 differs according to the arrangement location.

The remote controller 20 shown in FIG.
An operator in the sterilization area is used to operate and set each device, and has a function of performing, for example, increasing and decreasing the set output of the electrosurgical device 12 and adjusting the brightness of the light source devices 4a and 4b. Further, it has a function of selecting foot switches 25a and 25b for controlling a medical device such as the electrosurgical device 12.

The remote controller 20 is provided with switches 31, 32, and 33 for selecting foot switches 25a and 25b for controlling the electric scalpel device 12. When the switch 31 marked "A" is pressed, the foot switch 25a is selected and the switch 3 marked "B" is pressed.
By pressing 2, the foot switch 25b is selected and “A +
When the switch 33 marked "B" is pressed, both the foot switches 25a and 25b are selected.

The central display panel 8 shown in FIG.
3 and the setting output of the electrosurgical device 12 can be displayed.
It is possible to display which of the foot switches 25b is selected to control the electrocautery device 12. When the foot switch 25a is selected, the display section 34 of the central display panel 8 marked "A" is turned on, and when the foot switch 25b is selected, "B" is marked. When the display unit 35 is turned on and both the foot switches 25a and 25b are selected, both the display units 34 and 35 are turned on.

(Effect) Next, the operation and effect of the present embodiment will be described.

When the main surgeon and the secondary surgeon perform an operation using the medical system having the configuration of the present embodiment, first, a position matching the standing position of the main surgeon and the secondary surgeon, that is, in many cases, One foot switch 25a and one foot switch 25b are disposed on both sides of the operating table 16, respectively.

After the operation is started, for example, when the surgeon first uses the electrosurgical unit 12, the switch 31 of the remote controller 20 is pressed so that the electrosurgical unit 12 can be controlled by the foot switch 25a. .

During the operation, for example, when the operator of the electric scalpel device 12 is changed to the auxiliary operator, the switch 32 of the remote controller 20 is pressed so that the electric scalpel device 12 can be controlled by the foot switch 25b.

If the surgeon operating the electrosurgical unit 12 changes frequently during the operation, the switch 33 of the remote controller 20 is pressed, and the foot switch 2
It is convenient to make the electric knife device 12 controllable even in 5a and 25b.

As described above, the foot switches 25a and 25 for controlling a medical device such as the electrosurgical device 12 are used.
Since the remote controller 20 having the switches 31, 32, and 33 as foot switch selecting means for selecting the b is provided, the operator who operates the medical device during the operation or the standing position of the operator changes. However, the foot switches 25a and 25b are respectively arranged at the standing positions of a plurality of operators or the plurality of standing positions of the
A plurality of foot switches 25a, 25b with 1, 32, 33
Since the foot switches 25a and 25b used to control the medical device can be selected from among the above, the labor for carrying the foot switch by hand can be eliminated, and the operation is not interrupted during this time, so that the operator can smoothly operate. Surgery can proceed.

The remote controller 20 is provided with switches 31 and 32 for selecting one of the foot switches 25a and 25b and a switch 33 for selecting a plurality of switches. For example, when there are a plurality of operators of the medical device controlled by the foot switches 25a and 25b, the switch 33 is pressed to select the plurality of foot switches 25a and 25b. By disabling the foot switches that are not used by pressing the buttons 31 and 32, it is possible to prevent an operator who is not in the turn of operation or a nearby person from giving unnecessary attention.

The length of the cable 26 of each of the foot switches 25a and 25b is
Since the adjustment is made in accordance with the positions of the a and 25b, the complexity of the wiring of the cable 26 is reduced.

In this embodiment, the selection of the foot switches 25a and 25b is performed by the switches 31, 32 and 33.
However, of course, it is also possible to use operation means such as voice.

The number of foot switches 25a and 25b is not limited to two, but may be three or more.

The medical device controlled by the foot switch is not limited to the electric scalpel device 12, but may be another medical device. For example, intraperitoneal organ, ultrasonic coagulation and incision device,
An ultrasonic suction device, an image recording device, or the like may be used.

(Second Embodiment) FIG. 4 shows a second embodiment of the present invention.
FIG. 9 is an explanatory diagram illustrating a relay connector arranged on an operating table according to the embodiment.

The configuration of the parts not described in the present embodiment is the same as that of the first embodiment.

(Structure) As shown in FIG. 4, a cable 37 for a foot switch extending from the electrocautery device 12 is
A cable connected to a relay connector 38 provided on the operating table and extending from, for example, two foot switches is connected to a relay connector 39 provided near a foot cable of the operating table.
a and 39b are connected by short cables.

The relay connector 38 and the relay connector 39
a and 39b are connected by a cable (not shown) disposed in the operating table.

(Effects) According to the present embodiment, the following effects can be obtained in addition to the effects of the first embodiment.

The complexity of the cable of the foot switch wired under the operator's feet is reduced, and the operator can concentrate on the operation.

(Third Embodiment) FIG. 5 shows a third embodiment of the present invention.
FIG. 9 is an explanatory view illustrating a rail for a foot switch arranged near an operating table according to the embodiment.

The configuration of the parts not described in the present embodiment is the same as that of the first embodiment.

(Configuration) As shown in FIG. 5, a rail 41 as a foot switch moving means is provided on the floor near the operating table, and a foot switch is slidably provided on the rail 41. Has been established.

The trajectory of the rail 41 extends on both sides of the operating table, so that the operator can move the foot switch from one side of the operating table to the other side by, for example, kicking the foot switch with the foot. Has become.

(Effect) According to the present embodiment, the foot switch can be moved only by the surgeon kicking the foot switch with the foot, and the movement of the foot switch is related to the movement of the foot switch as in the first embodiment. The trouble of an operator and a nurse can be eliminated.

The position of the foot switch is on the rail 41.
The operator can easily grasp the position of the foot switch, and can use the foot switch with good operability.

The number of foot switches is not limited to one as in the example of FIG. 5, but may be plural.

(Fourth Embodiment) FIGS. 6 to 8 relate to a fourth embodiment of the present invention. FIG. 6 is a diagram showing an example of the arrangement of a medical system in an operating room, and FIG. 7 is a remote controller. FIG. 8 is a diagram showing a display example of the centralized display panel.

The configuration of the parts not described in the present embodiment is the same as that of the first embodiment.

(Structure) As shown in FIG. 6, as in the first embodiment, one foot switch 25a and one foot switch 25b are arranged on both sides of the operating table 16, respectively.

The operating table 16 is provided with a remote controller 20.

The cart 1 (not shown) includes
A controller 7 and a centralized display panel 8 are provided.

The cart 11 (not shown) has a relay unit 14, which is controlled by a foot switch.
The medical devices 42 and 43, the foot switch selection unit 44, the relay unit 14, and the like are mounted. Cart 1
1 are connected to the relay unit 14 via a communication line (not shown), and the relay unit 14 is connected to the controller 7 of the cart 1.

The foot switches 25a and 25b are connected to a foot switch selection unit 44.

The remote controller 20 shown in FIG.
Each of the foot switches 25
Each of the foot switches 25a and 25b has a switch 45 for selecting a medical device to be controlled by the foot switches 25a and 25b from the medical devices 42 and 43.

In the example of this embodiment, the foot switch 25a is assigned to the "foot switch A" and the foot switch 2 is assigned to the "foot switch B".
5b is assigned. The numbers “1” and “2” shown in the figure are numbers for identifying the respective medical devices 42 and 43, and the cable connection of the respective medical devices 42 and 43 to the foot switch selection unit 44. In the example of this embodiment, the medical device 42 is assigned to the number “1”, and the medical device 43 is assigned to the number “2”.
Are assigned so that they are assigned.

Here, when the switch marked “1” in the area marked “foot switch A” among the switches 45 of the remote controller 20 is pressed, the medical device 42 is controlled by the foot switch 25a. Is selected and the switch marked "2" is pressed, the medical device 43 is selected as the control target of the foot switch 25a, and the area marked "1" in the area marked "Foot switch B" is also selected. Is pressed, the medical device 42 is selected as a control target of the foot switch 25b,
When the switch marked "2" is pressed, the medical device 43 is selected as a control target of the foot switch 25b. The selection switching is performed by the foot switch selection unit 44 in accordance with an instruction input to the remote controller 20.

The centralized display panel 8 shown in FIG. 8 has a display section 46 for displaying the medical device currently controlled by the foot switches 25a and 25b.

The indications “Foot switch A”, “Foot switch B”, “1” and “2” in the figure are similar to those of the remote controller 20 shown in FIG.
5a, 25b, and displays assigned to identify the medical devices 42, 43.

Here, when the medical device 42 is selected as the control target of the foot switch 25a, the display section marked "1" in the area marked "foot switch A" lights up. When the medical device 42 is selected, the display section marked “2” is turned on, and when the medical device 42 is selected as a control target of the foot switch 25b, the “foot switch B The display section marked "1" in the area marked "" lights up, and the display section marked "2" lights up when the medical device 42 is selected. ing.

(Effect) According to the present embodiment, even when there are a plurality of medical devices to be controlled by the foot switch,
The same effect as in the first embodiment can be obtained.

In the present embodiment, the medical device 42 to be controlled by each of the foot switches 25a and 25b,
Although 43 are two, three or more may be provided. In this case, switches “3”, “4”,... Are provided in the area for each foot switch of the switch 45 of the remote controller 20, and each foot switch of the display unit 46 of the central display panel 8 is provided. Are also provided in the display area marked “3”, “4”,.

(Fifth Embodiment) FIGS. 9 and 10 relate to a fifth embodiment of the present invention. FIG. 9 is an explanatory view for explaining the structure of a foot switch, and FIG. FIG. 3 is an explanatory diagram illustrating a configuration.

The structure of the parts not described in the present embodiment is the same as that of the fourth embodiment.

(Structure) As shown in FIG. 9, the foot switch is provided with an infrared emitting section 47 and an infrared receiving section 48.

As shown in FIG. 10, the foot switch is
The signal line connected to the foot switch selection unit 49 and extending from the normal switch section of the foot switch is connected to the switching control unit 5 in the foot switch selection unit 49.
0 and a signal line extending from the infrared emitting section 47 and the infrared receiving section 48 of the foot switch is connected to the infrared detecting section 51 in the foot switch selecting unit 49.

The switching control unit 50 has a function of selecting a medical device controlled by each foot switch, similarly to the foot switch selection unit 49 of the fourth embodiment.

The infrared detecting section 51 has a function of detecting when the optical path of the infrared light emitted from the infrared emitting section 47 and entering the infrared receiving section 48 is interrupted.

The infrared detecting section 51 is connected to the sound generating section 52 connected to the speaker 53, and detects that the infrared light path between the infrared emitting section 47 and the infrared receiving section 48 is blocked. When the detection is performed, the voice generation unit 52 generates a voice message, and notifies the operator of the message via the speaker 53.

(Effect) According to the present embodiment, at the moment when the operator puts his foot on the foot switch, it is possible for the operator to know which device this foot switch controls now by voice. Become. Therefore, when stepping on the foot switch,
It is not necessary to check which medical device operates on the centralized display panel, the operability of the foot switch is improved, and the operation can be performed smoothly.

(Sixth Embodiment) FIG. 11 is an explanatory view illustrating a foot switch incorporated in an operating table according to a sixth embodiment of the present invention.

Note that the configuration of the parts not described in this embodiment is the same as that of the fourth embodiment.

(Configuration) As shown in FIG.
Three foot switches are mounted on both sides of the operating table 54 at the bottom of the.

Although not shown, the foot switch cable passes through the operating table 54, extends from the side of the operating table 54, and is connected to the foot switch selecting unit 57.

The foot switch selection unit 57 is connected to the medical devices 56a to 56e and has a function of selecting a medical device controlled by each foot switch from the medical devices 56a to 56e.

(Effect) According to the present embodiment, since the foot switch is fixed to the operating table, the operator can easily grasp the position of the foot switch, and the operability of the foot switch is improved.

Further, since the cable between the foot switch and the operating table is not exposed, the complexity of the cable for the foot switch is reduced.

The position of the foot switch may be slidable. Further, the foot switch may be configured to be able to be pulled out from the operating table.

(Seventh Embodiment) FIG. 12 relates to a seventh embodiment of the present invention, and is an explanatory diagram for explaining the configuration of a medical device provided with a handpiece for selecting a foot switch. is there.

Note that the configuration of the parts not described in the present embodiment is the same as that of the fourth embodiment.

(Structure) As shown in FIG. 12, the foot switch selection unit 63 includes foot switches 64, 6
5. The medical device 61 is connected, and a foot switch for controlling the medical device 61 can be selected.

The medical device 61 includes a handpiece 6
2 is connected, and the handpiece 62 is provided with a switch 62 a for selecting foot switches 64 and 65 for controlling the medical device 61.

When the foot switches 64 and 65 are selected by the switch 62 a of the handpiece 62, this information is sent from the medical device 61 to the foot switch selection unit 63. Upon receiving this information from the medical device 61, the foot switch selection unit 63
1 are selected.

(Effect) According to the present embodiment, by pressing one of the switches 62a provided on the handpiece 62 connected to the medical device 61, the medical device 6
1 and the footswitches 64 and 65 can be designated. In other words, performing some operation on the handpiece 62 itself has selected the medical device 61. The switch operation is not required, the operability is improved, and the operation can be smoothly performed.

(Eighth Embodiment) FIG. 13 is an explanatory view for explaining the configuration of a medical device having a handpiece for selecting a foot switch according to an eighth embodiment of the present invention. is there.

The structure of the parts not described in the present embodiment is the same as that of the seventh embodiment.

(Structure) In the seventh embodiment, the foot switch is selected by a switch on the handpiece. However, in this embodiment, the operation is performed when the operator operates the handpiece. The foot switch under the person's feet is automatically selected.

As shown in FIG.
9 and 80 are connected to the foot switch selection unit 75.

The medical devices 66, 67, 68 are provided with foot switch connectors 72, 73, 74, respectively, and are connected to the foot switch selection unit 75 via these connectors.

[0095] Handpieces 69, 70, 71 are connected to the medical devices 66, 67, 68, respectively.

The handpieces 69, 70, 71 are provided with switches 76, 77, 78, respectively.
To be sent to

Each of the foot switches 79 and 80 is provided with a sensor (not shown) for detecting that a person has got on, touched or approached, and a signal from this sensor is sent to the foot switch selection unit 75. It is being sent.

Here, the operator operates the switches 76, 77, 78.
Is pressed, the respective switches 76, 77,
The medical device 66, 67, 68 corresponding to 78 is selected. When any one of the switches 76, 77, 78 is pressed, the foot switch 79 or 80 that is emitting the detection signal from the sensor is selected.

As described above, the correspondence between the medical devices 66, 67, 68 and the foot switches 79, 80 when one of the switches 76, 77, 78 is pressed can be detected by the foot switch selection unit 75. According to this correspondence, the foot switch selection unit 75 enables the medical devices 66, 67, 68 to be controlled by the foot switches 79, 80.

The sensors provided on the foot switches 79 and 80 include, for example, a switch that operates by mechanically detecting the weight, a weight sensor such as a load cell that detects the weight, and a sensor that detects a touch by a person. It is composed of a touch sensor, an infrared sensor for detecting that a person is approaching, and the like.

(Effects) According to the present embodiment, when the foot switches 79, 80 are selected, the handpiece 69,
It is only necessary to press the switches 76, 77, 78 of 70, 71, and an operation for selecting the foot switches 79, 80 can be omitted, so that operability is improved.

A plurality of switches 82, 83, 84 having the same functions as the switches 76, 77, 78, respectively.
Handpiece 81 that integrates a single handpiece
May be provided. In this case, the foot switches 79 and 80 are automatically selected, but the medical device 6
6, 67 and 68 are selected by switches 82, 83 and 84.

(Ninth Embodiment) Next, FIG. 14 and FIG.
A ninth embodiment of the present invention will be described with reference to FIG. FIG. 14 is a layout view of the medical system according to the ninth embodiment, FIG. 15 is an enlarged view of a connection portion between a high-frequency cable and a high-frequency treatment instrument, and FIG. 17 is an enlarged view of the distal end portion of the holding device, and FIG. 18 is a cross-sectional view of the treatment instrument gripping portion.

The purpose of the present embodiment is to automatically identify and invalidate a foot switch connected to a medical device that is not being used, thereby preventing a foot switch from being erroneously operated. It is to provide a medical system that can be concentrated.

(Structure) As shown in FIG. 14, in the medical system 101 according to the ninth embodiment, a high-frequency current is generated on a medical device transporting device (not shown) arranged at a position slightly distant from the operating table 102. Scalpel device 103 for
Drive device 1 for generating an ultrasonic drive current
04 is mounted.

A connector at one end of a high-frequency cable 105 capable of transmitting a high-frequency current is connected to the electric scalpel device 103, and the other end of the high-frequency cable 105 is inserted into a patient's body to perform a treatment with the high-frequency current. The treatment tool 106 is connected.

FIG. 15 is an enlarged view of a connection portion between the high-frequency cable 105 and the high-frequency treatment instrument 106. At the end of the high-frequency cable 105, a substantially columnar high-frequency connector 107 for connection to the high-frequency treatment instrument 106 is provided. On the side surface of the high-frequency connection connector 107, a high-frequency fixing pin 1 having a cylindrical shape perpendicular to the longitudinal axis of the connector 107 is provided.
08 is fixed.

At the tip of the high-frequency fixing pin 108, a cut 109 is provided in a direction passing through the longitudinal axis and perpendicular to the longitudinal axis, and the tip of the high-frequency fixing pin 108 can be elastically deformed in the direction of decreasing the diameter. is there.

On the other hand, the high-frequency treatment device 106 includes a high-frequency treatment device distal end portion 111 for grasping and exfoliating the body tissue, and a tube-shaped high-frequency treatment device insertion portion extending to the base end side of the high-frequency treatment device distal end portion 111. 112, and a high-frequency treatment instrument operation unit 113 provided at the base end for operating the high-frequency treatment instrument distal end 111.

A portion of the high-frequency treatment instrument operating section 113 connected to the high-frequency treatment instrument insertion section 112 is in the vicinity of a columnar column 11.
The cylindrical high-frequency connection pin 120 to which the high-frequency connection connector 107 can be connected is provided so as to protrude from, for example, a side surface on the upper side of the cylindrical portion 114.

The high-frequency fixing pin 108 provided on the high-frequency connector 107 is provided at a predetermined distance from the distal end surface of the connector 107 connected to the high-frequency connector 120 (and as will be described later, Treatment tool 1
When the treatment tool 06 is held by the treatment tool holding portion 145 of the holding device distal end portion 144, the high frequency fixing pin 108 is inserted into the high frequency fixing pin insertion hole 147 provided in the holding portion 145).

Returning to FIG. 14, the ultrasonic driving device 104 has an ultrasonic cable 121 capable of transmitting an ultrasonic driving current.
Is connected to the other end of the ultrasonic cable 121, and an ultrasonic treatment instrument 122 which is inserted into a patient's body and performs treatment by ultrasonic vibration is connected to the other end.

FIG. 16 is an enlarged view of a connection portion between the ultrasonic cable 121 and the ultrasonic treatment instrument 122. At the end of the ultrasonic cable 121, a substantially columnar ultrasonic connector 123 for connecting to the ultrasonic treatment tool 122 is provided. A column-shaped ultrasonic fixing pin 124 having a diameter larger than that of the high-frequency fixing pin 108 is fixed to the side surface of the ultrasonic connector 123 in a direction perpendicular to the longitudinal axis thereof.

At the tip of the ultrasonic fixing pin 124, a cut 125 is provided in a direction passing through the longitudinal axis and perpendicular to the longitudinal axis, and the distal end of the ultrasonic fixing pin 124 is elastically deformed in the direction of decreasing the diameter. It is possible.

On the other hand, the ultrasonic treatment device 122 includes an ultrasonic treatment device distal end portion 126 for grasping and exfoliating a body tissue, and a tube-shaped ultrasonic treatment device extending to the base end side of the ultrasonic treatment device distal end portion 126. It comprises a treatment instrument insertion portion 127 and an ultrasonic treatment device operation portion 128 provided at a base end thereof for operating the ultrasonic treatment device distal end portion 126.

A column 129 having the same shape as the column 114 is provided in the vicinity of the connection between the ultrasonic treatment device operating section 128 and the ultrasonic treatment tool insertion section 127.
For example, an ultrasonic connection pin 130 to which the ultrasonic connection connector 123 can be connected is provided on a side surface on the upper side of 9.

The ultrasonic fixing pin 124 provided on the ultrasonic connector 123 is protruded at a predetermined distance from the tip surface of the connector 123 connected to the ultrasonic connector 130 (and will be described later). And ultrasonic treatment tool 1
When the treatment tool gripping portion 145 of the holding device distal end portion 144 holds the treatment tool 22, the ultrasonic fixing pin 124 is inserted into the ultrasonic fixing pin insertion hole 148 provided in the gripping portion 145).

Returning to FIG. 14, the electric scalpel device 103 and the ultrasonic driving device 104 are provided with an electric scalpel foot switch 131 and an ultrasonic foot switch 132 for controlling them, respectively. It is connected via an ultrasonic foot switch cable 134.

An L-shaped treatment tool holding device 141 for temporarily holding a treatment tool that is not used temporarily is detachably attached to the side surface of the operating table 102. The treatment tool holding device 141 has a holding device fixing portion 142 having a fixing structure (not shown) that can be detachably fixed to the operating table 102, and an L extending from the holding device fixing portion 142 toward the center of the operating table 102. The holding device arm 143 includes a holding device arm 143 and a holding device tip 144 provided at the tip of the holding device arm 143.

FIG. 17 is an enlarged view of the tip 144 of the holding device. On one side surface of the holding device distal end portion 144, a substantially rectangular treatment tool grip portion 145 having three upwardly opened holes having a vertical axis is fixed. A treatment tool insertion port 146 that penetrates in the up-down direction and has a cut in the side surface is provided at a position closer to the holding device fixing portion 142 than the base end of the treatment tool grasping portion 145.

The inner diameter of the treatment instrument insertion port 146 is slightly larger than the cylindrical portion 114 of the high-frequency treatment instrument 106 and the cylindrical portion 129 of the ultrasonic treatment instrument 122, and
Further, the ultrasonic treatment tool 122 can be inserted from the distal end side.

The high-frequency treatment instrument 106 is inserted into the treatment instrument insertion port 146 with the high-frequency treatment instrument 106 attached with the high-frequency cord 105 at the distal end near the treatment instrument insertion port 146 on the upper surface of the treatment instrument grasping portion 145. A high-frequency fixing pin insertion hole 147 that opens upward is provided at a position where the high-frequency fixing pin 109 can be inserted when the operation is performed.

The inner diameter of the high-frequency fixing bin insertion hole 147 is slightly smaller than the outer diameter of the high-frequency fixing pin 109, and is a diameter that can be inserted when the high-frequency fixing pin 109 is elastically deformed in the direction of decreasing the diameter.

Further, on the distal end side of the high frequency fixing pin insertion hole 147, the ultrasonic cord 12 is
An ultrasonic fixing pin insertion hole 148 opened upward is provided at a position where the ultrasonic fixing pin 125 can be inserted when the ultrasonic treatment tool 122 is inserted into the treatment tool insertion port 146 in a state where the device 1 is mounted. ing.

The inner diameter of the ultrasonic fixing pin insertion hole 148 is slightly smaller than that of the ultrasonic fixing pin 125, and is a diameter that can be inserted when the ultrasonic fixing pin 125 is elastically deformed in the direction of decreasing the diameter.

FIG. 18 is a cross-sectional view of the treatment tool grip 145. A pressure sensor 149 capable of sensing the pressure when the high-frequency fixing pin 109 is inserted is fixed to, for example, the center of the high-frequency fixing pin insertion hole 147 in the depth direction.

Similarly, for example, in the center of the ultrasonic fixing pin insertion hole 148 in the depth direction, the ultrasonic fixing pin 12 is inserted.
The pressure sensor 150 that can detect the pressure when the 5 is inserted is fixed.

The pressure sensor 149 and the pressure sensor 150 project slightly inward from the inner walls of the high frequency fixing pin insertion hole 147 and the ultrasonic fixing pin insertion hole 148, respectively.
When the high frequency fixing pin 109 and the ultrasonic fixing pin 125 are inserted, it is also possible to detect that the pin is pressed.

Further, the pressure sensor 149 and the pressure sensor 1
50 are connected to signal cables 151 and 152 for transmitting the presence / absence of pressure detection, respectively. These signal cables 151 and 152 pass through, for example, the inside of the treatment tool holding device 141 and extend downward from the holding device fixing portion 142 in FIG.
Is electrically connected to a transmission cable 153 shown in FIG.

The proximal end of the transmission cable 153 is connected to the electric scalpel device 103 and the ultrasonic driving device 104, respectively, and the signal cables 151 and 152 and the transmission cable 15 are connected.
According to 3, the presence or absence of the detection of the pressure sensor 149 is transmitted to the electrosurgical unit 103 and the presence or absence of the detection of the pressure sensor 150 is transmitted to the ultrasonic driving device 104.

Electric knife device 103 and ultrasonic driving device 1
04 is provided with a mechanism that does not generate a high-frequency current or an ultrasonic drive current even when the electric scalpel foot switch 131 and the ultrasonic foot switch 132 are operated when the pressure sensors 149 and 150 respectively detect pressure. .

(Operation) At the start of the operation, the surgeon connects the high-frequency cable 105 to the electric scalpel device 103 and the high-frequency treatment tool 106, and connects the ultrasonic cable 121 to the ultrasonic drive device 104 and the ultrasonic treatment tool 122.

The electric scalpel foot switch 131 and the ultrasonic foot switch 132 are connected by the electric scalpel foot switch cable 133 and the ultrasonic foot switch cable 134, respectively.
04. Further, the treatment instrument holding device 141 is fixed to the operating table 102, and the transmission cable 153 is connected to the electrosurgical device 1
03 and the ultrasonic driving device 104.

First, a high-frequency treatment instrument 10 using high frequency
6, the ultrasonic treatment tool 122 not used for the treatment is inserted into the treatment tool insertion port 146 at the distal end of the treatment tool holding device 141, and then the ultrasonic fixing pin is inserted into the ultrasonic fixing pin insertion hole 148. Insert 124. Then, the ultrasonic fixing pin 124 is elastically deformed and urges the ultrasonic fixing pin insertion hole 148 outward, so that the ultrasonic treatment tool 122 is fixed to the treatment tool holding device 141.

In this state, the pressure sensor 150 detects the pressure by the (ultrasonic fixing pin 124 of) the ultrasonic treatment tool 122 and the pressure is transmitted to the ultrasonic driving device 104 by the transmission cable 153. No ultrasonic drive current is generated even if the foot switch 132 is pressed.

Therefore, it is safe even if the distal end of the ultrasonic treatment tool 122 contacts the patient or the assistant. When the high-frequency treatment device 106 is grasped and inserted into the body cavity and the electric scalpel foot switch 131 is depressed, the pressure sensor 149 does not sense the pressure and the pressure is transmitted to the electric scalpel device 103 by the transmission cable 153. The electric scalpel device 103 generates a high-frequency current and can perform a treatment.

When performing a treatment using the ultrasonic treatment tool 122 using ultrasonic waves, the high-frequency treatment tool 122 not used for the treatment is inserted into the treatment tool insertion port 146, and then the high-frequency treatment pin 122 is inserted into the high-frequency fixing pin insertion hole 147. By inserting the fixing pin 108, the high-frequency treatment tool 122 is fixed to the treatment tool holding device 141.

[0138] In the state where the high-frequency treatment tool 122 is fixed to the treatment tool holding device 141, the ultrasonic treatment tool 122 is gripped to perform a treatment. In this state, by the same action,
Only the ultrasonic footswitch 132 can be used.

(Effect) According to the present embodiment, the ultrasonic foot switch 1 is erroneously set during the high-frequency treatment.
No ultrasonic drive current is output even when stepping on the step 32, and conversely, when an ultrasonic treatment is performed, no high-frequency current is output even if the electric knife foot switch 131 is accidentally depressed.
The surgeon can concentrate on the operation.

In the present embodiment, the pressure sensor 14
Although 9 and 150 are provided on the treatment tool holding device 141 side, it is obvious that similar effects can be obtained by providing them on the high frequency fixing pin 108 and the ultrasonic fixing pin 124. Although the holding device fixing portion 142 is shown as being fixed to the operating table 102, the holding device fixing portion 142 may be fixed to a medical device transport device, or may be fixed to a screen rack provided above the neck of a patient during surgery. .

(Tenth Embodiment) Next, a tenth embodiment of the present invention will be described with reference to FIGS. FIG. 19 is a layout view of a medical system according to the tenth embodiment of the present invention, FIG. 20 is an external view of a high-frequency treatment instrument, FIG. 21 is a cross-sectional view of a high-frequency connector of a high-frequency cable, and FIG. Shows an enlarged view of the treatment instrument gripping portion.

The purpose of the present embodiment is to identify the medical device to be used and automatically switch the device, integrate the foot switches for a plurality of medical devices, and reduce the number of foot switches, thereby operating the foot switch. Is to make it easier.

(Configuration) Referring to FIGS. 19 to 22, the first
In describing the zeroth embodiment, the same components as those in the ninth embodiment are denoted by the same reference numerals, and description thereof will be omitted. Medical system 1 of the tenth embodiment shown in FIG.
At 01 ′, as shown in the figure, the electric scalpel device 103 and the ultrasonic driving device 104 are connected to one foot switch 161 via the electric scalpel foot switch cable 133 and the ultrasonic foot switch cable 134, respectively. I have.

FIG. 20 is an external view of the high-frequency treatment device 106 according to the present embodiment. High-frequency treatment instrument insertion section 112
A cylindrical high-frequency connection pin 120 is fixed to a side surface near the base end in a direction perpendicular to the longitudinal axis of the high-frequency treatment instrument insertion section 112. A cylindrical signal pin 162 is connected to the base end of the high-frequency treatment instrument insertion section 112 in parallel with the high-frequency connection pin 120.

The cylindrical portion 114 of the high-frequency treatment instrument operation section 113
Column-shaped pressure sensors 163a and 163b are fixed to both side surfaces of the high-frequency treatment instrument insertion section 112 in a direction perpendicular to the longitudinal axis of the high-frequency treatment instrument insertion section 112. Connected.

FIG. 21 is a sectional view of the high-frequency connector 107 of the high-frequency cable 105 according to the present embodiment. Inside the distal end of the high-frequency connection connector 107, a cylindrical high-frequency connection pin fitting portion 164 is provided at a portion where the high-frequency connection pin 120 and the signal pin 162 can be simultaneously fitted.
And a signal pin fitting portion 165 are provided.

If the base end of the high-frequency cable 105 is connected to the electric scalpel device 103, the high-frequency treatment tool 106 is connected to the high-frequency connector 107, and the high-frequency treatment device 106 is connected to the high-frequency connection pin 120 and the signal pin 162. Are electrically connected. Returning to FIG.
The ultrasonic treatment instrument 122 and the ultrasonic cable 121 also have the same configuration as the high-frequency treatment instrument 106 and the high-frequency cable 105, respectively, and if the base end of the ultrasonic cable 121 is connected to the ultrasonic driving device 104, the ultrasonic treatment By connecting the ultrasonic connection connector 123 to the tool 122, the ultrasonic driving device 104, the ultrasonic connection pin 130 and the signal pin 162
Are electrically connected to each other.

The distal end of the treatment instrument holding device 141 is vertically fixed to the holding device arm 143.
A treatment tool gripping portion 145 composed of a column-shaped hook support 171 extending in the horizontal direction and a U-shaped treatment tool hook 172 made of an elongated linear member is fixed.

FIG. 22 is an enlarged view of the treatment tool grip 145. The treatment tool hook 172 includes a hook bottom 173 perpendicular to the hook support 171 and two hook arms 174 perpendicular to the hook bottom 173 and parallel to each other.

The distance between the two hook arms 174 is such that the two pressure sensors 163a and 163b provided on the high-frequency treatment instrument 106 and the ultrasonic treatment instrument 122 can be hooked. Smaller than the distance between the distal ends of the
Is larger than the width of the cylindrical portion 114 and the cylindrical portion 129 of the ultrasonic treatment instrument operating section 128. Two hook arms 174
Have the same shape, and the pressure sensor 1
A recess 175 large enough to accommodate 63a, 163b is provided.

Returning to FIG. 19, when a signal indicating that pressure is applied via the signal pin 162 is sent to the electric scalpel device 103 and the ultrasonic driving device 104, even if the foot switch 161 is pressed, Each is configured so as not to receive commands sent by the electric knife foot switch cable 133 and the ultrasonic foot switch cable 134.

(Operation) At the start of the operation, the surgeon operates the high-frequency treatment instrument 106 and the ultrasonic treatment instrument 122 while the pressure sensors 163a and 163b operate the concave portions 173 of the treatment instrument hook 172.
I'm going to go into it. In this state, since the respective weights are applied to the pressure sensors 163a and 163b, even if the pressure sensors 163a and 163b sense the pressure and depress the foot switch 161, the electric scalpel device 103 and the ultrasonic drive device 104 are respectively connected to the electric scalpel. Foot switch cable 133, ultrasonic foot switch cable 13
No signal is output because the signal sent in step 4 is not accepted.

When the surgeon grasps the high-frequency treatment instrument 106 and starts using it, for example, no force is applied to the pressure sensors 163a and 163b of the high-frequency treatment instrument 106, so that no pressure is sensed. On the other hand, the pressure sensor 16 of the ultrasonic treatment tool 122 hooked on the concave portion 175 of the treatment tool hook 172.
3a and 163b continue to sense the pressure.

Therefore, when the foot switch 161 is depressed, only the signal sent by the electric scalpel foot switch cable 133 is received by the electric scalpel device 103, and a high-frequency current is output.

When using the ultrasonic treatment tool 122,
The high-frequency treatment instrument 106 is hooked on the treatment instrument hook 172, and the foot switch 161 is
, Only the signal sent by the ultrasonic foot switch cable 134 is accepted by the ultrasonic coagulation device 104,
An ultrasonic drive current is output.

In addition, even if an unused treatment tool out of the high-frequency treatment tool 106 and the ultrasonic treatment tool 122 is not returned to the treatment tool hook 172 and is placed on the operating table 102, for example,
Since the pressure sensors 163a and 163b protrude, the pressure is sensed, and output from a medical device not intended for use is prevented.

(Effect) According to the present embodiment, the medical device to be used is determined, and the device operated by the foot switch is automatically switched. Therefore, the number of foot switches can be reduced, and the operation of the foot switch can be reduced. It will be easier.

(Eleventh Embodiment) Next, an eleventh embodiment of the present invention will be described with reference to FIGS. FIG. 23 is an external view of the high-frequency treatment device 106 according to the eleventh embodiment of the present invention, and FIG. 24 is a front ring 191 provided on the lower distal end side of the high-frequency treatment device operation unit 113.
FIG. 3 shows a cross-sectional view of a high-frequency operation unit in the vicinity. The purpose of the present embodiment is the same as that of the tenth embodiment, but it is an object of the present invention to provide a medical system capable of more reliably discriminating a used medical device.

(Configuration) In describing the present embodiment,
The same components as those in the tenth embodiment are denoted by the same reference numerals in the drawings, and description thereof will be omitted. As shown in FIG. 23, in high-frequency treatment instrument 106 in the present embodiment, high-frequency
A column-shaped signal pin 162 is fixed to a portion closer to the base end than 0 in parallel with the high-frequency connection pin 120. An operator can insert two fingers into the lower part of the high-frequency treatment instrument operation unit 113, and the front and rear rings 191 and 192 can open and close the high-frequency treatment instrument tip 111 by opening and closing the fingers. Is provided.

FIG. 24 is a sectional view of the high-frequency operating section 113 near the front ring 191. A light receiving element 193 that emits a current when receiving light is fixed to a side surface of the lumen of the front ring 191. The light receiving element 19 in the front ring 191
A light emitting element (not shown) is provided on the side surface of the lumen facing 3 so that the light emitting element always emits light.

A signal cable 194 capable of transmitting the current is connected to the light receiving element 193. The other end of the signal cable 194 is connected to a signal pin 162, and the signal from the light receiving element 193 is
Is supplied to the electric scalpel device 103 via.

In the state where the light receiving element 193 is detecting light, the electric scalpel device 103 does not receive a command sent by the electric scalpel foot switch cable 133 even if the foot switch 161 is operated.

Ultrasonic drive device 104, ultrasonic treatment instrument 12
2 also have an electric scalpel device 103 and a high-frequency treatment tool 10 respectively.
6 has the same configuration as that of FIG. Other configurations are the same as those of the tenth embodiment.

(Operation) When the operator holds the high-frequency treatment instrument 106, the front ring 19 of the high-frequency treatment instrument 106
Since the finger is inserted into the light receiving device 1, the light is blocked by the finger, and the light receiving element 193 does not detect the light. On the other hand, the ultrasonic treatment tool 122
Since is not gripped, the light receiving element 193 detects light.

When the foot switch 161 is pressed in this state, the electric scalpel device 103 receives the command of the electric scalpel foot switch cable 133, and the ultrasonic driving device 104 does not receive the command of the ultrasonic foot switch cable 134. Only current is output. When an ultrasonic treatment is performed, only the ultrasonic drive current is output by the reverse operation.

(Effect) According to the present embodiment, since it is determined whether or not the operator is holding the treatment tool, the medical device to be used can be determined more reliably, and the foot switch can be switched. It is possible.

When a pressure sensor is provided in place of the light receiving element 193 and the like, and the pressure is sensed by the pressure sensor, when the foot switch 161 is pressed, the treatment tool that senses the pressure and the electric tool are electrically connected. May operate the electric scalpel device 103 or the ultrasonic driving device 104 connected to the device.

Further, the reflection sensor detects whether or not the operator's finger is inserted, and when the foot switch 161 is pressed by the output, an electric knife electrically connected to the detected treatment tool. Device 103 or ultrasonic driving device 10
4 may be operated.

The present invention is not limited to the above-described embodiment, but can be variously modified without departing from the gist of the invention.

[Supplementary Notes] (Appendix 1) At least one medical device for performing observation, examination, treatment, or the like on a patient, an operating table on which the patient is mounted, and an operating table used near the operating table. A foot switch for controlling the medical device, a foot switch moving means for moving the foot switch without touching the foot switch, or any of the plurality of foot switches A medical system comprising at least one of a foot switch selecting unit for selecting a foot switch for controlling the medical device.

(Appendix 2) At least one medical device for observing, examining, treating, etc. a patient, an operating table on which the patient is placed, and the medical device used near the operating table And a plurality of foot switches for controlling the medical device, comprising: a foot switch selecting unit for selecting a foot switch for controlling any one of the plurality of foot switches. Medical system.

(Additional Item 3) In the medical system according to additional item 2, the foot switch is directly or indirectly connected to the medical device by a wire.

(Additional Item 4) In the medical system according to additional item 3, the cables of the plurality of foot switches have different lengths.

(Additional Item 5) The medical system according to additional item 2 or 3, further comprising a first connector for connecting a cable to the foot switch provided on the operating table, and the operating table. A second connector for directly or indirectly connecting a cable to the medical device, and a first connector and the second connector provided on the operating table. And a cable.

(Additional Item 6) The medical system according to additional items 2 to 5, further comprising display means for indicating a foot switch selected by the foot switch selecting means.

(Additional Item 7) The medical system according to Additional Item 2 to Additional Item 6, wherein the foot switch selecting means is a compact form that can be fixed to the operating table or can be used on the operating table.

(Supplementary Item 8) At least one medical device for performing observation, examination, treatment, or the like on a patient, at least one medical device for supplying energy to the instrument, and a patient are placed. A medical system having an operating table and a foot switch used in the vicinity of the operating table and controlling the medical device, and detects whether the medical device is used for observation, inspection, or treatment. And a foot switch selecting means for selecting a medical device controlled by the foot switch according to a signal from the detecting means.

(Additional Item 9) The medical system according to Additional Item 8, wherein the at least one foot switch is provided, and the foot switch selecting means is a foot switch selecting means for enabling at least one of the foot switches. It is characterized by the following. (Supplementary note 10) The medical system according to supplementary note 8, wherein the foot switch is connected to at least one medical device, and the foot switch selecting unit determines a signal output destination when the foot switch is operated. , A foot switch selecting means for selecting at least one of the medical devices.

(Additional Item 11) The medical system according to Additional Items 8 to 10, wherein the medical device is an instrument for performing observation, examination, or treatment on a patient, and a medical device for supplying energy to the instrument. And a main body. (Additional Item 12) The medical system according to Additional Item 11, wherein the detecting means is a detecting means for detecting whether or not the device is grasped by an operator. (Additional Item 13) The medical system according to Additional Item 11, wherein the detection unit is provided on the device or a holding unit that temporarily holds the device when the device is not used. .

(Additional Item 14) The medical system according to Additional Items 8 to 13, wherein the detecting means includes a pressure sensor or a light receiving element. (Additional Item 15) The medical system according to Additional Item 11, wherein the detection signal of the detection means provided in the device is transmitted by a cable connected to supply energy of the medical device to the device. Features. (Additional Item 16) The medical system according to Additional Item 15, wherein the detection means is provided on the cable. (Additional Item 17) The medical system according to Additional Items 11 to 16, wherein the instrument is a treatment tool using high frequency waves or a treatment tool using ultrasonic waves.

(Prior Art to Claims 8 to 176)
Generally, in an endoscopic surgical operation, an electric scalpel device for performing incision or cauterization using a high-frequency current, an ultrasonic driving device for performing incision and coagulation using ultrasonic vibration, and the like are used. The energy of these energy generating devices is transmitted to the treatment tool inserted into the patient's body by a cable, and the treatment is performed by the treatment tool. By the way, when performing control such as operation of these medical devices, a foot switch is mainly used. When a plurality of energy generating devices are used, each requires a foot switch, and the plurality of foot switches are arranged at the foot of the operator.

[0182]

[Disadvantages of the prior art to the additional items 8 to 17] Since there are a plurality of foot switches, it is necessary for the surgeon to identify each of the foot switches connected to the device used at that time before operating the device. , There was a problem that it could not be operated immediately. In addition, it is necessary to always be careful not to step on an unused foot switch, and there is a problem in that the movement of the operator is restricted, making it difficult to perform the operation, or not being able to concentrate on the operation. (Purpose of Additional Items 8 to 17) By preventing the foot switch from being operated by mistake, it is possible to concentrate on the operation. In addition, with the aim of providing a medical system that reduces the number of foot switches at the feet and facilitates operation of the foot switches, the configurations of the additional items 8 to 17 are provided.

(Operation of Supplementary Items 8 to 17) The detecting means determines an unused medical device,
It has the effect of enabling the footswitch only for devices that are automatically used. (Effects of Additional Items 8 to 17) Since the foot switch is automatically set to be valid for the device to be used, other devices are not activated by mistake and the user can concentrate on the operation. In addition, a plurality of foot switches can be integrated into one foot switch to improve operability.

[0185]

According to the present invention, at least one medical device for performing observation, examination, treatment, and the like on a patient, an operating table on which the patient is mounted, and a control device for controlling the medical device, which are used near the operating table. Foot switch to perform, the foot switch moving means to move the foot switch without touching the foot switch, or
A foot switch selecting means for selecting a foot switch for controlling any of the medical devices among the plurality of foot switches, the foot switch is operated when the operator who operates the foot switch or the standing position is changed. This eliminates the need for the operator or the assistant's assistant to carry the switch by hand, thereby improving the workability when changing the operator who operates the foot switch or changing the standing position, and smoothing the operation.

[Brief description of the drawings]

FIGS. 1 to 3 relate to a first embodiment of the present invention, and FIG. 1 is a diagram showing an example of arrangement of a medical system in an operating room.

FIG. 2 is a diagram showing an example of a switch arrangement of a remote controller;

FIG. 3 is a diagram showing a display example of a central display panel.

FIG. 4 is an explanatory view illustrating a relay connector arranged on an operating table according to a second embodiment of the present invention.

FIG. 5 is an explanatory diagram illustrating a rail for a foot switch disposed near an operating table according to a third embodiment of the present invention.

FIGS. 6 to 8 are views showing an example of arrangement of a medical system in an operating room according to a fourth embodiment of the present invention;

FIG. 7 is a diagram illustrating an example of a switch arrangement of a remote controller;

FIG. 8 is a diagram showing a display example of a centralized display panel.

FIG. 9 and FIG. 10 relate to a fifth embodiment of the present invention, and FIG. 9 is an explanatory view for explaining a configuration of a foot switch.

FIG. 10 is an explanatory diagram illustrating a configuration of a foot switch selection unit.

FIG. 11 is an explanatory view illustrating a foot switch incorporated in an operating table according to a sixth embodiment of the present invention.

FIG. 12 is an explanatory diagram illustrating a configuration of a medical device including a handpiece for selecting a foot switch according to a seventh embodiment of the present invention.

FIG. 13 is an explanatory diagram illustrating a configuration of a medical device including a handpiece for selecting a foot switch according to an eighth embodiment of the present invention.

FIG. 14 is a layout diagram of a medical system according to a ninth embodiment of the present invention.

FIG. 15 is an enlarged view of a connection portion between a high-frequency cable and a high-frequency treatment instrument.

FIG. 16 is an enlarged view of a connection portion between the ultrasonic cable and the ultrasonic treatment instrument.

FIG. 17 is an enlarged view of a tip portion of the holding device.

FIG. 18 is a cross-sectional view of a treatment instrument gripping portion.

FIG. 19 is a layout diagram of a medical system according to a tenth embodiment of the present invention.

FIG. 20 is an external view of a high-frequency treatment tool.

FIG. 21 is a sectional view of a high-frequency connection connector of the high-frequency cable.

FIG. 22 is an enlarged view of a treatment instrument gripping portion.

FIG. 23 is an external view of a high-frequency treatment device according to an eleventh embodiment of the present invention.

FIG. 24 is a cross-sectional view of the high-frequency operation unit near the front ring.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Cart 2a, 2b ... TV monitor 3a, 3b ... Endoscope camera device 4a, 4b ... Light source device 5 ... Image mixer 6 ... VTR 7 ... Controller 8 ... Central display panel 9 ... Interface cable 11 ... Cart 12 ... Electricity Scalpel device 13 ... insufflator 14 ... relay unit 15 ... centralized operation panel 16 ... operating table 17 ... side rails 18a, 18b ... endoscope 19 ... scope holder 20 ... remote controllers 21a, 21b ... camera cables 22a, 22b ... lights Guide cable 23 ... Output cable 24 ... Cable for counter electrode plate 25a, 25b ... Foot switch 26 ... Cable 27 ... CO2 gas cylinder 28 ... Insufflation tube 31,32,33 ... Switch 34,35 ... Display unit 37 ... Cable 38 ... Relay connector 39a, 39b ... relay connector 41 ... Tools 42, 43 Medical device 44 Foot switch selection unit 45 Switch 46 Display unit 47 Infrared emission unit 48 Infrared light reception unit 49 Foot switch selection unit 50 Switching control unit 51 Infrared detection unit 52 Voice Generation unit 53 Speaker 54 Operating table 55 Foot switch 56a to 56e Medical device 57 Foot switch selection unit 61 Medical device 62 Handpiece 62a Switch 63 Foot switch selection unit 64, 65 Foot switch 66 67, 68 medical device 69, 70, 71 handpiece 72, 73, 74 connector 75 foot switch selection unit 76, 77, 78 switch 79, 80 foot switch 81 composite handpiece 82, 83, 84 ... switch 101 ... medical system 1 2. Operating table 103 ... Electric scalpel device 104 ... Ultrasonic drive device 105 ... High frequency cable 106 ... High frequency treatment tool 107 ... High frequency connection connector 108 ... High frequency fixing pin 109 ... Cut 111 ... High frequency treatment tool tip 112 ... High frequency treatment tool insertion Unit 113: High-frequency treatment instrument operation unit 114: Cylindrical unit 120: High-frequency connection pin 121: Ultrasonic cable 122: Ultrasonic treatment tool 123: Ultrasonic connection connector 124: Ultrasonic fixing pin 125: Cut 126: Ultrasonic treatment tool tip Part 127: Ultrasonic treatment tool insertion part 128 ... Ultrasonic treatment tool operation part 129 ... Cylindrical part 131 ... Electric knife foot switch 132 ... Ultrasonic foot switch 133 ... Electric knife foot switch cable 134 ... Ultrasonic foot switch cable 141 ... Treatment Fixture holding device 142: holding device fixing portion 43: holding device arm 144: holding device tip 145: treatment tool gripping device 146: treatment tool insertion hole 147 ... high frequency fixing pin insertion hole 148 ... ultrasonic fixing pin insertion hole 149, 150 ... pressure sensor 151, 152 ... signal Cable 153 ... Transmission cable 162 ... Signal pin 163a, 163b ... Pressure sensor 164 ... High frequency connection pin fitting part 165 ... Signal pin fitting part 171 ... Hook support 172 ... Treatment tool hook 173 ... Hook bottom 174 ... Hook arm 175 ... Recess 191 front ring 192 rear ring 193 light receiving element 194 signal cable

 ──────────────────────────────────────────────────続 き Continued on the front page F term (reference) 4C060 JJ11 JJ13 KK01 KK07 KK32 MM21 4C061 AA24 BB02 CC06 DD01 HH09 HH60 4C341 JJ01 MM04 MN17 MR05 MS12

Claims (1)

[Claims] At least one medical device for performing observation, examination, treatment, and the like on a patient, an operating table on which the patient is placed, and used near the operating table to control the medical device And a foot switch moving means for moving the foot switch without touching the foot switch, or controlling the medical device of any of the plurality of foot switches. A medical system comprising at least one of a foot switch selecting means for selecting a foot switch.