KR102356304B1 - Tissue dissection device and system - Google Patents

Abstract

Embodiments include an ablation device for ablating tissue; an extension connected to the ablation device; a manipulation unit for manipulating the operation of the ablation device; and a signal unit extending along the ablation device, the extension unit, and the manipulation unit, wherein the manipulation unit controls opening and closing of the ablation device, and the signal unit operates the tissue only when the ablation device is closed. Disclosed is a tissue ablation device that moves distally to the ablation device for scanning.

Description

TISSUE DISSECTION DEVICE AND SYSTEM

Embodiments relate to tissue ablation devices and systems.

Medically, surgery refers to the treatment of diseases by cutting, slitting, or manipulating the skin, mucous membranes, or other tissues using a medical machine. Among these surgeries, open surgery corresponds to an operation in which the skin of the abdominal cavity or the face is divided and opened, and the internal organs are treated, molded, or removed.

When performing such open surgery, since a predetermined space is formed between the skin and the tissue by incision of the skin, and then the surgical action is performed through the space, there is a problem that there are a lot of wounds and the healing after surgery is slow. In recent years, laparoscopic surgery has been attracting attention as an alternative to this.

Laparoscopic surgery is a method of performing surgery while observing the surgical site in the abdominal cavity by making a small hole in the patient's surgical site and then inserting a laparoscope through this hole. Laparoscopic surgery has been rapidly developing since cholecystectomy in 1990 because of its many advantages compared to conventional open surgery, such as shorter recovery period, small scarring, reduced pain, and reduced risk of infection.

Currently, it is applied to almost all surgical fields such as colorectal cancer surgery, gastric cancer surgery, hernia, liver resection, and thyroid surgery, accounting for about 20-40% of all surgeries, and in the future, it will account for 80% of all surgeries. is expected to

The laparoscope is one of the equipment for diagnosing the internal organs of the body, and it is generally configured to insert a device equipped with a small camera into the body to observe image information detected from the small camera through a monitor installed outside.

In laparoscopic surgery, the location and size of blood vessels inside the tissue to be excised varies greatly depending on the patient, and the information is also unknown. Therefore, there is a high possibility of unintentional vascular resection during tissue resection.

If a blood vessel is resected during laparoscopic surgery, considerable time and effort to prevent bleeding can be consumed, which can worsen the condition of the patient and doctor, and in severe cases, it can be said to be fatal enough to cause death of the patient due to massive bleeding. have.

Various studies are being conducted to solve this problem, but rather than research to prevent unintentional vasectomy itself during laparoscopic tissue resection, we are focusing on the development of a seamless solution to reduce the problem by hemostasis with energy such as ultrasound after vascular resection is performed. is ending

In addition, since the location of blood vessels passing through the tissue varies from patient to patient and their size is also different, it cannot be said that information on the existence and size of blood vessels inside the tissue can be accurately represented only by the intensity information of the optical signal passing through the tissue. , if the device malfunctions, it may pose a significant risk to the patient during surgery. In the actual surgical procedure, the probability of unintentional vasectomy is about 3%, of which the probability of fatal damage is about 18%. It is becoming a situation.

Accordingly, there is a need for a tissue resection apparatus such as a laparoscope to easily detect blood vessels in a tissue.

The embodiment provides a tissue resection apparatus for easily detecting blood vessels inside a tissue to be resected.

In addition, there is provided a tissue resection apparatus for providing internal imaging using the naked eye or an optical signal by disposing an optical fiber on one side for accurate excision.

In addition, there is provided a tissue ablation apparatus that enables an operator to easily perform ablation and line scanning.

In addition, there is provided a tissue resection device that prevents damage due to unintentional vascular resection during various types of surgery, such as laparoscopic surgery, thoracoscopic surgery, robotic surgery, or open surgery.

The problem to be solved in the embodiment is not limited thereto, and it will be said that the purpose or effect that can be grasped from the method of solving the problem described below or the embodiment is also included.

A tissue ablation apparatus according to an embodiment of the present invention includes an ablation apparatus for ablating tissue; an extension connected to the ablation device; a manipulation unit for manipulating the operation of the ablation device; and a signal unit extending along the ablation device, the extension unit, and the manipulation unit, wherein the manipulation unit controls opening and closing of the ablation device, and the signal unit operates the tissue only when the ablation device is closed. distally to the ablation device for scanning.

The manipulation unit may include: a hand holder including a receiving unit; an opening/closing trigger coupled to the hand holder and configured to switch opening/closing of the ablation device; a scanning trigger that switches the signal part to move distally; and a signal unit moving member connected to the signal unit to move the signal unit toward the distal end of the ablation device according to the movement of the scanning trigger.

The opening/closing trigger may include: a base disposed outside the hand holder; a first pressing member extending from the proximal surface of the base into the opening/closing trigger; and a second pressing member extending from the proximal surface of the base into the opening/closing trigger.

The first pressing member and the second pressing member are movable proximally or distally in the hand holder.

The first pressing member may be connected to the ablation device and close the ablation device upon proximal movement.

It may further include a; signal unit holder for pressing or releasing the pressurization of the signal unit moving member.

The signal unit holder may press the signal unit moving member when the second pressing member moves distally, and release the pressurization of the signal unit moving member when the second pressing member moves proximally.

The first pressing member and the second pressing member may move in the same direction.

The ablation device includes: a first jaw; and a second jaw that includes a protrusion for ablating tissue and is rotatable with respect to the first jaw at a lower portion of the first jaw, wherein the signal unit provides a signal to the tissue and transmits a reflected signal is disposed on the second jaw and moves along a longitudinal direction of the cut-out portion, wherein the first jaw does not overlap the signal portion in a vertical direction, and the second jaw overlaps the signal portion in the vertical direction can be

A tissue ablation system according to an embodiment includes a tissue ablation device comprising an ablation device for ablating tissue; an image generator providing a signal to the tissue resection device and outputting an image signal by receiving a signal reflected from the tissue; and a display unit for receiving and displaying the image signal, wherein the tissue resection apparatus comprises: an ablative apparatus for resecting a tissue; an extension connected to the ablation device; a manipulation unit for manipulating the operation of the ablation device; and a signal unit extending along the ablation device, the extension unit, and the manipulation unit, wherein the manipulation unit controls opening and closing of the ablation device, and the signal unit operates the tissue only when the ablation device is closed. distally to the ablation device for scanning.

According to the embodiment, it is possible to implement a tissue resection apparatus for easily detecting a blood vessel inside a tissue to be resected.

In addition, it is possible to manufacture a tissue ablation device that provides visual or internal imaging using an optical signal by disposing an optical fiber on one side for accurate excision.

In addition, the operator can easily perform line scanning of the ablation site before performing the ablation.

In addition, it is possible to manufacture a tissue resection device that prevents damage due to unintentional vascular resection during various types of surgery, such as laparoscopic surgery, thoracoscopic surgery, robotic surgery, or open surgery.

Various and advantageous advantages and effects of the present invention are not limited to the above, and will be more easily understood in the course of describing specific embodiments of the present invention.

1 is a block diagram of a tissue ablation system according to an embodiment;
2 is a conceptual diagram of a tissue ablation apparatus according to an embodiment;
3 is a perspective view of an ablation device according to an embodiment;
4 is an exploded perspective view of an ablation device according to an embodiment;
5 is a top view of an ablation device according to an embodiment;
6 is a perspective view of a tissue ablation apparatus according to an embodiment;
7 is a side view of a tissue ablation apparatus according to an embodiment;
8 is a view for explaining a first operation of the manipulation unit and an operation of the ablation device corresponding to the first operation according to the embodiment;
9 is a cross-sectional view of the operation unit in FIG. 8;
10 is a view for explaining a second operation of the manipulation unit and an operation of the ablation device corresponding to the second operation according to the embodiment;
11 is a cross-sectional view of the operation unit in FIG. 10;
12 is a view of a tissue resection apparatus for explaining a third operation of the manipulation unit according to the embodiment;
13 is a view for explaining a third operation of the operation unit according to the embodiment;
14 is a view for explaining the operation of the ablation device corresponding to the third operation;
15 is a view for explaining the operation of the ablation device corresponding to the third operation.

Since the present invention may have various changes and may have various embodiments, specific embodiments will be illustrated and described in the drawings. However, this is not intended to limit the present invention to specific embodiments, and it should be understood to include all modifications, equivalents and substitutes included in the spirit and scope of the present invention.

Terms including an ordinal number such as second, first, etc. may be used to describe various elements, but the elements are not limited by the terms. The above terms are used only for the purpose of distinguishing one component from another. For example, without departing from the scope of the present invention, the second component may be referred to as the first component, and similarly, the first component may also be referred to as the second component. and/or includes a combination of a plurality of related listed items or any of a plurality of related listed items.

When an element is referred to as being “connected” or “connected” to another element, it is understood that it may be directly connected or connected to the other element, but other elements may exist in between. it should be On the other hand, when it is said that a certain element is "directly connected" or "directly connected" to another element, it should be understood that the other element does not exist in the middle.

The terms used in the present application are only used to describe specific embodiments, and are not intended to limit the present invention. The singular expression includes the plural expression unless the context clearly dictates otherwise. In the present application, terms such as “comprise” or “have” are intended to designate that a feature, number, step, operation, component, part, or combination thereof described in the specification exists, but one or more other features It should be understood that this does not preclude the existence or addition of numbers, steps, operations, components, parts, or combinations thereof.

Unless defined otherwise, all terms used herein, including technical and scientific terms, have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Terms such as those defined in commonly used dictionaries should be interpreted as having a meaning consistent with the meaning in the context of the related art, and should not be interpreted in an ideal or excessively formal meaning unless explicitly defined in the present application. does not

Hereinafter, the embodiment will be described in detail with reference to the accompanying drawings, but the same or corresponding components are given the same reference numerals regardless of reference numerals, and overlapping descriptions thereof will be omitted.

1 is a block diagram of a tissue ablation system according to an embodiment, and FIG. 2 is a conceptual diagram of a tissue ablation apparatus according to the embodiment.

1 and 2 , the tissue ablation apparatus 1000 according to the embodiment may include an ablation apparatus 100 , an extension unit 200 , and a manipulation unit 300 .

First, the ablation apparatus 100 is an apparatus for excising a desired portion of a tissue, and may include a first jaw 110 , a second jaw 120 , and a signal unit 130 . This will be described later.

The extension 200 may be connected to the ablation device 100 . In particular, the extension portion 200 may have a flexible and movable tubular structure. The extension part 200 may connect the ablation apparatus 100 inserted into the human body and the image generator installed outside. A connection device or the like may be disposed on the extension unit 200 so that the above-described signal unit is movable.

The manipulation unit 300 may manipulate the operation of the ablation device 100 . For example, the manipulation unit 300 may perform opening and closing (or opening/closing) by manipulating the rotation of the first jaw and the second jaw by the ablation device 100 , thereby excising the tissue. In addition, the manipulation unit 300 may operate the signal unit 130 to move in the longitudinal direction (distal or proximal direction) for line scanning of the signal unit 130 .

For example, the operation unit 300 may function in an automatic operation method or a manual operation method. The automatic operation method may be a method of moving the signal unit back and forth a predetermined number of times for a predetermined time when an input exists through the operation unit 300 (eg, a button push).

The manual operation method may be a method in which the operator manually controls the speed and time of the forward or backward movement of the operation unit 300 . Accordingly, the operator can adjust the scanning distance of the tissue as desired.

The tissue ablation system according to the embodiment may include a tissue ablation apparatus 1000 , an image generator 2000 , and a display unit 3000 .

In an embodiment, the tissue ablation system inserts the front end of the tissue ablation apparatus 1000 into the human body, and inserts the tissue ablation apparatus 1000 into a normal tissue and an abnormal tissue in the tissue held in the ablation apparatus of the tissue ablation apparatus 1000 . It is a system that images the non-resected areas so that they can be distinguished.

Since the tissue ablation apparatus 1000 has the above-described structure and function, a description of the tissue ablation apparatus 1000 will be omitted below.

In addition, the image generator 2000 may include a signal generator (not shown) and an image signal calculator. The signal generating unit (not shown) is a member that provides a signal to the signal unit of the above-described tissue resection apparatus.

Various light sources for emitting an optical signal and the like may be applied to the signal generator.

The image signal calculating unit may output an image signal by interfering with the signal reflected from the tissue, and transmit the output image signal to the display unit 3000 . Here, the image signal may be a signal obtained by optically interfering with a signal reflected from one surface of the tissue held in the excision unit provided through the signal unit.

Here, the interference signal may be the above-described scan signal, and the scan signal may be an element (eg, slope) of a graph calculated by taking the x-axis as the depth at which the optical signal is reflected from the tissue and the y-axis as the backscattered intensity. . For example, the operator can perform resection by easily determining a portion with a sharp change in inclination on the graph as excision tissue and a portion with a gentle gradient change as non-ablation tissue. And it can improve the accuracy of surgery.

In addition, the image signal calculating unit may include, for example, an optical interference optical system to which an OCT (Optical Coherence Tomography) technology for an optical signal is applied.

The display unit 3000 may be connected to the image generation unit 2000 to image a signal (eg, optical interference signal) output from the image generation unit 2000 . In this case, the display unit 3000 may provide an image to the operator with the excised portion and the non-resected portion of the tissue.

At this time, as described above, since the signal unit is disposed on the side of the first jaw, the operator visually checks the location of the resected tissue from one side and at the same time checks the presence or absence of blood vessels inside the tissue through the image to determine whether or not to resection. Able to make good judgments. Accordingly, it is possible to prevent accidents such as unintentional blood vessel resection. In addition, the tissue resection system according to the embodiment may provide an image capable of easily distinguishing an excision site/non-ablation site without a photographing device such as a camera.

In addition, in addition to ultrasonic ablation or radiofrequency ablation instruments, various types of components used to excise micro-organisms such as blood vessels in various surgeries such as laparoscopic surgery, thoracoscopic surgery, or robotic surgery are resected within the scope apparent from the perspective of those skilled in the art. It should be understood that the device may be mounted.

3 is a perspective view of the ablation device according to the embodiment, and FIG. 4 is an exploded perspective view of the ablation device according to the embodiment.

3 and 4 , the ablation apparatus 100 according to the first embodiment may include a first jaw 110 and a second jaw 120 . Furthermore, the ablation apparatus 100 may further include a signal unit 130 . Alternatively, the tissue ablation apparatus may further include a signal unit 130 . That is, the signal unit 130 may be arranged to extend along the ablation device, the extension unit, and the manipulation unit. And as described above, it may be connected to the image generator.

First, the first jaw 110 may extend in a first direction (X-axis direction). Here, the first direction (X-axis direction) may be the same as the extension line of the signal unit 130 to be described later in the extension direction of the first jaw 110, and hereinafter may be used interchangeably with the 'length direction'. The second direction (Y-axis direction) is a direction perpendicular to the first direction (X-axis direction). The second direction (Y-axis direction) may be a direction from the first jaw toward the signal unit. The third direction (Z-axis direction) may be a direction perpendicular to the first direction (X-axis direction) and the second direction (Y-axis direction). In an embodiment, the third direction (Z-axis direction) may correspond to a direction from the second jaw toward the first jaw, and may be used interchangeably with a 'vertical direction'.

The first jaw 110 may be positioned on top of the ablation device 100 . In addition, a portion of the first jaw 110 may have a curvature. In particular, it may have a curvature in a first region to be described later. This will be described later.

In addition, the first jaw 110 may have a groove 110a on one side. By this configuration, a view of the tissue located at the lower end of the first jaw 110 can be easily secured.

The second jaw 120 may be located under the first jaw 110 . The second jaw 120 may be coupled to the first jaw 110 . In an embodiment, the first jaw 110 or the second jaw 120 may be rotationally movable. And by the above-described rotational movement, the first jaw 110 and the second jaw 120 may hold the tissue that may be disposed between the first jaw 110 and the second jaw 120 . In addition, the first jaw 110 and the second jaw 120 can be easily excised at a desired position by the protrusion 121a of the second jaw 120 . In addition, an operation for performing resection may be performed by a manipulation unit to be described later, and a description thereof will be given later.

In addition, the second jaw 120 may include a recess RS1 and a cutout portion 121 seated in the recess RS1 .

The cut portion 121 may include a protrusion 121a at an upper portion facing the first jaw 110 . If there is no tissue between the first jaw 110 and the second jaw 120 , the first jaw 110 may come into contact with the protrusion 121a by rotation of the first jaw 110 . In an embodiment, the protrusions 121a may be plural if they protrude upward.

Also, the cut portion 121 may include a sliding portion 121b protruding downward. The sliding part 121b may be seated in the recess RS1. With this configuration, the cut-out portion 121 is slidably coupled with the second jaw 120 within the second jaw 120 to improve the mutual coupling force.

The recess RS1 may include a sliding groove RS1a that is a groove that can be coupled to the sliding part 121b. Accordingly, the sliding portion 121b of the cut-out portion 121 may slide into the recess RS1 along the sliding groove RS1a. Accordingly, separation and coupling of the excision portion 121 may be easily performed, and washing may be performed upon separation.

The recess RS1 may be formed from a portion to the end surface 120k of the second jaw 120 . In other words, the recess RS1 may be formed to extend along the extending direction of the first jaw 110 . And the recess RS1 may correspond to the shape of the cutout 121 .

In addition, the recess RS1 may be located on one side of the second jaw 120 , and the protrusion 120a may be located on the other side of the second jaw 120 by the recess RS1 . Accordingly, both the recess RS1 and the protrusion 120a may extend in the longitudinal direction.

Specifically, the second jaw 120 may include a protrusion 120a located on one side. The protrusion 120a may be adjacent to the recess RS1 . A signal unit 130 to be described later may be disposed on the protrusion 120a. That is, the signal unit 130 may be disposed on the second jaw 120 . Accordingly, the signal unit 130 may be disposed to be spaced apart from the excision unit 121 . With this configuration, the ablation apparatus 100 according to the embodiment can easily block damage to the signal part 130 by the ablation part 121 .

The signal unit 130 may move in an extension direction (or a longitudinal direction) of the excision unit 121 , for example, in a first direction (X-axis direction). In addition, the signal unit 130 irradiates a signal (eg, an optical signal, which is used interchangeably with terms such as optical signal and light) toward the tissue held by the first jaw 110 and the second jaw 120 . can In other words, the signal unit 130 may perform line scanning for providing an optical signal to the tissue and receiving the reflected optical signal. Accordingly, an image generating unit, which will be described later, may provide an image of an excision site or a non-ablation site in the tissue by using the optical signal reflected by line scanning.

The signal unit 130 may be controlled to move back and forth (proximal/distal movement) in the longitudinal direction by a manipulation unit to be described later. For example, the operation unit to be described later may automatically or manually adjust the forward and backward movement of the signal unit.

The signal unit 130 may not overlap the first jaw 110 and the third direction (Z-axis direction), for example, in a vertical direction. In addition, since the signal unit 130 is seated on the protrusion 120a of the second jaw 120 , it may overlap the second jaw 120 in a vertical direction. That is, the signal unit 130 may be supported by the lower second jaw 120 . Furthermore, the signal unit 130 is spaced apart from the first jaw 110 in the second direction on the second jaw 120 to irradiate the optical signal at an accurate position with respect to the tissue to be placed on the second jaw 120 . . In addition, since line scanning is performed in the longitudinal direction with respect to the entire thickness (length in the second direction) of the tissue on the second jaw 120 , the operator can accurately determine the excised portion and the non-ablated portion of the tissue.

In addition, the signal unit 130 may include an optical fiber, and an optical signal may be irradiated toward the tissue through the optical fiber. Additionally, the signal unit 130 may further include a cover surrounding the optical fiber, a buffer, and the like.

And, as described above, the signal unit 130 may include both a light emitting unit and a light receiving unit. The signal unit 130 may have a transceiver 131 opened at an end thereof, and may emit an optical signal and receive a reflected optical signal through the transceiver 131 . In an embodiment, the signal unit 130 may be connected to an image generator to be described later with a light irradiator that emits an optical signal toward a tissue and a light receiver that receives an optical signal reflected from the tissue. Also, the transceiver 131 may be disposed toward the tissue. That is, the transceiver 131 may have a shape that is opened toward a region between the first jaw 110 and the second jaw 120 .

In addition, the signal unit 130 may be made of a flexible material to provide a desired shape.

5 is a top view of an ablation device according to an embodiment.

Referring to FIG. 5 , in the embodiment, the first jaw 110 may include a first area S1 and a second area S2 . The first region S1 may be a region overlapping the cut portion 121 of the second jaw 120 in the third direction (Z-axis direction). That is, the first region S1 may be a region in which the first jaw 110 contacts the protrusion 121a of the cut-out portion 121 by rotation of the first jaw 110 or the second jaw 120 .

The first region S1 may have a first curvature r1 in some or all of the regions. In an embodiment, the first jaw 110 may include a first outer surface F1 and a second outer surface F2 extending in the longitudinal direction and facing each other. The first outer surface F1 and the second outer surface F2 may have a first curvature r1 . Accordingly, the field of view of the tissue is easily secured during tissue resection, and damage to surrounding organs by the first jaw 110 can be prevented.

Correspondingly, the cut portion 121 of the second jaw 120 may also have a second curvature r2. The first curvature r1 may be the same as the second curvature r2. Accordingly, the contact area between the first jaw 110 and the cut portion 121 may have a separation distance of the same ratio in the second direction with respect to the first jaw 110 and the cut portion 121 . Due to this configuration, the force applied between the first jaw 110 and the cut-out portion 121 is not concentrated on one side when the first jaw 110 and the cut-out portion 121 are in contact (eg, an ablative function). can Accordingly, the reliability of the first jaw 110 and the cut-out portion 121 may be improved.

In addition, the signal unit 130 may also have a third curvature r3 in a region corresponding to the first region S1 (eg, a region overlapping the cut portion in the second direction). The third curvature r3 may be the same as the first curvature r1 and the second curvature r2. With this configuration, the optical signal, etc. is emitted toward the first jaw 110 through the signal unit 130 (SG1), and even though it is reflected from the tissue between the first jaw 110 and the excision unit 121 (SG2) ), the error according to the distance can be minimized.

Also, the second jaw 120 may include a first edge surface E1 and a second edge surface E2 extending in the longitudinal direction and facing each other. The first edge surface E1 may be disposed adjacent to the first outer surface F1 , and the second edge surface E2 may be disposed adjacent to the second outer surface F2 . That is, the first edge surface E1 may be positioned to correspond to the side where the groove 110a is located in the first jaw 110 , and the second edge surface E2 is the signal part 130 or the protrusion part 120a. ) and can be placed adjacent to each other.

In an embodiment, the first separation distance d1 between the first outer surface F1 and the first edge surface E1 is the second separation distance between the second outer surface F2 and the second edge surface E2. (d2) may be smaller. By this configuration, the second jaw 120 can easily form the protrusion 120a on one side. In addition, since the signal unit is located between the second outer surface F2 and the second edge surface E2, by making the second separation distance d2 larger than the first separation distance d1, the signal unit 130 is It is possible to easily provide a space where it can be arranged. In addition, the position of the tissue positioned between the first jaw 110 and the second jaw 120 by reducing the first separation distance d1 between the first outer surface F1 and the first edge surface E1 In particular, it is possible to provide a field of view that can accurately recognize the location of the ablation.

In addition, the groove 110a may be disposed on the first outer surface F1 as described above to provide an accurate view of the tissue to be resected.

In addition, the end surface 120k of the second jaw 120 may extend further in the first direction (or longitudinal direction) than the end of the first jaw 110 .

6 is a perspective view of the tissue ablation apparatus according to the embodiment, FIG. 7 is a side view of the tissue ablation apparatus according to the embodiment, and FIG. 8 is a first operation of the manipulation unit and a first operation of the ablation apparatus corresponding to the first operation according to the embodiment It is a view for explaining the operation, and FIG. 9 is a cross-sectional view of the operation unit in FIG. 8 .

6 to 9 , the tissue ablation apparatus according to the embodiment may include the ablation apparatus 100 , the extension part 200 , and the manipulation part 300 as described above.

The manipulation unit 300 includes a hand holder 310 , an opening/closing trigger 320 , a scanning trigger 330 , a switch unit 340 , a signal unit moving member 350 , a signal unit holder 360 , and a rotating member 370 . may include

First, the hand holder 310 may include a first housing positioned on one side in the first direction and a second housing positioned on the other side in the first direction. The first housing and the second housing may be coupled by various coupling methods. Also, it should be understood that various components described herein may be coupled in various coupling methods.

In addition, the hand holder 310 may be formed in a shape that can be easily gripped by an operator.

In addition, the hand holder 310 may have a receiving portion therein. In addition, various components to be described later may be disposed in the receiving unit. In the following, in the first direction (X-axis direction), the closer to the ablation device in the drawing, the more distal it will be described, and the opposite case will be described as proximal.

The hand holder 310 may have a grip anchor or a saddle surface. The saddle surface may be located on a web where the thumb and forefinger connect on the hand.

Also, the palm-facing proximal surface at the bottom of the hand holder 310 may have a pistol grip profile to receive the palm of the hand. The proximal surface may be shaped to have a contour to accommodate the palm of the hand.

In addition, the hand holder 310 may have a protrusion protruding proximally above the grip anchor. The protrusion may abut the uppermost finger claw of the hand positioned between the thumb and forefinger to structurally stabilize the hand holder 310 and facilitate operator control over the hand holder.

The opening/closing trigger 320 may switch (on/off) opening/closing of the ablation device. It is located at the lower end of the hand holder 310 and may be coupled to the hand holder 310 . In addition, the opening/closing trigger 320 may be coupled to the hand holder 310 to enable rotational driving.

The opening/closing trigger 320 may be partially inserted into the hand holder 310 by rotational driving. The opening/closing trigger 320 is ergonomic, so that an operator can easily interface it. The opening/closing trigger 320 may perform rotational driving of the first jaw and the second jaw while the aforementioned part is inserted into the hand holder 310 when a pressing force of the operator is applied. A detailed description thereof will be given below.

The opening/closing trigger 320 may include a base 321 , a first pressing member 322 , and a second pressing member 323 .

The base 321 may be located outside the hand holder 310 and may be a portion to which the operator's squeezing force is applied by contacting the operator's finger. The base 321 may be rotated by an operator's pressing force. In addition, it may be formed in a hook shape.

The first pressing member 322 may be connected to the base 321 and extend from the proximal surface of the base 321 toward the opening/closing trigger 320 . At least a portion of the first pressing member 322 may be located in the hand holder 310 . That is, the first pressing member 322 may overlap the hand holder 310 in a direction perpendicular to the first direction.

The first pressing member 322 may move proximally or distally within the hand holder 310 . In this case, the first pressing member 322 may be coupled to the hand holder 310 through a hook hk connected to the hand holder 310 . In an embodiment, when the first pressing member 322 is moved to the maximum proximally in the hand holder 310 , the hook hk may be engaged with the protrusion to be formed on the first pressing member 322 . Accordingly, the first pressing member 322 may be maintained in a proximally and maximally moved state within the hand holder 310 . That is, the locking state may be achieved by the movement of the first pressing member 322 and the hook hk. In the locked state, the scanning trigger 330 may be moved. This will be described later. In addition, even in the locked state, the movement of the first pressing member 322 within a predetermined range may be partially possible.

And when the first pressing member 322 moves proximally (A1), the first jaw and the second jaw are closed by rotation of the first jaw or the second jaw (B1). In other words, the first jaw and the second jaw are capable of gripping tissue.

Conversely, when the first pressing member 322 moves distally (A2), the first jaw and the second jaw open to each other by rotation of the first or second jaws (B2). In other words, the first and second jaws do not grip tissue.

The second pressing member 323 may be positioned above the first pressing member 322 . The second pressing member 323 may be connected to the signal unit moving member 350 through the first connecting member LE1 . Also, like the first pressing member 322 , the second pressing member 323 may move proximally or distally according to the movement of the base 321 .

The second pressing member 323 may move proximally or distally within the hand holder 310 . The second pressing member 323 may move proximally in the hand holder 310 by the pressing force of the operator. At this time, the first connecting member LE1 connected to the second pressing member 323 may move proximally.

The first connecting member LE1 may be coupled to the first elastic member SP1 disposed at the proximal end. In an embodiment, when the first connection member LE1 is moved proximally or distally by the second pressing member 323 , the first connection member LE1 also moves proximally or distally according to the movement of the second pressing member 323 . It can move upward to press the first elastic member SP1.

In addition, in the locked state, the end of the second pressing member 323 is maximally moved proximally, and one end (proximal) of the first connecting member LE1 may also be maximally moved proximally.

Also, the first elastic member SP1 may be compressed or expanded according to the movement of the first connecting member LE1 . Also, the other end (proximal) of the first connecting member LE1 may move proximally or distally.

Also, the first elastic member SP1 may be a spring.

The scanning trigger 330 causes the aforementioned signal unit 130 to move in the first direction (eg, the distal direction). In an embodiment, when the scanning trigger 330 moves downward by the operator's manipulation (pressurization), the signal unit 130 moves distally to perform line scanning. Alternatively, when the scanning trigger 330 is not manipulated by the operator, it may maintain a state in which the scanning trigger 330 moves upward and proximally. In this case, the end of the signal unit 130 may be disposed spaced apart from the first jaw or the second jaw in the first direction. That is, it may be in a standby state before scanning of the tissue using the signal unit 130 is performed. An operation in which the scanning trigger 330 moves by an operator's operation will be described later.

The switch unit 340 may be located on one side of the hand holder 310 . The switch unit 340 may include a plurality of switches. The switch unit 340 may control the ablation or rotation of the rotating member 370 in the ablation apparatus.

In embodiments, when the switch is moved proximally to distally, a blade in the ablation device may move between the first and second jaws to perform ablation of the tissue. At this time, the switch may be connected to the blade (blade) in various ways.

In addition, when the switch moves from the proximal to the distal, the rotational operation of the rotating member 370 may be performed. This allows the extension and the ablation device to rotate. This allows the operator to rotate the ablation device in an easy direction according to the orientation of the tissue. This will be described later.

The signal unit moving member 350 may be connected to the scanning trigger 330 through the first connecting member, the signal unit holder 360 , and the second connecting member LE2 .

As for the signal unit moving member 350, when the scanning trigger 330 moves to one side (eg, the lower side), the connecting member LE2 moves distally, and the signal unit moving member 350 due to the movement of the connecting member LE2. It can also move distally. Accordingly, the signal unit holder 360 connected to the signal unit moving member 350 may also move distally. A movement to the proximal opposite to the movement to the distal described above may also be performed.

In addition, the signal unit moving member 350 can move distally only in a state in which the first pressing member 322 and the second pressing member 323 are moved to the maximum proximally.

In an embodiment, the tissue ablation apparatus may further include a signal unit holder HD for supporting the signal unit moving member 350 . The signal unit holder HD may have one end in contact with the first connection member LE1 and may be supported by the first connection member LE1 . Also, the signal unit holder HD may press or release the signal unit moving member 350 according to the proximal or distal movement of the first connection member LE1 .

When the second pressing member 323 moves proximally, the above-described first connecting member LE1 also moves proximally, and the signal unit holder HD supported by the first connecting member LE1 may move upward. . In this case, the end (distal side) of the first connecting member LE1 may have a structure extending upward.

In a state in which the second pressing member 323 moves distally, the signal unit holder HD may press the signal unit moving member 350 . In addition, in a state in which the second pressing member 323 moves proximally, the signal unit holder HD may move upward to not press the signal unit moving member 350 . Accordingly, the signal unit moving member 350 may move distally.

In addition, the second pressing member 323 may move in the same direction (proximal or distal) as the first pressing member 322 . Accordingly, the tissue may be gripped with one operation (eg, pressurized) of the operator, and then line scanning of the signal unit may be possible.

The signal element holder 360 may engage an end (distal end) of the signal element moving member 350 . The signal element moving member 350 moves proximally or distally, and in response to the movement, the signal element holder 360 may move proximally or distally.

The signal unit holder 360 may have the signal unit 130 positioned therein, and a holding member having a helical structure may be positioned therein. The holding member may be coupled to the signal unit holder 360 and the signal unit 130 . The holding member may move the signal unit 130 proximally or distally in response to the proximal or distal movement of the signal unit holder 360 . The signal unit holder 360 minimizes vibrations generated during movement so that line scanning is accurately performed according to the proximal or distal movement of the signal unit 130 .

The rotating member 370 may be positioned near the signal unit holder 360 and coupled to the extension unit. The rotating member 370 is connected to the switch unit so that when the operator operates the switch unit, the rotating member 370 may rotate in response thereto. Additionally, the extension and the ablation device coupled to the extension may also rotate. Accordingly, the operator can easily rotate the ablation device in a direction for easy ablation in accordance with the position and shape of the blood vessel.

Additionally, the manipulation unit 300 may further include a sensor 380 .

The sensor 380 may detect a movement distance of the signal unit. In an embodiment, the sensor 380 may be located in the hand holder 310 . In addition, the sensor 380 is positioned above the second connecting member LE2 or the signal moving member 350 to control the proximal or distal movement of the second connecting member LE2 or the signal moving member 350 . can detect

In an embodiment, the sensor 380 as a displacement sensor (potential meter) may sense the movement distance of the signal unit 130 through the rotation angle of the second connection member LE2. Alternatively, the sensor 380 may sense the moving distance of the signal unit 130 through the moving distance of the signal unit moving member 350 .

Hereinafter, an operation of the manipulation unit will be described based on the above-described contents, and the first operation of the manipulation unit is a case in which the opening/closing trigger 320 is located distally. That is, in the ablation device, the ends of the first jaw and the second jaw are spaced apart and open. Also, in the first operation, the signal unit 130 is maximally spaced apart from the distal end of the ablation device, so that no line scanning is performed. Specifically, the first pressing member 322 and the second pressing member 323 are in a distally moved state, and the first connecting member LE1 also moves distally so that the signal unit holder HD is moved to the signal unit moving member ( 350) can be pressurized. Accordingly, since the movement of the signal unit moving member 350 is limited, the operation of moving the signal unit by the scanning trigger 330 may be blocked. Accordingly, the tissue resection apparatus may perform line scanning for resection only when the tissue is gripped, thereby improving power efficiency and preventing damage due to movement of the signal unit.

10 is a view for explaining a second operation of the operation unit and an operation of the ablation device corresponding to the second operation according to the embodiment, and FIG. 11 is a cross-sectional view of the operation unit in FIG. 10 .

10 and 11 , when the operator presses the opening/closing trigger 320, a second operation of the operation unit may be performed. As described above, the end (proximal) of the first pressing member 322 and the second pressing member 323 can be moved to the maximum proximally by the pressure of the operator.

And the first jaw or the second jaw connected thereto rotates by the rotation or movement of the opening/closing trigger 320, and the first jaw or the second jaw is closed by reducing the distance between the ends of each other (k0). That is, the first and second jaws can grip the tissue between the first and second jaws.

In addition, during the second operation, the second pressing member 322 may move proximally so that the first connecting member LE1 may move proximally while compressing the first elastic member SP1 ( k1 ). Accordingly, the distal end located at the top of the first connection member LE of the first connection member LE1 may come into contact with the signal unit holder HD while moving proximally. And accordingly, the signal unit holder HD moves upward in response to the movement of the first connecting member LE1 , and the pressure on the signal unit moving member 350 may be relieved (k2). Accordingly, the signal unit moving member 350 may be in a movable state. Accordingly, it is possible to prevent damage to the signal unit due to rotation of the second jaw while performing line scanning of the tissue in the gripped state.

12 is a diagram of a tissue resection apparatus for explaining a third operation of the manipulation unit according to the embodiment, FIG. 13 is a view for explaining a third operation of the manipulation unit according to the embodiment, and FIG. 14 is a diagram corresponding to the third operation It is a figure explaining the operation|movement of an ablation apparatus, and FIG. 15 is a figure explaining the operation|movement of the ablation apparatus corresponding to a 3rd operation|movement.

12 to 15 , after the second operation, the operator may move the scanning trigger 330 . As described above, when the operator moves the scanning trigger 330 downward (M0), the second connection member LE2 connected to the scanning trigger 330 may move distally (M1).

In addition, the signal unit moving member 350 connected to the second connecting member LE2 may move distally (M2). Correspondingly, the signal unit holder 360 coupled to the signal unit moving member 350 may move distally while holding the signal unit (M3). The signal element 130 is then retracted into the signal element holder 360 and can move distally along the extension to the end of the ablation device (M4).

In an embodiment, the distance the signal unit 130 moves distally may be adjusted according to the degree of movement of the scanning trigger 330 . Alternatively, when the scanning trigger 330 moves, the signal unit 130 may move distally to the end of the ablation device and then move proximally again to perform line scanning.

Also, the third operation of the manipulation unit may be performed in a state in which the first and second jaws are closed, similar to the second operation. Accordingly, the operator can accurately perform line scanning on the tissue by moving the signal unit distally or proximally while holding the tissue. In addition, since the third operation is performed while the first jaw and the second jaw are closed, at least a portion of the optical signal emitted through the signal unit may be reflected by the first jaw even though it passes through the tissue. Since the distance between the first jaw and the signal unit is maintained the same, more accurate scanning can be performed than when the first jaw and the second jaw are open.

In addition, the gripping of the tissue through the first jaw and the second jaw and line scanning through movement of the signal unit may be performed separately. That is, the operator first recognizes the ablation site with the naked eye by holding the tissue in the ablation device by the first and second operations, and then performs line scanning according to the third operation to reconfirm the ablation site. can In addition, since the state of holding the tissue before and after line scanning is maintained, the resection site does not change, and since the first jaw and the signal unit do not overlap in the vertical direction, even if the signal unit performs scanning during gripping, tissue damage can be blocked.

The tissue resection apparatus according to the present invention or a system including the same has a structure detachably connected to an external device for imaging tissue, so that when the tissue resection apparatus is damaged, it can be easily replaced and then re-photographed immediately, laparoscopic It can increase the efficiency of surgery.

In addition, as described above, in the tissue resection apparatus or a system including the same, the presence or absence and size of blood vessels can be easily observed with the naked eye through the image of the internal structure of the tissue to be resected, so that unintentional resection of blood vessels during surgery damage can be minimized.

That is, the present invention uses a tissue resection apparatus to which an intra-tissue imaging module is applied to determine the presence of blood vessels inside the resected tissue during laparoscopic surgery, thereby allowing a clinician to unintentionally It can protect blood vessel resection and make safe tissue resection.

The term '~ unit' used in this embodiment means software or hardware components such as field-programmable gate array (FPGA) or ASIC, and '~ unit' performs certain roles. However, '-part' is not limited to software or hardware. '~unit' may be configured to reside on an addressable storage medium or may be configured to refresh one or more processors. Thus, as an example, '~' refers to components such as software components, object-oriented software components, class components, and task components, and processes, functions, properties, and procedures. , subroutines, segments of program code, drivers, firmware, microcode, circuitry, data, databases, data structures, tables, arrays, and variables. The functions provided in the components and '~ units' may be combined into a smaller number of components and '~ units' or further separated into additional components and '~ units'. In addition, components and '~ units' may be implemented to play one or more CPUs in a device or secure multimedia card.

In the above, the embodiment has been mainly described, but this is only an example and does not limit the present invention, and those of ordinary skill in the art to which the present invention pertains are not exemplified above in the range that does not depart from the essential characteristics of the present embodiment. It can be seen that various modifications and applications are possible. For example, each component specifically shown in the embodiment can be implemented by modification. And differences related to such modifications and applications should be construed as being included in the scope of the present invention defined in the appended claims.

Claims (10)

an ablation device to ablate tissue;
an extension connected to the ablation device;
a manipulation unit for manipulating the operation of the ablation device; and
a signal unit extending along the ablation device, the extension unit, and the manipulation unit;
The manipulation unit controls opening and closing of the ablation device, and moves distally to the ablation device such that the signal unit scans the tissue only when the ablation device is closed;
The operation unit,
a hand holder including a receiving part;
an opening/closing trigger coupled to the hand holder and switching the opening/closing of the ablation device;
a scanning trigger that switches the signal part to move distally; and
a signal unit moving member connected to the signal unit to move the signal unit toward the distal end of the ablation device according to the movement of the scanning trigger;
The opening/closing trigger is
a base disposed outside the hand holder;
a first pressing member extending from the proximal surface of the base into the opening/closing trigger; and
and a second pressing member extending from the proximal surface of the base into the opening/closing trigger. delete delete According to claim 1,
wherein the first pressing member and the second pressing member move proximally or distally from the hand holder. 5. The method of claim 4,
wherein the first pressing member is connected to the ablation device and closes the ablation device upon proximal movement. 6. The method of claim 5,
The tissue ablation device further comprising a; signal holder for pressing or releasing the pressure of the signal unit moving member. 7. The method of claim 6,
The signal unit holder presses the signal unit moving member when the second pressing member moves distally, and releases the pressurization of the signal unit moving member when the second pressing member moves proximally. According to claim 1,
The first pressing member and the second pressing member are tissue resection apparatus that moves in the same direction. According to claim 1,
The ablation device is
first jaw; and
A second jaw including a protrusion for ablating tissue and rotatable with respect to the first jaw at a lower portion of the first jaw;
wherein the signal unit provides a signal to the tissue and receives a reflected signal, is disposed on the second jaw and moves along a longitudinal direction of the ablation portion;
The first jaw does not overlap the signal unit in a vertical direction,
wherein the second jaw overlaps the signal unit in the vertical direction. a tissue ablation device comprising an ablation device for ablating tissue;
an image generator providing a signal to the tissue resection apparatus and receiving a signal reflected from the tissue to output an image signal; and
and a display unit for receiving and displaying the image signal;
The tissue resection device,
an ablation device to ablate tissue;
an extension connected to the ablation device;
a manipulation unit for manipulating the operation of the ablation device; and
a signal unit extending along the ablation device, the extension unit, and the manipulation unit;
The manipulation unit controls opening and closing of the ablation device, and moves distally to the ablation device such that the signal unit scans the tissue only when the ablation device is closed;
The operation unit,
a hand holder including a receiving part;
an opening/closing trigger coupled to the hand holder and switching the opening/closing of the ablation device;
a scanning trigger that switches the signal part to move distally; and
a signal unit moving member connected to the signal unit to move the signal unit toward the distal end of the ablation device according to the movement of the scanning trigger;
The opening/closing trigger is
a base disposed outside the hand holder;
a first pressing member extending from the proximal surface of the base into the opening/closing trigger; and
and a second pressing member extending from the proximal surface of the base into the opening/closing trigger.

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