Abstract: The system includes a memory that stores a trained model, and a processor. The processor acquires at least one treatment image including an image in which at least one energy device and at least one biological tissue are captured. The processor acquires information regarding an amount of energy supply, the information regarding an energy output setting of the energy device. The processor estimates, based on the treatment image, the information regarding the amount of energy supply, and the trained model, estimated remaining heat information regarding an amount of heat or a temperature of the energy device. The processor causes a notification section to make a notification based on the estimated remaining heat information.

Abstract: An ultrasonic treatment instrument includes: a vibration transmitter including a treatment portion for treating a living tissue at a distal end of the vibration transmitter, the vibration transmitter being configured to transfer ultrasonic vibration from a proximal end of the vibration transmitter toward the treatment portion; a holder configured to open and close with respect to the treatment portion; a resin pad including a gripping surface for gripping the living tissue between the resin pad and the treatment portion; and a heat transmitter that is configured separately from the holder and extends from the holder to an inside of the resin pad.

Abstract: The system includes a memory that stores first and second trained models, and a processor. The processor acquires a captured image in which at least one energy device and at least one biological tissue are imaged. The processor detects a bounding box from the captured image by processing based on the first trained model and estimates the image recognition information from the captured image in the bounding box by processing based on the second trained model. The processor outputs an energy output adjustment instruction based on the estimated image recognition information to the generator. The generator controls the energy supply amount to the energy device based on the energy output adjustment instruction.

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

Abstract: Ultrasonic treatment device includes a blade configured to apply ultrasonic vibrations to target tissue and a jaw movable relative to the blade between open and closed configurations. In some examples, the jaw includes a base having an inner channel and a plurality of slots in communication with the inner channel, and a pad having a plurality of protrusions, each protrusion configured to be received within a different slot of the plurality of slots. In further examples, the jaw includes a base having a pair of side walls defining an inner channel, one of the side walls including a rail member extending into the channel, and a pad having a single groove for receiving the rail member when the pad is positioned within the channel. A surface of the groove is configured to contact a surface of the rail when a force is applied against a grasping surface of the pad.

Abstract: A treatment instrument that includes a first grasping member having a first grasping surface and a second grasping member having a second grasping surface. The treatment instrument includes a cover that covers at least a part of a region of at least one of the first and second grasping members other than the first and second grasping surfaces, and a pair of electrodes that are arranged on at least one of the first and second grasping surfaces to function as a bipolar electrode. An opening is provided in the cove, and a monopolar electrode arranged to overlap with the opening and is exposed to an outside of the treatment instrument through the opening.

Abstract: A medical system can include a light source configured to generate excitation light; and a processor including a memory, the processor: controlling energy supplied to an energy device, the light source generating the excitation light to generate fluorescence from the living body tissue heat treated by the energy device; generating a fluorescence image based on an image pickup signal obtained by imaging the living body tissue; and generating a control signal that restricts energy supply to the energy device and output the control signal to the energy control apparatus when a pixel value of at least one pixel in the fluorescence image exceeds a first threshold value.

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

Abstract: A surgical operation system includes a US signal output section, an HV signal output section, a probe having a treatment section which has an HV signal applied thereto and vibrates by ultrasound, an HV signal main controller that performs feedback control of the HV signal output section based on the HV signal, a US signal main controller that performs feedback control of the US signal output section based on a US signal, and an HV signal auxiliary controller that controls the HV signal output section based on the US signal, and has a response time shorter than that of the HV signal main controller.

Abstract: A generator includes a control device including a processor, and outputs electrical energy to a treatment instrument. The processor determines whether a treatment target has been heat-denatured prior to receiving an output command, and, based on determination, selects, as an operation state of the treatment instrument, one of a first mode if it is determined that the treatment target has not been heat-denatured and a second mode if it is determined that the treatment target has been heat-denatured. The processor operates the treatment instrument at the selected operation state by controlling the output of the electrical energy to the treatment instrument.

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

Abstract: A heating treatment apparatus to treat a living tissue by heating the living tissue includes a first holding member and a second holding member, a first heat generating element provided on the first holding member, a second heat generating element provided on the second holding member, a power supply unit supplying electric power to cause the first heat generating element and the second heat generating element to generate heat, and a control unit controlling operations of the power supply unit. The control unit switches a mode between a first mode and a second mode during treatment of the living tissue. Temperatures of the first heat generating element and the second heat generating element are controlled to the same temperature in the first mode and to different temperatures in the second mode.

Abstract: A treatment system includes a power source for heat generation which outputs power for heat generation, a grasping member having a heating element which applies the power for heat generation as thermal energy to a grasped living tissue and is disposed at a grasping surface, and a control section which repeats a first control mode of performing control such that the heating element reaches a first temperature and a second control mode of performing control such that the heating element becomes lower than the first temperature, and controls the power source for heat generation according to a temperature change parameter based on change in temperature of the heating element in the first control mode or the second control mode so as to end application of the thermal energy.

Abstract: A living tissue bonding system includes a treatment instrument having a heating element which applies thermal energy to living tissue, an element temperature measuring section configured to measure an element temperature T1 of the heating element, a power source configured to generate power, a first calculating section configured to estimate a temperature difference ?T between the element temperature T1 and a temperature T2 of the living tissue using a table or an equation stored beforehand in order to estimate the temperature difference ?T based on an output value of the power source, a second calculating section configured to estimate the tissue temperature T2 from the element temperature T1 and the temperature difference ?T estimated by the first calculating section, and a control section configured to control the power source based on the tissue temperature T2 estimated by the second calculating section.

Abstract: A method for controlling an energy treatment system includes performing treatment on a subject by a probe of an energy treatment instrument which outputs ultrasonic energy and high frequency energy in combination; setting an output reduction control period, based on information related to an amount of mist generated by the probe; and reducing the output of the high frequency energy during the output reduction control period when a precursor of occurrence of spark or occurrence of spark is detected.

Abstract: An end effector grasps a treatment target between a pair of gasping pieces, and an energy output source outputs electric energy so that treatment energy is applied to the grasped treatment target. A processor switches a driving state of an actuator based on a fact that a state of the treatment target has become a predetermined state when the electric energy is output from the energy output source. As the result, a state of the end effector is switched from a first grasping state to a second grasping state, a grasping force and a grasping pressure between the first grasping piece and the second grasping piece in the second grasping state being different from those in the first grasping state.

Abstract: A living tissue bonding system including: a sandwiching section for sandwiching living tissue; a power source for supplying to the living tissue treatment energy for bonding the living tissue sandwiched by the sandwiching section; a temperature measuring section for measuring a temperature of the living tissue sandwiched by the sandwiching section; a calculation section calculating, from the temperature of the living tissue measured by the temperature measuring section and a time period of applying the treatment energy, a time integral value of the temperature of the living tissue; a comparison section comparing the time integral value of the temperature of the living tissue calculated by the calculation section with a predetermined setting value; and an instruction section giving an instruction based on a result of the comparison by the comparison section.

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

Abstract: A surgical operation system includes a US signal output section, an HV signal output section, a probe having a treatment section which has an HV signal applied thereto and vibrates by ultrasound, an HV signal main controller that performs feedback control of the HV signal output section based on the HV signal, a US signal main controller that performs feedback control of the US signal output section based on a US signal, and an HV signal auxiliary controller that controls the HV signal output section based on the US signal, and has a response time shorter than that of the HV signal main controller.

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