Abstract: An ultrasound transducer includes a transducer body configured to generate ultrasound vibration to vibrate a treatment portion that treats a living tissue. The transducer body includes a plurality of piezoelectric elements configured to alternately repeat expansion and contraction according to a supplied drive signal. The plurality of piezoelectric elements are integrally fastened in a state where the plurality of piezoelectric elements are stacked along a direction of expansion and contraction. The plurality of piezoelectric elements include a first piezoelectric element configured to expand at a first timing and contract at a second timing, and a second piezoelectric element whose expansion and contraction timings are different from expansion and contraction timings of the first piezoelectric element. The second piezoelectric element is arranged so that a polarization direction of the second piezoelectric element is a same as a polarization direction of an adjacent piezoelectric element.

Abstract: Treatment instrument with movable handle and fixed handle includes biasing member for biasing the movable handle in an opening direction and an assist system with attraction force, e.g., magnetic force, to attract the movable handle in a closing direction toward the fixed handle. Range of movement of movable handle includes first movable range and second movable range. The second movable range occurs when a second gripping piece, e.g. a jaw, is in contact with respect to a first gripping piece, e.g., a vibration transmission member, and the movable handle is then further moved in a direction toward the fixed handle to a fully closed position. In the second movable range, attraction forces associated with the assist system are smaller than biasing force from the biasing member so that, upon release of a gripping force by an operator, the movable handle moves away from the fixed handle.

Abstract: A medical device and associated methods are disclosed. In one example, the medical device includes a hydrophobic coating. Hydrophobic coatings are shown that include a substrate bonding molecule chain, a hydrophobic molecule bonded to a first end of the substrate bonding molecule chain, and a reactive end bonded to a second end of the substrate bonding molecule chain. In selected examples the substrate bonding molecule chains are bonded to each other in a bond region adjacent to a surface of the component.

Abstract: An ultrasound treatment tool includes: an ultrasound blade including a treatment portion located at a distal end of the ultrasound blade, a jaw configured to open and close relative to the treatment portion. The jaw includes: a surface, a contact surface facing the ultrasound blade, the contact surface configured to be in contact with the treatment portion when the jaw is closed relative to the treatment portion. The contact surface comprises: a first resin layer positioned on the surface, the first resin layer formed of a first resin, a second resin layer layered over the first resin layer, the second resin layer formed of a mixed resin, the mixed resin being a mixture of a second resin and the first resin.

Abstract: A method of manufacturing an ultrasound probe includes: forming a probe body; forming a coating portion by applying a liquid containing a resin component as a main component and a filler to a predetermined region on an outer surface of the probe body and heating the liquid; and forming a mold portion by placing the probe body on which the coating portion is formed in a die and pouring a resin containing a same component as the resin component serving as the main component of the coating portion in the die.

Abstract: The disclosed technology is directed to a treatment system comprises a power supply apparatus and a treatment instrument configured to communicate electrically with the power supply apparatus so as to perform a treatment on a biological tissue. The treatment instrument includes an end effector that transmits a high-frequency current delivered by a first electrical energy to the biological tissue. An electric element is configured to operate the end effector by being actuated using second electric energy. The power supply apparatus includes a processor configured to receive a stop command to cutoff the supply of the first electric energy and the second electric energy in a state in which the first electric energy and the second electric energy are supplied and determine whether or not the end effector is in contact with the biological tissue based on a parameter related to the first electric energy after receiving the stop command.

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: An ultrasonic treatment tool comprises: a blade including a treatment portion at a distal side of the blade, the blade configured to transmit an ultrasonic vibration from a proximal side of the blade to the treatment portion and the treatment portion configured to treat a body tissue, a grasper movable relative to the treatment portion between an open position and a closed position to grasp the body tissue between the grasper and the treatment portion, a coating provided on the grasper, the coating is formed by a first resin, when the grasper is in the closed position, the coating contacts the treatment portion.

Abstract: An ultrasonic treatment tool comprises: a blade including a treatment portion, the treatment portion is configured to treat a treatment target and the blade is configured to transmit an ultrasonic vibration to the treatment portion, a pattern on at least part of an outer surface of the treatment portion, the pattern including a plurality of protrusions, each protrusion includes at least one side surface intersecting with a vibration direction of the ultrasonic vibration, the at least one side surface defining a cavitation surface, at least one cavitation surface is located within a pitch width in the vibration direction, an amplitude of the ultrasonic vibration defines the pitch width.

Abstract: A vibration transmitter can include a straight portion, a curved portion, a first curved surface provided on an external surface of the curved portion, a second curved surface facing a side opposite to the first curved surface and a first portion provided on the first curved surface. The first portion can extend towards a side opposite to the side toward which the curved portion is curved and a distance between the first portion and an imaginary curved surface can increase from the proximal side toward the distal side, and the imaginary curved surface being parallel with the second curved surface.

Abstract: Each of segments of a vibration transmitting member has a dimension of a half-wave length between mutually neighboring vibration anti-nodes and sets a vibration node as a center. In each of recess segments included in the segments, the vibration node is located in a groove, and an intermediate extension extends from a proximal end to a distal end in the groove in a longitudinal direction. At least two of the recess segments are different from each other with respect to at least one of a dimension in the longitudinal direction of the intermediate extension and a cross-sectional area perpendicular to the longitudinal direction of the intermediate extension.

Abstract: Treatment instrument with movable handle and fixed handle includes biasing member for biasing the movable handle in an opening direction and an assist system with attraction force, e.g., magnetic force, to attract the movable handle in a closing direction toward the fixed handle. Range of movement of movable handle includes first movable range and second movable range. The second movable range occurs when a second gripping piece, e.g. a jaw, is in contact with respect to a first gripping piece, e.g., a vibration transmission member, and the movable handle is then further moved in a direction toward the fixed handle to a fully closed position. In the second movable range, attraction forces associated with the assist system are smaller than biasing force from the biasing member so that, upon release of a gripping force by an operator, the movable handle moves away from the fixed handle.

Abstract: A treatment instrument including a heat transmitter that includes a treating surface and an installation surface, a substrate attached to the installation surface, and a heat generator formed on a surface of the substrate. The substrate surface and heat generator together form an uneven surface. First and second adhesion layers formed of a material having thermal conductivity and electrical insulation are provided between the installation surface and the substrate. The first adhesion layer is in close contact with the installation surface, and the second adhesion layer is in close contact with the heat generator and the substrate surface. The second adhesion layer is inserted into a recess in the uneven surface formed by the heat generator on substrate surface so as to increase the contact area between the second adhesion layer and the uneven surface.

Abstract: A medical device includes a thermal source that generates heat, a base that has an outer surface and to which the heat from the thermal source is transferred, a first coating that contacts one part of the outer surface of the base and a second coating that is provided on the outer surface of the base, and is exposed and electrically conductive. The second coating supplies, a high-frequency current to an object to be treated. The medical device also includes a laminated portion that includes the first coating in the outer surface of the base extends and a portion of the second coating that is laminated on the first coating.

Abstract: A vibration transmission member includes a main body, a treatment portion that is provided at the distal end of the main body, a first covering formed of a material that has an electrical insulating property and has a thermal conductivity lower than a thermal conductivity of the main body, which covers a part of a surface of the treatment portion, and a second covering formed of a material that has an electrical insulating property and has a thermal conductivity lower than the thermal conductivity of the main body. The second covering is integrally formed with at least a part of the first covering and varies in thickness in a circumferential direction of the main body. The second covering includes a first area and a second area in the circumferential direction, such that a thickness dimension of the first area is smaller than a thickness dimension of the second area.

Abstract: Provided is a method of manufacturing a vibration transmission member for an ultrasonic treatment tool. The method includes: applying a release agent between a surface of a vibration transmission member configured to transmit ultrasonic vibration and a die for hot forging; performing hot forging to form the vibration transmission member after the applying of the release agent; removing, after the performing of the hot forging, a part of an oxide film formed in the performing of the hot forging by a first surface treatment; performing pickling to remove the oxide film after the removing of the part of the oxide film by a blasting treatment; and performing coating with a resin after the performing of the pickling.

Abstract: The disclosed technology is directed to a treatment tool having a blade. The blade includes a treatment surface configured to engage with a treatment target. A heater is configured to be coupled to the blade. The heater includes respective first and second heat generating surfaces each of which extending in a direction transverse to the treatment surface. Respective first and second thermally conductive members each of which is interposed between the respective first and second heat generating surfaces and the blade so as to thermally engage the respective first and second heat generating surfaces and the blade to one another. The respective first and second thermally conductive members includes respective first and second thermal conductivity anisotropies each of which being higher in longitudinal directions of the blade and each of which being lower in widthwise directions of the blade that are transverse to the longitudinal directions.

Abstract: A vibration transmitting member transmits ultrasonic vibration generated by an ultrasonic transducer from a proximal side toward a distal side. The vibration transmitting member includes a connection connected to the ultrasonic transducer. When a reference vibration node, which is located most proximally among vibration nodes occurring on the distal side relative to the connection, is defined, while the vibration transmitting member vibrates at a resonance frequency in a predetermined frequency range, a cross-sectional area decreasing part is provided between the connection and the reference vibration node. In the cross-sectional area decreasing part, a cross-sectional area perpendicular to a longitudinal direction gradually decreases from the distal side toward the proximal side.

Abstract: A treatment device equipped with high frequency capability includes a pair of clasping jaws that serves as bipolar electrodes. Another treatment device equipped with high frequency capability includes a high-frequency knife that serves as monopolar electrode. An anti-fouling coating that minimizes or prevents adhesion of cauterized tissues is incorporated on the electrode surfaces. Durability and functioning of the anti-fouling coating is improved by one or a combination of increased coating thickness, increased density of the coating, and incorporation of glass and/or high molecular weight PFPE into the coating. The anti-fouling coating can be applied to different locations of the treatment portion, e.g., an insulated portion and a recess of an electrode, an insulated portion and a boundary portion with an electrode.

Abstract: A vibration transmission member includes: a main body portion configured to transmit ultrasound vibration; a treatment portion that is provided at a distal end of the main body portion, the treatment portion being configured to apply ultrasound vibration to a living tissue; a coating portion that is made of an electrically insulating material containing a first resin, the coating portion being configured to cover a part of a surface of the treatment portion; and a mold portion that is made of an electrically insulating material containing a second resin different from the first resin, and that is fused to at least a part of the coating portion.