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: An ultrasonic probe includes a hook curved relative to a probe main body in a first perpendicular direction and forming a part of a distal surface, and a first base surface extending toward a proximal direction from a hook proximal end and serving as a base plane of the hook. The ultrasonic probe includes a protrusion protruding toward a second perpendicular direction with a second base surface, which is directed in a second perpendicular direction opposite to the first perpendicular direction, being as a base plane and extending toward both the proximal direction and a distal direction from a reference position located on a section, which passes through the hook proximal end and which is perpendicular to a longitudinal axis.

Abstract: A vibration generating unit includes a proximal side vibration transmitting section extended from a proximal end of the ultrasonic transducer toward a proximal direction. A proximal end of the proximal side vibration transmitting section is placed at a position apart from a reference antinode position toward the proximal direction by an extending dimension equal to an integral multiple of a half wavelength, when the reference antinode position is the closest to the ultrasonic transducer among antinode positions placed on the proximal direction side with respect to the ultrasonic transducer. The vibration generating unit includes an amplitude increasing section increasing an amplitude of the ultrasonic vibration transmitted toward the proximal direction in the proximal side vibration transmitting section.

Abstract: In an ultrasonic probe, a curved portion gravity center of a probe curved portion located on a first perpendicular direction side with respect to a longitudinal axis. A boundary position between a probe relay portion and a probe main body portion is located on a distal side with respect to a reference antinode position which is located most distally among antinode positions of a longitudinal vibration located on a proximal direction side with respect to the probe curved portion. By a cross-section changing portion located at the boundary position, a cross section gravity center in a cross section of the probe relay portion perpendicular to the longitudinal axis is away from the longitudinal axis toward a second perpendicular direction opposite to the first perpendicular direction.

Abstract: A medical instrument includes: a metallic component on which a concave surface concaved with respect to a surface of the metallic component is formed; and a covering that covers the concave surface while receiving a compressive force from the concave surface of the metallic component.

Abstract: A medical device according to one embodiment of the present invention includes: a vibration transmission member that comprises a node position of vibration and an area including the node position and a portion at a distal end side relative to the node position, and to which the vibration is transmitted; a first coating that covers a side of the node position of the area; and a second coating that covers a distal end side relative to the first coating of the area and has a thickness smaller than that of the first coating.

Abstract: A medical device includes, a vibration transmitting member configured to be capable of transmitting vibration for use in a treatment; a jaw configured to move between an abutted position where the jaw abuts on the vibration transmitting member, and a spaced position where the jaw is spaced apart from the vibration transmitting member; and a cover provided in such a position that the vibration transmitting member is interposed between the cover and the jaw, and configured such that a first distal portion, which is located at a distal end of the cover, comes in contact with the vibration transmitting member, when the jaw is located in the abutted position.

Abstract: A combined ultrasonic and surgical system, a control device for controlling such a combined ultrasonic and surgical system and a method for operating a combined ultrasonic and surgical system. The system includes an ultrasonic generator having a generation unit for providing an excitation signal by which an ultrasonic converter can generate an ultrasonic vibration, a generator for providing an energy at two output contacts, and a control unit adapted to control the ultrasonic generator and/or the generator, such that the excitation signal and the energy are provided in a coordinated fashion, such that the energy is provided in dependency of the excitation signal, wherein an energy is modulated with the frequency of the excitation signal or with a harmonic of that frequency.

Abstract: An insertion instrument includes a shaft projecting, by being inserted through a hole of a fixing instrument, from a distal end of the fixing instrument toward a distal side, and a gas supply channel formed in the shaft section and having a jet port, which jets a gas, in a distal portion of the shaft section. The gas is supplied from a proximal side to the distal side toward the jet port in the gas supply channel, and an extension dimension along the longitudinal axis from the jet port toward the proximal side is greater than an extension dimension of the hole of the fixing instrument.

Abstract: A treatment device includes a probe having a treatment portion to treat a biological tissue by using the ultrasonic vibration generated in an ultrasonic transducer; an action portion being able to be close to and away from the treatment portion and including a pressing portion that presses the biological tissue to the treatment portion; and a vibration damping portion disposed in a part of the pressing portion in a state of facing the treatment portion, moving following the treatment portion to which the ultrasonic vibration is transmitted when abutting on the treatment portion in a state where the ultrasonic vibration is transmitted to the treatment portion, and prevented from being grinded by the treatment portion to which the ultrasonic vibration is transmitted.

Abstract: An extending portion of a vibration transmitting unit. is capable of transmitting ultrasonic vibration from a proximal side to a distal side, and in the extending portion, a second component provided on the distal side with respect to a first component. A third component provided between the first component and the second component in the extending portion has a third cross-sectional area that is larger than a first cross-sectional area of the first component and is smaller than a second cross-sectional area of the second component, and one of vibration anti-nodes is positioned at third component by the extending portion vibrating at a frequency in a predetermined frequency range.

Abstract: An ultrasonic transmitting unit includes a first vibrating section and a second vibrating section vibrating at the same predetermined frequency with respect to each other. The ultrasonic transmitting unit includes a relay portion transmitting an ultrasonic vibration from the first vibrating section to the second vibrating section and positioned at a position corresponding to one of an antinode position of the vibration in the first vibrating section and a position different from an antinode position and a node position of the vibration in the second vibrating section, and a non-contact vibrating portion extending in the second vibrating section from the relay portion toward a first vibrating section side with being not in contact with the first vibrating section.

Abstract: A power supply apparatus is for a treatment instrument including a probe having electrical conductivity which vibrates, a grasping member that is opened and closed with respect to the probe and an electrode provided in the grasping member. The power supply apparatus supplies high-frequency power between the probe and the electrode. The power supply apparatus includes a resistance acquisition circuit which repeatedly acquires a resistance value of electrical resistance between the probe and the electrode, a condition determination circuit which acquires the number of times the resistance value satisfies a predetermined condition while the probe is vibrating and power is supplied between the probe and the electrode, and a determination circuit which determines whether or not the probe and the electrode are electrically short-circuited based on the number of times.

Abstract: A groove portion depressed from an unit outer surface toward a first perpendicular direction extends over an entire length of a transmission unit in axially parallel directions, and in the transmission unit, a sectional of a first unit component perpendicular to a longitudinal axis is a first sectional shape and a sectional shape of a second unit component perpendicular to the longitudinal axis is a second sectional shape smaller in sectional area than the first sectional shape. The sectional area changing portion changes from the first sectional shape to the second sectional shape so that a gravity center position in a case where the longitudinal axis is a reference position is consistent over the entire length of the transmission unit in the axially parallel directions.

Abstract: In a width dimension decrease portion forming a distal end of an ultrasonic probe, a width dimension decreases from a proximal direction toward a distal direction, so that a sectional area perpendicular to a longitudinal axis decreases from the proximal direction toward the distal direction. An intermediary portion continuous between a probe body portion and the width dimension decrease portion includes a width dimension increase portion in which the width dimension increases and a thickness dimension decreases from the proximal direction toward the distal direction at the same time. In the intermediary portion, the sectional area perpendicular to the longitudinal axis does not increase and does not decrease at a higher decrease rate than in the width dimension decrease portion toward the distal direction.

Abstract: A treatment tool comprising, a probe including a first surface that carries out incision of the living tissue with the ultrasonic vibrations, a second surface that carries out coagulation of the living tissue, and an insulation portion that covers the first surface, and a jaw which is engageable with the probe and disengageable from the probe, the jaw including a third surface facing the first surface in an engaging state and a fourth surface facing the second surface in the engaging state.

Abstract: In an ultrasonic probe, an insulation layer portion is formed on an outer surface of a probe main body portion. A first electrode portion provided on an outer surface of the insulation layer portion so that at least part of the first electrode portion is exposed to an outside in a treatment section, and at least part of a second electrode portion is exposed to the outside in the treatment section. The second electrode portion is electrically insulated from the first electrode portion by the insulation layer portion. The probe main body portion vibrates integrally with the insulation layer portion, the first electrode portion and the second electrode portion.

Abstract: An ultrasonic probe includes a hook curved relative to a probe main body in a first perpendicular direction and forming a part of a distal surface, and a first base surface extending toward a proximal direction from a hook proximal end and serving as a base plane of the hook. The ultrasonic probe includes a protrusion protruding toward a second perpendicular direction with a second base surface, which is directed in a second perpendicular direction opposite to the first perpendicular direction, being as a base plane and extending toward both the proximal direction and a distal direction from a reference position located on a section, which passes through the hook proximal end and which is perpendicular to a longitudinal axis.

Abstract: A treatment device includes, a probe that conveys ultrasonic vibration and a high-frequency current; a treatment section that comprises a first treatment surface provided at a distal end of the probe for treating body tissue and a second treatment surface opposed to the first treatment surface, and treats the body tissue with the ultrasonic vibration and the high-frequency current conveyed to the first treatment surface and the second treatment surface via the probe; and an electrically-insulating coating portion that covers at least one of the first treatment surface and the second treatment surface.

Abstract: A vibration transmitting member for use with a clamp member. The vibration transmitting member provided with vibration from an ultrasonic transducer and including: a body having a distal portion with a surface and an opposite surface, the body further having a proximal portion; wherein: the body extending along a longitudinal axis extending from the proximal toward the distal portion, the surface opposes the clamp member and having a ridge extending along the longitudinal axis, the ridge extends toward the clamp member in a thickness direction more than other portions of the surface, the opposite surface opposes the surface and having a projection extending along the longitudinal axis, the projection protrudes more than other portions of the opposite surface in the thickness direction, and a maximum thickness of the distal portion is smaller than a maximum width of the distal portion in a width direction perpendicular to the thickness direction.