Grasping treatment device
A grasping treatment device includes a first electrode portion functioning as an electrode when a high-frequency current is transmitted thereto through a probe unit, and a second electrode portion functioning as an electrode when a high-frequency current is transmitted thereto through a sheath unit. The grasping treatment device includes an inter-electrode distance changing unit changing an inter-electrode distance so that a second distance between the electrode portions in a second treatment mode, in which the high-frequency current alone is transmitted to the two electrode portions, is smaller than a first distance between the electrode portions in a first treatment mode, in which at least an ultrasonic vibration is transmitted to a probe electric conducting portion.
1. A grasping treatment device comprising:
a probe body which is configured to transmit an ultrasonic vibration from a proximal direction toward a distal direction, and which is configured to transmit a high-frequency current;
a sheath body through which the probe body is inserted, and which is configured to transmit the high-frequency current, the sheath body being electrically insulated from the probe body;
a jaw attached to a distal portion of the sheath body to be openable and closable relative to a distal portion of the probe body;
a probe electric conducting portion which is provided to the distal portion of the probe body, and to which the ultrasonic vibration is transmitted through the probe body, the probe electric conducting portion having a first electric potential when the high-frequency current is transmitted thereto through the probe body;
a jaw electric conducting portion provided in the jaw and facing the probe electric conducting portion, the jaw electric conducting portion having a second electric potential different in intensity from the first electric potential when the high-frequency current is transmitted thereto through the sheath body;
a movement electric conducting portion which is movable with respect to the probe body and the sheath body, and to which the high-frequency current is transmitted through the probe body or the sheath body, the movement electric conducting portion having the first electric potential or the second electric potential when the high-frequency current is transmitted; and
a movement operation input portion configured to input an operation of moving the movement electric conducting portion between a first movement position in which the movement electric conducting portion is located to a proximal direction side with respect to the jaw and a second movement position in which the movement electric conducting portion located between the probe electric conducting portion and the jaw electric conducting portion in opening-and-closing directions of the jaw.
2. The grasping treatment device according to claim 1 , wherein
the probe electric conducting portion functions as a first electrode portion having the first electric potential, and the jaw electric conducting portion functions as a second electrode portion having the second electric potential,
the movement electric conducting portion functions as the second electrode portion having the second electric potential when the high-frequency current is transmitted, and
a first distance between the probe electric conducting portion and the jaw electric conducting portion is larger than a second distance between the probe electric conducting portion and the movement electric conducting portion located in the second movement position.
3. The grasping treatment device according to claim 2 , further comprising a movable portion which is provided to be inserted into the sheath body, the movement electric conducting portion being provided to a distal portion of the movable portion, the movable portion being configured to move integral with the movement electric conducting portion in accordance with an input of the operation by the movement operation input portion, the movement electric conducting portion being electrically insulated from the probe body,
wherein the high-frequency current is configured to be transmitted to the movement electric conducting portion from the sheath body through the movable portion while the movement electric conducting portion is located in the second movement position.
4. The grasping treatment device according to claim 2 , wherein
the jaw includes an abutting portion which is made of an insulating material and which is abutable on the probe electric conducting portion, and
a jaw electric conducting portion is configured to form a clearance with respect to the probe electric conducting portion when the abutting portion is in abutment with the probe electric conducting portion.
5. The grasping treatment device according to claim 4 , wherein the movement electric conducting portion is located between the abutting portion and the probe electric conducting portion in the opening-and-closing directions of the jaw while the movement electric conducting portion is located in the second movement position.
6. The grasping treatment device according to claim 5 , wherein
the probe electric conducting portion includes a probe perpendicularly facing surface perpendicular to the opening-and-closing directions of the jaw, and
the movement electric conducting portion includes a movable portion facing surface which is provided to be parallel to the probe perpendicularly facing surface and to face the probe perpendicularly facing surface while the movement electric conducting portion is located in the second movement position.
7. The grasping treatment device according to claim 2 , wherein the movement operation input portion is configured to locate the movement electric conducting portion in the first movement position during a first treatment mode in which at least the ultrasonic vibration is transmitted to the probe electric conducting portion, and configured to locate the movement electric conducting portion in the second movement position during a second treatment mode in which the high-frequency current alone is transmitted to the first electrode portion and the second electrode portion.
8. The grasping treatment device according to claim 1 , wherein
the probe electric conducting portion functions as a first electrode portion having the first electric potential, and the jaw electric conducting portion functions as a second electrode portion having the second electric potential,
the movement electric conducting portion functions as the first electrode portion having the first electric potential when the high-frequency current is transmitted, and
a first distance between the probe electric conducting portion and the jaw electric conducting portion is larger than a second distance between the jaw electric conducting portion and the movement electric conducting portion located in the second movement position.
9. The grasping treatment device according to claim 8 , further comprising: a movable portion which is provided to be inserted into the sheath body, the movement electric conducting portion being provided to a distal portion of the movable portion, the movable portion being configured to move integral with the movement electric conducting portion in accordance with an input of the operation by the movement operation input portion, the movement electric conducting portion being electrically insulated from the sheath body,
wherein the high-frequency current is configured to be transmitted to the movement electric conducting portion from the probe body through the movable portion while the movement electric conducting portion is located in the second movement position.
10. The grasping treatment device according to claim 8 , wherein
the jaw includes an abutting portion which is made of an insulating material and which is abutable on the probe electric conducting portion, and
a jaw electric conducting portion is configured to form a clearance with respect to the probe electric conducting portion when the abutting portion is in abutment with the probe electric conducting portion.
11. The grasping treatment device according to claim 10 , wherein
the jaw electric conducting portion includes a jaw perpendicularly facing surface perpendicular to the opening-and-closing directions of the jaw, and
the movement electric conducting portion includes a movable portion facing surface which is provided to be parallel to the jaw perpendicularly facing surface and to face the jaw perpendicularly facing surface while the movement electric conducting portion is located in the second movement position.
12. The grasping treatment device according to claim 8 , wherein the movement operation input portion is configured to locate the movement electric conducting portion in the first movement position during a first treatment mode in which at least the ultrasonic vibration is transmitted to the probe electric conducting portion, and configured to locate the movement electric conducting portion in the second movement position during a second treatment mode in which the high-frequency current alone is transmitted to the first electrode portion and the second electrode portion.