# US 2014/0194868 A1 · Surgical apparatus > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2014/0194868 A1 - Document ID: US20140194868A1 - Status: Published application - Kind: A1 - Application number: 14/163,203 - Filed: 2014-01-24 - Published: 2014-07-10 - Earliest claimed: 2012-04-20 - Applicants: Olympus Medical Systems Corp. - Inventors: Hideo SANAI; Shinji HATTA - Web page: https://patentgrep.com/patent/US20140194868A1 ## CPC - A61B 17/320092: {with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw} - A61B 18/12: by passing a current through the tissue to be heated, e.g. high-frequency current - A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod} - A61B 2017/00026: {Conductivity or impedance, e.g. of tissue} - A61B 2017/320094: {additional movable means performing clamping operation} - A61B 2018/00029: {open} - A61B 2018/00684: {using lookup tables} - A61B 2018/00744: {Fluid flow} - A61B 2018/00761: {Duration} - A61B 2018/00875: {Resistance or impedance} - A61B 2018/00994: {combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound} - A61B 2217/007: with irrigation system - A61B 2218/002: Irrigation - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A surgical apparatus includes: a treatment section treating a living tissue; an energy generation section generating energy for providing ultrasound vibration or high-frequency current to the treatment section; a probe provided in the treatment section, for performing the ultrasound vibration; a liquid feeding unit supplying a liquid; a liquid feeding conduit feeding the liquid; a liquid feeding port, provided in the treatment section, for feeding the liquid toward the probe to feed the liquid to between the living tissue and the treatment section; a liquid feeding unit supplying the liquid to the liquid feeding conduit; an impedance detection section detecting an impedance of the living tissue is in contact with the treatment section; and a control section that controls the liquid feeding unit, after the stoppage of the output of the energy, so that as the impedance is larger, a predetermined period of time or a predetermined amount increases. ## Claims ### Claim 1 A surgical apparatus comprising: a treatment section for treating a living tissue; an energy generation section that generates energy for providing ultrasound vibration or high-frequency current to the treatment section; a probe provided in the treatment section, the probe performing the ultrasound vibration; a liquid feeding unit for supplying a liquid; a liquid feeding conduit for feeding the liquid; a liquid feeding port, provided in the treatment section, for feeding the liquid from the liquid feeding conduit toward the probe in order to feed the liquid to between the living tissue and the treatment section; a liquid feeding unit for supplying the liquid to the liquid feeding conduit; an impedance detection section that detects an impedance of the living tissue that is in contact with the treatment section; and a control section that performs control so that in connection with stoppage of an output of the energy from the energy generation section, the liquid is supplied from the liquid feeding unit for a predetermined period of time or in a predetermined amount based on the impedance after the stoppage of the output of the energy, the control section controlling the liquid feeding unit so that as the impedance detected by the impedance detection section is larger, the predetermined period of time or the predetermined amount increases. ### Claim 2 (depends on 1) The surgical apparatus according to claim 1, comprising a storage section that stores the predetermined period of time or the predetermined amount for the impedance in such a manner that as the impedance detected by the impedance detection section is larger, the predetermined period of time or the predetermined amount increases, wherein the control section controls the liquid feeding unit based on the predetermined period of time or the predetermined amount read from the storage section. ### Claim 3 (depends on 1) The surgical apparatus according to claim 1, wherein the predetermined period of time or the predetermined amount varies depending on an object to be treated. ### Claim 4 (depends on 1) The surgical apparatus according to claim 1, wherein upon receipt of an instruction for generating the energy to the energy generation section after the stoppage of the output of the energy, the control section stops the pump. ### Claim 5 (depends on 1) The surgical apparatus according to claim 1, wherein the control section performs control so that driving of the pump is started so as to perform supply of the liquid from the pump, in response to the stoppage of the output of the energy and the pump is stopped after supply of the liquid from the pump for the predetermined period of time or in the predetermined amount. ### Claim 6 (depends on 1) The surgical apparatus according to claim 1, further comprising a liquid feeding restricting mechanism arranged at a position midway in the liquid feeding conduit, the liquid feeding restricting mechanism restricting feeding of the liquid flowing in the liquid feeding conduit in response to an operation of an operating handle for pinching the living tissue via the treatment section. ### Claim 7 (depends on 1) The surgical apparatus according to claim 1, wherein the predetermined period of time is no less than 0.5 seconds and no more than 5 seconds. ### Claim 8 (depends on 1) The surgical apparatus according to claim 1, wherein the energy generated by the energy generation section is energy for ultrasound vibration, energy for high-frequency current or energy for both ultrasound vibration and high-frequency current.