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WO1996032895A3 - Procede et appareil permettant de manipuler, couper, enlever et coaguler des tissus cibles dans le corps d'un patient - Google Patents

Procede et appareil permettant de manipuler, couper, enlever et coaguler des tissus cibles dans le corps d'un patient Download PDF

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Publication number
WO1996032895A3
WO1996032895A3 PCT/US1996/004554 US9604554W WO9632895A3 WO 1996032895 A3 WO1996032895 A3 WO 1996032895A3 US 9604554 W US9604554 W US 9604554W WO 9632895 A3 WO9632895 A3 WO 9632895A3
Authority
WO
WIPO (PCT)
Prior art keywords
aspiration
targeted tissue
patient
optical fiber
aperture
Prior art date
Application number
PCT/US1996/004554
Other languages
English (en)
Other versions
WO1996032895A2 (fr
Inventor
Nubar Manoukian
Tim Soltis
Michael Hmelar
Mark Mathis
Original Assignee
Coherent Inc
Nubar Manoukian
Tim Soltis
Michael Hmelar
Mark Mathis
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Coherent Inc, Nubar Manoukian, Tim Soltis, Michael Hmelar, Mark Mathis filed Critical Coherent Inc
Publication of WO1996032895A2 publication Critical patent/WO1996032895A2/fr
Publication of WO1996032895A3 publication Critical patent/WO1996032895A3/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/00802—Methods or devices for eye surgery using laser for photoablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
    • A61B2017/306—Surgical pincettes, i.e. surgical tweezers without pivotal connections holding by means of suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547—Prostate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/0087—Lens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00885—Methods or devices for eye surgery using laser for treating a particular disease
    • A61F2009/00887—Cataract
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/00821—Methods or devices for eye surgery using laser for coagulation

Landscapes

  • Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Optics & Photonics (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Otolaryngology (AREA)
  • Electromagnetism (AREA)
  • Medical Informatics (AREA)
  • Ophthalmology & Optometry (AREA)
  • Vascular Medicine (AREA)
  • Laser Surgery Devices (AREA)

Abstract

Dispositif de sondage permettant de procéder à l'ablation de tissus cibles dans le corps d'un patient, qui comporte un ensemble sonde, un système laser, et une source de vide. Ledit ensemble sonde comporte un tube allongé formant un canal d'aspiration et une ouverture d'aspiration proche d'une extrémité. Un orifice d'aspiration est ménagé à proximité de l'autre extrémité du tube. Une fibre optique est attachée au tube de sonde et se termine à proximité de l'ouverture d'aspiration. L'orifice d'aspiration est connecté à une source de vide, ce qui permet d'aspirer les tissus cibles du patient vers l'ouverture d'aspiration. La fibre optique est connectée à un système laser à infrarouges, si bien que l'énergie laser qui sort de la fibre optique est dirigée vers une zone située dans l'ouverture d'aspiration et immédiatement au-dessus de cette dernière. L'énergie laser coupe et/ou enlève les tissus cibles qui sont immédiatement aspirés dans l'ouverture d'aspiration et évacués du corps du patient par le canal d'aspiration. Ledit système laser à infrarouges crée des bulles de vapeur mobiles à l'extrémité d'administration de la fibre optique afin d'améliorer la vitesse d'ablation et d'aspiration des tissus cibles.
PCT/US1996/004554 1995-04-17 1996-04-03 Procede et appareil permettant de manipuler, couper, enlever et coaguler des tissus cibles dans le corps d'un patient WO1996032895A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US42282095A 1995-04-17 1995-04-17
US08/422,820 1995-04-17

Publications (2)

Publication Number Publication Date
WO1996032895A2 WO1996032895A2 (fr) 1996-10-24
WO1996032895A3 true WO1996032895A3 (fr) 1997-01-09

Family

ID=23676538

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1996/004554 WO1996032895A2 (fr) 1995-04-17 1996-04-03 Procede et appareil permettant de manipuler, couper, enlever et coaguler des tissus cibles dans le corps d'un patient

Country Status (1)

Country Link
WO (1) WO1996032895A2 (fr)

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6156049A (en) * 1997-04-11 2000-12-05 Coherent Inc. Method and apparatus for transurethral resection of the prostate
US6024751A (en) * 1997-04-11 2000-02-15 Coherent Inc. Method and apparatus for transurethral resection of the prostate
US6120498A (en) * 1998-03-05 2000-09-19 Jani; Mahendra G. Aspirating handpieces for laser surgical operations
JP4310049B2 (ja) 1999-02-19 2009-08-05 ボストン サイエンティフィック リミテッド 吸引を用いるレーザー砕石術デバイス
AT410055B (de) * 1999-08-31 2003-01-27 Austrian Laser Produktion Und Laserskalpell
US6517531B2 (en) 2001-04-27 2003-02-11 Scimed Life Systems, Inc. Medical suction device
WO2013078402A2 (fr) 2011-11-23 2013-05-30 Boston Scientific Scimed, Inc. Dispositif d'ablation de tissu et de calculs et méthodes d'utilisation associées
WO2015112835A1 (fr) 2014-01-24 2015-07-30 COLE Research & Design, Inc. Dispositif d'aspiration buccale
JP2016150229A (ja) * 2015-02-19 2016-08-22 山科精器株式会社 内視鏡用カテーテル
WO2020150709A1 (fr) 2019-01-18 2020-07-23 Ipg Photonics Corporation Poignée ergonomique de guidage
CN112190327A (zh) * 2019-06-23 2021-01-08 刘焕杰 吸引激光鞘
CN118845353B (zh) * 2024-07-24 2025-03-21 南通大学附属医院 一种飞秒激光白内障手术器械及应用方法

Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4055167A (en) * 1976-04-23 1977-10-25 Bernstein Dell L Curettement device
US4627436A (en) * 1984-03-01 1986-12-09 Innoventions Biomedical Inc. Angioplasty catheter and method for use thereof
US4694828A (en) * 1986-04-21 1987-09-22 Eichenbaum Daniel M Laser system for intraocular tissue removal
EP0248520A1 (fr) * 1986-04-24 1987-12-09 Eye Research Institute Of Retina Foundation Sonde pour endophotocoagulation
WO1989003202A2 (fr) * 1987-10-14 1989-04-20 Schneider Richard T Procede et dispositif d'emulsification au laser
EP0342448A1 (fr) * 1988-05-17 1989-11-23 Sumitomo Bakelite Company Limited Emetteur utilisé dans un instrument chirurgical ultrasonique
DE3822011A1 (de) * 1988-06-30 1990-01-11 Geuder Hans Gmbh Augenchirurgisches instrument zum absaugen von linsenresten und laser-phako-kataraksystem mit zwei derartigen instrumenten
US4963142A (en) * 1988-10-28 1990-10-16 Hanspeter Loertscher Apparatus for endolaser microsurgery
WO1991005332A1 (fr) * 1989-10-07 1991-04-18 Laser-Medizin-Zentrum Gmbh Berlin Procede et dispositif de production d'ondes de choc induites par laser
WO1991006271A1 (fr) * 1989-10-25 1991-05-16 Jack Murray Dodick Instrument chirurgical avec transducteur de puissance d'entree
WO1993001756A1 (fr) * 1991-07-24 1993-02-04 L'esperance Medical Technologies, Inc. Appareil d'elimination des tissus du cristallin atteint de cataracte
US5241990A (en) * 1992-07-10 1993-09-07 Inlet Medical, Inc. Irrigation/aspiration valve and probe for laparoscopy
US5246436A (en) * 1991-12-18 1993-09-21 Alcon Surgical, Inc. Midinfrared laser tissue ablater

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4055167A (en) * 1976-04-23 1977-10-25 Bernstein Dell L Curettement device
US4627436A (en) * 1984-03-01 1986-12-09 Innoventions Biomedical Inc. Angioplasty catheter and method for use thereof
US4694828A (en) * 1986-04-21 1987-09-22 Eichenbaum Daniel M Laser system for intraocular tissue removal
EP0248520A1 (fr) * 1986-04-24 1987-12-09 Eye Research Institute Of Retina Foundation Sonde pour endophotocoagulation
WO1989003202A2 (fr) * 1987-10-14 1989-04-20 Schneider Richard T Procede et dispositif d'emulsification au laser
EP0342448A1 (fr) * 1988-05-17 1989-11-23 Sumitomo Bakelite Company Limited Emetteur utilisé dans un instrument chirurgical ultrasonique
DE3822011A1 (de) * 1988-06-30 1990-01-11 Geuder Hans Gmbh Augenchirurgisches instrument zum absaugen von linsenresten und laser-phako-kataraksystem mit zwei derartigen instrumenten
US4963142A (en) * 1988-10-28 1990-10-16 Hanspeter Loertscher Apparatus for endolaser microsurgery
WO1991005332A1 (fr) * 1989-10-07 1991-04-18 Laser-Medizin-Zentrum Gmbh Berlin Procede et dispositif de production d'ondes de choc induites par laser
WO1991006271A1 (fr) * 1989-10-25 1991-05-16 Jack Murray Dodick Instrument chirurgical avec transducteur de puissance d'entree
WO1993001756A1 (fr) * 1991-07-24 1993-02-04 L'esperance Medical Technologies, Inc. Appareil d'elimination des tissus du cristallin atteint de cataracte
US5246436A (en) * 1991-12-18 1993-09-21 Alcon Surgical, Inc. Midinfrared laser tissue ablater
US5241990A (en) * 1992-07-10 1993-09-07 Inlet Medical, Inc. Irrigation/aspiration valve and probe for laparoscopy

Also Published As

Publication number Publication date
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