CN102202593B - 手持式便携激光外科装备 - Google Patents

手持式便携激光外科装备 Download PDF

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CN102202593B
CN102202593B CN200980141902.4A CN200980141902A CN102202593B CN 102202593 B CN102202593 B CN 102202593B CN 200980141902 A CN200980141902 A CN 200980141902A CN 102202593 B CN102202593 B CN 102202593B
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CN102202593A (zh
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A·B·迪塞萨
M·I·A·博伊特
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Den Mat Holdings LLC
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    • G—PHYSICS
    • G02—OPTICS
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    • G02B6/00—Light guides; Structural details of arrangements comprising light guides and other optical elements, e.g. couplings
    • G02B6/24—Coupling light guides
    • G02B6/42—Coupling light guides with opto-electronic elements
    • G02B6/4292—Coupling light guides with opto-electronic elements the light guide being disconnectable from the opto-electronic element, e.g. mutually self aligning arrangements
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    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
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    • A61B2017/00973—Surgical instruments, devices or methods, e.g. tourniquets pedal-operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
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    • 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
    • A61B2018/225—Features of hand-pieces
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    • 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
    • A61B2018/2255—Optical elements at the distal end of probe tips
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    • A61B2560/0285—Apparatus for single use
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    • G02—OPTICS
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    • G02B6/36—Mechanical coupling means
    • G02B6/38—Mechanical coupling means having fibre to fibre mating means
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    • G02B6/381—Dismountable connectors, i.e. comprising plugs of the ferrule type, e.g. fibre ends embedded in ferrules, connecting a pair of fibres
    • G—PHYSICS
    • G02—OPTICS
    • G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B6/00—Light guides; Structural details of arrangements comprising light guides and other optical elements, e.g. couplings
    • G02B6/24—Coupling light guides
    • G02B6/42—Coupling light guides with opto-electronic elements
    • G02B6/4201—Packages, e.g. shape, construction, internal or external details
    • G02B6/4204—Packages, e.g. shape, construction, internal or external details the coupling comprising intermediate optical elements, e.g. lenses, holograms

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Abstract

一种手持式便携二极管激光外科装备，包括电源、至少一个激光二极管、整体的控制接口和显示器、以及多元件无菌一次性尖端设备，其特征在于用于独立光纤与外科装备的对准的组件，以及在尖端设备与外科装备之间的可释放锁定组件。实施例包括无线脚踏板通/断控制和提供无菌、抗菌再充电环境的基座。

Description

手持式便携激光外科装备
技术领域
本发明涉及便携式激光外科仪器。更具体地说，本发明涉及改进的手持式激光外科装备，其将至少一个二极管激光器、电源、以及可更换的一次性无菌尖端与包含在钢笔大小的单元内的保护套筒相组合，特别适于口腔外科。
背景技术
对于其中治疗区域狭窄或特别难以到达的眼科、牙科、矫形外科、及类似外科操作，一般已经开发了使用手持式仪器的医学激光治疗。典型地，激光束从激光源通过光纤传输到治疗部位。光纤的近侧在用于连接到激光源上的激光源连接器中终止，并且其远侧在由外科医师操纵的机头中终止。
二极管激光器已经用于医学和牙科目的。明确地说，在牙科使用的领域中，在市场上的二极管激光器在尺寸上已经减小到近似鞋盒的大小。牙科激光器单元典型地使用光纤连接到机头形式的传输或外科装备上。激光外科装备提供优于传统器具的一定优点，如使组织和其附近的小血管蒸发的照射。
相应地，激光外科装备提供在无出血情况下进行的手术。因而，要求对于病人输血的潜在情况消失。无血外科手术也具有防止可由输血或在手术部位处的感染传播的疾病的效果。这些优点对于口腔和牙外科操作，如印模排龈、植入物暴露、修复、或化脓性肉芽肿，特别有用。
医学激光装备的另一个重要优点是，组织中的小淋巴管通过激光束的照射而封闭。该特征大大减少了外科手术后由淋巴的淤积而引起的浮肿的发生，并且同样防止在外科手术期间或其后癌细胞的扩散。
激光外科手术通过封闭在手术目标部位处切开的神经末梢常常减少术后疼痛。
术后疤痕组织通过医学激光装备的使用而减少。相应地，减少术后狭窄的发生，因而使重新手术的主要原因降至最小。
经常地，在一次操作中使用的激光外科手术机头在以后操作中对于另一个病人不能使用，除非进行某种形式的消毒。消毒技术类型的范围从高压灭菌器到气体。气体操作是耗时和高成本的。高压灭菌器的温度一般被证明太严厉，以至于激光外科机头不能承受。
发明内容
因此，有用的是，提供一种特别适合于切开软组织的手持式激光外科装备，该手持式激光外科装备消除对于基础激光器单元的需要。
如果手持式激光外科装备具有：单独的无线脚踏板，用于致动外科装备的通断开关；小屏幕以及若干控制按钮，用于使外科医师与仪器接口，从而提供一种使用简单和容易的牙科软组织激光外科装备，则将进一步有益。
手持式激光外科装备的另一个希望方面是供手持式激光外科装备使用的无菌一次性尖端。
如果无菌一次性尖端提供用于在尖端中的光纤与在外科装备中的激光能量源的精确对准的装置，则将进一步有用。
又一个有用优点是，无菌一次性尖端用机械、磁性、机电、或电磁锁定组件可释放地附接到装备上。
最后，当不使用时，将手持式激光外科装备存放在可再充电电源基座中，该可再充电电源基座供给用于辅助清洁和灭菌的紫外(UV)光。
因此，有用的是，提供一种供无菌一次性尖端使用的手持式激光外科装备，该无菌一次性尖端具有供激光外科装备使用的快速和容易使用的对准和连接组件，如在申请人于2008年5月5日提交的待决美国非临时专利申请No.12/115,636[“‘336申请”]中公开和要求保护的一次性外科尖端设备，该专利申请为了全部目的通过引用并入本文。
此外，有用的是，提供一种供双二极管会聚模块使用的手持式激光外科装备，该双二极管会聚模块是如在申请人于2008年5月5日提交的待决美国非临时专利申请No.12/115,383[“‘383申请”]中公开和要求保护的双二极管会聚模块，该专利申请为了全部目的通过引用并入本文。
又一个优点是，提供一种供具有对准组件的外科激光器尖端设备使用的手持式激光外科装备，该外科激光器尖端设备是如在申请人于2008年10月24日提交的待决美国非临时专利申请No.12/257,665[“‘665申请”]中公开和要求保护的外科激光器尖端设备，该专利申请为了全部目的通过引用并入本文。
为了本发明的以上和其它特征、优点、及目的的更完整理解，应该参考如下优选实施例的详细描述，并且参考附图。
附图说明
图1是手持式便携激光外科设备10的实施例的侧视图，描绘了手把部分12，包括可拆除电源壳体14、交互控制和反馈组件18、一次性无菌尖端组件20、光纤22以及用于将光纤与手把部分12对准的组件26。
图2是图1的部分剖视图。
图3是图1的分解立体图。
图4是激光器组件24的分解视图，该激光组件24用于将一次性无菌尖端组件20可释放地附接到手把部分12，并且将光纤22与至少一个激光源16对准。
图5是图1的立体图，描绘了电源壳体14、一次性无菌尖端20以及手把部分12。
图6是容纳有手持式便携激光外科设备10的底座充电单元30的立体图，并且描绘了被再充电的第二电源15。
图7是从脚控制发射器28接收无线电波的图1的手持式便携激光外科设备的立体图。
具体实施方式
参照图1-7，呈现了手持式便携激光外科设备10、脚踏板28以及底座充电器30。附图标记10一般指示用于手持式便携激光外科装备的典型设备。
在申请人的‘336申请中公开和要求保护的一次性外科尖端设备为了全部目的通过引用并入本文。
在申请人的‘383申请中公开和要求保护的双二极管会聚模块为了全部目的通过引用并入本文。
在申请人的‘665申请中公开和要求保护的具有对准组件的双外科激光器尖端设备为了全部目的通过引用并入本文。手持式便携激光外科设备10以组合方式包括：手把部分12；整体的可拆除和可再充电电源15，在手把部分电源壳体14内；至少一个独立激光源16，在手把部分16内；设备功能的交互控制和反馈组件18；一次性无菌尖端组件20；光纤22，用于传输产生的激光束；用于将一次性无菌尖端组件20可释放地附接到手把部分12的组件24；用于将光纤与至少一个激光源16对准的组件26；用于设备10的通/断功能的无线脚踏板控制的组件28；以及当设备不使用时用于设备的灭菌、再充电及存放的组件30。优选实施例包括用于光纤22的400微米光纤传输系统。
本领域的技术人员应理解，电源15与用于一个或多个激光源16和交互控制和反馈组件的电路(未示出)连通。
对于设备10的实施例，至少一个独立激光源包括至少一个激光二极管。
用于设备10的实施例的独立激光源包括至少一个激光二极管，该激光二极管产生范围在近似800nm红外光束与3100nm红外光束之间的最佳输出瞄准光束，其输出功率的范围在1瓦特与15瓦特之间。
对于设备10的可选择实施例，独立激光源包括至少一个第二激光二极管，该第二激光二极管产生在激光二极管的可见光谱内的最佳输出瞄准光束，其输出功率的范围在1mW与25mW之间。
对于设备10的实施例，用于设备功能的交互控制和反馈的组件18包括至少一个发光二极管(“LED”)显示器17。设备10的优选实施例包括反馈组件18的LED显示器17，该LED显示器17使显示适用于调整握持设备10的手，向用户提供在屏幕上的可读输出。
对于设备10的实施例，用于设备功能的交互控制和反馈的组件18进一步包括至少一个操作按钮。
设备10的优选实施例包括可再充电锂离子电源15。
设备10的优选实施例包括底座充电器30，该底座充电器30具有高度为2.7英寸、宽度为2.9英寸以及长度为8英寸的近似尺寸。底座充电器30使用50至60Hz下的100-240VAC和最大0.8安对锂离子电源15再充电，并且用紫外(UV)光沐浴设备10以用于附加的清洁和灭菌。
设备10的实施例包括用于设备通/断功能的无线脚踏板控制的组件28，该组件28包括用于无线电波接收和发射的组件。用于无线脚踏板控制的组件28的优选实施例包括2.4GHz的无线频率和AA电池的内部电源。
对于设备10的实施例，用于无线电波接收和发射的组件进一步包括用于通信的组件，以接收无线脚踏板控制组件28的无线频率信号。
对于设备10的实施例，一次性无菌尖端组件20容纳有用于传输产生的激光束的光纤22，并且一次性无菌尖端组件20包括预防疾病的包装。
对于设备10的实施例，用于将用于一次性无菌尖端组件20的装置可释放地附接到手把部分的组件包括磁性组件。
对于设备10的实施例，手把部分包括远侧端部，用于一次性无菌尖端组件20的组件包括第一端部套筒，并且用于将光纤与至少一个激光源对准的组件包括至少两个缝隙和尖端的第一端部套筒，这两个缝隙在手把部分的远侧端部上等距地间隔开，该尖端的第一端部套筒具有适用于配合手把部分的缝隙的内部纵棱条。
对于设备10的实施例，用于将一次性无菌尖端组件20可释放地附接到手把部分12的组件27包括由以下各项组成的组中的至少一个部件：用于磁性耦接的组件、用于机械耦接的组件、用于机电耦接的组件以及用于电磁耦接的组件。
设备10的手把部分12和相连接的电源壳体14的优选实施例重1.9盎司，并且测得其长度为近似6.3英寸，其直径为近似0.65英寸。
当然，应该理解，这里示例和描述的本发明的具体形式仅旨在是代表性的，因为其中可以进行一定变化，而不脱离本公开的清楚教导。因此，在确定本发明的完全范围时，应该参考如下附属权利要求书。

Claims (10)

1.一种手持式便携激光外科设备，包括：
a)手把部分，具有近侧端部和远侧端部；
b)整体的可拆除可再充电电源，在手把部分的近侧端部处的电源壳体内；
c)在手把部分内的至少一个独立激光源；
d)一次性无菌尖端组件，其中所述尖端组件包括：
第一端部套筒，可移除地容纳在手把部分的远侧端部上，
光纤，传输产生的激光束，所述激光束从所述激光源通过所述光纤传输到治疗部位；
e)用于将一次性无菌尖端组件可释放地附接到手把部分的装置；
f)用于设备的交互控制和反馈的装置，包括LED显示器和通/断开关，该LED显示器提供调整使用所述设备的手的显示。
2.根据权利要求1所述的设备，其中，所述激光源包括至少一个第一激光二极管，所述第一激光二极管产生范围在800nm与3100nm之间的最佳输出瞄准光束，其输出功率的范围在1瓦特与15瓦特之间。
3.根据权利要求2所述的设备，其中，所述激光源包括至少一个第二激光二极管，所述第二激光二极管产生在激光二极管的可见光谱内的最佳输出瞄准光束，其输出功率的范围在1mW与25mW之间。
4.根据权利要求1所述的设备，其中，用于将一次性无菌尖端组件可释放地附接到手把部分的装置包括磁性组件。
5.根据权利要求2所述的设备，其中，用于将一次性无菌尖端组件可释放地附接到手把部分的装置包括磁性组件。
6.根据权利要求1所述的设备，其中，套筒包括适于配合手把部分的远侧端部上的等距地间隔开的缝隙的多个纵向延伸的内部棱条。
7.一种手持式便携激光外科设备，包括：
a)手把部分，具有近侧端部和远侧端部，该远侧端部中限定有纵向延伸的至少两个缝隙，其中，手把部分中包括电源壳体；
b)整体的可拆除可再充电电源，在手把部分的近侧端部处的电源壳体内；
c)在手把部分内的至少一个独立激光源；
d)一次性无菌尖端组件，其中，所述尖端组件包括：
第一端部套筒，包括适于配合手把部分的远侧端部上的等距地间隔开的至少两个缝隙的纵向延伸的内部棱条，
光纤，传输产生的激光束，所述激光束从所述激光源通过所述光纤传输到治疗部位；
其中第一端部套筒可拆除地容纳在手把部分的远侧端部，
e)用于将一次性无菌尖端组件可释放地附接到手把部分的装置，包括磁性组件；
f)用于设备的交互控制和反馈的装置，包括LED显示器和通/断开关，该LED显示器提供调整使用所述设备的手的显示。
8.根据权利要求7所述的设备，其中，所述激光源进一步包括至少一个激光二极管。
9.根据权利要求8所述的设备，其中，所述激光二极管产生范围在800nm与3100nm之间的最佳输出波长，其输出功率范围在1瓦特与15瓦特之间。
10.根据权利要求9所述的设备，其中，所述激光源包括第二激光二极管，所述第二激光二极管产生在激光二极管的可见光谱内的最佳输出瞄准光束，其输出功率范围在1mW与25mW之间。
CN200980141902.4A 2008-10-24 2009-10-08 手持式便携激光外科装备 Expired - Fee Related CN102202593B (zh)

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CN102202593A (zh) 2011-09-28
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US20150073399A1 (en) 2015-03-12
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