CN104619281A - 外科激光系统和激光碎石技术 - Google Patents
外科激光系统和激光碎石技术 Download PDFInfo
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- CN104619281A CN104619281A CN201380031061.8A CN201380031061A CN104619281A CN 104619281 A CN104619281 A CN 104619281A CN 201380031061 A CN201380031061 A CN 201380031061A CN 104619281 A CN104619281 A CN 104619281A
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- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00004—Operational features of endoscopes characterised by electronic signal processing
- A61B1/00009—Operational features of endoscopes characterised by electronic signal processing of image signals during a use of endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/307—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
- A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/20—Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
-
- 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
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00057—Light
- A61B2017/00061—Light spectrum
-
- 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
- A61B2017/00137—Details of operation mode
- A61B2017/00154—Details of operation mode pulsed
- A61B2017/00172—Pulse trains, bursts, intermittent continuous operation
-
- 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
- A61B2017/00137—Details of operation mode
- A61B2017/00154—Details of operation mode pulsed
- A61B2017/00172—Pulse trains, bursts, intermittent continuous operation
- A61B2017/00176—Two pulses, e.g. second pulse having an effect different from the first one
-
- 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
- A61B2018/00505—Urinary tract
- A61B2018/00511—Kidney
-
- 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
- A61B2018/00505—Urinary tract
- A61B2018/00517—Urinary bladder or urethra
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00732—Frequency
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/0088—Vibration
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- 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
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
-
- 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
- A61B2018/2065—Multiwave; Wavelength mixing, e.g. using four or more wavelengths
- A61B2018/207—Multiwave; Wavelength mixing, e.g. using four or more wavelengths mixing two wavelengths
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
- A61B2505/05—Surgical care
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/22—Arrangements of medical sensors with cables or leads; Connectors or couplings specifically adapted for medical sensors
- A61B2562/221—Arrangements of sensors with cables or leads, e.g. cable harnesses
- A61B2562/223—Optical cables therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0048—Detecting, measuring or recording by applying mechanical forces or stimuli
- A61B5/0051—Detecting, measuring or recording by applying mechanical forces or stimuli by applying vibrations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0075—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Urology & Nephrology (AREA)
- Otolaryngology (AREA)
- Electromagnetism (AREA)
- Physiology (AREA)
- Signal Processing (AREA)
- Laser Surgery Devices (AREA)
- Radiation-Therapy Devices (AREA)
- Laser Beam Processing (AREA)
Abstract
Description
Claims (20)
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261623256P | 2012-04-12 | 2012-04-12 | |
US61/623,256 | 2012-04-12 | ||
US201261726713P | 2012-11-15 | 2012-11-15 | |
US61/726,713 | 2012-11-15 | ||
PCT/US2013/030136 WO2013154708A1 (en) | 2012-04-12 | 2013-03-11 | Surgical laser systems and laser lithotripsy techniques |
Publications (2)
Publication Number | Publication Date |
---|---|
CN104619281A true CN104619281A (zh) | 2015-05-13 |
CN104619281B CN104619281B (zh) | 2017-10-13 |
Family
ID=49328013
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201380031061.8A Active CN104619281B (zh) | 2012-04-12 | 2013-03-11 | 外科激光系统和激光碎石技术 |
Country Status (8)
Country | Link |
---|---|
US (6) | US9757199B2 (zh) |
EP (3) | EP3308735B1 (zh) |
CN (1) | CN104619281B (zh) |
AU (2) | AU2013246481B2 (zh) |
CA (1) | CA2869713C (zh) |
HK (1) | HK1205913A1 (zh) |
RU (1) | RU2014145783A (zh) |
WO (1) | WO2013154708A1 (zh) |
Cited By (32)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108113747A (zh) * | 2016-11-30 | 2018-06-05 | 维布络有限公司 | 粉碎体腔内结石的输尿管镜和方法 |
CN108261238A (zh) * | 2016-12-30 | 2018-07-10 | 维布络有限公司 | 输尿管镜和利用激光光纤粉化体腔中结石的方法 |
CN108601623A (zh) * | 2016-01-29 | 2018-09-28 | 波士顿科学医学有限公司 | 医疗用户界面 |
CN109069136A (zh) * | 2015-10-30 | 2018-12-21 | 奥瑞斯健康公司 | 用于经皮手术的过程 |
CN109494562A (zh) * | 2018-12-05 | 2019-03-19 | 武汉华锐超快光纤激光技术有限公司 | 一种双频双脉冲腔内激光碎石机 |
CN111146676A (zh) * | 2019-12-30 | 2020-05-12 | 武汉戴美激光科技有限公司 | 一种多种波长脉冲激光生成的方法及设备 |
CN111246812A (zh) * | 2017-11-15 | 2020-06-05 | 波士顿科学医学有限公司 | 用于碎片去除的去除管腔内堵塞的自动方法 |
CN111345893A (zh) * | 2018-12-24 | 2020-06-30 | 爱科凯能科技(北京)股份有限公司 | 激光医疗方法及设备 |
CN111544111A (zh) * | 2020-05-14 | 2020-08-18 | 山东大学第二医院 | 一种用于钬激光碎石的监测系统 |
CN111683617A (zh) * | 2018-02-09 | 2020-09-18 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 用于控制碎石术装置的激光源的系统、方法和计算机可读存储装置 |
CN112437641A (zh) * | 2018-07-18 | 2021-03-02 | Ipg光子公司 | 用于激光碎石术的方法和装置 |
US10959792B1 (en) | 2019-09-26 | 2021-03-30 | Auris Health, Inc. | Systems and methods for collision detection and avoidance |
US11109928B2 (en) | 2019-06-28 | 2021-09-07 | Auris Health, Inc. | Medical instruments including wrists with hybrid redirect surfaces |
CN114206250A (zh) * | 2019-08-05 | 2022-03-18 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 使横向定位和强度变化的激光光纤 |
CN114449968A (zh) * | 2019-08-05 | 2022-05-06 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 激光光纤至目标的距离控制 |
CN114450617A (zh) * | 2019-08-05 | 2022-05-06 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 光纤组件 |
CN114502091A (zh) * | 2019-08-05 | 2022-05-13 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 用于组织安全的选择性激光发射 |
CN114615946A (zh) * | 2019-08-05 | 2022-06-10 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 激光治疗的信号协调传送 |
US11357586B2 (en) | 2020-06-30 | 2022-06-14 | Auris Health, Inc. | Systems and methods for saturated robotic movement |
US11369386B2 (en) | 2019-06-27 | 2022-06-28 | Auris Health, Inc. | Systems and methods for a medical clip applier |
US11382650B2 (en) | 2015-10-30 | 2022-07-12 | Auris Health, Inc. | Object capture with a basket |
US11439419B2 (en) | 2019-12-31 | 2022-09-13 | Auris Health, Inc. | Advanced basket drive mode |
US11534249B2 (en) | 2015-10-30 | 2022-12-27 | Auris Health, Inc. | Process for percutaneous operations |
US11571229B2 (en) | 2015-10-30 | 2023-02-07 | Auris Health, Inc. | Basket apparatus |
US11737845B2 (en) | 2019-09-30 | 2023-08-29 | Auris Inc. | Medical instrument with a capstan |
US11737835B2 (en) | 2019-10-29 | 2023-08-29 | Auris Health, Inc. | Braid-reinforced insulation sheath |
US11839969B2 (en) | 2020-06-29 | 2023-12-12 | Auris Health, Inc. | Systems and methods for detecting contact between a link and an external object |
US11896330B2 (en) | 2019-08-15 | 2024-02-13 | Auris Health, Inc. | Robotic medical system having multiple medical instruments |
US11896335B2 (en) | 2018-08-15 | 2024-02-13 | Auris Health, Inc. | Medical instruments for tissue cauterization |
US11931901B2 (en) | 2020-06-30 | 2024-03-19 | Auris Health, Inc. | Robotic medical system with collision proximity indicators |
US11950872B2 (en) | 2019-12-31 | 2024-04-09 | Auris Health, Inc. | Dynamic pulley system |
CN114615946B (zh) * | 2019-08-05 | 2024-05-17 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 激光治疗的信号协调传送 |
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EP3308735B1 (en) | 2012-04-12 | 2019-09-11 | Boston Scientific Scimed, Inc. | Laser lithotripsy systems |
US10617470B2 (en) * | 2012-10-16 | 2020-04-14 | Boston Scientific Scimed, Inc. | Laser ablation with electromagnetic energy feedback |
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US9282985B2 (en) | 2013-11-11 | 2016-03-15 | Gyrus Acmi, Inc. | Aiming beam detection for safe laser lithotripsy |
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US9254075B2 (en) | 2014-05-04 | 2016-02-09 | Gyrus Acmi, Inc. | Location of fragments during lithotripsy |
US9259231B2 (en) | 2014-05-11 | 2016-02-16 | Gyrus Acmi, Inc. | Computer aided image-based enhanced intracorporeal lithotripsy |
CN106137388A (zh) * | 2015-04-22 | 2016-11-23 | 上海瑞柯恩激光技术有限公司 | 钬激光治疗仪 |
US10354437B2 (en) * | 2015-08-24 | 2019-07-16 | Dassault Systemes | 3D experience with virtual gemstones for online customer |
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US20200000522A1 (en) | 2020-01-02 |
US20150289937A1 (en) | 2015-10-15 |
US10441359B2 (en) | 2019-10-15 |
CA2869713A1 (en) | 2013-10-17 |
EP2836152B1 (en) | 2017-11-01 |
US10039604B2 (en) | 2018-08-07 |
CN104619281B (zh) | 2017-10-13 |
AU2013246481A1 (en) | 2014-10-30 |
EP3610819A1 (en) | 2020-02-19 |
EP3610819B1 (en) | 2021-05-26 |
EP2836152A4 (en) | 2016-02-17 |
US20170325890A1 (en) | 2017-11-16 |
US20180303549A1 (en) | 2018-10-25 |
US11213352B2 (en) | 2022-01-04 |
AU2016208406B2 (en) | 2018-02-22 |
US20220079674A1 (en) | 2022-03-17 |
AU2016208406A1 (en) | 2016-08-18 |
US11786306B2 (en) | 2023-10-17 |
WO2013154708A1 (en) | 2013-10-17 |
US20230414285A1 (en) | 2023-12-28 |
HK1205913A1 (zh) | 2015-12-31 |
US9757199B2 (en) | 2017-09-12 |
EP2836152A1 (en) | 2015-02-18 |
CA2869713C (en) | 2019-06-25 |
EP3308735B1 (en) | 2019-09-11 |
RU2014145783A (ru) | 2016-06-20 |
EP3308735A1 (en) | 2018-04-18 |
AU2013246481B2 (en) | 2016-06-09 |
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