CN106061423B - 手术激光治疗温度监视 - Google Patents

手术激光治疗温度监视 Download PDF

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Publication number
CN106061423B
CN106061423B CN201480058735.8A CN201480058735A CN106061423B CN 106061423 B CN106061423 B CN 106061423B CN 201480058735 A CN201480058735 A CN 201480058735A CN 106061423 B CN106061423 B CN 106061423B
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China
Prior art keywords
laser
output signal
temperature
treatment
energy
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CN201480058735.8A
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English (en)
Chinese (zh)
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CN106061423A (zh
Inventor
贾文瑞
托马斯·C·哈森伯格
王辉
布莱恩·克里斯多夫·卡尔森
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Boston Scientific Scimed Inc
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Scimed Life Systems Inc
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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
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589—Coagulation
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607—Coagulation and cutting with the same instrument
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00625—Vaporization
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00672—Sensing and controlling the application of energy using a threshold value lower
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
    • 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
    • A61B2018/00791—Temperature
    • 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
    • A61B2018/00791—Temperature
    • A61B2018/00809—Temperature measured thermochromatically
    • 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
    • A61B2018/2035—Beam shaping or redirecting; Optical components therefor
    • A61B2018/20361—Beam shaping or redirecting; Optical components therefor with redirecting based on sensed condition, e.g. tissue analysis or tissue movement

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Electromagnetism (AREA)
  • Optics & Photonics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Laser Surgery Devices (AREA)
CN201480058735.8A 2013-10-24 2014-10-20 手术激光治疗温度监视 Active CN106061423B (zh)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201361895211P 2013-10-24 2013-10-24
US61/895,211 2013-10-24
US201461934387P 2014-01-31 2014-01-31
US61/934,387 2014-01-31
PCT/US2014/061319 WO2015061201A1 (en) 2013-10-24 2014-10-20 Surgical laser treatment temperature monitoring

Publications (2)

Publication Number Publication Date
CN106061423A CN106061423A (zh) 2016-10-26
CN106061423B true CN106061423B (zh) 2019-02-15

Family

ID=51799345

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201480058735.8A Active CN106061423B (zh) 2013-10-24 2014-10-20 手术激光治疗温度监视

Country Status (6)

Country Link
US (2) US10667863B2 (enExample)
EP (1) EP3060154B1 (enExample)
JP (1) JP6553027B2 (enExample)
CN (1) CN106061423B (enExample)
AU (1) AU2014340370B2 (enExample)
WO (1) WO2015061201A1 (enExample)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10149717B2 (en) 2015-07-14 2018-12-11 Boston Scientific Scimed, Inc. Cauterization devices, methods, and systems
CN106539621B (zh) * 2016-10-30 2019-04-26 上海和极实业发展有限公司 一种智能手术激光刀
US11109911B2 (en) 2017-06-01 2021-09-07 Optical Integrity, Inc. Stone sense with fiber erosion protection and camera saturation prevention, and/or absence-detection safety interlock
US11819195B2 (en) * 2019-08-05 2023-11-21 Gyrus Acmi, Inc. Signal coordinated delivery of laser therapy
CN111407467A (zh) * 2020-01-08 2020-07-14 北京航空航天大学 一种基于光谱在线监测的高质量激光骨加工方法
WO2021178628A1 (en) * 2020-03-04 2021-09-10 Accure Acne Llc Audible temperature readout apparatus for use with a photo-thermal targeted treatment system and associated methods
US20240324881A1 (en) * 2021-08-23 2024-10-03 University Of Massachusetts Optical sensor for monitoring temperature-induced changes in biological tissues
US12478429B2 (en) * 2021-09-17 2025-11-25 Gyrus Acmi, Inc. Monitoring liquid medium conditions proximate a laser lithotripsy treatment area in real time
JP2025078895A (ja) * 2022-03-31 2025-05-21 株式会社ジェイメック 照射装置及び照射方法
CN115154921A (zh) * 2022-07-05 2022-10-11 李华华 一种激光针灸仪的光信号调节系统
US12431681B2 (en) 2023-11-30 2025-09-30 Inno Voyce LLC Fiber laser for coagulation, cutting, and other operations

Citations (3)

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CN1261774A (zh) * 1997-06-30 2000-08-02 科森尼康有限公司 外科手术激光传送系统和方法
WO2010102246A1 (en) * 2009-03-05 2010-09-10 Cynosure, Inc. Thermal surgery safety apparatus and method
US7869016B2 (en) * 2007-05-17 2011-01-11 Ams Research Corporation Fiber damage detection and protection device

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CA1279901C (en) * 1985-03-22 1991-02-05 Carter Kittrell Catheter for laser angiosurgery
US5092865A (en) * 1987-02-27 1992-03-03 Xintec Corporation Optical fiber fault detector
JPH01250271A (ja) * 1987-12-04 1989-10-05 Olympus Optical Co Ltd 医用レーザ照射装置
JPH02279169A (ja) * 1989-04-20 1990-11-15 Olympus Optical Co Ltd レーザ光照射装置
US7090672B2 (en) * 1995-06-07 2006-08-15 Arthrocare Corporation Method for treating obstructive sleep disorder includes removing tissue from the base of tongue
GB9521784D0 (en) * 1995-10-24 1996-01-03 Rosslyn Medical Ltd Diagnostic apparatus
US6544193B2 (en) 1996-09-04 2003-04-08 Marcio Marc Abreu Noninvasive measurement of chemical substances
US6538739B1 (en) * 1997-09-30 2003-03-25 The Regents Of The University Of California Bubble diagnostics
US6413267B1 (en) * 1999-08-09 2002-07-02 Theralase, Inc. Therapeutic laser device and method including noninvasive subsurface monitoring and controlling means
US7704247B2 (en) 2003-02-13 2010-04-27 Barbara Ann Soltz Dual fiber-optic surgical apparatus
US7118564B2 (en) * 2003-11-26 2006-10-10 Ethicon Endo-Surgery, Inc. Medical treatment system with energy delivery device for limiting reuse
US20050251116A1 (en) 2004-05-05 2005-11-10 Minnow Medical, Llc Imaging and eccentric atherosclerotic material laser remodeling and/or ablation catheter
US7655003B2 (en) * 2005-06-22 2010-02-02 Smith & Nephew, Inc. Electrosurgical power control
US20090149845A1 (en) * 2007-12-11 2009-06-11 Joe Denton Brown Methods and apparatus for preventing damage to optical fibers caused by thermal runaway
EP2519177A4 (en) * 2009-12-31 2013-07-03 Laser Abrasive Technologies Llc DENTAL SURGERY WITH FEEDBACK MECHANISM
JP5700398B2 (ja) * 2010-08-17 2015-04-15 株式会社モリタ製作所 レーザ治療装置およびレーザ出力制御方法
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CN1261774A (zh) * 1997-06-30 2000-08-02 科森尼康有限公司 外科手术激光传送系统和方法
US7869016B2 (en) * 2007-05-17 2011-01-11 Ams Research Corporation Fiber damage detection and protection device
WO2010102246A1 (en) * 2009-03-05 2010-09-10 Cynosure, Inc. Thermal surgery safety apparatus and method

Also Published As

Publication number Publication date
US10667863B2 (en) 2020-06-02
JP6553027B2 (ja) 2019-07-31
AU2014340370A1 (en) 2016-05-19
US20200246072A1 (en) 2020-08-06
CN106061423A (zh) 2016-10-26
EP3060154B1 (en) 2021-03-24
EP3060154A1 (en) 2016-08-31
JP2016538026A (ja) 2016-12-08
US20160262834A1 (en) 2016-09-15
AU2014340370B2 (en) 2018-11-01
WO2015061201A1 (en) 2015-04-30

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