DE20003349U1 - Device for the thermal treatment of biological tissue - Google Patents

Device for the thermal treatment of biological tissue

Info

Publication number
DE20003349U1
DE20003349U1 DE20003349U DE20003349U DE20003349U1 DE 20003349 U1 DE20003349 U1 DE 20003349U1 DE 20003349 U DE20003349 U DE 20003349U DE 20003349 U DE20003349 U DE 20003349U DE 20003349 U1 DE20003349 U1 DE 20003349U1
Authority
DE
Germany
Prior art keywords
puncture shaft
handpiece
puncture
diffuser element
hollow cylinder
Prior art date
Legal status (The legal status 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 status listed.)
Expired - Lifetime
Application number
DE20003349U
Other languages
German (de)
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Trumpf Medizin Systeme GmbH and Co KG
Original Assignee
Laser und Medizin Technologie GmbH
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 Laser und Medizin Technologie GmbH filed Critical Laser und Medizin Technologie GmbH
Priority to DE10008557A priority Critical patent/DE10008557A1/en
Priority to DE20003349U priority patent/DE20003349U1/en
Publication of DE20003349U1 publication Critical patent/DE20003349U1/en
Priority to PCT/EP2001/002112 priority patent/WO2001062171A1/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

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
    • 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
    • A61B1/12—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 with cooling or rinsing arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3476—Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • 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
    • A61B46/00—Surgical drapes
    • A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
    • A61B46/13—Surgical drapes specially adapted for instruments, e.g. microscopes the drapes entering the patient's body
    • A61B46/17—Surgical drapes specially adapted for instruments, e.g. microscopes the drapes entering the patient's body closed at the distal end
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0601—Apparatus for use inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • A61B17/3496—Protecting sleeves or inner probes; Retractable tips
    • 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
    • A61B2017/00084—Temperature
    • 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
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • A61B2018/2005—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 with beam delivery through an interstitially insertable device, e.g. needle
    • 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
    • A61B2018/2255—Optical elements at the distal end of probe tips
    • A61B2018/2261—Optical elements at the distal end of probe tips with scattering, diffusion or dispersion of light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures

Description

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßtThe description text was not recorded electronically

Claims (25)

1. Vorrichtung zur thermischen Verödung von biologischem Gewebe mittels Lichtstrahlung nach dem Stand der Technik, dadurch gekennzeichnet, daß die Vorrichtung im wesentlichen aus zwei trennbaren Teilen, einem Handstück (102) und einem formsteifen Punktionsschaft (103) mit optischem Fenster (1) und innenliegendem Diffusorelement (8) besteht, die mittels einer kraft- und/oder formschlüssigen Verbindung (4) arretiert aber lösbar verbunden sind, so daß der Punktionsschaft (103) jederzeit ausgetauscht werden kann. 1. Device for the thermal obliteration of biological tissue by means of light radiation according to the prior art, characterized in that the device consists essentially of two separable parts, a handpiece (102) and a dimensionally stable puncture shaft (103) with an optical window (1) and inside Diffuser element (8), which is locked but detachably connected by means of a non-positive and / or positive connection (4), so that the puncture shaft (103) can be replaced at any time. 2. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß der Punktionsschaft (103) mindestens doppellumig ausgeführt ist, so daß er nach dem Gegenstromprinzip zur Kühlung und/oder Verbesserung der Abstrahlcharakteristik von einem Fluid (6) durchströmt wird.2. Device according to claim 1, characterized characterized that the puncture shaft (103) is at least double-lumen, so that he countercurrent principle for cooling and / or Improvement of the radiation characteristics of one Fluid (6) is flowed through. 3. Vorrichtung nach Anspruch 2, dadurch gekennzeichnet, daß der transparente Hohlzylinder (1) des Punktionsschaftes (103) aus der Gläser, Keramiken oder Kunststoffe umfassenden Materialgruppe aufgebaut ist.3. Device according to claim 2, characterized characterized that the transparent Hollow cylinder (1) of the puncture shaft (103) from the Including glasses, ceramics or plastics Material group is established. 4. Vorrichtung nach Anspruch 3, dadurch gekennzeichnet, daß der transparente Hohlzylinder (1) des Punktionsschaftes (103) durch ein thermisches Schmelzverfahren spitz verschlossen wird (7).4. The device according to claim 3, characterized characterized that the transparent Hollow cylinder (1) of the puncture shaft (103) through a thermal melting process is sealed will (7). 5. Vorrichtung nach Anspruch 3, dadurch gekennzeichnet, daß das Ende des transparenten Hohlzylinders (1) durch ein aus der Metalle, Keramiken oder Kunststoffe umfassenden Materialgruppe gebildetes, spitz geformtes Element (7', 7")abgeschlossen ist.5. The device according to claim 3, characterized characterized that the end of the transparent hollow cylinder (1) by a from the Comprising metals, ceramics or plastics Material group formed, pointedly shaped element (7 ', 7 ") is completed. 6. Vorrichtung nach Anspruch 4 oder 5, dadurch gekennzeichnet, daß der starre Stabilisierungsmantel (2, 2') des Punktionsschaftes aus der Metalle, Keramiken oder Kunststoffe umfassenden Materialgruppe aufgebaut ist und sich das dem transparenten Teil zugewandte Ende konisch verjüngt (3).6. The device according to claim 4 or 5, characterized characterized that the rigid Stabilizing jacket (2, 2 ') of the puncture shaft made of metals, ceramics or plastics comprehensive material group and that the conical end facing the transparent part tapered (3). 7. Vorrichtung nach Anspruch 6, dadurch gekennzeichnet, daß der starre Stabilisierungsmantel (2, 2') mit äquidistanten Markierungen versehen (10) ist.7. The device according to claim 6, characterized characterized that the rigid  Stabilizing jacket (2, 2 ') with equidistant Markings provided (10). 8. Vorrichtung nach Anspruch 6 oder 7, dadurch gekennzeichnet, daß der starre Stabilisierungsmantel (2) mit dem transparenten Hohlzylinder (1) verklebt ist.8. The device according to claim 6 or 7, characterized characterized that the rigid Stabilizing jacket (2) with the transparent Hollow cylinder (1) is glued. 9. Vorrichtung nach Anspruch 6 oder 7, dadurch gekennzeichnet, daß in einer Ausführungsvariante der starre Stabilisierungsmantel (2') über den transparenten Hohlzylinder (1) geschoben und in verschiedenen Positionen fixierbar ist.9. The device according to claim 6 or 7, characterized characterized in that in a Design variant of the rigid stabilizing jacket (2 ') over the transparent hollow cylinder (1) pushed and fixable in different positions is. 10. Vorrichtung nach Anspruch 6 oder 7, dadurch gekennzeichnet, daß in einer Ausführungsvariante der starre Stabilisierungsmantel (2, 2') innerhalb des transparenten Hohlzylinders (1) angebracht ist.10. The device according to claim 6 or 7, characterized characterized in that in a Design variant of the rigid stabilizing jacket (2, 2 ') within the transparent hollow cylinder (1) is appropriate. 11. Vorrichtung nach einem der vorgenannten Ansprüche, dadurch gekennzeichnet, daß das Handstück (102) zwei Anschlüsse (11, 12) für Zu- und Ablauf des Fluids (6) sowie eine weitere Öffnung für den Laserstrahlung zuführenden Lichtwellenleiter (9, 101) aufweist.11. Device according to one of the preceding claims, characterized in that the Handpiece (102) two connections (11, 12) for feed and Drain of the fluid (6) and another opening for the optical waveguide (9, 101). 12. Vorrichtung nach Anspruch 11, dadurch gekennzeichnet, daß die Laserstrahlung zuführende Lichtleitfaser (9, 101) am Handstück (102) oder Punktionsschaft (103) fixiert ist und die austretende Laserstrahlung über eine kurze Luft- oder Fluidstrecke (21) in das Diffusorelement (8) bzw. ein dem Diffusorelement vorgelagertes Lichtwellenleiter­ stück (9) eingekoppelt wird. 12. The apparatus of claim 11, characterized characterized that the laser radiation feeding optical fiber (9, 101) on the handpiece (102) or puncture shaft (103) is fixed and the emerging laser radiation over a short air or Fluid path (21) in the diffuser element (8) or optical fiber upstream of the diffuser element piece (9) is coupled.   13. Vorrichtung nach Anspruch 11, dadurch gekennzeichnet, daß das Diffusorelement (8) fest mit dem Laserlicht übertragenden Lichtwellenleiter (9, 101) verbunden ist und Diffusorelement (8) und Lichtwellenleiter (9, 101) durch eine Öffnung des Handstücks bis zum distalen Ende des Punktionsschaft (103) vorgeschoben werden.13. The apparatus according to claim 11, characterized characterized in that the diffuser element (8) firmly transmitting with the laser light Optical fiber (9, 101) is connected and Diffuser element (8) and optical waveguide (9, 101) through an opening of the handpiece to the distal End of the puncture shaft (103) are advanced. 14. Vorrichtung nach Anspruch 13, dadurch gekennzeichnet, daß die das Diffusorelement (8) tragende Lichtleitfaser (9, 101) durch eine Arretierung (14, 15) am Handstück (102) fixiert ist.14. The apparatus according to claim 13, characterized characterized in that the diffuser element (8) carrying optical fiber (9, 101) by a Locking (14, 15) on the handpiece (102) is fixed. 15. Vorrichtung nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß über den gesamten Punktionsschaft (103) ein distal verschlossener, eng anliegender, vorzugsweise aus temperaturstabilem, transparentem und gut wärmeleitendem Kunststoff gefertigter Sterilüberzug (24) gezogen ist.15. Device according to one of the preceding claims, characterized in that over the entire puncture shaft (103) a distal closed, tight fitting, preferably made of temperature stable, transparent and good thermally conductive plastic sterile cover (24) is pulled. 16. Vorrichtung nach Anspruch 15, dadurch gekennzeichnet, daß der Sterilüberzug (24) nach Durchführung der Therapie vernichtet wird.16. The apparatus according to claim 15, characterized characterized in that the sterile cover (24) is destroyed after the therapy has been carried out. 17. Vorrichtung nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß in einer speziellen Ausführungsform am Handstück (102) oder am Punktionsschaft (103) eine variabel einstellbare und mit äquidistanten Markierungen (28) versehene Führung (113) derart befestigt ist, daß parallel zum Punktionsschaft (103) in definiertem radialen und axialen Abstand zum Diffusorelement (8) ein oder mehrere Meßsonden (112) im oder auf dem Körpergewebe (104) positionierbar sind. 17. Device according to one of the preceding claims, characterized in that in a special embodiment on the handpiece (102) or on Puncture shaft (103) a variably adjustable and Guide provided with equidistant markings (28) (113) is attached such that parallel to the Puncture shaft (103) in defined radial and axial distance to the diffuser element (8) or several measuring probes (112) in or on the body tissue (104) can be positioned.   18. Vorrichtung nach Anspruch 17, dadurch gekennzeichnet, daß die Führung (113) zusammen mit den Meßsonden (112) arretiert aber lösbar mit dem Handstück (102) oder dem Punktionsschaft (103) verbunden sind.18. The apparatus according to claim 17, characterized characterized in that the guide (113) locked together with the measuring probes (112) detachable with the handpiece (102) or the Puncture shaft (103) are connected. 19. Vorrichtung nach Anspruch 17 oder 18, dadurch gekennzeichnet, daß die mit den Meßsonden (112) gemessenen Temperaturen bzw. radiale Temperaturprofile zur Leistungseinstellung im Rahmen einer On-line-Regelung (114, 115) oder zum Abschalten des Lasers (100) verwendet werden.19. The apparatus of claim 17 or 18, characterized characterized that with the measuring probes (112) measured temperatures or radial Temperature profiles for setting the power in the frame an online control (114, 115) or to switch off of the laser (100) can be used. 20. Vorrichtung nach Anspruch 17 oder 18, dadurch gekennzeichnet, daß die mit den Meßsonden (112) gemessenen Autofluoreszenzen bzw. radiale Autofluoreszenzprofile zur Leistungseinstellung im Rahmen einer On-line-Regelung (114, 115) oder zum Abschalten des Lasers (100) verwendet werden.20. The apparatus of claim 17 or 18, characterized characterized that with the measuring probes (112) measured autofluorescence or radial Autofluorescence profiles for setting the power in Under an online regulation (114, 115) or to Switching off the laser (100) can be used. 21. Vorrichtung nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß für Transport, Lagerung und Sterilisation eine stabile Schutzkappe (25), deren Länge über die Punktionsschaftlänge hinausgeht, als Schutz vor Beschädigung des Punktionsschaftes sowie als Verletzungsschutz befestigt wird.21. Device according to one of the preceding claims, characterized in that for Transport, storage and sterilization a stable Protective cap (25), the length of which over the Puncture shaft length extends as protection Damage to the puncture shaft as well Protection against injury is attached. 22. Vorrichtung nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß alle verwendeten Materialien und Klebstoffe sterilisierbar und damit mehrfach verwendbar sind.22. Device according to one of the preceding claims, characterized in that all materials and adhesives used can be sterilized and are therefore reusable. 23. Vorrichtung nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß alle verwendeten Materialien kompatibel mit der Kernspintomographie sind. 23. Device according to one of the preceding claims, characterized in that all used materials compatible with the Are magnetic resonance imaging.   24. Vorrichtung nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß dem Fluid (6) ein Kontrastmittel zugesetzt wird, das die Darstellung des Punktionsschaftes (103) mit einem bildgebenden Verfahren verbessert.24. Device according to one of the preceding claims, characterized in that the fluid (6) a contrast agent is added that the Representation of the puncture shaft (103) with a imaging improved. 25. Vorrichtung nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß vorzugsweise im Bereich der Spitze (7) des Punktionsschaftes (103) zur Verbesserung des Ultraschallkontrastes eine Luftblase (18) oder ein Kontrastmittel (18) eingeschlossen wird.25. Device according to one of the preceding claims, characterized in that preferably in the area of the tip (7) of the Puncture shaft (103) to improve the Ultrasound contrast an air bubble (18) or Contrast medium (18) is included.
DE20003349U 2000-02-24 2000-02-24 Device for the thermal treatment of biological tissue Expired - Lifetime DE20003349U1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
DE10008557A DE10008557A1 (en) 2000-02-24 2000-02-24 Device for thermal obliteration of biological tissue using intense laser radiation, where the device is split into a handpiece and a puncture shaft, the latter being easily removable to facilitate cleaning
DE20003349U DE20003349U1 (en) 2000-02-24 2000-02-24 Device for the thermal treatment of biological tissue
PCT/EP2001/002112 WO2001062171A1 (en) 2000-02-24 2001-02-23 Device for the thermal treatment of biological tissue

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10008557A DE10008557A1 (en) 2000-02-24 2000-02-24 Device for thermal obliteration of biological tissue using intense laser radiation, where the device is split into a handpiece and a puncture shaft, the latter being easily removable to facilitate cleaning
DE20003349U DE20003349U1 (en) 2000-02-24 2000-02-24 Device for the thermal treatment of biological tissue

Publications (1)

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DE20003349U1 true DE20003349U1 (en) 2000-06-08

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DE10008557A Withdrawn DE10008557A1 (en) 2000-02-24 2000-02-24 Device for thermal obliteration of biological tissue using intense laser radiation, where the device is split into a handpiece and a puncture shaft, the latter being easily removable to facilitate cleaning
DE20003349U Expired - Lifetime DE20003349U1 (en) 2000-02-24 2000-02-24 Device for the thermal treatment of biological tissue

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WO (1) WO2001062171A1 (en)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1929972A1 (en) * 2006-12-05 2008-06-11 I.A.L.T. S.c.r.l. A kit of optical fibers for percutaneous ablative treatment
WO2010028833A1 (en) * 2008-09-11 2010-03-18 Starmedtec Gmbh Laser handpiece and method for the production thereof
EP2672912A1 (en) * 2011-02-07 2013-12-18 Srinivasan, Pattanam Fiber embedded hollow needle for percutaneous delivery of laser energy
US9044594B2 (en) 2010-02-21 2015-06-02 C Laser, Inc. Laser generator for deep tissue laser treatments using low intensity laser therapy causing selective destruction of nociceptive nerves
US9149647B2 (en) 2008-12-14 2015-10-06 C Laser, Inc. Method for deep tissue laser treatments using low intensity laser therapy causing selective destruction of Nociceptive nerves
US9265576B2 (en) 2010-02-21 2016-02-23 C Laser, Inc. Laser generator for medical treatment
US10206742B2 (en) 2010-02-21 2019-02-19 C Laser, Inc. Fiber embedded hollow spikes for percutaneous delivery of laser energy

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE202005017518U1 (en) * 2005-11-04 2007-03-08 Kämpfert, Marco Tubular endoscope for technical purposes e.g. for inspection of soldering processes and soldering of electronic elements on printed boards, has coaxially aligned pipes in which optical system is party accommodated

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2403063A1 (en) * 1977-09-15 1979-04-13 Ki Gi Cryogenic surgical instrument temp. sensing fitting - has needle tipped sensor carried by levers to slide along measuring scale
US4693244A (en) * 1984-05-22 1987-09-15 Surgical Laser Technologies, Inc. Medical and surgical laser probe I
DE3878485D1 (en) * 1987-05-25 1993-03-25 Deutsche Aerospace DEVICE FOR CIRCUMFERENTIAL RADIATION OF OBJECTS.
US5169396A (en) * 1990-06-08 1992-12-08 Kambiz Dowlatshahi Method for interstitial laser therapy
DE9116216U1 (en) * 1990-12-19 1992-05-27 Fa. Carl Zeiss, 7920 Heidenheim, De
AU1870592A (en) * 1991-04-05 1992-11-02 Indigo Medical, Incorporated Apparatus using a laser lucent needle
DE4237286A1 (en) * 1992-04-06 1994-05-05 Laser Medizin Zentrum Ggmbh Be Method and device for increasing the efficiency of an optical work shaft for photo-thermotherapy
DE4211526A1 (en) * 1992-04-06 1993-10-07 Berlin Laser Medizin Zentrum Optical working shaft for rigid endoscope for photo therapy - radiates optical radiation of high power e.g of laser isotropically through working shaft at distal end in predetermined spaced segments
US5373571A (en) * 1993-03-16 1994-12-13 Spectran Specialty Optics Company Fiber optic diffuser tip
US5383466A (en) * 1993-05-14 1995-01-24 Becton, Dickinson And Company Instrument having enhanced ultrasound visibility
DE4403134A1 (en) * 1993-05-14 1995-08-03 Laser Medizin Zentrum Ggmbh Be Combination device for thermal obliteration of biological tissue
CA2199384C (en) * 1994-09-09 2006-06-06 Edward L. Sinofsky Phototherapeutic apparatus
US6113589A (en) * 1995-12-21 2000-09-05 Laser Industries Ltd. Fiber and a device incorporating the fiber therein for use in treating tissue volumes
DE19614780C2 (en) * 1996-04-04 2001-02-22 Somatex Medizintechnische Inst Laser application set
DE19702898A1 (en) * 1996-04-04 1998-07-23 Somatex Medizintechnische Inst Laser application catheter
DE19739456B4 (en) * 1997-09-03 2008-01-03 Trumpf Medizin Systeme Gmbh + Co. Kg Application device for the treatment of body tissue by means of light

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1929972A1 (en) * 2006-12-05 2008-06-11 I.A.L.T. S.c.r.l. A kit of optical fibers for percutaneous ablative treatment
WO2008068789A1 (en) * 2006-12-05 2008-06-12 Elesta S.R.L. A kit of optical fibers for percutaneous ablative treatment
US8265446B2 (en) 2006-12-05 2012-09-11 Elesta S.R.L. Kit of optical fibers for percutaneous ablative treatment
WO2010028833A1 (en) * 2008-09-11 2010-03-18 Starmedtec Gmbh Laser handpiece and method for the production thereof
US9149647B2 (en) 2008-12-14 2015-10-06 C Laser, Inc. Method for deep tissue laser treatments using low intensity laser therapy causing selective destruction of Nociceptive nerves
US9693825B2 (en) 2008-12-14 2017-07-04 C Laser, Inc. Fiber embedded hollow needle for percutaneous delivery of laser energy
US9044594B2 (en) 2010-02-21 2015-06-02 C Laser, Inc. Laser generator for deep tissue laser treatments using low intensity laser therapy causing selective destruction of nociceptive nerves
US9265576B2 (en) 2010-02-21 2016-02-23 C Laser, Inc. Laser generator for medical treatment
US9782221B2 (en) 2010-02-21 2017-10-10 C Laser, Inc. Treatment using low intensity laser therapy
US10206742B2 (en) 2010-02-21 2019-02-19 C Laser, Inc. Fiber embedded hollow spikes for percutaneous delivery of laser energy
EP2672912A1 (en) * 2011-02-07 2013-12-18 Srinivasan, Pattanam Fiber embedded hollow needle for percutaneous delivery of laser energy
EP2672912A4 (en) * 2011-02-07 2014-09-17 Pattanam Srinivasan Fiber embedded hollow needle for percutaneous delivery of laser energy

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