HRP20151192T1 - Ureä�aj za lijeäśenje vena endoluminalnom laserskom ablacijom - Google Patents

Ureä�aj za lijeäśenje vena endoluminalnom laserskom ablacijom Download PDF

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Publication number
HRP20151192T1
HRP20151192T1 HRP20151192TT HRP20151192T HRP20151192T1 HR P20151192 T1 HRP20151192 T1 HR P20151192T1 HR P20151192T T HRP20151192T T HR P20151192TT HR P20151192 T HRP20151192 T HR P20151192T HR P20151192 T1 HRP20151192 T1 HR P20151192T1
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waveguide
radiation
elongated axis
emitting
distal
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HRP20151192TT
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Wolfgang Neuberger
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Biolitec Pharma Marketing Ltd.
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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
    • A61B18/24—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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • 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
    • A61B2018/2272—Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam

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

Claims (15)

1. Uređaj za endoluminalno liječenje venske insuficijencije, koji sadrži: fleksibilni valovod (100, 200, 500, 600, 800, 900) definira izduženu os, proksimalni kraj optički spojen na izvor zračenja (424), i distalni kraj koji krvne žile mogu prihvatiti koji uključuje emitirajuću površinu zračenja (110, 210, 510, 610) prilagođenu za emitiranje zračenja iz izvora zračenja (424) bočno s obzirom na izduženu os valovoda (100, 200, 500, 600, 800, 900) i kružno od valovoda (100, 200, 500, 600, 800, 900) na pod kutom postavljen produženi dio od okolne stjenke krvne žile, uređaj nadalje sadrži navlaku (106, 206, 506, 606, 906) koja je čvrsto pričvršćena na valovod (100, 200, 500, 600, 800, 900) i zapečaćena u odnosu na njega, u biti prozirna u odnosu na emitirano zračenje, koji u njoj zatvara emitirajuću površinu (110, 210, 510, 610 ), i koja definira sučelje plinskog valovoda koje lomi emitirano zračenje bočno u odnosu na izduljenu osi valovoda (100, 200, 500, 600, 800, 900) na okolnu stjenku krvnih žila.
2. Uređaj prema zahtjevu 1, naznačen time što je emitirajuća površina (110, 210, 510, 610) pod kutom u odnosu na izduženu os valovoda (100, 200, 500, 600, 800, 900), gdje je emitirajuća površina (110, 210, 510, 610) usmjerena pod oštrim kutom u odnosu na izduženu os valovoda (100, 200, 500, 600, 800, 900) i pri čemu emitirajuća površina (110, 210, 510, 610) definira lučnu konturu površine.
3. Uređaj u skladu s patentnim zahtjevom 1 ili 2, naznačen time što emitirajuća površina (110, 210, 510, 610) ima uglavnom konusan oblik.
4. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 do 3, naznačen time da sadrži površinu refleksije (112, 212, 512, 612) distalno odmaknutu i okrenutu prema emitirajućoj površini (110, 210, 510, 610) za bočno reflektiranje prema naprijed usmjerenog zračenja u odnosu na izduženu os valovoda (100, 200, 500, 600,900).
5. Uređaj prema zahtjevu 4, naznačen time da reflektirajuća površina (112, 212, 512, 612) definira lučnu konturu površine orijentiranu pod oštrim kutom u odnosu na izduženu os valovoda (100, 200, 500, 600, 900).
6. Uređaj prema zahtjevu 5, naznačen time da reflektirajuća površina (112, 212, 512, 612) ima uglavnom konusan oblik.
7. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 do 6, naznačen time da je širenje kružnog snopa definirano kutom u rasponu od oko 30 ° do oko 40 ° i / ili da je približno središte snopa poželjno orijentirano pod kutom u rasponu od oko 70 ° do oko 90 ° relativno u odnosu na izduženu os valovoda (100, 200, 500, 600, 800, 900).
8. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 do 7, naznačen time da nadalje sadrži distalno područje emitiranja (204, 504, 604) koje zrači bočno definirano s više površina emitiranja (208, 210, 508, 510, 608, 610) aksijalno odvojenih jedne u odnosu na druge duž distalnog područja valovoda (200, 500, 600, 900), pri čemu je prva površina emitiranja zračenja (210, 510, 610) oblikovana na distalnom vrhu valovoda (200, 500, 600, 900), i veći broj drugih površina emitiranja zračenja (208, 508, 608) se nalazi proksimalno u odnosu je na prvu površinu emitiranja zračenja (210, 510, 610) i aksijalno su odvojene jedna u odnosu na drugu.
9. Uređaj u skladu s patentnim zahtjevom 8, naznačen time da nadalje sadrži aksijalno-pružajuću navlaku koja se proteže aksijalno (206, 506, 606, 906) koja obuhvaća distalno područje emitiranja (204, 504, 604) koje zrači bočno, koja čini sučelje za plin kod svake od više površina emitiranja zračenja (208, 210, 508, 510, 608, 610), koja je zabrtvljena u odnosu na vanjski dio valovoda (200, 500, 600, 900), i surađuje s lučnom konturom površine pod kutom s najmanje jednom od više od površina emitiranja zračenja (208, 210, 508, 510, 608, 610) za odbijanje zračenja bočno s obzirom na izduženu os valovoda (200, 500, 600, 900).
10. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 do 9, naznačen time da nadalje sadrži rukavac (946) klizno montiran preko valovoda (900) i koji definira unutarnju reflektirajuću površinu zračenja za reflektiranje prema unutra bočnog emitiranog zračenja i za kontroliranje aksijalne duljine distalnog područja emitiranja koje zrači bočno, i / ili nadalje sadrži izvor zračenja (424), senzor za temperaturu (426) toplinski spojen na distalno područje valovoda (420) za nadzor temperature unutar krvnih žila i odašiljanje signala koje su indikativne za iste, i upravljački modul (428) električki povezan sa senzorom temperature (426) za regulaciju izlazne snage izvora zračenja (424) koji se temelji na njemu, i / ili nadalje sadrži aktuator za povlačenje (430) pogonski spojen na valovod (420) za kontroliranje brzine povlačenja valovoda (420), i gdje je kontrolni modul (428) električki spojen na aktuator za povlačenje (430) za regulaciju brzine povlačenja u valovoda (420), a temelji se na temperaturi u distalnom području valovoda (420).
11. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 do 10, naznačen time da nadalje sadrži žicu vodilicu (534, 634) spojenu na odvojiv način na valovod (500, 600) i što uključuje distalni dio koji se distalno pruža preko distalnog vrška valovoda (500 , 600) za vođenje valovoda (500, 600) kroz krvne žile.
12. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 do 11, naznačen time da je valovod optičko vlakno (100, 200, 500, 600, 900), i pri čemu je navlaka čep (106, 206, 506, 606, 906) koji je spojen na jezgru vlakna.
13. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 do 12, naznačen time da nadalje sadrži barem jedan laserski izvor (424) koje omogućuje lasersko zračenje od najmanje od oko 980 nm, oko 1470 nm, te oko 1950 nm, svaki oko +/- 30 nm, na snazi od manje ili jednako do oko 10 W, pri čemu je proksimalni kraj valovoda (100, 200, 500, 600, 800, 900) optički povezan s najmanje jednim laserskim izvorom (424), i gdje emitirajuća površina (110, 210, 510, 610) valovoda (100, 200, 500, 600, 800, 900) odašilje zračenje bočno s obzirom na izduženu os valovoda (100, 200, 500, 600, 800, 900) koje se proteže u aksijalnom smjeru, i u prstenastom uzorku na okolnu stjenku krvnih žila.
14. Uređaj u skladu s patentnim zahtjevom 13, naznačen time što laserski izvor (424) osigurava napajanje manje od 5 W.
15. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 do 14, naznačen time da nadalje sadrži električni uređaj za povlačenje (430) pogonski spojen na valovod (100, 200, 500, 600, 800, 900) i podešen da povlači valovod (100, 200, 500, 600, 800, 900) kroz krvne žile, pri čemu isporučuje lasersko zračenje brzinom dotoka energije koja je manja od oko 50 J / cm, 40 J / cm, 30 J / cm, 20 J / cm ili 10 J / cm u prosjeku na stjenku krvnih žila.
HRP20151192TT 2008-02-28 2015-11-09 Ureä�aj za lijeäśenje vena endoluminalnom laserskom ablacijom HRP20151192T1 (hr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US6753708P 2008-02-28 2008-02-28
US7902408P 2008-07-08 2008-07-08
US10495608P 2008-10-13 2008-10-13
US12/395,455 US9693826B2 (en) 2008-02-28 2009-02-27 Endoluminal laser ablation device and method for treating veins
EP13165050.9A EP2620119B1 (en) 2008-02-28 2009-03-02 Endoluminal laser ablation device for treating veins

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HRP20151192T1 true HRP20151192T1 (hr) 2015-12-04

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HRP20200131TT HRP20200131T1 (hr) 2008-02-28 2020-01-28 Uređaj za endoluminalnu lasersku ablaciju za tretiranje vena

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US (1) US9693826B2 (hr)
EP (4) EP2974687B1 (hr)
JP (7) JP6279197B2 (hr)
KR (1) KR101545280B1 (hr)
CN (1) CN101965159B (hr)
AU (1) AU2009219019B2 (hr)
BR (1) BRPI0910724A2 (hr)
CA (1) CA2720272C (hr)
DE (2) DE202009018508U1 (hr)
DK (2) DK2974687T3 (hr)
ES (2) ES2555146T3 (hr)
HR (2) HRP20151192T1 (hr)
HU (2) HUE047555T2 (hr)
IT (1) ITTO20130183U1 (hr)
LT (1) LT2974687T (hr)
MX (1) MX2010009306A (hr)
PL (2) PL2974687T3 (hr)
PT (2) PT2974687T (hr)
RU (1) RU2506921C2 (hr)
SI (2) SI2974687T1 (hr)
WO (1) WO2009108956A1 (hr)

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