JP6210682B2 - 低侵襲手術における組織の切開、切除およびアブレーションのためのレーザー・ステアリングおよびフォーカシングを提供する装置、システムおよび方法 - Google Patents

低侵襲手術における組織の切開、切除およびアブレーションのためのレーザー・ステアリングおよびフォーカシングを提供する装置、システムおよび方法 Download PDF

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JP6210682B2
JP6210682B2 JP2012528994A JP2012528994A JP6210682B2 JP 6210682 B2 JP6210682 B2 JP 6210682B2 JP 2012528994 A JP2012528994 A JP 2012528994A JP 2012528994 A JP2012528994 A JP 2012528994A JP 6210682 B2 JP6210682 B2 JP 6210682B2
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exemplary
laser
optical
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light
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JP2013504391A (ja
JP2013504391A5 (enExample
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リカルド トレド−クロウ
リカルド トレド−クロウ
スネハル パテル
スネハル パテル
ミリンド ラジャディヤクシャ
ミリンド ラジャディヤクシャ
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Memorial Sloan Kettering Cancer Center
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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
    • 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
    • A61B2018/00577—Ablation
    • 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
    • A61B2018/00601—Cutting
    • 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
    • A61B2018/2035—Beam shaping or redirecting; Optical components 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
    • 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
    • A61B2018/20351—Scanning mechanisms
    • 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
    • A61B2018/2205—Characteristics of fibres
    • 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
    • A61B2018/2266—Optical elements at the distal end of probe tips with a lens, e.g. ball tipped
    • 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
    • A61B2018/2277—Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam with refractive surfaces
    • 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
    • A61B2018/2283—Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam with pivotable mirrors
    • 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
    • A61B2018/2294—Optical elements at the distal end of probe tips with a diffraction grating

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  • 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)
  • Endoscopes (AREA)
JP2012528994A 2009-09-14 2010-09-14 低侵襲手術における組織の切開、切除およびアブレーションのためのレーザー・ステアリングおよびフォーカシングを提供する装置、システムおよび方法 Expired - Fee Related JP6210682B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US24220209P 2009-09-14 2009-09-14
US61/242,202 2009-09-14
PCT/US2010/048807 WO2011032165A2 (en) 2009-09-14 2010-09-14 Apparatus, system and method for providing laser steering and focusing for incision, excision and ablation of tissue in minimally-invasive surgery

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JP2016096152A Division JP6415477B2 (ja) 2009-09-14 2016-05-12 低侵襲手術における組織の切開、切除およびアブレーションのためのレーザー・ステアリングおよびフォーカシングを提供する装置、システムおよび方法

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JP2013504391A JP2013504391A (ja) 2013-02-07
JP2013504391A5 JP2013504391A5 (enExample) 2015-10-15
JP6210682B2 true JP6210682B2 (ja) 2017-10-11

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JP2012528994A Expired - Fee Related JP6210682B2 (ja) 2009-09-14 2010-09-14 低侵襲手術における組織の切開、切除およびアブレーションのためのレーザー・ステアリングおよびフォーカシングを提供する装置、システムおよび方法
JP2016096152A Expired - Fee Related JP6415477B2 (ja) 2009-09-14 2016-05-12 低侵襲手術における組織の切開、切除およびアブレーションのためのレーザー・ステアリングおよびフォーカシングを提供する装置、システムおよび方法
JP2018187027A Expired - Fee Related JP6673999B2 (ja) 2009-09-14 2018-10-02 低侵襲手術における組織の切開、切除およびアブレーションのためのレーザー・ステアリングおよびフォーカシングを提供する装置、システムおよび方法

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JP2018187027A Expired - Fee Related JP6673999B2 (ja) 2009-09-14 2018-10-02 低侵襲手術における組織の切開、切除およびアブレーションのためのレーザー・ステアリングおよびフォーカシングを提供する装置、システムおよび方法

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US (3) US9554857B2 (enExample)
EP (2) EP3443922B1 (enExample)
JP (3) JP6210682B2 (enExample)
KR (1) KR20120120116A (enExample)
CN (1) CN102770087A (enExample)
BR (1) BR112012005490A2 (enExample)
CA (2) CA2773984C (enExample)
EA (1) EA201270426A1 (enExample)
MX (1) MX2012003156A (enExample)
NZ (1) NZ598966A (enExample)
WO (1) WO2011032165A2 (enExample)

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EP3443922B1 (en) 2020-07-29
US9554857B2 (en) 2017-01-31
US20170135766A1 (en) 2017-05-18
JP2013504391A (ja) 2013-02-07
BR112012005490A2 (pt) 2019-09-24
CN102770087A (zh) 2012-11-07
JP6673999B2 (ja) 2020-04-01
US20200261153A1 (en) 2020-08-20
EP3443922A2 (en) 2019-02-20
JP6415477B2 (ja) 2018-10-31
CA3011108C (en) 2020-04-28
MX2012003156A (es) 2012-09-28
EP2477569A4 (en) 2013-10-16
EP2477569A2 (en) 2012-07-25
JP2019030689A (ja) 2019-02-28
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EP2477569B1 (en) 2018-10-24
JP2016165509A (ja) 2016-09-15
US10433910B2 (en) 2019-10-08
WO2011032165A3 (en) 2011-09-15
US20120302828A1 (en) 2012-11-29
EA201270426A1 (ru) 2012-12-28
NZ598966A (en) 2014-05-30
EP3443922A3 (en) 2019-06-12

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