JP6553027B2 - 外科レーザ治療温度モニタ - Google Patents

外科レーザ治療温度モニタ Download PDF

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Publication number
JP6553027B2
JP6553027B2 JP2016525502A JP2016525502A JP6553027B2 JP 6553027 B2 JP6553027 B2 JP 6553027B2 JP 2016525502 A JP2016525502 A JP 2016525502A JP 2016525502 A JP2016525502 A JP 2016525502A JP 6553027 B2 JP6553027 B2 JP 6553027B2
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JP
Japan
Prior art keywords
laser
output signal
treatment
treatment site
fiber
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Application number
JP2016525502A
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English (en)
Japanese (ja)
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JP2016538026A5 (enExample
JP2016538026A (ja
Inventor
ウェン−ジュイ レイ チア
ウェン−ジュイ レイ チア
トーマス シー ハーゼンバーグ
トーマス シー ハーゼンバーグ
ホイ ワン
ホイ ワン
ブライアン クリストファー カールソン
ブライアン クリストファー カールソン
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Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems Inc
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Publication date
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Publication of JP2016538026A publication Critical patent/JP2016538026A/ja
Publication of JP2016538026A5 publication Critical patent/JP2016538026A5/ja
Application granted granted Critical
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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
    • 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)
JP2016525502A 2013-10-24 2014-10-20 外科レーザ治療温度モニタ Active JP6553027B2 (ja)

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 (3)

Publication Number Publication Date
JP2016538026A JP2016538026A (ja) 2016-12-08
JP2016538026A5 JP2016538026A5 (enExample) 2019-02-28
JP6553027B2 true JP6553027B2 (ja) 2019-07-31

Family

ID=51799345

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2016525502A Active JP6553027B2 (ja) 2013-10-24 2014-10-20 外科レーザ治療温度モニタ

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)

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017011542A1 (en) 2015-07-14 2017-01-19 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
JP7430778B2 (ja) 2019-08-05 2024-02-13 ジャイラス エーシーエムアイ インク ディー／ビー／エー オリンパス サージカル テクノロジーズ アメリカ レーザ療法の信号調整送達
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
US12166326B1 (en) 2023-11-30 2024-12-10 InnoVoyce LLC Fiber laser with optical feedback for contaminant detection and other functionality

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US5104392A (en) * 1985-03-22 1992-04-14 Massachusetts Institute Of Technology Laser spectro-optic imaging for diagnosis and treatment of diseased tissue
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
US5951543A (en) 1997-06-30 1999-09-14 Clinicon Corporation Delivery system and method for surgical laser
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
US7869016B2 (en) 2007-05-17 2011-01-11 Ams Research Corporation Fiber damage detection and protection device
US20090149845A1 (en) 2007-12-11 2009-06-11 Joe Denton Brown Methods and apparatus for preventing damage to optical fibers caused by thermal runaway
EP2403424A4 (en) 2009-03-05 2013-11-06 Cynosure Inc SAFETY APPARATUS FOR THERMAL SURGERY AND METHOD THEREOF
WO2011082383A2 (en) * 2009-12-31 2011-07-07 Laser Abrasive Technologies, Llc Dental surgical laser with feedback mechanisms
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
EP2642913B1 (en) 2010-11-27 2024-02-21 Boston Scientific Scimed, Inc. Ablation and temperature measurement devices
WO2014062219A1 (en) * 2012-10-16 2014-04-24 Ams Research Corporation Laser ablation with electromagnetic energy feedback

Also Published As

Publication number Publication date
AU2014340370A1 (en) 2016-05-19
WO2015061201A1 (en) 2015-04-30
CN106061423A (zh) 2016-10-26
JP2016538026A (ja) 2016-12-08
EP3060154A1 (en) 2016-08-31
US20160262834A1 (en) 2016-09-15
US20200246072A1 (en) 2020-08-06
AU2014340370B2 (en) 2018-11-01
CN106061423B (zh) 2019-02-15
US10667863B2 (en) 2020-06-02
EP3060154B1 (en) 2021-03-24

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