JP6754825B2 - 焼灼デバイス、方法、及びシステム - Google Patents
焼灼デバイス、方法、及びシステム Download PDFInfo
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- JP6754825B2 JP6754825B2 JP2018500912A JP2018500912A JP6754825B2 JP 6754825 B2 JP6754825 B2 JP 6754825B2 JP 2018500912 A JP2018500912 A JP 2018500912A JP 2018500912 A JP2018500912 A JP 2018500912A JP 6754825 B2 JP6754825 B2 JP 6754825B2
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- laser
- energy
- ablation
- distal end
- laser energy
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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
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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
- A61B18/28—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 for heating a thermal probe or absorber
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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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
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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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00089—Thermal conductivity
- A61B2018/00101—Thermal conductivity low, i.e. thermally insulating
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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
- 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
- A61B2018/00595—Cauterization
-
- 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
- A61B2018/2065—Multiwave; Wavelength mixing, e.g. using four or more wavelengths
-
- 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
- A61B2018/2211—Plurality 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
- A61B2018/2272—Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam
-
- 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
- A61B2018/2285—Optical elements at the distal end of probe tips with removable, replacable, or exchangable tips
Description
この特許出願は、2015年7月14日出願の米国仮特許出願第62/192,098号及び2015年7月22日出願の米国仮特許出願第62/195,375号に対する「35 U.S.C.§119」の下での優先権の利益を主張するものであり、これらの米国仮特許出願の全体を本明細書に援用する。
Claims (11)
- デバイスであって、
遠位端部を有する細長い本体を有し、
前記遠位端部は、
前記遠位端部に配置された光ファイバから組織に向かうレーザエネルギの放出を可能にするポートと、
組織に向かう焼灼エネルギの放出を可能にする焼灼部分を含む外面と、
前記遠位端部を前記細長い本体に取付ける断熱部分と、を有し、前記断熱部分は、前記遠位端部と前記細長い本体との間のエネルギ伝達を制限し、
焼灼エネルギは、熱エネルギであり、レーザエネルギは、治療を実施する第1の出力レベルで組織に向かって放出され、熱エネルギを発生させる第2の出力レベルで前記焼灼部分に向かって放出される、デバイス。 - 前記ポートは、前記焼灼部分に隣接する、請求項1に記載のデバイス。
- 前記遠位端部は、長手方向軸線を有し、前記ポートは、前記長手方向軸線を横断する軸に沿って前記焼灼部分を貫くように延びる、請求項1又は2に記載のデバイス。
- 前記焼灼部分は、前記遠位端部の外面全体を構成する、請求項1又は2に記載のデバイス。
- 前記光ファイバは、第1のレーザエネルギを組織に向かって放出する第1の光ファイバと、熱エネルギを発生させる第2のレーザエネルギを前記焼灼部分に向かって放出する第2の光ファイバを含み、第1のレーザエネルギ及び第2のレーザエネルギは、異なる波長を有する、請求項1に記載のデバイス。
- システムであって、
遠位端部及び少なくとも1つの内腔を含む細長い本体と、
レーザエネルギの放出のために前記少なくとも1つの内腔の中を延びる光ファイバと、 組織に向かうレーザエネルギの放出のために前記遠位端部に設けられたポートと、
組織に向かう焼灼エネルギの放出のために前記遠位端部に設けられた焼灼部分と、
前記遠位端部を前記細長い本体に取付ける断熱部分と、を有し、前記断熱部分は、前記遠位端部と前記細長い本体との間のエネルギ伝達を制限し、
前記光ファイバは、レーザエネルギが前記ポートから組織に向かって放出される第1の位置と、レーザエネルギが焼灼部分の内面に向かって放出される第2の位置との間を移動するように、前記細長い要素に取付けられる、システム。 - 前記遠位端部は、前記細長い本体に取外し可能に取付けられる、請求項6に記載のシステム。
- 前記ポートは、前記焼灼部分を貫くように延びる、請求項6又は7に記載のシステム。
- 焼灼エネルギは、熱エネルギであり、レーザエネルギは、熱エネルギを発生させるように前記焼灼部分に向かって放出可能である、請求項6又は7に記載のシステム。
- レーザエネルギは、第1の出力レベルで組織に向かって放出され、第1の出力レベルよりも高い第2の出力レベルで前記焼灼部分の内面に向かって放出される、請求項6に記載のシステム。
- レーザエネルギは、第1の波長で組織に向かって放出され、第1の波長とは異なる第2の波長で前記焼灼部分の内面に向かって放出される、請求項6に記載のシステム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201562192098P | 2015-07-14 | 2015-07-14 | |
US62/192,098 | 2015-07-14 | ||
US201562195375P | 2015-07-22 | 2015-07-22 | |
US62/195,375 | 2015-07-22 | ||
PCT/US2016/042072 WO2017011542A1 (en) | 2015-07-14 | 2016-07-13 | Cauterization devices, methods, and systems |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018520782A JP2018520782A (ja) | 2018-08-02 |
JP6754825B2 true JP6754825B2 (ja) | 2020-09-16 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018500912A Active JP6754825B2 (ja) | 2015-07-14 | 2016-07-13 | 焼灼デバイス、方法、及びシステム |
Country Status (7)
Country | Link |
---|---|
US (4) | US10149717B2 (ja) |
EP (2) | EP3510962B1 (ja) |
JP (1) | JP6754825B2 (ja) |
CN (1) | CN107835671B (ja) |
AU (1) | AU2016294415B2 (ja) |
CA (1) | CA2986075A1 (ja) |
WO (1) | WO2017011542A1 (ja) |
Families Citing this family (9)
Publication number | Priority date | Publication date | Assignee | Title |
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CN107412957B (zh) * | 2017-07-12 | 2019-09-10 | 华东师范大学 | 一种基于光热纳米材料的光热治疗探头 |
WO2021026157A1 (en) | 2019-08-05 | 2021-02-11 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Endoscopic laser system with laser interlock |
DE112020003746T5 (de) | 2019-08-05 | 2022-04-28 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Steuerung des abstands zwischen laserfaser und ziel |
DE112020003714T5 (de) | 2019-08-05 | 2022-04-21 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Signalkoordinierte durchführung einer lasertherapie |
US11523865B2 (en) | 2019-08-05 | 2022-12-13 | Gyrus Acmi, Inc. | Target identification with optical feedback signal splitter |
DE112020003715T5 (de) | 2019-08-05 | 2022-04-21 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Lasersteuerung unter Verwendung eines Spektrometers |
WO2021026164A1 (en) | 2019-08-05 | 2021-02-11 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Endoscopic laser energy delivery system and methods of use |
CN114554994A (zh) * | 2019-09-24 | 2022-05-27 | 波士顿科学有限公司 | 医疗系统、装置和相关方法 |
JP2023535446A (ja) | 2020-07-24 | 2023-08-17 | 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 | 画像再構築および内視鏡追跡 |
Family Cites Families (14)
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US4848339A (en) | 1984-09-17 | 1989-07-18 | Xintec Corporation | Laser heated intravascular cautery cap assembly |
US5242437A (en) * | 1988-06-10 | 1993-09-07 | Trimedyne Laser Systems, Inc. | Medical device applying localized high intensity light and heat, particularly for destruction of the endometrium |
JPH02277450A (ja) | 1989-01-26 | 1990-11-14 | Olympus Optical Co Ltd | レーザープローブ |
WO2001049194A2 (en) | 1999-12-30 | 2001-07-12 | Pearl Technology Holdings, Llc | Face-lifting device |
EP1906853B1 (en) * | 2005-07-21 | 2017-09-06 | Covidien LP | Systems for treating a hollow anatomical structure |
US7869016B2 (en) | 2007-05-17 | 2011-01-11 | Ams Research Corporation | Fiber damage detection and protection device |
US8858542B2 (en) | 2007-08-03 | 2014-10-14 | Ams Research Corporation | Side-firing fiber delivery device with active cooling cap |
EP2237732A4 (en) * | 2008-01-24 | 2011-06-01 | Syneron Medical Ltd | DEVICE, APPARATUS, AND METHOD FOR PROCESSING ADIPOSE TISSUE |
US20120022512A1 (en) * | 2008-01-24 | 2012-01-26 | Boris Vaynberg | Device, apparatus, and method of adipose tissue treatment |
US9693826B2 (en) * | 2008-02-28 | 2017-07-04 | Biolitec Unternehmensbeteiligungs Ii Ag | Endoluminal laser ablation device and method for treating veins |
US9770297B2 (en) | 2008-06-04 | 2017-09-26 | Covidien Lp | Energy devices and methods for treating hollow anatomical structures |
DK2765944T3 (en) * | 2011-10-14 | 2018-12-03 | Ra Medical Systems Inc | LITTLE FLEXIBLE CATHETS WITH LIQUID CORE FOR LASER ABLATION IN BODY SLUMPS |
JP2016512090A (ja) * | 2013-03-13 | 2016-04-25 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 組織分離のための装置およびそれに関連する使用法 |
CN106061423B (zh) | 2013-10-24 | 2019-02-15 | 波士顿科学医学有限公司 | 手术激光治疗温度监视 |
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2016
- 2016-07-13 AU AU2016294415A patent/AU2016294415B2/en not_active Ceased
- 2016-07-13 EP EP19159836.6A patent/EP3510962B1/en active Active
- 2016-07-13 CN CN201680041054.XA patent/CN107835671B/zh not_active Expired - Fee Related
- 2016-07-13 CA CA2986075A patent/CA2986075A1/en not_active Abandoned
- 2016-07-13 EP EP16742528.9A patent/EP3322369B1/en not_active Not-in-force
- 2016-07-13 WO PCT/US2016/042072 patent/WO2017011542A1/en active Application Filing
- 2016-07-13 JP JP2018500912A patent/JP6754825B2/ja active Active
- 2016-07-13 US US15/209,277 patent/US10149717B2/en not_active Expired - Fee Related
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2018
- 2018-11-09 US US16/185,931 patent/US10582967B2/en active Active
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2020
- 2020-01-31 US US16/778,069 patent/US11813020B2/en active Active
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- 2023-10-09 US US18/377,908 patent/US20240033001A1/en active Pending
Also Published As
Publication number | Publication date |
---|---|
CN107835671B (zh) | 2021-07-23 |
US20170014187A1 (en) | 2017-01-19 |
EP3322369B1 (en) | 2019-04-10 |
AU2016294415A1 (en) | 2017-12-14 |
US20190083176A1 (en) | 2019-03-21 |
US10582967B2 (en) | 2020-03-10 |
JP2018520782A (ja) | 2018-08-02 |
WO2017011542A1 (en) | 2017-01-19 |
US20240033001A1 (en) | 2024-02-01 |
CN107835671A (zh) | 2018-03-23 |
US11813020B2 (en) | 2023-11-14 |
CA2986075A1 (en) | 2017-01-19 |
US20200163716A1 (en) | 2020-05-28 |
EP3510962B1 (en) | 2020-08-19 |
EP3510962A1 (en) | 2019-07-17 |
US10149717B2 (en) | 2018-12-11 |
EP3322369A1 (en) | 2018-05-23 |
AU2016294415B2 (en) | 2020-06-11 |
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