KR20070041658A - Equipment of myolysis useing the laser - Google Patents

Abstract

The present invention is a hand probe for uterine myoma lysis procedure using a diode laser or Nd; YAG laser to compensate for the disadvantages of conventional high frequency equipment or RF device uterine myolysis and laser myoma lysis procedure is a very excellent hand probe.

The construction of this hand probe uses metal or non-metallic tubes ranging in diameter from 0.1 mm to 10 mm. The space inside the tube is empty and the internal space diameter can be varied depending on the diameter.

The optical fiber that transmits the laser through the inside of the tube can be inserted into the inside of the tube, and it can also flow liquid such as distilled water or physiological saline.

The end of this tube is narrowly closed but can be used to allow water or liquid to flow out, while also blocking the end and making the groove run at the part where the end begins to narrow.

Blocking the end of the tube can be done by joining both sides towards the center of the round tube, or sealing the inside of the round tube and creating a groove in the closed center to allow water to flow, Make one or several grooves to let the water flow down.

And the end of the tube can be made in a variety of forms, ranging from bilateral to 36 or more, and also uses a variety of shapes such as conical, and the end of the tube is pointed and sharp so that it can be easily inserted into the tissue. to be.

In addition, the length of the end of the tube can be made from 0.1mm to 100mm and the tube can be made in various lengths, using one tube or double tube with two tubes, triple with three tubes, or more It is characterized in that it can be made in various forms to suit the purpose of the procedure.

The upper part of the tube is made of a small tube that flows liquid to and from the side of the optical fiber, and is sealed to prevent liquid from flowing back to the optical fiber. It is effective to use a packing such as rubber. It is characterized by being able to be secured at the time of the procedure by the locking device to fix it.

And when the liquid such as water, distilled water, physiological saline, etc. can be used to send a constant amount of the automatic automatic flow pump or syringe pump, etc. can be used to send the liquid manually using a syringe or the like.

And by installing temperature sense inside or outside the tube, it can detect the temperature change during the procedure and adjust the constant temperature automatically by adding or subtracting the laser output to maintain the constant temperature.

The temperature required during the procedure is approximately 50 ℃ to 200 ℃ can be selected and adjusted the temperature, the device characterized in that it can use the automatic adjustment method to maintain the selected temperature.

ND: YAG: YAGLASER, RF: High Frequency, optical fiber: Optical Fiber, Optical Fiber

Description

    Laser uterine fibroids surgical instrument {EQUIPMENT OF MYOLYSIS USEING THE LASER}

1 and 2 and 3 is a uterine leiomyolysis procedure in which the present invention is installed

Reference diagram schematically showing the instrument

<Description of Symbols for Main Parts of Drawings>

(1): end of the instrument

(2): hole through which liquid flows

(3): tube containing laser optical fiber and liquid

(4): The tube into which the laser optical fiber and liquid enter, and the diameter is larger than (4), so that the gas inside the laparoscopic procedure does not escape.

      It acts as a seal.

(5): sealing ring

(6): pipe for flowing liquid

(7): Devices incorporating pipes that connect to the pipe and allow the ring or liquid to flow.

(8): A device for connecting (9), connecting to (7) and tightening the ring to prevent liquid from flowing out.

(9): Connect with (8) and close the fiber

       Protection device

(10): narrowed groove

  The present invention is a uterine myoma lysis procedure using a laser and the existing RF device or radio frequency device has the effect of generating heat by generating electricity, the apparatus is a device that generates heat using laser light without generating electricity It uses a laser that is completely different from the conventional method, and the conventional method using the laser exposes the end of the fiber directly to the tissue. Therefore, there is a risk of bleeding when the tissue is burned or evaporated. Tissues can also cause damage and are very dangerous.

 By improving the problem of this method, it is a very effective surgical instrument that can safely perform leiomyoma dissolution procedure while using laser in hospitals and clinics.

The laser that can be used here can be used any laser that uses fiber (FIBER) such as diode laser, Andy Yag laser, carbon dioxide laser, and puts the optical fiber inside the tube and injects liquid such as distilled water or physiological saline into the tissue. When the laser beam is irradiated by blocking or narrowing the end of the tube, the laser beam does not go straight but is irradiated on the inner surface of the tube to generate heat in the tube to heat the liquid around the tissue to raise the temperature of the tissue to 100 degrees Celsius or more. It is a surgical instrument that necrosis.

 Therefore, it is an object of the present invention, that the laser is irradiated directly to the tissue from the end of the fiber when performing leiomyoma dissolution procedure as a conventional laser equipment

The laser is irradiated very little so that there is no damage to the tissue, or the tip is blocked so that the laser is not directly irradiated to the tissue, and the procedure can be safely performed. There is a connection device to inject the liquid to provide a convenient liquid supply.

 And when the liquid flows into the tube, it prevents the liquid from flowing backwards to the back of the tube and prevents the ring from flowing. It also plays a role of fixing the optical fiber.

 In addition, when performing the procedure using laparoscopy,

Even when using this instrument, the rear part of the pipe is thickened so that there is no gap when gas is not leaked, and the sense of sensing the temperature can be attached inside and outside the pipe to measure the temperature and set temperature. Use the control device to keep the

 And as a way of flowing liquid, it is possible to use automatic injector (infusion pump)

Syringe pump is used and can be injected manually by syringe.

For easy sticking into the tissue, the tip is pointed and sharpened

Both sides can be thin or made from triangular to circular weights, and the number of each one can be used from two to 100 or more. The number of holes through which the liquid flows can be used from one to several tens and can be located at the end of or above the tube so that the liquid can easily come out of the treatment area.

The material or material of the pipe can be any metal or nonmetal, especially

Good thermal conductivity is more effective.

 However, avoid any materials or materials that may damage or cause harm (cancer, tumor, etc.) to tissues. Tube thickness (diameter) can vary from 0.1mm to 20mm and can be used with one tube or with two or more tubes.

Hereinafter, with reference to the accompanying drawings, preferred embodiments of the present invention

It explains in detail.

In the following description, it should be noted that only parts necessary for understanding the operation according to the present invention will be described, and descriptions of other parts will be omitted so as not to distract from the gist of the present invention.

 Figure 1 is a schematic view of the apparatus for uterine myoma lysis procedure using the laser installed the present invention.

 Looking at this, as shown in the representative view of the small tube (3) the end (1) and the hole (2) through which the liquid such as distilled water or physiological saline flows and the large tube (4) connected behind the gas inside the laparoscopy procedure It is an important part to prevent the leaking out, and the ring (5) prevents the liquid from coming out when the laser fiber is inserted into the tube and the liquid flows out.

 The liquid injecting tube (6) is a connecting tube that flows liquid from the outside into the inside of the tube and connects when injecting the liquid automatically or manually.

 A device that is connected to the pipes of (3) and (4) and is equipped with a ring or a pipe that flows liquids. It is connected to (8) at the back and tightens the ring to prevent the liquid from flowing out. It is an apparatus and it connects with (8) as an apparatus which protects an optical fiber by fixing the sheath of an optical fiber closely.

 Figure 1 is composed of one tube and the rest of the configuration is the same as the representative view and Figure 2 is the end of the tube is not clogged and the device that can flow the liquid into a fine gap, which is the tube itself is very thin hole ( 2) It is used when it is difficult to make. This gap is rarely irradiated with the laser, and even though the laser light is emitted, it is fine and does not affect the procedure.

 This is suitable as a device to be used for the procedure through the vagina of women rather than laparoscopic procedure.

 The narrowly narrowed groove 10 of FIG. 2 can be used similarly in the mechanism of the representative figure and the mechanism of FIG. In addition, the inside and outside of the tube (3) can be attached to the temperature control device to detect the temperature by attaching a sense for sensing the temperature or to maintain a constant temperature control device.

As described above, the present invention requires the purchase of a laser device separately when a laser treatment is required while using an existing RF device or a high frequency device.

Or if you have a laser device and want to perform myometriosis

There is a lot of economic loss because of the trouble of purchasing RF equipment or high frequency equipment separately and the expense of purchasing equipment.

 Therefore, an object of the present invention is to use existing laser equipment

When trying to perform myometrial dissolution procedure in a hospital or clinic to be used, a separate RF device or radio frequency device should be purchased, but using this device does not require the purchase of RF device or radio frequency device.

 In addition, in the conventional laser treatment method, the laser is directly irradiated onto the tissue during the procedure, and as the tissue burns or evaporates, other tissues are damaged and bleeding is accompanied, which is dangerous. It is a very effective surgical instrument that can safely prevent the risk. The cost of purchasing RF equipment or high frequency equipment is about 30 million to 40 million won, but this instrument can be purchased at about one-tenth of the price, which can save 90% of the cost. It is a large surgical instrument and a safe surgical instrument.

Claims (10)

In uterine myoma lysis procedure using laser, there is a tube that can push the laser optical fiber into the tissue, and it can flow liquid such as distilled water or physiological saline through the tube, and one to several dozen at the end of the tube. It makes the above hole so that the liquid can go out to the tissue well, and the tip is pointed and sharp so that it can easily enter the tissue, and the diameter of the tube (3) can be used from 0.1mm to 60mm or more and one tube It is effective to use double or triple pipes because it uses two or more multiple pipes, and multiple pipes may be inconvenient due to tissue damage when entering or exiting the treatment site. To automatically adjust the temperature of the tube, the tube uses one or more The large diameter tube at the back during the hardening procedure prevents the gas from escaping during the procedure, and there is a bundle at the back of the tube to install a ring to prevent the liquid from escaping from the tube when the liquid is poured. There is a connector for injecting water into the inside, and the back of the foot is fixed to the outer skin of the optical fiber to prevent the optical fiber from breaking and to perform a safe procedure. Can and handle is a surgical instrument for uterine fibroids using a laser, characterized in that it can be made in a convenient location in various positions.    The end of the tube is pointed and sharpened A laser treatment apparatus for uterine myoma using a laser, characterized in that both sides can be made thin or can be varied from triangular to conical, and the number of each face can be used from 2 faces to 100 facets or more.    According to claim 1, the diameter of the tube (3) can be used from 0.1mm to 60mm or more, and the tube uses one to two or more multiple tubes, and in the case of multiple tubes, if the multiple enters or exits the treatment site The more hungry part is, the more inconvenient the procedure is, so it is effective to use 1-3 tubes.   According to claim 1, characterized in that it has one to several dozen or more holes for discharging liquid, such as distilled water or physiological saline, into the tissue at the end or the top of the tube. A device for treating myoma of the uterus with a laser, characterized in that it has a control device that measures or detects the temperature during the procedure and automatically adjusts the set temperature.    According to claim 1, the diameter of the tube 4 can be used from 0.1mm to 100mm, and to prevent the gas from escaping during the laparoscopy, it is effective to use a diameter of 3-7mm, so use it. A surgical instrument for uterine myoma using a laser.    According to claim 1, a bundle is connected to the rear of the tube, and a ring is attached to the bundle so that the optical fiber can be pushed into the tube through the ring, and the ring is tightened to the rear of the tube so that the liquid does not flow backwards. And a connecting tube capable of injecting a liquid into the tube into the bundle.    According to claim 1, the bundle of the optical fiber is fixed to the rear bundle of the tube to prevent the optical fiber from moving well by using a bundle to prevent the optical fiber from being broken during the procedure. This handle is a laser treatment device for uterine fibroids, characterized in that the handle can be placed in a convenient place in various positions.    According to claim 1, the material or material of the tube is made of metal or non-metal material or material, especially the material or material with good heat transfer rate is effective, but damage or risk to the tissue (can cause cancer or tumor, etc.). It does not use materials or materials that can give) and the tube is one or more than two multiple tubes, laser uterine myoma lysis procedure instrument.    1 and 2, the use of a single tube should be a small diameter tube when performing the procedure through the vagina of a woman. If it is difficult to bet, press the end as shown in Fig. 2 to make a groove, and inside the fine groove is formed, the liquid is injected through the groove and the end of the tube can be used to puncture the liquid hole as shown in Fig. A device for uterine leiomyoma treatment using a laser, characterized in that a hole can be used and two or more tubes can be used.    According to claim 1, the length of the tube can be used from 50mm to 1000mm and the tube (3) of Figure 1 can be used from 5mm to 1000mm in length, myometrial lysis procedure instrument using a laser.

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