KR20230007814A - Laser device for thyroid cancer treatment - Google Patents
Laser device for thyroid cancer treatment Download PDFInfo
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- KR20230007814A KR20230007814A KR1020210088589A KR20210088589A KR20230007814A KR 20230007814 A KR20230007814 A KR 20230007814A KR 1020210088589 A KR1020210088589 A KR 1020210088589A KR 20210088589 A KR20210088589 A KR 20210088589A KR 20230007814 A KR20230007814 A KR 20230007814A
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- thyroid cancer
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- 208000024770 Thyroid neoplasm Diseases 0.000 title claims abstract description 21
- 238000011282 treatment Methods 0.000 title claims abstract description 19
- 201000002510 thyroid cancer Diseases 0.000 title claims abstract description 16
- 239000013307 optical fiber Substances 0.000 claims abstract description 29
- 230000003902 lesion Effects 0.000 claims abstract description 22
- 238000000034 method Methods 0.000 claims abstract description 12
- 208000013076 thyroid tumor Diseases 0.000 claims abstract description 5
- 206010028980 Neoplasm Diseases 0.000 claims description 13
- 210000001685 thyroid gland Anatomy 0.000 claims description 7
- 201000011510 cancer Diseases 0.000 claims description 6
- 238000002347 injection Methods 0.000 claims description 3
- 239000007924 injection Substances 0.000 claims description 3
- 230000005855 radiation Effects 0.000 claims description 3
- 239000004065 semiconductor Substances 0.000 claims description 2
- XKRFYHLGVUSROY-UHFFFAOYSA-N Argon Chemical compound [Ar] XKRFYHLGVUSROY-UHFFFAOYSA-N 0.000 claims 2
- 229910052691 Erbium Inorganic materials 0.000 claims 1
- 229910052689 Holmium Inorganic materials 0.000 claims 1
- 229910052786 argon Inorganic materials 0.000 claims 1
- UYAHIZSMUZPPFV-UHFFFAOYSA-N erbium Chemical compound [Er] UYAHIZSMUZPPFV-UHFFFAOYSA-N 0.000 claims 1
- KJZYNXUDTRRSPN-UHFFFAOYSA-N holmium atom Chemical compound [Ho] KJZYNXUDTRRSPN-UHFFFAOYSA-N 0.000 claims 1
- 238000002604 ultrasonography Methods 0.000 claims 1
- 208000024799 Thyroid disease Diseases 0.000 abstract 2
- 208000021510 thyroid gland disease Diseases 0.000 abstract 2
- 238000010304 firing Methods 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 1
- 239000003365 glass fiber Substances 0.000 description 1
- 239000010453 quartz Substances 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N silicon dioxide Inorganic materials O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
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- 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
- A61B18/24—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
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- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
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- 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
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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
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- A61B2018/00595—Cauterization
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- 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
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- 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
- A61B2018/2005—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 with beam delivery through an interstitially insertable device, e.g. needle
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- 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
- A61B2018/205547—Controller with specific architecture or programmatic algorithm for directing scan path, spot size or shape, or spot intensity, fluence or irradiance
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- 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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Abstract
Description
본 발명은 갑상선 병변에 속하는 갑상선 암이나 종양을 치료하는 장치에 있어서 기존의 고주파 장치가 아닌 레이저빔을 이용하여 갑상선 병변을 치료하는 방법으로서 기존의 고주파 치료 방법은 일반적인 갑상선 종양을 치료하는데 사용하지만 갑상선 암 조직 에는 사용하지 못하는 단점이 있어서 레이저 빔을 사용하여 갑상선 암조직을 태우거나 제거 하여 치료 하는 방법에 관한 것입니다.The present invention is a method for treating thyroid cancer or tumors belonging to thyroid lesions by using a laser beam rather than a conventional high frequency device in a device for treating thyroid cancer or tumors. There is a disadvantage that it cannot be used for cancer tissue, so it is about a method of treating thyroid cancer tissue by burning or removing it using a laser beam.
갑상선 병변을 치료하는 방법에는 수술적 방법과 고주파를 이용한 치료법등이 있지만 입원기간이 필요한 수술적 방법은 환자에게 매우 힘들고 고주파의 경우는 암조직을 오히려 증가시키는 등의 문제가 있기 때문에 치료를 할수 없는 단점이 있으므로 이러한 단점을 개선하여 레이저 장치를 사용하여 암조직이나 종양을 치료하는 방법에 관한 기술인 것입니다.There are surgical methods and treatments using radiofrequency waves to treat thyroid lesions, but surgical methods that require a hospitalization period are very difficult for patients, and in the case of radiofrequency waves, there are problems such as rather increasing cancer tissue, so treatment is not possible. Since there are disadvantages, it is a technology related to a method of treating cancer tissue or tumor using a laser device by improving these disadvantages.
본 발명은 레이저 장치와 광섬유를 사용하여 갑상선 암이나 종양을 치료하는 방법으로서 갑상선 병변은 크기나 종양이 다양하며 암조직을 동반하거나 여러 개의 종양이 있으므로 이를 치료하기 위해서는 두 세 개 이상의 광섬유를 병변 조직에 투입할수 있어야 하므로 레이저 장치는 여러 개를 사용하는 것이 바람직 하며 각자의 광섬유는 치료 부위에 따라서 에너지가 달라야 하므로 각각의 광섬유에는 레이저 출력을 가변할 수 있는 기능을 가지고 사용할 수 있는 갑상선 암 치료용 레이저 장치입니다.The present invention is a method for treating thyroid cancer or tumor using a laser device and an optical fiber. Since thyroid lesions vary in size or tumor and are accompanied by cancer tissue or have multiple tumors, two or more optical fibers are used to treat the lesion tissue. Therefore, it is desirable to use several laser devices, and since each optical fiber must have different energy depending on the treatment area, each optical fiber has a function to change the laser output and can be used. It's a device.
상기 목적을 달성하기 위한 본 발명에 따르면, 갑상선 병변은 크기나 종양이 다양하며 암조직을 동반하거나 여러 개의 종양이 있으므로 이를 치료하기 위해서는 두 세 개 이상의 광섬유를 병변 조직에 투입할수 있어야 하므로 레이저 장치는 여러 개를 사용하는 것이 바람직 하며 각자의 광섬유는 치료 부위에 따라서 에너지가 달라야 하므로 각각의 광섬유에는 레이저 출력을 가변할 수 있는 기능을 가지고 있으며, 갑상선 병변조직에 주사침을 삽입하고 그 주사침을 통하여 광섬유를 밀어 넣은 다음 광섬유에 장치된 로커 장치를 사용하여 주사침과 광섬유를 고정시켜서 병변에서 벗어나지 않게 하여 정확한 치료를 할수 있게 해주며 또 한편으로는 각각의 레이저 장치는 레이저 출력 뿐만 아니라 레이저 방사 시간도 조절하여 치료 시간을 지정 할수 있는 기능도 가지고 있는 레이저 장치로서 과제의 해결을 하기 위한 수단 입니다. According to the present invention for achieving the above object, since thyroid lesions are of various sizes or tumors and are accompanied by cancerous tissue or have multiple tumors, two or more optical fibers must be injected into the lesion tissue to treat them, so the laser device is It is desirable to use several optical fibers, and each optical fiber has a function to vary the laser output because each optical fiber must have different energy depending on the treatment area. After pushing it in, a rocker device attached to the optical fiber is used to fix the needle and optical fiber so that they do not deviate from the lesion, enabling accurate treatment. It is a laser device that also has a function to specify the time, and is a means to solve the problem.
본 발명은 갑상선 병변 치료에 관한 발명으로서 기존의 수술적인 방법과 고주파 치료방법의 단점인 입원 기간이나 암을 치료하지 못하는 등의 단점을 개선 하여 입원기간이 필요없는 짧은 치료시간과 암조직을 치료할수 있고 여러 개의 병변을 동시에 치료할수 있는 매우 우수하며 효과적인 갑상선 암치료용 레이저 장치입니다.The present invention relates to the treatment of thyroid lesions and improves the disadvantages of the existing surgical method and radiofrequency treatment method, such as hospitalization period or inability to treat cancer. It is a very excellent and effective laser device for thyroid cancer treatment that can treat multiple lesions simultaneously.
대표도는 전체 시스템을 나타내는 도면입니다.A representative diagram is a drawing representing the entire system.
다수의 레이저 장치에 연결된 각각의 광섬유에 로커장치를 끼우고 이들 레이저 장치는 각자의 레이저 출력과 방사시간을 조절 하는 기능을 가지고 A rocker device is inserted into each optical fiber connected to a plurality of laser devices, and these laser devices have the function of adjusting their respective laser power and radiation time.
이를 통하여 치료병변에 맞는 레이저 출력과 시간을 맞춘 다음 주사침을 각 병변에 찔러서 병변부위에 위치시키고 이 주사침속으로 광섬유를 밀어넣어 광섬유 끝 부분이 주사침 끝을 빠져나와 병변내에 위치한다. 광섬유가 병변내에 위치하면 광섬유에 장치된 로커를 사용하여 주사침과 광섬유를 고정시켜 병변에서 벗어나지 않게 하여 정확한 치료를 할수 있게 해주므로 이러한 시행이 끝나면 레이저 방사용 발판 페달을 밟아 레이저를 방사하면 각각의 레이저는 지정된 레이저 출력과 시간만큼 레이저를 방사하고 작동을 멈춘다. 이상과 같은 레이저 장치는 기존의 SMA905 콘네터를 사용하지않고 Through this, after adjusting the laser power and time suitable for the treatment lesion, the injection needle is pierced into each lesion and positioned at the lesion site, and the optical fiber is pushed into the injection needle so that the tip of the optical fiber exits the tip of the needle and is located within the lesion. When the optical fiber is located within the lesion, the needle and the optical fiber are fixed using the rocker attached to the optical fiber so that they do not deviate from the lesion so that accurate treatment can be performed. emits laser for the specified laser power and time and stops working. The above laser device does not use the existing SMA905 connector.
본 발명에 구성된 다른 콘넥터와 광섬유를 사용하는 것을 특징으로 하는 갑상선 암치료용 레이저 장치 이다.It is a laser device for treating thyroid cancer characterized in that it uses another connector and an optical fiber configured in the present invention.
레이저 : 반도체 또는 기타 레이저기구 ,
광섬유 : 레이저 빔을 전달 하는 석영재질의 유리 섬유
로커 : 주사침과 광섬유를 결합시켜 고정시켜주는 기구Laser: Semiconductor or other laser instruments;
Optical fiber: glass fiber made of quartz that transmits the laser beam
Rocker: A device that combines and fixes the needle and optical fiber
Claims (7)
The present invention is a method for treating thyroid cancer or tumor using a laser device and an optical fiber. Since thyroid lesions vary in size or tumor and are accompanied by cancer tissue or have multiple tumors, two or more optical fibers are used to treat the lesion tissue. Therefore, it is desirable to use several laser devices, and since each optical fiber must have different energy depending on the treatment area, each optical fiber has a function to change the laser output and can be used. It's a device.
The laser device for thyroid cancer treatment according to claim 1, characterized in that the laser wavelength used can range from 400 nm to 2500 nm, and the injection needle ranges from 35 gauge to 10 gauge.
The laser used in claim 1 can use all existing laser devices such as semiconductor lasers, argon, Co2, Ndiyag, holmium, erbium, and others, and the laser radiation method is characterized in that continuous or repeated irradiation and pulse methods are used. It is a laser device for thyroid cancer treatment using
The laser for thyroid cancer treatment according to claim 1, wherein the laser power used is from a minimum of 0.1 mW to a maximum of 100 W, and all existing laser powers can be used, and the laser radiation time ranges from 1 second to 100 minutes. It's a device.
레이저에 장치된 콘넥터는 SMA905를 사용할수도 있고 별도로 본 발명에 사용되는 다른 콘넥터와 광섬유를 사용하는 것을 특징으로 하는 갑상선 암 치료용 레이저 장치입니다.
The laser device according to claim 1 can be used in several or singly,
The connector installed on the laser can use SMA905, or it is a laser device for treating thyroid cancer, which is characterized by using another connector and optical fiber separately used in the present invention.
The laser for thyroid cancer treatment according to claim 1, wherein the core of the laser can be used from 100um to 800um, the optical fiber can be from 100um to 1000um, and the length of the optical fiber can be from 50cm to 500cm. It's a device.
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