KR20230007814A - Laser device for thyroid cancer treatment - Google Patents

Laser device for thyroid cancer treatment Download PDF

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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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laser
optical fiber
thyroid cancer
laser device
cancer treatment
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이경용
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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
    • A61B18/24Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595Cauterization
    • AHUMAN NECESSITIES
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B2018/2005Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B2018/2035Beam shaping or redirecting; Optical components therefor
    • A61B2018/205547Controller with specific architecture or programmatic algorithm for directing scan path, spot size or shape, or spot intensity, fluence or irradiance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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
    • A61B2018/2205Characteristics of fibres
    • A61B2018/2211Plurality of fibres

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Abstract

The present invention relates to a method of treating thyroid disease by destroying or burning thyroid cancer and tumors using a laser device. Treatment involves inserting a needle into a thyroid disease lesion area, inserting an optical fiber through a groove inside the needle to reach the lesion, and then firing a laser to burn or remove the lesion. If the lesion area is large, treatment can be done at once using multiple laser beams, or using one or two or three laser beams. The laser wavelength used in the present invention can be from 400 to 2500 nm, but it is preferable to use a wavelength of about 1100 to 2000 nm. The used optical fiber can be from 100 to 600 um, but usually around 350 um is preferable. The laser device for thyroid cancer treatment has a locker device that pushes the optical fiber into the needle and then fixes the same not to move.

Description

갑상선 암 치료용 레이저 장치{Laser device for thyroid cancer treatment}Laser device for thyroid cancer treatment {Laser device for thyroid cancer treatment}

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 기구
Laser: 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)

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.
청구항 1에 있어서 사용하는 레이저 파장은 400nm에서부터 2500nm 까지 사용할수 있으며 주사침은 35게이지 부터 10게이지 까지의것을 사용하는 것을 특징으로 하는 갑상선 암 치료용 레이저 장치입니다.
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.
청구항 1에 있어서 사용하는 레이저는 반도체 레이저를 비롯하여 알곤, Co2, 엔디야그,홀뮴, 얼븀,기타 등등 현존 하는 모든 레이저 장치를 사용할 수 있으며 레이저 방사 방법은 연속 또는 반복 조사와 펄스 방식을 사용하는 것을 특징으로 하는 갑상선 암 치료용 레이저 장치입니다
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
청구항 1에 있어서 사용하는 레이저 출력은 최소 0.1mW에서 부터 최대 100W까지 로서 현존하는 모든 레이저 출력을 사용할 수 있으며 레이저 방사 시간은 1초에서부터 100분까지를 사용하는 것을 특징으로는 하는 갑상선 암 치료용 레이저 장치입니다.
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.
청구항 1에 있어서 레이저장치는 여러 개 또는 단독으로 사용할수 있으며
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.
청구항 1에 있어서 레이저의 코아는 100um 에서부터 800um 까지의 것을 사용할수 있으며,광섬유는 100um 로부터 1000um 까지의 것을 사용하는 것과 광섬유 길이는 50cm 부터 500cm 까지의 것을 사용할 수 있는 것을 특징으로 하는 갑상선 암 치료용 레이저 장치입니다.
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.
청구항 1에 있어서 레이저 장치를 사용할 때 초음파 진단기를 사용하여 갑상선 병변을 찾는 검사를 병행 하는 것을 특징으로 하는 갑상선 암 치료용 레이저 장치입니다. The laser device for treating thyroid cancer according to claim 1, characterized in that, when using the laser device, an examination to find thyroid lesions is simultaneously performed using an ultrasound diagnostic device.
KR1020210088589A 2021-07-06 2021-07-06 Laser device for thyroid cancer treatment KR20230007814A (en)

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