PL3806771T3 - Urządzenie do litotrypsji laserowej - Google Patents

Urządzenie do litotrypsji laserowej

Info

Publication number
PL3806771T3
PL3806771T3 PL19846635.1T PL19846635T PL3806771T3 PL 3806771 T3 PL3806771 T3 PL 3806771T3 PL 19846635 T PL19846635 T PL 19846635T PL 3806771 T3 PL3806771 T3 PL 3806771T3
Authority
PL
Poland
Prior art keywords
laser lithotripsy
lithotripsy
laser
Prior art date
Application number
PL19846635.1T
Other languages
English (en)
Inventor
Gregory B. Altshuler
Anastasia KOVALENKO
Victoria VINNICHENKO
Ilya Yaroslavsky
Original Assignee
Ipg Photonics Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ipg Photonics Corporation filed Critical Ipg Photonics Corporation
Publication of PL3806771T3 publication Critical patent/PL3806771T3/pl

Links

Classifications

    • 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
    • A61B18/26Surgical 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 producing a shock wave, e.g. laser lithotripsy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • A61B2017/00154Details of operation mode pulsed
    • A61B2017/00172Pulse trains, bursts, intermittent continuous operation
    • A61B2017/00176Two pulses, e.g. second pulse having an effect different from the first one
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • A61B2017/00154Details of operation mode pulsed
    • A61B2017/00181Means for setting or varying the pulse energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • A61B2017/00154Details of operation mode pulsed
    • A61B2017/00194Means for setting or varying the repetition rate
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
    • A61B2018/00511Kidney
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00732Frequency
    • 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
    • A61B2018/00982Surgical 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
    • A61B2018/2035Beam shaping or redirecting; Optical components 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
    • A61B2018/2035Beam shaping or redirecting; Optical components therefor
    • A61B2018/20351Scanning mechanisms
    • 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
    • A61B2018/20361Beam shaping or redirecting; Optical components therefor with redirecting based on sensed condition, e.g. tissue analysis or tissue movement

Landscapes

  • Physics & Mathematics (AREA)
  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Optics & Photonics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Electromagnetism (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Laser Surgery Devices (AREA)
  • Lasers (AREA)
  • Radiation-Therapy Devices (AREA)
  • Surgical Instruments (AREA)
  • Semiconductor Lasers (AREA)
PL19846635.1T 2018-07-18 2019-07-18 Urządzenie do litotrypsji laserowej PL3806771T3 (pl)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201862700019P 2018-07-18 2018-07-18
PCT/US2019/042491 WO2020033121A1 (en) 2018-07-18 2019-07-18 Method and apparatus for laser lithotripsy

Publications (1)

Publication Number Publication Date
PL3806771T3 true PL3806771T3 (pl) 2025-11-17

Family

ID=69415103

Family Applications (1)

Application Number Title Priority Date Filing Date
PL19846635.1T PL3806771T3 (pl) 2018-07-18 2019-07-18 Urządzenie do litotrypsji laserowej

Country Status (10)

Country Link
US (1) US20240252242A1 (pl)
EP (2) EP4620416A3 (pl)
JP (2) JP7570315B2 (pl)
KR (2) KR20250084973A (pl)
CN (1) CN112437641A (pl)
BR (1) BR112021000775A2 (pl)
ES (1) ES3049185T3 (pl)
IL (1) IL280229B2 (pl)
PL (1) PL3806771T3 (pl)
WO (1) WO2020033121A1 (pl)

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CN114630634B (zh) 2019-08-05 2025-09-12 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) 内窥镜激光能量传送系统和使用方法
DE112020003715T5 (de) 2019-08-05 2022-04-21 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Lasersteuerung unter Verwendung eines Spektrometers
US11980350B2 (en) 2019-08-05 2024-05-14 Gyrus Acmi, Inc. Laser system with illumination control
US11957410B2 (en) 2019-08-05 2024-04-16 Gyrus Acmi, Inc. Laser fiber-to-target distance control
DE112020003748T5 (de) 2019-08-05 2022-04-28 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Zielidentifikation mit optischem Rückkopplungssignalteiler
JP7368597B2 (ja) 2019-08-05 2023-10-24 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 レーザインターロック付き内視鏡レーザシステム
DE112020003749T5 (de) 2019-08-05 2022-04-28 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Selektives laserzünden für gewebesicherheit
US12279812B2 (en) 2019-08-05 2025-04-22 Gyrus Acmi, Inc. Laser fiber varying lateral position and intensity
US12137878B2 (en) 2019-08-05 2024-11-12 Gyrus Acmi, Inc. Multi-fiber medical optical system
CN114630635A (zh) 2019-11-12 2022-06-14 奥林巴斯株式会社 激光破碎装置、激光破碎系统以及激光破碎方法
US12357382B2 (en) 2020-07-21 2025-07-15 Gyrus Acmi, Inc. Laser treatment using acoustic feedback
WO2022020207A1 (en) 2020-07-24 2022-01-27 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Image reconstruction and endoscopic tracking
US12150623B2 (en) 2020-08-05 2024-11-26 Gyrus Acmi, Inc. Techniques for composition identification of an anatomical target
US12053149B2 (en) 2020-08-05 2024-08-06 Gyrus Acmi, Inc. Depth and contour detection for targets
CN114094427A (zh) * 2020-08-25 2022-02-25 李胜同 一种同时具备连续和脉冲输出的铥激光医用固体激光器
RU2743610C1 (ru) * 2020-09-08 2021-02-20 Игорь Павлович Парфенов Способ комбинированного лечения холедохолитиаза
US20220160435A1 (en) * 2020-11-25 2022-05-26 Lumenis Ltd Method and system for estimating distance between a fiber end and a target
KR20240055524A (ko) 2022-10-20 2024-04-29 단국대학교 천안캠퍼스 산학협력단 결석파괴용 레이저를 위한 팬텀장치
US20250302532A1 (en) * 2024-03-29 2025-10-02 Shockwave Medical, Inc. Evanescent optical fibers for laser lithotripsy
CN120304759B (zh) * 2025-06-12 2025-09-19 湖南省华芯医疗器械有限公司 内窥镜系统的控制方法、控制器、内窥镜系统及存储介质

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US5009658A (en) * 1989-04-14 1991-04-23 Karl Storz Endoscopy-America, Inc. Dual frequency laser lithotripter
US5321715A (en) * 1993-05-04 1994-06-14 Coherent, Inc. Laser pulse format for penetrating an absorbing fluid
US5632739A (en) * 1994-10-13 1997-05-27 The General Hospital Corporation Two-pulse, lateral tissue illuminator
US5860972A (en) * 1995-10-26 1999-01-19 Xintec Corporation Method of detection and destruction of urinary calculi and similar structures
US5820627A (en) * 1996-03-28 1998-10-13 Physical Sciences, Inc. Real-time optical feedback control of laser lithotripsy
JP2001353176A (ja) * 2000-04-13 2001-12-25 Nikon Corp レーザ治療装置
US20020165595A1 (en) * 2001-04-19 2002-11-07 Haan David Jon Method of ablating biological material with electromagnetic radiation delivered by an optical fiber
DE10257169A1 (de) * 2002-12-03 2004-07-01 W.O.M. World Of Medicine Ag Verfahren und Vorrichtung zur in vivo Erkennung der Materialbeschaffenheit eines Zielbereiches eines menschlichen oder tierischen Körpers
US8202268B1 (en) * 2007-03-18 2012-06-19 Lockheed Martin Corporation Method and multiple-mode device for high-power short-pulse laser ablation and CW cauterization of bodily tissues
US8409176B2 (en) * 2008-12-02 2013-04-02 Biolitec Pharma Marketing Ltd Method and device for laser lithotripsy
US9907616B1 (en) * 2012-02-02 2018-03-06 University Of North Carolina At Charlotte System for TFL lithotripsy, including endoscope with detachable and replaceable wave guide and method for use
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SI2840999T1 (sl) * 2012-04-26 2016-05-31 Dornier Medtech Laser Gmbh Litotriptor z oblikovanimi laserskimi pulzi
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Also Published As

Publication number Publication date
CN112437641A (zh) 2021-03-02
EP3806771A4 (en) 2022-03-09
WO2020033121A1 (en) 2020-02-13
KR20250084973A (ko) 2025-06-11
IL280229B1 (en) 2024-08-01
JP7570315B2 (ja) 2024-10-21
EP3806771C0 (en) 2025-08-27
IL280229A (en) 2021-03-25
EP4620416A2 (en) 2025-09-24
JP2024052981A (ja) 2024-04-12
KR20210035224A (ko) 2021-03-31
IL280229B2 (en) 2024-12-01
EP3806771B1 (en) 2025-08-27
KR102814155B1 (ko) 2025-05-29
BR112021000775A2 (pt) 2021-04-13
US20240252242A1 (en) 2024-08-01
JP2021530873A (ja) 2021-11-11
EP3806771A1 (en) 2021-04-21
ES3049185T3 (en) 2025-12-15
EP4620416A3 (en) 2025-10-15

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