公开(公告)号：US06997713B2

公开(公告)日：2006-02-14

申请号：US10605352

申请日：2003-09-24

Applicant: Samuel R. Levatino

Inventor： Samuel R. Levatino

IPC: A61C5/00

CPC classification number: A61C1/087 ,  A61B18/201 ,  A61C5/40

Abstract: A microtube for surgery and dentistry. The microtube transmits light, pressure, vacuum, or a pharmaceutical agent to the site of a surgical or dental operation or procedure. Because of its extreme microsize and multiple ports, the microtube does not harm tissue, and is especially suited for surgical and dental procedures such as a root canal and operations involving extremely small spaces and limited accessability. A side port at one end of the microtube provides extreme versatility by being capable, by rotation of the microtube about its longitudinal axis, of covering a perimeter of about one hundred and eighty degrees.

Abstract translation: 用于手术和牙科的微型管。 微管将光，压力，真空或药剂传递到手术或牙科手术或手术的部位。 由于其极端的微尺寸和多个端口，微管不伤害组织，并且特别适用于手术和牙科手术，例如根管和涉及极小空间和有限的可访问性的操作。 微管一端的侧端口通过微管围绕其纵向轴线的旋转能够覆盖大约一百八十度的周长而提供了极大的通用性。

公开(公告)号：US06953458B2

公开(公告)日：2005-10-11

申请号：US10324897

申请日：2002-12-20

Applicant: Marvin P. Loeb

Inventor： Marvin P. Loeb

IPC: A61B17/00 ,  A61B18/00 ,  A61B18/20 ,  A61B18/22 ,  A61B18/18

CPC classification number: A61B18/22 ,  A61B18/201 ,  A61B2017/00274 ,  A61B2018/00547 ,  A61B2218/006

Abstract: A laser energy delivery device and method are provided for irradiating a body tissue with relatively long wavelength laser energy in the presence of an aqueous liquid without significant absorption of the laser energy by the liquid. The device includes an elongate hollow sheath that is open at its distal end and closed at its proximal end, a laser energy conduit such as an optical fiber or hollow waveguide, within the sheath, the distal end of the conduit being disposed near the open distal end of the sheath, and the proximal end of the conduit being adapted for connection to a source of long wavelength laser energy. The sheath also includes an inlet port, spaced from the proximal end of the sheath, and adapted to receive and deliver a biologically compatible gas through the sheath to a body tissue site in contact with the open distal end of the sheath.

Abstract translation: 提供了一种激光能量输送装置和方法，用于在水性液体的存在下照射具有相对长波长的激光能量的身体组织，而不会显着地吸收液体中的激光能量。 该装置包括细长的中空护套，其在其远端处敞开并在其近端处封闭，在护套内封闭激光能量导管，例如光纤或中空波导，导管的远端设置在开口远端附近 护套的端部，并且导管的近端适于连接到长波长激光能量源。 护套还包括与护套的近端隔开的入口端口，并且适于将生物相容的气体通过护套接收并输送到与护套的敞开的远端接触的身体组织部位。

公开(公告)号：US20040158235A1

公开(公告)日：2004-08-12

申请号：US10364262

申请日：2003-02-11

Inventor： Robert Rudko ,  David Hartung ,  Mark Tauscher

IPC: A61B018/20

CPC classification number: A61B18/20 ,  A61B5/0422 ,  A61B18/201 ,  A61B2017/00044 ,  A61B2017/00247 ,  A61B2018/00392

Abstract: A TMR system including a handpiece with a barrel having a passage for transmitting a laser beam, a heart tissue contacting portion at one of the barrel, and at least one ECG electrode associated with the handpiece. An ECG unit is responsive to the ECG electrode for generating an ECG signal, a laser provides the laser beam, and a processing circuit is configured to fire the laser in response to the ECG signal.

Abstract translation: 一种TMR系统，包括具有筒的手持件，所述手柄具有用于传送激光束的通道，在所述镜筒中的一个处的心脏组织接触部分以及与所述手持件相关联的至少一个ECG电极。 ECG单元响应于ECG电极以产生ECG信号，激光器提供激光束，并且处理电路被配置为响应于ECG信号而激发激光。

公开(公告)号：US20040049248A1

公开(公告)日：2004-03-11

申请号：US10415912

申请日：2003-10-15

Inventor： Karl-Heinz Schonborn

IPC: A61N001/00

CPC classification number: A61N5/0616 ,  A61B18/201 ,  A61B2018/00017 ,  A61B2018/00029 ,  A61B2218/005 ,  A61N2005/067

Abstract: The invention relates to a device for the germicidal cleaning of open wounds, characterised by a means for generating at least one pulsed laser beam. It is thus possible to clean wounds efficiently and gently.

Abstract translation: 本发明涉及一种用于杀菌清洁开放式伤口的装置，其特征在于用于产生至少一个脉冲激光束的装置。 因此，可以有效地和轻轻地清洁伤口。

公开(公告)号：US06663618B2

公开(公告)日：2003-12-16

申请号：US10151770

申请日：2002-05-21

Applicant: Paul J. Weber ,  Luiz B. Da Silva ,  Alexander M. Rubenchik ,  Gennady Kochemasov ,  Stanislav Kulikov

Inventor： Paul J. Weber ,  Luiz B. Da Silva ,  Alexander M. Rubenchik ,  Gennady Kochemasov ,  Stanislav Kulikov

IPC: A61B1818

CPC classification number: A61B18/24 ,  A61B18/08 ,  A61B18/1402 ,  A61B18/201 ,  A61B18/203 ,  A61B2017/00084 ,  A61B2017/0046 ,  A61B2017/00761 ,  A61B2017/00792 ,  A61B2017/00853 ,  A61B2017/22014 ,  A61B2018/00017 ,  A61B2018/00452 ,  A61B2018/1807 ,  A61B2018/2272 ,  A61B2090/3614 ,  A61N7/022 ,  A61N2007/0008

Abstract: A device is described that can be used by surgeons to provide quick and accurate face-lifting maneuvers that minimize the amount of tissue that has to be removed. The device comprised of a hollow undermining shaft with specially designed tip that can safely separate tissue planes and lyse fibrous tissue. Thermal radiation can be delivered down the shaft to heat and cause tissue contraction. The device can also include a temperature sensor that can be used to control the thermal radiation. Optionally, the device can also use ultrasound or electro surgical energy to improve tissue lysing.

公开(公告)号：US06575964B1

公开(公告)日：2003-06-10

申请号：US09498937

申请日：2000-02-04

Applicant: James L. Hobart ,  Daniel K. Negus ,  Ken Gott ,  Rene Hugues

Inventor： James L. Hobart ,  Daniel K. Negus ,  Ken Gott ,  Rene Hugues

IPC: A61B1818

CPC classification number: A61B18/203 ,  A61B18/201 ,  A61B2017/00199 ,  A61B2017/00761 ,  A61B2018/00452 ,  A61B2018/207

Abstract: A selective aperture for a laser delivery system for providing incision, ablation and coagulation. A laser crystal disposed between two reflective surfaces forms a laser beam. An aperture member positioned between the laser crystal and one of the reflective surfaces includes a substantially circular aperture for passing the laser beam. The size of the aperture is selectively adjustable. The aperture member has a plurality of apertures of various different sizes and is rotatable about an axis of rotation. The axis of rotation is parallel to the longitudinal axis of the laser crystal. By appropriately rotating the aperture member, a selected one of the apertures is positioned to pass the laser beam. A stepper motor and flexible shaft are utilized for rotating the aperture member. At least one of the apertures is surrounded by a beveled portion of the rotatable member. Alternatively, two lasers with different size fixed apertures could be utilized and directed to a common surface. According to an aspect of the invention, an articulated arm is provided along with one or more refocussing optics for refocussing the laser beam as it travels through the arm. According to another aspect, a second laser source is provided along with a galvanometer for directing each of two laser beams to a surface to be treated. Such an arrangement provides exceptional versatility and control over the beam emitted. According to an another aspect, the aperture for a single laser source is rapidly changed during the performance of a procedure. By rapidly switching between forming an incision and cauterizing, an incision can be cauterized while being made.

Abstract translation: 用于激光输送系统的选择性孔径，用于提供切口，消融和凝固。 设置在两个反射表面之间的激光晶体形成激光束。 位于激光晶体和反射表面之一中的光圈元件包括用于使激光束通过的基本上圆形的孔。 光圈的大小可选择性地调节。 孔径构件具有多个不同尺寸的孔，并可围绕旋转轴线旋转。 旋转轴线平行于激光晶体的纵向轴线。 通过适当地旋转孔径构件，所选择的一个孔被定位成使激光束通过。 使用步进电机和柔性轴来旋转孔径构件。 至少一个孔被可旋转构件的斜切部分包围。 或者，可以使用具有不同尺寸的固定孔的两个激光器并且被引导到公共表面。 根据本发明的一个方面，铰链臂与一个或多个重聚焦光学器件一起提供，用于当激光束穿过臂时重新聚焦激光束。 根据另一方面，第二激光源与检流计一起提供，用于将两个激光束中的每一个引导到待处理的表面。 这种布置提供了出色的通用性和对发射的光束的控制。 根据另一方面，在执行过程期间，用于单个激光源的孔径快速变化。 通过在形成切口和烧灼之间快速切换，可以在制造时切割切口。

公开(公告)号：US20030028181A1

公开(公告)日：2003-02-06

申请号：US10202848

申请日：2002-07-26

Applicant: NIDEK CO., LTD.

Inventor： Masanori Enomoto

IPC: A61B018/20

CPC classification number: A61B18/201 ,  A61B18/203 ,  A61B2018/00452 ,  A61B2018/0047

Abstract: A laser treatment apparatus for performing treatment by irradiating a part to be treated by a laser beam for treatment is disclosed. This apparatus includes a laser source which emits the treatment laser beam; a multi-articulated arm for delivering the treatment laser beam emitted from the laser source, the arm including a plurality of light delivery pipes at least one of which is axially extensible, a joint part for jointing the light delivery pipes, the joint part being rotatable with respect to at least one of the pipes jointed by the joint part, a reflection mirror disposed in the joint part; and a hand-piece connected to an end of the arm and used for irradiating the treatment laser beam delivered therein through the arm to the treatment part.

Abstract translation: 公开了一种用于通过用待处理的激光束照射被处理部分进行处理的激光治疗装置。 该装置包括发射处理激光束的激光源; 用于传送从激光源发射的处理激光束的多关节臂，所述臂包括多个能够轴向延伸的至少一个的光输送管，用于连接所述光输送管的接合部，所述接合部可旋转 相对于由接合部接合的至少一个管，布置在接合部中的反射镜; 以及连接到所述臂的端部并用于将通过所述臂传送到其中的处理激光束照射到所述治疗部分的手持件。

公开(公告)号：US06461349B1

公开(公告)日：2002-10-08

申请号：US09530094

申请日：2000-04-24

Applicant: Jens Elbrecht ,  Berlind Kalve ,  Thomas Kloss

Inventor： Jens Elbrecht ,  Berlind Kalve ,  Thomas Kloss

IPC: A61B1818

CPC classification number: A61B18/201 ,  A61B2017/0023 ,  G02B6/4296

Abstract: A medical handpiece for transmitting energy from a laser beam into biological tissue. An optical fiber for conveying the laser beam to the handpiece and a light guide for radiating the laser energy into the tissue are arranged in a base body. Means are provided for aligning the optical axis of the light guide in relation to the optical axis of the fiber and means for aligning the optical axis of the light guide in relation to the base body are also provided. The light guide can be displaced in an axial direction in relation to the base body and the alignment can be set according to the direction of displacement or maintained. The light guide is easy to replace and the device is easy to clean in accordance with all hygiene requirements.

Abstract translation: 用于将能量从激光束传输到生物组织的医疗手机。 用于将激光束传送到手持件的光纤和用于将激光能量辐射到组织中的光导布置在基体中。 提供了用于使导光体的光轴相对于光纤的光轴对准的装置，并且还提供了用于使导光体的光轴相对于基体对准的装置。 导光体可以相对于基体在轴向方向上移位，并且可以根据位移方向来设置对准或保持。 光导管易于更换，并且根据所有卫生要求，设备易于清洁。

公开(公告)号：US06454762B1

公开(公告)日：2002-09-24

申请号：US09626330

申请日：2000-07-26

Applicant: Peter Rösler ,  Ronald Sroka ,  Andreas Leunig

Inventor： Peter Rösler ,  Ronald Sroka ,  Andreas Leunig

IPC: A61B1822

CPC classification number: A61B18/24 ,  A61B17/24 ,  A61B18/201 ,  A61B18/22 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/3445 ,  A61B2018/2238 ,  A61B2090/035 ,  A61B2218/008

Abstract: An instrument is provided for applying light, particularly laser light, to the human or animal body. A tubular shaft is provided into which a flexible light waveguide may be inserted, where a light-emitting end of the waveguide comes to rest at a distal end portion of the tubular shaft. The distal end portion of the tubular shaft is pivotally connected with the remaining portion of the tubular shaft, so that the distal end portion may be pivoted away from the longitudinal axis of the tubular shaft. Manipulating devices are provided at the proximal end of the tubular shaft for pivoting the distal end portion. The manipulating devices include at least one movable operating element, which is directly connected to the distal end portion by means of an actuator element.

Abstract translation: 提供了一种用于将光，特别是激光照射到人或动物体上的仪器。 提供管状轴，其中可以插入柔性光波导，其中波导的发光端在管状轴的远端部处停止。 管状轴的远端部分与管状轴的剩余部分枢转地连接，使得远端部分可以远离管状轴的纵向轴线枢转。 操纵装置设置在管状轴的近端处，用于枢转远端部分。 操纵装置包括至少一个可移动操作元件，其通过致动器元件直接连接到远端部分。

公开(公告)号：US06391023B1

公开(公告)日：2002-05-21

申请号：US09588436

申请日：2000-06-06

Applicant: Paul J. Weber ,  Luiz B. Da Silva ,  Alexander M. Rubenchik

Inventor： Paul J. Weber ,  Luiz B. Da Silva ,  Alexander M. Rubenchik

IPC: A61B1818

CPC classification number: A61B18/24 ,  A61B18/08 ,  A61B18/1402 ,  A61B18/201 ,  A61B18/203 ,  A61B2017/00084 ,  A61B2017/0046 ,  A61B2017/00761 ,  A61B2017/00792 ,  A61B2017/00853 ,  A61B2017/22014 ,  A61B2018/00017 ,  A61B2018/00452 ,  A61B2018/1807 ,  A61B2018/2272 ,  A61B2090/3614 ,  A61N7/022 ,  A61N2007/0008

Abstract: A device is described that can be used by surgeons to provide quick and accurate face-lifting maneuvers that minimize the amount of tissue that has to be removed. The device comprised of a hollow undermining shaft with specially designed tip that can safely separate tissue planes and lyse fibrous tissue. Thermal radiation can be delivered down the shaft to heat and cause tissue contraction. The device can also include a temperature sensor that can be used to control the thermal radiation. Optionally, the device can also use ultrasound or electro surgical energy to improve tissue lysing.

Abstract translation: 描述了一种可被外科医生用来提供快速和准确的提升操作的装置，其使得必须去除的组织的量最小化。 该装置包括具有特别设计的尖端的中空破坏轴，其可以安全地分离组织平面和裂解纤维组织。 热辐射可以沿轴传送加热并导致组织收缩。 该装置还可以包括可用于控制热辐射的温度传感器。 可选地，该装置还可以使用超声波或电手术能量来改善组织裂解。