Channel-forming laser energy device
    1.
    发明授权
    Channel-forming laser energy device 失效
    通道形成激光能量装置

    公开(公告)号:US06231568B1

    公开(公告)日:2001-05-15

    申请号:US09307512

    申请日:1999-05-07

    IPC分类号: A61B1736

    摘要: A surgical device is provided for forming a channel through or partially through vascular tissue, including vascular tissue, utilizing both mechanical and laser energy, and, if desired, depositing a therapeutic agent therein. The device includes an optical fiber for transmission of laser energy, a housing, and a hollow guide attached to the housing through which the optical fiber extends. A needle is attached to the distal end of the optical fiber in fluid communication with a catheter surrounding the optical fiber. Additionally, an actuator is included operably connected to the optical fiber for selectively extending the needle and/or fiber from the hollow guide. Finally, a laser control device is contemplated operably connected to the optical fiber, transmitting laser energy from the distal end of the fiber after the needle has penetrated a layer of selected distance into the tissue.

    摘要翻译: 提供了一种手术装置,用于通过或部分穿过血管组织(包括血管组织),利用机械和激光能量以及如果需要在其中沉积治疗剂。 该装置包括用于传输激光能量的光纤,壳体和附接到壳体的中空导轨,光纤延伸穿过该壳体。 针与光纤的远端连接,与光纤周围的导管流体连通。 另外,包括可操作地连接到光纤的致动器,用于从中空引导件选择性地延伸针和/或纤维。 最后,设想可操作地连接到光纤的激光控制装置,在针已经穿过选定距离的层到组织中之后,从光纤的远端传送激光能量。

    Laser channeling devices
    7.
    发明授权
    Laser channeling devices 失效
    激光通道装置

    公开(公告)号:US06845193B2

    公开(公告)日:2005-01-18

    申请号:US10152951

    申请日:2002-05-21

    摘要: An optical fiber device for ablating a channel through a plaque deposit or a clot in a blood vessel is described. Laser energy is transmitted through one or a bundle of optical fibers to a quartz or fused silica cylinder, whose distal end surface has been made into a desired shape and sandblasted or carbon coated or both. The cylinder is received with a pocket defined in a sheath which surrounds the optical fibers. Moreover, the cylinder includes a circumferential recess and the sheath includes a circumferential rib which engages into the recess for securing the lens in the pocket. In one embodiment, the cylinder has a cavity formed therein and the distal end of the optical fiber extends into the cavity. In a further embodiment, the device is adapted to be guided along a wire extending through the pocket and an aperture defined in the sheath and/or a channel defined in the cylinder.

    摘要翻译: 描述了用于通过血管中的斑块沉积物或凝块消融通道的光纤装置。 激光能量通过一根或一束光纤传输到石英或熔融二氧化硅圆柱体,其石英或熔融石英圆柱体的远端表面已经制成所需的形状并喷砂或涂碳或两者。 圆筒被容纳有限定在围绕光纤的护套中的口袋。 此外,圆柱体包括周向凹部,并且护套包括接合到凹部中的周向肋,以将透镜固定在口袋中。 在一个实施例中,气缸具有形成在其中的空腔,并且光纤的远端延伸到空腔中。 在另一个实施例中,该装置适于沿着延伸穿过该口袋的线引导并且限定在外壳中限定的孔和/或限定在气缸中的通道。

    Device for treatment of atrioventricular valve regurgitation
    8.
    发明授权
    Device for treatment of atrioventricular valve regurgitation 失效
    用于治疗房室瓣膜反流的装置

    公开(公告)号:US06740107B2

    公开(公告)日:2004-05-25

    申请号:US10024798

    申请日:2001-12-19

    IPC分类号: A61B1822

    摘要: A catheter device suitable for shrinking chordae tendineae of the human heart is provided having an energy conduit and a positioning device that facilitates the delivery of thermal energy, including coherent (laser) or non-coherent light, RF, microwave or ultrasound energy, to a predetermined region of the chordae tendineae or other collagen-containing tissue, such as the female urethra or the esophagus near the sphincter. The device comprises a tubular catheter containing an energy conduit, such as a fiber optic cable, adapted for delivering thermal energy to the tissue. The tubular catheter also contain a stabilizing device, disposed at its distal end, such as an asymmetrically shaped balloon or a retractable flexible metal hook. With the distal end of the catheter device positioned within a human heart, application of thermal energy to the chordae tendineae results in a shrinkage of the chordae, providing a treatment for primary mitral valve regurgitation.

    摘要翻译: 提供了适合于收缩人心脏腱索的导管装置,其具有能量导管和定位装置,该能量导管和定位装置有助于将包括相干(激光)或非相干光,RF,微波或超声能量的热能传递到 腱索或其他含胶原的组织的预定区域,例如在括约肌附近的女性尿道或食管。 该装置包括管状导管,其包含适于将热能输送到组织的能量导管,例如光纤电缆。 管状导管还包含设置在其远端的稳定装置,例如不对称形状的气囊或可伸缩的柔性金属钩。 随着导管装置的远端定位在人的心脏内,向腱索的腱索施加热能导致腱索的收缩,从而提供主要的二尖瓣关闭不全的治疗。

    Laser devices for performing a myringotomy
    9.
    发明授权
    Laser devices for performing a myringotomy 失效
    用于进行鼓膜切开术的激光装置

    公开(公告)号:US06522827B1

    公开(公告)日:2003-02-18

    申请号:US09686410

    申请日:2000-10-11

    IPC分类号: G02B610

    摘要: A lasing device for performing a myringotomy or like procedure is provided. The distal end portion of an optical fiber used to transmit a laser energy beam to the surgical site is covered with a disposable, removably mounted sheath, whose distal end is substantially transparent to the wavelength of laser energy being emitted through the optical fiber. Optionally, a relatively low power aiming beam can be emitted coaxially with the laser energy beam.

    摘要翻译: 提供了用于进行鼓膜切开术或类似程序的激光装置。 用于将激光能量束传送到外科手术部位的光纤的远端部分被一次性可移除地安装的护套覆盖,护套的远端对于通过光纤发射的激光能量的波长基本上是透明的。 可选地,可以与激光能量束同轴地发射相对低功率的瞄准光束。

    Devices and methods for directed, interstitial ablation of tissue
    10.
    发明授权
    Devices and methods for directed, interstitial ablation of tissue 有权
    用于定向,间质消融组织的装置和方法

    公开(公告)号:US07306588B2

    公开(公告)日:2007-12-11

    申请号:US10963213

    申请日:2004-10-12

    IPC分类号: A61B18/20

    摘要: The invention relates to a catheter device including an optical fiber whose distal end is disposed within a hollow tube with a sharp or needle shaped distal end, which can penetrate tissue. The distal end of the optical fiber and the hollow tube are configured so as to emit, by refraction (total internal reflection) or reflection from a metal surface, laser energy at an angle of about 80° to about 90° relative to the longitudinal axis of the optical fiber and hollow tube. The hollow tube is mounted to a housing and may be surrounded by a sheath.

    摘要翻译: 本发明涉及一种导管装置,其包括光纤,其远端设置在具有尖锐或针状远端的中空管中,该远端可穿透组织。 光纤的远端和中空管被配置为通过折射(全内反射)或来自金属表面的反射而发射相对于纵向轴线大约80°至大约90°的角度的激光能量 的光纤和中空管。 中空管安装到壳体上并且可以被护套包围。