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公开(公告)号：US6080148A
公开(公告)日：2000-06-27
申请号：US751552
申请日：1996-11-18
CPC分类号： A61B18/22 , A61B2017/0019 , A61B2017/00977
摘要： A variable pulse width lasing device for selectively reducing the amount of laser energy provided during a surgical procedure is described. The device includes a central processing unit, a laser resonator, pulse width detector and a pulse modulator. The central processing unit provides a switch activation command to the modulator. The modulator also receives a laser pulse produced by the laser resonator which has an initial pulse width and a wavelength which is compatible for transmission through an optical fiber. The modulator varies the width of the laser pulse for providing an output pulse at a selected pulse width and energy level.
摘要翻译： 描述了用于选择性地减少在外科手术期间提供的激光能量的可变脉冲宽度激光装置。 该装置包括中央处理单元，激光谐振器，脉冲宽度检测器和脉冲调制器。 中央处理单元向调制器提供开关激活命令。 调制器还接收由激光谐振器产生的激光脉冲，其具有初始脉冲宽度和与通过光纤的透射兼容的波长。 调制器改变激光脉冲的宽度，以便以选定的脉冲宽度和能级提供输出脉冲。
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公开(公告)号：US5984915A
公开(公告)日：1999-11-16
申请号：US947362
申请日：1997-10-08
申请人： Marvin P. Loeb , Sanford Damasco
发明人： Marvin P. Loeb , Sanford Damasco
CPC分类号： A61B18/203 , A61B18/20 , A61B2017/00747 , A61B2018/00452 , A61B2018/00476 , A61B2018/2005 , A61N5/0617
摘要： A method of percutaneous and subcutaneous laser treatment of the tissue of a patient is provided. The tip of an optical fiber is be passed through the skin, advanced through the tissue subcutaneously to a desired treatment area and withdrawn. Laser energy can be emitted at different levels during any or all of the skin penetration, advancement, tissue treatment and withdrawal phases. The present invention is useful for surgical treatments, and is especially suitable for minimally invasive plastic or cosmetic surgical and dermatological procedures without bleeding and with less edema, erythema and swelling and faster healing than conventional surface laser energy application, abrasion, scalpel surgery or chemical peel procedures.
摘要翻译： 提供了经皮和皮下激光治疗患者组织的方法。 光纤的尖端穿过皮肤，通过组织皮下移动到期望的治疗区域并撤回。 任何或全部皮肤渗透，进展，组织治疗和戒断阶段，激光能量可以以不同的水平排出。 本发明对于手术治疗是有用的，并且特别适合于微创塑料或美容手术和皮肤病学程序，而不会出血，并且与常规表面激光能量施加，磨损，手术刀手术或化学剥离相比，具有较少的水肿，红斑和肿胀以及更快的愈合 程序。
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公开(公告)号：US5466234A
公开(公告)日：1995-11-14
申请号：US189375
申请日：1994-01-31
CPC分类号： A61B18/245 , A61B2017/22048 , A61B2017/22061 , A61B2017/22082 , A61B2090/3933
摘要： A catheter suitable for the delivery of laser energy to an obstruction in a body lumen is provided, which has an expandable, elastic distal end portion containing optical fibers whose exposed distal end faces are arranged in two or more substantially concentric arrays that merge into a narrower band array of a larger diameter upon radial expansion of the elastic distal end portion. The distal end portion of the catheter is more elastomeric than the catheter body.
摘要翻译： 提供了适于将激光能量传递到体腔中的阻塞物的导管，其具有可扩张的弹性远端部分，其包含光纤，其暴露的远端面被布置成两个或更多个基本上同心的阵列，其合并成较窄的 在弹性顶端部的径向膨胀时具有较大直径的带状阵列。 导管的远端部分比导管体更弹性。
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4.发明授权Coupling device and method for improved transfer efficiency of light energy from a laser source into optical fibers 失效耦合装置和方法，用于提高从激光源到光纤的光能的转移效率
公开(公告)号：US5396571A
公开(公告)日：1995-03-07
申请号：US65638
申请日：1993-05-21
申请人： Vahid Saadatmanesh , Marvin P. Loeb
发明人： Vahid Saadatmanesh , Marvin P. Loeb
CPC分类号： G02B6/4296 , G02B6/2848 , G02B6/4206 , A61B18/20 , G02B6/4214 , G02B6/4227
摘要： Optical coupling devices for an improved coupling efficiency of light energy, without damage to the optical components, are disclosed. An optical system divides an input beam of light energy into two or more output beams of lesser energy, each of which is focused toward a focal point in space. Individual optical fibers are positioned with their proximal end faces at the focal points of each of the lesser output beams. Means for dividing the light energy and aligning the components are disclosed.
摘要翻译： 公开了用于改善光能的耦合效率而不损坏光学部件的光耦合装置。 光学系统将输入光束光束分成两个或更多个能量较小的输出光束，每个输出光束被聚焦到空间中的焦点。 单个光纤被定位成使其近端面位于每个较小输出光束的焦点处。 公开了用于分割光能并对齐组件的装置。
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5.发明授权Method and apparatus for treating a body site with laterally directed laser radiation 失效用横向定向激光辐射治疗身体部位的方法和装置
公开(公告)号：US5242438A
公开(公告)日：1993-09-07
申请号：US689456
申请日：1991-04-22
CPC分类号： A61B18/24 , A61B18/201 , A61B2017/00853 , A61B2017/4216 , A61B2018/2272
摘要： A method and device are provided for directing laser radiation to a body cavity site. A hollow, elongate, optical fiber is advanced, usually in a containing device, to the vicinity of the site and coupled to a laser source with a distal end region of the fiber extending along a longitudinal axis. The fiber terminates in an energy delivery surface for emitting laser radiation transmitted by the fiber. The radiation is intercepted at a location axially aligned with the energy delivery surface and is reflected in a beam radiating substantially transversely of, and substantially circumferentially around, the axis. A reflector member or block is provided for reflecting the radiation and is mounted in an open end of the catheter at a selected axial position along the axis. A fluid, such as a flushing fluid, can be directed between the end of the fiber, against the reflector member, and to the body site.
摘要翻译： 提供了一种用于将激光辐射引导到体腔部位的方法和装置。 中空细长的光纤通常在容纳装置中前进到现场附近并且耦合到激光源，其中光纤的远端区域沿着纵向轴线延伸。 光纤终止于能量传递表面，用于发射由光纤传播的激光辐射。 辐射在与能量传递表面轴向对准的位置处被截取，并且被反射在基本上横向并且基本上周向围绕轴线辐射的光束中。 提供反射器构件或块以反射辐射，并且沿着轴线在选定的轴向位置安装在导管的开口端。 诸如冲洗流体之类的流体可以被引导到纤维的端部与反射器构件之间以及与身体部位之间。
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公开(公告)号：US4888007A
公开(公告)日：1989-12-19
申请号：US81353
申请日：1987-08-04
申请人： Marvin P. Loeb , John F. Perry
发明人： Marvin P. Loeb , John F. Perry
IPC分类号： A61F6/04
CPC分类号： A61F6/04
摘要： A pubic shield securable to the user is disclosed. The shield may or may not have a condom unitary therewith. Securement is achieved by means of a bioadhesive, which may contain biocide or the like ingredient.
摘要翻译： 公开了可以保护用户的公共屏蔽。 护罩可以或可能不具有与其一体的避孕套。 通过可能含有杀生物剂或类似成分的生物粘合剂实现保护。
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公开(公告)号：US4525164A
公开(公告)日：1985-06-25
申请号：US257002
申请日：1981-04-24
申请人： Marvin P. Loeb , Arne M. Olson
发明人： Marvin P. Loeb , Arne M. Olson
CPC分类号： A61M5/14244 , A61M5/1452 , A61M5/148 , A61M2005/31518 , A61M5/3129 , Y10S128/12
摘要： A wearable medicator suitable for controlled subcutaneous dispensing of a liquid medication into a patient. The medicator utilizes a unique arcuate syringe means to provide a small compact medicator that can be easily worn by the patient. The medicator can provide controlled release of insulin for the treatment of diabetes.
摘要翻译： 适用于将液体药物控制性皮下分配到患者体内的可穿戴药物。 该药物使用独特的弧形注射器装置来提供可以容易地被患者佩戴的小型紧凑型药剂。 该药可以提供胰岛素的控制释放用于治疗糖尿病。
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公开(公告)号：US06845193B2
公开(公告)日：2005-01-18
申请号：US10152951
申请日：2002-05-21
申请人： Marvin P. Loeb , L. Dean Crawford
发明人： Marvin P. Loeb , L. Dean Crawford
CPC分类号： A61B18/245 , A61B2017/22038 , A61B2018/2266 , G02B6/32
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。
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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
CPC分类号： A61B18/24 , A61B18/1492 , A61B2017/00243 , A61B2017/00867 , A61B2017/22059 , A61B2017/22069 , A61B2018/00196 , A61B2018/2211 , A61B2018/2277
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。
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公开(公告)号：US06522827B1
公开(公告)日：2003-02-18
申请号：US09686410
申请日：2000-10-11
申请人： Marvin P. Loeb , L. Dean Crawford
发明人： Marvin P. Loeb , L. Dean Crawford
IPC分类号： G02B610
CPC分类号： G02B6/241 , A61B18/22 , A61B2017/00787 , A61B2018/2266
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。
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