MX2020008321A - Sistema y aparato médico de láser. - Google Patents

Sistema y aparato médico de láser.

Info

Publication number
MX2020008321A
MX2020008321A MX2020008321A MX2020008321A MX2020008321A MX 2020008321 A MX2020008321 A MX 2020008321A MX 2020008321 A MX2020008321 A MX 2020008321A MX 2020008321 A MX2020008321 A MX 2020008321A MX 2020008321 A MX2020008321 A MX 2020008321A
Authority
MX
Mexico
Prior art keywords
guide
target tissue
energy
power
controller
Prior art date
Application number
MX2020008321A
Other languages
English (en)
Inventor
Kurt G Shelton
Masayasu Chida
Original Assignee
Gyrus Acmi Inc D B A Olympus Surgical Tech America
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 Gyrus Acmi Inc D B A Olympus Surgical Tech America filed Critical Gyrus Acmi Inc D B A Olympus Surgical Tech America
Publication of MX2020008321A publication Critical patent/MX2020008321A/es

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
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • A61B1/01Guiding arrangements therefore
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00004Operational features of endoscopes characterised by electronic signal processing
    • A61B1/00006Operational features of endoscopes characterised by electronic signal processing of control signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00043Operational features of endoscopes provided with output arrangements
    • A61B1/00055Operational features of endoscopes provided with output arrangements for alerting the user
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087Tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015Control of fluid supply or evacuation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/043Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances for fluorescence imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/046Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances for infrared imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0638Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements providing two or more wavelengths
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • A61B1/126Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning in-use
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/307Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/31Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320783Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • 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
    • 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
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/73Suction drainage systems comprising sensors or indicators for physical values
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/77Suction-irrigation systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/77Suction-irrigation systems
    • A61M1/772Suction-irrigation systems operating alternately
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01SDEVICES USING THE PROCESS OF LIGHT AMPLIFICATION BY STIMULATED EMISSION OF RADIATION [LASER] TO AMPLIFY OR GENERATE LIGHT; DEVICES USING STIMULATED EMISSION OF ELECTROMAGNETIC RADIATION IN WAVE RANGES OTHER THAN OPTICAL
    • H01S3/00Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range
    • H01S3/05Construction or shape of optical resonators; Accommodation of active medium therein; Shape of active medium
    • H01S3/06Construction or shape of active medium
    • H01S3/063Waveguide lasers, i.e. whereby the dimensions of the waveguide are of the order of the light wavelength
    • H01S3/067Fibre lasers
    • H01S3/06708Constructional details of the fibre, e.g. compositions, cross-section, shape or tapering
    • H01S3/06716Fibre compositions or doping with active elements
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01SDEVICES USING THE PROCESS OF LIGHT AMPLIFICATION BY STIMULATED EMISSION OF RADIATION [LASER] TO AMPLIFY OR GENERATE LIGHT; DEVICES USING STIMULATED EMISSION OF ELECTROMAGNETIC RADIATION IN WAVE RANGES OTHER THAN OPTICAL
    • H01S3/00Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range
    • H01S3/14Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range characterised by the material used as the active medium
    • H01S3/16Solid materials
    • H01S3/1601Solid materials characterised by an active (lasing) ion
    • H01S3/1603Solid materials characterised by an active (lasing) ion rare earth
    • H01S3/161Solid materials characterised by an active (lasing) ion rare earth holmium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00043Operational features of endoscopes provided with output arrangements
    • A61B1/00045Display arrangement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00105Constructional details of the endoscope body characterised by modular construction
    • 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
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • 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
    • A61B2018/00482Digestive system
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
    • 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
    • A61B2018/00607Coagulation and cutting with the same instrument
    • 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
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • A61B2018/00672Sensing and controlling the application of energy using a threshold value lower
    • 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
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678Sensing and controlling the application of energy using a threshold value upper
    • 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
    • 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
    • A61B2018/00773Sensed parameters
    • 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
    • A61B2018/2065Multiwave; Wavelength mixing, e.g. using four or more wavelengths
    • 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
    • A61B2018/225Features of hand-pieces
    • A61B2018/2253Features of hand-pieces characterised by additional functions, e.g. surface cooling or detecting pathological tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247Pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • A61M1/75Intermittent or pulsating suction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • A61M2205/3334Measuring or controlling the flow rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • A61M2205/3344Measuring or controlling pressure at the body treatment site
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01SDEVICES USING THE PROCESS OF LIGHT AMPLIFICATION BY STIMULATED EMISSION OF RADIATION [LASER] TO AMPLIFY OR GENERATE LIGHT; DEVICES USING STIMULATED EMISSION OF ELECTROMAGNETIC RADIATION IN WAVE RANGES OTHER THAN OPTICAL
    • H01S3/00Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range
    • H01S3/14Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range characterised by the material used as the active medium
    • H01S3/16Solid materials
    • H01S3/1601Solid materials characterised by an active (lasing) ion
    • H01S3/1603Solid materials characterised by an active (lasing) ion rare earth
    • H01S3/1616Solid materials characterised by an active (lasing) ion rare earth thulium

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Optics & Photonics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Vascular Medicine (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Urology & Nephrology (AREA)
  • Plasma & Fusion (AREA)
  • Signal Processing (AREA)
  • Pulmonology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Gynecology & Obstetrics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Laser Surgery Devices (AREA)
  • Endoscopes (AREA)
  • External Artificial Organs (AREA)
  • Laser Beam Processing (AREA)
  • Surgical Instruments (AREA)
  • Semiconductor Lasers (AREA)

Abstract

Un aparato médico de láser que incluye: una guía de energía; una primera fuente de energía configurada para generar energía para tratar un tejido blanco a través de la guía de energía; una segunda fuente de energía configurada para emitir un primer y segundo haz guía a un tejido blanco a través de la guía de energía, el segundo haz guía que tiene al menos una característica diferente del primer haz guía; y un controlador que comprende hardware, el controlador que se configura para: recibir una señal que indica un modo de iluminación de al menos dos modos de iluminación utilizados por un endoscopio para iluminar el tejido blanco; y controlar la segunda fuente de energía para producir el primer o segundo haz guía con base en el modo de iluminación indicado.
MX2020008321A 2018-02-09 2019-02-08 Sistema y aparato médico de láser. MX2020008321A (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201862628513P 2018-02-09 2018-02-09
PCT/US2019/017153 WO2019157247A1 (en) 2018-02-09 2019-02-08 Medical laser apparatus and system

Publications (1)

Publication Number Publication Date
MX2020008321A true MX2020008321A (es) 2021-01-29

Family

ID=67548615

Family Applications (2)

Application Number Title Priority Date Filing Date
MX2020008321A MX2020008321A (es) 2018-02-09 2019-02-08 Sistema y aparato médico de láser.
MX2020008318A MX2020008318A (es) 2018-02-09 2019-02-09 Sistema, metodo y dispositivo de almacenamiento legible por computadora para controlar la fuente de luz laser del dispositivo de litotricia.

Family Applications After (1)

Application Number Title Priority Date Filing Date
MX2020008318A MX2020008318A (es) 2018-02-09 2019-02-09 Sistema, metodo y dispositivo de almacenamiento legible por computadora para controlar la fuente de luz laser del dispositivo de litotricia.

Country Status (11)

Country Link
US (9) US12023096B2 (es)
EP (3) EP4516203A3 (es)
JP (9) JP7460526B2 (es)
KR (2) KR102731868B1 (es)
CN (5) CN119606285A (es)
AU (2) AU2019217992B2 (es)
BR (2) BR112020016159A2 (es)
CA (1) CA3169535A1 (es)
DE (1) DE112021001396T5 (es)
MX (2) MX2020008321A (es)
WO (3) WO2019157247A1 (es)

Families Citing this family (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4516203A3 (en) 2018-02-09 2025-05-14 Gyrus ACMI, Inc. D.B.A. Olympus Surgical Technologies America Medical laser apparatus and system
WO2019176171A1 (ja) * 2018-03-16 2019-09-19 オリンパス株式会社 内視鏡及び内視鏡システム
CN112996549B (zh) 2018-09-24 2025-01-28 史赛克公司 用于改善抽吸过程中控制响应性的系统和方法
JP7377769B2 (ja) * 2020-06-08 2023-11-10 Hoya株式会社 プログラム、情報処理方法及び情報処理装置
CN116249477B (zh) 2020-07-24 2026-01-23 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) 图像重建和内窥镜跟踪
US12023044B2 (en) 2020-08-10 2024-07-02 Kunnskap Medical, LLC Endoscopic system with medium management system control
DE112021005021T5 (de) * 2020-09-25 2023-07-06 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Verstopfungsschutz während der stein-evakuierung
US20240049952A1 (en) * 2020-10-30 2024-02-15 The Regents Of The University Of Michigan Devices, systems, and methods for treating kidney stones
US12070196B2 (en) * 2020-11-23 2024-08-27 Medos International Sarl Arthroscopic medical implements and assemblies
GB2603904B (en) * 2021-02-17 2023-07-26 Keymed Medical & Industrial Equipment Ltd Fluid management system
WO2022235762A1 (en) * 2021-05-04 2022-11-10 Ipg Photonics Corporation Smart irrigation and aspiration system and method
US12290274B2 (en) * 2021-05-25 2025-05-06 Arthrex, Inc. Dynamically controlling a distal window opening in a rotary surgical shaver
CA3225806A1 (en) * 2021-07-19 2023-01-26 Isaac Ostrovsky Remote monitoring of fluid pressure in biological tissue
KR102359900B1 (ko) * 2021-07-30 2022-02-09 동성제약주식회사 복합 광원 기반 광 음향 역학 진단 치료 장치
JP2024534141A (ja) * 2021-08-24 2024-09-18 アイピージー フォトニクス コーポレーション レーザエネルギーを用いた泌尿器症状の安全で効果的な処置のための方法および装置
DE102022126875A1 (de) 2021-10-22 2023-04-27 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Charakterisierung von gewebe mittels fluoreszenzemission
US12564439B2 (en) 2021-10-22 2026-03-03 Gyrus Acmi, Inc. Endoscope laser-triggered suction automatic on/off
DE102022126810A1 (de) * 2021-10-22 2023-04-27 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Laser-kombination mit in-vivo-ziel feedback-analyse
US11963665B2 (en) * 2021-10-27 2024-04-23 Olympus Medical Systems Corp. Endoscope and endoscope system
DE102021133193A1 (de) 2021-12-15 2023-06-15 Albert-Ludwigs-Universität Freiburg Robotersystem für die Wundreinigung
CN116649892A (zh) * 2022-02-25 2023-08-29 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) 用于光谱信号检测的系统和方法
CN118900661A (zh) * 2022-03-22 2024-11-05 富士胶片株式会社 内窥镜管路的状态判定方法、内窥镜管路的状态判定装置及内窥镜清洗消毒装置
CN114792927A (zh) * 2022-04-15 2022-07-26 深圳市雷迈科技有限公司 一种多波长激光系统
CN115813510A (zh) * 2022-12-22 2023-03-21 新光维医疗科技(苏州)股份有限公司 具有膨腔、刨削及吸引功能的手术系统及控制方法
CN116077810B (zh) * 2023-04-11 2023-07-11 深圳核心医疗科技股份有限公司 冲洗装置的控制方法及装置
CN116491885A (zh) * 2023-04-28 2023-07-28 浙江医高医疗科技有限公司 内窥镜以及内窥镜压力温度控制系统
US12127804B1 (en) * 2023-04-29 2024-10-29 Syncrobotix, Inc. Simplified highly maneuverable surgical catheter and bronchoscope
US12127805B1 (en) * 2023-04-29 2024-10-29 Syncrobotix, Inc. Highly maneuverable surgical catheter and drive system
EP4620410A4 (en) * 2023-06-16 2026-03-04 Zhejiang Yigao Medical Tech Co Ltd METHOD FOR MAINTAINING PRESSURE AND REGULATING TEMPERATURE FOR IRRIGATION AND SUCTION SYSTEMS
CN116725659A (zh) * 2023-07-11 2023-09-12 锋迈(厦门)半导体科技有限公司 一种半导体的激光手术系统
CN117547339B (zh) * 2023-10-26 2024-11-29 邦士医疗科技股份有限公司 一种刨削腔内可恒压控制的手术动力装置及控制方法
CN121359953A (zh) * 2024-07-19 2026-01-20 蓝帆外科器械有限公司 医用水刀系统
CN120324068B (zh) * 2025-06-12 2025-08-29 浙江归创医疗科技有限公司 一种医用脉冲式血栓清除系统及方法

Family Cites Families (106)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3169553D1 (en) * 1980-09-22 1985-05-02 Olympus Optical Co A laser device for an endoscope
JPS5971736A (ja) * 1982-07-30 1984-04-23 オリンパス光学工業株式会社 内視鏡用測長装置
US4971034A (en) 1985-01-16 1990-11-20 Asahi Kogaku Kogyo Kabushiki Kaisha Body cavity pressure adjusting device for endoscope and laser medical treatment apparatus including body cavity pressure adjusting device
US4887600A (en) * 1986-04-22 1989-12-19 The General Hospital Corporation Use of lasers to break down objects
DE3902943A1 (de) * 1989-02-01 1990-08-09 Wolf Gmbh Richard Vorrichtung zum ein- und ausbringen von fluessigkeiten in bzw. aus koerper-hohlorganen
JPH03207371A (ja) 1990-01-10 1991-09-10 Olympus Optical Co Ltd 溶解治療装置
JP3110642B2 (ja) * 1995-01-30 2000-11-20 三菱電線工業株式会社 寸法計測機能付き内視鏡
US5860972A (en) 1995-10-26 1999-01-19 Xintec Corporation Method of detection and destruction of urinary calculi and similar structures
US5830176A (en) 1995-12-26 1998-11-03 Mackool; Richard J. Maintenance of pressure within a surgical site during a surgical procedure
US5836909A (en) * 1996-09-13 1998-11-17 Cosmescu; Ioan Automatic fluid control system for use in open and laparoscopic laser surgery and electrosurgery and method therefor
US5785702A (en) 1996-10-15 1998-07-28 Eclipse Surgical Technologies, Inc. Method for non-synchronous laser-assisted transmyocardial revascularization
US5931834A (en) 1996-10-15 1999-08-03 Eclipse Surgical Technologies, Inc. Method for non-synchronous laser-assisted myocardial revascularization
US6527716B1 (en) 1997-12-30 2003-03-04 Altea Technologies, Inc. Microporation of tissue for delivery of bioactive agents
US6156049A (en) 1997-04-11 2000-12-05 Coherent Inc. Method and apparatus for transurethral resection of the prostate
DE19840346C2 (de) * 1998-09-04 2000-09-07 Med Laserzentrum Luebeck Gmbh Verfahren und Einrichtung zur Diagnose und Überwachung der Übertragungsgüte eines faseroptischen Systems
CN1249162A (zh) 1998-09-25 2000-04-05 中国科学院西安光学精密机械研究所 一种识别结石和人体组织的安全方法
US6514242B1 (en) * 1998-12-03 2003-02-04 David Vasily Method and apparatus for laser removal of hair
US6157661A (en) * 1999-05-12 2000-12-05 Laserphysics, Inc. System for producing a pulsed, varied and modulated laser output
US20040229295A1 (en) 1999-05-17 2004-11-18 Marchitto Kevin S. Activated delivery of biomolecules using electromagnetic energy
JP2001087304A (ja) * 1999-09-27 2001-04-03 Nidek Co Ltd レーザ治療装置
US7217266B2 (en) 2001-05-30 2007-05-15 Anderson R Rox Apparatus and method for laser treatment with spectroscopic feedback
JP2003210485A (ja) 2002-01-23 2003-07-29 Nidek Co Ltd レーザ治療装置
JP4421307B2 (ja) * 2004-01-09 2010-02-24 株式会社ニデック レーザ治療装置
US20060264995A1 (en) 2004-02-18 2006-11-23 Fanton Gary S Apparatus and methods for clearing obstructions from surgical cutting instruments
US7297137B2 (en) 2004-03-22 2007-11-20 Alcon, Inc. Method of detecting surgical events
JP4573555B2 (ja) 2004-03-30 2010-11-04 オリンパス株式会社 内視鏡外科手術システム
DE102004028361B3 (de) * 2004-06-11 2005-12-01 Erbe Elektromedizin Gmbh Spüleinrichtung und Verfahren zum Betrieb einer Spüleinrichtung
US8062214B2 (en) 2004-08-27 2011-11-22 Smith & Nephew, Inc. Tissue resecting system
EP1825802A4 (en) * 2004-12-15 2009-05-27 Olympus Medical Systems Corp GAS SUPPLY APPARATUS, CONTROL METHOD THEREFOR, GAS SUPPLY SYSTEM AND ENDOSCOPY SYSTEM
DE102005031125A1 (de) * 2005-07-04 2007-01-11 Siemens Ag Verfahren und Lithotripsieanlage zur Zerstörung eines Konkrements in einem Patienten
JP2007029603A (ja) * 2005-07-29 2007-02-08 Fujinon Corp 光診断治療装置
GR20050100452A (el) 2005-09-02 2007-04-25 Estelle Enterprises Limited Συστημα καθετηρα ανταλλαγης υγρων
US20070073279A1 (en) * 2005-09-29 2007-03-29 Alcon, Inc. Variable continuous wave laser
EP1991108B1 (en) 2006-03-03 2018-08-01 Cook Medical Technologies LLC Endoscopic apparatus having an improved catheter
JP2007244679A (ja) 2006-03-16 2007-09-27 Olympus Medical Systems Corp 内視鏡装置
US7510542B2 (en) 2006-12-20 2009-03-31 Linvatec Corporation Dual pump irrigation/aspiration system and method for determining joint pressure
US8591453B2 (en) 2006-12-20 2013-11-26 Linvatec Corporation Dual pump arthroscopic irrigation/aspiration system with outflow control
US20080300662A1 (en) 2007-06-01 2008-12-04 Spectranetics Custom Laser Sequences
JP5259141B2 (ja) * 2007-08-31 2013-08-07 オリンパスメディカルシステムズ株式会社 被検体内画像取得システム、被検体内画像処理方法および被検体内導入装置
US8280496B2 (en) 2007-12-13 2012-10-02 Boston Scientific Scimed, Inc. Extended spectral sensitivity endoscope system and method of using the same
JP5313523B2 (ja) * 2008-03-09 2013-10-09 邦男 粟津 結石診断・破砕装置および赤外波長可変レーザーを用いた結石診断・破砕方法
CN101273915B (zh) 2008-04-30 2010-11-03 爱科凯能科技(北京)有限公司 激光碎石装置
JP5165479B2 (ja) 2008-07-02 2013-03-21 オリンパスメディカルシステムズ株式会社 内視鏡洗浄消毒装置
US9289541B2 (en) 2008-08-22 2016-03-22 Medtronic, Inc. Surgical fluid management system
JP2010075314A (ja) * 2008-09-25 2010-04-08 Fujifilm Corp 不可視光照射装置、不可視光照射装置の制御方法
EP3443922B1 (en) * 2009-09-14 2020-07-29 Memorial Sloan-Kettering Cancer Center Apparatus and system for providing laser steering and focusing for incision, excision and ablation of tissue in minimally-invasive surgery
WO2011041629A2 (en) * 2009-10-02 2011-04-07 Cardiofocus, Inc. Cardiac ablation system with pulsed aiming light
US9060775B2 (en) 2009-10-09 2015-06-23 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US20140074076A1 (en) * 2009-10-12 2014-03-13 Kona Medical, Inc. Non-invasive autonomic nervous system modulation
US8665920B2 (en) * 2010-01-27 2014-03-04 Microvision, Inc. Method and apparatus for laser diode compensation
US9066658B2 (en) 2010-03-23 2015-06-30 Stryker Corporation Method and system for video based image detection/identification analysis for fluid and visualization control
US20120116168A1 (en) 2010-09-13 2012-05-10 Moellstam Anders Method and device for flushing during endoscopic surgery
US9622911B2 (en) * 2010-09-30 2017-04-18 Cxl Ophthalmics, Llc Ophthalmic treatment device, system, and method of use
US9737353B2 (en) * 2010-12-16 2017-08-22 Biosense Webster (Israel) Ltd. System for controlling tissue ablation using temperature sensors
WO2012135073A2 (en) * 2011-03-25 2012-10-04 Board Of Trustees Of Michigan State University Adaptive laser system for ophthalmic use
CN103429134B (zh) 2011-12-28 2015-12-09 奥林巴斯株式会社 体腔内压调整装置以及内窥镜系统
EP3308735B1 (en) 2012-04-12 2019-09-11 Boston Scientific Scimed, Inc. Laser lithotripsy systems
NL2009424C2 (en) * 2012-09-06 2014-03-10 D O R C Dutch Ophthalmic Res Ct International B V Irrigation/aspiration system, cartridge, pump unit, surgical machine, method for controlling.
US9968403B2 (en) * 2012-10-16 2018-05-15 Boston Scientific Scimed, Inc. Surgical laser system and laser fiber
US10617470B2 (en) 2012-10-16 2020-04-14 Boston Scientific Scimed, Inc. Laser ablation with electromagnetic energy feedback
US9119701B2 (en) 2012-10-22 2015-09-01 Alcon Research, Ltd. Pressure control in phacoemulsification system
WO2014092851A1 (en) 2012-12-11 2014-06-19 Alcon Research, Ltd. Phacoemulsification hand piece with integrated aspiration and irrigation pump
EP2967299B1 (en) 2013-03-15 2022-11-30 Stryker Corporation Endoscopic light source and imaging system
CN108720909A (zh) 2013-04-08 2018-11-02 波士顿科学医学有限公司 医疗系统与方法
US9549850B2 (en) 2013-04-26 2017-01-24 Novartis Ag Partial venting system for occlusion surge mitigation
US10265461B2 (en) 2013-08-29 2019-04-23 Motus Gi Medical Technologies Ltd. Colon cleaning system with automatic self-purging features
WO2015066294A1 (en) 2013-10-30 2015-05-07 Faculty Physicians And Surgeons Of Loma Linda University School Of Medicine Controlled pressure endoscopic and percutaneous surgery
JP5747368B1 (ja) 2013-11-08 2015-07-15 オリンパス株式会社 内視鏡リプロセス装置
US9282985B2 (en) 2013-11-11 2016-03-15 Gyrus Acmi, Inc. Aiming beam detection for safe laser lithotripsy
JP6002703B2 (ja) 2014-02-06 2016-10-05 富士フイルム株式会社 内視鏡用吸引管路切換装置及び内視鏡
WO2015155776A2 (en) * 2014-04-09 2015-10-15 Motus Gi Medical Technologies Ltd. Cleaning method for prepless colonoscopy
US9259231B2 (en) 2014-05-11 2016-02-16 Gyrus Acmi, Inc. Computer aided image-based enhanced intracorporeal lithotripsy
CA2943563C (en) 2014-05-22 2018-10-09 Alcon Inc. Technique for setting energy-related laser-pulse parameters
US10405924B2 (en) 2014-05-30 2019-09-10 The Spectranetics Corporation System and method of ablative cutting and vacuum aspiration through primary orifice and auxiliary side port
US10828051B2 (en) 2014-07-28 2020-11-10 Shaw P. Wan Suction evacuation device
JP2016043178A (ja) 2014-08-26 2016-04-04 グンゼ株式会社 陰圧治療装置
EP3200711A4 (en) 2014-09-30 2018-06-27 Shah, Kaushikkumar Vallabhadas A sheath assembly and mutihole catheter for different fields of endoscopic surgery involving suction, irrigation and material removal.
JP2018501833A (ja) * 2014-11-14 2018-01-25 ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. 手術レーザシステム及びレーザデバイス
WO2016089900A2 (en) * 2014-12-03 2016-06-09 Cardiofocus, Inc. System and method for visual confirmation of pulmonary vein isolation during ablation procedures
JP6540091B2 (ja) 2015-02-26 2019-07-10 株式会社ニデック 眼科用レーザ治療装置
CN107635452B (zh) * 2015-06-02 2019-09-13 奥林巴斯株式会社 特殊光内窥镜装置
WO2017074740A1 (en) 2015-10-27 2017-05-04 Visumedics, Inc. Laser system with pulse modulation and corresponding method of use
JP2017080348A (ja) 2015-10-30 2017-05-18 Hoya株式会社 光源装置
US11490990B2 (en) 2015-11-12 2022-11-08 Millennium Healtcare Technologies, Inc. Laser-assisted periodontics
US10258415B2 (en) 2016-01-29 2019-04-16 Boston Scientific Scimed, Inc. Medical user interfaces and related methods of use
US11273006B2 (en) 2016-01-29 2022-03-15 Millennium Healthcare Technologies, Inc. Laser-assisted periodontics
US10471159B1 (en) * 2016-02-12 2019-11-12 Masimo Corporation Diagnosis, removal, or mechanical damaging of tumor using plasmonic nanobubbles
CN114159013B (zh) 2016-03-15 2025-08-19 因特斯高普公司 用于组织移除的手术控制台、样本接收器和可插入式内窥镜器械
US10709472B2 (en) * 2016-09-13 2020-07-14 Biosense Webster (Israel) Ltd. Debrider with multiple flushing orifices
US10610092B2 (en) 2016-12-19 2020-04-07 Sharon A Hibbs Endoscope unblocking flush system
ES2937388T3 (es) 2017-05-12 2023-03-28 Convergent Dental Inc Sistema para el tratamiento preventivo del tejido duro dental con un láser
AU2018289271B2 (en) * 2017-06-19 2020-11-05 Boston Scientific Scimed, Inc. Automated fluid management system
US10478211B2 (en) 2017-07-07 2019-11-19 Ethicon Llc Features to promote removal of debris from within ultrasonic surgical instrument
CN111565657B (zh) 2017-08-21 2023-11-07 锐凌公司 关节镜装置和方法
CN107485746A (zh) 2017-08-28 2017-12-19 重庆天如生物科技有限公司 新型灌注抽吸系统
CN109893209B (zh) 2017-11-17 2022-11-15 吉鲁斯·阿克米有限责任公司 涂布的内窥镜检查探针
WO2019157409A1 (en) 2018-02-09 2019-08-15 Performance Athlytics Portable hydration monitoring device and methods
EP4516203A3 (en) 2018-02-09 2025-05-14 Gyrus ACMI, Inc. D.B.A. Olympus Surgical Technologies America Medical laser apparatus and system
KR20190103589A (ko) * 2018-02-28 2019-09-05 서울대학교병원 방광 연속관류 제어 시스템
WO2019178180A1 (en) 2018-03-13 2019-09-19 Meditrina, Inc. Endoscope and method of use
JP7503504B2 (ja) * 2018-06-08 2024-06-20 クアンタ システム ソチエタ ペル アチオーニ 皮膚表面温度の測定を介してプレコンディショニングと光熱標的治療の自動トリガリングとをインテグレートした光熱標的治療システム及び関連方法
JP2021533895A (ja) 2018-08-16 2021-12-09 モータス ジーアイ メディカル テクノロジーズ リミテッド 統合型内視鏡クレンジングシステム
US11389239B2 (en) 2019-04-19 2022-07-19 Elios Vision, Inc. Enhanced fiber probes for ELT
CA3169405A1 (en) * 2020-01-30 2021-08-05 Boston Scientific Scimed, Inc. Fluid management system and method for controlling intracavity pressure
JP7498287B2 (ja) 2020-02-27 2024-06-11 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 内視鏡詰まり解消システムおよび方法

Also Published As

Publication number Publication date
KR20210003088A (ko) 2021-01-11
JP2026031593A (ja) 2026-02-24
US20210045812A1 (en) 2021-02-18
WO2019157406A1 (en) 2019-08-15
WO2019157247A9 (en) 2020-04-09
AU2019217992A1 (en) 2020-09-10
US12016626B2 (en) 2024-06-25
JP7374911B2 (ja) 2023-11-07
AU2019217992B2 (en) 2024-06-13
DE112021001396T5 (de) 2022-12-15
EP3749242A1 (en) 2020-12-16
EP3749167B1 (en) 2024-11-13
WO2019157406A9 (en) 2020-05-14
JP2023115167A (ja) 2023-08-18
JP7524336B2 (ja) 2024-07-29
WO2019157247A1 (en) 2019-08-15
US20200405130A9 (en) 2020-12-31
US12414820B2 (en) 2025-09-16
KR20200143673A (ko) 2020-12-24
KR102731868B1 (ko) 2024-11-19
CN111683617B (zh) 2024-06-14
US12059204B2 (en) 2024-08-13
CA3169535A1 (en) 2021-09-02
CN111683580B (zh) 2024-12-17
JP2025137525A (ja) 2025-09-19
CN111683617A (zh) 2020-09-18
US20240252245A1 (en) 2024-08-01
CN111683580A (zh) 2020-09-18
MX2020008318A (es) 2021-01-29
WO2021173791A1 (en) 2021-09-02
US20240261026A1 (en) 2024-08-08
US20240299093A1 (en) 2024-09-12
EP3749167A4 (en) 2021-12-22
JP2021512721A (ja) 2021-05-20
US20250288354A1 (en) 2025-09-18
AU2019216954B2 (en) 2024-02-08
AU2019216954A1 (en) 2020-09-10
JP2021513407A (ja) 2021-05-27
EP4516203A3 (en) 2025-05-14
US20200187768A1 (en) 2020-06-18
JP2025081450A (ja) 2025-05-27
EP3749242A4 (en) 2021-11-03
JP2023515207A (ja) 2023-04-12
CN118593117A (zh) 2024-09-06
CN115175626A (zh) 2022-10-11
US12023096B2 (en) 2024-07-02
US20250331920A1 (en) 2025-10-30
BR112020016161A2 (pt) 2021-01-19
KR102712427B1 (ko) 2024-10-02
JP2024073644A (ja) 2024-05-29
JP7460526B2 (ja) 2024-04-02
EP3749167A1 (en) 2020-12-16
EP4516203A2 (en) 2025-03-05
JP7783354B2 (ja) 2025-12-09
US20200187761A1 (en) 2020-06-18
JP2024138006A (ja) 2024-10-07
US12369979B2 (en) 2025-07-29
US20210045811A1 (en) 2021-02-18
BR112020016159A2 (pt) 2021-01-19
CN119606285A (zh) 2025-03-14

Similar Documents

Publication Publication Date Title
EP4516203A3 (en) Medical laser apparatus and system
BR112018010708A2 (pt) fibra óptica tendo afunilamento proximal para iluminação cirúrgica oftálmica
MX2023009772A (es) Sistemas y metodos para cirugia laser ocular y tratamientos terapeuticos.
MX2021002695A (es) Administracion de salidas monopolares simultaneas usando ciclo de trabajo y sincronizacion.
BR112022002321A2 (pt) Dispositivo de ablação de tecido a laser e método de ablação de um tecido
AR086028A1 (es) Instrumento microquirurgico iluminado que incluye fibra optica con cara de extremo biselada
WO2020016870A3 (en) Safety logic for surgical suturing systems
EP4480460A3 (en) Apparatus for photothermal ophthalmic treatment
IL308110A (en) Direct selective laser trabeculoplasty
WO2016187475A8 (en) Multispectral light source
WO2015130821A3 (en) Illuminated treatment probe for delivering laser energy
BRPI0908386B8 (pt) dispositivo para o tratamento de uma patologia ocular através da aplicação de ultrassom focal de alta intensidade
EP4483884A3 (en) Systems for monitoring cross-linking activity for corneal treatments
BR112017021162A2 (pt) aparelho cirúrgico oftalmológico
BR112017028369A2 (pt) instrumento cirúrgico com algoritmos adaptáveis ao usuário
WO2005016118A3 (en) Coaxial illuminated laser endoscopic probe and active numerical aperture control
AR085081A1 (es) Endosonda quirurgica combinada para tomografia de coherencia optica, iluminacion o fotocoagulacion
BR112014015116A2 (pt) procedimentos de imageamento tomográfico de coerência óptica intracirúrgico de catarata
EP4424285A3 (en) Systems for affecting the biomechanical properties of connective tissue
BR112014015086A2 (pt) processador de imagem para imageamento tomográfico de coerência óptica intracirúrgico de procedimentos de catarata a laser
MX377289B (es) Sistema láser para el tratamiento selectivo del acné.
WO2017222274A3 (ko) 라인레이저가 장착된 엔드이펙터
BRPI0508699A (pt) método para estabilizar uma quantidade de energia de laser liberada a um alvo por um dispositivo gerador de laser, e, método e sistema para executar um procedimento de cirurgia de olho a laser
ATE405976T1 (de) Diodenlaseranordnung und strahlformungseinheit dafür
EP4420643A3 (en) System for synchronized three-dimensional laser incisions