WO1996032895A3 - Method and apparatus for manipulating, cutting, ablating and coagulating targeted tissue within a patient - Google Patents

Method and apparatus for manipulating, cutting, ablating and coagulating targeted tissue within a patient Download PDF

Info

Publication number
WO1996032895A3
WO1996032895A3 PCT/US1996/004554 US9604554W WO9632895A3 WO 1996032895 A3 WO1996032895 A3 WO 1996032895A3 US 9604554 W US9604554 W US 9604554W WO 9632895 A3 WO9632895 A3 WO 9632895A3
Authority
WO
WIPO (PCT)
Prior art keywords
aspiration
targeted tissue
patient
optical fiber
aperture
Prior art date
Application number
PCT/US1996/004554
Other languages
French (fr)
Other versions
WO1996032895A2 (en
Inventor
Nubar Manoukian
Tim Soltis
Michael Hmelar
Mark Mathis
Original Assignee
Coherent Inc
Nubar Manoukian
Tim Soltis
Michael Hmelar
Mark Mathis
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 Coherent Inc, Nubar Manoukian, Tim Soltis, Michael Hmelar, Mark Mathis filed Critical Coherent Inc
Publication of WO1996032895A2 publication Critical patent/WO1996032895A2/en
Publication of WO1996032895A3 publication Critical patent/WO1996032895A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical 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
    • A61B18/22—Surgical 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical 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
    • A61B18/22—Surgical 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
    • A61B18/24—Surgical 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical 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
    • A61B18/22—Surgical 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
    • A61B18/26—Surgical 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/00802—Methods or devices for eye surgery using laser for photoablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547—Prostate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/0087—Lens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00885—Methods or devices for eye surgery using laser for treating a particular disease
    • A61F2009/00887—Cataract
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/00821—Methods or devices for eye surgery using laser for coagulation

Abstract

A probe device for removing targeted tissue from within a patient includes a probe assembly, a laser system, and a vacuum source. The probe assembly includes an elongated probe tube forming an aspiration channel therein, and an aspiration aperture near one end. An aspiration port is formed near the other end of the probe tube. An optical fiber is attached to the probe tube and terminates proximate to the aspiration aperture. The aspiration port is connected to a vacuum source whereby targeted tissue in the patient is drawn to the aspiration aperture. The optical fiber is connected to an infrared laser system such that the laser energy is directed out of the optical fiber into an area in and immediately above the aspiration aperture. The laser energy cuts and/or ablates the targeted tissue, which is immediately aspirated into the aspiration aperture and out of the patient through the aspiration channel. The infrared laser system creates moving vapor bubbles at the delivery end of the optical fiber to enhance the rate of ablation and aspiration of the targeted tissue.
PCT/US1996/004554 1995-04-17 1996-04-03 Method and apparatus for manipulating, cutting, ablating and coagulating targeted tissue within a patient WO1996032895A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US42282095A 1995-04-17 1995-04-17
US08/422,820 1995-04-17

Publications (2)

Publication Number Publication Date
WO1996032895A2 WO1996032895A2 (en) 1996-10-24
WO1996032895A3 true WO1996032895A3 (en) 1997-01-09

Family

ID=23676538

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1996/004554 WO1996032895A2 (en) 1995-04-17 1996-04-03 Method and apparatus for manipulating, cutting, ablating and coagulating targeted tissue within a patient

Country Status (1)

Country Link
WO (1) WO1996032895A2 (en)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6024751A (en) * 1997-04-11 2000-02-15 Coherent Inc. Method and apparatus for transurethral resection of the prostate
US6156049A (en) * 1997-04-11 2000-12-05 Coherent Inc. Method and apparatus for transurethral resection of the prostate
US6120498A (en) * 1998-03-05 2000-09-19 Jani; Mahendra G. Aspirating handpieces for laser surgical operations
AU3700700A (en) 1999-02-19 2000-09-04 Scimed Life Systems, Inc. Laser lithotripsy device with suction
AT410055B (en) * 1999-08-31 2003-01-27 Austrian Laser Produktion Und LASER SCALPEL
US6517531B2 (en) * 2001-04-27 2003-02-11 Scimed Life Systems, Inc. Medical suction device
US9393033B2 (en) 2011-11-23 2016-07-19 Boston Scientific Scimed, Inc. Tissue and stone removal device and related methods of use
US10099027B2 (en) 2014-01-24 2018-10-16 Cole Research & Design Oral suction device
JP2016150229A (en) * 2015-02-19 2016-08-22 山科精器株式会社 Catheter for endoscope
EP3911397A4 (en) 2019-01-18 2022-10-26 IPG Photonics Corporation Ergonomic steering handle

Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4055167A (en) * 1976-04-23 1977-10-25 Bernstein Dell L Curettement device
US4627436A (en) * 1984-03-01 1986-12-09 Innoventions Biomedical Inc. Angioplasty catheter and method for use thereof
US4694828A (en) * 1986-04-21 1987-09-22 Eichenbaum Daniel M Laser system for intraocular tissue removal
EP0248520A1 (en) * 1986-04-24 1987-12-09 Eye Research Institute Of Retina Foundation Endophotocoagulation probe
WO1989003202A2 (en) * 1987-10-14 1989-04-20 Schneider Richard T Method and apparatus for laser emulsification
EP0342448A1 (en) * 1988-05-17 1989-11-23 Sumitomo Bakelite Company Limited A horn used in an ultrasonic surgical operating instrument
DE3822011A1 (en) * 1988-06-30 1990-01-11 Geuder Hans Gmbh OpHthalmic surgical instrument for aspirating lens residues and laser phacocataract system with two such instruments
US4963142A (en) * 1988-10-28 1990-10-16 Hanspeter Loertscher Apparatus for endolaser microsurgery
WO1991005332A1 (en) * 1989-10-07 1991-04-18 Laser-Medizin-Zentrum Gmbh Berlin Process and device for generating laser-induced shock wave
WO1991006271A1 (en) * 1989-10-25 1991-05-16 Jack Murray Dodick Surgical instrument with input power transducer
WO1993001756A1 (en) * 1991-07-24 1993-02-04 L'esperance Medical Technologies, Inc. Apparatus for removing cataractous-lens tissue
US5241990A (en) * 1992-07-10 1993-09-07 Inlet Medical, Inc. Irrigation/aspiration valve and probe for laparoscopy
US5246436A (en) * 1991-12-18 1993-09-21 Alcon Surgical, Inc. Midinfrared laser tissue ablater

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4055167A (en) * 1976-04-23 1977-10-25 Bernstein Dell L Curettement device
US4627436A (en) * 1984-03-01 1986-12-09 Innoventions Biomedical Inc. Angioplasty catheter and method for use thereof
US4694828A (en) * 1986-04-21 1987-09-22 Eichenbaum Daniel M Laser system for intraocular tissue removal
EP0248520A1 (en) * 1986-04-24 1987-12-09 Eye Research Institute Of Retina Foundation Endophotocoagulation probe
WO1989003202A2 (en) * 1987-10-14 1989-04-20 Schneider Richard T Method and apparatus for laser emulsification
EP0342448A1 (en) * 1988-05-17 1989-11-23 Sumitomo Bakelite Company Limited A horn used in an ultrasonic surgical operating instrument
DE3822011A1 (en) * 1988-06-30 1990-01-11 Geuder Hans Gmbh OpHthalmic surgical instrument for aspirating lens residues and laser phacocataract system with two such instruments
US4963142A (en) * 1988-10-28 1990-10-16 Hanspeter Loertscher Apparatus for endolaser microsurgery
WO1991005332A1 (en) * 1989-10-07 1991-04-18 Laser-Medizin-Zentrum Gmbh Berlin Process and device for generating laser-induced shock wave
WO1991006271A1 (en) * 1989-10-25 1991-05-16 Jack Murray Dodick Surgical instrument with input power transducer
WO1993001756A1 (en) * 1991-07-24 1993-02-04 L'esperance Medical Technologies, Inc. Apparatus for removing cataractous-lens tissue
US5246436A (en) * 1991-12-18 1993-09-21 Alcon Surgical, Inc. Midinfrared laser tissue ablater
US5241990A (en) * 1992-07-10 1993-09-07 Inlet Medical, Inc. Irrigation/aspiration valve and probe for laparoscopy

Also Published As

Publication number Publication date
WO1996032895A2 (en) 1996-10-24

Similar Documents

Publication Publication Date Title
US5246436A (en) Midinfrared laser tissue ablater
CA2067776C (en) Surgical instrument with input power transducer
US4683884A (en) Noise attenuating smokeless surgical device
US6254597B1 (en) Tissue remover and method
US5868722A (en) Smoke evacuation apparatus
US4562838A (en) Electrosurgery instrument
US4985027A (en) Soft tissue aspiration device and method
US5431650A (en) Vortex hand piece shroud for automatic smoke evacuator system for a surgical laser apparatus and method therefor
US20020103485A1 (en) Electrosurgical pencil with a smoke evacuating blade
JP4217624B2 (en) Apparatus and method for performing ophthalmic surgery
US6027493A (en) Device and method for the removal of body substances
US20020019631A1 (en) Electro-surgical pencil with smoke evacuation
US6383179B1 (en) Diode laser scalpel
US20020087150A1 (en) Device and method for removing gas and debris during the photodisruption of stromal tissue
US20080208105A1 (en) Laser energy device for soft tissue removal
FI892607A0 (en) FRAGMENTATION AV VAEVNADEN OCH / ELLER HAEMNING AV BLODFLOEDET.
CA2391917A1 (en) Methods and apparatus for removing veins
AU7356391A (en) Gas coagulation device
ATE173144T1 (en) DEVICE FOR REMOVAL OF LENS OPACITY TISSUE
US20010012922A1 (en) Protective sheath and method for ultrasonic probes
WO1996032895A3 (en) Method and apparatus for manipulating, cutting, ablating and coagulating targeted tissue within a patient
WO2004058328A3 (en) Device and method for delivery of long wavelength laser energy to a tissue site
KR890014066A (en) Tissue Ablation Apparatus Using Laser Technology
CA2529014C (en) Interchangeable tissue macerating and sculpting methods and devices
US5267996A (en) Laser surgery aspiration apparatus and technique

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): JP US

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): AT BE CH DE DK ES FI FR GB GR IE IT LU MC NL PT SE

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
AK Designated states

Kind code of ref document: A3

Designated state(s): JP US

AL Designated countries for regional patents

Kind code of ref document: A3

Designated state(s): AT BE CH DE DK ES FI FR GB GR IE IT LU MC NL PT SE

121 Ep: the epo has been informed by wipo that ep was designated in this application
122 Ep: pct application non-entry in european phase