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    • 62. 发明授权
    • Medical energy irradiation apparatus
    • 医疗能量照射装置
    • US07022118B2
    • 2006-04-04
    • US10180291
    • 2002-06-27
    • Shigeki AriuraAkira SakaguchiShin Maki
    • Shigeki AriuraAkira SakaguchiShin Maki
    • A61B18/20
    • A61B1/00091A61B1/126A61B1/127A61B18/201A61B18/22A61B90/70A61B2017/00274A61B2018/00011A61B2018/00547A61B2018/00982A61B2018/208A61B2018/2283A61B2090/3937A61B2090/701G02B23/2476
    • To provide a medical energy irradiation apparatus which permits easy and accurate establishment of a site of tissues of a living body targeted for irradiation with energy, when doctors use the medical energy irradiation apparatus to perform a cure for a prostatic hyperplasia or the like. The doctors insert an applicator 110 of the medical energy irradiation apparatus to an urinary bladder 161 and fix an endoscope 135 near to an entrance of an urethra. In this arrangement, when observing with the endoscope (135), a seminal colliculas 144 observed through a side-observation window 130 is observed toward a lower part of an observed image (schematic diagram) displayed on a display unit, and a positioning marker 140 in an interior of the applicator is observed toward an upper part of an observed image. The doctors can accurately determine a position to be irradiated with laser light from positions of the seminal colliculas 144 and the positioning marker 140 observed, and a direction of irradiation with laser light from a position of a direction marker 142, respectively.
    • 为了提供医疗能量照射装置,其能够容易且准确地建立目标为能量照射的生物体的组织部位,医生使用医疗用能量照射装置进行前列腺增生等的治愈时。 医生将医疗能量照射装置的施用器110插入到膀胱161中,并将内窥镜135固定在尿道入口附近。 在这种布置中,当利用内窥镜(135)观察时,朝向显示在显示单元上的观察图像(示意图)的下部观察通过侧观察窗130观察到的精液菌落144,并且定位标记器140 在观察图像的上部观察到施用器的内部。 医生可以准确地确定从被观察到的精液菌落144和定位标记物140的位置用激光照射的位置,以及分别从方向标记物142的位置照射激光的方向。
    • 65. 发明授权
    • Laser irradiation device and method for therapy of prostate gland by use thereof
    • 激光照射装置及其使用的前列腺治疗方法
    • US06520959B1
    • 2003-02-18
    • US09282458
    • 1999-03-31
    • Shigenobu IwahashiShigeki AriuraShin Maki
    • Shigenobu IwahashiShigeki AriuraShin Maki
    • A61B1818
    • A61N5/0601A61B2018/208A61B2018/2272
    • This invention concerns a lateral-irradiation type laser irradiation device which is capable of effectively irradiating a target site, particularly at a considerable deth, with a laser beam while infallibly and easily preventing normal tissue from injury/and a method for curing prostate gland by the use of the laser irradiation device. The laser irradiating device 1 moves either or both of the laser probes 3, 4 having the reflecting mirrors 32, 42 provided at the distal end parts of the optical fibers 31, 41 in the longitudinal direction of the sheath 2 so as to alter the interval between the reflecting mirrors 32, 42 and move the position at which the reflected laser beams are concentrated (condensed), namely the target position 5 moves, in the direction perpendicular to the longitudinal axis of the sheath 2. The method for the therapy of the prostate gland which comprises inserting the laser probes 3, 4 through the urogenital canal, suitably moving the target position 5 at which the laser beams are concentrated, irradiating the ailing site with the laser beams, and curing the ailing site by degeneration or necrosis.
    • 本发明涉及一种横向照射型激光照射装置,其能够以不可靠且容易地防止正常组织受伤的方式有效地用激光束照射目标部位,特别是相当大的deth,以及通过所述激光照射装置固定前列腺的方法 使用激光照射装置。激光照射装置1使具有设置在光纤31,41的远端部的反射镜32,42的激光探针3,4中的任一个或两个沿护套的纵向移动 2,以便改变反射镜32和42之间的间隔,并且移动反射的激光束在垂直于护套2的纵向轴线的方向上集中(冷凝)的位置,即目标位置5移动的位置。 用于治疗前列腺的方法,其包括将激光探针3,4穿过泌尿生殖道,适当地移动目标位置5,在该位置处, 塞子束集中,用激光束照射困难部位,并通过退化或坏死来治愈困难部位。
    • 67. 发明授权
    • Laser device with auto-piercing tip for myocardial revascularization
procedures
    • 具有自动穿刺尖端的激光装置用于心肌血运重建手术
    • US6152918A
    • 2000-11-28
    • US58387
    • 1998-04-09
    • Henry N. PadillaRichard L. MuellerStuart D. Harman
    • Henry N. PadillaRichard L. MuellerStuart D. Harman
    • A61B1/018A61B1/267A61B1/313A61B17/00A61B17/22A61B17/34A61B18/20A61B18/22A61B18/24A61B19/00A61B18/18
    • A61B17/3403A61B18/22A61B18/24A61B2017/00172A61B2017/00247A61B2017/22074A61B2017/22075A61B2017/22077A61B2018/00291A61B2018/00392A61B2018/208A61B90/37
    • The apparatus for combined mechanical/laser myocardial revascularization of a human heart includes: inserting a mechanical piercing device and an elongated flexible lasing apparatus into the chest cavity of a patient; mechanically auto-piercing, micro-tearing or spreading the epicardium of the heart; and then lasing from beneath the epicardium through the myocardium. The apparatus is guided to an area exterior to a ventricle of the patient's heart, and the distal end of the energy delivery device such as an optical fiber apparatus is placed internal to the exterior wall of the heart through an opening which has been created by mechanically piercing, micro-tearing or spreading the epicardium, so that the myocardium and not the epicardium is irradiated with laser energy to allow passage of said energy delivery device such as an optical fiber distal end or said laser energy into the left ventricular cavity without causing a laser irradiation of the epicardium which might be a cause of operative bleeding and for better allowing the sealing of the epicardium after the apparatus is removed. The apparatus includes a hand-held device controllable by the physician having a removable distal head portion with an auto-piercing mechanism and can use a vacuum source to provide a suction force at the head portion. The auto-piercing mechanism is implemented by various ways such as a spring-biased actuating member in the TMR hand-held device and an electro-mechanical operated piercing mechanism. The hand-held TMR device with handle assembly can also be controlled by a computer to provide auto- sequencing of the auto-piercing needle mechanism and the laser firing with auto-fiber advancement.
    • 用于人体心脏联合机械/激光心肌血运重建的装置包括:将机械刺穿装置和细长的柔性激光装置插入患者的胸腔中; 机械自动穿刺,微撕裂或散布心脏的心外膜; 然后通过心肌从心外膜下射出。 该装置被引导到患者心脏的心室的外部区域,并且诸如光纤装置的能量输送装置的远端通过已经通过机械产生的开口放置在心脏的外壁内部 穿透,微裂或扩散心外膜,使得心肌而不是心外膜被激光能量照射,以允许所述能量输送装置如光纤远端或所述激光能量通过到左心室,而不引起 心外膜的激光照射可能是手术出血的原因,并且在移除装置之后更好地允许密封心包膜。 该装置包括由医师控制的手持式装置,其具有带有自动穿孔机构的可拆卸远端头部,并且可以使用真空源在头部提供吸力。 自动穿孔机构通过各种方式实现,例如TMR手持装置中的弹簧偏压致动构件和机电操作的穿孔机构。 具有手柄组件的手持式TMR装置还可以由计算机控制,以提供自动穿刺针机构的自动排序和使用自动纤维前进的激光烧制。
    • 68. 发明授权
    • Laser beam ophthalmological surgery method and apparatus
    • 激光束眼科手术方法及装置
    • US5480396A
    • 1996-01-02
    • US352357
    • 1994-12-09
    • Gabriel SimonCheng-Hao Huang
    • Gabriel SimonCheng-Hao Huang
    • A61B18/20A61B17/00A61F9/007A61F9/01A61N5/06A61B17/36
    • A61F9/008A61F9/00804A61B2017/00199A61B2018/208A61B2018/2085A61B2018/2095A61F2009/00844A61F2009/00872A61F2009/00897
    • A laser beam ophthalmological surgery method includes the steps of generating a laser beam and splitting the generated laser beam into multiple laser beams which are simultaneously focused onto a plurality of scanners. Each scanner in turn produces a predetermined scanning pattern focused on the cornea of a patient's eye to ablate the cornea tissue and with at least two beams simultaneously scanning and ablating the cornea tissue. Scanning is controlled from a central processing unit to perform the surgical procedure, removing a laser thickness of the cornea tissue to provide a safer and more predictable surgical procedure in the reshaping of the cornea. A laser ophthalmological surgery apparatus is provided which includes a laser generating a laser beam, a beam splitter for splitting the laser beam into a plurality of laser beams, and a plurality of scanners, each positioned for receiving one of the laser beams from the beam splitter and producing a predetermined scanning pattern from the laser beam and impinging the scanning pattern upon the cornea of a patient's eye.
    • 激光束眼科手术方法包括以下步骤:产生激光束并将生成的激光束分成多个同时聚焦到多个扫描仪上的激光束。 每个扫描器又产生聚焦在患者眼睛的角膜上的预定扫描图案,以消融角膜组织,并且至少两个光束同时扫描和消融角膜组织。 从中央处理单元控制扫描以执行外科手术,去除角膜组织的激光厚度,以在角膜重塑中提供更安全和更可预测的外科手术。 提供了一种激光眼科手术装置,其包括产生激光束的激光,用于将激光束分成多个激光束的分束器,以及多个扫描器,每个扫描器定位成用于接收来自分束器 并从激光束产生预定的扫描图案,并将扫描图案照射在患者眼睛的角膜上。