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EP1116476A2 Expired / Lapsed EP ⏱️ 0.0 years remaining

Apparatus using a laser lucent needle

Assignee: Indigo Medical Inc
•
Filing: 1992-03-24
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Granted: —
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Expires: 2012-03-24
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Abstract

Abstract The present invention relates to apparatus for laser-induced hyperthermis or photodynamic therepy, more particularly to an apparatus combining an optical fiber with a laser lucent needle. As is well known, lasers produce an intense beam of electromagnetic radiation of high spectral purity which can be collimated to a fine degres with high radiation densities, small angular divergences, and long coherence length. Such properties make lasers particularly attractive for a variety of medical uses. The use of lasers to induce hyperthermia in tissue involves the insertion of an optical fiber into tissue. Without any additional protection, the fiber must be able to withstand insertion and withdrawal forces without fracturing or shedding material. Any accident during hyperthermia which leaves behind material which may not be easily retrieved could be disastrous.

Inventors

  • 👤 Richard L. Conn
  • 👤 Thomas Robert Loree
  • 👤 Irving Joseph Bigio
  • 👤 Karlheinz Strobl

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-11-09 16:16
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/18; A61B18/20; A61B18/22; A61N; A61N5/00; A61N5/06; A61N5/0601; A61N5/0613; A61N5/062; A61N5/067; A61B17/00; A61B17/22; A61B2017/22072; A61B2017/22082; A61B2017/22087; A61B2018/00005; A61B2018/00011; A61B2018/2005; A61B2018/2255; A61B2018/2261; A61B2018/2266; A61B2018/2272

Claims Analysis

Total Claims: 27
Claim 1
Independent Claim 96 words
Apparatus for the transmission of laser energy to tissue, comprising: a hollow, laser light lucent needle having a shaft and a tip, and adapted to transmit laser energy at least along a substantial portion of the length of the shaft and the tip; and at least one optical fiber disposed within the needle and extending into a penetrating portion of the needle, the fiber being adapted to transmit laser energy from its end adjacent said penetrating portion; the needle having a configuration such that its interior surface is spaced from the exterior surface of the fiber.
Claim 2
Dependent Claim 17 words
The apparatus of claim 1 including a spacer formed to axially support the fiber within the needle.
Claim 3
Dependent Claim 17 words
The apparatus of claim 2 wherein the end of the penetrating portion of the needle is tapered.
Claim 4
Dependent Claim 17 words
The apparatus of claim 1 wherein the end of the penetrating portion of the needle is closed.
Claim 5
Dependent Claim 22 words
The apparatus of claim 4 wherein the energy transmitting end of the fiber is spaced from the closed end of the needle.
Claim 6
Dependent Claim 17 words
The apparatus of claim 1 wherein the end of the penetrating portion of the needle is open.
Claim 7
Dependent Claim 21 words
The apparatus of claim 6 including a solid stylus in said needle slidably close-fit to the interior surface of the needle.
Claim 8
Dependent Claim 29 words
The apparatus of claim 1 wherein the fiber includes a diffusing tip at its energy transmitting end, the tip being adapted to diffuse the energy transmitted from the fiber.
Claim 9
Dependent Claim 27 words
The apparatus of claim 1 further comprising a scatterer positioned adjacent the closed end of the needle, and adapted to diffuse the energy transmitted from the fiber.
Claim 10
Dependent Claim 10 words
The apparatus of claim 2 wherein the scatterer is spherical.
Claim 11
Dependent Claim 11 words
The apparatus of claim 9 wherein the scatterer is a reflector.
Claim 12
Dependent Claim 30 words
The apparatus of claim 2 wherein the spacer is a scatterer positioned adjacent to the closed end of the needle, and adapted to diffuse the energy transmitted from the fiber.
Claim 13
Dependent Claim 26 words
The apparatus of claim 4 wherein the closed end of the needle further includes refractive scattering material adapted to diffuse the energy transmitted from the fiber.
Claim 14
Dependent Claim 36 words
The apparatus of claim 4 wherein the needle further includes refractive scattering material positioned within the walls and closed end of the needle, the refractive material being adapted to diffuse the energy transmitted from the fiber.
Claim 15
Dependent Claim 28 words
The apparatus of claim 1 wherein the fiber includes a lens at its energy transmitting end, the lens being adapted to diffuse the energy transmitted from the fiber.
Claim 16
Dependent Claim 10 words
The apparatus of claim 15 wherein the lens is spherical.
Claim 17
Dependent Claim 13 words
The apparatus of claim 15 wherein the lens is a high-refractive-index negative lens.
Claim 18
Dependent Claim 13 words
The apparatus of claim 4 further comprising a liquid disposed within the needle.
Claim 19
Dependent Claim 12 words
The apparatus of claim 18 wherein the liquid is a fluorescent dye.
Claim 20
Dependent Claim 48 words
The apparatus of claim 18 further comprising a second hollow, transparent needle adapted to transmit laser energy; the second needle being shaped such that first needle is receivable within its interior with the interior surface of the second needle spaced from the exterior surface of the first needle.
Claim 21
Dependent Claim 31 words
The apparatus of claim 4 further comprising an energy converter positioned adjacent the closed end of the needle, and adapted to convert the wavelength of the energy transmitted from the fiber.
Claim 22
Dependent Claim 38 words
The apparatus of claim 4 wherein the needle further includes wavelength-converting material positioned within the walls and closed end of the needle, the converting material being adapted to convert the wavelength of the energy transmitted from the fiber.
Claim 23
Independent Claim 52 words
A method for treating benign prostate hypertrophy comprising inserting at least one optical fiber into a lobe of a prostate gland and directing laser light through said optical fiber into said lobe to heat tissue of said lobe to an elevated temperature for a time sufficient to induce necrosis of said tissue.
Claim 24
Dependent Claim 18 words
The method of claim 23 in which said optical fiber is contained in a laser light lucent needle.
Claim 25
Dependent Claim 88 words
The method of claim 24 in which said needle has a shaft and tip, and is adapted to transmit laser energy at least along a substantial portion of the length of the shaft and through the tip, said optical fiber being disposed within the needle and extending into a penetrating portion of the needle, the fiber being adapted to transmit laser energy from its end adjacent said penetrating portion, said needle having a configuration such that its interior surface is spaced from the exterior surface of the fiber.
Claim 26
Dependent Claim 19 words
The method of claim 23 in which said optical fiber is inserted into the approximate center of said lobe.
Claim 27
Dependent Claim 28 words
The method of claim 26 in which tissue adjacent said optical fiber is heated to about 45-52°C for a period of from about one to about 30 minutes.

References Cited (Backward Citations)

US3467098A Cited
US3834391A Cited
US4336809A Cited
US4564011A Cited
US4905689A Cited

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