A61B2017/00176

Laser-therapy device
11278735 · 2022-03-22 · ·

An improved laser-therapy device for the treatment of acupuncture points, which comprises: a control unit; laser emitting means associated to said control unit; means for generating an emission signal, which are functionally associated to said control unit and to said laser emitting means; and means for modulating said emission signal, which are designed to generate a modulated signal, wherein said modulated signal derives from a first square-wave modulation at a frequency of 100 Hz combined with a second square-wave modulation at a frequency of between 1 and 2 Hz, characterized in that a third square-wave modulation at a frequency of between 50 and 200 Hz is provided, combined, respectively, with said first and second modulations, characterized in that a third square-wave modulation at a frequency of between 5 and 20 Hz is provided, combined, respectively, with said first and second modulations.

Non-invasive device for treatment of the skin using laser light

The invention provides a non-invasive device (100) for treatment of skin tissue using laser light, and it provides a method and a computer program product. The non-invasive device comprises a light emission system (110) for generating a first laser pulse (130) and a subsequent second laser pulse (150) at a predefined time delay (ΔT) after the first laser pulse. The non-invasive device further comprises an optical system (160) for focusing, in use, the first laser pulse and the second laser pulse at a treatment location (210) inside the skin tissue (200). The first laser pulse comprises a first power density, a first pulse duration and a first pulse energy for initiating a plasma (205) at the treatment location. The subsequent second laser pulse comprises a second power density being lower than the first power density and a second pulse duration being at least 10 times longer than the first pulse duration, and a second pulse energy higher than the first pulse energy for sustaining or intensifying the plasma initiated by the first laser pulse, whereby in use the first laser pulse and the second laser pulse together induce Laser Induced Optical Breakdown at the treatment location.

PHOTO-THERMAL TARGETED TREATMENT SYSTEM WITH INTEGRATED PRE-CONDITIONING, AND AUTOMATIC TRIGGERING OF PHOTO-THERMAL TARGETED TREATMENT VIA MEASUREMENT OF SKIN SURFACE TEMPERATURE AND ASSOCIATED METHODS

A photo-thermal targeted treatment system for damaging a target embedded in a medium includes a controller and a photo-thermal treatment unit including a light source. The controller is configured for administering a treatment protocol using the light source at a preset power setting and a preset pulse timing setting. Also, a method for automatically initiating a treatment protocol using a photo-thermal targeted treatment system includes administering a cooling mechanism at a treatment location, monitoring a skin surface temperature at the treatment location and, when the skin surface temperature reaches a preset threshold, automatically initiating the photo-thermal treatment protocol. Further, a method for automatically terminating a treatment protocol using includes, during administration of the treatment protocol at a treatment area, monitoring a skin surface temperature at the treatment location, and when the skin surface temperature reaches a preset threshold, automatically terminating the treatment protocol.

Electrosurgical apparatus and method for promoting haemostasis in biological tissue

An electrosurgical waveform having both radiofrequency (RF) energy and microwave energy components that is arranged to perform efficient haemostasis in biological tissue. The waveform comprises a first portion primarily of RF electromagnetic energy, and a second portion primarily of microwave electromagnetic energy that follows the first portion. The second portion further comprises a plurality of RF pulses, wherein the first portion transitions to the second portion when either a duration of the first portion meets or exceeds a predetermined duration threshold, or an impedance determined during the first portion meets or exceeds a predetermined threshold. The waveform is arranged to deliver energy rapidly so that haemostasis can occur in a short time frame in a situation where the maximum available power is limited, or to avoid undesirable thermal damage to the biological tissue.

STERILE FIELD INTERACTIVE CONTROL DISPLAYS

An interactive control unit is disclosed. The interactive control unit includes an interactive touchscreen display, an interface configured to couple the control unit to a surgical hub, a processor, and a memory coupled to the processor. The memory stores instructions executable by the processor to receive input commands from the interactive touchscreen display located inside a sterile field and transmit the input commands to the surgical hub to control devices coupled to the surgical hub located outside the sterile field.

SYSTEM AND METHOD FOR COORDINATED LASER DELIVERY AND IMAGING
20210236205 · 2021-08-05 ·

The present disclosure relates to a system and method for coordinated laser delivery and imaging during an interventional procedure. A method may include activating an imaging source to provide a pulsed imaging signal and activating a laser source to provide a pulsed laser signal while the imaging source remains activated. The method may include coordinating the pulsed laser signal and the pulsed imaging signal to output each pulse of the pulsed laser signal and each pulse of the pulsed imaging signal in non-overlapping time windows. A system may include a controller in communication with the laser source and the imaging source for coordinating the output of the laser signal and the imaging signal.

LASER PULSE SHAPING TO ENHANCE CONVERSION EFFICIENCY AND PROTECT FIBER OPTIC DELIVERY SYSTEM FOR DISRUPTION OF VASCULAR CALCIUM

A catheter system includes a power source, a controller, and a light guide. The power source generates a plurality of energy pulses. The controller controls the power source so that the plurality of energy pulses cooperate to produce a composite energy pulse having a composite pulse shape. The light guide receives the composite energy pulse. The light guide emits light energy in a direction away from the light guide to generate a plasma pulse away from the light guide. The power source can be a laser and the light guide can be an optical fiber. Each of the energy pulses has a pulse width, and the energy pulses are added to one another so that the composite energy pulse has a pulse width that is longer than the pulse width of any one of the energy pulses. At least two of the energy pulses can have the same wavelength as or a different wavelength from one another.

Display of alignment of staple cartridge to prior linear staple line

A surgical hub is disclosed. The surgical hub includes a processor and a memory coupled to the processor. The memory stores instructions executable by the processor to receive image data from an image sensor, generate a first image based on the image data, display the first image on a surgical hub display coupled to the processor, receive a signal from a non-contact sensor, the signal indicative of a position of a surgical device, generate a second image based on the signal indicative of the position of the surgical device, and display the second image on the surgical hub display coupled to the processor.

USING REVERSIBLE ELECTROPORATION ON CARDIAC TISSUE
20210162210 · 2021-06-03 ·

In one embodiment, an electroporation method includes inserting a catheter having multiple electrodes into a chamber of a heart, applying an electrical field using at least two of the electrodes to tissue of the chamber of the heart at a given location within the chamber with an amplitude sufficient to cause reversible electroporation, but below a threshold for irreversible electroporation, and measuring an effect of the reversible electroporation on electrical activation signals in the tissue of the chamber of the heart in a vicinity of the location.

APPARATUS AND METHOD FOR REDUCING LASER BEAM ATTENTUATION IN A LIQUID MEDIUM
20210113268 · 2021-04-22 ·

A method of treating a mobile target tissue with a laser beam includes: providing a laser device for generating a laser beam and providing an optical fiber having a delivery end for guiding the laser beam to the target tissue; a controller causes the laser device to generate one or more laser pulses substantially along the same longitudinal axis. The controller causes the laser device to provide one or more laser pulses. The one or more pulses are selected to allow a vapor bubble formed by the one or more pulse to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the delivery end of the fiber and the target tissue. The one or more pulses are delivered to the target tissue through the vapor bubble after the vapor bubble has reached its maximum extent and has begun to collapse to reduce retropulsion of the mobile target tissue.