Surgery – Instruments – Light application
Reexamination Certificate
2000-07-28
2003-03-11
Jeffery, John A. (Department: 3742)
Surgery
Instruments
Light application
C606S017000
Reexamination Certificate
active
06530921
ABSTRACT:
This application is based on application No. 11-218089 and No. 11-228931 filed in Japan, the content of which is hereby incorporated by reference.
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to a laser irradiation apparatus, in particular, a laser irradiating medical apparatus for treating tumors such as cancer, benign prostatic hyperplasia, etc., by irradiating vital tissues with laser rays, said apparatus being left in vital tissues by means of insertion into vital lumens such as blood vessels, urethras, and abdominal cavities or by means of puncturing organs.
2. Description of the Related Art
A technique of treating lesions by means of laser irradiation apparatuses has been known. The long and slender main body of a laser irradiation apparatus is inserted into a body cavity or a lumen formed by small discission. Lesion tissues are diminished or cleared through alteration, sphacelation, coagulation, cauterization and evaporation by means of irradiating the lesions with laser rays.
The technique is generally to irradiate directly a lesion existing on the surface layer of a vital tissue or its vicinity. However, in order to apply this technique to a deep lesion, heating the lesion to a sufficient temperature, it is necessary to irradiate it with a laser ray of a relatively high power. As a result, there may be a case of or a concern for damaging normal tissues adjacent to the lesion, such as the surface layer.
WO93/04727 discloses a technique for coagulating and diminishing a part of a tumor or prostate by means of laser irradiation. This technique is to infuse a coolant into a balloon in order to heat only the internal tumor or the prostate without heating the surface of the urethra that is adjacent to the balloon. Laser ray is irradiated from a fixed laser irradiator in this device. Consequently, it is necessary to use a low-power laser ray so as not to heat the surface of the urethra, thus requiring a long irradiation time.
U.S. Pat. No. 5,292,320 discloses an apparatus for treating benign prostatic hyperplasia transurethrally using laser rays. In this apparatus, multiple irradiation units placed at different positions irradiates laser rays simultaneously. The irradiated laser rays are converged on a target point in a deep legion to generate a sufficient heat for heating and diminishing the legion tissue. Consequently, the temperature in the vicinity of the target point becomes higher than other parts where the laser rays do not converge. However, since the light paths of the laser rays are fixed, certain areas are formed where the temperatures are slightly higher than normal in the vicinity of the surface layer where no convergence of laser rays are occurring. This phenomenon provides an ill affect on the protection of the surface. Therefore, it is not satisfactory from the point of treating only a deep lesion while preventing damages on the surface layer.
SUMMARY OF THE INVENTION
The object of this invention is to provide an apparatus that effectively irradiates a target area with laser rays, particularly a target area hidden deep inside a vital tissue, while securely preventing damages to normal tissues, particularly, a normal surface tissue that is in contact with the laser irradiation apparatus.
In one aspect of the invention, it is a laser irradiation apparatus, comprising:
a long and slender main body;
an optical fiber slidably provided inside the main body, which accepts incident laser rays through its proximate end and emits said laser rays sideways or diagonally through its distal end; and
a guide unit that forms a curved track for a tip of the optical fiber to slide.
According to the laser irradiation apparatus, the laser rays from the emitting position that continually moves concentrates on the target area so that the temperatures of the areas other than the target area are maintained lower. This prevents or reduces damages of the areas other than the target area. Moreover, since the damage on the surface where a contact is made with the apparatus can be prevented even in a case where the target area is hidden deep inside the tissue, it provides a better safety to the patient. Further, the apparatus provides a combination of the reciprocating motion of the emitting area and the change of the emitting angle by means of the reciprocating motion of the optical fiber alone. Therefore, it has advantages such that it has a simpler structure, can be manufactured easily and is less likely to break down.
In another aspect of the invention, it is a laser irradiation apparatus, comprising:
a long and slender main body;
a flexible curving part provided on the distal end of the main body;
an optical fiber slidably provided inside the main body and the curving part, which accepts incident laser rays through its proximate end and emits the laser rays sideways or in diagonal directions through its distal end; and
a curve operating mechanism that forms a curved track for a tip of the optical fiber to slide by curving the curving part.
According to the laser irradiation apparatus, it is possible to irradiate effectively a target area with laser rays, particularly a target area hidden deep inside a vital tissue, while securely preventing damages to normal tissues, particularly, a normal surface tissue that is in contact with the laser irradiation apparatus. Moreover, it has advantages such that it has a simpler structure, can be manufactured easily and is less likely to break down.
The objects, features, and characteristics of this invention other than those set forth above will become apparent from the description given herein below with reference to preferred embodiments illustrated in the accompanying drawings.
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Burns Doane , Swecker, Mathis LLP
Jeffery John A.
Terumo Kabushiki Kaisha
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