Surgery – Instruments – Light application
Patent
1988-03-10
1990-04-17
Howell, Kyle L.
Surgery
Instruments
Light application
128398, 606 15, 606 16, 606 18, A61N 506
Patent
active
049170848
ABSTRACT:
Laser energy produced by a laser operating in the mid-infrared region (approximately 2 micrometers) is delivered by an optical fiber in a catheter to a surgical site for biological tissue removal and repair. Disclosed laser sources which have an output wavelength in this region include: Holmium-doped Yttrium Aluminum Garnet (Ho:YAG), Holmium-doped Yttrium Lithium Fluoride (Ho:YLF), Holmium-doped Yttrium-Scandium-Gadolinium=Garnet (HO:YSGG), Erbium-doped YAG, Erbium-doped YLF and Thulium-doped YAG. Laser output energy is applied to a silica-based optical fiber which has been specially purified to reduce the hydroxyl-ion concentration to a low level. The catheter may be comprised of a single optical fiber or a plurality of optical fibers arranged to give overlapping output patterns for large area coverage. In a preferred application for the removal of atheroscleotic plaque, a Holmium-doped laser operating in the wavelength range of from about 1.9 to about 2.1 micrometers is preferred. For removal of such plaque by a Holmium-doped laser, it has been found that the threshold energy density should be greater than about 0.6 joules/mm.sup.2 per pulse, and that the pulse width should be substantially less than about 83 milliseconds, and that the repetition rate should be in the range of from about 1 to about 10 Hertz.
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C. R. Bard Inc.
Howell Kyle L.
Shay David
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