Laser catheter apparatus for use in arteries or other narrow pat

Surgery – Instruments – Light application

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606 16, 606 17, 606 28, A61N 506

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06024738&

ABSTRACT:
A laser catheter for the treatment of lesions and plaque deposits in arteries and other narrow paths having a radiation assembly affixed to a flexible conduit. The conduit generally includes multiple lumens for the passage of an optical fiber, a guide wire, a cooling medium therethrough, or fluid for inflating an angioplasty balloon. The radiation assembly is of short longitudinal profile and includes a generally spherical laser contact member retained within a housing, the latter affixed to the flexible conduit. The radiation assembly provides a dual-mode ablation/melting treatment regime. A longitudinal channel is provided through and along one side of the contact member thereby to permit guide wire positioning of the laser catheter while routing the guide wire away from the laser energy to avoid damage thereto. A balloon, in fluid communication with a catheter lumen, may be positioned rearwardly of the radiation assembly for secondary balloon angioplasty operations.

REFERENCES:
patent: 4592353 (1986-06-01), Daikuzono
patent: 4648892 (1987-03-01), Kittrell et al.
patent: 4662368 (1987-05-01), Hussein et al.
patent: 4693244 (1987-09-01), Daikuzono
patent: 4736743 (1988-04-01), Daikuzono
patent: 4773413 (1988-09-01), Hussein et al.
patent: 4848339 (1989-07-01), Rink et al.
patent: 4849859 (1989-07-01), Nagasawa
patent: 4860743 (1989-08-01), Abela
"Physical Properties . . . " by Verdaasdonk et al; Lasers in Med. Sci. vol. 2 No. 183 1987 pp 183-188.
"Laser Angioplasty . . . " by Pilger et al; Cardiovascular Res. 1988 No. 22 pp 146-153.
"Laser Angioplasty's Ingenious Hardware" Cardio. Aug. 1988 pp 45-52.
"Percutaneous Recanalization . . . " by Borst; Lasers in Med. Sci.; vol. 2 1987 pp. 137-151.
"Sapphire and Metal Tip . . . " by Verdaasdonk et al.
"Laser Angioplasty . . . " by Verdaasdonk et al; Lasers in Med. Sci. vol. 2 1987 pp. 153-158.
"Laser Angioplasty . . . " Lammer et al J of Interventional Radiology 1988 p 1-6.
Trimedyne, Inc. brochure P/N 6117.01 Dec. 1987.

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