Laser-induced shockwave lithotripsy

Surgery – Truss – Perineal

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606127, 606 3, A61B 1722

Patent

active

049601083

ABSTRACT:
Improved laser-induced shockwave lithotripsy in which pulsed laser radiation situated in the infrared region is concentrated by means of an optical wave guide at a concrement to be destroyed which is surrounded with an aqueous rinsing liquid. The concrement is destroyed mechanically by laser-induced breakdown of the rinsing liquid, giving rise to shockwave and cavitation. The improvement resides in the presence in the rinsing liquid of a metal compound selected from the group consisting of water-soluble salts of metals of the ferrous group of the periodic table, complex compounds of said metals of the ferrous group of the periodic table, water-soluble salts of magnesium and water-soluble salts of calcium, the metal compounds being present in a concentration not exceeding 50 mmol/l, relative to their metal content. The presence of the metal compounds lowers the energy required for said breakdown.

REFERENCES:
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patent: 4469098 (1984-09-01), Davi
patent: 4832023 (1989-05-01), Murphy-Chutorian
H. Schmidt-Kloiber, "Aktuelle Nephrologie" 1, 140-144 (1978).
Ell et al., "DMW 1986", 111 (31/32), p. 1217 (1986).
H. Schmidt-Kloiber & E. Reichel, "Acustica", vol. 54, 287 (1984).
H. Schmidt-Kloiber, E. Riechel et al., "Biomed.Technik" 30, 173-181 (1985).
E. Reichel, H. Schmidt-Kloiber et al., "Proceedings of the 7th Congress International Society of Laser Surgery and Medicine in Connection with Laser 87 Optoelectronics", 375-379, Springer Verlag (1988).

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