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US 4,800,876 AGranted
Method of and apparatus for laser treatment of body lumens
OwnerKenneth R. Fox, A. Arthur Costerinventors
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OwnerKenneth R. Fox, A. Arthur Costerinventors
Estimating the term…
A laser microsurgical method and apparatus are disclosed for safely treating occluded body lumens with laser energy. The disclosed method involves the use of pulsed laser energy from an argon-ion laser to destroy the tissue of luminal occlusions, such as atheromatous plaque and the like, with substantially no vaporization of thermal necrosis of the tissue. A flexible catheter and associated laser microsurgical system is also disclosed which provides for aiming of the fibers to transmitting the laser beam at the distal end of the catheter and rotational positioning of the catheter to permit coverage of virtually the entire cross-sectional area of the lumen. A lens system at the distal end of each laser fiber minimizes beam divergence and directs the beam toward the central axis of the catheter. The system is designed to minimized the possibility of damage to or perforation of the surrounding tissue of the lumen.
In a method of performing laser surgery in a body lumen comprising the steps of inserting a catheter into said body lumen, said catheter having a longitudinal axis and proximal and distal ends, at least one fiber means in said catheter for transmitting a beam of laser energy from said proximal to said distal end, positioning the distal end of said catheter adjacent an obstruction in said lumen and transmitting laser energy through said fiber means to impinge upon said obstruction, the improvement wherein said laser energy is a pulsed argon-ion laser beam having a pulse duration of from about 5 to 30 milliseconds, a pulse repetition rate of from about 1 to 100 pulses per second and a duty cycle of from about 5 to 50 percent, said pulse duration, pulse repetition rate and duty cycle being selected to effect damage to said obstruction with substantially no thermal necrosis of the surrounding tissue of the body lumen.
In a method of performing laser surgery in a body lumen comprising the steps of inserting a catheter into said body lumen, said catheter having a longitudinal axis and proximal and distal ends, at least one fiber means in said catheter for transmitting a beam of laser energy from said proximal to said distal end, positioning the distal end of said catheter adjacent an obstruction in said lumen and transmitting laser energy through said fiber means to impinge upon said obstruction, the improvement wherein said laser energy is a non-continuous, pulsed laser beam having a predetermined pulse duration, pulse repetition rate and duty cycle, said pulse duration, pulse repetition rate and duty cycle being selected to effect damage to said obstruction with substantially no thermal necrosis of the surrounding tissue.
Dependencies are inferred from the claim text.