System for Dissociation and Removal of Proteinaceous Tissue
First Claim
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1. A system for applying high-intensity pulsed electric fields to ocular tissue in order to change the state and increase the fluidity of the ocular tissue, the system comprising:
- a probe for applying a stressing pulsed electric field to ocular tissue; and
an electric field generator for creating the stressing pulsed electric field with the probe;
wherein the pulsed electric field stresses and partially liquefies a proteinaceous complex to cause dissociation and increased fluidity of the ocular tissue and further wherein the pulsed electric field is insufficient to create an electron avalanche.
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Abstract
An apparatus and method for the dissociation of soft proteinaceous tissue using pulsed rapid variable direction energy field flow fractionization is disclosed. The pulsed rapid disruptive energy field is created by the use of a probe which surrounds the soft proteinaceous tissue to be removed. Once the adhesive mechanism between tissue constituents has been compromised, fluidic techniques are used to remove the dissociated tissue.
117 Citations
110 Claims
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1. A system for applying high-intensity pulsed electric fields to ocular tissue in order to change the state and increase the fluidity of the ocular tissue, the system comprising:
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a probe for applying a stressing pulsed electric field to ocular tissue; and an electric field generator for creating the stressing pulsed electric field with the probe; wherein the pulsed electric field stresses and partially liquefies a proteinaceous complex to cause dissociation and increased fluidity of the ocular tissue and further wherein the pulsed electric field is insufficient to create an electron avalanche. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A method for dissociative liquefaction and for increasing fluidity of a macroscopic volume of proteinaceous ocular tissue, the method comprising the step of:
creating a weakened proteinaceous liquid complex by establishing a confined, localized, stressing pulsed electric field within the extracellular matrix of the proteinaceous tissue without creation of an electron avalanche. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34)
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35. A method of using high-intensity pulsed electric fields to change the state and increase the fluidity of ocular tissue, the method comprising:
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providing a hollow probe for insertion into a posterior region of an eye; engaging a volume of ocular tissue with the hollow probe; creating a high-intensity pulsed electric field with electrodes located within the probe to partially liquefy the ocular tissue; and removing a volume of the ocular tissue; wherein the high-intensity pulsed electric field is insufficient to create an electron avalanche. - View Dependent Claims (36, 37, 38, 39, 40, 41, 42, 43, 44)
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45. A system for creating a high-intensity pulsed electric field between electrodes of a surgical probe in order to change the state and increase the fluidity of ocular tissue, the system comprising:
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a surgical probe with at least two electrodes; at least one pulse generator; a control circuit, the control circuit for controlling a duration, a repetition, a polarity, and an amplitude of electrical pulses delivered to the electrodes of the surgical probe; and an electrical conductor, the electrical conductor connecting the pulse generator, the control circuit, and the electrodes; wherein a high-intensity, pulsed, electric field formed at a tip of the surgical probe is sufficient to create a weakened proteinaceous liquid complex from the volume of ocular tissue and further wherein pulse strength of the high-intensity pulsed electric field is insufficient to create an electron avalanche. - View Dependent Claims (46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69)
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70. A method of using high-intensity pulsed electric fields to change the state and to increase the fluidity of a macroscopic volume of ocular tissue, the method comprising:
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applying a localized pulsed electric field to the tissue without causing an electron avalanche; wherein the localized pulsed electric field comprises pulses that have a pulse-shape, a pulse-repetition-rate, and a pulse-duration;
wherein the pulses are grouped into bursts or pulse-trains; and
wherein the pulse-trains have a pulse-train-length, and a pulse-pattern. - View Dependent Claims (71, 72, 73, 74, 75)
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76. A device for distributing a high-intensity pulsed electric field to ocular tissue for changing the state and increasing the fluidity of ocular tissue, the device comprising:
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a probe having a handle and a shaft for engaging ocular tissue, the probe shaft having a first number of electrodes;
a distal termination of each electrode being spatially positioned to provide a contained region wherein a penetrating disruptive electric field is created and applied to a volume of the ocular tissue;
the electrode terminations being shaped to concentrate a pulsed electric field within the ocular tissue; anda connection to an electrical system that generates ultra short high-intensity electric pulses;
the connection delivering the high-intensity electric pulses to the probe; - View Dependent Claims (77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110)
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Specification