Method of surgical treatment using laser emission and apparatus for realizing same

• US 4,185,633 A
• Filed: 09/07/1976
• Issued: 01/29/1980
• Est. Priority Date: 09/07/1976
• Status: Expired due to Term

• Current Assignee: Alexandr K. Polonsky, Boris N. Malyshev, Boris V. Ognev, Rostislav A. Troitsky, Vladimir N. Prozorov
• Original Assignee: Alexandr K. Polonsky, Boris N. Malyshev, Boris V. Ognev, Rostislav A. Troitsky, Vladimir N. Prozorov
• Inventors: Malyshev, Boris N., Troitsky, Rostislav A., Polonsky, Alexandr K., Ognev, Boris V., Prozorov, Vladimir N.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US05/720,768
• Time in Patent Office: 1,239 Days
• Field of Search: 128/303.1, 128/305, 128/395, 128/398, 128/303.14, 219/121 L, 219/121 LM
• US Class Current: 606/17
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 18/22 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
• CPC Class Codes: A61B 2018/00589 Coagulation

Abstract

Biological tissue is dissected by means of a mechanical cutting instrument, while the coagulation of the walls of the incision is effected simultaneously with the dissection by means of a laser beam, for which a laser beam spot is formed in the immediate proximity to the cutting instrument'"'"'s cutting edge. An apparatus for the realization of this method combines a mechanical cutting instrument made preferably of a material transparent to laser emission, and a structure for the formation of a laser beam spot in the immediate proximity to the cutting instrument'"'"'s cutting edge. In the preferred embodiment the cutting instrument itself provides for the formation of the spot close to the cutting edge.

Claims

1. A surgical treatment method comprising dissecting biological tissue with a cutting edge of a mechanical cutting means and directing a laser beam from a location spaced from said cutting edge to form therefrom a spot situated in the immediate proximity of the cutting edge just behind said mechanical cutting means in the direction of movement thereof during dissection substantially simultaneously with the dissection of the tissue for effecting photocoagulation of the dissected tissue.

2. Surgical treatment apparatus comprising mechanical cutting means having a cutting edge for dissecting biological tissue, and means operatively connected with said mechanical cutting means for directing a laser light beam from a location spaced from said cutting edge to the region of said cutting edge at a location situated immediately behind the same for effecting coagulation of tissue cut by said cutting edge.

3. Surgical treatment apparatus comprising mechanical cutting means which is transparent to laser emission, said cutting means having a cutting edge for dissecting biological tissue;

means operatively connected with said mechanical cutting means for directing a laser light beam from a location spaced from said cutting edge to the region of said cutting edge for effecting coagulation of tissue cut by said cutting edge; and

cooling jacket means operatively connected with said mechanical cutting means for cooling the same.

4. The combination of claim 3 and wherein said mechanical cutting means has a configuration for concentrating said beam in the form of a spot at the region of said cutting edge.

5. The combination of claim 3 and wherein said mechanical cutting means is made of sapphire.

6. The combination of claim 3 and wherein said mechanical cutting means is made of germanium.