Coaxial dual laser
First Claim
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1. A method for ablating tissue, comprising:
- providing a first laser channel,providing a second laser channel, the first laser channel and the second laser channel being coaxial,controlling the first laser channel to detect blood flow in a target via Doppler shift analysis,identifying at least one of desired tissue and undesired tissue in the target in accordance with the blood flow detected via Doppler shift analysis,controlling the second laser channel in response to the Doppler shift analysis to ablate the undesired tissue,whereby topographically complex tissue is precisely excised from the target with minimal blood loss, leaving a sterile surface free of undesired tissue.
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Abstract
A process and apparatus for ablating surface lesions is disclosed. The process is unique because of the ability to precisely excise complex topographies without blood loss, gated by the degree of surface small vessel blood flow via detection of Doppler shift. The most fitting application is the immediate, bloodless, and precise excision of thermal burn wounds, hitherto impossible and extremely desirable. A variation of the invention is disclosed which incorporates gating both by surface small vessel blood flow and fluorescence tagging. This embodiment has particular application in ablating neoplasms.
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Citations
20 Claims
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1. A method for ablating tissue, comprising:
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providing a first laser channel, providing a second laser channel, the first laser channel and the second laser channel being coaxial, controlling the first laser channel to detect blood flow in a target via Doppler shift analysis, identifying at least one of desired tissue and undesired tissue in the target in accordance with the blood flow detected via Doppler shift analysis, controlling the second laser channel in response to the Doppler shift analysis to ablate the undesired tissue, whereby topographically complex tissue is precisely excised from the target with minimal blood loss, leaving a sterile surface free of undesired tissue. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A device for ablating tissue, comprising:
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a first laser channel, a second laser channel, the first laser channel and the second laser channel being coaxial, means for controlling the first laser channel to detect blood flow in a target via Doppler shift analysis, means for identifying at least one of desired tissue and undesired tissue in the target in accordance with the blood flow detected via Doppler shift analysis, means for controlling the second laser channel in response to the Doppler shift analysis to ablate the undesired tissue, whereby topographically complex tissue is precisely excised from the target with minimal blood loss, leaving a sterile surface free of undesired tissue. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification