Device for treating growing, dilated or malformed blood vessels and method for treating biological material

• US 6,491,715 B1
• Filed: 03/21/2000
• Issued: 12/10/2002
• Est. Priority Date: 11/17/1999
• Status: Expired due to Fees

• Current Assignee: Pulsion Medical Systems AG
• Original Assignee: Pulsion Medical Systems AG
• Inventors: Abels, Christoph, Szeimies, Rolf-Markus
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): FARAH, AHMED M
• Application Number:
  US09/532,815
• Time in Patent Office: 994 Days
• Field of Search: 606/3, 606/7-12, 128/898, 604/19-48, 604/500-508
• US Class Current: 607/89
• CPC Class Codes: A61B 18/203 applying laser energy to the outside of the body
• CPC Class Codes: A61B 2017/00066 intensity
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00452 Skin
• CPC Class Codes: A61B 2018/00458 Deeper parts of the skin, e.g. treatment of vascular disorders or port wine stains
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/2025 with a pilot laser
• CPC Class Codes: A61B 2090/3616 Magnifying glass
• CPC Class Codes: A61B 2090/373 using light, e.g. by using optical scanners
• CPC Class Codes: A61N 2005/0644 Handheld applicators
• CPC Class Codes: A61N 2005/0659 infrared
• CPC Class Codes: A61N 5/062 Photodynamic therapy, i.e. excitation of an agent
• CPC Class Codes: A61N 5/067 using laser light

Abstract

In a device for treating blood vessels with a laser, the laser provides a beam in a wavelength range from 750 to 850 nm, preferably 805 nm. The device has a measuring unit which measures the concentration of a chromophore (preferably indocyanine green) administered to the patient in the patient'"'"'s blood vessels. The device further comprises a control unit which controls the power of the laser in a contrary sense to the measured concentration.

Claims

1. A device for treating growing, dilated or malformed blood vessels with a laser emitting a laser beam in a wavelength range from 750 mn to 850 nm and a specific power, the device comprising a measuring unit measuring the concentration of an exogenous chromophore, introduced into the blood stream, which absorbs the laser beam in the blood vessel to be treated, and a control unit controlling the power of the laser beam in a contrary sense to the measured concentration.

2. The device as claimed in claim 1, wherein the measuring unit is a reflection measuring unit.

3. The device as claimed in claim 1, wherein, for measuring the concentration of the chromophore, the control unit causes the laser to emit a pilot laser pulse having a power which is so small that it causes no permanent changes in the blood vessel or the tissue surrounding the latter.

4. The device as claimed in claim 3, wherein the measuring unit comprises a computing unit which determines the chromophore concentration from the power of the pilot laser pulse and a reflected fraction thereof.

5. The device as claimed in claim 1, wherein the measuring unit has its own measuring light source.

6. The device as claimed in claim 1, wherein the control unit controls the power of the laser beam in inverse proportion to the chromophore concentration found.

7. The device as claimed in claim 1, wherein the laser generates the laser beam in the form of pulses.

8. The device as claimed in claim 7, wherein the pulses have a substantially rectangular shape.

9. The device as claimed in claim 7, wherein the pulses have a duration of less than 10 ms, preferably from 1 to 5 ms.

10. The device as claimed in claim 7, wherein the pulses can be executed singly.

11. The device as claimed in claim 7, wherein the pulses can be executed as double pulses with a pause of less than 5 ms.

12. The device as claimed in claim 7, wherein the control unit controls the pulse length in a contrary sense to the power.

13. The device as claimed in claim 1, wherein the laser is a diode laser.

14. The device as claimed in claim 1, wherein the laser has a power of from 100 to 800 W.

15. The device as claimed in claim 1, wherein the laser emits light with a wavelength of 805 nm.

16. The device as claimed in claim 1, wherein the laser is connected via a light guide to a handpiece.

17. The device as claimed in claim 16, wherein the handpiece has a transparent contact area for contact with a patient'"'"'s skin.

18. The device as claimed in claim 16, wherein the handpiece has a housing with an illumination unit.

19. The device as claimed in claim 16, wherein the handpiece has a magnifier and a scale for measuring the vessels to be treated.

20. The device as claimed in claim 16, wherein the handpiece has a spectrally selective mirror for feeding in the laser beam.

21. The device as claimed in claim 20, wherein the mirror is a dichroic mirror.

22. The device as claimed in claim 16, wherein the handpiece has an aiming mark.

23. The device as claimed in claim 16, wherein the handpiece has an adjustable aperture for limiting the diameter of the laser beam.

24. The device as claimed in claim 16, wherein the handpiece has a cooling unit.

25. The device as claimed in claim 16, wherein the handpiece is connected to a video camera.

26. The device as claimed in claim 25, wherein the video camera is coupled to a monitor.

27. The device as claimed in claim 26, wherein the monitor provides a false color display of the chromophore concentration.

28. The device as claimed in claim 1, wherein the control unit blocks emission of laser light by the laser when the chromophore concentration found by the measuring unit is below a preset lower threshold.

29. The device as claimed in claim 1, wherein the control unit blocks emission of light pulses by the laser when the chromophore concentration found by the measuring unit is above a preset upper threshold.

30. The device as claimed in claim 1, comprising an intensity sensor to which part of a light reflected by the patient'"'"'s blood vessel is passed.

31. The device as claimed in claim 30, wherein the intensity sensor is arranged in the handpiece.

32. The device as claimed in claim 30, comprising an outcoupling mirror which passes reflected light to the intensity sensor.

33. The method as claimed in claim 1, wherein the biological material is a human patient to whom the chromophore is administered intravenously.

34. The method as claimed in claim 33, wherein the light beam is directed onto the skin of said patient.

35. A method for treating biological material with a light beam having a wavelength in the range of 750 nm to 850 nm, the method comprising the steps of:

a) introducing into the biological material a chromophore which absorbs light in the range of 750 nm to 850 nm,

b) directing a probe light beam having a wavelength in the range of 750 nm to 850 nm onto said biological material, a fraction of said probe light beam being reflected by said biological material,

c) measuring the intensity of said reflected fraction of said probe light beam,

d) directing said light beam onto said biological material and controlling its power in accordance with the measured intensity of said reflected fraction of said probe light beam.

36. The method as claimed in claim 35, wherein indocyanine green is used as the chromophore.

37. A device for treating growing, dilated or malformed blood vessels with a laser, the device comprising a measuring unit measuring the concentration of an exogenous chromophore, introduced into the blood stream, which absorbs the laser beam in the blood vessel to be treated, and a control unit controlling the power of the laser beam in a contrary sense to the measured concentration.

38. A method for treating biological material with a laser beam, the method comprising the steps of:

introducing into the biological material a chromophore which absorbs the laser beam;

directing a probe light beam onto said biological material, a fraction of said probe light beam being reflected by said biological material;

measuring the intensity of said reflected fraction of said probe light beam; and

directing said light beam onto said biological material and controlling its power in accordance with the measured intensity of said reflected fraction of said probe light beam.

39. A device for treating growing, dilated or malformed blood vessels with a laser, the device comprising:

a measuring unit measuring the concentration of an exogenous chromophore, introduced into the blood stream, which absorbs the laser beam in the blood vessel to be treated; and

a control unit controlling the power of the laser beam in an inverse proportion to the measured concentration of the exogenous chromophore.

40. A device for treating growing, dilated or malformed blood vessels with a laser, the device comprising:

a measuring unit measuring the concentration of an exogenous chromophore which absorbs the laser beam in the blood vessel to be treated; and

a control unit controlling the power of the laser beam in a contrary sense to the measured concentration, wherein the monitor provides a false color display of the chromophore concentration.