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ELVeS Endo Laser Vein System ELVeS Endo Laser Vein System Marc Richly, Medical Sales Manager - Biolitec AG biolitec AG.

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Presentation on theme: "ELVeS Endo Laser Vein System ELVeS Endo Laser Vein System Marc Richly, Medical Sales Manager - Biolitec AG biolitec AG."— Presentation transcript:

1 ELVeS Endo Laser Vein System ELVeS Endo Laser Vein System Marc Richly, Medical Sales Manager - Biolitec AG biolitec AG

2 Marc Richly, Medical Sales Manager - Biolitec AG biolitec AG

3 biolitec AG – Step by Step ELVeS Procedure PDF

4 Ceralas D15, D25, D50 Wavelength: 980nm Wavelength: 980nm Optical Power:15Watt, 25Watt, 50Watt Optical Power:15Watt, 25Watt, 50Watt Aiming Beam:635nm, 4mW Aiming Beam:635nm, 4mW Operating Mode:Pulsed, Continuous (cw), Operating Mode:Pulsed, Continuous (cw), DermaModus (Fluence J/cm 2 ) Pulse On-Time: sec Pulse On-Time: sec Pulse Off-Time: sec Pulse Off-Time: sec biolitec – Medizinische Diodenlaser

5 980nm wavelength absorption in H 2 O

6 980nm wavelength absorption in Hb/HbO 2

7 ELVeS – Endo Laser Vein System A unique Solution for treatment of venous incompetence Greater Saphenous Vein Greater Saphenous Vein Small Saphenous Vein Small Saphenous Vein Recurrencies Recurrencies Reticular Veins Reticular Veins Branches Branches Venous Ulcer, … Venous Ulcer, …

8 First experiencies on the application of laser energia within veins (Nd:Yag nm) First experiencies on the application of laser energia within veins (Nd:Yag nm). (Method is abandoned due to collateral effects and low success rates) First experiencies on the Endo-Vascular treatment of flebostatic ulcers with diode laser (Magi et al.) First experiencies on the Endo-Vascular treatment of flebostatic ulcers with diode laser (Magi et al.) 1997Increase of cientific comunications on the use of laser for Endo-Venous treatment showing various advantages (Bone, Min & others) 1997Increase of cientific comunications on the use of laser for Endo-Venous treatment showing various advantages (Bone, Min & others) 1998The Laser Industry starts promoting multicentre trials and deliver protocols for the application on GSV. 1998The Laser Industry starts promoting multicentre trials and deliver protocols for the application on GSV. 1999Application for FDA aprovals for the laser minimally- invasive procedure. 1999Application for FDA aprovals for the laser minimally- invasive procedure. Past…

9 2000Filing for FDA 2000Filing for FDA Dec. 2001FDA certifies the endo-vascular procedure for varicose veins (EVLT) Dec. 2001FDA certifies the endo-vascular procedure for varicose veins (EVLT) March 2002FDA certifies ELVeS March 2002FDA certifies ELVeS ELT / EVLTEndo-venous procedure for the treatment of GSV (knee access) ELT / EVLTEndo-venous procedure for the treatment of GSV (knee access) ELVeS Global approach for the treatment of vein diseases using laser energy and technology for micro-invasive procedures ELVeS Global approach for the treatment of vein diseases using laser energy and technology for micro-invasive procedures Consistency & Clinical Coherency Past…

10 ELVeSGlobal approach for the treatment of vein diseases using laser energy and technology for micro-invasive procedures - Long & short GSV - Reticular veins, Collateral & superficial branches - Vein Ulcers - Vascular Malformations - Haemorroids - Varicocelle - Trans-dermal Therapy (DermaMode with hand-piece) ELVeS TM Endo Laser Vein System

11 LASER Semiconductor Technology Semiconductor Technology Objective applications Objective applications FIBRE OPTICS Operative Flexibility Operative Flexibility Clinical evolution Clinical evolutionCLINICAL Standardization Standardization Efficacy & Safety Efficacy & Safety ELVeS TM Endo Laser Vein System

12 Pre-Operative Ultrasound control Pre-Operative Ultrasound control Mapping of the vein Mapping of the vein Precise marking of the junction, position for percutaneous entry of the vein, branches and perforator veins Precise marking of the junction, position for percutaneous entry of the vein, branches and perforator veins ELVeS – Treatment of GSV / SSV

13 ELVeS – Endo Laser Vein System ELVeS Treatement Kit 55cm 600µm Bare Fiber (BFF 603 DL) with Luer-Lock Connection 600µm Bare Fiber (BFF 603 DL) with Luer-Lock Connection Introduction Set Introduction Set J-Tip Guide Wire 5F Introducer Sheath / Dilator 55cm 19G Entry Needle

14 ELVeS – Endo Laser Vein System ELVeS PLUS Treatement Kit 70cm / 100cm 600µm Bare Fiber (BFF 603 DL) with Luer-Lock Connection 600µm Bare Fiber (BFF 603 DL) with Luer-Lock Connection Introduction Set Introduction Set J-Tip/Straight Tip PTFE Guide Wire 5F OD ELVeS PLUS Catheter with US marker and distance marker (every cm) 19G Entry Needle with US Cut

15 Percutaneous entry or via mini incision Percutaneous entry or via mini incision Inserting the ELVeS Kit via Seldinger Technique and advancing it towards the sapheno-femoral junction. Inserting the ELVeS Kit via Seldinger Technique and advancing it towards the sapheno-femoral junction. Distal end of ELVeS laser fibre is positioned 1cm below the sapheno-femoral junction under ultrasound guidance and visuell controll of the laser aiming beam Distal end of ELVeS laser fibre is positioned 1cm below the sapheno-femoral junction under ultrasound guidance and visuell controll of the laser aiming beam ELVeS – Treatment of GSV / SSV

16 US control during for percutaneous entry of GSV / SSV US control during for percutaneous entry of GSV / SSV

17 Percutaneous entry or via mini incision Percutaneous entry or via mini incision Inserting the ELVeS Kit via Seldinger Technique and advancing it towards the sapheno-femoral junction. Inserting the ELVeS Kit via Seldinger Technique and advancing it towards the sapheno-femoral junction. Distal end of ELVeS laser fibre is positioned 1cm below the sapheno-femoral junction under ultrasound guidance and visuell controll of the laser aiming beam Distal end of ELVeS laser fibre is positioned 1cm below the sapheno-femoral junction under ultrasound guidance and visuell controll of the laser aiming beam ELVeS – Treatment of GSV / SSV

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19 Once in position a tumescent local anaesthesia (TLA) is injected under ultrasound guidance along the whole vein which is going to be treated Once in position a tumescent local anaesthesia (TLA) is injected under ultrasound guidance along the whole vein which is going to be treated ELVeS – Treatment of GSV / SSV

20 The laser treatment is performed along the entire vessel length. The laser treatment is performed along the entire vessel length. The laser treatment is performed in a a continuous (cw) pull back technique The laser treatment is performed in a a continuous (cw) pull back technique The irreversible thermal damage of the vein wall induced by the laser energy leads to a complete occlusion of the vein. The irreversible thermal damage of the vein wall induced by the laser energy leads to a complete occlusion of the vein. Bi-lateral ELVeS treatments or combined GSV & SSV procedures can be performed during the same session Bi-lateral ELVeS treatments or combined GSV & SSV procedures can be performed during the same session ELVeS – Treatment of GSV /SSV

21 ELVeS – Parameter GSV/SSV Power [ Watt ] Treatment Mode Treatment Energy GSV Treatment Energy SSV Continuous (cw)100 J/cm (upper leg) – 40 J/cm (knee area) – 20 J/cm (lower leg) 50J/cm

22 Photo-thermolisis Principle: Transformation of Laser light into Thermal Energy due to absorption of the Laser Light (Lambert - Beer). Directly related to power and duration by: E [Joule] = POWER [Watt] * Time [s] Example: 75J = 15 [W] * 5 [s] ELVeS – Parameter VSM/VSP

23 ELVeS – Side Branches

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29 ELVeS – Venous Ulcer

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