7 ELVeS™ – Endo Laser Vein System A unique Solution for treatment of venous incompetenceGreater Saphenous VeinSmall Saphenous VeinRecurrenciesReticular VeinsBranchesVenous Ulcer, …
8 Past…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.)Increase of cientific comunications on the use of laser for Endo-Venous treatment showing various advantages (Bone, Min & others)The Laser Industry starts promoting multicentre trials and deliver protocols for the application on GSV.Application for FDA aprovals for the laser minimally- invasive procedure.
9 Consistency & Clinical Coherency Past…Filing for FDADec FDA certifies the endo-vascular procedure for varicose veins (EVLT™)March 2002 FDA certifies ELVeS™ELT / EVLT™ Endo-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 proceduresConsistency & Clinical Coherency
10 ELVeSTM Endo Laser Vein System ELVeS™ Global 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)
12 ELVeS™ – Treatment of GSV / SSV Pre-Operative Ultrasound controlMapping of the veinPrecise marking of the junction, position for percutaneous entry of the vein, branches and perforator veins
13 ELVeS™ – Endo Laser Vein System ELVeS Treatement Kit 55cm600µm Bare Fiber (BFF 603 DL) with Luer-Lock ConnectionIntroduction SetJ-Tip Guide Wire5F Introducer Sheath / Dilator 55cm19G Entry Needle
14 ELVeS™ – Endo Laser Vein System ELVeS PLUS Treatement Kit 70cm / 100cm600µm Bare Fiber (BFF 603 DL) with Luer-Lock ConnectionIntroduction Set0.035 J-Tip/Straight Tip PTFE Guide Wire5F OD ELVeS PLUS Catheter with US marker and distance marker (every cm)19G Entry Needle with US Cut
15 ELVeS™ – Treatment of GSV / SSV Percutaneous entry or via mini incisionInserting 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
16 ELVeS™ – Treatment of GSV / SSV US control during for percutaneous entry of GSV / SSV
17 ELVeS™ – Treatment of GSV / SSV Percutaneous entry or via mini incisionInserting 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
19 ELVeS™ – Treatment of GSV / SSV Once in position a tumescent local anaesthesia (TLA) is injected under ultrasound guidance along the whole vein which is going to be treated
20 ELVeS™ – Treatment of GSV /SSV The laser treatment is performed along the entire vessel length.The laser treatment is performed in a a continuous (cw) pull back techniqueThe 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
22 ELVeS™ – Parameter VSM/VSP 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]
Your consent to our cookies if you continue to use this website.