Nd:YAG the surgical Limax® laser with diode pumping

Nd:YAG the surgical Limax® 120 laser with diode pumping

Gebruder Martin/KLS Martin Group (Germany)

The optimized wavelength - excellent quality of a beam, intuitive management. Nd:YAG the surgical Limax® laser with diode pumping – one more step forward in development of laser surgery of parenchymatous bodies

The optimized wavelength

Thanks to the unique wavelength of 1318 nanometers and high values of coefficients of absorption in water and hemoglobin the Limax® laser is ideal for cutting, coagulation and an alloying that allows to prevent developing of bleedings and to try to obtain an aerostaz during the work on a parenchyma of lungs.

Excellent quality of a beam

Advantage of Nd:YAG of the surgical Limax® laser with diode pumping that irrespective of the power established on the laser radiation always constant quality, unlike the diode laser. While diameter of the beam radiated by the diode laser increases in proportion to power, and quality of radiation, respectively, decreases, the Limax® laser keeps quality of radiation even at 120 W. It allows surgeons to work with values of density of power of radiation over 100 KW/cm2 with use of superthin light guides with a diameter of 260 microns.

Intuitive management

In addition to the laser the surgical laser Limax® system is equipped integrated dymootsosy and system of an obduv of the working tool. Parameters of work of all systems are controlled by means of the main menu of control of the laser.

Resection, reliable hemostasis and alloying at the maximum preservation of healthy fabrics

Wavelength of 1318 nanometers allows to make a precision resection of parenchymatous fabric. Thanks to property to be absorbed both water, and hemoglobin, laser radiation with this wavelength allows to reach an excellent alloying of fabric.
Thus high extent of preservation of healthy fabric is reached.

Bronkhoskopiya – one more area where the used wavelength of laser radiation matters. Because of small absorption in wave hemoglobin more long 1318 nanometers are not capable to have desirable coagulating effect, however well are suitable for a dissektion of fabrics. The wave 1318 nanometers long differs in high extent of absorption in hemoglobin that allows to prevent emergence of undesirable effects at influence of laser radiation, for example hypostases. Besides, the pulse operating mode allows to use Limax® even for the most delicate endobronchial procedures
with the minimum damage of healthy fabric.

Advantages of use of the Limax® laser

• Greatest possible preservation of healthy fabrics
• Accuracy maximum – even at remote defeats
• Elastic, but, during too time, mechanically strong zone of coagulation
• "Dry" (without bleedings) and fistulas a resection zone
• In case of a recurrence intervention can be carried out repeatedly
• Increase in life expectancy of seriously ill patients and improvement of quality of their life.

Laser resection tuberkuly (LATR). Keeping health of society and patients

Numerous international researches show a number of advantages of treatment of tuberculosis by surgical methods before pharmaceutical. Doctor Iserman and coauthors report about more than 80% of cases of treatment of tuberculosis forms, steady against pharmaceutical methods of treatment. While Lalloo, etc. report about from above, than 90% of cases of treatment of patients after application of surgical methods of treatment of tuberculosis.

Thanks to a precision resection of a parenchyma of a lung with the maximum preservation of LATR fabric allows to treat patients to whom lobectomy or a pnevmonektomiya, with preservation of bigger volume of pulmonary fabric was shown. The laser resection tuberkuly (LATR) gives to patients chance of full-fledged life, unlike classical surgical methods of treatment of tuberculosis.

The autoclaved focusing handle

Completely autoclaved focusing handle allows to carry out precision interventions by the laser in the contactless mode. Extremely high density of power of radiation guarantee achievement of optimum results both when cutting, and at coagulation of parenchymatous fabric. Speaking briefly, the focusing handle does use of the laser convenient and safe. The risk of perforation of body in a consequence of sticking of a tip of the golovolokonny light guide to fabric in a contact operating mode is completely excluded. Besides, the possibility of autoclaving of accessories allows to provide necessary hygiene and sterility. There is no adhesion of fabrics, there is no need to intraopertsionno prepare the light guide – an optimum gigena

Scopes

Examples of use in open thoracic surgery:

• Laser resection tuberkuly (LATR)
• Surgery of metastasises
• Mobilization of a lung (division of solderings)
• Removal of pulmonary vesicles
• Biopsy
• Removal of benign tumors
• Removal of a bronchial carcinoma

Available surgical techniques: enukleation, regional resections, segmentektomiya, lobectomy (and their combinations)

Examples of use in a torakoskopiya (VATS):

• Ablyation of pulmonary vesicles and a thermal plevrektomiya at spontaneous pheumothorax
• General hemostasis and closing of fistulas 
• Removal and enukleation of plevrolyogochny defeats (malignant and benign tumors)
• Regional resections of a lung
• The repeating pheumothorax
• Adgeolizis
• Plevrodez (various cases)

Examples of use in endobronchial surgery:

• Ablyation of tumors
• Removal of stenoses
• Vaporization of pathological fabrics
• Hemostasis

Examples of use in visceral surgery:

• Metastasises of a liver, kidneys and spleen
• Surgery of benign tumors
• Biopsy
• Resection of a carcinoma of a liver, kidneys and spleen

Examples of use in a flebologiya:

• Endovazalny laser occlusion of a hypodermic vein
• Endovazalny laser occlusion of perforant
• Endovazalny laser occlusion of additional hypodermic veins