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Laser Solutions in Coloproctology biomedical technology

EVOLVE EVOLVE™ in Surgery Our Laser Solutions in Coloproctology HeLP™ Ambulatory Laser Treatment of Hemorrhoids HeLP™ - for hemorrhoids HeLP™ is the least invasive of surgical procedures for hemorrhoidal dearterialization for curing hemorrhoids. HeLP™ uses an integral procedure kit specially designed by biolitec to achieve a treatment that is fast, painless, and above all, simple and reproducible by the surgeon.

E™ FiLaC Fistula-tract Laser Closure LHP Laser HemorrhoidoPlasty LHP - for hemorrhoids FiLaC – for anal fistulas The aim is to gently remove the fistula tract without damaging the sphincter. Thus, any parts of the muscle are preserved to a maximum and incontinence is avoided. This approach is used for advanced hemorrhoids under appropriate anesthesia. The energy of the laser is inserted centrally through a radial emitting fiber into the hemorrhoidal node. Safe . Effective . Fast . Painless

Hemorrhoid trea assisted laser The perfect relief/solution for patients fearing invasive painful surgical or semi- surgical techniques in this delicate matter. Especially if the patients are fed up with rubber band or sclerosation this easy and accurate application is the right alternative. It is an ambulatory approach and serves you with fast procedures needing just one The HeLP™ proctoscope is designed for easy insertion into the anal canal. It consists of a working channel containing the disposable HeLP'" Doppler probe, which identifies the branches of the superior hemorrhoidal arteries...

HeLP tments TM Laser hemorrhoidoplasty (LHP) 3rd and 4th degree If immediate removal/reduction of the hemorrhoidal cushion is indicated (no matter if it is segmental or circular) this therapy will provide you with an improved patient outcome especially regarding pain and down times compared to conventional surgical proceeding. Under proper local or general anesthesia the controlled laser energy deposition obliterates the nodes from the inside and preserves the mucosa and sphincter structures to an extremely high degree. The radial and homogenous laser emission required for this procedure...

FiLaC Fistula-tract Laser Fistula-tract Laser Closure Advantages: • • into the fistula. The epithelialized tissue is being destroyed in a controlled way and the fistula tract collapses. This also supports and accelerates the healing process. Can be executed in only a few minutes • Defined energy is being emitted radially Flexible fiber also convoluted tract • positioned exactly by using the pilot beam. Independent on the length of the fistula tract • laser fiber is inserted from the outside and No excision or splitting • gently as possible the flexible, radial emitting Good control • In...

Closure 1) After therapy of the abscess and Seton drainage the fistula has epithelised 2) After conventional closure of the internal fistula opening the probe is inserted into the fistula tract 3) Homogeneous application of laser energy radially into the lumen of the fistula. The epithelised tract is destroyed and collapses rear the probe head FiLaC fiber The FiLaC fiber applies energy adapted to the pathway of the fistula tract. The 360° energy emission ensures homogenous photothermal destruction of the fistula tract, allowing safe closure. The efficient radiation concept of the FiLaC...

FiLaC FiLaC Fistula-tract Laser Closure 3-D ultrasound illustration of a trans-sphincteric anal fistula at 12 o‘clock (Contrast enhancement via H2O2) Ultrasound image direct after advancement flap. In the area of the former inner opening in the Musculus sphinkter ani internus strong echo-reactions can be seen due to the applied laser energy. The protecting flap can be seen as isoechoic zone beneath. Ultrasound image 5 days post-op. In the treated area the hyperechoic regions are vanished and form a hypoechoic district. The dimensions correlate to the original fistula tract and display the...

Literature FiLaC HeLP™ Material and Methods: In a pilot study we operated on 10 (8 male – 2 female) patients. Median age was 51 years (38 – 65 years). There were only cryptoglandular fistulas with either two type 4 and 3, five type 2 and 1 type 1 fistula. All patients had previous surgery due to perianal abcess and fistula up to 6 times prior to definitive surgery. First, all patients had drainage of their perianal abscesses and seton draining of the fistula. Primarily, the outer an internal opening of the fistula were excised. Following, an advancement flap was prepared, if possible. By...

HeLP HeLP TM TM ib Other poss dure: laser proce pilonidalis • Sinus gs • Skin ta ps val of poly • Remo loma • Condy s • Fissure The HeLP™ platform comprises a Ceralas laser including a high-frequency Doppler (20 MHz) for assessing hemorrhoidal artery position, and specially designed HeLP™ procedure kits, which includes all equipment needed to carry out these treatment options. is f th lications o gical app le proctolo

FiLaC FiLaC Hardware & Accessoires EVOLVE™ Laser System Ceralas E 980nm 30W Ceralas E 1470nm 15W Article Description Item Number Manufacturer Dopplertransceiver AB2530 Vascular Technology, Inc. HeLP™ Procedure Kit • Proctoskope with working channel • Doppler Probe • Laser Fiber with handpiece 502400510 CeramOptec GmbH Universal Handpiece 501100210 CeramOptec GmbH LHP Procedure Kit • LHP Fiber • single use Proctoskope 501100220 CeramOptec GmbH Universal biolitec Dual Luer Lock Handpiece AB2517 CeramOptec GmbH FiLaC Fiber 501100250 CeramOptec GmbH Doppler assisted laser ligation of the...

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