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ELVeS ™ Endo Laser Vein System

biolitec AG. ELVeS ™ Endo Laser Vein System. Mar c Richly, Medical Sales Manager - Biolitec AG. biolitec AG. Mar c Richly, Medical Sales Manager - Biolitec AG. biolitec AG – Step by Step ELVeS Procedure PDF. biolitec – Medizinische Diodenlaser. Ceralas D15, D25, D50.

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ELVeS ™ Endo Laser Vein System

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

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

  3. biolitec AG – Step by Step ELVeS Procedure PDF

  4. biolitec – MedizinischeDiodenlaser Ceralas D15, D25, D50 • Wavelength:  980nm • Optical Power: 15Watt, 25Watt, 50Watt • Aiming Beam: 635nm, 4mW • Operating Mode: Pulsed, Continuous (cw), DermaModus (Fluence J/cm2) • Pulse On-Time: 0.01-99.9 sec • Pulse Off-Time: 0.01-99.9 sec

  5. 980nm wavelength absorption in H2O

  6. 980nm wavelength absorption in Hb/HbO2

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

  8. Past… • 1991 - 1993 First experiencies on the application of laser energia within veins (Nd:Yag - 1064 nm). (Method is abandoned due to collateral effects and low success rates) • 1993 - 1995 First experiencies on the Endo-Vascular treatment of flebostatic ulcers with diode laser (Magi et al.) • 1997 Increase of cientific comunications on the use of laser for Endo-Venous treatment showing various advantages (Bone, Min & others) • 1998 The Laser Industry starts promoting multicentre trials and deliver protocols for the application on GSV. • 1999 Application for FDA aprovals for the laser minimally- invasive procedure.

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

  11. ELVeSTM Endo Laser Vein System LASER • Semiconductor Technology • Objective applications FIBRE OPTICS • Operative Flexibility • Clinical evolution CLINICAL • Standardization • Efficacy & Safety

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

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

  14. ELVeS™ – Endo Laser Vein System ELVeS PLUSTreatement Kit 70cm / 100cm • 600µm Bare Fiber (BFF 603 DL) with Luer-Lock Connection • Introduction Set 0.035 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. ELVeS™ – Treatment of GSV / SSV • Percutaneous entry or via mini incision • 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

  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 incision • 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

  18. ELVeS™ – Treatment of GSV / SSV

  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 technique • 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

  21. ELVeS™ – Parameter GSV/SSV

  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]

  23. ELVeS™ – Side Branches

  24. ELVeS™ – Side Branches

  25. ELVeS™ – Side Branches

  26. ELVeS™ – Side Branches

  27. ELVeS™ – Side Branches

  28. ELVeS™ – Side Branches

  29. ELVeS™ – Venous Ulcer

  30. ELVeS™ – Venous Ulcer

  31. ELVeS™ – Venous Ulcer

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