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

2. Marc Richly, Medical Sales Manager - Biolitec AG

3. biolitec AG – Step by Step ELVeS Procedure PDF

4. Ceralas D15, D25, D50 biolitec – Medizinische Diodenlaser
Wavelength:  nm
Optical Power: 15Watt, 25Watt, 50Watt
Aiming Beam: nm, 4mW
Operating Mode: Pulsed, Continuous (cw),
DermaModus (Fluence J/cm2)
Pulse On-Time: sec
Pulse Off-Time: 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…
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 FDA
Dec 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 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 PLUS Treatement 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
Power
[ Watt ]
Treatment Mode
Treatment Energy
GSV
SSV
Continuous (cw)
100 J/cm (upper leg) –
40 J/cm (knee area) –
20 J/cm (lower leg)
50J/cm

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