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公开(公告)号:US20220323153A1
公开(公告)日:2022-10-13
申请号:US17809766
申请日:2022-06-29
Applicant: Boston Scientific Scimed, Inc.
Inventor: Honggang YU , Rongwei Jason XUAN , Jian James ZHANG
IPC: A61B18/22
Abstract: A side-fire laser fiber (102) includes an optical fiber (112) having a distal end (116) and a fiber cap (114). The fiber cap is coupled to the distal end of the optical fiber and includes a molded reflective surface (130) and a sealed cavity (132A or 132B). The molded reflective surface defines a wall of the cavity. Laser energy discharged from the distal end along a central axis (124) of the optical fiber is reflected off the molded reflective surface in a direction that is transverse to the central axis.
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公开(公告)号:US20220079674A1
公开(公告)日:2022-03-17
申请号:US17533653
申请日:2021-11-23
Applicant: Boston Scientific Scimed, Inc.
Inventor: Wen-Jui Ray CHIA , Rongwei Jason XUAN , Thomas C. HASENBERG , Jian James ZHANG , Steven Yihlih PENG , Danop RAJABHANDHARAKS
Abstract: A surgical laser system (100) includes a first laser source (140A), a second laser source (140B), a beam combiner (142) and a laser probe (108). The first laser source is configured to output a first laser pulse train (144, 104A) comprising first laser pulses (146). The second laser source is configured to output a second laser pulse train (148, 104B) comprising second laser pulses (150). The beam combiner is configured to combine the first and second laser pulse trains and output a combined laser pulse train (152, 104) comprising the first and second laser pulses. The laser probe is optically coupled to an output of the beam combiner and is configured to discharge the combined laser pulse train.
In some embodiments, a surgical laser system includes a laser generator (102), a laser probe (108), a stone analyzer (170), and a controller (122). The laser generator is configured to generate laser energy (104) based on laser energy settings (126). The laser probe is configured to discharge the laser energy. The stone analyzer has an output relating to a characteristic of a targeted stone (120). The controller comprises at least one processor configured to determine the laser energy settings based on the output.
In some embodiments of a method of fragmenting a targeted kidney or bladder stone, a first laser pulse train (144) comprising first laser pulses (146) is generated using a first laser source (140A). A second laser pulse train (148) comprising second laser pulses (150) is generated using a second laser source (140B). The first and second laser pulse trains are combined into a combined laser pulse train (152) comprising the first and second laser pulses. The stone is exposed to the combined laser pulse train using a laser probe (108). The stone is fragmented in response to exposing the stone to the combined laser pulse train.
In some embodiments of a method of fragmenting a targeted kidney or bladder stone, an output relating to a characteristic of the targeted stone (120) is generated using a stone analyzer (170). Embodiments of the characteristic include an estimated size of the stone, an estimated length of the stone, an estimated composition of the stone, and a vibration frequency measurement of the stone. Laser energy settings (126) are generated based on the output. Laser energy (104) is generated using a laser generator in accordance with the laser energy settings. The stone is exposed to the laser energy using a laser probe (108). The stone is fragmented in response to exposing the stone to the laser energy.
In some embodiments of a method of fragmenting a targeted kidney or bladder stone (120), the stone is exposed to first laser energy (130) having a first power level using a laser probe (108). The stone is exposed to second laser energy (164) having a second power level using the laser probe, wherein the second power level is higher than the first power level. The stone is fragmented in response to exposing the stone to the second laser energy.-
公开(公告)号:US20220079673A1
公开(公告)日:2022-03-17
申请号:US17534964
申请日:2021-11-24
Applicant: Boston Scientific Scimed, Inc.
Inventor: Honggang YU , Rongwei Jason XUAN , Jian James ZHANG , David N. HORN , Xirong YANG , Thomas HASENBERG
Abstract: A surgical laser system includes an array of laser diodes that are configured to output laser energy, a fiber bundle, a delivery fiber, and a tubular sheath. The fiber bundle includes a plurality of optical fibers and has a proximal end that is configured to receive laser energy from the array of laser diodes. The delivery fiber includes a proximal end that is configured to receive laser energy from a distal end of the fiber bundle. The tubular sheath defines a lumen, in which at least a portion of the delivery fiber is disposed. The tubular sheath is insertable into a working channel of an endoscope or a cystoscope. A distal end of the tubular sheath is configured to deliver laser energy discharged from the delivery fiber into a body of a patient.
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公开(公告)号:US20250138269A1
公开(公告)日:2025-05-01
申请号:US19004954
申请日:2024-12-30
Applicant: Boston Scientific Scimed, Inc.
Inventor: Xirong YANG , Baocheng YANG , Brian CHENG , Peter BULL , Viju PANICKER , Yang-Te FAN , Rongwei Jason XUAN , Thomas Charles HASENBERG , Jian James ZHANG
Abstract: A laser system includes a first laser cavity to output a laser light along a first path, a first mirror to receive the laser light from the first laser cavity, and redirect the laser light along a second path that is different than the first path, a second mirror to receive the laser light from the first mirror, and redirect the laser light along a third path that is different than the first path and the second path, a beam splitter located at a first position on the third path, a beam combiner located at a second position on the third path; and a coupling lens assembly, the coupling lens assembly including a lens located at a third position on the third path, wherein the coupling lens assembly moves the lens in x-, y-, and x-directions.
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公开(公告)号:US20240213734A1
公开(公告)日:2024-06-27
申请号:US18601035
申请日:2024-03-11
Applicant: Boston Scientific Scimed, Inc.
Inventor: Jian James ZHANG , Baocheng YANG , Xirong YANG , Hyun Wook KANG , Brian CHENG , Peter BULL , Rongwei Jason XUAN , Thomas C. HASENBERG
CPC classification number: H01S3/0912 , A61B18/26 , H01S3/061 , H01S3/092 , H01S3/161 , H01S3/1643 , A61B2017/00154
Abstract: Techniques are provided for controlling an output laser pulse signal of a medical device. A control device defines a time duration of capacitive discharge to a laser device. The time duration corresponds to an intended energy of the output laser pulse signal. The control device generates a plurality of sub-pulse control signals. The sub-pulse control signals define a series of capacitive discharge events of the capacitor bank. The control device modulates one or more of a sub-pulse control signal period or a sub-pulse time duration of the sub-pulse control signals to modify the capacitive discharge of the capacitor bank to the laser device during the time duration.
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公开(公告)号:US20230414285A1
公开(公告)日:2023-12-28
申请号:US18244999
申请日:2023-09-12
Applicant: Boston Scientific Scimed, Inc.
Inventor: Wen-Jui Ray CHIA , Rongwei Jason XUAN , Thomas C. HASENBERG , Jian James ZHANG , Steven Yihlih PENG , Danop RAJABHANDHARAKS
CPC classification number: A61B18/26 , A61B5/0084 , A61B1/307 , A61B5/20 , A61B1/00009 , A61B5/0075 , A61B2017/00061
Abstract: A surgical laser system (100) includes a first laser source (140A), a second laser source (140B), a beam combiner (142) and a laser probe (108). The first laser source is configured to output a first laser pulse train (144, 104A) comprising first laser pulses (146). The second laser source is configured to output a second laser pulse train (148, 104B) comprising second laser pulses (150). The beam combiner is configured to combine the first and second laser pulse trains and output a combined laser pulse train (152, 104) comprising the first and second laser pulses. The laser probe is optically coupled to an output of the beam combiner and is configured to discharge the combined laser pulse train.
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公开(公告)号:US20220370129A1
公开(公告)日:2022-11-24
申请号:US17664300
申请日:2022-05-20
Applicant: Boston Scientific Scimed, Inc.
Inventor: Baocheng YANG , Xirong YANG , Brian CHENG , Peter BULL , Rongwei Jason XUAN , Jian James ZHANG , Thomas Charles HASENBERG , David PIH
Abstract: A medical laser system for outputting laser pulses includes at least one laser cavity, a rotating mirror, a user interface, and a controller. The controller is configured to receive at least one laser parameter associated with a laser pulse output by the system. The controller is configured to determine an average power level of the laser pulse based on the at least one laser parameter associated with the laser pulse. The controller is configured to determine a pulse width modulation (PWM) control signal based on at least one laser parameter. The controller is configured to generate the laser pulse based on the average power level and the PWM control signal, the laser pulse comprising at least one of a first shape, a second shape, or a third shape. Each of the first shape, the second shape, and the third shape of the laser pulse includes different pulse widths.
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公开(公告)号:US20190083176A1
公开(公告)日:2019-03-21
申请号:US16185931
申请日:2018-11-09
Applicant: Boston Scientific Scimed, Inc.
Inventor: Hui Wang , Wen-Jui Ray CHIA , Rongwei Jason XUAN , Jian James ZHANG , Aditi RAY , Honggang YU
CPC classification number: A61B18/22 , A61B18/1482 , A61B18/28 , A61B2018/00101 , A61B2018/00577 , A61B2018/00595 , A61B2018/2065 , A61B2018/2211 , A61B2018/2272 , A61B2018/2285
Abstract: Aspects of this disclosure pertain to a device with an elongated body having a distal end. The distal end may comprise a port that permits discharge of a laser energy towards a tissue from an optical fiber located in the distal end. An exterior surface of the distal end may include a cauterization portion that permits discharge of a cauterization energy towards the tissue. In some aspects, the device includes an insulative portion that attaches the distal end to the elongated body and limits energy transfer therebetween. Related systems and methods are also disclosed.
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公开(公告)号:US20170014187A1
公开(公告)日:2017-01-19
申请号:US15209277
申请日:2016-07-13
Applicant: Boston Scientific Scimed, Inc.
Inventor: Hui Wang , Wen-Jui Ray CHIA , Rongwei Jason XUAN , Jian James ZHANG , Aditi RAY , Honggang YU
CPC classification number: A61B18/22 , A61B18/04 , A61B18/082 , A61B18/1482 , A61B18/28 , A61B2018/00101 , A61B2018/00577 , A61B2018/00595 , A61B2018/2065 , A61B2018/2211 , A61B2018/2272
Abstract: Aspects of this disclosure pertain to a device with an elongated body having a distal end. The distal end may comprise a port that permits discharge of a laser energy towards a tissue from an optical fiber located in the distal end. An exterior surface of the distal end may include a cauterization portion that permits discharge of a cauterization energy towards the tissue. In some aspects, the device includes an insulative portion that attaches the distal end to the elongated body and limits energy transfer therebetween. Related systems and methods are also disclosed.
Abstract translation: 本公开的方面涉及具有远端的细长主体的装置。 远端可以包括允许从位于远端的光纤向组织排出激光能量的端口。 远端的外表面可以包括允许向组织排出烧灼能的烧灼部分。 在一些方面,该装置包括将远端附接到细长主体并限制其间的能量传递的绝缘部分。 还公开了相关系统和方法。
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