Abstract:
An optical surgical probe includes a cylindrical cannula; a light guide partially within the cannula to receive a light beam from a light source through a proximal end, to guide the light beam to a distal end of the light guide, and to emit the light beam through the distal end of the light guide; a multi-spot generator at a distal end of the cannula that includes an optical element with a proximal surface to receive the emitted light beam, and a focusing lens, positioned inside the optical element to focus the received light beam into a focused beam, wherein the optical element has a faceted distal surface to split the focused beam into multiple distally emitted beam-components when the optical surgical probe is operated in a fluid with an index of refraction of 1.30-1.40, and to confine the focused beam in the optical surgical probe when the optical surgical probe is operated in air.
Abstract:
An example multi-fiber, multi-spot laser probe comprises a plurality of fibers extending from a proximal end of the laser probe to at least near a distal end of the laser probe, where the proximal end of the laser probe is configured to be coupled to a laser source via an adapter interface, and a cannula having a distal end and surrounding the plurality of fibers along at least a portion of the laser probe at or near the distal end of the laser probe, where a distal end of each of the plurality of fibers is angle-polished so that the distal end of each fiber is angled relative to a longitudinal axis of the cannula and relative to a plane perpendicular to the longitudinal axis of the cannula. Additional embodiments employ lensed fibers, a distal window, ball lens, lens array, or faceted wedge.
Abstract:
Provided herein is an illuminated microsurgical instrument system and an illuminated microsurgical instrument. In one implementation, the system includes a microsurgical instrument having a distally projecting tubular member arranged to perform a medical procedure at an interventional site. The tubular member has a distal tip and an outer surface, the outer surface having a flat surface formed therein. The instrument includes a sheath member surrounding a portion of the tubular member and extending toward the distal tip of the tubular member and an optical fiber extending along a length of the flat surface between the tubular member and the sheath member. The instrument may further include a slack chamber, collar structure, and fiber guard member to support and guide the optical fiber to the distal tip.
Abstract:
An illuminated microsurgical surgical instrument that allows for illumination of the interior of a body cavity during a surgical procedure is provided herein. The surgical instrument may include an elongate tubular member having a distal end for insertion through tissue, the elongate tubular member having an inner diameter, an outer diameter, and a wall thickness. A longitudinal slot extending from the distal end of the elongate tubular member is formed in the elongate tubular member. The surgical instrument further may include an optical fiber extending within the longitudinal slot toward the distal end of the elongate tubular member. The optical fiber may be affixed within the longitudinal slot by an adhesive. The optical fiber may be positioned such that a distal tip thereof is protected from damage by a distal edge of the elongate tubular member during insertion of the instrument into the body cavity.
Abstract:
Systems, apparatuses, and methods of and for an ophthalmic visualization system are disclosed. An example ophthalmic visualization system may include a first lens positioned relative to a surgical microscope in a manner facilitating viewing of a central region of a retina through the surgical microscope during a surgical procedure. The first lens may be positionable in an optical path between an eye and the surgical microscope during the surgical procedure. The example ophthalmic visualization system may also include a second lens selectively positionable relative to the surgical microscope and the first lens in a manner facilitating viewing of a peripheral region of the retina of the eye during the surgical procedure. The second lens may be selectively positionable in the optical path such that the peripheral region is selectively viewable without changing the position of the first lens during the surgical procedure.
Abstract:
An illuminated microsurgical instrument is provided herein that includes a microsurgical instrument having a tubular member arranged to treat patient tissue at a surgical site, the tubular member having a distal tip, an inner surface, and an outer surface. The inner surface defines a lumen. The outer surface has a notch formed therein. The illuminated microsurgical instrument further includes an optical fiber arranged to deliver light to the surgical site. The optical fiber includes a proximal end arranged to receive a light beam from a light source and also includes a curved distal end arranged to emit light adjacent to the distal tip. A portion of the curved distal end is positioned within the notch and curves away from the tubular member.
Abstract:
An optical coupling efficiency detection assembly includes a first housing accommodating a beam splitter and a fiber port, a second housing accommodating a ferrule enclosing a monitoring fiber, and an attachment block attaching the first housing to the second housing to establish a parfocal arrangement among the beam splitter, the fiber port, and the ferrule. Further, an assembly method for the optical coupling efficiency detection assembly is disclosed. The assembly method may include providing a beam splitter and a fiber port in a first housing, providing a ferrule enclosing a monitoring fiber in a second housing, and attaching the second housing to the first housing via an attachment block to establish a parfocal arrangement among the beam splitter, the fiber port, and the ferrule.
Abstract:
In some embodiments, an illuminated microsurgical instrument system includes a microsurgical instrument having a distally projecting tubular member arranged to perform a medical procedure. The tubular member has a distal tip and an outer surface, the outer surface having a flat surface formed therein. The instrument includes a sheath member surrounding a portion of the tubular member and extending toward the distal tip of the tubular member and an optical fiber extending along a length of the flat surface between the tubular member and the sheath member. The instrument may include an opening such as a slot in the distal end of the sheath member to direct exiting air away from the tip of the optical fiber. The instrument may further include a slack chamber, collar structure, and fiber guard member to support and guide the optical fiber to the distal tip.
Abstract:
Multi-fiber laser probes utilize relative motion of fibers and other laser probe elements to preserve small-gauge compatibility while providing for multi-spot beam deliver, or to provide for the selectively delivery of single-spot or multi-spot beam patterns. An example probe includes fibers having distal ends that are movable as a group onto a distal ramp element affixed to a distal end of a cannula, so that the distal ends of the fibers can be moved between a retracted position, in which the distal ends of the fibers are within the cannula or ramp element, and an extended position, in which distal ends of the fibers are guided by grooves or channels of the ramp so as to extend at least partially through external openings in the distal end of the laser probe and so as to be pointed angularly away from a longitudinal axis of the cannula.
Abstract:
Systems, apparatuses, and methods of and for an ophthalmic illumination system are disclosed. In an exemplary implementation, an ophthalmic illumination system includes a collimator having at least one lens. The system includes a first mirror arranged to reflect light towards the collimator. The first mirror is configured for use with a first light source that emits a first light beam having a first parameter. The system includes a second mirror arranged to reflect light towards the collimator. The second mirror is configured for use with a second light source emitting a second light beam having a second parameter that is different than the first parameter. The second mirror is shaped and arranged to cause a reflected portion of the second light beam to have the first parameter. The first mirror and the first light source, and the second mirror and the second light source, are separately usable with the collimator.