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    Combination handpiece and surgical laser tool
    61.
    发明授权
    Combination handpiece and surgical laser tool 失效
    组合手机和手术激光工具

    公开(公告)号：US5611797A

    公开(公告)日：1997-03-18

    申请号：US507581

    申请日：1995-07-26

    Applicant: Virginia C. George

    Inventor： Virginia C. George

    IPC: A61B18/20 ,  A61B19/00 ,  A61B17/36

    CPC classification number: A61B18/201 ,  A61B90/36 ,  A61B2018/2025 ,  A61B2090/306

    Abstract: A combination handpiece and surgical laser tool is disclosed for use in laser surgery. The handpiece comprises a hollow body having an internal wall which is mounted about the probe of the laser tool. A layer which contains optical fibers is mounted about the internal wall with the fibers have outlet ends at the tip of the handpiece. A light source directs visible white light along the fibers with the light being projected in a pattern which illuminates a portion of an anatomical structure in a path about a spot at which the laser beam impinges. In one embodiment a handpiece is releasably fitted about the laser tool so that the handpiece can be detached and used as a flashlight to explore the wound. In another embodiment the optical fibers are formed into discrete clusters which are spaced about the circumference of the annular layer of the handpiece. Visible light can then be projected from the clusters in discrete spots about the laser beam.

    Abstract translation: 公开了用于激光手术的组合手机和手术激光工具。 手持件包括具有围绕激光工具的探针安装的内壁的中空本体。 包含光纤的层围绕内壁安装，其中纤维在手持件末端具有出口端。 光源沿着纤维引导可见的白光，其中光以照射激光束照射的点周围的路径中解剖结构的一部分的图案投影。 在一个实施例中，手持件可释放地安装在激光工具周围，使得手持件可以被拆卸并用作手电筒以探索伤口。 在另一个实施例中，光纤被形成为离开的簇，其围绕手持件的环形层的圆周间隔开。 然后，可见光可以围绕激光束从离散点投射出来。

    Laser delivery system
    64.
    发明授权
    Laser delivery system 失效
    激光输送系统

    公开(公告)号：US5413555A

    公开(公告)日：1995-05-09

    申请号：US56209

    申请日：1993-04-30

    Applicant: William H. McMahan

    Inventor： William H. McMahan

    IPC: A61B18/20 ,  A61B19/00 ,  A61F9/00 ,  A61F9/008 ,  A61F9/011 ,  A61B17/36

    CPC classification number: A61F9/008 ,  A61B18/201 ,  A61B90/20 ,  A61F2009/0035

    Abstract: A laser delivery system which may be coupled to a stereomicroscope or camera equivalent, may be three dimensionally positioned such that a laser beam may irradiate a wide range of treatment sites from a variety of angles and distances, and where the laser beam may be positioned at an angle to the viewing axis and track along therewith. A laser delivery system including a filter/mirror system which allows only proper wavelengths to be transmitted.

    Abstract translation: 可以耦合到立体显微镜或照相机等效物的激光输送系统可以三维地定位，使得激光束可以从各种角度和距离照射宽范围的治疗部位，并且其中激光束可以位于 与观察轴成一定角度并沿其轨迹。 一种激光传送系统，包括仅允许传送适当波长的滤光镜/镜系统。

    Medical laser delivery system
    65.
    发明授权
    Medical laser delivery system 失效
    医疗激光输送系统

    公开(公告)号：US5346489A

    公开(公告)日：1994-09-13

    申请号：US977665

    申请日：1992-11-18

    Applicant: Michael B. Levy ,  Steven E. Wojcik

    Inventor： Michael B. Levy ,  Steven E. Wojcik

    IPC: A61B18/20 ,  A61B18/22 ,  A61C1/00 ,  A61B17/36

    CPC classification number: A61B18/22 ,  A61B18/201 ,  A61C1/0046

    Abstract: A medical laser delivery system usable to transmit laser energy from a laser energy source to a surgical site of a patient. The delivery system includes a handpiece adapted for rotatable coupling to a delivery arm coupled to the laser energy source such that the handpiece is rotatable about its longitudinal axis with respect to the delivery arm. A distal delivery system is coupled to the handpiece and delivers laser energy to the surgical site when the laser energy source is actuated. The handpiece includes a handpiece body adapted for rotatable coupling to the delivery arm and a handpiece head coupled to both the handpiece body and the distal delivery system. The handpiece head can be rotatably coupled to the handpiece body. In one embodiment, the handpiece head is angularly oriented at a fixed angle with respect to the handpiece body. In an alternative embodiment, the handpiece head is pivotally coupled to the body such that the handpiece head may be adjusted to various angles with respect to the handpiece body, such pivotal coupling preferably being accomplished by a ball and socket joint. A removable fiber extension is positioned within the handpiece and transmits laser energy from a fiber in the delivery arm to the distal delivery system. The distal delivery system includes an interchangeable delivery tip through which the laser energy is delivered to the surgical site. The tip can be a solid or hollow fiber of various sizes and shapes.

    Abstract translation: 一种可用于将激光能量从激光能量源传送到患者手术部位的医疗激光传送系统。 输送系统包括适于可旋转耦合到耦合到激光能量源的输送臂的手持件，使得手持件可相对于输送臂围绕其纵向轴线旋转。 远程输送系统耦合到手持件并且当激光能量源被致动时将激光能量传送到手术部位。 手持件包括适于可旋转地联接到输送臂的手持件主体和联接到手持件主体和远端输送系统的手持头。 手持头可以可旋转地联接到手持件本体。 在一个实施例中，手持头相对于手持件主体成角度地定向成固定的角度。 在替代实施例中，手持头可枢转地联接到主体，使得手持头可以相对于机头本体被调整到各种角度，这种枢转联接优选地通过球窝接头实现。 可拆卸的纤维延伸部位于手持件内，并将激光能量从输送臂中的纤维传递到远端输送系统。 远端输送系统包括可互换的递送尖端，激光能量通过该输送尖端被输送到手术部位。 尖端可以是各种尺寸和形状的固体或中空纤维。

    Laser dosimeter and positioner, and methods of constructing and utilizing same
    66.
    发明授权
    Laser dosimeter and positioner, and methods of constructing and utilizing same 失效
    激光剂量计和定位器，以及其构造和利用方法

    公开(公告)号：US5320619A

    公开(公告)日：1994-06-14

    申请号：US813252

    申请日：1991-12-24

    Applicant: Radwan A. Badawi

    Inventor： Radwan A. Badawi

    IPC: A61B18/20 ,  A61B19/00 ,  A61B17/36

    CPC classification number: A61B18/20 ,  A61B18/201 ,  A61B2090/036 ,  A61B2090/061

    Abstract: An apparatus for accurately positioning a laser tool at multiple distances relative to an object to be treated with the laser tool comprises an adjustable distance guide such as a flat body, an adaptor for securing the flat body to the laser tool and an adjustable incremented member which can be selectively, resiliently disposed at various predetermined lengths projecting away from the flat body. The positioning apparatus may be provided in a kit together with a set of predetermined, standardized specifications for using the apparatus together with the laser tool for achieving various different treatment effects, and a set of blank forms for generating additional specifications. A method is disclosed for utilizing such kit.

    Abstract translation: 一种用于使用激光工具相对于待处理物体在多个距离处精确定位激光工具的装置包括可调节的距离引导件，例如平坦体，用于将平坦体固定到激光工具的适配器和可调节的增加部件， 可以选择性地弹性地布置成远离平坦体突出的各种预定长度。 定位装置可以与一组预定的标准化规格一起设置在套件中，用于与激光工具一起使用该设备以实现各种不同的处理效果，以及用于产生附加规格的一组空白形式。 公开了一种利用这种套件的方法。

    Method and apparatus for treating a body site with laterally directed laser radiation
    67.
    发明授权
    Method and apparatus for treating a body site with laterally directed laser radiation 失效
    用横向定向激光辐射治疗身体部位的方法和装置

    公开(公告)号：US5242438A

    公开(公告)日：1993-09-07

    申请号：US689456

    申请日：1991-04-22

    Applicant: Vahid Saadatmanesh ,  Hany M. G. Hussein ,  Marvin P. Loeb ,  Stanislaw Sulek ,  James A. Milburn

    Inventor： Vahid Saadatmanesh ,  Hany M. G. Hussein ,  Marvin P. Loeb ,  Stanislaw Sulek ,  James A. Milburn

    IPC: A61B17/00 ,  A61B17/42 ,  A61B18/20 ,  A61B18/22 ,  A61B18/24

    CPC classification number: A61B18/24 ,  A61B18/201 ,  A61B2017/00853 ,  A61B2017/4216 ,  A61B2018/2272

    Abstract: A method and device are provided for directing laser radiation to a body cavity site. A hollow, elongate, optical fiber is advanced, usually in a containing device, to the vicinity of the site and coupled to a laser source with a distal end region of the fiber extending along a longitudinal axis. The fiber terminates in an energy delivery surface for emitting laser radiation transmitted by the fiber. The radiation is intercepted at a location axially aligned with the energy delivery surface and is reflected in a beam radiating substantially transversely of, and substantially circumferentially around, the axis. A reflector member or block is provided for reflecting the radiation and is mounted in an open end of the catheter at a selected axial position along the axis. A fluid, such as a flushing fluid, can be directed between the end of the fiber, against the reflector member, and to the body site.

    Abstract translation: 提供了一种用于将激光辐射引导到体腔部位的方法和装置。 中空细长的光纤通常在容纳装置中前进到现场附近并且耦合到激光源，其中光纤的远端区域沿着纵向轴线延伸。 光纤终止于能量传递表面，用于发射由光纤传播的激光辐射。 辐射在与能量传递表面轴向对准的位置处被截取，并且被反射在基本上横向并且基本上周向围绕轴线辐射的光束中。 提供反射器构件或块以反射辐射，并且沿着轴线在选定的轴向位置安装在导管的开口端。 诸如冲洗流体之类的流体可以被引导到纤维的端部与反射器构件之间以及与身体部位之间。

    Decoupled dual-beam control system
    68.
    发明授权
    Decoupled dual-beam control system 失效
    去耦双光束控制系统

    公开(公告)号：US5219347A

    公开(公告)日：1993-06-15

    申请号：US813434

    申请日：1991-12-24

    Applicant: Charles Negus ,  Stephen M. Perez

    Inventor： Charles Negus ,  Stephen M. Perez

    IPC: A61B18/20 ,  A61B19/00

    CPC classification number: A61B18/201 ,  A61B34/72 ,  A61B2034/742

    Abstract: A decoupled dual-beam control system for a compact micromanipulator unit for a surgical laser system includes a focusing mechanism for focusing a first laser beam of a first wavelength at a predetermined focal point; and a control mechanism for directing a second laser beam of a second wavelength onto the focusing mechanism; the control mechanism includes a device for varying the diameter and wavefront of the second laser beam at the focusing mechanism for enabling the focusing mechanism to focus the second beam in the same focal plane as the first beam. The control mechanism further includes a device for translating the second beam relative to the focusing mechanism for enabling the focusing mechanism to coincidentally position the foci of the surgical and aiming beams in the focal plane.

    Abstract translation: 用于外科激光系统的紧凑型显微操纵器单元的去耦双光束控制系统包括聚焦机构，用于将第一波长的第一激光束聚焦在预定焦点处; 以及用于将第二波长的第二激光束引导到聚焦机构上的控制机构; 控制机构包括用于在聚焦机构处改变第二激光束的直径和波前的装置，以使聚焦机构能够将第二光束聚焦在与第一光束相同的焦平面上。 控制机构还包括用于相对于聚焦机构平移第二光束的装置，用于使聚焦机构能够将外科和瞄准光束的焦点在焦平面中重合。

    Optics for medical laser
    70.
    发明授权
    Optics for medical laser 失效
    医用激光光学

    公开(公告)号：US5198926A

    公开(公告)日：1993-03-30

    申请号：US644074

    申请日：1991-01-18

    Applicant: Andrew I. Sheinis ,  Colette Cozean ,  John F. Forkner ,  M. John Colles

    Inventor： Andrew I. Sheinis ,  Colette Cozean ,  John F. Forkner ,  M. John Colles

    IPC: A61B18/20 ,  A61B19/00

    CPC classification number: A61B18/201 ,  A61B34/72 ,  Y10T292/57

    Abstract: An optical system for use in a medical laser apparatus comprising an achromat having optical elements selected to cause two substantially different wavelengths, one visible and one infrared, to focus at a common focal point. The achromat comprises a negative lens and a doublet lens formed of a positive bi-convex lens and a negative meniscus lens. The materials of the two lenses which form the doublet have substantially different dispersions and indices of refraction and are chosen to cause a visible helium neon beam and an infrared carbon dioxide beam to focus at the same point. In the preferred embodiment of the present invention, the negative lens is made of zinc selenide, the bi-convex lens of the doublet is made of potassium chloride, and the negative meniscus is made of zinc selenide. The optical system of the present invention can be mounted in a micromanipulator for use in laser surgery. The visible helium neon beam is used as an aiming beam to establish a spot at which the carbon dioxide beam also focuses. The carbon dioxide beam is then employed to vaporize biotic material. A distal end of an articulated arm may couple with the micromanipulator to direct the carbon dioxide beam from the laser through a waveguide and into the micromanipulator. Another aspect of the invention includes introducing the aiming beam into the waveguide through a dichroic mirror positioned in a knuckle joint of the articulated arm. In one embodiment, a laser diode generates the visible light of the aiming beam, and is disposed proximate to the distal end of the articulated arm.

    Abstract translation: 一种用于医疗激光装置的光学系统，包括具有被选择成使两个基本不同的波长的光学元件的一个消色差，一个可见光和一个红外线聚焦在公共焦点处。 消色差包括负透镜和由正双凸透镜和负弯月形透镜形成的双透镜。 形成双峰的两个透镜的材料具有基本不同的分散度和折射率，并且被选择为使可见的氦氖光束和红外二氧化碳光束在同一点聚焦。 在本发明的优选实施方案中，负透镜由硒化锌制成，双峰的双凸透镜由氯化钾制成，负弯液面由硒化锌制成。 本发明的光学系统可以安装在用于激光手术的显微操纵器中。 可见氦氖光束用作瞄准光束，以建立二氧化碳光束也聚焦的点。 然后使用二氧化碳束来蒸发生物材料。 铰接臂的远端可以与显微操纵器耦合以将来自激光器的二氧化碳束引导通过波导并进入显微操纵器。 本发明的另一方面包括通过位于关节臂的转向节中的分色镜将瞄准光束引入到波导中。 在一个实施例中，激光二极管产生瞄准光束的可见光，并且靠近关节臂的远端设置。

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