Abstract: A centering mechanism accurately centers a probe as it moves through a pathway having a changing shape, diameter, and direction. More specifically, the invention provides a probe centering device that includes a ring shaped resilient balloon, a front stopper that fixes a location of a first side of the balloon, and a biasing mechanism that applies a biasing force to a second side of the balloon. The biasing mechanism includes a rear stopper, a spring and a pusher, wherein the spring is located between the rear stopper and the pusher and the pusher is in contact with the second side of the balloon. A flexible member is preferably provided to cover and protect the biasing mechanism.

Abstract: A system and method for welding of biological tissue by applying an RF voltage during a first stage to electrodes of a tissue welding tool; monitoring tissue impedance, and determining a minimum tissue impedance value during the first stage; determining relative tissue impedance; detecting when the relative tissue impedance reaches a predetermined relative tissue impedance value and starting a second stage; calculating the duration of the second stage as a function of the duration of the first stage; and applying the RF voltage during the second stage to the electrodes of the tissue welding tool.

Abstract: Apparatus for the removal of lens tissue includes a first handpiece having a laser emitting probe sized for insertion into a lens capsule and radiating a lens therein. The laser emitting probe includes a lumen for introducing irrigation fluid into the lens capsule. A second handpiece includes a vibrated needle for insertion into the lens capsule and emulsifying laser eradiated lens tissue. The vibrated needle includes a lumen therethrough for aspiration of emulsified lens tissue and irrigation fluid.

Abstract: A laser perforator for perforating skin of a patient and obtaining of blood samples consists of laser light source for producing an output laser beam, a focusing arrangement for focusing the output laser beam at a skin area selected for perforation, a guiding arrangement, a power supply unit and a retaining arrangement for retaining the skin area. The retaining arrangement is formed to intensify blood circulation in the skin area selected for perforation.

Abstract: An intervertebral disc device is provided comprising a distal probe sized to be extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, a distal section of the probe comprising a flexible neck which tapers in a proximal to distal direction, and a distal tip which is larger in cross sectional diameter than the flexible neck adjacent the distal tip, the flexible neck and distal tip serving to prevent the probe distal end from piercing an internal wall of the intervertebral disc; and a proximal handle for externally guiding the probe within an intervertebral disc.

Abstract: A method of performing a LASIK procedure. The method includes providing LASIK instrumentation, preferably including an automated microkeratome instrument and an excimer laser. The microkeratome device includes both a microkeratome as well as a suction ring. A high-pressure range tonometer instrument is also provided. The tonometer includes a probe for sensing a parameter of the eye indicative of intraocular pressure, and is capable of providing intraocular pressure measurements in excess of 80 mm Hg; more preferably in excess of 100 mm Hg; most preferably up to or in excess of 120 mm Hg. The suction ring is positioned over the patient's eye, and a vacuum applied. The high-pressure range tonometer probe is positioned relative to the eye so as to sense a parameter indicative of intraocular pressure. The measured intraocular pressure is then provided to the surgeon.

Abstract: An intervertebral disc device is provided comprising a probe capable of being extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, the probe forming a loop when extended from the distal end of the introducer, the loop having first and second proximal ends external to the introducer which are brought together adjacent the introducer distal end to form the loop by the proximal ends being either attached to or entering the distal end of the introducer; and a proximal handle for externally causing the probe to be extended from the distal end of the introducer and externally guiding the probe within an intervertebral disc.

Abstract: Methods and devices for occlusion of the fallopian tubes of a woman. The method involves thermally damaging the lining of the utero-tubal junction with relatively low power, followed by placement of a reticulated foam plug. In one embodiment, vascularized tissue grows into the plug and prevents or discourages formation of scar tissue around the plug. Another embodiment with a relatively small foam pore size encourages formation of a vascularized capsule around the plug. The presence of this vascularized capsule limits the patient's foreign body response, so that the capsule does not constrict around the plug. Also presented is a catheter designed for wounding the epithelial layer of the utero-tubal junction, and a method of using the catheter to form a long yet shallow lesion in the utero-tubal junction.

Abstract: A manipulator for producing a remote center of revolute motion is provided. The manipulator includes a base and a first parallelogram linkage mechanism including a first link pivotally mounted to the base for rotation about a first axis such that the first link moves in a first plane. The manipulator also includes a second parallelogram linkage mechanism including a second link pivotally mounted to the base for rotation about a second axis such that the second link moves in a second plane parallel to the first plane. The first link is pivotal about a third axis perpendicular to the first axis and the second link is pivotal about a fourth axis perpendicular to the second axis. The first and second parallelogram linkages are pivotally connected together by a first connector link and a second connector link.

Abstract: An endoscopic instrument is provided comprising a shaft having an endoscope optical system arranged therein, which has a distal front face. The instrument also comprises a working element arranged in the shaft. The shaft provides for the supply of an irrigation fluid. Flow-influencing means are provided, such that the irrigation fluid reaches in front of the front face of the endoscope optical system and can eliminate contaminations, which obstruct the view through the endoscope optics.

Abstract: A process for treating diseased cells with protons and light nuclei, comprising the steps of: (a) disposing a multiplicity of nanocapsules a biological organism, (b) focusing laser energy at awavelength of from about 350 nanometers to about 850 nanometers and an intensity of from about 1019 to about 1021 watts/square centimeter, and (c) contacting the nanocapsules with the focused laser energy for less than about 30 femtoseconds, thereby producing charged nuclei within said capsules.

Abstract: A method of forming a lesion at a predetermined heart location is provided. An energy-delivering electrode is positioned proximal to the predetermined heart location; a return electrode is positioned in contact with cardiac tissue. An electrosurgical current, capable of delivering energy through the energy-delivering electrode to the predetermined heart location at a magnitude and for a duration effective to form a lesion is established. A system for treating atrial fibrillation by forming transmural lesions and a heart-positioning device including a return electrode are also provided.

Abstract: A method for the reduction in healing time for a wound on the skin of a mammalian patient. The method comprises the steps of providing an optical radiation apparatus with a handpiece communicating therewith, energyzing the optical radiation apparatus to provide a beam of light, and directing the light beam onto a wound or surgical site of a patient. The beam has a wavelength range of about 530 nm to 1000 nm and the beam has a fluence range of from 2 J/cm2 to 5 J/cm2. The beam is preferrably generated by a pulse dye laser apparatus.

Abstract: Methods and apparatus are provided for an achieving low-rate collagen shrinkage using an electrode array comprising an elongated insulator strip having at least one pair of spaced-apart bi-polar RF electrodes, and a “channeling” disposed on the strip between the bi-polar electrodes to direct the flow of RF current therebetween. The channeling electrode is not directly coupled to the RF power source, but only indirectly through the tissue in contact with the channeling electrode. The apparatus enables low RF power levels (e.g., 0.5 watts to 25 watts) to be applied over time intervals of 5 seconds to 180 seconds to attain low-rate collagen shrinkage by directing or focusing the path of the RF current.

Abstract: A therapy device for providing heated air to the upper body of a patient and a method of making and using the therapy device have been provided. The therapy device is an inflatable U-shaped tube mounted on a base sheet and having a cover sheet. The patient is placed on the base sheet with the patient's head located between the legs of the tube. The cover sheet is placed over the patient's face. A heated air supply tube is connected to the tube and the heated air inflates the tube and heated air is forced out of the exhaust ports of the tube, thereby providing an environment in which a portion of the patient's body is heated. In one embodiment the exhaust ports are slits cut into the tube sheet material, and the slits are parallel to a tangent line of the tube's sealed edge. The method of fabricating the therapy device includes forming the individual pieces, attaching the tube sheets to form a tube, lancing the tube to form exhaust ports, and attaching the remaining pieces.

Abstract: Apparatus for controlling external medical treatment administered with the aid of light, including a light-emitting device and a drive arrangement for driving the light-emitting device. The light-emitting device includes diodes that emit monochromatic light, and the light is pulsated in accordance with a predetermined series of pulse frequencies over predetermined time periods. The drive arrangement includes a computer and circuits for driving the light-emitting diodes, and the computer includes an input arrangement for inputting data relating to an intended treatment. The control apparatus includes a machine-readable card and an input device in the form of a card reader. The card is contains information relating to treatment programs, and the card reader delivers to the computer information read from the card.

Abstract: Apparatus and methods for conditioning and pre-tensioning soft tissue grafts during joint repair surgery, such as during repair of the anterior cruciate ligament (ACL). The inventive apparatus is advantageously adapted and configured so as to enable a surgeon to independently apply a desired tensile load onto individual strands of a multiple-stranded soft tissue graft, such each of a pair of ham strings. The inventive methods advantageously ensure that each strand of a multiple-strand soft tissue graft is adequately tensioned so as to both “condition” the graft to prevent subsequent stretching, relaxation or elongation following surgery, which can destabilize the joint, and pre-tension each strand of the graft to a desired amount so that each significantly contributes to the strength and stability of the joint, thus resulting in a stronger and more durable joint.

Abstract: A catheter system for removing occlusive materials from a targeted endoluminal site, such as a vascular graft. The catheter system utilizes an electrical source and a controller to deliver sequences of very small electrical discharges between paired electrodes in a fluid-jet arrangement (i) to cause high fluid flow velocities in the catheter's fluid extraction pathway based on Bernoulli's Law of Pressure Differential, (ii) to create a selected level of turbulent fluid flows within the targeted site to remove occlusive material from the vessel walls and to thereafter suction fluids and entrained embolic particles into the extraction pathway, and (iii) to emulsify any embolic particles having a cross-sectional dimension larger than a couple of hundred micrometers to allows passage of the embolic particles through the elongate catheter to the catheter handle.

Abstract: There is disclosed a laser treatment apparatus including: a handpiece internally including an irradiation optical system for irradiating a laser beam for treatment; a lens disposing unit which can dispose a lens in the irradiation optical system, the lens being selectable from among a plurality of lenses of different types having different focal lengths; and a lens detecting unit which detects the type of the lens disposed in the irradiation optical system.

Abstract: Surgical ablation instruments are disclosed for creating lesions in tissue, including cardiac tissue for treatment of arrhythmias and other diseases. The hand held instruments are especially useful in open chest or port access cardiac surgery for rapid and efficient creation of curvilinear lesions to serve as conduction blocks. Photoablative instruments are disclosed that can achieve rapid and effective photoablation through the use of distributed (e.g., diffuse or defocused) radiant energy.