Abstract: Devices and methods are provided for manipulating scoping devices, surgical tools, and/or tissue. An exemplary system for manipulating a scoping device can include a scoping device having a working channel, a tether extending through the working channel, and an internal coupling member attached to the tether and positioned adjacent to a distal end of the scoping device. The internal coupling member can be magnetically coupled to an external coupling member. An exemplary method for manipulating a scoping device can include inserting at least a portion of a scoping device into a body cavity and positioning an external coupling member proximate to an external surface of tissue such that the external coupling member magnetically couples through the tissue to an internal coupling member disposed within the body cavity and attached to a tether passed through at least one working channel of the scoping device.

Abstract: A temporarily positionable device includes a temporarily positionable body and an attachment mechanism formed integral with the temporarily positionable body. The attachment mechanism is to attach to body tissue. The attachment mechanism includes a fastener integral with the temporarily positionable body to attach the temporarily positionable body to the body tissue. At least one fastener has a deployed position and an undeployed position. An applier is used to move the fastener from the undeployed position to the deployed position. The temporarily positionable device can be disposed at a first location adjacent to body tissue. The temporarily positionable device can be attached to the body tissue at the first location fastener by simultaneously moving the fastener from the undeployed position to the deployed position.

Abstract: A method of controlling a medical device is provided. The method includes generating a beam of radiation using a radiation source assembly. The beam of radiation is directed toward a distal end of the medical device using an optical fiber. The beam of radiation is directed onto an area of interest by scanning the reflector in a scanning pattern, the reflector receiving the beam of radiation from the optical fiber. Radiation is collected from the area of interest using a collector to generate a signal for use in producing a viewable image. A loss of scan condition of the reflector is detected automatically by a control system.

Abstract: A guide system for accommodating, supporting and manipulating endoscopic tools. In various embodiments, the guide system includes a hollow outer sheath that may have a steerable distal end. The system may further include inner sheaths that are configured relative to the outer sheath to enable the inner sheaths to be inserted one at a time into the outer sheath and moved therein. The inner sheaths may be configured with different numbers, sizes and shapes of working channels for accommodating a variety of different endoscopic tools. The device may also be equipped with seals such that the inner sheath as well as the various endoscopic tools supported by the inner sheath may be manipulated within the body cavity while maintaining insufflation thereof.

Abstract: A medical system includes a catheter, a sensor, 3-D image data representative of a patient, and a computer. The catheter has a catheter distal end insertable into a natural orifice of a body lumen of the patient. The sensor is disposable proximate the catheter distal end and is adapted to provide position data. The computer is adapted: to receive an indication from a user of a medical target selected for a medical procedure which uses at least the catheter and which is to be performed within the patient; and to indicate to the user position information of the catheter distal end relative to the medical target using at least the 3-D image data and the position data. A storage medium contains a program readable by a computer which instructs the computer to perform the previously described steps. A method for assisting a medical procedure performs the above-described steps.

Abstract: A module for attachment to a medical instrument to scan the anatomy with a beam of radiation. The module comprising a housing suitable for insertion in the anatomy that includes a window and a fastener to attach the housing to a medical instrument, an oscillating reflector within the housing that directs a beam of radiation onto the anatomy, and a collector to receive radiation returned from the anatomy.

Abstract: A scanned beam imaging system including a housing suitable for insertion into a body and a radiation source configured to direct a beam of radiation into or through the housing and onto an area within the body. The scanned beam imaging system further includes an adjustable element inside the housing and positioned to reflect the beam of radiation or to receive the beam of radiation therethrough, wherein the adjustable element is physically adjustable to vary a property of the beam of radiation that is reflected thereby or received therethrough. The scanned beam imaging system further includes a collector configured to receive radiation returned from the area within the body.

Abstract: A method for repairing or modifying an area of a patient's anatomy that comprises directing at least a portion of a scanning beam assembly to an area of a patient's anatomy, applying a radiation-responsive agent to portion of the anatomy, and exposing the radiation-responsive agent to radiation directed onto the agent by the reflector to cause the agent to therapeutically interact with the site. The scanning beam assembly including a radiation source capable of emitting radiation, a reflector that receives the radiation from the radiation source to direct the radiation onto the anatomy, wherein the reflector oscillates in at least two directions to create a scan of the anatomy, a detector to detect radiation returned from the anatomy, and a controller to convert the detected radiation into a displayable anatomy image.

Abstract: Various compositions, methods, and devices are provided that use fluorescent nanoparticles to function as markers, indicators, and light sources. In one embodiment, an endoscopic adaptor is provided for viewing fluorescent nanoparticles. The adaptor can be configured to removably mate to a portion of an endoscope, such as an eyepiece, and it can be adapted to contain a filter for filtering light received through the viewing lumen of the eyepiece. In an exemplary embodiment, the filter is configured to transmit fluorescent light while blocking visible light, to thereby enable a structure containing one or more fluorescent nanoparticles to be viewed through the endoscope.

Abstract: Medical apparatus is described including a fiducial component and a position sensor. The component is recognizable as at least a part of a fiducial when appearing in image data of a patient. The component is attachable to the patient. The sensor is attachable to the component at a predetermined location and orientation on the component or is capable of being positioned adjacent the fiducial component without attachment thereto at a predetermined location and orientation. A storage medium is described containing a program which instructs the computer to recognize a predetermined shape of each of at least one portion of a position sensor as at least a part of a real-world fiducial in image data of a patient. The position sensor is adapted to provide position data. Medical apparatus which includes the position sensor and the storage medium is also described.

Abstract: A medical device includes a radiation source assembly having at least two radiation sources, where one or more of the radiation sources is adapted to generate an imaging beam for use in visualization of a scene and one or more of the radiation sources is adapted to generate a therapeutic beam for treatment of a medical condition. An optical fiber for directing radiation energy from the radiation source assembly toward a distal end of the medical device in the form of a beam. A reflector that receives the beam from the optical fiber, the reflector configured to direct the beam onto a field-of-view. A receiving system including a detector arranged and configured to receive radiation from the field-of-view to generate a viewable image. The imaging beam and the therapeutic beam are directed to follow a common path from the at least two radiation sources to the reflector.

Abstract: A method for treating benign prostatic hyperplasia using a laser is provided. The method includes emitting, in proximity to prostatic tissue, laser light at a wavelength that is controlled to be within at least one of (i) a range between about 1275 nm and about 1475 nm or (ii) a range between about 1830 nm and about 2010 nm. The wavelength is selected to have a higher absorption by water than laser light at a wavelength of 830 nm and a lower absorption by hemoglobin than laser light at the wavelength of 830 nm. Emission of the laser light is controlled such that the prostatic tissue is heated to a temperature of less than about 100° C. to coagulate the prostatic tissue.

Abstract: A first apparatus includes a scanned beam imager. The scanned beam imager includes an optical dome and a dual-resonant-mirror scanner. The optical dome has an optical axis. The scanner is adapted to scan, about substantially orthogonal first and second axes, a beam of light through the optical dome within a field of view centered about the optical axis. The scanner has first-axis angular extremes and second-axis angular extremes. The optical dome has a variable optical power distribution. A second apparatus includes a scanned beam imager. The scanned beam imager includes an optical dome and a scanner. The optical dome has an optical axis. The scanner is adapted to scan a beam of light through the optical dome within a field of view centered about the optical axis. The optical dome has a coating, and the coating has a spatially variable transmittance distribution.

Abstract: A system and method of sensing temperature at an optical fiber tip, including the steps of positioning a slug of fluorescent material adjacent the optical fiber tip, providing an optical stimulus having a wavelength within a first predetermined range through at least one fiber optically linked to the optical fiber tip, wherein a desired optical fluorescent response having a wavelength within a second predetermined range from the fluorescent slug is generated, detecting a signal representative of the optical stimulus, detecting a signal representative of the optical fluorescent response, digitally processing the optical stimulus signal and the optical fluorescent response signal to determine a phase difference therebetween, and calculating a temperature for the optical fiber tip as a function of the phase difference.

Abstract: An optical fiber for use with a laser device including a source of light energy, as well as a method of making same, where the optical fiber has a proximal end in communication with the light source and a distal end positionable at a treatment site. The optical fiber includes: a core having a proximal portion, a distal portion and a distal face proximate the distal end of the optical fiber, a layer of cladding radially surrounding the core from the core proximal portion to a designated point adjacent the core distal portion; a sleeve radially surrounding the cladding layer composed essentially of a predetermined type of material; and, a tip diffuser positioned at the distal end of the optical fiber.

Abstract: A system and method of sensing temperature at an optical fiber tip, including the steps of positioning a slug of fluorescent material adjacent the optical fiber tip, providing an optical stimulus having a wavelength within a first predetermined range through at least one fiber optically linked to the optical fiber tip, wherein a desired optical fluorescent response having a wavelength within a second predetermined range from the fluorescent slug is generated, detecting a signal representative of the optical stimulus, detecting a signal representative of the optical fluorescent response, digitally processing the optical stimulus signal and the optical fluorescent response signal to determine a phase difference therebetween, and calculating a temperature for the optical fiber tip as a function of the phase difference.

Abstract: An optical bench for processing laser light in a laser system, including an optical bench housing, a beam dump mounted to the optical bench housing so as to be in optical communication therewith, steering optics mounted within the optical bench housing for directing the laser light in a path from a laser light input to an output, and a mechanism for causing the laser light to deviate from the path and be directed into the beam dump upon recognition of a specified condition in the laser system, wherein the laser light is thermally isolated from the steering optics. The mechanism can either cause at least one optically reflective element to be inserted into the path, cause at least one optical element of the steering optics to have a change in position with respect to the path, and/or causes at least one optical element of the steering optics to be removed from the path.

Abstract: An optical bench for processing laser light in a laser system, including an optical bench housing, a beam dump mounted to the optical bench housing so as to be in optical communication therewith, steering optics mounted within the optical bench housing for directing the laser light in a path from a laser light input to an output, and a mechanism for causing the laser light to deviate from the path and be directed into the beam dump upon recognition of a specified condition in the laser system, wherein the laser light is thermally isolated from the steering optics. The mechanism can either cause at least one optically reflective element to be inserted into the path, cause at least one optical element of the steering optics to have a change in position with respect to the path, and/or causes at least one optical element of the steering optics to be removed from the path.

Abstract: A system and method of sensing temperature at an optical fiber tip, including the steps of positioning a slug of fluorescent material adjacent the optical fiber tip, providing an optical stimulus having a wavelength within a first predetermined range through at least one fiber optically linked to the optical fiber tip, wherein a desired optical fluorescent response having a wavelength within a second predetermined range from the fluorescent slug is generated, detecting a signal representative of the optical stimulus, detecting a signal representative of the optical fluorescent response, digitally processing the optical stimulus signal and the optical fluorescent response signal to determine a phase difference therebetween, and calculating a temperature for the optical fiber tip as a function of the phase difference.

Abstract: A system and method of sensing temperature at an optical fiber tip, including the steps of positioning a slug of fluorescent material adjacent the optical fiber tip, providing an optical stimulus having a wavelength within a first predetermined range through at least one fiber optically linked to the optical fiber tip, wherein a desired optical fluorescent response having a wavelength within a second predetermined range from the fluorescent slug is generated, detecting a signal representative of the optical stimulus, detecting a signal representative of the optical fluorescent response, digitally processing the optical stimulus signal and the optical fluorescent response signal to determine a phase difference therebetween, and calculating a temperature for the optical fiber tip as a function of the phase difference.