Abstract: Systems and methods for a multifunction surgical apparatus are provided. In one embodiment, a surgical separator comprises: a base; a plurality of separation tongs each movably coupled to the base at their proximal end, wherein the tongs have distal ends each having a blunt profile; a cable coupled to the base, the cable including an optical fiber, where the base is arrange to position the optical fiber to aim an optical energy beam from the optical fiber out from the base and between the tongs at a centered point between the distal ends; wherein the cable further includes at least one element providing a control signal that controls operation of the tongs to move between and open position and a closed position; wherein when the distal ends of each of the tongs are positioned together into the closed position, the exterior profile of the tongs forms a wedge shape having a tip where the tongs meet.

Abstract: An optical fiber is disclosed which includes a protective outer jacket. The outer protective jacket is grooved to include one or more peripheral grooves formed into the jacket. In operation of a laser device, laser energy passes through the optical fiber to the distal tip of the optical fiber. As the distal tip erodes, the outer protective jacket also erodes in a controlled fashion such that portions of the outer jacket flake off as the fiber tip erodes to the position of the peripheral grooves formed in the outer jacket rather than in a random fashion.

Abstract: A system and method of estimating a distance between the distal end of an optical fiber and treated tissue, to improve treatment efficiency, is provided herein. The estimation is achieved by modulating the numerical aperture of a light beam transmitted through the fiber to receive reflections from the tissue and distinguish them from other reflections in the fiber, and further by calculating the distance by comparing reflection intensities of beams having different numerical aperture values that illuminate the tissue over a very short period, so that tissue and environment conditions do not change much. Distance estimation may be carried out by modulating the treatment beam itself, or by a light beam transmitted between pulses of a pulsed treatment beam.

Abstract: Disclosed is a surgical laser system. The system includes a laser generator to generate laser radiation to cause water absorption levels that approximate water absorption levels achieved with a C02 laser, and one or more fibers coupled to the laser generator to deliver the generated laser radiation. In some embodiments, the laser generator is configured to generate radiation at multiple possible wavelengths in a range of between about 2.4 ?m to about 2.75 ?m.

Abstract: A method of evaluating integrity of a fiber comprises transmitting a measurement light beam through the optical fiber and measuring an intensity of a combined reflection of the measurement light beam. The combined reflection includes a proximal end reflection component and a distal end reflection component. The method further comprises separating the proximal end reflection component from the combined reflection to obtain a calibrated intensity measurement; and analyzing the calibrated intensity measurement to determine the integrity of the optical fiber.

Abstract: Disclosed are apparatus, method, devices and instruments, including an apparatus that includes a flexible waveguide coupled to a supporting structure, and further coupled to a treatment tip. The apparatus also includes a beam controller to control application of a radiation beam emitted from the flexible waveguide to distribute the beam over an area different than an area covered by direct application of the beam to a single location on a target tissue. Further disclosed is an apparatus that includes a waveguide, coupleable to a laser source, and a thermal protection instrument. The thermal protection instrument includes a tissue contacting member to contact a part of an area of a tissue irradiated by laser radiation, and a beam blocking element to absorb at least some of radiation not absorbed by the area of the tissue, the beam blocking element being thermally isolated from the area of the tissue.

Abstract: An optical fibre endoscopic probe used to deliver radiation, in particular laser radiation, during a surgical procedure. The configuration of components of the endoscopic probe in use is adjustable so as to direct the radiation which exits the fibre as desired. The present invention also relates to a device used to direct the exiting beam of radiation in such an endoscopic probe, which may in particular be used in a narrow probe channel, for example for prostate laser surgery, and to a method of surgical treatment using the endoscopic probe.

Abstract: The present invention relates to a fluid reservoir (21), said fluid reservoir (21) comprising at least one first cavity (29) and one second cavity (30) in fluidic communication with each other and adapted to accommodate fluid (7), the fluid reservoir (21) further being connected to a fluid-container system (7, 8, 9, II, 22), a fluid consumer (5) in fluidic communication with at least the second cavity (30), a pressurization system (I, 2) adapted to generate a substantially constant pressure, and a vacuum system (58, 59, 60) adapted to generate a pressure below ambient pressure. The invention further comprises a fluid-supply system.

Abstract: An optical fiber is disclosed which includes a protective outer jacket. The outer protective jacket is grooved to include one or more peripheral grooves formed into the jacket. In operation of a laser device, laser energy passes through the optical fiber to the distal tip of the optical fiber. As the distal tip erodes, the outer protective jacket also erodes in a controlled fashion such that portions of the outer jacket flake off as the fiber tip erodes to the position of the peripheral grooves formed in the outer jacket rather than in a random fashion.

Abstract: A system, apparatus, and method may provide laser beams of two or more wavelengths from diode pumped solid-state laser sources (220, 222, 224). The beam paths of these laser beams with different wavelengths, which are generated by the laser sources (220, 222, 224), may be aligned along a common optical axis 280 by an optical configuration, to treat at least one target area. Frequency-doubled laser beams, output from a plurality of diode pumped solid state laser cavities, may be passed through fold mirrors (M2, M5, M8), and combined on a common optical axis 280, using one or more combiner mirrors (M10, M11, M12), to unify the beam paths. Selected laser beams may be delivered to a target using one or more delivery systems.

Abstract: A method and apparatus for treating tissue includes an energy application device that directs energy at the skin tissue of the patient in a fractional treatment mode in which a plurality of spots receive energy which may be in a form of a laser beam. In order to lessen thermal damage to the surrounding tissue of the spot, a controller will cause the laser or the energy application device to skip around the area to be treated rather than to apply the laser beam in a sequential, raster-like fashion to each of the points in a fractional treatment area.

Abstract: Disclosed is an apparatus for treating tissue. The apparatus includes a chamber having an opening, the chamber configured to, when placed proximate to the tissue, cause periodic movement of an area of the tissue raised towards the opening of the chamber, and one or more energy transmitting elements to apply energy to at least a portion of the area of the tissue.

Abstract: Disclosed is a surgical laser system. The system includes a laser generator to generate laser radiation to cause water absorption levels that approximate water absorption levels achieved with a C02 laser, and one or more fibers coupled to the laser generator to deliver the generated laser radiation. In some embodiments, the laser generator is configured to generate radiation at multiple possible wavelengths in a range of between about 2.4 ?m to about 2.75 ?m.

Abstract: Systems and methods for a multifunction surgical apparatus are provided. In one embodiment, a surgical separator comprises: a base; a plurality of separation tongs each movably coupled to the base at their proximal end, wherein the tongs have distal ends each having a blunt profile; a cable coupled to the base, the cable including an optical fiber, where the base is arrange to position the optical fiber to aim an optical energy beam from the optical fiber out from the base and between the tongs at a centered point between the distal ends; wherein the cable further includes at least one element providing a control signal that controls operation of the tongs to move between and open position and a closed position; wherein when the distal ends of each of the tongs are positioned together into the closed position, the exterior profile of the tongs forms a wedge shape having a tip where the tongs meet.

Abstract: Disclosed is a surgical laser system. The system includes a laser generator to generate laser radiation to cause water absorption levels that approximate water absorption levels achieved with a CO2 laser, and one or more fibers coupled to the laser generator to deliver the generated laser radiation. In some embodiments, the laser generator is configured to generate radiation at multiple possible wavelengths in a range of between about 2.4 ?m to about 2.75 ?m.

Abstract: A method of evaluating integrity of a fiber comprises transmitting a measurement light beam through the optical fiber and measuring an intensity of a combined reflection of the measurement light beam. The combined reflection includes a proximal end reflection component and a distal end reflection component. The method further comprises separating the proximal end reflection component from the combined reflection to obtain a calibrated intensity measurement; and analyzing the calibrated intensity measurement to determine the integrity of the optical fiber.

Abstract: Systems and methods for reconfigurable handheld laser treatment systems are provided. In one embodiment, a reconfigurable handheld laser treatment system comprises: a base unit; a handset that includes a attachment chamber having an attachment aperture, and a laser source arranged to project optical energy into the attachment chamber, the handset coupled to the base unit; an attachment having an adapter interface compatible with insertion into the attachment chamber; a trigger sensor coupled to logic that controls activation of the laser array; and an attachment sensor arranged to detect insertion of the adapted interface into the attachment chamber through the attachment aperture. The logic enables activation of the laser array when the attachment sensor detects an authorized attachment inserted into the attachment aperture. The logic disables activation of the laser array when the attachment sensor fails to detect an authorized attachment inserted into the attachment aperture.

Abstract: In one embodiment, a handheld laser treatment apparatus comprises: a handset including a treatment chamber, the treatment chamber having an open treatment aperture; a laser array arranged to project optical energy into the treatment chamber and coupled to a power source; at least one vacuum channel positioned within the treatment chamber and coupled to a vacuum source; a trigger sensor coupled to logic that controls activation of the laser array and the vacuum channel; an attachment sensor arranged to detect which of a plurality of attachments are inserted into the treatment chamber through the treatment aperture. The logic enables activation of the vacuum channel when the attachment sensor detects a first attachment of the plurality of attachments inserted into the treatment aperture. The logic disables activation of the vacuum channel when the attachment sensor detects a second attachment of the plurality of attachments inserted into the treatment aperture.

Abstract: The present invention generally relates to the field of laser treatment of tissue, and particularly, to a system and method for creating microablated channels in skin. The present invention is more particularly directed to treating subsurface tissue through the created channels.

Abstract: A removable tip for a light energy handpiece comprises a hollow conduit configured to surround a light guide in the handpiece; a support extension having a length longer than a length of the hollow conduit; and a shielding extension coupled to the support extension at an angle less than 180 degrees and located in front of the hollow conduit. The shielding extension is configured to be inserted behind an eyelid and extend to the fornix, the shielding extension comprised of a thermally insulative material.