Abstract: A surgical instrument for delivering energy to lung tissue, for example to cause lung volume reduction. In one embodiment, an elongated catheter has a handle portion that includes an interior chamber that is supplied with a biocompatible liquid media under pressure. An energy source delivers energy to the media to cause a liquid-to-vapor phase change within the interior chamber and ejects a flow of vapor media from the working end of the catheter. The delivery of energy and the flow of vapor are controlled by a computer controller to cause a selected pressure and selected volume of vapor to propagate to the extremities of the airways. Contemporaneously, the vapor undergoes a vapor-to-liquid phase transition which delivers large amount of energy to the airway tissue. The thermal energy delivered is equivalent to the heat of vaporization of the fluid media, which shrinks and collapses the treated airways.

Abstract: The present invention relates to a light guide unit for a laser applicator, wherein the light guide unit has a light guide tip assembly removably insertable into the laser applicator, wherein the light guide tip assembly comprises an optical fiber and a coupling member provided on a proximal end of the optical fiber. When the coupling member is provided on the optical fiber, a proximal end face of the optical fiber needs to be kept clean. It is also desired that the light guide tip assembly can be manufactured easily. It is suggested to provide the coupling member via a casting technique.

Abstract: Methods, systems, and related computer program products for the non-invasive spectrophotometric monitoring of a biological volume having multiple tissue layers are described. Aggregate absorption and scattering properties are measured for each of a plurality of predetermined source-detector separation distances along a surface of the biological volume, the measurement being based on a model of the biological volume as a single-layer, semi-infinite, homogeneous volume. A predetermined multi-layer tissue model is retrieved that characterizes a mathematical relationship among (a) absorption and scattering properties of each layer of a multi-layer tissue structure, and (b) aggregate absorption and scattering properties of the multi-layer tissue structure as would be measured at selected source-detector separation distances along a surface thereof.

Abstract: This invention relates to surgical instruments for applying energy to tissue using a vapor-to-liquid phase transition which delivers large amount of energy to the targeted tissue. In one embodiment, the system is configured for volumetric removal of tissue by means of high velocity ejection of a vapor media from a first vapor port proximate to soft tissue wherein the vapor-to-liquid phase change of the media applies energy to the tissue. The system provides a second port coupled to a suction source that cooperates with the first vapor port to suction tissue debris from the targeted site.

Abstract: The invention provides systems and methods for reducing adipose tissue in a homogenous manner by regulated delivery of energy to a treatment site, and more particularly, delivery of constant thermal energy which results in a reduction of adipose tissue with little or no damage to other adjacent tissue.

Abstract: The invention relates to a light guide with at least one photorefractive area, wherein a volume hologram is formed in the photorefractive area in such a way that light coupled into the light guide can be decoupled by the volume hologram at a predetermined angle and/or with a predetermined focus.

Abstract: A surgical instrument for delivering energy to lung tissue, for example to cause lung volume reduction. In one embodiment, an elongated catheter has a handle portion that includes an interior chamber that is supplied with a biocompatible liquid media under pressure. An energy source delivers energy to the media to cause a liquid-to-vapor phase change within the interior chamber and ejects a flow of vapor media from the working end of the catheter. The delivery of energy and the flow of vapor are controlled by a computer controller to cause a selected pressure and selected volume of vapor to propagate to the extremities of the airways. Contemporaneously, the vapor undergoes a vapor-to-liquid phase transition which delivers large amount of energy to the airway tissue. The thermal energy delivered is equivalent to the heat of vaporization of the fluid media, which shrinks and collapses the treated airways.

Abstract: This invention relates to surgical instruments for applying energy to tissue using a a vapor-to-liquid phase transition which delivers large amount of energy to the targeted tissue. In one embodiment, the system is configured for volumetric removal of tissue by means of high velocity ejection of a vapor media from a first vapor port proximate to soft tissue wherein the vapor-to-liquid phase change of the media applies energy to the tissue. The system provides a second port coupled to a suction source that cooperates with the first vapor port to suction tissue debris from the targeted site.

Abstract: Systems, methods, and related computer program products for non-invasive NIR spectrophotometric (NIRS) monitoring of total blood hemoglobin levels and/or other blood constituent levels based on a hybrid combination of phase modulation spectrophotometry (PMS) and continuous wave spectrophotometry (CWS) are described. PMS-based measurements including both amplitude and phase information used in the determination of a non-pulsatile component of an absorption property for each of at least three distinct wavelengths are processed to compute PMS-derived intermediate information at least partially representative of a scattering characteristic. CWS-based measurements including amplitude information is processed in conjunction with the PMS-derived intermediate information to compute a pulsatile component of the absorption property.

Abstract: The invention relates to a shock wave therapy device with a shock wave source for the emission of a shock wave and an ultrasound unit for obtaining image information by means of the emission and reception of ultrasound, whereby the ultrasound unit is provided for the reception of reflected or scattered components of the shock wave for obtaining image information. In addition, the invention relates to a method for obtaining image information for shock wave therapy with the steps: a) emitting ultrasound using an ultrasound unit, b) receiving the reflections of the emitted ultrasound using the ultrasound unit for obtaining image information, c) emitting a shock wave using a shock wave source and d) receiving reflected or scattered components of the shock wave using the ultrasound unit for obtaining image information.

Abstract: A system and method for tissue thermotherapy including a source for generating a vapor phase media for treating a space in a human body, such as and intraluminal or intracavity space. The system further includes a filtering member for allowing a recirculation of flowable media about an interface with tissue, wherein the filtering member prevent ablation detritus from interfering with media outflows from the working end.

Abstract: A light-based method of endovascular treatment, in particular, of pathologically altered blood vessels. Provided are a Method of Endovascular Light Treatment and a corresponding Endovascular Light Application Device.

Abstract: This invention relates to medical instruments and systems for applying energy to tissue. Variations of the systems and methods described herein include ablating, sealing, and extracting tissue with high pressure flows of fluids that in part utilizes a vapor-to-liquid phase change of flow media to apply thermal energy to the tissue.

Abstract: There is described an apparatus and method for recovering a contour of a bone from an input image of the bone with its surrounding tissues. The method comprises receiving the input image; applying in parallel at least three image processing functions to the input image to obtain at least three resulting images indicative of respective features of the input image, at least one of the at least three image processing functions pertaining to a spatial domain, and at least another one of the at least three image processing functions pertaining to a frequency domain; combining the at least three resulting images together to form a compounded image, the compounded image identifying at least two regions based on the respective features; identifying the contour of the bone based on the at least two regions of the compounded image; and outputting an output image for display, the output image comprising the contour identified.

Abstract: An instrument and method for tissue thermotherapy including an inductive heating means to generate a vapor phase media that is used for interstitial, intraluminal, intracavity or topical tissue treatment. In one method, the vapor phase media is propagated from a probe outlet to provide a controlled vapor-to-liquid phase change in an interface with tissue to thereby apply ablative thermal energy delivery.

Abstract: Methods, systems, and related computer program products for the non-invasive spectrophotometric monitoring of an optical property of a tissue volume are described. Multiple optical signals having different modulation frequencies are introduced into the tissue volume simultaneously and on a continuous basis throughout the monitoring session. Multiple optical signal portions incident upon each of a plurality of optical detectors are detected and separated based on their modulation frequency. Amplitude and phase signals corresponding to each optical signal portion are extracted and processed to determine the optical property of the tissue volume. In one preferred embodiment, a first optical detector includes an aperture having a central area, a first edge positioned nearer to a first optical source than the central area, and a second edge positioned farther from the first optical source than the central area. The first and second edges are each curved concavely toward the first optical source.

Abstract: Methods, systems, and related computer program products for non-invasive spectrophotometric monitoring of an optical property of a medium are described. Respective light portions are propagated through respective at least partially non-overlapping subregions of the medium during each of a calibration interval and a subsequent monitoring interval. Detections of the light portions acquired during the calibration interval are processed to compute at least one algorithm compensation that causes a first result related to the optical property for the first subregion to be substantially equal to a second result related to the optical property for the second subregion. Subsequently, detections of respective light portions acquired during the monitoring interval are processed in conjunction with the at least one algorithm compensation to compute a monitoring result for the optical property.

Abstract: A surgical instrument for delivering energy to lung tissue, for example to cause lung volume reduction. In one embodiment, an elongated catheter has a handle portion that includes an interior chamber that is supplied with a biocompatible liquid media under pressure. An energy source delivers energy to the media to cause a liquid-to-vapor phase change within the interior chamber and ejects a flow of vapor media from the working end of the catheter. The delivery of energy and the flow of vapor are controlled by a computer controller to cause a selected pressure and selected volume of vapor to propagate to the extremities of the airways. Contemporaneously, the vapor undergoes a vapor-to-liquid phase transition which delivers a large amount of energy to airway tissue. The thermal energy delivered is equivalent to the heat of vaporization of the fluid media, which shrinks and collapses the treated airways.