Abstract: Novel apparatus and methods for a circumferential laser and methods for using a circumferential burning laser are disclosed. The circumferential burning laser comprises a conical surface at the distal end of a probe of the laser which is coated with a highly reflective material such as gold. The conical, reflective surface is designed so as to direct the laser light which is emitted through the interior metal lumen of the laser probe so that the laser light is redirected perpendicular to the longitudinal axis of the laser probe. This is in contradistinction to the typical laser probe wherein the laser light is directed longitudinally through the end of the laser probe. The laser light is provided by a carbon dioxide laser which is attached at the proximal end of the laser probe.The present invention also comprises methods for using a circumferential burning laser. The methods for using a circumferential burning laser involve placing the above-described laser probe in position relative to a target site.

Abstract: A ventilating and aspirating apparatus for delivering respiratory gases to the trachea and the congested lungs and breathing passageways of a patient includes a flexible catheter tube extendable into and withdrawable from the patient's trachea. The catheter is housed within a pliable sheath extending from a manifold that is attachable to an endotracheal tube. The sheath has a slit defined by backing members formed along elongate opposed edges. A releasable, air tight "ziplock" seal is effected at the slit by a bead on one backing member and a groove to sealingly receive the bead on the other backing member. A "ziplock" actuator is structured as a slider member which travels along the bead and groove, and includes converging ends to hold the bead in the groove and a conduit member extending centrally through the slider member to interconnect an end of the catheter tube inside the sheath through a vacuum valve carried by the slider member outside the sheath to a vacuum source.

Abstract: A surgical smoke filter and evacuator and a surgical power generator of the type used for electrocautery, laser surgery or the like are combined with an enclosure between the generator and the evacuator. The enclosure directs air which has been filtered of surgical plume contaminants from the evacuator past heat sink elements associated with the generator to facilitate dissipation of heat accumulated incidental to operation of the generator.

Abstract: A ventilating and aspirating apparatus for delivering respiratory gases to the trachea of a patient and aspirating congested lungs and breathing passageways includes a flexible catheter tube extendable into and withdrawable from the patient's trachea, a resilient pliable sheath lending a structural rigidity to the apparatus and receiving the catheter tube when withdrawn from the patient, a valve structure attached to the catheter tube which is slidable along the length of the sheath, a manifold structure and swivel mounting means to allow coaxial swivel motion of the components, and a collapsible/extendable sealing envelope structure arranged to cover components on the proximal side of the manifold.

Abstract: A surgical laser smoke evacuation system includes a sensor positioned at the surgical site to determine the need for evacuation. A vacuum pump draws smoke from the site through a system of conduits, including an in line filter. The filter tends to become clogged over time. A sensor determines changes in the pressure drop across the filter, and is connected to a control mechanism which adjusts the speed of the vacuum pump to maintain an approximately constant flow across the filter.

Abstract: The invention comprises a handpiece for use in a surgical procedure which involves directing a surgical agent to a target area of a person's body which procedure produces an unwanted smoke plume. The handpiece includes both a probe for directing a surgical agent, such as a CO.sub.2 laser beam, and a smoke eliminator for removing with suction the smoke created by the surgical procedure. The probe has no functional components for creating the laser beam, and is thus economical enough to be disposable after one use. The smoke eliminator includes a nozzle and/or an offset suction port so configured as to create a votrex flow in the smoke in the target area upstream in the fluid flow pathway of smoke through the hand piece from the distal tip of the hand piece.

Abstract: A laser surgical instrument is embodied as a handpiece supportable on the wrist and forearm of a surgeon. The handpiece is connected by an umbilical cord to a remote console. An internal shutter mechanism is actuated by steady finger pressure applied by the surgeon at a fixture grasped by the hand during use. An annular aiming beam is projected through an aperture in a physical distance gauge to focus concentric with the surgical laser beam.