Abstract: A laser catheter for the treatment of lesions and plaque deposits in arteries and other narrow paths having a radiation assembly affixed to a flexible conduit. The conduit generally includes multiple lumens for the passage of an optical fiber, a guide wire, a cooling medium therethrough, or fluid for inflating an angioplasty balloon. The radiation assembly is of short longitudinal profile and includes a generally spherical laser contact member retained within a housing, the latter affixed to the flexible conduit. The radiation assembly provides a dual-mode ablation/melting treatment regime. A longitudinal channel is provided through and along one side of the contact member thereby to permit guide wire positioning of the laser catheter while routing the guide wire away from the laser energy to avoid damage thereto. A balloon, in fluid communication with a catheter lumen, may be positioned rearwardly of the radiation assembly for secondary balloon angioplasty operations.

Abstract: An electrosurgical instrument comprising a work implement having a medically acceptable working edge with a plurality of layers of different compositions including an inner primer layer with an electrically conductive polymer with a coating thickness of about 0.3 mil, an intermediate layer having a coating thickness of about 0.1 mil and an outer protective layer having a low coefficient of friction with a thickness of about 0.3 mil to reduce the adhesion of charred tissue during surgical procedures involving cauterization or cutting of tissue utilizing high frequency electrical energy as the source of power.

Abstract: Ophthalmologic surgical microscope which is combined internally with an optical coherence tomography ("OCT") apparatus wherein auto-focusing is provided by driving a motorized internal focusing lens of the ophthalmologic surgical microscope with a signal output from the OCT apparatus. An embodiment of the inventive ophthalmologic surgical microscope includes: (a) an optical coherence tomography ("OCT") apparatus; (b) a beamcombiner for internally coupling output from the OCT apparatus into the ophthalmologic surgical microscope; and (c) a motor for moving an internal focusing lens of the ophthalmologic surgical microscope in response to a signal from the OCT apparatus, whereby the ophthalmologic surgical microscope is auto-focused.

Abstract: A method for performing intrastromal photorefractive keratectomy in the cornea of an eye, using a pulsed, laser beam to photodisrupt a portion of the cornea, includes the initial step of focusing the beam to a focal spot at a selected starting point in the stroma. The starting point is located at a predetermined distance behind the epithelium of the cornea. While focused on the starting point, the laser beam is pulsed to disrupt a volume of the stroma which is approximately equal to the volume of the focal point. Subsequently, the beam is focused in a patterned sequence to focal spots at other discrete points in the stroma. At each point the stroma is photodisrupted. With this progressive pattern of photodisruption, each spot is placed substantially contiguous with adjacent a volume of previously disrupted tissue. The resultant photodisrupted tissue creates a layer which is substantially centro-symmetrical around the optical axis. A plurality of layers can be removed to create a cavity in the stroma.

Abstract: A method and system are described for performing photorefractive keratectomy procedure employing pulses of photoablative radiation to selectively ablate corneal tissue of a patient's eye in an ablation zone on the anterior corneal surface to produce a desired refractive correction in the corneal tissue. The method and system employ control of the effect of ocular fluid at the corneal surface so as to reduce the disturbance of such fluid on the desired ablation process while maintaining hydration of the corneal tissue.

Abstract: A fiber-optic waveguide, used for ablating lesions in blood vessels, is mounted within and guided by a catheter having multiple lumens extending therethrough and parallel to each other. The waveguide fits within at least one lumen and a guidewire, previously inserted in a blood vessel, extends through another lumen. The distal end of the waveguide can have a short section of larger diameter fiber fused to it to cause a laser beam transmitted through the fiber to expand as it emerges from the waveguide to provide a larger ablation area. The waveguide may also be connected to an energy source by means of an energy coupler.

Abstract: A laser-based method and apparatus for corneal and intraocular surgery. The preferred method of performing a surface ablation of cornea tissue or other organic materials uses a laser source which has the characteristics of providing a shallow ablation depth or region (about 0.2 .mu.m to about 5.0 .mu.m), a low ablation energy density threshold (about 0.2 to 5 .mu.J/(10 .mu.m).sup.2), and extremely short laser pulses (having a duration of about 0.01 picoseconds to about 2 picoseconds per pulse) to achieve precise control of tissue removal. The laser beam cross-sectional area is preferably about 10 .mu.m in diameter. The preferred laser system includes a broad gain bandwidth laser, such as Ti.sub.3 Al.sub.2 O.sub.3, Cr:LiSrAlF.sub.6, Nd:YLF, or similar lasers, with a preferred wavelength of about 830 nm, which is generally transmissive in eye tissue. Various surgical procedures can be performed to correct refractive errors or to treat eye diseases.

Abstract: A surface treatment laser beam delivery and tracking system is provided. The laser generates laser light along a original beam path at an energy level suitable for treating (e.g., eroding) a surface. An optical translator shifts the original beam path onto a resulting beam path. An optical angle adjuster changes the angle of the resulting beam path relative to the original beam path such that the laser light is incident on, and spatially distributed, the surface to be treated. A motion sensor transmits light energy to the surface and receives reflected light energy from the surface via the optical angle adjuster. The light energy transmitted by the motion sensor travels on a path that is parallel to the shifted beam as they travel through the optical angle adjuster. The reflected light energy is used by the motion sensor to detect movement of the surface relative to the original beam path and generate error control signals indicative of the movement.

Abstract: A laser apparatus for removing hard and soft tissue from a narrow channel has at its cutting end a configuration that causes the laser light to emerge in an annular region and not apically.

Abstract: Methods for modifying a live cornea to correct a patient's vision. In the case of hyperopia, at least one slit is first made in the cornea for inserting a knife, a fiber optic cable or micro-cutting tool therein to separate an internal area of the cornea into first and second opposed internal surfaces such that a substantially circular area centered about the main optical axis of the cornea remains attached between the first and second internal surfaces. The laser beam or micro-cutting tool can be directed onto one of the first and second internal surfaces, or both, if needed or desired to incrementally and sequentially remove three-dimensional portions of the cornea. If a laser beam is used, then a flexible template can be inserted between the internal surfaces of the cornea for accurately controlling the pattern to be ablated within the cornea. In the case of myopia, instead of removing intrastromal tissue, ocular material can be introduced between the internal surfaces to change the patient's vision.

Abstract: Myocardial revascularization is performed by an apparatus and method which forms channels in the myocardium from inside the ventricular cavity without penetrating the full thickness of the ventricular wall. A catheter has a fiber optic connected at its handling end to a laser, and terminates at the insertable end of the catheter. A servomotor controls the advancing of the fiber to stop positions relative to the catheter. At each stop position another channel is created. An aiming beam aids in directing the channel forming fiber end to different desired channel positions.

Abstract: A laser treatment apparatus providing a slit-lamp microscope with which an eye of a patient is observed, a box unit which is provided with an optical system to deliver a laser beam inside an observing visual field of the slit-lamp microscope, an attachable device which mounts the box unit on the slit-lamp microscope, and an optical fiber through which a laser beam for ophthalmic treatment is delivered to the box unit, wherein the box unit is provided with a dichroic mirror having characteristics of reflecting the laser beam for treatment to the patient's eye while absorbing a therapeutic surgery laser beam being incident to the dichroic mirror.

Abstract: A portable laser device for obtaining blood samples through the skin of humans or animals. A laser crystal is optically pumped to produce a short high power laser pulse which vaporizes a small hole in the skin. The pulse is shaped to produce a pulse cross section at a sampling location which has a long dimension and a short dimension similar to a blade cut.

Abstract: A method of treating the interior surface of a body cavity of a patient using an optical fiber having at its distal end a tip which partially absorbs and partially emits laser radiation supplied to the tip by the optical fiber. The distal end of the optical fiber is inserted into the cavity. An irrigating fluid is introduced into the cavity, wherein the fluid irrigates the interior surface. The irrigating fluid is in heat-transfer relationship with the tip. The irrigation fluid is heated by supplying laser radiation to the tip whereby laser radiation absorbed by the tip raises the temperature of the tip and the surrounding irrigating fluid. The surface of the body cavity to be treated is selectably exposed with the laser radiation for thermally and optically treating said surface.

Abstract: A technique and apparatus are provided for simulating a laser treatment on the eye by pretreating a contact lens. A proposed laser treatment is developed using a patient's eye data. That laser treatment is then performed by an excimer laser system onto a contact lens blank. The lens blank is then placed on the patient's eye and the patient's resulting visual acuity are measured. If within acceptable limits, the treatment is then performed on the patient's eye. Otherwise, the treatment pattern is adjusted and the either original lens profiled with the difference or a new lens profiled with the new treatment pattern. This is repeated until the error falls within acceptable limits. Alternatively, spectacle lenses can be used instead of contact lenses.

Abstract: In order to render possible the ablation to different depths in a process for correcting the shape of a lens in which the surface of the lens is acted upon by the radiation of a pulsed radiation source through a shutter in specific regions exposed by the shutter and thereby removing material from the lens by the radiation effect during the impingement of each radiation pulse, wherein the radiation is concentrated in a bundle of rays, the cross section of which is smaller when striking the lens surface than that of the lens surface exposed by the shutter, and wherein the bundle of rays is moved such that the entire lens surface exposed by the shutter is irradiated by radiation pulses consecutively impinging on the lens surface, it is suggested that the bundle of rays is moved between successive radiation pulses only to such an extent that the regions of the lens surface struck by the radiation pulses consecutively impinging on the lens surface partially overlap.

Abstract: An electrosurgical instrument including an active electrode surface made of a conducting ceramic or cermet. The conducting ceramic may be a carbide, boride, or nitride ceramic or a mixture of these ceramics. The cermet may include a ceramic and a metal selected from the group consisting of Cobalt, Nickel, Iron, Tungsten, Molybdenum, Titanium, Zirconium, and Aluminum. The conducting ceramic or cermet active electrode surface may be supported on a core. In some embodiments, the core is a metal core with the active electrode surface formed as a coating on a surface of the metal core. In other embodiments, the core is made of electrically insulating material. Some embodiments of the invention are Bovie blades, bipolar forceps, cauterizing end effectors for endoscopic surgery, bipolar biopsy devices, and spatula blades having the inventive active electrode surface.

Abstract: A fluid flow cartridge for seating in an opening into a microwave heating cavity comprises a tubing support having an electrically conductive surface dimensioned to substantially close that opening and an elongated bobbin portion projecting from that surface. The cartridge also includes a selected length of tubing wound around the bobbin portion to form a coil, opposite end segments of the tubing extending from the coil through the conductive support surface and away from said support. Preferably, the coil has straight tubing segments on opposite sides of the coil spaced apart one quarter wavelength or integral multiple thereof at the operating frequency of the heating cavity.

Abstract: A method and apparatus for removing cataracts in which a flexible line preferably 1 mm or less in diameter is inserted through an incision into the anterior chamber until its end is adjacent the cataract. Coherent radiation, preferably at a frequency between 193 and 351 nm, is coupled to the cataract by an optical fiber in the line. An irrigation sleeve provided about the fiber and an aspiration sleeve extending partially around the irrigation sleeve conduct irrigating liquid to and remove ablated material from the anterior chamber and form with the optical fiber the flexible line.

Abstract: A medical catheter for treating atherosclerotic plaque and other abnormalities includes optical fibers for applying laser energy to the plaque and an ultrasonic transducer system for sensing the location and configuration of the plaque. The optical fibers and electrical wiring for the transducers extend through a probe which is rotatable inside of the catheter tube to provide universal directional control of the fibers and transducers. A reflective system includes a curved reflector in the probe which can be axially adjusted to vary the directions of the ultrasonic signals. Alternative forms of the invention include different reflector schemes, an angled ultrasonic transducer having a conical signal output that varies with frequency, and various different systems for rotating the transducers and fibers.