Abstract: A process for the mapping and/or ablating of accessory pathways around the mitral valve using a retrograde approach by use of ablating and/or mapping catheters guided by a guiding introducer system. Also disclosed are shapes for an inner and outer guiding introducers which comprise the guiding introducer system.

Abstract: Apparatus and method for tracking the operation of a light beam, preferably a laser light beam, which operates to treat the skin of the patient. The apparatus includes plurality of markings in accordance with the light beam impinges on the locations to be treated. The apparatus including the plurality of markings may be a cooling apparatus which also cools the skin during the treatment.

Abstract: A laser is used to reopen the natural drainage passageways in the eye or to form new passageways to enable the drainage of the aqueous humor from the eye. In one procedure, an Er:YAG laser is used to ablate occluding tissue in Schlemm's canal. In another procedure, the Er:YAG laser is used to open occluded openings in the ciliary body. In yet another procedure, the Er:YAG laser is used to form a new passageway comprising a plurality of interconnected passageway segments from the exterior of the eye through the sclera to the anterior chamber to enable the drainage of the aqueous humor.

Abstract: A laser treatment method for removing unwanted human hair includes irradiating a treatment site with post-coherent light of selected wavelength and peak power level and post duration, and repeating the post-coherent laser irradiation on one or more subsequent occasions with selected light parameters. A therapeutic treatment device has a laser and associated support elements and has a dermatology handpiece with a distance gage, a conduit for applying pressure and/or cooling to the treatment site and, optionally, cooling elements.

Abstract: An applicator probe (10) for applying a high-frequency electromagnetic energy flux to the skin through a conducting gel, the applicator probe having a non-conducting contact surface (14) which is applied to the skin. This surface includes a plurality of discrete electromagnetic emission points or areas (16) defined by parts of the turns of a coil (12) which is set back from the surface when the applicator probe is in use. The applicator probe according to the invention consists of a flexible sheet which is able to conform to the part of the body onto which it is applied. The flexible sheet includes a non-conductive lower internal portion (or "sole") and a non-conductive upper/external portion (or "back"). At least the lower portion is a sole (14) provided with a row of cavities and which forms the contact surface. The cavities contain the conducting gel which is applied to the skin. The generally flat turns of the coil are arranged in a sandwich configuration between the openwork sole (14) and the back.

Abstract: An improved non-coherent pulsed and colored light stimulation device used for therapeutic effects in living creatures. Pulsed/colored light is applied to local areas, or acupuncture macro or micro systems, by means of a small diameter optic fiber (10) housed in a pen-like handpiece (18) which makes application comfortable and precise. The light source is an adjustable rate strobe (4) with a housing attached to the front (6) which allows color gel slides (12) to be interchanged. The light passes through the slides (12) and through a length of jacketed flexible optic fiber (10) where it becomes visible again at the radiant tip (20) of the handpiece (18).

Abstract: A surgical laser handpiece comprising: an outer barrel having an inner chamber; an inner zoom barrel movable in said chamber relative to said outer barrel; at least a first lens device in said zoom barrel for propagating and focusing a laser beam; and a drive member externally accessible on said outer barrel for moving said zoom barrel with one hand relative to said outer barrel for varying the focus of the laser beam.

Abstract: A light delivery system for use in irradiating vascular tissue includes a balloon catheter with a working lumen for receiving an optical fiber therein and an inflation/flushing lumen adapted to receive a liquid at a proximal end and leading to a space defined within the balloon member attached to a distal end of the catheter. The balloon member has a pattern of holes or pores in the wall thereof through which the saline may flow when the balloon is inflated, causing any blood or other absorbing substances that may interfere with good radiant energy transmission to be flushed away from the treatment site.

Abstract: A laser medical device for delivering energy to tissue to be treated. The device includes a laser energy transmitting conduit having a longitudinal axis, and has a proximal end for connection to a source of laser energy and a distal end from which laser energy transmitted by the conduit is emitted. A laser energy redirecting member is located adjacent the distal end of the conduit for redirecting the laser energy in a lateral direction with respect to the axis of the conduit, and a tissue contact member is provided adjacent the laser energy redirecting member. The tissue contact member has a transverse cross section of preselected shape and a longitudinal axis generally transverse to the axis of the conduit. The tissue contact member further has an input surface for receiving laser energy redirected by the laser energy redirecting member and transmitting the laser energy received from the laser energy redirecting member.

Abstract: An apparatus for treating dermatological conditions with radiation includes a Peltier device for cooling the treatment area of the patient's skin. The Peltier cooling device has a cold surface in thermal communication with the treatment area and a hot surface, with an aperture extending between the cold and hot surfaces through which radiation is directed to the treatment area. In one embodiment, a lens disposed within the aperture of the cooling device distributes the cooling effect to provide substantially uniform cooling across the treatment area. A temperature sensor senses the temperature of the treatment area and is used to control the Peltier cooling device and/or the radiation source to ensure that the treatment area does not exceed a predetermined temperature. Various radiation sources are suitable for use with the Peltier cooled apparatus, including lasers and gas-discharge lamps, such as arc lamps and flash lamps.

Abstract: A method and device are provided for performing intraluminal tissue welding for anastomosis of a hollow organ. A retractable catheter assembly is delivered through the hollow organ and consists of a catheter connected to an optical fiber, an inflatable balloon, and a biocompatible patch mounted on the balloon. The disconnected ends of the hollow organ are brought together on the catheter assembly, and upon inflation of the balloon, the free ends are held together on the balloon to form a continuous channel while the patch is deployed against the inner wall of the hollow organ. The ends are joined or "welded" using laser radiation transmitted through the optical fiber to the patch. A thin layer of a light-absorbing dye on the patch can provide a target for welding. The patch may also contain a bonding agent to strengthen the bond. The laser radiation delivered has a pulse profile to minimize tissue damage.

Abstract: A mirrorless scanner including a source of laser light producing a laser beam, a lens operative to receive the laser beam from the source of laser light and to direct it onto a target, and a vibrator coupled to the lens for vibrating the lens in at least two dimensions for causing the laser beam to scan across the target.

Abstract: A laser handpiece apparatus for use in therapeutic procedures employing selective cooling, the apparatus for use in conjunction with a controllable laser source, the apparatus including laser delivery device for controllably delivering a predetermined amount of laser energy to a preselected surface area, a reservoir having a predetermined volume, cryogen liquid contained in the reservoir, and a valve for controllably delivering a portion of the cryogen liquid to the preselected surface area.

Abstract: A system for treating vision disorders is disclosed. The system includes a heating device able to heat predetermined areas of the corneal tissue of an eye. The energy for heating is typically generated in the form of laser light or infrared that cause the tissue at that predetermined area to heat and shrink. The shrinkage shifts a plug or portion of the cornea with respect to the remainder of the eye to change the shape of the corneal surface and correct the problematic refractive error. A heat absorption modifier is used to avoid damage to the epithelial layer as energy is passed therethrough.

Abstract: A method for selectively ablating targeted biological material uses real-time optical feedback control to measure incandescent photoemissions emitted from irradiated biological material and, based on the measured incandescent photoemissions, adjust laser pulse parameters to selectively ablate targeted biological material. Laser pulses are directed to a target area of the subject using a delivery system. During each laser pulse, incandescent photoemissions emitted from the biological material having a wavelength of less than that of the laser pulses are measured. Based on such measured incandescent photoemissions, at least one of the wavelenght, pulse duration and energy level of each laser pulse are adjusted in order to selectively ablate targeted soft or hard biological material.

Abstract: A method of treating facial skin depressions is provided in which, following laser ablation of the epidermal layer, the underlying dermal plug of skin is obtained having minimal thermal damage and is implanted into an area of depressed skin.

Abstract: A laser catheter device includes a main housing containing a main lumen defined within its inner edge. The housing further includes one or more subsidiary lumens surrounding the main lumen. An electrically insulated strip lies along an outer edge of the housing. The strip contains several vertical cavity surface-emitting lasers powered by an external power source. The lead from the lasers to the power source extends through the subsidiary lumen. The device further includes an inflatable balloon surrounding the insulated strip and communicates with the main lumen. The balloon is inflated by an external source of inflation fluid.

Abstract: An illuminator including a differential optical radiator and a laser fiber disposed within the differential optical radiator. The differential optical radiator includes a first region that has a first level of reflectivity and a first level of transmissivity and a second region that has a second, higher level of reflectivity and a second, lower level of transmissivity. The first and second regions are positioned such and their reflectivities and transmissivities are chosen such that the radiator produces a substantially uniform pattern of illumination from the first and second regions. In another embodiment, the illuminator includes an expandable radiator and a laser fiber disposed within the expandable radiator. The reflectivity of the expandable radiator is such that the illumination at the outer surface of the expandable radiator is substantially uniform.

Abstract: A method of facial rejuvenation is provided in which ablation of an area of skin is accomplished to above the papillary dermis, providing effective permanent smoothness. A laser beam directs a laser beam from a laser source to a scanner which directs the beam to ablate the skin.

Abstract: An apparatus for use in operating upon a cornea of an eye comprises a light delivery optical system for delivering an ultraviolet laser beam emitted from a laser source onto the cornea, a diaphragm with an aperture, disposed in the light delivery optical system, for restricting an irradiation area of the laser beam, a device for shifting the laser beam with respect to an optical axis of the light delivery optical system, a device for rotating the laser beam about the optical axis of the light delivery optical system at each shifting position to ablate the cornea circularly, a device for inputting information necessary for determining the shape of the postoperation cornea, a device for determining ablation amount at each shifting position of the laser beam by the beam shifting device, based on the information input through the input device, and a device for controlling the laser source and action of the beam rotating device based on the ablation amount determined by the ablation amount determining device at ea