Abstract: A side firing laser device suitable for use in medical and surgical procedures has a laser energy transmission efficiency in excess of 90% and provides consistent and rapid vaporization of tissue as well as long useful life. The device includes a conduit with an optical fiber therewithin. The optical fiber is adapted for coupling to a laser energy source at the proximal end thereof and has a beveled distal end portion capped by a closed end capillary tube which, in turn, is surrounded by a reflective sheath with a side port through which laser energy emitted by the optical fiber can pass.

Abstract: Improved laser energy delivery devices, providing greater transmission efficiency, longevity of use and safety are described. In one embodiment, a device for delivering laser energy includes a conventional optical fiber within a metal or plastic cannula provided with a laser energy emission window. A reflective material is disposed in a space between the distal end portion of a metal or plastic sheath and the optical fiber, as well as about any extension or endpiece of the distal end of the sheath. The reflective material reflects aberrant emissions of laser energy from the optical fiber as it erodes, and laser energy backscattered from the target tissue away from the distal end of the sheath back into the optical fiber or out of the distal end of the sheath, thereby preventing damage due to overheating. Other embodiments include devices that transmit laser energy more safely, efficiently and durably laterally from the axis of the optical fiber.

Abstract: A cardiac monitoring and defibrillation system is provided which may be embodied as a bedside unit or as an ambulatory unit. The system includes amplification and processing circuitry which receives and conditions inputs from a variety of sensing means such as an electrocardiogram, a blood oxygenation sensor, a blood pressure monitor, and a cardiac acoustical transducer. A noise and artifact discrimination procedure is employed to prevent erroneous detection of the onset of cardiac arrhythmias. In response to the conditioned inputs from the monitoring means, the microprocessor controls therapeutic electrical stimulus which may be delivered to a patient in accordance with a cardioverter/defibrillator step therapy method. The microprocessor may be operated or programmed by means of a control panel or an external programming and monitoring unit.