Abstract: A method and apparatus are disclosed for enhancing the absorption of light in targeted skin structures. A vacuum chamber having a clear transmitting element transparent to intense pulsed light on its proximate end and an aperture on its distal end is placed on a skin target. After applying a vacuum to the vacuum chamber and modulating the applied vacuum, the concentration of blood and/or blood vessels is increased within a predetermined depth below the skin surface of the skin target. Optical energy associated with light directed in a direction substantially normal to a skin surface adjoining the skin target is absorbed within the predetermined depth. The apparatus is suitable for treating vascular lesions with a reduced treatment energy density level and pain sensation than that of the prior art and for evacuating condensed vapors produced during the cooling of skin prior to firing the light with a controlled delay.

Abstract: An apparatus for treating skin includes a chamber defined by a surface and a rim extending from the surface. A source of vacuum is capable of removing air from inside the chamber so that air outside the chamber flows into the chamber. Impedance of the air flowing between the rim of the chamber positioned adjacent the skin surface causes the pressure inside the chamber to decrease relative to ambient. A pressure sensor can determine when the pressure inside the chamber decreases to a threshold value. A controller can receive a signal from the pressure sensor when the threshold value is reached, which causes the rate of removal of the air from inside the chamber by the source of vacuum to be increased. The rim of the chamber forms a substantially fluid tight seal with the skin. The skin is drawn toward an inner surface of the chamber.

Abstract: An apparatus adapted to inhibit pain signals generated by pain receptors in the skin during a skin related medical treatment such as an injection. An evacuation chamber is provided with an essentially rigid interface element larger than a threshold surface area through which a medical treatment can be administered to a selected skin region, one or more walls which are placeable in the vicinity of the skin region, an interior defined by the walls and by the interface element, and an opening at the bottom of the interior which is sealable by the skin region. A device generates a vacuum within the evacuation chamber interior to a level greater than the threshold vacuum level suitable for drawing the skin region through the opening towards, and in a compressing relation against, the interface element, to inhibit the transmission of a pain signal generated by pain receptors located within the skin region.

Abstract: A method and apparatus are disclosed for improving bodily safety during exposure to a monochromatic light source by diverging the monochromatic light, such as with a highly durable diffuser. At a first position of the distal end of the monochromatic light source the energy density of an exit beam from said distal end is substantially equal to the energy density of the monochromatic light required for desired applications and at a second position of the distal end the energy density of the light emitted therefrom is significantly less than the energy density of the monochromatic light. Accordingly, a laser unit suitable for aesthetic treatment, medical treatment or industrial treatment is converted into an eye safe laser unit.

Abstract: An apparatus for treating skin includes a chamber defined by a surface and a rim extending from the surface. A source of vacuum is capable of removing air from inside the chamber so that air outside the chamber flows into the chamber. Impedance of the air flowing between the rim of the chamber positioned adjacent the skin surface causes the pressure inside the chamber to decrease relative to ambient. A pressure sensor can determine when the pressure inside the chamber decreases to a threshold value. A controller can receive a signal from the pressure sensor when the threshold value is reached, which causes the rate of removal of the air from inside the chamber by the source of vacuum to be increased. The rim of the chamber forms a substantially fluid tight seal with the skin. The skin is drawn toward an inner surface of the chamber.

Abstract: An apparatus adapted to inhibit pain signals generated by pain receptors in the skin during a skin related medical treatment such as an injection. An evacuation chamber is provided with an essentially rigid interface element through which a medical treatment can be administered to a selected skin region, one or more walls which are placeable on, or in the vicinity of, the skin region, an interior defined by the walls and by the interface element, and an opening at the bottom of the interior which is sealable by the skin region. A device generates a vacuum within the evacuation chamber interior to a level suitable for drawing the skin region through the opening towards, and in a compressing relation against, the interface element, to inhibit the transmission of a pain signal generated by pain receptors located within the skin region.

Abstract: A method and apparatus are disclosed for improving bodily safety during exposure to an eye hazardous monochromatic treatment light source by diverging the light, such as with a diffusing unit attached to the light source distal end so that the radiance of the light exiting the distal end is an eye safe level. At a first position of the light source distal end substantially in contact with an outer surface of a target, the energy density of an exit beam from the distal end is suitable for effecting a desired treatment, and at a second non-contact position of the distal end the exit beam energy density is significantly less than a value suitable for effecting the treatment. In an additional embodiment, the diverging or diffusing unit has a device for evacuating vapors or particles from the target.

Abstract: An apparatus adapted to inhibit pain signals generated by pain receptors in the skin during a skin related medical treatment such as an injection. An evacuation chamber is provided with an essentially rigid interface element larger than a threshold surface area through which a medical treatment can be administered to a selected skin region, one or more walls which are placeable in the vicinity of the skin region, an interior defined by the walls and by the interface element, and an opening at the bottom of the interior which is sealable by the skin region. A device generates a vacuum within the evacuation chamber interior to a level greater than the threshold vacuum level suitable for drawing the skin region through the opening towards, and in a compressing relation against, the interface element, to inhibit the transmission of a pain signal generated by pain receptors located within the skin region.

Abstract: A method and apparatus are disclosed for enhancing the absorption of light in targeted skin structures and for the inhibition of pain transmission during light based treatments of the skin. After applying a vacuum to a vacuum chamber placed on a skin target and modulating the applied vacuum, the concentration of blood and/or blood vessels is increased within a predetermined depth below the skin surface of the skin target. Optical energy associated with light directed in a direction substantially normal to a skin surface adjoining the skin target is absorbed within the predetermined depth. The apparatus is suitable for treating vascular lesions with a reduced treatment energy density level than that of the prior art and for evacuating condensed vapors produced during the cooling of skin. The vacuum chamber may also have a skin flattening transmitting element which inhibits pain transmission upon applying a sufficiently high vacuum.

Abstract: A method and apparatus are disclosed for improving bodily safety during exposure to a monochromatic light source by diverging the monochromatic light, such as with a highly durable diffuser. At a first position of the distal end of the monochromatic light source the energy density of an exit beam from said distal end is substantially equal to the energy density of the monochromatic light required for desired applications and at a second position of the distal end the energy density of the light emitted therefrom is significantly less than the energy density of the monochromatic light. Accordingly, a laser unit suitable for aesthetic treatment, medical treatment or industrial treatment is converted into an eye safe laser unit.

Abstract: A method and apparatus are disclosed for improving bodily safety during exposure to a monochromatic light source by diverging the monochromatic light, such as with a highly durable diffuser. At a first position of the distal end of the monochromatic light source the energy density of an exit beam from said distal end is substantially equal to the energy density of the monochromatic light required for desired applications and at a second position of the distal end the energy density of the light emitted therefrom is significantly less than the energy density of the monochromatic light. Accordingly, a laser unit suitable for aesthetic treatment, medical treatment or industrial treatment is converted into an eye safe laser unit.

Abstract: A method and apparatus are disclosed for enhancing the absorption of light in targeted skin structures. A vacuum chamber having a clear transmitting element transparent to intense pulsed light on its proximate end and an aperture on its distal end is placed on a skin target. After applying a vacuum to the vacuum chamber and modulating the applied vacuum, the concentration of blood and/or blood vessels is increased within a predetermined depth below the skin surface of the skin target. Optical energy associated with light directed in a direction substantially normal to a skin surface adjoining the skin target is absorbed within the predetermined depth. The apparatus is suitable for treating vascular lesions with a reduced treatment energy density level and pain sensation than that of the prior art and for evacuating condensed vapors produced during the cooling of skin prior to firing the light with a controlled delay.

Abstract: A method and apparatus are disclosed for improving bodily safety during exposure to an intense pulsed light source by diverging the light, such as with a diffuser. At a first position of the distal end of the light source the energy density of exit light from the distal end is substantially equal to the energy density of the light required for desired applications, such as effecting an aesthetic improvement without appearance of purpura or scarring, and at a second position of the distal end the radiance of the light emitted therefrom is significantly less than the radiance of the intense pulsed light. Eye safety is further enhanced by attaching at least one element of adjustable opacity to the handpiece of the light source, so that subcutaneously backscattered light may be absorbed by the at least one element.

Abstract: Method and apparatus for effecting a bloodless incision of soft tissue within the oral cavity. A standard laser is converted into an isotopic laser replacing the gas in the discharge tube of the standard laser with isotopic gas without replacing other constituents of the gas of the standard laser. The thickness of anti-reflection coating on the windows of the discharge tube is increased and the reflectivity of the reflectors is increased to a maximal value. The pulse duration of the laser is decreased and the converted laser directing to a desired target location of soft tissue within the oral cavity. The target location is at a penetration depth deep enough to avoid bleeding and distant enough from the soft tissue to minimize collateral damage. The converted laser fired to the target location at a wavelength and at an energy level suitable to effect the bloodless incision.

Abstract: Apparatus for ophthalmic surgery, especially non-penetrating filtration surgery, comprising a laser source that ablates sclera tissue at steps of intermediate thickness. Optionally, the beam is scanned using a scanner and its results viewed using an ophthalmic microscope.

Abstract: A method and apparatus are disclosed for improving bodily safety during exposure to a monochromatic light source by diverging the monochromatic light, such as with a highly durable diffuser. At a first position of the distal end of the monochromatic light source the energy density of an exit beam from said distal end is substantially equal to the energy density of the monochromatic light required for desired applications and at a second position of the distal end the energy density of the light emitted therefrom is significantly less than the energy density of the monochromatic light. Accordingly, a laser unit suitable for aesthetic treatment, medical treatment or industrial treatment is converted into an eye safe laser unit.

Abstract: Method and apparatus for effecting a bloodless incision of soft tissue within the oral cavity. A standard laser is converted into an isotopic laser replacing the gas in the discharge tube of the standard laser with isotopic gas without replacing other constituents of the gas of the standard laser. The thickness of anti-reflection coating on the windows of the discharge tube is increased and the reflectivity of the reflectors is increased to a maximal value. The pulse duration of the laser is decreased and the converted laser directing to a desired target location of soft tissue within the oral cavity. The target location is at a penetration depth deep enough to avoid bleeding and distant enough from the soft tissue to minimize collateral damage. The converted laser fired to the target location at a wavelength and at an energy level suitable to effect the bloodless incision.

Abstract: A focusable imaging laser otoscope for performing laser surgery without the need for anesthesia, The apparatus includes a housing, an end member movably disposed within the housing, an imaging device attached to the housing for producing an image of a target area, an illuminating system attached to the housing for illuminating the target area, a speculum having a longitudinal axis and detachably attached to the end member, an optical system attached to the housing and having a main optical axis coaxial with the longitudinal axis of the speculum, for directing a surgical and/or an aiming laser beam from a laser source through the housing and the speculum to strike the target area and for directing image forming light rays to project an image of the target area onto the imaging device such that when the image of the target area is focused, the surgical laser beam and/or aiming laser beam are also focused on the target area, and a focusing assembly attached to the housing and to the end member for adjustably mov

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: An apparatus and method for performing a myringotomy in a child's ear without the need for anaesthesia. A charge coupled device or television camera is aimed within a micromanipulator housing at a child's ear drum. The housing is retained to the ear, either with a fastener such as an adhesive or in a helmet, so that the housing moves with the movement of the child's head. A video image of the ear drum surface is displayed on a screen from signals transmitted from the camera device. A physician marks on the screen with an electronic pen pointer where the laser beam should be aimed at the ear drum surface. A microprocessor responds to this marking to determine the appropriate coordinates and instructs mirror control motors to rotate a scanning mirror in the path of the laser beam.