Apparatus and method for reducing laser beam attentuation in a liquid medium
First Claim
1. A method of optimizing the irradiation of a target tissue contained in and mobile within a body lumen with laser radiation, wherein the laser radiation is associated with a laser radiation delivery device and the laser radiation is delivered to the target tissue by one of a waveguide or an optical fiber, the waveguide and the optical fiber each having a distal delivery end, wherein the distal delivery end is spaced from the target tissue, wherein the space between the distal delivery end of the guide and the target tissue is occupied by a liquid medium, and wherein the laser radiation is delivered along a light path in at least one train of laser pulses of a wavelength which is at least partially absorbed in the liquid medium, the at least one train of pulses having a first laser pulse and a second laser pulse, both pulses being substantially along the same longitudinal axis, said method comprising the steps of:
- selecting and mounting on the laser radiation delivery device a waveguide or optical fiber type to be used in irradiating the target tissue;
selecting at least the following parameters;
selecting the total energy of the at least one train of pulses to be delivered to the target tissue, and selecting the distance from the distal delivery end to the target tissue;
further comprising a controller which controls the laser radiation delivery device and implements the steps of selecting the total energy delivered by the laser radiation delivery device and selecting the distance from the distal delivery end to the target tissue;
initiating irradiation of the target tissue for the at least one train of pulses by generating the first laser pulse along the longitudinal axis with sufficient energy (Ei) to form a vapor bubble in the liquid medium at the distal delivery end;
allowing the vapor bubble formed to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the distal delivery end and the target tissue;
thereafter, after the selected time delay (Td) sufficient for the formed vapor bubble to have reached its optimum extent and begun to collapse, generating the second laser pulse (Ep), the second laser pulse being delivered along the longitudinal axis to the target tissue through the formed vapor bubble, thereby minimizing the laser radiation absorbed by the liquid medium and optimizing the laser radiation reaching the target tissue;
whereby the collapsing bubble causes the target tissue to remain substantially stationary when the second laser pulse is delivered, thus reducing retropulsion of the target tissue;
the controller further comprising a memory including a lookup table, the lookup table including a plurality of parameters including Ei, Ep and Td, and wherein the steps of selecting the waveguide or optical fiber type, selecting the total energy to be irradiated and selecting the distance from the distal delivery end to the target causes the controller to access the lookup table to select corresponding parameters for Ei, Ep and Td and to cause the delivery device to generate and deliver laser radiation with the selected parameters for Ei, Ep and Td.
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Accused Products
Abstract
A method of optimizing the irradiation of a target with laser radiation includes selecting and mounting on a laser radiation delivery device either a waveguide or optical fiber type to be used; also, selecting at least the following parameters: selecting the total energy of the at least one train of pulses to be delivered to the target, and selecting the distance from the distal delivery end to the target; then, initiating irradiation of the target for the at least one train of pulses by generating a first laser pulse with sufficient energy (Ei) to form a vapor bubble in a liquid medium; allowing the vapor bubble formed to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the distal delivery end and the target; and, thereafter, after the selected time delay (Td) sufficient for the formed vapor bubble to reach its optimum extent, generating a second laser pulse (Ep), the second laser pulse being delivered to the target through the formed vapor bubble.
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Citations
18 Claims
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1. A method of optimizing the irradiation of a target tissue contained in and mobile within a body lumen with laser radiation, wherein the laser radiation is associated with a laser radiation delivery device and the laser radiation is delivered to the target tissue by one of a waveguide or an optical fiber, the waveguide and the optical fiber each having a distal delivery end, wherein the distal delivery end is spaced from the target tissue, wherein the space between the distal delivery end of the guide and the target tissue is occupied by a liquid medium, and wherein the laser radiation is delivered along a light path in at least one train of laser pulses of a wavelength which is at least partially absorbed in the liquid medium, the at least one train of pulses having a first laser pulse and a second laser pulse, both pulses being substantially along the same longitudinal axis, said method comprising the steps of:
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selecting and mounting on the laser radiation delivery device a waveguide or optical fiber type to be used in irradiating the target tissue; selecting at least the following parameters;
selecting the total energy of the at least one train of pulses to be delivered to the target tissue, and selecting the distance from the distal delivery end to the target tissue;further comprising a controller which controls the laser radiation delivery device and implements the steps of selecting the total energy delivered by the laser radiation delivery device and selecting the distance from the distal delivery end to the target tissue; initiating irradiation of the target tissue for the at least one train of pulses by generating the first laser pulse along the longitudinal axis with sufficient energy (Ei) to form a vapor bubble in the liquid medium at the distal delivery end; allowing the vapor bubble formed to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the distal delivery end and the target tissue; thereafter, after the selected time delay (Td) sufficient for the formed vapor bubble to have reached its optimum extent and begun to collapse, generating the second laser pulse (Ep), the second laser pulse being delivered along the longitudinal axis to the target tissue through the formed vapor bubble, thereby minimizing the laser radiation absorbed by the liquid medium and optimizing the laser radiation reaching the target tissue; whereby the collapsing bubble causes the target tissue to remain substantially stationary when the second laser pulse is delivered, thus reducing retropulsion of the target tissue; the controller further comprising a memory including a lookup table, the lookup table including a plurality of parameters including Ei, Ep and Td, and wherein the steps of selecting the waveguide or optical fiber type, selecting the total energy to be irradiated and selecting the distance from the distal delivery end to the target causes the controller to access the lookup table to select corresponding parameters for Ei, Ep and Td and to cause the delivery device to generate and deliver laser radiation with the selected parameters for Ei, Ep and Td. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. A method of optimizing the irradiation of a target tissue contained in and mobile within a body lumen with laser radiation, wherein the laser radiation is associated with a laser radiation delivery device and the laser radiation is delivered to the target tissue by one of a waveguide or an optical fiber, the waveguide and the optical fiber each having a distal delivery end, wherein the distal delivery end is spaced from the target tissue, wherein the space between the distal delivery end of the guide and the target tissue is occupied by a liquid medium, and wherein the laser radiation is delivered along a light path in at least one train of laser pulses of a wavelength which is at least partially absorbed in the liquid medium, the at least one train of pulses having a first laser pulse and a second laser pulse, both pulses being substantially along the same longitudinal axis, said method comprising the steps of:
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selecting and mounting on the laser radiation delivery device a waveguide or optical fiber type to be used in irradiating the target tissue; selecting at least the following parameters;
selecting the total energy of the at least one train of pulses to be delivered to the target tissue, and selecting the distance from the distal delivery end to the target tissue;further comprising a controller which controls the laser radiation delivery device and implements the steps of selecting the total energy delivered by the laser radiation delivery device and selecting the distance from the distal delivery end to the target tissue; initiating irradiation of the target tissue for the at least one train of pulses by generating the first laser pulse along the longitudinal axis with sufficient energy (Ei) to form a vapor bubble in the liquid medium at the distal delivery end; allowing the vapor bubble formed to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the distal delivery end and the target tissue; thereafter, after the selected time delay (Td) sufficient for the formed vapor bubble to have reached its optimum extent and begun to collapse, generating the second laser pulse (Ep), the second laser pulse being delivered along the longitudinal axis to the target tissue through the formed vapor bubble, thereby minimizing the laser radiation absorbed by the liquid medium and optimizing the laser radiation reaching the target tissue; whereby the collapsing bubble causes the target tissue to remain substantially stationary when the second laser pulse is delivered, thus reducing retropulsion of the target tissue; the controller further comprising a memory including a lookup table, the lookup table including a plurality of parameters including Ei, Ep and Td, and wherein the steps of selecting the waveguide or optical fiber type, selecting the total energy to be irradiated and selecting the distance from the distal delivery end to the target causes the controller to access the lookup table to select corresponding parameters for Ei, Ep and Td and to cause the delivery device to generate and deliver laser radiation with the selected parameters for Ei, Ep and Td; and
,wherein the step of selecting the waveguide or optical fiber type includes the further step of mounting the waveguide or optical fiber onto the delivery device, and wherein the device automatically recognizes the parameters of the waveguide or optical fiber. - View Dependent Claims (17)
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18. A medical laser system for treating a tissue portion with a laser beam, said tissue portion being mobile and immersed in a liquid medium formed primarily of water within a body lumen, said system comprising:
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a solid-state gain medium generating an output wavelength between 1.0 and 10.6 microns; a flashlamp for exciting the gain medium to generate a laser beam; an optical fiber for guiding the laser beam from the gain medium to the tissue portion, said fiber having a delivery end positioned close to but spaced from the tissue portion to be treated; and a controller for controlling the flashlamp and functioning to sequentially generate a series of first and second laser pulses, wherein each said first laser pulse and each said second laser pulse being substantially along the same longitudinal axis, and wherein each said first laser pulse has an energy sufficient to form a vapor bubble in the liquid medium at the delivery end of the fiber and wherein each said second laser pulse is generated a predetermined time after the first laser pulse, said predetermined time being selected to allow the vapor bubble created by the first laser pulse to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the delivery end of the fiber and the tissue portion wherein the controller controls the initiation of said second laser pulse such that it is delayed a period of time so that it may be delivered to the tissue through the vapor bubble after the vapor bubble has reached its maximum extent and has begun to collapse, thereby minimizing the laser radiation absorbed by the liquid medium and maximizing the laser radiation reaching the target and whereby the collapsing bubble causes the tissue portion to remain substantially stationary when the second laser pulse is delivered, thus reducing retropulsion of the tissue portion.
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Specification