U.S. patent application number 16/857407 was filed with the patent office on 2020-08-06 for surgical laser treatment temperature monitoring.
This patent application is currently assigned to Boston Scientific Scimed, Inc., Maple Grove, MN. The applicant listed for this patent is Boston Scientific Scimed, Inc.. Invention is credited to Brian Christopher Carlson, Wen-Jui Ray CHIA, Thomas Charles Hasenberg, Hui Wang.
Application Number | 20200246072 16/857407 |
Document ID | / |
Family ID | 1000004782799 |
Filed Date | 2020-08-06 |
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United States Patent
Application |
20200246072 |
Kind Code |
A1 |
CHIA; Wen-Jui Ray ; et
al. |
August 6, 2020 |
SURGICAL LASER TREATMENT TEMPERATURE MONITORING
Abstract
A surgical laser system includes a laser source configured to
generate laser energy, a laser fiber optically coupled to the laser
source and configured to discharge the laser energy and collect
electromagnetic energy feedback from a treatment site, a
photodetector configured to generate an output signal in response
to the electromagnetic energy collected from the treatment site, a
display, and a controller configured to produce an image or
indication about the temperature at the treatment site on the
display based on the output signal.
Inventors: |
CHIA; Wen-Jui Ray;
(Sunnyvale, CA) ; Hasenberg; Thomas Charles;
(Campbell, CA) ; Wang; Hui; (Fremont, CA) ;
Carlson; Brian Christopher; (Minnetrista, MN) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Boston Scientific Scimed, Inc. |
Maple Grove |
MN |
US |
|
|
Assignee: |
Boston Scientific Scimed, Inc.,
Maple Grove, MN
|
Family ID: |
1000004782799 |
Appl. No.: |
16/857407 |
Filed: |
April 24, 2020 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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15031107 |
Apr 21, 2016 |
10667863 |
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PCT/US2014/061319 |
Oct 20, 2014 |
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16857407 |
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61934387 |
Jan 31, 2014 |
|
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61895211 |
Oct 24, 2013 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B 2018/00672
20130101; A61B 2018/00642 20130101; A61B 2018/00589 20130101; A61B
2018/00678 20130101; A61B 2018/00625 20130101; A61B 18/22 20130101;
A61B 2018/00791 20130101; A61B 2018/00809 20130101; A61B 2018/00607
20130101; A61B 2018/20361 20170501 |
International
Class: |
A61B 18/22 20060101
A61B018/22 |
Claims
1. A surgical laser system comprising: a laser source configured to
generate laser energy; a laser fiber optically coupled to the laser
source and configured to discharge the laser energy and collect
electromagnetic energy feedback from a treatment site; a
photodetector configured to generate an output signal in response
to the electromagnetic energy collected from the treatment site; a
display; and a controller configured to produce an image or
indication about at least one condition at the treatment site on
the display based on the output signal.
2. The surgical laser system of claim 1, wherein the output signal
corresponds to a condition at the treatment site.
3. The surgical laser system of claim 2, wherein the condition at
the treatment site is selected from the group consisting of
temperature and treatment mode.
4. The surgical laser system of claim 3, wherein the treatment mode
is selected from the group consisting of vaporization and
coagulation.
5. The surgical laser system of claim 1, wherein the image includes
temperature information, which is based on the output signal, the
temperature information indicating, an approximate temperature at
the treatment site where the laser energy is discharged by the
laser fiber, or an average approximate temperature at the treatment
site over a period of time.
6. The surgical laser system of claim 5, wherein the image includes
a graphical display of the temperature information or an
alphanumeric display of the temperature information.
7. The surgical laser system of claim 1, wherein the image includes
treatment mode information based on the output signal the treatment
mode information indicating a laser treatment being performed a
treatment site where the laser energy is discharged by the laser
fiber.
8. The surgical laser system of claim 7, wherein the image includes
treatment mode boundaries indicating upper and lower operating
parameters of at least one treatment mode.
9. The surgical laser of claim 1, wherein the controller is
configured to control the laser energy discharged through the laser
fiber responsive to the output signal.
10. The surgical laser system of claim 1, further comprising an
input device, wherein tire controller is configured to control the
laser energy discharged through the laser fiber responsive to a
user input received through the input device.
11. The surgical laser system of claim 1, wherein the controller is
configured to convert the output signal from a time-based signal to
a frequency-based signal.
12. The surgical laser system of claim 11, wherein treatment modes
are identified using the frequency-based signal.
13. A method of operating a surgical laser system comprising the
steps of: generating laser energy using a laser source; discharging
the laser energy through a laser fiber to a treatment site;
delivering electromagnetic energy feedback from the treatment site
produced in response to discharging the laser energy to the
treatment site to a photodetector; generating a photodetector
output signal; analyzing the photodetector output signal using a
controller; and displaying treatment site information on a display
based on the photodetector output signal analyzed by the
controller.
14. The method of claim 13, wherein displaying the treatment site
information includes displaying temperature information based on
the output signal, the temperature information indicative of a
temperature at the treatment site.
15. The method of claim 13, wherein displaying the treatment site
information includes displaying a treatment mode of the surgical
laser system.
16. A method of operating a surgical laser system comprising the
steps of: generating laser energy using a laser source; discharging
the laser energy through a laser fiber to a treatment site;
analyzing electromagnetic energy feedback from the treatment site
produced in response to discharging the laser energy to the
treatment site; and automatically adjusting the laser energy based
on the analysis of the electromagnetic energy feedback.
17. The method of claim 16, wherein the electromagnetic energy
feedback is delivered to a photodetector for generating a
photodetector output signal.
18. The method of claim 17, wherein a controller is used to analyze
the photodetector output signal.
19. The method of claim 18, wherein the controller automatically
adjust the laser energy in response to the photodetector output
analysis.
20. The method of claim 19, wherein adjusting the laser energy is
selected from the group consisting of adjusting the laser power,
adjusting a duty cycle of the laser energy, adjusting a modulation
of the laser energy, adjusting an intensity an input light to a
laser gain medium of a laser resonator of the laser source,
adjusting laser pulse widths, adjusting repetition rate and
adjusting a wavelength.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims the benefit of U.S. Provisional
Application No. 61/895,211, filed Oct. 24, 2013, and U.S.
Provisional Application No. 61/934,387, filed Jan. 31, 2014. The
content of each of the above-referenced applications is
incorporated herein by reference in its entirety for all
purposes.
FIELD OF THE INVENTION
[0002] Embodiments of the present invention relate generally to the
field of medical lasers utilizing optical fibers. More
specifically, embodiments of the present invention relate to the
use of electromagnetic energy feedback from a treatment site to
provide a physician with real-time information about conditions at
the treatment site, such as, for example, tissue temperature, laser
treatment being performed, etc.
BACKGROUND
[0003] Embodiments of the present invention generally relate to
surgical laser systems and methods of operating or controlling such
systems.
[0004] Surgical laser systems have been used in various practice
areas, such as, for example, urology, neurology,
otorhinolaryngology, general anesthetic ophthalmology, dentistry,
gastroenterology, cardiology, gynecology, and thoracic and
orthopedic procedures. Generally, these procedures require
precisely controlled delivery of laser energy as part of the
treatment protocol to cut, vaporize or ablate targeted tissue, such
as cancerous cells and prostate tissue, for example.
[0005] Black body radiation is one of the basic phenomena in
physics, which has been commonly used for measuring the temperature
of the body. Generally, the subject in thermodynamic equilibrium
will radiate electromagnetic waves having a specific spectrum and
intensity that depends only on the temperature of the body.
[0006] U.S. Pat. No. 7,869,016, which is assigned to the same
assignee as the present application and the contents of which are
incorporated herein by reference in their entirety for ail
purposes, discloses a technique for protecting the laser fiber tip
by monitoring the black body radiation from the fiber tip. The
intensity of the black body radiation is used to indicate a
temperature of the fiber tip, which is used to automatically shut
off the discharge of the laser energy when the temperature reaches
an unsafe condition. Thus, in this instance, a physician does not
have the ability to alter the laser procedure being formed or to
change the operating parameters of the laser device to avoid system
shut down.
[0007] The temperature achieved by exposing tissue or a treatment
site to laser energy plays an important role in determining the
type of laser treatment being performed (e.g. coagulation,
vaporization, etc.), as well as the effectiveness of the laser
treatment. For example, it may not be possible to perform a
vaporization treatment or the vaporization treatment may be
inefficient, if the temperature is too low at the treatment site.
Additionally, the temperature sensed at the treatment site may also
indicate that the laser fiber, from which the laser energy is
discharged, may suffer damage due to overheating the fiber tip.
[0008] It would be desirable to provide real-time laser treatment
site temperature information to assist the physician during a
surgical laser treatment to: identify the laser treatment being
performed, improve the efficiency of the laser treatment by, for
example, preventing overtreatment or under treatment, warn the
surgeon of potential fiber tip damage, and/or provide other
benefits currently unavailable to physicians.
SUMMARY
[0009] Embodiments of the present invention are directed to a
surgical laser system including laser source configured to generate
laser energy and a laser fiber optically coupled to the laser
source and configured to discharge the laser energy and collect
electromagnetic energy feedback from a treatment site in a patient.
The surgical laser system also includes a photodetector configured
to generate an output signal in response to the electromagnetic
energy collected front the treatment site, a display and a
controller configured to produce an image or indication about at
least one condition at the treatment on the display based on the
output signal.
[0010] Embodiments of the present invention are also directed to a
method of operating a surgical laser system comprising the steps of
generating laser energy using a laser source and discharging the
laser energy through a laser fiber to a treatment site. The method
also includes delivering electromagnetic energy feedback from the
treatment site produced in response to discharging the laser energy
to the treatment site to a photodetector and generating a
photodetector output signal based on the electromagnetic energy
feedback. After the photodetector output signal is generated, the
photodetector output signal is analyzed using a controller to
determine the treatment site information (i.e., conditions at the
treatment site). Once analyzed by the controller, this treatment
site information is displayed on a display for a physician to
see.
[0011] In another embodiment of the present invention, a method of
operating a surgical laser system is provided, the method comprises
the steps of generating laser energy using a laser source,
discharging the laser energy through a laser fiber to a treatment
site, analyzing electromagnetic energy feedback from the treatment
site produced in response to discharging the laser energy to the
treatment site, and automatically adjusting the laser energy based
on the analysis of the electromagnetic energy feedback.
[0012] For a better understanding of the embodiments of the present
invention, its operating advantages and specific objects attained
by its uses, reference is made to the accompanying descriptive
matter in which preferred embodiments of lire invention are
illustrated in the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
[0013] FIG. 1 is a simplified diagram of a surgical laser system in
accordance with embodiments of the present invention performing an
exemplary surgical laser treatment;
[0014] FIG. 2 is a simplified diagram of a distal end of a laser
fiber of the surgical laser system of FIG. 1 within an endoscope
performing an exemplary laser treatment;
[0015] FIG. 3A is a graph depicting black body radiation as a laser
fiber is moved across targeted tissue at 1 nm/s;
[0016] FIG. 3B is a photograph of the vaporization effect on the
targeted tissue as the laser fiber is moved across the targeted
tissue at 1 min/s;
[0017] FIG. 4A is a graph depicting black body radiation as a laser
fiber is moved across targeted tissue at 4 nm/s;
[0018] FIG. 4B is a photograph of the vaporization effect on the
targeted tissue as the laser fiber is moved across the targeted
tissue at 4 mm/s;
[0019] FIG. 5A is a graph depicting black body radiation as a laser
fiber is moved across targeted tissue at 16 nm/s;
[0020] FIG. 5B is a photograph of the vaporization effect on the
targeted tissue as the laser fiber is moved across the targeted
tissue at 16 mm/s;
[0021] FIG. 6 is a graph in linear scale depicting the black body
radiation as a function of laser fiber scanning speed;
[0022] FIG. 7 is the graph depicted in FIG. 6 in logarithmic
scale;
[0023] FIG. 8 is a simplified diagram of a display in accordance
with embodiments of the invention; and
[0024] FIG. 0 is a flowchart illustrating a method of operating a
surgical laser system in accordance with embodiments of the
invention.
DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS
[0025] Embodiments of the present invention generally relate to
surgical laser systems and methods of controlling surgical laser
systems, such as during performance of a laser treatment on a
patient. Embodiments of the invention are described more fully
hereinafter with reference to the accompanying drawings. The
various embodiments of the invention may, however, be embodied in
many different forms and should not be construed as limited to the
embodiments set forth herein. Rather, these embodiments are
provided so that this disclosure will be thorough and complete, and
will fully convey the scope of the invention to those skilled in
the art. Elements that are identified using the same or similar
reference characters refer to the same or similar elements.
[0026] The terminology used herein is for the purpose of describing
particular embodiments only and is not intended to be limiting of
the invention. As used herein, the singular forms "a", "an" and
"the" are intended to include the plural forms as well, unless the
context clearly indicates otherwise. It will be further understood
that the terms "comprises" and/or "comprising," when used in this
specification, specify the presence of stated features, integers,
steps, operations, elements, and/or components, but do not preclude
the presence or addition of one or more other features, integers,
steps, operations, elements, components, and/or groups thereof.
[0027] It will be understood that when an element is referred to as
being "connected" or "coupled" to another element, it can be
directly connected or coupled to the other element or intervening
elements may be present. In contrast, if an element is referred to
as being "directly connected" or "directly coupled" to another
element, there are no intervening elements present.
[0028] It will be understood that, although the terms first,
second, etc. may be used herein to describe various elements, these
elements should not be limited by these terms. These terms are only
used to distinguish one element from another. Thus, a first element
could be termed a second element without departing from the
teachings of the present invention.
[0029] Unless otherwise defined, ail terms (including technical and
scientific terms) used herein have the same meaning as commonly
understood by one of ordinary skill in the art to which this
invention belongs. It will be further understood that terms, such
as those defined in commonly used dictionaries, should be
interpreted as having a meaning that is consistent with their
meaning in the context of the relevant art and will not be
interpreted in an idealized or overly formal sense unless expressly
so defined herein.
[0030] As will further be appreciated by one of skill in the art,
the present invention may be embodied as methods, systems, and/or
computer program products. Accordingly, the present invention may
take the form of an entirely hardware embodiment, an entirely
software embodiment or an embodiment combining software and
hardware aspects. Furthermore, the present invention may take the
form of a computer program product on a computer-usable storage
medium having computer-usable program code embodied in the medium.
Any suitable computer readable medium may be utilized including
haul disks, CD-ROMs, optical storage devices, or magnetic storage
devices.
[0031] The computer-usable or computer-readable medium referred to
herein as "memory" may be, for example hut not limited to, an
electronic, magnetic, optical, electromagnetic, infrared, or
semiconductor system, apparatus, device, or propagation medium.
More specific examples (a non-exhaustive list) of the
computer-readable medium would include the following: an electrical
connection having one or more wires, a portable computer diskette,
a random access memory (RAM), a read-only memory (ROM), an erasable
programmable read-only memory (EPROM or Flash memory), an optical
fiber, and a portable compact disc read-only memory (CD-ROM). Note
that the computer-usable or computer-readable medium could even bee
paper or another suitable medium upon which the program is printed,
as the program can be electronically captured, via, for instance,
optical scanning of the paper or other medium, then compiled,
interpreted, or otherwise processed in a suitable manner, if
necessary, and then stored in a computer memory.
[0032] Embodiments of the present invention are also described
using flowchart illustrations and block diagrams, it will be
understood that each block (of the flowcharts and block diagrams),
and combinations of blocks, can be implemented by computer program
instructions. These program instructions may be provided to one or
more controllers each comprising one or more processor circuits,
such as a microprocessor, microcontroller or other processor, such
that the instructions which execute on the processors) create means
for implementing the functions specified in the block or blocks.
The computer program instructions may be executed by the
processors) to cause a series of operational steps, to be performed
by the processors) to produce a computer implemented process such
that the instructions which execute on the processors) provide
steps for implementing the functions specified in the block or
blocks.
[0033] Accordingly, the blocks support combinations of means for
performing the specified functions, combinations of steps for
performing the specified functions and program instruction means
for performing the specified functions. It will also be understood
that each block, and combinations of blocks, can be implemented by
special purpose hardware-based systems which perform the specified
functions or steps, or combinations of special purpose hardware and
computer instructions.
[0034] Embodiments of the present invention are directed to a
surgical laser system anti methods of operating or controlling the
system to perform, for example, a surgical laser treatment on a
patient, such as, coagulation, tissue vaporization, tissue
ablation, tissue cutting, kidney or bladder stone fragmentation
(i.e., laser lithotripsy), or other surgical laser treatments. In
some embodiments, the system utilizes laser energy feedback or
radiation feedback from the treatment site that is produced in
response to exposure of the treatment site to laser energy
generated by the system to determine an approximate temperature of
the treatment site. In some embodiments, the approximate
temperature is displayed for the physician in real-time, and/or
used to determine an operating mode of the system that is
indicative of the laser treatment being performed at the treatment
site.
[0035] FIG. 1 is a simplified diagram of a surgical laser system
KM) formed in accordance with embodiments of the present invention.
In some embodiments, the system 100 includes a laser source 102, a
waveguide or laser fiber 104, a photodetector 106, a display 107,
and a controller 108. The laser source 102 is configured to
generate laser energy, generally referred to as 110. The laser
fiber 104 is optically coupled to the laser source 102 using, for
example, a lens or other conventional technique. The laser fiber
104 is configured to discharge the laser energy 110 generated by
the laser source 102 to a targeted treatment site 120. The
photodetector 106 is configured to generate an output signal 112
representative of electromagnetic energy feedback 114 produced at
the treatment site 120 in response to the discharge of the laser
energy 110 front the laser fiber 104. In some embodiments, the
controller 108 is configured to produce an image 140 on a display
107 based on the output signal 112.
[0036] The laser source 102 may comprise one or more laser
generators, which are used to produce the laser energy 110. Each
laser generator may comprise conventional components, such as a
laser resonator, to produce the laser energy 110 having the desired
power and wavelength. In some embodiments, the laser energy 110 has
a wavelength of approximately 532 nm (green laser energy). Other
wavelengths of the laser energy 110 may also be used, such as laser
energy having a wavelength of approximately 400-475 nm (blue laser
energy), or laser energy having a wavelength of approximately
2000-2200 nm, which is suitable for performing laser lithotripsy
procedures, for example. Those and other wavelengths may be used
for the laser energy 110 depending on the laser treatment to be
performed.
[0037] In some embodiments, the laser energy 110 generated by the
laser source 102 is optically coupled to the laser fiber 104
through a conventional optical coupler (not shown), which may
include lenses. The laser fiber 104 may include arty conventional
surgical laser waveguide, such as an optical fiber. In some
embodiments, the laser fiber 104 is configured to discharge the
laser energy 110 at a distal end 116. The distal end or fiber tip
116 of the laser fiber 104 may be configured to discharge the laser
energy 110 laterally (i.e., side-firing fiber), as shown in FIG. 1,
along the axis 117 of the laser fiber 104 (i.e., end-firing fiber),
as shown in MCI. 2, or in another conventional manner.
[0038] During a surgical laser treatment, the laser energy 110 is
discharged from the distal end 116 of the laser fiber 104 toward
targeted tissue or object 120 at the laser treatment site 121 to
perform the desired laser treatment on the targeted object 120. As
used herein, the term "targeted object" means an object of a
patient on which a laser treatment is intended to be performed,
such as a tumor, prostate tissue or other body tissue, or a kidney
or bladder stone, for example. Embodiments of the invention utilize
the black body radiation or electromagnetic energy feedback 114
produced at the treatment site 121 in response to the discharge of
the laser energy 110 from the fiber tip 116, as an indication of
the temperature at the treatment site 121 or the targeted object
120 at the treatment site, and/or as an indicator of the laser
energy treatment being performed on the object 120 at the treatment
site 121.
[0039] In experiments performed ex vivo on porcine kidneys, laser
energy 110 was delivered to targeted tissue 120 on the porcine
kidneys by a fiber 104. The black body radiation or electromagnetic
energy feedback 114 produced at the treatment site 121 in response
to the discharge of this laser energy 110 from the fiber tip 116
was then collected by the laser fiber 104 and analyzed. Three
experiments were performed where the laser fiber 104 was moved
across the targeted tissue 120 at different speeds and the
resulting black body radiation or electromagnetic energy feedback
114 produced was collected and plotted on a graph.
[0040] FIG. 3A is a graph that depicts the black body radiation
along the Y-axis and the corresponding time in seconds along the
X-axis as the laser fiber 104 was moved across the targeted tissue
120 at 1 mm/s. From 0 seconds to approximately 4 seconds, the laser
source 102 was off. From approximately 4 seconds to approximately
17 seconds, the laser source 102 was turned on anti the laser fiber
104 was moving across an aluminum tray that was supporting the
porcine kidney. From approximately 17 seconds to approximately 28
seconds, the laser source 102 was on and the laser fiber 104 was
moving across the targeted tissue 120. From approximately 28
seconds to approximately 34 seconds, the laser source 102 was on
and the laser fiber 104 was moving across the aluminum tray that
was supporting the porcine kidney, lastly, at approximately 34
seconds, the laser source 102 was turned off. As can clearly be
seen from the graph, the black body radiation increased front
approximately 7500 to approximately 15000 when the laser fiber 104
was moving across live targeted tissue 120 between 17 seconds and
28 seconds. FIG. 3B is a photo that shows the vaporization groove
created in the porcine kidney tissue 120 when the laser fiber 104
was moved across the targeted tissue 120 at a rate of 1 mm/s.
[0041] FIG. 4A is a graph that depicts the black body radiation
along the Y-axis anil the corresponding time in seconds along the
X-axis as the laser fiber 104 was moved across the targeted tissue
120 at 4 nm/s. From 0 seconds to approximately 1 second, the laser
source 102 was off. From approximately 1 second to approximately 7
seconds, the laser source 102 was turned on and the laser fiber 104
was moving across the aluminum tray that was supporting the porcine
kidney. From approximately 7 seconds to approximately 13 seconds,
the laser source 102 was on and the laser fiber 104 was moving
across the targeted tissue 120. At approximately 13 seconds, the
laser source 102 was turned off. As can clearly be seen from the
graph, the black body radiation increased from approximately 7500
to approximately 10000 when the laser fiber 104 was moving across
the targeted tissue 120 between 7 seconds and 13 seconds. FIG. 4B
is a photo that shows the vaporization groove created in the
porcine kidney tissue 120 when the laser fiber 104 was moved across
the targeted tissue 120 at a rate of 4 mm/s.
[0042] FIG. 5A is a graph that depicts the black body radiation
along the Y-axis and the corresponding time in seconds along the
X-axis as the laser fiber 104 was moved across the targeted tissue
120 at 16 nm/s. Prom 0 seconds to approximately 0.5 seconds, the
laser source 102 was off. Prom approximately 0.5 seconds to
approximately 1.5 seconds, the laser source 102 was turned on and
the laser fiber 104 was moving across the aluminum tray that was
supporting the porcine kidney, from approximately 1.5 seconds to
approximately 7.5 seconds, the laser source 102 was on and the
laser fiber 104 was moving across the targeted porcine tissue 120.
At approximately 7.5 seconds, the laser source 102 was turned off.
As can clearly be seen from the graph, the black body radiation
increased from approximately 8000 to approximately 8500 when the
laser fiber 104 was moving across the targeted tissue 120 between
1.5 seconds and 7.5 seconds. FIG. 5B is a photo that shows the
vaporization groove created in the porcine kidney tissue 120 when
the laser fiber 104 was moved across the targeted tissue 120 at a
rate of 16 mm/s.
[0043] As depicted in FIGS. 3A, 4A and 5A, one can clearly identify
an increase in the black body radiation or electromagnetic energy
feedback 114 produced when the laser source 102 was on and the
laser fiber 104 moved across the targeted tissue 120. Also, as
depicted in FIGS. 3B, 4B and 5B, by moving the laser fiber 104
across the targeted tissue 120 at different speeds, one can create
different degrees of vaporization such that vaporization increases
when the laser fiber 104 is moved across the targeted tissue 120 at
slower speeds (FIG. 3B) and vaporization decreases when the laser
fiber 104 is moved across the targeted tissue 120 at slower speeds
(FIG. 5B). Because the degree of vaporization correlates to the
temperature of the targeted tissue being vaporized, one can also
correlate the temperature of the targeted tissue 120 being
vaporized to the black body radiation or electromagnetic energy
feedback 114 produced.
[0044] Depicted in FIGS. 6 and 7 are graphs showing the correlation
of the intensity of the black body radiation 114 and hence, the
vaporization degree to the laser fiber KM scanning or moving speed
across the targeted tissue 120. As can clearly be seen in FIG. 6
where the values along the X and Y axes are in linear scale, the
black body radiation intensity 114 (Y axis) increases with the
degree of vaporization, which corresponds to an increase in the
targeted tissue 120 temperature. As can clearly be seen in FIG. 7,
with the values along the X and Y axes now in logarithmic scale,
there is a high correlation between vaporization degree and
blackbody radiation intensity 114, where the correlation
coefficient r.sup.2 is close to 1. Therefore, we believe that one
can use the black body radiation or electromagnetic energy feedback
114 produced on the targeted tissue 120 as an indicator of tissue
vaporization degree. Accordingly, based on the electromagnetic
energy feedback 114 produced on the targeted tissue 120, the
current operating mode or laser treatment being performed at the
treatment site (i.e., coagulation, low vaporization, high
vaporization, carbonization, etc.) can be identified in real-time
and communicated back to the physician instantaneously.
[0045] In some embodiments, the electromagnetic energy feedback 114
(or black body radiation) collected from the fiber tip 116 is
delivered to the photodetector 106 through either the laser fiber
104 or through another component. Because the electromagnetic
energy feedback 114 is light in the infrared (IR) or far infrared
(FIR) range that is emitted at the treatment site 121 as
temperature increases as a result of the laser treatment, this IR
or FIR light is collected by the laser fiber 104 and transmitted
back to the photodetector 106 as a result of the laser fiber 104
having the ability to transmit light in two directions. Once the
electromagnetic runic energy feedback 114 is received and analyzed
by the photodetector 106, the photodetector 106 produces an output
signal 112 that is indicative of an approximate temperature at the
treatment site 121, such as the temperature of the targeted object
120.
[0046] In some embodiments, live system 100 includes a dichroic
beam splitter or a mirror 128 that reflects the electromagnetic
energy feedback 114 while allowing the laser energy 110 to pass
through, as shown in FIG. 1. The electromagnetic energy feedback
114 reflected by the mirror 128 is delivered to the photodetector
106. It is understood that the components of the system 100 could
be modified such that the mirror 128 reflects the laser energy 110
from the laser source 102 to the optical coupler, while allowing
the electromagnetic energy feedback 114 to puss through the mirror
128.
[0047] In some embodiments, the mirror 128 is highly transmissive
over the wavelengths of the laser energy 110 and highly reflective
over the wavelengths of the electromagnetic energy feedback 114.
Thus, electromagnetic energy feedback 114, which is the black body
radiation of targeted objects 120 at the treatment site 121 having
a wavelength that is different from the wavelength of the laser
energy 110, may be reflected by the mirror 128 to the photodetector
106 while the laser energy 110 discharged from the laser source 102
passes through the mirror to the laser fiber 104.
[0048] In some embodiments, the mirror 128 includes a central hole
(not shown), through which the laser energy 110 generated by the
laser source 102 is discharged. Portions of the electromagnetic
energy feedback 114 impact the mirror 128 outside the edges of the
hole, and are reflected by the mirror 128 to the photodetector 106.
This embodiment of the mirror is particularly necessary when the
electromagnetic energy feedback 114 comprises the reflected laser
energy 110.
[0049] In some embodiments, the system 100 includes one or more
filters 130 that are configured to filter frequencies of the
electromagnetic energy feedback 114, and deliver filtered
electromagnetic energy feedback 114 to the photodetector 106.
Exemplary embodiments of the one or more filters 130 include a
low-pass filter, a high-pass filter, and/or a band-pass filter. For
example, a band-pass filter between 1.4 um to 1.8 um can be used to
monitor the electromagnetic feedback 114, although even longer
wavelength band-pass filters can also be useful. Thus, embodiments
of the output signal 112 include an output signal 112 generated by
the photodetector 106 in response to the electromagnetic energy
feedback 114 or the filtered electromagnetic energy feedback 114.
In order to simplify the discussion, references to the output
signal 112 include the output signal 112 generated in response to
the filtered or an filtered electromagnetic energy 114, unless
described otherwise or inapplicable.
[0050] In some embodiments, the one or more filters 130 and
photodetector 106 may be replaced with a spectrometer that analyzes
the electromagnetic energy feedback 114 and outputs information,
such as intensity levels of the electromagnetic energy feedback 114
over a range of wavelengths or frequencies, and/or other
information. In some embodiments, the spectrometer outputs only
intensity levels of the electromagnetic energy feedback 114 at
certain frequencies of interest. In order to simplify the
discussion, references to the output signal 112 should also be
interpreted as describing embodiments in which the output signal
112 is replaced with spectrometer information generated by a
spectrometer in response to an analysis of electromagnetic energy
feedback 114.
[0051] In some embodiments, the controller 108 represents
conventional electronics and processors that may execute program
instructions stored in memory 132 of the system 100, or other
locations, to perform various functions described herein. In some
embodiments, (be controller 108 processes (e.g., amplifies) and/or
analyzes the output signal 112 to determine an approximate
temperature indicated by the signal 112 of the treatment site 121
and/or the targeted objects 120. In some embodiments, the system
100 is calibrated to ensure that the approximate temperature
indicated by the output signal 112 is an accurate approximation of
the actual temperature at the treatment site 121.
[0052] In some embodiments, the output signal 112 can be analyzed
and displayed to determine the Joule usage corresponding to
different vaporization levels or different laser treatments being
performed.
[0053] In some embodiments, electromagnetic energy feedback 114 can
be modulated using an optical chopper or any other intensity
modulator or inherent modulation (such as Q-switch pulsed laser) to
generate a modulated output signal 112 from the photodetector 106.
The controller 108 can then demodulate this signal through a
demodulator, such as phase-locked loop or multiplier using software
or additional hardware included with the controller, to extract the
electromagnetic energy feedback 114. In this way, the
signal-to-noise ratio can be improved by eliminating any
environmental or background electromagnetic energy, such as the
energy of radiation from the laser cavity, and any dark noise from
the photodetector 106.
[0054] As described above, the controller 108 is configured to
produce an image 140 on the display 107 based on the output signal
112. In some embodiments, as depicted in FI. 8, the image 140
includes temperature information and/or operating mode information
144, both of which are determined based on the approximate
temperature indicated by the output signal 112. The temperature
information indicates the approximate temperature at the treatment
site 121. In some embodiments, the temperature information
indicates an average approximate temperature at the treatment site,
which is calculated using the controller 108 based on samples of
the output signal 112 taken over a period of time, such as 0.1-1.0
seconds. In some embodiments, the operating mode information 144
indicates a laser treatment being performed at the treatment site
121 or on a targeted object 120 using the laser energy 110.
[0055] In some embodiments, the image 140 includes information
regarding the Joule usage including the Joules currently being used
at the treatment site 121 allows the physician to determine the
efficiency of the laser treatment being performed. For example, if
the physician knows that 100 KJ has been used and he/she knows
there is high vaporization at the treatment site, he/she knows that
vaporization is being performed efficiently. However, if 100 KJ has
been used and he/she knows there is low vaporization occurring at
the treatment site, this may be an indication of low vaporization
efficiency, which could lead to overheating of the laser fiber 104
or the targeted tissue 120. This additional information will allow
a physician to identify and control the efficiency of the laser
treatment being performed at the treatment site as well as help
prevent the laser fiber 104 from overheating.
[0056] The image 140 produced on the display 107 using the
controller 108 changes in response to changes to the output signal
112. That is, as the output signal 112 indicates a change in the
temperature information (i.e., approximate temperature at the
treatment site 121) or the operating mode information, the image
produced on the display 107 by the controller 108 changes.
Preferably, these changes to the image 140 are produced in
substantially real-time. As a result, as the output signal 112
indicates a change, in the approximate temperature at the treatment
site 121, the image 140 produced on the display 107 changes to
indicate this change in the approximate temperature. Likewise,
changes in the output signal 112 that indicate a change in the
operating mode result in a change m the operating mode information
144 produced in the image 140. Based on these changes in
temperature and/or operating mode, the physician can compensate in
real-time as deemed necessary in order to continue with the laser
procedure. For example, the physician can alter the way the
procedure is being performed/i.e., the distance of the fiber tip
from the targeted object 120 can be changed, etc.) or can change
the operating inputs of the laser device, i.e., the physician can
increase or decrease the power of the laser device, or the
physician can change the laser pulse widths, repetition rate,
modulation, wavelength, etc.
[0057] In some embodiments, the image 140 includes a graphical
display of the temperature information, as shown in FIG. 8. For
instance, the temperature information may be presented in the image
140 in the form of a bar graph 142. Lower approximate temperatures
at the treatment site 121 are indicated by a shorter bar, and
higher approximate temperatures at the treatment site 121 are
indicated by a higher bar. In some exemplary embodiments, the
graphical display indicating the temperature information may
include a line chart that presents the approximate temperature at
the treatment site or target object over time.
[0058] In some embodiments, the temperature information is
presented alphanumerically in the image 140 on the display 107. For
instance, the temperature information in the image 140 may include
the approximate temperature (e.g. 100.degree. C.) indicated by the
current output signal 112.
[0059] In some embodiments, the temperature information in the
image 140 is represented both graphically and alphanumerically, as
shown in FIG. 8. Additionally, the bar graph 142 may include the
current approximate temperature listed adjacent the bar graph, as
well as a temperature scale for the bar graph.
[0060] In some embodiments, the system 100 is configured to operate
in at least two different operating modes, each corresponding to a
different laser treatment (i.e., vaporization and coagulation) or
any others described above. In some embodiments, the system 100
determines the mode of operation and the laser treatment being
performed by the laser energy 110 based on the output signal 112
using the controller 108.
[0061] In some embodiments, the laser treatments and operating
modes that are identifiable by the system 100 each have a
corresponding approximate temperature range that is bounded by
upper and lower approximate temperatures. In some embodiments, the
approximate temperature ranges of each of the modes of operation of
the system 100 do not overlap. In some embodiments the memory 132
of the system 100, or other memory, includes a mapping of the
approximated temperature indicated by the output signal 112 and the
corresponding operating mode or laser treatment, which is
accessible by the controller 108.
[0062] During operation, the controller 108 determines the laser
treatment being performed at the laser treatment site 121 by
comparing the approximate temperature indicated by the output
signal 112 to the approximate temperature ranges associated with
each of the laser treatments or operating modes of the system 100,
which, as mentioned above, may be stored in the memory 132. When
the approximate temperature indicated by the output signal 112
falls within one of the approximate temperature ranges of the laser
treatments being monitored by the system 100, that laser treatment
is determined to be the laser treatment, currently being per burned
at the laser treatment site 121. Operating mode information
indicating the currant operating mode or laser treatment can then
be presented in real-time in the image 140 on the display 107 using
the controller 108 allowing the physician to see the conditions at
the treatment site 121 as they are occurring. For example, in FIG.
8, the operating module 144 is vaporization. In some exemplary
embodiments, the image indicating the operating mode or laser
treatment being performed may include a line chart or other
indicator that presents the period of time an operating mode or
laser treatment (i.e., vaporization, coagulation, etc.) has been
performed at the treatment site or the target object.
[0063] In one exemplary embodiment, the controller 108 is
configured to determine whether the system 100 is in a coagulation
mode, in which the laser treatment being performed at the laser
treatment site is a coagulation treatment, based on the output
signal 112. The coagulation treatment causes blood exposed to the
laser energy 110 at the laser treatment site to coagulate. In
another exemplary embodiment, the controller 108 is configured to
determine whether the system 100 is in a vaporization mode, in
which the laser treatment being performed at the laser treatment
site is a vaporization treatment, based on the output signal 112.
The vaporization treatment vaporizes tissue, blood, or other
targeted object 120 in response to exposure to the laser energy 110
at the laser treatment site. Other embodiments involve the
identification of other operating modes of the system 100 and laser
treatments by the controller 108 using the output signal 112. In a
further exemplary embodiment, the controller 108 is configured to
determine whether the system is in coagulation mode or vaporization
mode as indicated by the operating mode 144 in FIG. 8.
[0064] In some embodiments, the coagulation mode of operation has
an approximate temperature range of between approximately
40-70.degree. C. (n some embodiments, the vaporization mode of the
system 100, in which a vaporization laser treatment is performed at
the laser treatment site, has an approximate temperature range of
between approximately 80-150.degree. C.
[0065] In some embodiments, the controller 108 is con fig oral to
convert the output signal 112 from a lime-based signal to a
frequency-based signal. This may allow the system 100 to extract
more information from the electromagnetic energy feedback 114. Hie
signal conversion can be accomplished through a frequency analysis
of the output signal 112 using a frequency analyzer, or through the
application of a Fourier transform to the output signal 112.
[0066] In some embodiments, the frequency-bused output signal 112
can be used to identify the laser treatment being performed at the
laser treatment site 121. For instance, the controller 108 can
determine whether the system 100 is operating in a coagulation mode
or a vaporization mode based on the frequency-based output signal
112. In some embodiments, a coagulation treatment is indicated when
the frequency-bused output signal 112 comprises lower frequency
components that are relatively stable because during coagulation,
no hubbies or debris are being created at the treatment site 121.
During a vaporization treatment, tissue debris and bobbles may form
at tire treatment site, which will disturb the laser energy
feedback 114 collected from the fiber lip 116. This disturbance is
manifested in the frequency-based output signal being less stable
and having higher frequency components than that found in the
frequency-based signal corresponding to a coagulation treatment.
Thus, in some embodiments, the controller 108 can distinguish
different modes of operation based on an analysis of the
frequency-based output signal produced in response to the
electromagnetic energy feedback 114.
[0067] In some embodiments, the operating mode information in the
image 140 comprises alphanumeric and/or graphical information
indicating the current operating mode of the system 100. In some
embodiments, the alphanumeric information includes a listing of the
current operating mode or laser treatment (e.g., vaporization), as
indicated at 144 of the image 140.
[0068] In some embodiments, the graphical information in the image
140 indicating the current operating mode or laser treatment
includes a lower approximate temperature boundary 146 and an upper
approximate temperature boundary 148 for each operating mode, as
shown in FIG. 8. In some embodiments, the temperature information,
such as the bar graph 142, indicates the approximated temperature
relative to the boundaries 146 and 148, as shown in FIG. 8.
[0069] In some embodiments, the operating mode information in the
image 140 comprises a graphical display having a color that
corresponds to the current operating mode. For instance, when the
approximate temperature corresponding to the output signal 112
indicates that the laser treatment being performed at the laser
treatment site 121 is a coagulation treatment, the operating mode
information in the image 140 includes a graphical image having a
color that corresponds to the coagulation mode. Likewise, when the
output signal 112 indicates that a vaporization treatment is being
performed at the treatment site 121, the controller 108 produces
tire image 140 having a graphical image of a color that corresponds
to the vaporization mode of operation. As a result, the physician
can quickly determine the laser treatment currently being performed
based on a color being displayed in the image 140 on the display
107. This color may be presented, for example, as highlighting of
the bar graph 142, the listing of the operating mode, the display
of the approximated temperature, a background of the image 140, or
in another suitable manner.
[0070] In some embodiments, each of the approximate temperature
ranges of the laser treatment modes performed by the system 100
have a target approximate temperature range corresponding to the
preferred approximate temperature for performing the laser
treatment. For instance, coagulation laser treatments may be most
efficient at a target approximate temperature range of between
approximately 50-60.degree. C., and vaporization laser treatments
may be performed most efficiently within a target approximate
temperature range of between approximately 100-120.degree. C.
[0071] In some embodiments, the operating mode information produced
in the image 140 indicates the target approximate temperature range
for at least one of the operating modes. In some embodiments, the
target approximate temperature range for a mode or laser treatment
is presented graphically in the image 140 by a lower approximate
temperature boundary 146' and an upper approximate temperature
boundary 148' of the targeted approximate temperature range, as
shown in FIG. 8.
[0072] In some embodiments, the operating mode information for each
operating mode (i.e., coagulation or vaporization) includes at
least two colors that may be produced in the image 140 to indicate
the mode of operation. One of the colors for each mode of operation
indicates that the approximate temperature indicated by the output
signal 112 is within the approximate temperature range of the mode
of operation, but is not within the target approximate temperature
range for the mode of operation (i.e., outside of boundary lines
146' and 148' but within boundary lines 146 and 148). The second
color is used to indicate that the approximate temperature
indicated by the output signal 112 is within the target approximate
temperature range for the mode of operation (i.e., between
boundaries 146' and 148'). As mentioned above, the color may be
presented, for example, as highlighting of the bar graph 142, the
listing of the operating mode, the display of the approximated
temperature, a background of the image 140, or in another suitable
manner.
[0073] In some embodiments, the operating mode information in the
image 140 changes based on the approximate temperature indicated by
the output signal 112 anti the proximity of the approximate
temperature to one of the approximate temperature boundaries 146 or
148 of an operating mode. In operation, as the approximate
temperature rises toward a lower approximate temperature boundary
146 of an operating mode, the operating mode information produced
in the image 140 may indicate (alphanumerically and/or graphically
in any manner previously disclosed) that the approximate
temperature at the laser treatment site is not high enough to
perform the laser treatment corresponding to the operating mode. As
the approximate temperature rises to the lower approximate
temperature boundary of the operating mode, the operating mode
information produced in the image 140 indicates (alphanumerically
and/or graphically in any manner previously disclosed) that the
laser treatment is being performed. As the approximate temperature
rises further into the target approximate temperature range for the
operating mode, the operating mode information in the image 140 may
indicate (alphanumerically and/or graphically in any manner
previously disclosed) that the approximate temperature is within
the target approximate temperature range for the operating mode. As
the temperature rises and exceeds the upper boundary 148' of the
target approximate temperature range, the operating mode
information produced in the image 140 may indicate
(alphanumerically and/or graphically in any manner previously
disclosed) that the laser treatment associated with the operating
mode is still being performed at the laser treatment site, but that
the approximate temperature is no longer within the target
approximate temperature range. When the approximate temperature
exceeds the upper approximate temperature boundary 148 for the
operating mode, the operating mode information produced in the
image 140 indicates (alphanumerically and/or graphically in any
manner previously disclosed) that the laser treatment is no longer
being performed.
[0074] In some embodiments, the controller 108 determines the type
of fiber 104 being used for a specific laser treatment being
performed at the laser treatment site 121 by comparing laser fiber
104 information stored in the memory 132 with information from the
current fiber 104 being used, the memory 132 can also include the
operating parameters for each laser fiber 104 capable of being used
with the system 100. Accordingly, the controller 108 can be
configured to compare the stored, safe operating parameters for the
laser fiber 104 being used with operating information for the laser
fiber 104 during use in performing a laser treatment. If the
operating information for the laser fiber 104 during use (i.e.,
fiber lip temperature) falls outside the acceptable operating
parameters, the controller 108 can automatically shut down the
system or take other action, such as reducing laser power, in order
to prevent damage to the laser fiber 104.
[0075] In some embodiments, the laser fiber 104 may be supported
within an endoscope 150, a distal end of which is illustrated in
FIG. 2. In some embodiments the system 100 includes a viewing fiber
152, a distal end of which is illustrated in FIG. 2. The viewing
fiber 152 may be used, for example, to capture images of the
treatment site 121, or perform other functions.
[0076] In some embodiments, the controller 108 is configured to
produce an image 154 received through the viewing fiber 152 on the
display 107, as indicated in FIG. 8. In some embodiments, the image
154 from the viewing fiber and an image 140 produced by the
controller 108 bawd on the output signal 112, may be simultaneously
displayed on the display 107, as shown in FIG. 8. As mentioned
above, the image 140, based on the output signal 112 may include
temperature information and/or operating mode information.
[0077] In some embodiments, the system 100 includes an output
device 160, as shown in FIG. 1. In some embodiments, the controller
108 is configured to output an audible signal using the output
device (e.g. speaker) based on the output signal 112. In some
embodiments, the audible signal includes temperature information
indicative of an approximate temperature at the treatment site,
and/or operating mode information indicating a laser treatment
being performed at the treatment site. For instance, the audible
signal may verbally indicate the approximate temperature and/or the
operating mode. In some embodiments, the audible signal includes a
tone that's indicative of the approximate temperature and/or
operating mode. For instance, the audible signal may have a pitch,
amplitude, or pattern indicating the temperature information or
operating mode information. In some embodiments, the pitch,
amplitude, or pattern of the audible signal changes in response to
changes in the approximate temperature indicated by the output
signal 112. In some embodiments, the audible signal may include a
verbal indication, a pitch, amplitude, or pattern indicating which
operating mode or laser treatment is being performed and/or whether
such laser treatment is within any of the target approximate
temperature ranges.
[0078] In some embodiments, the system includes an input device 162
that the physician may use to control the laser energy 110
discharged front the laser source 102. In some embodiments, the
input device comprises a dial, a keypad, a touchscreen, or other
suitable input device that allows the physician to adjust the power
level of the laser energy 110 generated by the laser source 102.
This adjustment to the power of the laser energy may involve
controlling a power supply 164, controlling a shutter mechanism
165, modulating the laser energy 110, adjusting a duty cycle of the
laser energy 110, adjusting the power of the input light to the
laser gain medium of the laser resonator within the laser source
102, or other conventional adjustment that modifies the power of
the laser energy 110 output from the laser source 102. In some
embodiments, the input device 102 also allows the physician to
adjust the laser pulse widths, repetition rate, modulation and/or
wavelength.
[0079] In some embodiments, the system 100 operates to maintain a
desired approximate temperature or operating mode that the
physician would like the system 100 to operate at. In some
embodiments, the physician inputs the desired temperature or
operating mode through the input device 162. In some embodiments,
the controller 108 controls the laser source 102 to automatically
adjust the laser energy 110 output from the laser source 102 based
on the output signal 112 to maintain the approximate temperature at
the laser treatment site 121 at or near the desired temperature set
by the physician, to maintain the approximate temperature at the
laser treatment site 121 within the range of approximate
temperatures associated with the desired operating nude selected by
the physician, or to maintain the laser treatment mode desired,
i.e., vaporization or coagulation. The adjustment to the power of
the laser energy 110 may be performed in accordance with any
suitable technique, such as adjusting a duty cycle of the laser
energy, adjusting a modulation of the laser energy, adjusting the
intensity of the input light to the laser gain medium of the laser
resonator of the laser source 102, or other technique. Additional
adjustments that can be made include, and are not limited to, laser
pulse widths, repetition rate, and/or wavelength
[0080] FIG. 9 is a flowchart illustrating a method of operating a
surgical laser system 100 in accordance with embodiments of the
present invention. In general, the method involves using the
surgical laser system 100 in accordance with one or more of the
embodiments described herein, to perform a laser treatment at a
treatment site 121 of a patient. Each of the steps may be performed
using the controller 108 in response to the execution of program
instructions stored in the memory 132 or other location, for
example.
[0081] At 200 of the method, laser energy 110 is generated using a
laser source 102. At 202, the laser energy 110 is discharged
through a fiber 104 to the treatment site 121. At 204,
electromagnetic energy feedback 114 is delivered to a photodetector
106. At 206, an output signal 112 generated by the photodetector
106 in response to the electromagnetic energy feedback 114 is
analyzed. At 208, an image 140 is displayed on a display 107 based
on the output signal 112 using the controller 108. Alternatively,
at 208, the laser energy 110 generated by the laser source 102 can
be automatically adjusted by the controller 108 based on the output
signal 112 in order to maintain the desired laser treatment
conditions parameters, i.e., vaporization, coagulation, temperature
at the treatment site/target object, etc. Each of the method steps
recited above may be performed using one or more of the embodiments
of the surgical laser system 100 disclosed and described above.
[0082] In some embodiments of step 206, the output signal 112 from
the photodetector 106 is analyzed in real-time using the controller
108. In some embodiments, the time-based output signal 112 is used
to determine temperature information in the form of an approximate
temperature at the treatment site 121. This may be accomplished by
comparing an intensity of the electromagnetic energy feedback 114
to a look-up table, stored in the memory 132 or other location,
that maps the intensity to a corresponding approximate
temperature.
[0083] In some embodiments of step 206, the output signal 112 is
used to determine operating mode information in the form of an
operating mode of the system 100 or a laser treatment being
performed at the treatment sire 121. In some embodiments, the
controller 108 compares an approximate temperature or intensity
indicated by the output signal 112 to a look-up table, stored in
the memory 132 or other location, that correlates the approximate
temperature or intensity to a corresponding operating mode or laser
treatment.
[0084] In some embodiments, the controller 108 or a suitable
frequency analyzer is configured to perform a frequency analysis of
the output signal 112 to produce a frequency-based output signal
112. In some embodiments, the frequency-based output, signal 112 is
used by the controller 108 to determine an operating mode of the
system 100 or a laser treatment being performed at the treatment
site 121, as described above.
[0085] In some embodiments of step 208, the image 140 produced by
the controller 108 on the display 107 includes temperature
information and/or operating mode information. In some embodiments,
the temperature information indicates an approximate temperature at
the treatment site 121 based on the output signal 112. In some
embodiments, the temperature information includes an alphanumeric
and/or graphical representation of the approximate temperature
indicated by the output signal 112.
[0086] In some embodiments, the operating mode information
presented in the image 140 indicates a mode of operation of the
system 100, and/or laser treatment being performed at the treatment
site 121. In some embodiments, the operating mode information is
represented alphanumerically and/or graphically in the image
140.
[0087] Although the present invention has been described with
reference to preferred embodiments, workers skilled in the art will
recognize that changes may be made in form and detail without
departing from the spirit and scope of the invention.
* * * * *