U.S. patent application number 17/499310 was filed with the patent office on 2022-01-27 for split surgical laser fiber.
This patent application is currently assigned to BOSTON SCIENTIFIC SCIMED, INC.. The applicant listed for this patent is BOSTON SCIENTIFIC SCIMED, INC.. Invention is credited to Wen-Jui Ray CHIA, Steven Yihlih PENG.
Application Number | 20220022962 17/499310 |
Document ID | / |
Family ID | 1000005898041 |
Filed Date | 2022-01-27 |
United States Patent
Application |
20220022962 |
Kind Code |
A1 |
CHIA; Wen-Jui Ray ; et
al. |
January 27, 2022 |
SPLIT SURGICAL LASER FIBER
Abstract
A surgical laser tool (150) comprises an output member (162)
that includes an output laser fiber (164), a probe tip (132), and
electrical contacts (240). The probe tip is attached to a distal
end (171) of the output laser fiber. Electromagnetic energy (102)
transmitted through the output laser fiber is discharged through
the probe tip. The electrical contacts are supported at a proximal
end (169) of the output member.
Inventors: |
CHIA; Wen-Jui Ray;
(Sunnyvale, CA) ; PENG; Steven Yihlih; (Fremont,
CA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
BOSTON SCIENTIFIC SCIMED, INC. |
MAPLE GROVE |
MN |
US |
|
|
Assignee: |
BOSTON SCIENTIFIC SCIMED,
INC.
MAPLE GROVE
MN
|
Family ID: |
1000005898041 |
Appl. No.: |
17/499310 |
Filed: |
October 12, 2021 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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14237633 |
Feb 7, 2014 |
11175462 |
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PCT/US2012/053849 |
Sep 6, 2012 |
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17499310 |
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61614143 |
Mar 22, 2012 |
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61532819 |
Sep 9, 2011 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B 2017/00473
20130101; A61B 2017/00482 20130101; A61B 2018/00178 20130101; A61B
2018/00642 20130101; A61B 90/98 20160201; G02B 6/3812 20130101;
G02B 6/3807 20130101; A61B 2018/00988 20130101; G02B 6/00 20130101;
G02B 6/3825 20130101; G02B 6/3813 20130101 |
International
Class: |
A61B 18/22 20060101
A61B018/22 |
Claims
1-20. (canceled)
21. A surgical laser tool comprising an output member, the output
member comprising: an output laser fiber configured for attachment
to an extension member of a laser generating device at a proximal
end of the output laser fiber; a probe tip configured to be
attached to a distal end of the output laser fiber; and a
controller configured to detect electrical feedback to determine
whether the output member is properly coupled to the extension
member based on the electrical feedback.
22. The surgical laser tool of claim 21, further comprising a
connector configured to attach the output laser fiber to the probe
tip, wherein the controller is disposed on the connector.
23. The surgical laser tool of claim 21, wherein the controller is
configured to access one or more of a local memory and a remote
memory, wherein the controller is configured to retrieve
information from the one or more of the local memory and the remote
memory, and wherein the information includes at least one of the
following: a unique identification of the extension member; a type
of the extension member; a power rating for the extension member;
one or more laser source settings of the laser generating device; a
range of laser energies rated for the extension member; and an
identification of a medical procedure to be performed with the
extension member.
24. The surgical laser tool of claim 21, further comprising: a
ring-shaped support, wherein a central throughhole is coaxial with
one or both of the extension laser fiber and the output laser
fiber, and wherein the controller is disposed on the ring-shaped
support.
25. The surgical laser tool of claim 21, further comprising: a
first contact on the output laser fiber; a second contact on the
probe tip and configured to mate with the first contact, wherein
the controller receives electrical feedback when the second contact
mates with the first contact.
26. The surgical laser tool of claim 21, wherein the electrical
feedback includes a voltage in an amount equal to or above a
threshold.
27. The surgical laser tool of claim 21, further comprising: the
laser generating device configured to deliver electromagnetic
energy to a proximal end of the extension laser fiber, wherein the
controller is configured to adjust settings of the laser generating
device based on the electrical feedback.
28. The surgical laser tool of claim 22, wherein the controller is
configured to log use of the extension member in one or more of a
remote memory and a local memory.
29. The surgical laser tool of claim 21, wherein the controller is
configured to issue an alert when the output laser fiber and the
probe tip are not properly connected, and wherein the alert
includes one or more of an audible and a visual feedback to a
display.
30. A surgical laser tool comprising an output member, the output
member comprising: an output laser fiber configured for attachment
to a distal end of an extension laser fiber; a probe tip configured
for attachment to a distal end of the output laser fiber; an
optical coupler configured to connect the distal end of the
extension laser fiber to a proximal end of the output laser fiber,
the optical coupler comprising: a first ferrule; and a second
ferrule configured to connect to the second ferrule; and a
controller configured to determine when the first ferrule is
connected to the second ferrule.
31. The surgical laser tool of claim 30, wherein the controller is
configured to access one or more of a local memory and a remote
memory, wherein the controller is configured to retrieve
information from the one or more of the local memory and the remote
memory, and wherein the information includes at least one of the
following: a unique identification of the extension member; a type
of the extension member; a power rating for the extension member;
one or more laser source settings of a laser generating device; a
range of laser energies rated for the extension member; and an
identification of a medical procedure to be performed with the
extension member.
32. The surgical laser tool of claim 30, further comprising: a
ring-shaped support, wherein a central throughhole is coaxial with
one or both of the extension laser fiber and the output laser
fiber, and wherein the controller is disposed on the ring-shaped
support.
33. The surgical laser tool of claim 30, wherein electrical
feedback includes a voltage in an amount equal to or above a
threshold.
34. The surgical laser tool of claim 31, further comprising: a
laser generating device configured to deliver electromagnetic
energy to a proximal end of the extension laser fiber, wherein the
controller is configured to adjust settings of the laser generating
device based on the electrical feedback.
35. The surgical laser tool of claim 31, wherein the controller is
configured to log use of the extension member in one or more of the
remote memory and the local memory.
36. The surgical laser tool of claim 30, wherein the controller is
configured to issue an alert when the output laser fiber and the
probe tip are not properly connected, and wherein the alert
includes one or more of an audible and a visual feedback to a
display.
37. A method comprising: attaching a proximal end of an output
laser fiber to a distal end of an extension member of a laser
generating device; attaching a proximal end of a probe tip to a
distal end of the output laser fiber; receiving an electrical
feedback from the probe tip; and determining, by a controller, if
the output member is properly coupled to the extension member based
on the electrical feedback.
38. The method of claim 37, further comprising: accessing, by the
controller, one or more of a local memory and a remote memory; and
retrieving, by the controller, information from the one or more of
the local memory and the remote memory, and wherein the information
includes at least one of the following: a unique identification of
the extension member; a type of the extension member; a power
rating for the extension member; one or more laser source settings
of the laser generating device; a range of laser energies rated for
the extension member; and an identification of a medical procedure
to be performed with the extension member.
39. The method of claim 37, further comprising: determining, by the
controller, that the output member is properly coupled to the
extension member if the electrical feedback is greater than a
threshold.
40. The method of claim 37, further comprising: Issuing an alert
when the output laser fiber and the probe tip are not properly
connected, and wherein the alert includes one or more of an audible
and a visual feedback to a display.
Description
CROSS-REFERENCE TO RELA1ED APPLICATIONS
[0001] This application claims the benefit of U.S. Provisional
Application Nos. 61/532,819 filed Sep. 9, 2011, and 61/614,143
filed Mar. 22, 2012. The above-referenced applications are
incorporated by reference herein in their entirety.
BACKGROUND
[0002] Embodiments of the present invention generally relate to
surgical laser systems and, more specifically, to a split laser
fiber and a surgical tool that includes the split laser fiber.
[0003] Medical lasers 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. Surgical laser
systems typically generate the laser energy in a laser resonator.
The laser energy is delivered to a targeted treatment site through
an optical fiber.
[0004] Different laser surgical treatments often require different
types of optical fibers. For instance, a side-firing optical fiber
delivers or discharges the laser energy in a lateral direction
relative to the longitudinal axis of the fiber. This type of fiber
is typically used in cavity wall ablation treatments, such as those
used to treat benign prostatic hyperplasia (BPH), for example. An
end-firing optical fiber discharges the laser energy along the
longitudinal axis of the fiber. Exemplary uses of the end-firing
optical fiber include ablating tumors and disintegrating kidney or
bladder stones or renal stones.
BRIEF DESCRIPTION OF THE DRAWINGS
[0005] FIG. 1 is a simplified diagram of an exemplary surgical
laser system in accordance with the prior art.
[0006] FIG. 2 is a simplified diagram of a surgical laser tool or
system formed in accordance with embodiments of the invention.
[0007] FIG. 3 is an exploded isometric view of a split laser fiber
152 in accordance with embodiments of the invention.
[0008] FIG. 4 is an exploded side view of an exemplary optical
coupler in accordance with embodiments of the invention.
[0009] FIG. 5 is a side cross-sectional assembled view of the
optical coupler of FIG. 4 and additional components of the split
laser fiber in accordance with embodiments of the invention.
[0010] FIG. 6 is a schematic diagram of a junction between an
extension member and an output member of a split laser fiber, in
accordance with embodiments of the invention.
[0011] FIG. 7 is a simplified diagram of an electronics board in
accordance with embodiments of the invention.
[0012] FIG. 8 is a schematic diagram of a circuit that may be used
in connection with the electronics board of FIG. 7, in accordance
with embodiments of the invention.
[0013] FIG. 9 is a flowchart illustrating a method in accordance
with embodiments of the invention.
SUMMARY
[0014] Embodiments of the invention are directed to a surgical
laser tool that may be used to perform a surgical laser treatment
on a patient. In one embodiment, the surgical laser tool comprises
an output member that includes an output laser fiber, a probe tip,
and electrical contacts. The probe tip is attached to a distal end
of the output laser fiber. Electromagnetic energy transmitted
through the output laser fiber is discharged through the probe tip.
The electrical contacts are supported at a proximal end of the
output member.
[0015] In one embodiment, the tool comprises an extension member
having an extension laser fiber. The extension member has a distal
end that is removably coupled to the proximal end of the output
member. An optical coupler optically connects a distal end of the
extension laser fiber to a proximal end of the output laser fiber.
In one embodiment, the extension member comprises electrical
contacts that are configured to engage electrical contacts of the
output member when the extension member is coupled to the output
member.
[0016] Another embodiment is directed to a method. In one
embodiment of the method, a proximal end of an output member is
attached to a distal end of an extension member. Electromagnetic
energy from a laser source is delivered through an extension laser
fiber of the extension member and an output laser fiber of the
output member. The electromagnetic energy is discharged from a
probe tip attached to a distal end of the output laser fiber.
DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS
[0017] 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.
[0018] 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 he 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.
[0019] 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.
[0020] 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.
[0021] Unless otherwise defined, all 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.
[0022] 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
hard disks, CD-ROMs, optical storage devices, or magnetic storage
devices.
[0023] The computer-usable or computer-readable medium referred to
herein as "memory" may be, for example but 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 be
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.
[0024] The invention is 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 a processor circuit, such
as a microprocessor, microcontroller or other processor, such that
the instructions which execute on the processor(s) create means for
implementing the functions specified in the block or blocks. The
computer program instructions may be executed by the processor(s)
to cause a series of operational steps to be performed by the
processor(s) to produce a computer implemented process such that
the instructions which execute on the processor(s) provide steps
for implementing the functions specified in the block or
blocks.
[0025] 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.
[0026] FIG. 1 is a simplified diagram of an exemplary surgical
laser tool or system 100 in accordance with the prior art. In
general, the laser system 100 is configured to generate
electromagnetic radiation 102 in the form of a laser beam, deliver
the electromagnetic radiation through a laser fiber 104, such as a
waveguide or optical fiber, to a probe tip 106 where it is
discharged to a desired target, such as tissue of a patient.
[0027] The exemplary system 100 comprises a laser source 108, such
as the exemplary laser resonator illustrated in FIG. 1. The laser
resonator 108 may include a first resonator mirror 110, a second
resonator mirror 112 and a laser rod or element 114. In one
embodiment, the laser element 114 comprises a
yttrium-aluminum-garnet crystal rod with neodymium atoms dispersed
in the YAG rod to form a Nd:YAG laser element. Other conventional
laser elements 114 may also be used.
[0028] The laser element 114 is pumped by a light input 116 from an
optical pump source 118, such as a Kr arc lamp or other
conventional pump source such as diode laser, to produce laser
light or beam 120 at a first frequency. The laser resonator 108
also includes a nonlinear crystal 122, such as a lithium borate
(LBO) crystal or a potassium titanyl phosphate crystal (KTP), for
generating a second harmonic of the laser beam 120 emitted by the
laser element 114. The laser beam 120 inside the resonator 108
bounces back and forth between the first and second resonator
mirrors 110 and 112, reflects off a folding mirror 124 and
propagates through the laser element 114 and nonlinear crystal 122.
The laser element 114 has optical gain at a certain wavelength and
this determines the wavelength of the laser beam 120 inside the
resonator 108. This wavelength is also referred to as the
fundamental wavelength. For the Nd:YAG laser element 114, the
fundamental wavelength is 1064 nm.
[0029] A Q-switch 131 may be used in the resonator 108 to convert
the laser beam 120 to a train of short pulses with high peak power.
These short pulses increase the conversion efficiency of the second
harmonic laser beam 102 and increase the average power of the laser
beam 102 outside the resonator 108.
[0030] When the laser beam 120 inside the resonator 108 propagates
through the nonlinear crystal 122 in a direction away from the
folding mirror 124 and toward the second resonator mirror 112, a
beam 102 of electromagnetic radiation at the second harmonic
wavelength is output from the crystal 122. The second resonator
mirror 112 is highly reflective at both the fundamental and second
harmonic wavelengths, and both beams 120 and 102 propagate back
through the nonlinear crystal 122. On this second pass, more beams
102 at the second harmonic wavelength are produced. For example,
the nonlinear crystal 122 can produce a laser beam 102 having a
wavelength of approximately 532 nm (green) when a Nd:YAG rod is
used as the laser element 114. One advantage of the 532 nm
wavelength is that it is strongly absorbed by hemoglobin in blood
and, therefore, is useful for cutting, vaporizing and coagulating
vascular tissue.
[0031] The folding mirror 124 is highly reflective at the
fundamental wavelength and is highly transmissive at the second
harmonic wavelength. Thus, the laser beam 102 at the second
harmonic passes through the folding mirror 124 and produces a
second harmonic laser beam 102 outside the optical resonator 108.
The laser fiber 104 connects to an optical coupler 126, which
couples the beam 102 to the laser fiber 104 through a shutter
mechanism (not shown). The beam 102 travels through the laser fiber
104 to the probe 106 coupled to a distal end 130 of the laser fiber
104. Embodiments of the probe 106 include components that support
the distal end 130 of the laser fiber, such as an endoscope or
cystoscope.
[0032] The probe 106 generally includes a probe tip 132 where the
laser beam 102 is discharged. The probe tip 132 may include a fiber
cap that is attached to the distal end of the optical fiber 104.
The laser energy may be directed laterally from the probe tip by
reflecting the laser energy off a polished beveled surface at the
distal end of the laser fiber 104. The fiber cap generally seals a
cavity containing a gas (or vacuum) that maintains the necessary
refractive index difference for total internal reflection at the
beveled surface. Alternatively, the probe tip 132 may be an
end-fire probe tip configured to discharge the laser beam 102 along
the axis of the fiber 104. Other types of probe tips 132 may also
be used.
[0033] The laser system 100 may be controlled by a surgeon through
a suitable interface. The controls include a controller for
selectively opening the shutter of the system 100 to allow for
continuous or pulsed discharge of the laser beam 102 through the
probe 106. The laser fiber 104, the probe 106 and the probe tip 132
are replaced after each laser surgery.
[0034] FIG. 2 is a simplified diagram of a surgical laser tool or
system 150 that includes a split laser fiber 152 formed in
accordance with embodiments of the invention. FIG. 3 is an exploded
isometric view of a split laser fiber 152 in accordance with
embodiments of the invention.
[0035] In some embodiments, the laser system or tool 150 may
include conventional components such as a conventional laser source
108 and a shutter mechanism 154 for generating and discharging a
laser beam 102 to the laser fiber 152. Additionally, the system 150
may include a controller 156 that may be used by an operator of the
system 150 to adjust settings, control the shutter mechanism 154,
and perform other functions.
[0036] In one embodiment, the split laser fiber 152 includes an
extension member 160 and an output member 162, which are removably
coupled together. The extension member 160 and the output member
162 respectively include an extension laser fiber 163 and an output
laser fiber 164, shown in FIG. 3, which are conventional optical
fiber waveguides used to transmit electromagnetic energy, such as
the laser beam 102. The extension laser fiber 163 includes a
proximal end 165 that is coupled to the laser beam discharged
through the shutter mechanism 154 using a suitable optical coupler
166. In one embodiment, the extension member 160 includes a sleeve
or tube 167 (FIG. 3) that may enclose the extension laser fiber
163, wires, and other components extending from the laser source
108 toward the distal end 168.
[0037] In one embodiment, the extension member 160 is much longer
than the output member 162 and operates to deliver the
electromagnetic energy or laser beam 102 over the extension laser
fiber 163 the greatest distance along the split laser fiber 152.
This results in a reduction of waste relative to conventional
systems that utilize a single laser fiber. Rather than discarding
the entire laser fiber, as is typically necessary in the single
fiber systems, only the short output member 162 must be discarded
after use. The extension member 160 may be re-used many times with
different output members 162.
[0038] The extension laser fiber 163 includes a distal end 168 that
is optically coupled to a proximal end 169 of the output laser
fiber using a suitable optical coupler 170. This optical coupling
couples the electromagnetic energy 102 delivered through the
extension laser fiber 163 to the output laser fiber 164 for further
transmission through the output laser fiber 164 to a conventional
probe tip 132 (e.g., side-fire probe tip, end-fire probe tip, etc.)
located at the distal end 171, as shown in FIGS. 2 and 3.
[0039] The optical coupler 170 can take on many forms while
providing the desired optical coupling function. In one embodiment,
the optical coupler 170 aligns the distal end 168 of the extension
laser fiber 163 with the proximal end 169 of the output laser fiber
164 to allow for electromagnetic energy 102 transmitted through the
extension laser fiber 163 to be coupled to the output laser fiber
164 for further transmission to the probe tip 132. FIG. 4 is an
exploded side view of an exemplary optical coupler 170 in
accordance with embodiments of the invention. FIG. 5 is a side
cross-sectional assembled view of the optical coupler 170 of FIG. 4
and additional components in accordance with embodiments of the
split laser fiber 152.
[0040] In one embodiment, the optical coupler 170 comprises
ferrules 186 and 188, and an adapter 190. The adapter 190 includes
a central bore 192 that receives the end 194 of the ferrule 186 and
the end 196 of the ferrule 188, as shown in FIG. 5. In one
embodiment, the ends 194 and 196 have a frictional fit with the
walls of the bore 192 to secure the ferrules 186 and 188 to the
adapter 190. In one embodiment, nuts 198 secure the ferrules 186
and 188 to the adapter 190, as shown in FIG. 5. Other techniques
may also be used to removably fasten the ferrules 186 and 188 to
the adapter 190.
[0041] The ferrule 186 supports the distal end 168 of the extension
laser fiber 163, and the ferrule 188 supports the proximal end 169
of the output laser fiber 164, as shown in FIG. 5. In one
embodiment, the laser fibers 163 and 164 each include polymer
cladding 200 surrounding a core 202, through which the
electromagnetic energy is transmitted, in accordance with
conventional optical fibers. In one embodiment, the cladding 200 of
each of the laser fibers 163 and 164 is removed to expose the cores
202 at the distal end 168 and the proximal end 169 of the laser
fibers 163 and 164, as shown in FIG. 5.
[0042] In one embodiment, each of the ferrules 186 and 188 includes
a section 204 having a bore sized in accordance with the diameter
of the cladding 200, as shown in FIG. 5. In one embodiment, the
optical coupler 170 includes a disk 206 which is received within
the ferrule 186 and/or 188 and has a central bore sized to receive
and support the cladding 200 of the laser fibers 163 and 164.
[0043] In one embodiment, the ferrules 186 and 188 each include a
section 208 having a bore that is sized to support the exposed
cores 202, as shown in FIG. 5. In one embodiment, the core 202 of
the extension laser fiber 163 has a polished flat surface at the
terminating end that is substantially perpendicular to the
longitudinal axis 210 of the fiber 163. In one embodiment, the
exposed core 202 of the output laser fiber 164 has a polished flat
surface that is substantially perpendicular to the longitudinal
axis 212 of the output laser fiber 164. In one embodiment, the
distal end 168 of the extension laser fiber 163 and the proximal
end 169 of the output laser fiber 164 are supported by the optical
coupler 170 such that the longitudinal axis 210 of the extension
laser fiber 163 is substantially coaxial to the longitudinal axis
212 of the output laser fiber 164, as shown in FIG. 5.
[0044] In one embodiment, the flat terminating surfaces of the
cores 202 of the extension laser fiber 163 and the output laser
fiber 164 abut each other, or are positioned in close proximity to
each other, to allow for the transmission of electromagnetic energy
from the extension laser fiber 163 to couple to the output laser
fiber 164. In one embodiment, a suitable optical coupler is used
between the terminating ends of the laser fibers 163 and 164 to
facilitate the delivery of electromagnetic energy discharged from
the distal end 168 of the extension laser fiber 163 into the
proximal end 169 of the output laser fiber 164.
[0045] In one embodiment, the adapter 190 is formed of metal, such
as aluminum or other suitable metal. In one embodiment, the adapter
190 includes fins 214 that extend radially from the adapter 190.
The fins 214 provide a large surface area to improve heat transfer
from the adapter 190 to the surrounding environment.
[0046] Additional embodiments of the laser system 150 include other
features that are not found in conventional surgical laser systems.
Reference will be made to FIG. 6, which is a schematic diagram of a
junction between the extension member 160 and the output member 162
of a split laser fiber 152, in accordance with embodiments of the
invention.
[0047] In one embodiment, the surgical laser tool 150 includes at
least one controller, such as the controller 156 (FIG. 2). In one
embodiment, the surgical laser tool 150 includes a controller 230
that is formed as a component of the extension member 160, as shown
in FIG. 6. Embodiments of the tool 150 include the use of one or
both of these controllers, each of which includes at least one
processor 232 that is configured to execute program instructions
stored in memory of the tool 150, or other location, to perform
various functions in accordance with embodiments described herein.
Further, it is understood that a controller located remotely from
the tool 150 may also be used to perform various functions
described herein. While the following discussion may reference the
use of one of these controllers as performing a given function, it
is understood that embodiments of the invention cover the
performance of the function using any of these controllers.
[0048] In one embodiment, the surgical laser tool 150 is capable of
retrieving or detecting output member information relating to the
output member 162. Embodiments of the output member information
include, for example, unique identification of the output member
(e.g., a serial number or code), a type of the output member, an
identification of a type of the probe tip (e.g., end-fire probe
tip, side-fire probe tip, direction of laser discharge, etc.), a
power rating for the output member, laser source settings, a laser
wavelength range for the output member, an identification of a
laser surgical treatment that the output member is configured to
perform. The output member information can also include information
relating to the laser surgical treatment performed using the output
member 162. This may include, for example, a date of the laser
surgical treatment, an identification of a physician who performed
the treatment, the laser source settings for the treatment, a
duration of the treatment, a count of the laser pulses delivered
during the treatment, and other data relating to the treatment.
[0049] In one embodiment, the tool 150 stores extension member
information relating to the extension member 160, which may be
retrieved by the surgical laser tool. Exemplary extension member
information includes a unique identification of the extension
member (e.g., a serial number or code), a type of the extension
member, a power rating for the extension member, laser source
settings, a laser wavelength range for the extension member, an
identification of a laser surgical treatment that the extension
member is configured to perform. The extension member information
can also include information relating to the laser surgical
treatments performed using the extension member 162. This may
include, for example, a date of the laser surgical treatment, an
identification of a physician who performed the treatment, the
laser source settings for the treatment, a duration of the
treatment, a count of the laser pulses delivered during the
treatment, and other data relating to the treatment.
[0050] The output member information and the extension member
information may be stored in computer-readable memory that is
accessible by the controller 230, the controller 156, or a remote
controller using conventional data communication protocols. The
memory may be local memory, such as memory 233 located outside the
split fiber 152, memory 234 of the extension member 160, or memory
238 of the output member 162, as illustrated in FIGS. 2 and 6.
Alternatively, the memory in which the output member information is
stored may be remote from the surgical laser tool 150. The
controller 230 and/or the controller 156 may access the remote
memory using conventional data communication techniques, such as
over a network.
[0051] In one embodiment, at least one controller (e.g., 230 or
156) of the tool 150 is configured to store and/or modify the
output member information and the extension member information. As
a result, the information may be updated to log usage of the
components.
[0052] In one embodiment, at least one controller of the tool 150,
such as the controller 156 or the controller 230, is configured to
display the output member information and/or the extension member
information on the display 239 of the tool 150. Alternatively, the
output member information and/or the extension member information
may be accessed through a suitable network connection to the memory
or database in which the information is stored using a suitable
computing device (e.g., computer, a mobile device, etc.) in
accordance with conventional techniques.
[0053] In one embodiment, the output member information is accessed
by the controller 230 and/or the controller 156 through an
electrical connection between the extension member 160 and the
output member 162. In one embodiment, the extension member 160
includes electrical contacts 240, one or more of which are
configured to engage electrical contacts 242 of the output member
162 when they are properly joined together, as illustrated
schematically in FIG. 6.
[0054] In one embodiment, the electrical contacts 240 are supported
on an electronic board or circuit board 244, as shown in FIG. 7,
which is a simplified isometric view of the electronics board 244
in accordance with embodiments of the invention. Alternatively, the
electrical contacts 240 may be supported on another component of
the extension member 160, such as a connector, as shown in FIG. 5.
In one embodiment, the electronic board 244 or other component that
supports the electrical contacts 240 includes an aperture 246,
through which the portions of the optical coupler 170 and the
extension laser fiber 163 may extend. The electrical contacts 240
may comprise one or more electrical contacts, such as electrical
contacts 240A-E, as shown in FIG. 7.
[0055] As mentioned above, the electrical contacts 242 are
positioned to engage one or more of the electrical contacts 240 of
the output member 162. In one embodiment, the engagement between
the electrical contacts 240 and the electrical contacts 242 allows
the controller 230 and/or the controller 156 to access output
member information relating to the output member 162.
[0056] In accordance with one embodiment, the engagement between
the electrical contacts 240 and the electrical contacts 242 form a
circuit having a configuration that provides electrical feedback
that can be used to distinguish different types of output members
162 from each other. The different types of electrical feedback
generated by the different output members 162 can be mapped in
memory of the tool 150 to corresponding output member information.
Thus, the electrical feedback detected by the controller 230 or 156
of the tool 150 through the engagement between the electrical
contacts 240 and the electrical contacts 242 can be used to
identify the type of output member 162 that is being used and/or
other output member information. This identification information
can be used by the controller 230 or 156 to look up additional
output member information for the member 162 through a look-up
table or other method to access additional output member
information stored in memory of the tool 150. For instance, the
electrical feedback received by the controller 230 or 156 may
indicate that the output member is a specific type. The controller
can then access other output member information stored in memory of
the tool 150 or memory located remotely from the tool 150 using the
identified type. This allows the system 150 to distinguish various
types of output members 162 from each other, such as output members
162 having an end-fire probe tip 132 from output members 162 having
a side-fire probe tip 132, for example.
[0057] The controller 230 may be attached to the extension member
160, such as on the electronics board 244, as shown in FIG. 7. The
controller 230 may also be located external to the extension member
150 as another component of the system 150, such as controller 156,
in which case one or more electrical wires 248 (FIGS. 5 and 6) may
be used to connect the contacts 240 and other electrical components
of extension member 160 or output member 162 to the controller
230.
[0058] FIG. 8 is an exemplary schematic diagram of an electrical
circuit that can be used to detect different circuit arrangements
and electrical feedback produced through engagement of the
electrical contacts 242 of the output member 162 and the electrical
contacts 240 of the extension member 160. In one embodiment, the
circuit is formed on the electronic board 244. Alternatively, a
portion of the circuit may be supported by the extension member 160
while other portions are located external to the extension member
160.
[0059] In one embodiment, the controller 230 comprises an
integrated circuit chip, such as the PIC12LF1822MF microchip
produced by MCU, that includes a plurality of pins that may be
connected in a suitable manner to detect the circuit configuration
formed by the engagement of the contacts 240 and 242. For instance,
pins 1 and 8 of the controller 230 may be coupled through a
capacitor 246. Electrical contact 240E may be connected to the
ground pin 8, electrical contact 240A may be connected to pin 1,
electrical contact 240B may be connected to pin 4, electrical
contact 240C may be connected to pin 6, and electrical contact 240D
may be connected to pin 7, as illustrated in FIG. 8.
[0060] The mating of the extension member 160 to the output member
162 preferably aligns the contacts 242 with the contacts 240 in a
desired manner. For example, the proper mating of the extension
member 160 to the output member 162 may place the electrical
contact 242A in engagement with electrical contact 240A, electrical
contact 242B in engagement with electrical contact 240B, electrical
contact 242C in engagement with electrical contact 240C, electrical
contact 242D in engagement with electrical contact 240D, and
electrical contact 242E in engagement with electrical contact 240E,
as illustrated in FIG. 8. In the exemplary circuit of FIG. 8,
electrical contact 242A is joined to the ground contact 242E
through a suitable conductor 249. In other configurations,
electrical conductors can be used to join the other available
electrical contacts 242 to the electrical contact 240 corresponding
to ground voltage to make other distinguishable circuit
configurations.
[0061] In one embodiment, the circuit may include switches, such as
SW1, SW2 and SW3, that are selectively activated through the
engagement of the electrical contacts 242 with the electrical
contacts 240. Other configurations for the circuit may also be used
to provide the desired function of detecting multiple circuit
configurations through the engagement of the electrical contacts
240 with the electrical contacts 242.
[0062] The controller 230 can use input voltages and other
electrical feedback from the circuit formed through the coupling of
the electrical contacts 240 of the extension member 160 to the
electrical contacts 242 of the output member 162, such as that
detected at the pins 1, 4, 6 and 7 in the exemplary circuit of FIG.
8, to determine the particular type of the output member 162 that
is attached. In one embodiment, this electrical feedback is mapped
to a certain type of output member 162 stored in memory of the
system 150, such as memory 233, memory 234, memory 238, or other
memory. This information can then be provided on the display 239 of
the system 150 using, for example, the controller 156 (FIG. 2).
[0063] In accordance with another embodiment, the output member
information for the output member 162 may be stored in memory 238
(FIG. 6) that is attached to the output member 162. In one
embodiment, the memory 238 may be accessed by the controller 230
through the electrical contacts 240 and 242.
[0064] In accordance with another embodiment, the output member 162
may include a radio frequency identification (RFID) tag 252 (FIG.
6) that is attached to the output member 162 and contains the
output member information or other identifier that may be used to
access the output member information for the output member 162. In
one embodiment, the extension member 160 includes an RFID tag
reader 254 that is configured to communicate with the RFID tag 252
through the electrical contacts 240 and 242, or through a wireless
communication link formed in accordance with conventional
techniques. Information contained in the RFID tag 252 can then be
accessed by the controller 230 or other processor of the system
150.
[0065] In one embodiment, the controller 230 and/or controller 156
uses the output member information to adjust the settings of the
laser source 108. For instance, when the output member information
indicates a power range, a laser energy wavelength or wavelength
range, the controller 230 or controller 156 adjusts the settings of
the laser source 108 accordingly. The laser source settings may
also be adjusted based on a type of laser surgical procedure the
output member 162 is configured to perform, or other information
provided in the output member information. This safety feature can
eliminate potential safety issues that may occur when the laser
source settings are not set properly by the physician. In one
embodiment, a controller of the tool 150 may adjust the settings of
the laser source 108 based on the extension member information.
[0066] In one embodiment, the laser system 150 can detect when the
output member 162 is not properly connected to the extension member
160 using the electrical contacts 240 and 242. In one embodiment,
the controller 230 detects that the output member 162 is not
properly connected to the extension member 160 when electrical
signals or feedback received through the electrical contacts 240
indicate an error. This may involve not detecting voltage levels or
other signals at one or more of the electrical contacts 242 that
should be detected when the extension member 160 and the output
member 162 are properly joined together. This may occur when the
electrical contacts 242 do not properly engage the electrical
contacts 240, or when the electrical contacts 242 do not engage the
proper corresponding contact 240, for example. In one embodiment,
upon detection of the connection error, the controller 230 and/or
the controller 156 disables the ability of the system 150 to
deliver laser pulses, and issues a warning to the operator, such as
an audible warning and/or a visual warning provided on a suitable
display 239 of the system 150, for example.
[0067] In one embodiment, the extension member 160 includes a
temperature sensor 258, as shown in FIG. 6. In one embodiment, the
temperature sensor 258 is configured to detect a temperature at the
junction of the extension member 160 and the output member 162,
such as at the optical coupler 170. In one embodiment, the
temperature sensor 258 is configured to communicate temperature
information to the controller 230 or to the controller 156 of the
system 150 through a suitable electrical connection, such as one or
more wires 248 (FIG. 6). In one embodiment, the output from the
temperature sensor 258 is compared to a threshold level using one
of the controllers of the tool 150. If the output from the
temperature sensor 258 exceeds the threshold level, a warning is
issued to the operator of the system 150, and/or the tool 150 is
deactivated to prevent further delivery of laser energy pulses
through the fiber 152. This threshold level may be a property of
the output member 162 that is stored as output member information
in memory of the tool 150 (e.g., memory 238, RFID tag 252, etc.)
that is accessible by a controller of the tool 150 when the output
member 162 is properly connected to the extension member 160.
[0068] In one embodiment, the temperature sensor 258 may be
supported on the electronics board 244, as shown in FIG. 7. One
exemplary temperature sensor 258 is a thermistor that may be used
along with the resistor R to form a voltage divider, as illustrated
in the exemplary circuit of FIG. 8. In one embodiment, the
controller 230 provides a voltage to pin 6 and the voltage between
the legs of the voltage divider is sampled at pin 5 using the
controller 230. In one embodiment, this sampled voltage represents
the temperature sensed by the sensor 258.
[0069] The extension member 160 has a limited lifespan. In one
embodiment of the invention, the extension member information
regarding the extension member 160 is logged in memory 233, memory
234 of the extension member 160, memory 238 of the output member
162, or memory located remotely from the tool 150, to assist in the
determination of when the extension member 160 should be replaced.
In one embodiment, the extension member information includes usage
information, such as the date the extension member 160 was last
used, a list of the output members 162 used with the extension
member 160 and data relating to the treatments performed using the
output members 162, a usage counter indicating either the aggregate
use of the output member and/or a remaining usage amount that is
available before the extension member 160 should be discarded. The
use of the extension member 160 may be measured in terms of a
duration that laser energy is delivered through the extension
member 160, the number of laser pulses delivered through the
extension member 162, the total power of laser energy delivered
through the extension member 160, or other measurement. In one
embodiment, the usage information is updated by the controller 230
or the controller 156 after each laser pulse is transmitted through
the output member. In one embodiment, the controller 230 or the
controller 156 prevents the use of the output member 160 with the
tool 150 when the aggregate use for the extension member 160
reaches a predetermined threshold usage amount, or the remaining
usage amount drops to zero. In one embodiment, the controller 156
or 230 issues a warning to the user of the tool 150, such as an
audible warning, or a visual warning on the display 239 when the
aggregate use of the extension member reaches a predetermined
threshold amount.
[0070] In one embodiment, the split laser fiber 152 includes a
connector 260 that secures the output member 162 to the extension
member 160. In one embodiment, the connector 260 includes a
connector member 262 attached to the output member 162 and a
connector member 264 attached to the extension member 160, which
are represented schematically in FIG. 6. Embodiments of the
connector 260 are also shown in FIGS. 3 and 5. In one embodiment,
the connector members 262 and 264 are generally configured to
attach to each other using any suitable technique, such as a quick
release mechanism comprising a latch releasable by a button 266
(FIG. 3) or other conventional coupling mechanism, that allows the
connector member 262 and the attached output laser member 162 to be
removably attached to the connector member 264 and the attached
extension laser member 160 by hand.
[0071] In some embodiments, the connector member 264 supports the
circuit or electronic board 244, the controller 230, memory 234,
the electrical contacts 240, the RFID reader 254, and/or the
temperature sensor 258, as illustrated in FIG. 6. In some
embodiments, the connector member 262 supports the memory 238, the
electrical contacts 242, and/or the RFID tag 252, as illustrated in
FIG. 6. In one embodiment, the connector member 262 supports the
electrical contacts 242 and the connector member 264 supports the
electrical contacts 240, as shown in FIGS. 5 and 6.
[0072] In one embodiment, attachment of the connector member 262 to
the connector member 264 causes the electrical contacts 242 to
engage the electrical contacts 240. In one embodiment, grooves,
slots or other guides are included on engaging surfaces of the
connector members 264 and 266 to force the connector members 264
and 266 to be joined in a single orientation to each other. This
ensures that the electrical contacts 242 engage the corresponding
contacts 240 when the connector members 264 and 266 are secured
together.
[0073] In one embodiment, the connector member 262 surrounds the
ferrule 188 and the connector member 164 surrounds the ferrule 186,
as shown in FIG. 5. In one embodiment, attachment of the connector
member 262 to the connector member 264 secures the ferrules 186 and
188 in the adapter 190.
[0074] FIG. 9 is a flowchart illustrating a method in accordance
with embodiments of the invention. At 270, a proximal end 169 of an
output member 162 is attached to a distal end 168 of an extension
member 160. At 272, electromagnetic energy 102 is delivered from a
laser source 108 through an extension laser fiber 163 of the
extension member 160 and an output laser fiber 164 of the output
member 160. At 274, electromagnetic energy 102 is discharged from a
probe tip 132 at a distal end 171 of the output laser fiber 164, as
illustrated in FIG. 2. In one embodiment, a condition of a patient
is treated responsive to step 274. Such treatments include, for
example, tissue ablation treatments, kidney stone fragmentation,
and other laser surgical treatments.
[0075] In one embodiment of the method, output information stored
in memory (e.g., memory 233, memory 234, memory 238) of the tool
150 relating to the output member 162 is accessed using a
processor, such as the processor 232 of the controller 230, a
processor of the controller 156, or other processor. Exemplary
embodiments of the output member information include a unique
identification of the output member 162, a type of the output
member 162, an identification of a type of the probe tip 132, a
power rating for the output member 162, laser source settings for
the output member 162, a laser wavelength range for the output
member 162, and an identification of a laser surgical treatment
that the output member 162 is configured to perform.
[0076] In one embodiment, the attaching step 270 comprises engaging
electrical contacts 242 of the output member 162 with electrical
contacts 240 of the extension member 160, such as discussed above
with reference to FIGS. 5 and 6. In one embodiment, the output
information is accessed using the engagement of the electrical
contacts 242 with the electrical contacts 240. In one embodiment,
electrical feedback from the electrical contacts 240 is received
using a processor and the output member information is accessed
based on the electrical feedback, as discussed above.
[0077] In accordance with another embodiment, the output member 162
includes memory 238, in which the output member information is
stored. In one embodiment, the controller 230 or the controller 156
accesses the output member information stored in the memory 238
through the electrical contacts 240 and 242, as described
above.
[0078] In accordance with another embodiment, the output member 162
includes an RFID tag 252 containing the output member information.
In one embodiment, the extension member 160 includes an RFID reader
254 that is configured to access the output member information in
the RFID tag 252.
[0079] In one embodiment, the controller 230 or the controller 156
is configured to determine whether the output member 162 is
properly attached to the extension member 160 based on the
electrical feedback received through the electrical contacts 240
and 242. In one embodiment, when it is determined that the output
member 162 is not properly attached to the extension member 160
based on the electrical feedback, the tool 150 prevents the
discharge of the electromagnetic energy 102. This ensures that the
tool 150 is properly configured for the safe discharge of the
electromagnetic energy 102.
[0080] In one embodiment, a processor of the controller 230 or 156
adjusts settings of the laser source 108 responsive to accessing
the output member information. For instance, the controller 230 or
156 may adjust a power setting of the laser source 108, a
wavelength of the electromagnetic energy 102 discharged by the
laser source 108, a pulse frequency of the electromagnetic energy
102 discharged by the laser source 108, or other setting of the
laser source 108 based on the output member information.
[0081] 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.
* * * * *