CN103403982B - 用于具有高密集前子脉冲的医疗激光器的斜升脉冲功率的启始序列 - Google Patents
用于具有高密集前子脉冲的医疗激光器的斜升脉冲功率的启始序列 Download PDFInfo
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
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- H01S3/00—Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range
- H01S3/10—Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
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- A—HUMAN NECESSITIES
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Abstract
当先前医疗过程的残留污染余留在光纤尖端经过一段延长冷却时间时,医疗激光器中的一个逐渐斜升(ramp-up)输出功率防止激光器手持机的光纤尖端的温度急剧上升。逐渐斜升(ramp-up)输出功率消除由于温度急剧上升所引起的声激波(acoustic shock waves)而产生对激光器装置的光纤元件和光学元件的损坏。
Description
相关申请的交叉引用
本申请主张以下临时申请的优先权:临时申请号61/410,111(Att.Docket BI8473PR),申请日为2010年11月4日,且其所有内容皆在本文明确地引用以作参考。
技术领域
本发明涉及一种医疗激光器,特别是涉及一种用以在启动过程中防止损坏医疗激光器的方法。
背景技术
医疗激光器已应用于外科及牙科手术中。从光纤尖端(fiber tip)所传输的激光功率可用于治疗(例如:切割)生物组织,如皮肤、骨骼、牙齿组织等。在此过程中可能会产生各种光纤输出的污染。水、血液、组织、甚至灰尘都可能在使用过程中积累于光纤尖端。这些杂质通常在激光的作用下而被烧掉。
举例来说,图1是示出牙科手持机10,其接收激光模组的激光功率,其中激光模组设置在激光器壳体中并且通过光纤波导(fiber opticwaveguide)连接至手持机,而光纤波导终止于可发射激光能量以执行医疗手术的光纤尖端15,(激光模组、激光器壳体及光纤波导(fiber opticwaveguide)未示出在图1中)。图2是示出图1的牙科手持机的过滤嘴部分的细节图。在经过较长时间没使用,聚集于光纤尖端15的表面上的一般通过从光纤所射出的激光能量而烧掉的碎屑微粒20,则可能会附着在光纤上。
经过一段时期未使用后,若突然传输一高位准的激光功率,例如是对应于挡门(shutter)以产生激光功率脉冲,将导致碎片迅速且不合意地吸收大量能量,而可能导致碎片和光纤尖端的温度迅速上升。如图3所示,这种急速的温度上升,可以触发由碎片20的突然燃烧所引起的突然爆发的热和/或烟雾25,并且可以产生一个或多个声激波(acousticshock waves)30,其可以沿光纤15传递至手持机10的组件及激光器壳体与激光模组,使其具有可被损坏的潜在性。
因此急需一种改善现有技术的激光治疗装置于一延长冷却期后的初始启动效应。
发明内容
本发明提供一个可产生电磁能量的启动序列脉冲的医疗激光器予以改善解决这需要。启动序列包括一启始序列,而该启始序列具有至少一个脉冲。至少一个脉冲具有一小于预设功率电平的启动功率电平。在此所公开的本发明的一实施例,该实施例包括一启始序列。启始序列包括多个脉冲,该脉冲包括一第一脉冲以及至少一个其他脉冲,而每一脉冲则具有一低于预设功率电平的功率电平。
本发明的一实施例包括启动医疗激光器的方法。此方法包括检测一开启事件以及产生一斜升(ramp-up)序列。产生步骤可执行以对应于该开启事件。根据另一实施例,该产生步骤执行于当关闭计时器已经到期。
本发明的另一实施例包括用于医疗激光器的控制器,且包括处理器、工作存储器、及非易失性存储器。其中,处理器用以执行软件指令;工作存储器用以互联于处理器;非易失性存储器则用以储存数据。控制器可还包括软件模组,该软件模组可以储存于非易失性存储器中。软件模组包括软件指令,该软件指令使处理器执行开启检测、关闭检测及产生序列。
虽然为了语法流动性与功能解释而已经或将对于装置和方法予以描述,然而仍可充分明了到权利要求(claim),除非另有说明,否则不应解释受限于任何“手段(means)”或“步骤(步骤)”结构的限制中,而是应被赋予司法等同原则(doctrine of equivalents)下的权利要求所提供的定义的含义和等同物的全部范围。
描述的特征或此处引用的任何特征或组合都包括在本发明的范围内,任何这样的组合中所包括的功能并不会在本说明书的上下文中相互不一致,且其将是本领域技术人员认为显而易见的知识。此外,任何功能或功能组合的描述或引用可以从本发明的任何实施例中具体排除。为了总结本发明的目的,本发明的特定模式、优点和新颖型将会予以描述或引用。当然,可以理解的是,所有模式、优点或功能将并非完全实现于本发明的任何特定的实现例中。而按照本发明另外优点和模式特征将显然描述于以下的说明书和权利要求中。
附图说明
图1是示出已知技术的牙科手持机的图示;
图2是示出图1中的已知手持机的用于发射电磁能的特写图;
图3是更进一步示出图2的光纤的局部图;
图4是示出已知技术的医疗激光器的启动序列的图表;
图5是更进一步示出图4启动序列的其中的一个脉冲的局部放大图;
图6是示出根据本发明一实施例的医疗激光器的启动序列的图表;
图7是示出根据本发明另一实施例的医疗激光器的启动序列的图表;
图8是示出用于医疗激光器的产生启动序列的方法流程图;以及
图9是示出可控制用于医疗激光器的启动序列的运算装置的方块图。
具体实施方式
本发明的具体实施例详述并示出于附图中。本文是尽可能地在图中使用相同或类似参考号码及参照相同或类似部分的说明。请注意,图式均为简图且未按精确比例绘制。在参考本文公开内容时,仅为了便利性及清楚明了,将相对于附图使用方向上的用语,如顶部、底部、左边、右边、上方、下方、在正上方、在上面、在下面、向下、后面、及前面。请勿以任何方式将此类方向上的用语视为本发明范围的限制。本发明可结合实行于该领域的各种一般传统已知技术的激光操作技术,并且仅有部分普遍实行的过程步骤在此提供以理解本发明的内容。本发明适用于一般激光装置。然而,为了便于说明,以下描述是涉及一种医疗激光器及其相关的操作方法。
再参照图示,图4是示出已知技术的医疗激光器的初始输出。此类装置的典型输出包括激光脉冲序列50,其于开启时间55在一预设功率电平60开始,其中预设功率电平60可对应于一治疗功率电平。根据已知技术装置所述,激光脉冲序列50的每一脉冲(例如,第一脉冲65)包括子脉冲序列66,如图5所示。子脉冲66未示出或未能区别于图4的大小等级。如前所述,此种医疗激光器的启动方法可能造成医疗激光器装置的损坏。
图6是示出根据本发明所操作的医疗激光器的初始输出。输出包括激光脉冲序列70,其具有一预设功率电平75。序列70开始于开启瞬时80,且具有启动序列85。其中,启动序列85在斜升期间(ramp-upperiod)90所产生具有的功率电平小于预设功率电平75(例如,为1/10的预设功率电平)。在初始脉冲(例如,第一脉冲开始在或约在开启瞬时80)之后的启动序列85中的每一脉冲所具有的功率电平,其可大约小于或等于启动序列的前面脉冲的功率电平。图6所示出的斜升期间(ramp-up period)90的持续时间可约为1秒,然而在一些实施例中则可更长或更短(例如,持续时间范围可以从约0.1秒至约10秒)。应当可理解的是,图6所示出的每一脉冲可实现作为子脉冲序列,其方式类似于的本文所描述图4以及图5的方式。
本发明的另一实施产生一起动输出序列100,如图7所示。启动序列的初始脉冲105于开启时间110或其期间,开始在相对低的功率电平。举例来说,此相对低的功率电平可以约为所对应的治疗功率电平的预设功率电平75的1/10。启动序列中的每一后续脉冲所具有的功率电平,其可大于或等于启动序列于斜升期间(ramp-up period)120的先前脉冲的功率电平。
本发明的另一实施则会发生于本领域技术人员。举例而言,由于图6及图7中的每一脉冲包括子脉冲序列(例如,图5所示),启动序列(例如,斜升(ramp-up)序列)可包括子脉冲序列,其中每一脉冲具有降低的功率电平,如图6所示,抑或斜升(ramp-up)序列可包括子脉冲序列,例如,其开始于开启时间110(如图7所示)并从相对低的功率电平逐渐增加位准,且功率电平结束于预设功率电平或是低于预设功率电平。启动序列的脉冲可具有如图6及图7所示的功率电平的任何组合、置换或其轻微的变形。举例来说,脉冲所具有的功率电平是对应于此两个图表中所示的平均值,进而例如在一实施例中每一连续脉冲所具有的功率电平,其是约大于或等于序列于斜升期间中的先前脉冲的功率电平。在另一实施例中,一个或多个或大部分或不到一半的连续脉冲所具有的功率电平,其可以约大于或等于序列于斜升期间的先前脉冲的功率电平。
在本发明所对应图6和图7的实施例中,一个或多个的初始脉冲、第二脉冲、或是在启动序列中最前面的三、四、五、六或更多脉冲(例如,图6所示的启动序列85)产生以具有相对低的功率电平,例如,1/10的预设功率,其可为未冷却的医疗激光器装置所产生的功率(如图4所示)。以类似的方式,在其他实施例中的启动序列则可包含一个或多个的初始子脉冲、第二脉冲、或者最前面的三、四、五、六或多个子脉冲,其产生具有相对于预设(例如,治疗)功率电平较低的功率电平,其中预设功率电平是产生在当装置未冷却下来的时候。
本发明可还包括一种控制医疗激光器的输出功率电平的方法。图8是示出根据本发明一实施例的此方法的流程图。在本实施例中,方法可以从步骤200开始,在步骤205等待直到检测到开启条件。如此开启条件(例如,事件)通常是检测以对应于操作者,其启动例如手持机、脚踏板或其他类似装置的控制。当开启事件进行检测时,则在步骤210作出关于此开启事件是否为首次(first-ever)开启事件的判定。举例而言,首次开启事件可以对应至新出货(new out-of-the-box)装置的开启,即其未经过使用。在另一例子中,装置的开启则可为装置于维修后、更换电池后或其他类似况。当在步骤210,首次开启事件的检测发生时,则前述图6和图7的激光功率输出的斜升(例如,启动)序列将会产生。
倘若在步骤210中,开启事件检测并非是首次开启事件时,则进行步骤215的测试,以确定关闭计时器是否已到期。关闭计时器可以为一种装置,当医疗激光器操作停止(例如,关闭)时开始,并且接着进行始计时直至达到设定限制。当关闭计时器计时达到设定限制时,则计时器可以说是已经到期。根据一实施例,设定限制可由操作者予以控制。一般设定限制的设定值可能是30秒、1分钟、5分钟或10分钟或更长的时间。倘若关闭计时器未超时(即可能表示激光器还没有完全冷却或基本上冷却),然后如图4中所示,将可能在步骤225中会产生一个正常的启动序列。
接续开始产生斜升(ramp-up)序列(步220)或一般启动序列(步225)其中的一个,等待循环(wait loop)包括步骤230,其可周期循环直到激光器已经关闭。当在步骤230检测到关闭,则可以在步骤235启动关闭计时器,之后在步骤240将可终止此方法的实施。
图9是示出根据一实施例的可用以实施本发明方法的控制装置,其中是以方块形式示出可控制医疗激光器操作的运算装置。特别的是,控制装置除了其他功能之外,也可操作以执行控制用于激光器的启动序列,其根据上文所述与图8相关的所述方法,其中启动序列则示例前述的图6和图7。
在控制装置(例如,控制器300)的图示实施例中,可包括用以执行软件指令的处理器305、工作存储器310及非易失性存储器315,上述元件可透过系统总线320相互连接以及相通。非易失性存储器315(例如,快闪存储器)可包括一部分数据325的储存以及一部分软件模组330的储存,其中软件模组330可控制控制器300的运作。软件模组可包括执行模组335及设置程序(set-up routines)340。执行模组335用以使处理器305执行整体调度以及作业控制。设置程序(set-up routines)340可用以例如使处理器305回应开/闭开关(on/off switch)的改变状态,开启前面板345上的指示器395,控制冷却风扇(图中未示出),以对应操作者从键盘400或其他类似装置的输入。软件模组330的集合可还包括开启检测模组350,其可用以致使处理器305检测开启事件(例如,图中8的步骤205)。开启检测模组350可包括首次开启检测模355,其可用以致使处理器305检测首次开启事件(例如,图8中的步骤210)。关闭检测模组360可包括作为软件模组330其中的一个模组,关闭检测模组360是用以致使处理器305检测关闭事件(例如,图8中的步骤230)。
控制器300可包括关闭计时器365,其可根据关闭计时器控制模组370的软件指令,而通过处理器305予以开始(例如,图8中的步骤235)、停止或质问(interrogated)。
软件模组330的集合,可还包括一序列产生模组375,其可根据如图4、图6以及图7所描述的启动序列产生模组385以及一般序列产生模组390中的指令,进而让处理器305致使激光模组380产生启动序列与一般序列其中的一个。前面板345、激光模组380以及关闭计时器365也可连接至系统总线320并且可从而与处理器305互联。
图9的控制器300的一操作模式可包括图8的流程图的实施,从而可使激光器输出的温度/功率逐渐增加,使得在激光器的光学表面上的碎片或湿气的加热、熔化和/或蒸发将可相对平缓、逐渐和/或可控制地发生。激变的燃烧将可以从而防止避免,而医疗激光器的光纤/光学元件则不会受到损坏,或是其损坏程度相较于已知装置是较低。
根据本发明的一模式,医疗手持机包括一手持机壳体以及一电磁能源,其配置于手持机壳体中并且用以自手持机壳体的末端发射电磁能。照明源可设置于手持机壳体中,以从手持机壳体的末端投射光线至目标表面。照明源可包括一光纤束(fiber optic bundle)。药物线(medication line)也可设置于手持机壳体中,用以自手持机壳体的末端输出药物至目标表面。
根据一些实施例,主干光纤的激光能量是输出自一电源或治疗纤维,并且例如导引至流体(例如,靠近手持机输出端的水连接(waterconnection)及/或喷雾连接(spray connection)的空气及/或水喷雾或流体颗粒的雾化分布),其是发射自位于目标表面(例如,一或多个齿、骨、及软组织)上方的手持机的流体输出。流体输出可包括多个流体输出,其围绕着功率光纤(功率光纤),例如,App.11/042,824以及Prov.App.60/601,415所述内容。功率光纤或治疗光纤可耦接至一电磁能源,其中电磁能源包括一个或多个波长范围,从约2.69微米至约2.80微米的波长范围以及约2.94微米的波长。在一些实施例中,功率光纤可以耦接至一个或多个Er:YAG激光、Er:YSGG激光、Er,Cr:YSGG激光及CTE:YAG激光,并且在特定情况下,其可以耦接至具有约2.789微米波长的Er,Cr:YSGG固态激光以及具有约2.940微米波长的Er:YAG固态激光。在此公开一种装置,其包括用以导引电磁能至位于目标表面上方的雾化流体颗粒分布的对应结构,例如,下列所引用的Pat.5,574,247,其描述了将激光能量赋予至流体粒子,从而施予破裂力(disruptive forces)至目标表面。
依据于此所公开的内容,其已经描述了一种用于诊断、监测和/或影响目标表面的电磁辐射的激光组件。在使用光纤光学尖端辐射的程序的情况下,探针可以包括一个或多个电源或治疗光纤,用于传送治疗辐射至目标表面,进而治疗(例如,烧蚀)牙齿结构,例如在管内进行治疗。在本文所描述的实施例中,用以照明的光线和/或诊断则可与治疗辐射和/或流体输出的流体同时地或间歇性地或分离地传输输出。
本发明可应用于一般辐射输出系统及过程中,例如用于设备发射、反射或导向辐射的装置(例如,发光二极体(LED),前照灯等)。在以下转让至Biolase Technology,Inc.的专利中,其所对应或相关的结构和方法可以参考引入于此,其中这类的引入合并包含在下列专利中的相应或相关的结构(及其修改后的形式),其中下列专利可以全部或部分(i)与本发明所公开的任何部分搭配操作和/或构成;(ii)可透过熟知的技术人员予以修改,以搭配操作和/或构成于本发明所公开的任何部分;(iii)实现/形成/使用于本发明所公开的任何部分,或结合于其中。
此些专利包括但不限于,Pat.7,970,030,专利名称:Dualpulse-width medical laser with presets;Pat.7,970,027,专利名称:Electromagnetic energy distributions for electromagnetically inducedmechanical cutting;Pat.7,967,017,专利名称:Methods for treating eyeconditions;Pat.7,957,440,专利名称:Dual pulse-width medical laser;Pat.7,942,667,专利名称:Electromagnetic radiation emitting toothbrushand dentifrice system;Pat.7,909,040,专利名称:Methods for treatingeye conditions;Pat.7,891,363,专利名称:Methods for treating eyeconditions;Pat.7,878,204,专利名称:Methods for treating hyperopia andpresbyopia via laser tunneling;Pat.7,867,223,专利名称:Methods fortreating hyperopia and presbyopia via laser tunneling;Pat.7,817,687,专利名称:Electromagnetic energy distributions for electromagneticallyinduced mechanical cutting;Pat.7,815,630,专利名称:Target-closeelectromagnetic energy emitting device;Pat.7,751,895,专利名称:Tissuetreatment device and method;Pat.7,702,196,专利名称:Modified-outputfiber optic tips;Pat.7,697,814,专利名称:Radiation emitting apparatuswith spatially controllable output energy distributions;Pat.7,696,466,专利名称:Electromagnetic energy distributions for electromagneticallyinduced mechanical cutting;Pat.7,695,469,专利名称:Electromagneticenergy output system;Pat.7,665,467,专利名称:Methods for treating eyeconditions;Pat.7,630,420,专利名称:Dual pulse-width medical laser;Pat.7,620,290,专利名称:Modified-output fiber optic tips;Pat.7,578,622,专利名称:Contra-angle rotating handpiece havingtactile-feedback tip ferrule;Pat.7,575,381,专利名称:Fiber tip detectorapparatus and related methods;Pat.7,563,226,专利名称:Handpieceshaving illumination and laser outputs;Pat.7,467,946,专利名称:Electromagnetic radiation emitting toothbrush and dentifrice system;Pat.7,461,982,专利名称:Contra-angle rotating handpiece havingtactile-feedback tip ferrule;Pat.7,461,658,专利名称:Methods fortreating eye conditions;Pat.7,458,380,专利名称:Methods for treatingeye conditions;Pat.7,424,199,专利名称:Fiber tip fluid output device;Pat.7,421,186,专利名称:Modified-output fiber optic tips;Pat.7,415,050,专利名称:Electromagnetic energy distributions forelectromagnetically induced mechanical cutting;Pat.7,384,419,专利名称:Tapered fused waveguide for delivering treatment electromagneticradiation toward a target surface;Pat.7,356,208,专利名称:Fiberdetector apparatus and related methods;Pat.7,320,594,专利名称:Fluidand laser system;Pat.7,303,397,专利名称:Caries detection using timingdifferentials between excitation and return pulses;Pat.7,292,759,专利名称:Contra-angle rotating handpiece having tactile-feedback tip ferrule;Pat.7,290,940,专利名称:Fiber tip detector apparatus and related methods;Pat.7,288,086,专利名称:High-efficiency,side-pumped diode lasersystem;Pat.7,270,657,专利名称:Radiation emitting apparatus withspatially controllable output energy distributions;Pat.7,261,558,专利名称:Electromagnetic radiation emitting toothbrush and dentifrice system;Pat.7,194,180,专利名称:Fiber detector apparatus and related methods;Pat.7,187,822,专利名称:Fiber tip fluid output device;Pat.7,144,249,专利名称:Device for dental care and whitening;Pat.7,108,693,专利名称:Electromagnetic energy distributions for electromagnetically inducedmechanical cutting;Pat.7,068,912,专利名称:Fiber detector apparatusand related methods;Pat.6,942,658,专利名称:Radiation emittingapparatus with spatially controllable output energy distributions;Pat.6,829,427,专利名称:Fiber detector apparatus and related methods;Pat.6,821,272,专利名称:Electromagnetic energy distributions forelectromagnetically induced cutting;Pat.6,744,790,专利名称:Devicefor reduction of thermal lensing;Pat.6,669,685,专利名称:Tissueremover and method;Pat.6,616,451,专利名称:Electromagneticradiation emitting toothbrush and dentifrice system;Pat.6,616,447,专利名称:Device for dental care and whitening;Pat.6,610,053,专利名称:Methods of using atomized particles for electromagnetically inducedcutting;Pat.6,567,582,专利名称:Fiber tip fluid output device;Pat.6,561,803,专利名称:Fluid conditioning system;Pat.6,544,256,专利名称:Electromagnetically induced cutting with atomized fluid particlesfor dermatological applications;Pat.6,533,775,专利名称:Light-activated hair treatment and removal device;Pat.6,389,193,专利名称:Rotating handpiece;Pat.6,350,123,专利名称:Fluid conditioningsystem;Pat.6,288,499,专利名称:Electromagnetic energy distributionsfor electromagnetically induced mechanical cutting;Pat.6,254,597,专利名称:Tissue remover and method;Pat.6,231,567,专利名称:Materialremover and method;Pat.6,086,367,专利名称:Dental and medicalprocedures employing laser radiation;Pat.5,968,037,专利名称:Userprogrammable combination of atomized particles for electromagneticallyinduced cutting;Pat.5,785,521,专利名称:Fluid conditioning system;及Pat.5,741,247,专利名称:Atomized fluid particles forelectromagnetically induced cutting.
此外,上述揭露与参考元件及其描述于参考页之内容部分,可全部或部分使用或修改以使用于对应或相关的结构及方法中,此些结构及方法详述于以下已公开之专利申请案与其所提及之元件,而其专利申请案表列如下:App.Pub.20110192405,专利名称:Methods fortreating eye conditions;App.Pub.20110172650,专利名称:Methods fortreating eye conditions;App.Pub.20110165535,专利名称:Handpiecefinger switch for actuation of handheld medical instrumentation;App.Pub.20110151394,专利名称:Plaque toothtool and dentifrice system;App.Pub.20110096802,专利名称:High power radiation source withactive-media housing;App.Pub.20110096549,专利名称:High powerradiation source with active-media housing;App.Pub.20110129789,专利名称:Drill and flavored fluid particles combination;App.Pub.20110082526,专利名称:Target-close electromagnetic energy emittingdevice;App.Pub.20110059417,专利名称:Fluid and pulsed energyoutput system;App.Pub.20110032958,专利名称:Electromagneticenergy distributions for electromagnetically induced mechanical cutting;App.Pub.20100233645,专利名称:Efficient laser and fluid conditioningand cutting system;App.Pub.20100185188,专利名称:Electromagnetically induced treatment devices and methods;App.Pub.20100167228,专利名称:Electromagnetic radiation emitting toothbrushand dentifrice system;App.Pub.20100151407,专利名称:Device havingactivated textured surfaces for treating oral tissue;App.Pub.20100151406,专利名称:Fluid conditioning system;App.Pub.20100145323,专利名称:Electromagnetic energy output system;App.Pub.20100145323,专利名称:Electromagnetic energy output system;App.Pub.20100137852,专利名称:Non-contact handpiece for lasertissue cutting;App.Pub.20100100086,专利名称:Satellite-platformedelectromagnetic energy treatment device;App.Pub.20100125291,专利名称:Drill and flavored fluid particles combination;App.Pub.20100086892,专利名称:Modified-output fiber optic tips;App.Pub.20100042082,专利名称:Methods and devices for treating presbyopia;App.Pub.20090298004,专利名称:Tunnelling probe;App.Pub.20090281531,专利名称:Interventional and therapeutic electromagneticenergy systems;App.Pub.20090225060,专利名称:Wrist-mounted laserwith animated,page-based graphical user-interface;App.Pub.20090143775,专利名称:Medical laser having controlled-temperatureand sterilized fluid output;App.Pub.20090141752,专利名称:Dualpulse-width medical laser with presets;App.Pub.20090105707,专利名称:Drill and flavored fluid particles combination;App.Pub.20090104580,专利名称:Fluid and pulsed energy output system;App.Pub.20090076490,专利名称:Fiber tip fluid output device;App.Pub.20090075229,专利名称:Probes and biofluids for treating and removingdeposits from tissue surfaces;App.Pub.20090067189,专利名称:Contra-angle rotating handpiece having tactile-feedback tip ferrule;App.Pub.20090062779,专利名称:Methods for treating eye conditions withlow-level light therapy;App.Pub.20090056044,专利名称:Electromagnetic radiation emitting toothbrush and dentifrice system;App.Pub.20090043364,专利名称:Electromagnetic energy distributions forelectromagnetically induced mechanical cutting;App.Pub.20090042171,专利名称:Fluid controllable laser endodontic cleaningand disinfecting system;WO2010/051579,,专利名称:Surface structuremodification;App.Pub.20090035717,专利名称:Electromagneticradiation emitting toothbrush and transparent dentifrice system;App.Pub.20090031515,专利名称:Transparent dentifrice for use withelectromagnetic radiation emitting toothbrush system;App.Pub.20090225060,专利名称:Wrist-mounted laser with animated,page-basedgraphical user-interface;App.Pub.20090143775,专利名称:Medicallaser having controlled-temperature and sterilized fluid output;App.Pub.20090141752,专利名称:Dual pulse-width medical laser with presets;App.Pub.20090105707,专利名称:Drill and flavored fluid particlescombination;App.Pub.20090104580,专利名称:Fluid and pulsedenergy output system;App.Pub.20090076490,专利名称:Fiber tip fluidoutput device;App.Pub.20090075229,专利名称:Probes and biofluidsfor treating and removing deposits from tissue surfaces;App.Pub.20090067189,专利名称:Contra-angle rotating handpiece havingtactile-feedback tip ferrule;App.Pub.20090062779,专利名称:Methodsfor treating eye conditions with low-level light therapy;App.Pub.20090056044,专利名称:Electromagnetic radiation emitting toothbrushand dentifrice system;App.Pub.20090043364,专利名称:Electromagnetic energy distributions for electromagnetically inducedmechanical cutting;App.Pub.20090042171,专利名称:Fluidcontrollable laser endodontic cleaning and disinfecting system;App.Pub.20090035717,专利名称:Electromagnetic radiation emitting toothbrushand transparent dentifrice system;App.Pub.20090031515,专利名称:Transparent dentifrice for use with electromagnetic radiation emittingtoothbrush system;App.Pub.20080317429,专利名称:Modified-outputfiber optic tips;App.Pub.20080276192,专利名称:Method andapparatus for controlling an electromagnetic energy output system;App.Pub.20080240172,专利名称:Radiation emitting apparatus withspatially controllable output energy distributions;App.Pub.20080221558,专利名称:Multiple fiber-type tissue treatment device andrelated method;App.Pub.20080219629,专利名称:Modified-outputfiber optic tips;App.Pub.20080212624,专利名称:Dual pulse-widthmedical laser;App.Pub.20080203280,专利名称:Target-closeelectromagnetic energy emitting device;App.Pub.20080181278,专利名称:Electromagnetic energy output system;App.Pub.20080181261,专利名称:Electromagnetic energy output system;App.Pub.20080157690,专利名称:Electromagnetic energy distributions for electromagneticallyinduced mechanical cutting;App.Pub.20080151953,专利名称:Electromagnet energy distributions for electromagnetically inducedmechanical cutting;App.Pub.20080138764,专利名称:Fluid and lasersystem;App.Pub.20080125677,专利名称:Methods for treatinghyperopia and presbyopia via laser tunneling;App.Pub.20080125676,专利名称:Methods for treating hyperopia and presbyopia via lasertunneling;App.Pub.20080097418,专利名称:Methods for treating eyeconditions;App.Pub.20080097417,专利名称:Methods for treating eyeconditions;App.Pub.20080097416,专利名称:Methods for treating eyeconditions;App.Pub.20080070185,专利名称:Caries detection usingtiming differentials between excitation and return pulses;App.Pub.20080069172,专利名称:Electromagnetic energy distributions forelectromagnetically induced mechanical cutting;App.Pub.20080065057,专利名称:High-efficiency,side-pumped diode lasersystem;App.Pub.20080065055,专利名称:Methods for treating eyeconditions;App.Pub.20080065054,专利名称:Methods for treatinghyperopia and presbyopia via laser tunneling;App.Pub.20080065053,专利名称:Methods for treating eye conditions;App.Pub.20080033411,专利名称:High efficiency electromagnetic laser energy cutting device;App.Pub.20080033409,专利名称:Methods for treating eye conditions;App.Pub.20080033407,专利名称:Methods for treating eye conditions;App.Pub.20080025675,专利名称:Fiber tip detector apparatus andrelated methods;App.Pub.20080025672,专利名称:Contra-anglerotating handpiece having tactile-feedback tip ferrule;App.Pub.20080025671,专利名称:Contra-angle rotating handpiece havingtactile-feedback tip ferrule;App.Pub.20070298369,专利名称:Electromagnetic radiation emitting toothbrush and dentifrice system;App.Pub.20070263975,专利名称:Modified-output fiber optic tips;App.Pub.20070258693,专利名称:Fiber detector apparatus and related methods;App.Pub.20070208404,专利名称:Tissue treatment device and method;App.Pub.20070208328,专利名称:Contra-angel rotating handpiecehaving tactile-feedback tip ferrule;App.Pub.20070190482,专利名称:Fluid conditioning system;App.Pub.20070184402,专利名称:Cariesdetection using real-time imaging and multiple excitation frequencies;App.Pub.20070128576,专利名称:Output attachments coded for use withelectromagnetic-energy procedural device;App.Pub.20070104419,专利名称:Fiber tip fluid output device;App.Pub.20070060917,专利名称:High-efficiency,side-pumped diode laser system;App.Pub.20070059660,专利名称:Device for dental care and whitening;App.Pub.20070054236,专利名称:Device for dental care and whitening;App.Pub.20070054235,专利名称:Device for dental care and whitening;App.Pub.20070054233,专利名称:Device for dental care and whitening;App.Pub.20070042315,专利名称:Visual feedback implements forelectromagnetic energy output devices;App.Pub.20070016176,专利名称:Laser handpiece architecture and methods;App.Pub.20070014517,专利名称:Electromagnetic energy emitting device with increased spotsize;App.Pub.20070014322,专利名称:Electromagnetic energydistributions for electromagnetically induced mechanical cutting;App.Pub.20070009856,专利名称:Device having activated textured surfaces fortreating oral tissue;App.Pub.20070003604,专利名称:Tissue coveringsbearing customized tissue images;App.Pub.20060281042,专利名称:Electromagnetic radiation emitting toothbrush and dentifrice system;App.Pub.20060275016,专利名称:Contra-angle rotating handpiece havingtactile-feedback tip ferrule;App.Pub.20060241574,专利名称:Electromagnetic energy distributions for electromagnetically induceddisruptive cutting;App.Pub.20060240381,专利名称:Fluid conditioningsystem;App.Pub.20060210228,专利名称:Fiber detector apparatus andrelated methods;App.Pub.20060204203,专利名称:Radiation emittingapparatus with spatially controllable output energy distributions;App.Pub.20060142745,专利名称:Dual pulse-width medical laser with presets;App.Pub.20060142744,专利名称:Identification connector for amedical laser handpiece;App.Pub.20060142743,专利名称:Medicallaser having controlled-temperature and sterilized fluid output;App.Pub.20060126680,专利名称:Dual pulse-width medical laser;App.Pub.20060099548,专利名称:Caries detection using timing differentialsbetween excitation and return pulses;App.Pub.20060083466,专利名称:Fiber tip detector apparatus and related methods;App.Pub.20060043903,专利名称:Electromagnetic energy distributions forelectromagnetically induced mechanical cutting;App.Pub.20050283143,专利名称:Tissue remover and method;App.Pub.20050281887,专利名称:Fluid conditioning system;App.Pub.20050281530,专利名称:Modified-output fiber optic tips;App.Pub.20050256517,专利名称:Electromagnetically induced treatment devicesand methods;App.Pub.20050256516,专利名称:Illumination deviceand related methods;App.Pub.20040106082,专利名称:Device fordental care and whitening;App.Pub.20040092925,专利名称:Methodsof using atomized particles for electromagnetically induced cutting;App.Pub.20040091834,专利名称:Electromagnetic radiation emittingtoothbrush and dentifrice system;App.Pub.20040068256,专利名称:Tissue remover and method;App.Pub.20030228094,专利名称:Fiber tipfluid output device;App.Pub.20020149324,专利名称:Electromagneticenergy distributions for electromagnetically induced mechanical cutting;及App.Pub.20020014855,专利名称:Electromagnetic energydistributions for electromagnetically induced mechanical cutting.
所有上述应用内容、材质、相关参考物质/内容都可全部参考引入于本发明中。虽然本文所公开的内容是指某些所示的实施例,但应当理解,这些实施例是提供以作为示例,而并非用以限定本发明的范围。举例而言,任一激光/能量输出(例如:激光器)、任何液体输出端(例如:水输出)、以及任何调节剂、微粒、使用剂等,及其特征或特点,其中包括方法以及技术,都可全部或部分使用于所提及与参考的其他结构或程序,以作为本发明的不相等、独立、非互换的模式。
在此所公开作为本发明的一部分的相应或相关的结构,其可以全部或部分(i)搭配操作和/或构成于;(ii)可透过熟知的技术人员予以修改,以搭配操作个/或构成于;(iii)实现/形成/使用于本发明所公开的任何部分,包含(I)上述公开或引用的结构和方法中的任何一个或多个部分;和/或(II)权利要求中的任何一个或多个专利标的及其部分的任何排列和/或组合。此公开的目的是欲使熟习本领域技术人员理解该些实施例的所有连结涵盖的修改、变型、组合、排列、省略、替代、置换及等效的实施例范围并不相互斥,其可属于本发明精神和范围,且仅为所附属权利要求的限制。
Claims (19)
1.一种医疗激光器,该医疗激光器产生电磁能脉冲的启动序列,该启动序列包括启始序列,其中,所述启始序列具有至少一个脉冲,所述至少一个脉冲具有小于一预设功率电平的启动功率电平;
并且其中所述医疗激光器用于执行:
检测开启事件,且判定该开启事件是否发生于所述医疗激光器的未使用的延长期之后,其中包括:
判定所述开启事件是否为首次开启事件;
判定关闭计时器是否已到期,其中所述关闭计时器为一种计时器,其用于在所述医疗激光器关闭时启动,并且在一段时间后到期;
在所述开启事件发生于所述未使用的延长期之后时,产生斜升序列以用于所述医疗激光器,其中所述未使用的延长期使湿气、液体或碎片形成在所述医疗激光器的一个以上光学元件上;以及
在所述开启事件未在所述未使用的延长期之后发生时,继续执行所述医疗激光器的一般操作且不使用所述斜升序列。
2.如权利要求1所述的医疗激光器,其中,所述启始序列包括多个脉冲,其中所述多个脉冲包括第一脉冲以及至少一个其他脉冲,每个所述脉冲都具有小于所述预设功率电平的功率电平。
3.如权利要求2所述的医疗激光器,其中,在所述启始序列的所述第一脉冲之后的所述启动序列中出现的每一个脉冲具有一功率电平,该功率电平不大于所述启动序列的前面脉冲的所述功率电平。
4.如权利要求2所述的医疗激光器,其中,在所述启始序列的所述第一脉冲之后的所述启动序列中出现的每一个脉冲具有一功率电平,该功率电平不小于所述启动序列的前面脉冲的所述功率电平。
5.如权利要求4所述的医疗激光器,其中,在所述启始序列的所述第一脉冲之后的所述启动序列中出现的每一个脉冲具有一功率电平,该功率电平大于所述启动序列的所述前面脉冲的所述功率电平。
6.如权利要求1所述的医疗激光器,其中,所述脉冲包括子脉冲序列。
7.如权利要求6所述的医疗激光器,其中,在所述启始序列的第一子脉冲之后的所述启动序列中出现的每一个子脉冲都具有一功率电平,该功率电平不大于所述启动序列的前面子脉冲的所述功率电平。
8.如权利要求6所述的医疗激光器,其中,在所述启始序列的第一子脉冲之后的所述启动序列中出现的每一个子脉冲都具有一功率电平,该功率电平大于所述启动序列的前面子脉冲的所述功率电平。
9.如权利要求1所述的医疗激光器,其中,在所述医疗激光器的延长冷却期之后,启动所述启动序列。
10.如权利要求9所述的医疗激光器,其中,所述延长冷却期的持续时间范围在30秒至15分钟之间。
11.一种启动医疗激光器的方法,该方法包括:
检测一开启事件;
判定该开启事件是否发生于所述医疗激光器的未使用的延长期之后,其中包括:
判定所述开启事件是否为首次开启事件;
判定关闭计时器是否已到期,其中所述关闭计时器为一种计时器,其用于在所述医疗激光器关闭时启动,并且在一段时间后到期;
在所述开启事件发生于所述未使用的延长期之后时,产生斜升序列以用于所述医疗激光器,其中所述未使用的延长期使湿气、液体或碎片形成在所述医疗激光器的一个以上光学元件上;以及
在所述开启事件未在所述未使用的延长期之后发生时,继续执行所述医疗激光器的一般操作且不使用所述斜升序列。
12.如权利要求11所述的方法,其中,执行所述开启事件是否发生于所述医疗激光器的未使用的延长期之后的所述判定,以对应于所述开启事件的所述检测。
13.如权利要求11所述的方法,还包括:当所述关闭计时器到期时,产生所述斜升序列。
14.如权利要求13所述的方法,还包括:当所述开启事件为所述首次开启事件时,产生所述斜升序列。
15.如权利要求11所述的方法,还包括:
检测一关闭事件;以及
开启一所述关闭计时器。
16.如权利要求15所述的方法,其中,对应于所述关闭事件的检测,执行所述关闭计时器的所述开启。
17.一种用于医疗激光器的控制器,该控制器包括:
处理器,该处理器用以执行软件指令;
工作存储器,该工作存储器用以与所述处理器互联;
非易失性存储器,用以与所述处理器互联并且储存数据及软件模组;
系统总线,该系统总线相互连接于所述处理器、所述工作存储器以及所述非易失性存储器;以及
软件模组,该软件模组包括所述软件指令,用以使得所述处理器执行:
开启检测,用以检测开启事件;
判定该开启事件是否发生于所述医疗激光器的未使用的延长期之后,其中包括:
判定所述开启事件是否为首次开启事件;
判定关闭计时器是否已到期,其中所述关闭计时器为一种计时器,其用于在所述医疗激光器关闭时启动,并且在一段时间后到期;
在所述开启事件发生于所述未使用的延长期之后时,产生斜升序列以用于所述医疗激光器,其中所述未使用的延长期使湿气、液体或碎片形成在所述医疗激光器的一个以上光学元件上;以及
在所述开启事件未在所述未使用的延长期之后发生时,继续执行所述医疗激光器的一般操作且不使用所述斜升序列。
18.如权利要求17所述的控制器,还包括软件指令,用以使得所述处理器执行首次开启检测。
19.如权利要求17所述的控制器,还包括软件指令,用以使得所述处理器执行:
启动序列生成;以及
一般序列生成。
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2011
- 2011-10-27 RU RU2013125585/28A patent/RU2013125585A/ru unknown
- 2011-10-27 WO PCT/US2011/058167 patent/WO2012061208A1/en active Application Filing
- 2011-10-27 CN CN201180060396.3A patent/CN103403982B/zh active Active
- 2011-10-27 KR KR1020137014224A patent/KR101555415B1/ko active IP Right Grant
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EP2636109A1 (en) | 2013-09-11 |
EP2636109A4 (en) | 2014-07-02 |
KR20150108935A (ko) | 2015-09-30 |
CN103403982A (zh) | 2013-11-20 |
CA2816967A1 (en) | 2012-05-10 |
EP3666209A2 (en) | 2020-06-17 |
KR101781711B1 (ko) | 2017-09-25 |
KR20130084316A (ko) | 2013-07-24 |
JP2013545308A (ja) | 2013-12-19 |
US20120116371A1 (en) | 2012-05-10 |
EP2636109B1 (en) | 2020-01-01 |
RU2013125585A (ru) | 2014-12-10 |
US8821483B2 (en) | 2014-09-02 |
EP3666209A3 (en) | 2020-09-02 |
KR101555415B1 (ko) | 2015-09-23 |
CA2816967C (en) | 2018-07-17 |
WO2012061208A1 (en) | 2012-05-10 |
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