US20130041356A1 - Multi-spot laser surgical probe using faceted optical elements - Google Patents

Multi-spot laser surgical probe using faceted optical elements Download PDF

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Publication number
US20130041356A1
US20130041356A1 US13/565,041 US201213565041A US2013041356A1 US 20130041356 A1 US20130041356 A1 US 20130041356A1 US 201213565041 A US201213565041 A US 201213565041A US 2013041356 A1 US2013041356 A1 US 2013041356A1
Authority
US
United States
Prior art keywords
cannula
probe
handpiece
distal end
faceted
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US13/565,041
Other languages
English (en)
Inventor
Ronald T. Smith
Michael Arthur Zica
Dustin Jacob Bouch
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Alcon Research LLC
Original Assignee
Alcon Research LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Alcon Research LLC filed Critical Alcon Research LLC
Priority to US13/565,041 priority Critical patent/US20130041356A1/en
Assigned to ALCON RESEARCH, LTD. reassignment ALCON RESEARCH, LTD. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ZICA, MICHAEL ARTHUR, SMITH, RONALD T., BOUCH, Dustin Jacob
Publication of US20130041356A1 publication Critical patent/US20130041356A1/en
Priority to US14/560,645 priority patent/US9387040B2/en
Abandoned legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00066Proximal part of endoscope body, e.g. handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00096Optical elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/07Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • A61B1/128Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for regulating temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/201Surgical 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 with beam delivery through a hollow tube, e.g. forming an articulated arm ; Hand-pieces therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F9/00821Methods or devices for eye surgery using laser for coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2255Optical elements at the distal end of probe tips
    • A61B2018/2272Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam
    • A61B2018/2277Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam with refractive surfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00861Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/00863Retina

Definitions

  • the second modification is to add to the cylindrical ferrule a distal side-shield that prevents light reflected off of the adhesive facets from illuminating and being absorbed by the cannula. Instead, reflected light illuminates and is substantially absorbed by the high-thermal-conductivity ferrule that efficiently conducts the heat away from the distal end of the probe.
  • FIG. 1 illustrates a multi-spot generator 100 according to a particular embodiment of the present invention suitable for placement at a distal end of an optical surgical probe.
  • a faceted optical adhesive 104 having a ball lens 106 such as a sapphire ball lens, is located within a cannula 108 .
  • a high-conductivity ferrule 110 holding an optical fiber 112 .
  • the optical fiber 112 delivers light, such as laser light, from an illumination source (not shown).
  • the high-conductivity ferrule 110 is encapsulated within the cannula 108 by the faceted optical adhesive 104 , the high-conductivity ferrule 110 need not be made of a biocompatible material, which allows consideration of high-conductivity materials that are not ordinarily used in optical surgical probes.
  • FIG. 2 illustrates an alternative embodiment of a thermally robust multi-spot generator according to the present invention.
  • cannula 108 is formed of a transparent material.
  • the material is preferably biocompatible, but if it is not, the outer surface cannula 108 may also be coated or treated to improve biocompatibility.
  • the transparent cannula 108 allows the reflected light to pass through the cannula 108 to avoid forming hot spots.
  • the cannula 108 is diffusive, so that the escaping light does not form visible light spots that could be distracting for a surgeon.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Optics & Photonics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Ophthalmology & Optometry (AREA)
  • Otolaryngology (AREA)
  • Electromagnetism (AREA)
  • Vascular Medicine (AREA)
  • Laser Surgery Devices (AREA)
  • Surgical Instruments (AREA)
  • Radiation-Therapy Devices (AREA)
US13/565,041 2011-08-09 2012-08-02 Multi-spot laser surgical probe using faceted optical elements Abandoned US20130041356A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US13/565,041 US20130041356A1 (en) 2011-08-09 2012-08-02 Multi-spot laser surgical probe using faceted optical elements
US14/560,645 US9387040B2 (en) 2011-08-09 2014-12-04 Multi-spot laser surgical probe using faceted optical elements

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201161521447P 2011-08-09 2011-08-09
US13/565,041 US20130041356A1 (en) 2011-08-09 2012-08-02 Multi-spot laser surgical probe using faceted optical elements

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US14/560,645 Division US9387040B2 (en) 2011-08-09 2014-12-04 Multi-spot laser surgical probe using faceted optical elements

Publications (1)

Publication Number Publication Date
US20130041356A1 true US20130041356A1 (en) 2013-02-14

Family

ID=47668816

Family Applications (2)

Application Number Title Priority Date Filing Date
US13/565,041 Abandoned US20130041356A1 (en) 2011-08-09 2012-08-02 Multi-spot laser surgical probe using faceted optical elements
US14/560,645 Active 2032-11-27 US9387040B2 (en) 2011-08-09 2014-12-04 Multi-spot laser surgical probe using faceted optical elements

Family Applications After (1)

Application Number Title Priority Date Filing Date
US14/560,645 Active 2032-11-27 US9387040B2 (en) 2011-08-09 2014-12-04 Multi-spot laser surgical probe using faceted optical elements

Country Status (14)

Country Link
US (2) US20130041356A1 (ru)
EP (1) EP2720602B1 (ru)
JP (1) JP6006312B2 (ru)
KR (1) KR102025307B1 (ru)
CN (1) CN103732124B (ru)
AR (1) AR087492A1 (ru)
AU (1) AU2012294723B2 (ru)
BR (1) BR112014002563A2 (ru)
CA (1) CA2842474C (ru)
ES (1) ES2569382T3 (ru)
MX (1) MX341052B (ru)
RU (1) RU2607164C2 (ru)
TW (1) TWI554260B (ru)
WO (1) WO2013022693A1 (ru)

Cited By (12)

* Cited by examiner, † Cited by third party
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US20100042111A1 (en) * 2008-08-15 2010-02-18 Monteris Medical, Inc. Trajectory guide
US20100042112A1 (en) * 2008-08-14 2010-02-18 Monteris Medical, Inc. Stereotactic drive system
US8571364B2 (en) 2011-11-09 2013-10-29 Alcon Research, Ltd. Multi-spot laser probe with faceted optical element
US8979871B2 (en) 2009-08-13 2015-03-17 Monteris Medical Corporation Image-guided therapy of a tissue
WO2015195225A3 (en) * 2014-06-19 2016-02-25 Novartis Ag Surgical probe with interlocking attachment
US9333038B2 (en) 2000-06-15 2016-05-10 Monteris Medical Corporation Hyperthermia treatment and probe therefore
US9433383B2 (en) 2014-03-18 2016-09-06 Monteris Medical Corporation Image-guided therapy of a tissue
US9504484B2 (en) 2014-03-18 2016-11-29 Monteris Medical Corporation Image-guided therapy of a tissue
US9849034B2 (en) 2011-11-07 2017-12-26 Alcon Research, Ltd. Retinal laser surgery
US10327830B2 (en) 2015-04-01 2019-06-25 Monteris Medical Corporation Cryotherapy, thermal therapy, temperature modulation therapy, and probe apparatus therefor
US10675113B2 (en) 2014-03-18 2020-06-09 Monteris Medical Corporation Automated therapy of a three-dimensional tissue region
US20200214543A1 (en) * 2017-09-11 2020-07-09 Eyelum Ltd. Disposable miniature endoscopy system

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR3026940B1 (fr) 2014-10-08 2021-09-03 Univ Jean Monnet Dispositif et procede pour la decoupe d'une cornee ou d'un cristallin
HUE056053T2 (hu) 2016-04-06 2022-01-28 Keranova Pásztázó optikai szkenner emberi vagy állati szövet vágására szolgáló készülékhez
US11213426B2 (en) 2017-12-12 2022-01-04 Alcon Inc. Thermally robust multi-spot laser probe
EP4265212A3 (en) 2017-12-12 2023-12-27 Alcon Inc. Multiple-input-coupled illuminated multi-spot laser probe
CN111511305B (zh) 2017-12-12 2023-05-12 爱尔康公司 用于多点激光探针的多芯光纤
WO2019116283A1 (en) 2017-12-12 2019-06-20 Novartis Ag Surgical probe with shape-memory material

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US5370649A (en) * 1991-08-16 1994-12-06 Myriadlase, Inc. Laterally reflecting tip for laser transmitting fiber
US5588949A (en) * 1993-10-08 1996-12-31 Heartport, Inc. Stereoscopic percutaneous visualization system
US5507742A (en) * 1993-12-02 1996-04-16 Laser Centers Of America Multifunction laser-powered surgical tool with optical electrocautery capability
US6053862A (en) * 1997-08-01 2000-04-25 Olympus Optical Co., Ltd. Illumination optical system
US6558047B1 (en) * 2001-11-14 2003-05-06 Northrop Grumman Corporation Cold welding process for fiber optic/ferrule attachment
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US20070255356A1 (en) * 2006-04-28 2007-11-01 Ondine International, Ltd. Photodisinfection delivery devices and methods
US20110141759A1 (en) * 2009-12-10 2011-06-16 Smith Ronald T Multi-spot laser surgical probe using faceted optical elements

Cited By (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9333038B2 (en) 2000-06-15 2016-05-10 Monteris Medical Corporation Hyperthermia treatment and probe therefore
US9387042B2 (en) 2000-06-15 2016-07-12 Monteris Medical Corporation Hyperthermia treatment and probe therefor
US20100042112A1 (en) * 2008-08-14 2010-02-18 Monteris Medical, Inc. Stereotactic drive system
USRE47469E1 (en) 2008-08-14 2019-07-02 Monteris Medical Corporation Stereotactic drive system
US8728092B2 (en) 2008-08-14 2014-05-20 Monteris Medical Corporation Stereotactic drive system
US8747418B2 (en) 2008-08-15 2014-06-10 Monteris Medical Corporation Trajectory guide
US20100042111A1 (en) * 2008-08-15 2010-02-18 Monteris Medical, Inc. Trajectory guide
US9211157B2 (en) 2009-08-13 2015-12-15 Monteris Medical Corporation Probe driver
US10188462B2 (en) 2009-08-13 2019-01-29 Monteris Medical Corporation Image-guided therapy of a tissue
US9271794B2 (en) 2009-08-13 2016-03-01 Monteris Medical Corporation Monitoring and noise masking of thermal therapy
US8979871B2 (en) 2009-08-13 2015-03-17 Monteris Medical Corporation Image-guided therapy of a tissue
US10610317B2 (en) 2009-08-13 2020-04-07 Monteris Medical Corporation Image-guided therapy of a tissue
US9510909B2 (en) 2009-08-13 2016-12-06 Monteris Medical Corporation Image-guide therapy of a tissue
US9849034B2 (en) 2011-11-07 2017-12-26 Alcon Research, Ltd. Retinal laser surgery
US8571364B2 (en) 2011-11-09 2013-10-29 Alcon Research, Ltd. Multi-spot laser probe with faceted optical element
US10548678B2 (en) 2012-06-27 2020-02-04 Monteris Medical Corporation Method and device for effecting thermal therapy of a tissue
US9486170B2 (en) 2014-03-18 2016-11-08 Monteris Medical Corporation Image-guided therapy of a tissue
US9504484B2 (en) 2014-03-18 2016-11-29 Monteris Medical Corporation Image-guided therapy of a tissue
US9700342B2 (en) 2014-03-18 2017-07-11 Monteris Medical Corporation Image-guided therapy of a tissue
US9492121B2 (en) 2014-03-18 2016-11-15 Monteris Medical Corporation Image-guided therapy of a tissue
US9433383B2 (en) 2014-03-18 2016-09-06 Monteris Medical Corporation Image-guided therapy of a tissue
US10092367B2 (en) 2014-03-18 2018-10-09 Monteris Medical Corporation Image-guided therapy of a tissue
US10675113B2 (en) 2014-03-18 2020-06-09 Monteris Medical Corporation Automated therapy of a three-dimensional tissue region
US10342632B2 (en) 2014-03-18 2019-07-09 Monteris Medical Corporation Image-guided therapy of a tissue
US9681793B2 (en) 2014-06-19 2017-06-20 Novartis Ag Surgical probe with interlocking attachment
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AU2015277783B2 (en) * 2014-06-19 2019-08-29 Alcon Inc. Surgical probe with interlocking attachment
EP3134045A4 (en) * 2014-06-19 2018-02-14 Novartis AG Surgical probe with interlocking attachment
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JP2017518130A (ja) * 2014-06-19 2017-07-06 ノバルティス アーゲー インターロッキング取付部を備える手術用プローブ
WO2015195225A3 (en) * 2014-06-19 2016-02-25 Novartis Ag Surgical probe with interlocking attachment
US10327830B2 (en) 2015-04-01 2019-06-25 Monteris Medical Corporation Cryotherapy, thermal therapy, temperature modulation therapy, and probe apparatus therefor
US11672583B2 (en) 2015-04-01 2023-06-13 Monteris Medical Corporation Cryotherapy, thermal therapy, temperature modulation therapy, and probe apparatus therefor
US20200214543A1 (en) * 2017-09-11 2020-07-09 Eyelum Ltd. Disposable miniature endoscopy system
US11849917B2 (en) * 2017-09-11 2023-12-26 Eyelum Ltd. Disposable miniature endoscopy system

Also Published As

Publication number Publication date
MX2014001303A (es) 2014-04-14
CA2842474C (en) 2019-09-03
BR112014002563A2 (pt) 2017-02-21
AR087492A1 (es) 2014-03-26
KR20140050716A (ko) 2014-04-29
JP6006312B2 (ja) 2016-10-12
RU2607164C2 (ru) 2017-01-10
EP2720602A1 (en) 2014-04-23
TWI554260B (zh) 2016-10-21
CN103732124A (zh) 2014-04-16
CA2842474A1 (en) 2013-02-14
MX341052B (es) 2016-08-05
TW201311211A (zh) 2013-03-16
AU2012294723A1 (en) 2014-02-06
RU2014109027A (ru) 2015-09-20
AU2012294723B2 (en) 2016-06-09
EP2720602B1 (en) 2016-03-23
JP2014528754A (ja) 2014-10-30
US20150094699A1 (en) 2015-04-02
WO2013022693A1 (en) 2013-02-14
KR102025307B1 (ko) 2019-09-25
US9387040B2 (en) 2016-07-12
EP2720602A4 (en) 2015-01-28
CN103732124B (zh) 2016-04-06
ES2569382T3 (es) 2016-05-10

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