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Multiwavelength medical laser method    
United States Patent5304167   
Link to this pagehttp://www.wikipatents.com/5304167.html
Inventor(s)Freiberg; Robert J. (Mission Viejo, CA)
AbstractA medical system for transmitting and delivering to a tissue site multiwavelength therapeutic radiant energy along a common optical pathway. Also included is a laser catheter suitable for engaging multiple sources of laser energy and transmitting multiwavelength therapeutic laser energy along a common optical path for delivery to a worksite.
   














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Drawing from US Patent 5304167
Multiwavelength medical laser method - US Patent 5304167 Drawing
Multiwavelength medical laser method
Inventor     Freiberg; Robert J. (Mission Viejo, CA)
Owner/Assignee     Premier Laser Systems, Inc. (Irvine, CA)
Patent assignment
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Publication Date     April 19, 1994
Application Number     07/917,589
PAIR File History     Application Data   Transaction History
Image File Wrapper   Patent Term   Fees
Litigation
Filing Date     July 17, 1992
US Classification     606/3 606/10 606/15 606/16
Int'l Classification     A61N 005/06
Examiner     Cohen; Lee S.
Assistant Examiner    
Attorney/Law Firm     Knobbe, Martens, Olson & Bear
Address
Parent Case     This application is a division of application Ser. No. 07/754,327,filed Sep. 4, 1991, now U.S. Pat. No. 5,239,494 which is a continuation of Ser. No. 634,933, filed Dec. 17, 1990, abandoned, which is a continuation of Ser. No. 269,501, filed Nov. 10, 1988, abandoned.
Priority Data    
USPTO Field of Search     606/3 606/7 606/8 606/9 606/10 606/11 606/12 606/15 606/16 128/395 128/396 128/397 128/398
Patent Tags     multiwavelength medical laser
   
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 Technical Review Submit all comments and votes
 Claims Submit all comments and votes
 


What is claimed is:

1. A surgical method, comprising:

generating a first beam of pulsed electromagnetic energy having a first wavelength of approximately three microns;

generating a second beam of electromagnetic energy having a second wavelength in a visible portion of the optical spectrum;

coupling the electromagnetic energy of the first and second wavelengths to a fluoride optical fiber such that said first and second wavelengths are simultaneously transmitted through said fiber;

directing energy from a distal end of the fluoride optical fiber into an optically transparent member comprised of material different than said optical fiber;

using said optically transparent member to focus the first beam of energy; and

placing said optically transparent member into contact with tissue and using the energy at the first wavelength to perform surgery on the tissue.

2. The method of claim 1, wherein said second beam comprises an aiming beam produced by a continuous wave helium neon laser.

3. The method of claim 1, wherein the first wavelength is about 2.9 microns.

4. A surgical method, comprising:

generating a first beam of pulsed electromagnetic energy having a first wavelength of approximately three microns;

generating a second beam of electromagnetic energy having a second wavelength in a visible portion of the optical spectrum;

coupling the electromagnetic energy of the first and second wavelengths to a fluoride optical fiber such that said first and second wavelengths are simultaneously transmitted through said fiber;

generating a third beam of energy having a third wavelength of approximately one micron, and coupling said third beam to said fluoride optical fiber;

directing energy from a distal end of the fluoride optical fiber into an optically transparent member comprised of material different than said optical fiber; and

placing said optically transparent member into contact with tissue and using the energy at the first wavelength to perform surgery on the tissue.

5. The method of claim 4, wherein said third beam is a continuous wave beam.

6. A surgical method, comprising:

generating a first beam of pulsed electromagnetic energy having a first wavelength of approximately three microns;

generating a second beam of electromagnetic energy having a second wavelength in a visible portion of the optical spectrum;

coupling the electromagnetic energy of the first and second wavelengths to an optical fiber comprised of a compound that includes a metal such that said first and second wavelengths are simultaneously transmitted through said fiber;

directing energy from a distal end of the optical fiber into an optically transparent member comprised of material different than said optical fiber;

using said optically transparent member to focus the first beam of energy; and

directing energy of said first wavelength from said optically transparent member against tissue to perform surgery on the tissue.

7. The method of claim 6, wherein the step of using said optically transparent member to focus comprises passing the first beam of energy through a spherical surface on said optically transparent member.

8. The method of claim 6, wherein the step of using said optically transparent member to focus comprises passing the first beam of energy through the optically transparent member and concentrating energy of said first wavelength at a location proximal to an energy exit surface of said transparent member.

9. The method of claim 6, wherein said metal comprises zirconium, and wherein the step of coupling comprises directing the first and second beams into an end of the optical fiber.

10. The method of claim 6, wherein said metal comprises zirconium and said optical fiber comprises zirconium fluoride and wherein the step of coupling comprises directing the first and second beams into an end of the zirconium fluoride optical fiber.

11. The method of claim 6, wherein said second beam comprises an aiming beam produced by a continuous wave helium neon laser.

12. The method of claim 6, additionally comprising the steps of generating a third beam of energy having a third wavelength of approximately one micron, and coupling said third beam to said optical fiber.

13. The method of claim 12, wherein said third beam is a continuous wave beam.

14. The method of claim 6, wherein the first wavelength is about 2.9 microns.

15. A surgical method, comprising:

generating a first beam of pulsed electromagnetic energy having a first wavelength of approximately three microns;

generating a second beam of electromagnetic energy having a second wavelength in a visible portion of the optical spectrum;

coupling the electromagnetic energy of the first and second wavelengths to an optical fiber comprised of a compound that includes a metal such that said first and second wavelengths are simultaneously transmitted through said fiber;

generating a third beam of energy having a third wavelength of approximately one micron, and coupling said third beam to said optical fiber;

directing energy from a distal end of the optical fiber into an optically transparent member comprised of material different than said optical fiber;

directing energy of said first wavelength from said optically transparent member against tissue to cut the tissue; and

directing energy of the third wavelength from said optically transparent member against tissue to coagulate the tissue.
 Description Submit all comments and votes
 


BACKGROUND OF THE INVENTION

The present invention pertains generally to medical laser systems and, more particularly, the invention relates to the transmission and delivery of therapeutic radiant energy from two or more energy sources to a tissue site with the transmission and delivery being conducted along a common optical pathway. The invention also includes a laser catheter having a single optical pathway capable of transmitting therealong multiple wavelength of therapeutic laser energy for delivery to a worksite.

Current laser surgery is limited by a physician's inability to tailor the dosimetry of a conventional laser to the particular clinical application of interest. One procedure, for example, such as a tonsillectomy, requires a degree of precise cutting but such a procedure is also vascular in nature and requires coagulation. Another procedure, as an example in the other extreme, is a completely avascular procedure, such as bone or meniscal surgery, which requires no coagulation. Presently, to accomplish cutting and coagulation through use of medical laser technology, a physician uses laser energy of different wavelengths delivered to the worksite along different pathways. Commonly, the physician will utilize independent laser sources and deliver the laser energy along two or more optical paths as, for example, through use of a plurality of catheters, articulated arms or hollow waveguides.

Clearly, there exists a need for a surgical tool, such as an electrocautery unit, which provides the physician with a simple, accurate means to precisely select the right combination of laser dosimetries to be able to adjust the coagulating and cutting capability of the laser for energy delivery to a tissue site through a single delivery system. Accordingly, I have invented a medical system which uses multiple wavelengths of therapeutic radiant energy for delivery along a common optical path to allow a physician to precisely incise, vaporize, anastomose and coagulate both hard and soft tissues during surgery through the use of a single delivery system.

SUMMARY OF THE INVENTION

The present invention is directed toward a medical system for transmitting energy to a tissue site comprising at least two sources of therapeutic radiant energy and means defining a common optical path for delivering therealong the energy to the tissue site. The optical path may be a catheter, one or more optical fibers, a hollow waveguide or an articulated arm. Additionally, the optical path may be a combination of one or more optical fibers and a hollow waveguide or one or more optical fibers and an articulated arm. Also, the articulated arm might include a hollow waveguide, reflective optics or transmission optics.

The therapeutic energy sources are lasers, particularly, tissue cutting, tissue ablating, tissue coagulating and tissue anastomosing lasers. Laser energy may be separately, simultaneously or alternately delivered from the sources to the tissue site. A visible aiming beam may also be delivered along the optical path to direct the energy to the desired tissue site location. The cutting and ablating lasers have wavelengths in the ranges of from about 0.1 to about 0.3 microns and from about 2.0 to about 12.0 microns. One preferred range in the higher range might be from about 2.7 to about 3.3 microns and another from about 5.5 to about 12.0 microns. An Excimer laser may be used to generate about an 0.2 micron wavelength in the lowest range. An Erbium laser might be used to generate about a 2.9 micron wavelength and a Carbon Dioxide laser might be used to generate about a 10.6 micron wavelength. A Holmium laser might be used to generate about a 2.1 micron wavelength. The coagulating and anastomosing lasers have wavelengths in the range of from about 0.3 to about 2.0 microns, with a Neodymium laser preferably being used to generate either about a 1.06 or about a 1.32 micron wavelength. Alternatively, a wavelength in the 0.3 to 2.0 micron range may be between about 0.4 to about 0.7 microns, preferably being generated by a tunable dye laser or a metal vapor laser.

The optical fiber may be chalcogenide, sapphire, heavy metal fluoride, halide crystal, silica or non-oxide glasses. Preferably, the fiber is either zirconium fluoride or silica based fiber. The fiber outside diameter might range from about 85 to about 600 microns with a preferred fiber diameter range being from about 180 to about 250 microns.