A fiber optic laser catheter assembly for use in removing, or largely debulking, obstructions or occlusions from a lumen in a living body. The catheter assembly includes an outer tubular sheath, an optical fiber extending through the sheath, and a fiber guide for holding the fiber within the sheath. In all of the disclosed embodiments, the obstructions are removed by controllably positioning an optical fiber's distal tip in a succession of selected radial and circumferential positions so as to s...

A tissue access system for tissue ablation without open surgery includes a distally open elongated tube (4) with a handle piece (6) having a through channel (7) in axial alignment with the elongated tube and an infusion fitting (9) that opens into the through channel for supplying a liquid or gaseous medium. An energy guide (16) or a catheter (10) housing such energy guide is arranged in the elongated tube and sealed from the outside. An energy-releasing zone of the energy guide is located in an...

An abrasion resistant prosthetic ligament or tendon includes a strap-like element formed of a stable biocompatible material which is attached at opposite ends to a patient. Attached to the strap-like element are one or more protective layers having sacrificial areas which are positioned in areas where abrasion between the prosthetic ligament and the patient's bones is anticipated. The sacrificial areas can be substantially abraided before any significant loss of strenth occurs, because the sacri...

A high energy filament lamp light source, such as a quartz tungsten halogen lamp, operated in a pulsed mode with a high voltage input, creates a particular energy output. Applications of such apparatus and methods include treatment of the dermis and/or sub-epidermal tissues for the purpose of skin recontouring, thermal destruction of hair follicles for the purpose of hair removal, and others, and a method which selectively preheats a subsurface region in targeted tissue to sub-thermal modificati...

An instrument is provided for applying light, particularly laser light, to the human or animal body. A tubular shaft is provided into which a flexible light waveguide may be inserted, where a light-emitting end of the waveguide comes to rest at a distal end portion of the tubular shaft. The distal end portion of the tubular shaft is pivotally connected with the remaining portion of the tubular shaft, so that the distal end portion may be pivoted away from the longitudinal axis of the tubular sha...

An optical transmissive, light-diffusing, fiber tip assembly having a radiation-scattering particles incorporated therein and a reflective end surface is disclosed for use in phototherapy. As radiation propagates through the fiber tip, a portion of the radiation is scattered in a cylindrical (or partially cylindrical) pattern along the length of the fiber tip. Radiation which is not scattered during this initial pass through the tip is reflected by at least one surface of the assembly and return...

A controlled advancement laser ablation device is provided for precise ablation of body matter. The laser ablation device includes a laser energy transmission mechanism such as, e.g., a fiber optic fiber mounted for controlled translational longitudinal movement relative to a housing structure. A laser energy generator is optically connected to the laser energy transmission mechanism. A controlled advancement mechanism is provided in engagement with the laser energy transmission mechanism for ad...

The invention involves a method for focusing light comprising the steps of: projecting at least one pulse of light onto the surface of the skin of a patient; collecting at least a portion of the light that is reflected from the skin of the patient; projecting the collected, reflected light onto a detector; and adjusting the projection of the pulsed light onto the surface of the skin of the patient in such a manner that the signal projected onto the detector is optimized. When the light pulse is ...

A laser instrument that can perform effective vaporization of biological tissue and stabilization of the application cap during tissue removal is provided. The laser instrument includes an optical waveguide with a light guide portion that emits light and an application cap coupled to the optical waveguide that transmits light. The laser instrument can be inserted into an endoscope and extended or retracted to position the application cap for vaporization and removal of biological tissue.

A laser medical probe adapted for direct contact with, or insertion into, tissue undergoing laser treatment. The probe includes a laser energy transmissive surface for emitting radiation from the probe. The probe surface includes a layer of laser transmissive particles for diffusing laser energy passing therethrough and an affixing material for affixing the particles to the probe surface. Laser energy emitted from the surface may be coupled into the particles and irregularly refracted and reflec...