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US5061265A Expired / Lapsed US ⏱️ 0.0 years remaining

Laser treatment apparatus and method

Assignee: University of Florida Research Foundation Inc
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Filing: 1989-06-20
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Granted: 1991-10-29
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Expires: 2009-06-20
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Abstract

Abstract An apparatus for performing ablation upon a patient using laser energy. The apparatus advantageously provides for a laser beam to directly strike the tissue of a patient by having the laser beam pass out an opening in an outer hood. To prevent the apparatus from becoming fouled by burnt red blood cells or other materials, flushing solution is fed under pressure into the interior of the outer hood so as to flow out through the opening. The outer hood may include a plurality of openings and the apparatus may emit more than one laser beam, each laser beam going through a corresponding opening and having the flushing solution provided through the same opening such that the flushing is advantageously provided directly at the location where it is needed. Additionally, an auxiliary opening may be provided without any corresponding laser beam, the auxiliary opening allowing flushing solution to exit therfrom so as to stabilize the positioning of the apparatus within the vessel or other part of the patient. The apparatus includes an optical fiber having a prism which is integral with the optical fiber and used to direct the laser energy in the desired direction. A method of making the apparatus provides for the formation of the prism from the optical fiber.

Inventors

  • 👤 George S. Abela
  • 👤 Stephan E. Friedl

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 15:00
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/18; A61B18/20; A61B18/22; A61B18/24; A61B18/245

Claims Analysis

Total Claims: 33
Claim 1
Independent Claim 118 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and further comprising an inner hood within said outer hood, said tip being disposed within an interior of said inner hood, said interior being sealed to prevent flushing solution from entering therein.
Claim 2
Independent Claim 118 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and further comprising an inner hood within said outer hood, said tip being disposed within an interior of said inner hood, said interior being sealed to prevent flushing solution from entering therein.
Claim 3
Dependent Claim 29 words
The apparatus of claim 1 wherein said tip is constructed such that said light beam is disposed at an angle relative to a lengthwise direction of said optical fiber.
Claim 4
Dependent Claim 16 words
The apparatus of claim 1 wherein said tip has a prism integral with said optical fiber.
Claim 5
Dependent Claim 26 words
The apparatus of claim 3 wherein said prism has a generally flat slant face at an angle relative to a lengthwise direction of said optical fiber.
Claim 6
Dependent Claim 28 words
The apparatus of claim 3 wherein said prism has a plurality of generally flat slant faces at an angle relative to a lengthwise direction of said optical fiber.
Claim 7
Independent Claim 121 words
The apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and wherein said first opening is on a side of said outer hood and said outer hood has a second opening opposite said first opening and operable to allow flushing solution to flow out therethrough.
Claim 8
Independent Claim 121 words
The apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and wherein said first opening is on a side of said outer hood and said outer hood has a second opening opposite said first opening and operable to allow flushing solution to flow out therethrough.
Claim 9
Independent Claim 119 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and wherein said tip has a generally flat slant face at an angle relative to a lengthwise direction of said optical fiber and said tip has a surface perpendicular to said lengthwise direction.
Claim 10
Independent Claim 119 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and wherein said tip has a generally flat slant face at an angle relative to a lengthwise direction of said optical fiber and said tip has a surface perpendicular to said lengthwise direction.
Claim 11
Independent Claim 137 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and wherein said first opening is on a side of said outer hood and said outer hood has an end having a second opening such that light is transmitted from said tip through said second opening, and wherein said second opening is operable to allow flushing solution to flow out therethrough.
Claim 12
Independent Claim 137 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and wherein said first opening is on a side of said outer hood and said outer hood has an end having a second opening such that light is transmitted from said tip through said second opening, and wherein said second opening is operable to allow flushing solution to flow out therethrough.
Claim 13
Independent Claim 107 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and further comprising first and second electrodes mounted outside said outer hood and operable for detecting the presence of conductive tissue.
Claim 14
Independent Claim 107 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and further comprising first and second electrodes mounted outside said outer hood and operable for detecting the presence of conductive tissue.
Claim 15
Dependent Claim 13 words
The apparatus of claim 1 wherein said outer hood is made of metal.
Claim 16
Dependent Claim 49 words
The apparatus of claim 1 wherein all portions of the apparatus within which the light beam passes as it exits from the tip towards tissue of the patient are shielded from the tissue by the outer hood, and the light beam does not pass through the outer hood itself.
Claim 17
Independent Claim 130 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and wherein the catheter is connected to the outer hood for supplying flushing solution between the tip and the first opening such that light from the light beam necessarily must pass first through flushing solution and then through the first opening before impacting tissue.
Claim 18
Independent Claim 130 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first opening disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first opening; and a catheter connected to said outer hood for supplying flushing solution to within said outer hood such that the flushing solution flows out of said first opening; and wherein the catheter is connected to the outer hood for supplying flushing solution between the tip and the first opening such that light from the light beam necessarily must pass first through flushing solution and then through the first opening before impacting tissue.
Claim 19
Independent Claim 137 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first window disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first window for application to tissue of a patient; and a catheter connected to said outer hood for applying flushing solution adjacent to tissue subjected to said light beam; and wherein said tip has a prism integral with said optical fiber and said prism has a first slant face which is generally flat and extends at an angle relative to a lengthwise direction of said optical fiber such that said central axis of said light beam is transverse to said catheter.
Claim 20
Independent Claim 137 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first window disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power with a central axis extending from said tip through said first window for application to tissue of a patient; and a catheter connected to said outer hood for applying flushing solution adjacent to tissue subjected to said light beam; and wherein said tip has a prism integral with said optical fiber and said prism has a first slant face which is generally flat and extends at an angle relative to a lengthwise direction of said optical fiber such that said central axis of said light beam is transverse to said catheter.
Claim 21
Independent Claim 155 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first window disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power from said tip through said first window for application to tissue of a patient; a catheter connected to said outer hood for applying flushing solution adjacent to tissue subjected to said light beam; and wherein said tip has a prism integral with said optical fiber and said prism has a first slant face which is generally flat and extends at an angle relative to a lengthwise direction of said optical fiber; and wherein said outer hood has a second window and said prism includes a generally flat second face, and wherein said prism is operable to transmit light beams of high power through said first and said second windows.
Claim 22
Independent Claim 155 words
An apparatus for heating tissue inside of a patient comprising: an outer hood having a first window disposed therein; an optical fiber having a tip within said outer hood, said optical fiber operable to receive light and operable to transmit a light beam of high power from said tip through said first window for application to tissue of a patient; a catheter connected to said outer hood for applying flushing solution adjacent to tissue subjected to said light beam; and wherein said tip has a prism integral with said optical fiber and said prism has a first slant face which is generally flat and extends at an angle relative to a lengthwise direction of said optical fiber; and wherein said outer hood has a second window and said prism includes a generally flat second face, and wherein said prism is operable to transmit light beams of high power through said first and said second windows.
Claim 23
Dependent Claim 22 words
The apparatus of claim 14 wherein said second face is a slant face extending at an angle relative to said lengthwise direction.
Claim 24
Dependent Claim 40 words
The apparatus of claim 15 wherein said outer hood has a third window and said prism includes a generally flat third face and wherein said prism is operable to transmit a light beam of high power through said third window.
Claim 25
Dependent Claim 44 words
The apparatus of claim 16 wherein each of said first, second, and third windows is an opening and said catheter is connected to supply flushing solution to within said outer hood such that flushing solution flows out of said first, second and third windows.
Claim 26
Dependent Claim 31 words
The apparatus of claim 14 wherein said second face is between 85° and 95° relative to said lengthwise direction and said second window is at an end of said outer hood.
Claim 27
Dependent Claim 71 words
The apparatus of claim 13 wherein said first window is an opening and said catheter is connected to supply flushing solution to within said outer hood such that flushing solution flows out of said first window, and further comprising an inner hood within and anchored to said outer hood, said tip being disposed within an interior of said inner hood, said interior being sealed to prevent flushing solution from entering therein.
Claim 28
Dependent Claim 12 words
The apparatus of claim 13 wherein said prism has an overhang portion.
Claim 29
Independent Claim 115 words
A method of making an apparatus for heating tissue inside of a patient comprising the steps of: placing a tip of an optical fiber adjacent a barrier; transmitting laser energy through said optical fiber and out from said tip to hit said barrier until said tip has melted; halting the transmission of laser energy such that said tip solidifies as a generally spherical portion; grinding a generally flat slant face in said tip, said slant face having an angle relative to a lengthwise direction of said optical fiber; and anchoring the optical fiber to an outer hood such that light passing out of said tip will pass through a first window in said outer hood.
Claim 30
Independent Claim 115 words
A method of making an apparatus for heating tissue inside of a patient comprising the steps of: placing a tip of an optical fiber adjacent a barrier; transmitting laser energy through said optical fiber and out from said tip to hit said barrier until said tip has melted; halting the transmission of laser energy such that said tip solidifies as a generally spherical portion; grinding a generally flat slant face in said tip, said slant face having an angle relative to a lengthwise direction of said optical fiber; and anchoring the optical fiber to an outer hood such that light passing out of said tip will pass through a first window in said outer hood.
Claim 31
Dependent Claim 36 words
The method of claim 21 further comprising the step of: securing a catheter to said outer hood such that said catheter is positioned to supply flushing solution to adjacent to the outside of said first window.
Claim 32
Dependent Claim 29 words
The method of claim 20 wherein the anchoring step is accomplished by securing the optical fiber to an inner hood and securing the inner hood to the outer hood.
Claim 33
Dependent Claim 24 words
The method of claim 23 further comprising the step of cutting an opening in said outer hood, said opening serving as said first window.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1994-10-28 1995-04-29 1995-10-29 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1998-10-28 1999-04-29 1999-10-29 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2002-10-28 2003-04-29 2003-10-29 $7700.00 Window Closed / Lapsed

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