The present invention relates to a single and/or dual laser delivery system attached to an existing ophthalmic operating microscope, comprising of a single and/or dual wavelength laser unit [1]; and a delivery system [5]. The laser unit [1] comprises of a green laser module 532 nm [3] and a yellow laser module 577 nm [4] along with an aiming beam [7] 635 nm. The delivery system comprises of a right-angle prism [5A]: X and Y Galvo assembly [5B] and a focusing lens assembly [5C]. The laser unit passes through a fiber optic cable [6] gets reflected using the right angle prism, gets deflected by the Galvo assembly, enters the focusing lens assembly and gets reflected by a folding mirror [5D] and focused on human eye capsule. The system converges and focuses the laser wavelengths in line with the aiming beam to create a circular pattern to accomplish a pre-measured Capsulorhexis.

The present invention relates to a flexible laser surgical instrument for endoscopic spinal decompression and methods thereof. Various methods of accessing the epidural space with this instrument are described. The instrument design enables placement of the device through several approaches. It is then advanced under fluoroscopic (X-Ray), for example, into areas of the spine including lumbar (low back), thoracic (mid and upper back) and cervical (neck). The pathologies encroaching upon the spinal space can then be visualized wherein the epidural membrane can optionally be displaced to further aid in visualization. Methods utilizing a CO.sub.2 laser for laser ablation, for example, are employed for the removal of tissue pathologies within the epidural space.

A dental laser treatment system includes a treatment laser beam and a pilot (e.g., aiming/marking) laser beam sharing a collinear beam path, where the beam path is guided by a guidance system through a handpiece/main chamber assembly having a beam exit. A laser beam presence detector is removably affixed to or within the handpiece/main chamber assembly. The laser beam presence detector provides feedback to a computer which can control actuation of the treatment laser beam and the pilot laser beam, and the beam guidance system. The computer performs a search for determining the center location of the beam exit based on the feedback and controls the beam guidance system to guide the beam path approximately to the center of the beam exit, thereby providing automatic alignment of the laser beam with the beam exit or an optional hollow waveguide.

An example multi-fiber, multi-spot laser probe comprises a plurality of fibers extending from a proximal end of the laser probe to at least near a distal end of the laser probe, where the proximal end of the laser probe is configured to be coupled to a laser source via an adapter interface, and a cannula having a distal end and surrounding the plurality of fibers along at least a portion of the laser probe at or near the distal end of the laser probe, where a distal end of each of the plurality of fibers is angle-polished so that the distal end of each fiber is angled relative to a longitudinal axis of the cannula and relative to a plane perpendicular to the longitudinal axis of the cannula. Additional embodiments employ lensed fibers, a distal window, ball lens, lens array, or faceted wedge.

Multi-fiber laser probes utilize relative motion of fibers and other laser probe elements to preserve small-gauge compatibility while providing for multi-spot beam deliver, or to provide for the selectively delivery of single-spot or multi-spot beam patterns. An example probe includes fibers having distal ends that are movable as a group onto a distal ramp element affixed to a distal end of a cannula, so that the distal ends of the fibers can be moved between a retracted position, in which the distal ends of the fibers are within the cannula or ramp element, and an extended position, in which distal ends of the fibers are guided by grooves or channels of the ramp so as to extend at least partially through external openings in the distal end of the laser probe and so as to be pointed angularly away from a longitudinal axis of the cannula.

Patterned laser treatment of the retina is provided. A visible alignment pattern having at least two separated spots is projected onto the retina. By triggering a laser subsystem, doses of laser energy are automatically provided to at least two treatment locations coincident with the alignment spots. All of the doses of laser energy may be delivered in less than about 1 second, which is a typical eye fixation time. A scanner can be used to sequentially move an alignment beam from spot to spot on the retina and to move a treatment laser beam from location to location on the retina.

This invention relates to a device and a method for monitoring and optimizing photothermal therapy, using a high-power continuous-wave laser beam and a pulsed laser beam, both transmitted through a single soft, multi-mode optical fiber with a diffuse active tip, to interstitially irradiate the target tissue at the same time. The continuous-wave laser light induces photothermal effect and increases tissue temperature and the pulsed laser light produces a photoacoustic signal. The photoacoustic signal intensity is used to monitor the temperature changes in the target tissue and to guide the irradiation of the high-power laser to optimize the photothermal effect by adjusting the light intensity and irradiation time.

A dental laser treatment system includes a treatment laser beam and a pilot (e.g., aiming/marking) laser beam sharing a collinear beam path, where the beam path is guided by a guidance system through a handpiece/main chamber assembly having a beam exit. A laser beam presence detector is removably affixed to or within the handpiece/main chamber assembly. The laser beam presence detector provides feedback to a computer which can control actuation of the treatment laser beam and the pilot laser beam, and the beam guidance system. The computer performs a search for determining the center location of the beam exit based on the feedback and controls the beam guidance system to guide the beam path approximately to the center of the beam exit, thereby providing automatic alignment of the laser beam with the beam exit or an optional hollow waveguide.

Embodiments of the invention include a handpiece system including a detachable cable that can receive at least power, and a detachable cable connector, where the detachable cable connector and detachable cable are reversibly attachable to each other. In some embodiments, the system includes an interchangeable laser module, where the laser module and detachable cable connector are reversibly attachable to each other. Further, the interchangeable laser module is configured and arranged to receive at least the power via the cable connector when coupled to the cable connector, and to be removed from the detachable cable connector and replaced with another laser module. In some embodiments, the system further includes an interchangeable handpiece which is reversibly attachable to the interchangeable laser module. Further, the interchangeable handpiece is configured and arranged to be removed from the interchangeable laser module and replaced with another interchangeable handpiece.

Safety of ophthalmologic laser treatment is improved. A laser treatment apparatus of an embodiment includes: a photographing system that photographs an eye; an irradiation system that irradiates aiming light of a preset pattern and treatment laser light onto a fundus of the eye; an irradiation-pattern determining part that determines an irradiation pattern of the treatment laser light based on a photograph image of the eye acquired by the photographing system and the preset pattern; and a controller that controls the irradiation system so as to irradiate the treatment laser light of the determined irradiation pattern.