A catheter system (100) for treating a treatment site (106) includes a first light source (124), a plurality of light guides (122A), a multiplexer (128), a multiplexer alignment system (142), and a first beamsplitter (268). The first light source (124) generates a source beam (124A). The multiplexer (128) receives the source beam (124A), and alternatively directs the source beam (124A) to each of the plurality of light guides (122A). The multiplexer alignment system (142) is operatively coupled to the multiplexer (128). The multiplexer alignment system (142) includes a second light source (270) that generates a probe source beam (270A) that is directed to scan across a guide proximal end (122P) of each of the plurality of light guides (122A) so that a time is determined to generate the source beam (124A) so that the source beam (124A) is optically coupled to the guide proximal end (122P) of each of the plurality of light guides (122A). The first beamsplitter (268) receives the source beam (124A) and the probe source beam (270A), and alternately directs the probe source beam (270A) and the source beam (124A) toward the guide proximal end (122P) of each of the plurality of light guides (122A).

A system for working biological tissue, the system comprising: a tool comprising a laser operable to perform at least one action of work; positioning means for positioning the tool relative to the biological tissue to perform the at least one action of work; a controller; storage storing electronic program instructions for controlling the controller; and an input means; wherein the controller is operable, under control of the electronic program instructions, to: receive input via the input means; process the input and, on the basis of the processing, control the positioning means and the tool to work the biological tissue.

Apparatus and techniques described herein can include delivery of a surgical laser beam for tissue excision or to facilitate hemostasis. The surgical laser beam can be generated, for example, using an ultrafast laser source. Such an approach can provide non-invasive treatment in relation to, for example, aerodigestive anatomy, such as for treatment of laryngeal, oropharyngeal, bronchial, and oral cavity tissues. Other generally available laser sources and their associated treatments may present various drawbacks making them less suitable for treatment for laryngeal, pharyngeal or bronchial pathologies, and use of the apparatus and techniques described herein can address such drawbacks.

An ablation catheter for performing a treatment under direct visualization of a region to be treated includes a catheter body and an energy emitter that is movable relative to the catheter body. The ablation catheter includes first and second imaging devices for providing direct visualization of the region to be treated, with the first imaging device being fixed relative to the catheter body. The first and second imaging devices can be in the form of first and second imaging chip endoscopes.

An ophthalmological laser device is disclosed, the ophthalmological laser device comprising: a base station having: a treatment laser source configured to generate a treatment laser beam, a scanner arranged in a beam path of the treatment laser beam, wherein the scanner comprises a deflecting element pivotable about two axes, wherein both axes lie in a virtual plane arranged substantially parallel to a deflecting plane of the deflecting element and the two axes are arranged orthogonal to each other; an application head; and an arm arranged between the base station and the application head.

Embodiments relate to the design and use of a low profile ablation catheter with a liquid core for use in laser ablation removal of arterial plaque blockages to restore blood flow.

A laser ablating device for cutting human or animal natural or artificial hard tissue includes: a cutting laser source adapted to provide a pulsed cutting laser beam lasing at a wavelength suitable for ablating the hard tissue; an imaging laser source adapted to provide an imaging laser beam covering a broadband spectral region; and a beam mixing structure and a movable scanner mirror positioned after the beam mixing structure. The beam mixing structure is adapted to redirect the cutting laser beam of the cutting laser source and/or the imaging laser beam of the imaging laser source such that an optical axis of the cutting laser beam is parallel to an optical axis of the imaging laser beam. The scanner mirror is arranged to direct the imaging laser beam and the cutting laser beam when having parallel optical axes.

In one embodiment of the invention, a robotic surgical system includes a combined laser imaging robotic surgical tool, a control console, and a laser generator/controller. The tool is mounted to a first robotic arm of a patient side cart. The tool has a wristed joint and an end effector coupled together. The end effector has a laser-emitting device to direct a laser beam onto tissue in a surgical site and an image-capturing device to capture images of the tissue in the surgical site. The control console, in communication with the tool, receives the captured images of tissue in the surgical site and displays the captured images on a display device to a user. The laser generator/controller is coupled to the tool and the control console to control the emission of the laser beam onto tissue of the surgical site.

Operations of a laser treatment apparatus are facilitated. A laser treatment apparatus of an embodiment includes an illumination system, observation system, irradiation system, illumination-area changing part, irradiation-condition setting part and controller. The illumination system illuminates an eye fundus. The observation system is used for observing the fundus illuminated. The irradiation system irradiates aiming light of a preset pattern and treatment light consisting of laser light of a pattern determined based on the preset pattern onto the fundus. The illumination-area changing part is used for changing an illumination area of the fundus by the illumination system. The irradiation-condition setting part sets irradiation condition of the aiming light and/or treatment light from the irradiation system. The controller controls the illumination-area changing part based on the set irradiation condition to change the illumination area.

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.