A method for providing localized heating of the dermal layers of skin of a patient, using energy in the form of a group of pulses having defined parameters in a controlled manner. This method preferably uses an optical delivery system to deliver pulsed energy to a specific spot of skin so that targeted layers of the affected skin are heated to a desired temperature range. The temperature range is optimally selected to maximize treatment efficacy while minimizing pain to the patient. Example applications include reducing wrinkles, acne, hair, scar tissue, warts, and promoting wound healing. In this method, the temperature of the selected locus rises quickly to the desired temperature range, then is maintained within a controlled range with a relatively flat temperature profile. The method maintains the temperature by controlling one or more of a pulse energy intensity, pulse width, and pulse frequency or time delay between pulses.

A medical handpiece having a laser irradiation unit connected to a body for generating a laser beam, so as to irradiate a subject with the laser beam; a laser tip which is brought into contact with a predetermined surgical site of the subject so as to guide the laser thereto; a sensor installed in the laser tip so as to measure pressure applied by the laser tip to the predetermined surgical site; and a processor for checking whether the measured pressure is within the pressure range set for the predetermined surgical site, determining, according to the result of the checking, whether the pressure applied to the predetermined surgical site needs to be adjusted, and performing control such that a guide signal for the laser tip is output.

A surgical laser delivery systems utilizes a standoff catheter to prevent contact and/or maintain a predetermined spacing between the laser delivery fiber or fiber assembly and the target. The standoff catheter includes multiple side-firing ports. The side-firing ports may include openings of the same or different dimensions, at least one diffuser, and/or at least one lens, to permit the operator to control the degree of vaporization/coagulation and/or vary lasing parameters without having to withdraw the optical fiber from the patient, by rotating or linearly moving the laser or laser assembly with respect the standoff catheter. The side-firing ports may also include an opening at the front of the stand-off catheter to enable use with a forward-firing laser fiber or fiber assembly.

An automated laser-surgery system for performing a closed-loop surgical procedure is disclosed. The procedure includes forming a post-procedural goal based on a three-dimensional (3D) image of a surgical site, planning a path for a surgical laser signal based on the post-procedural goal, performing a procedural pass by steering the surgical laser signal along the path, measuring the surface of the surgical site after the procedural pass, updating a model based on the measured effect at the surgical site, and evaluating the success of the procedural pass based on the surface measurement and the post-procedural goal. If necessary, a new path is planned based on the post-procedural goal and the surface measurement a new pass based on that path is performed, and the surface is again measured to evaluate the success of the new pass. These operations are repeated as a closed-loop sequence as many times as necessary to achieve success.

An ophthalmic surgical laser system and method for forming a lenticule in a subject's eye using “fast-scan-slow-sweep” scanning scheme. A high frequency scanner forms a fast scan line, which is placed by the XY and Z scanners at a location tangential to a parallel of latitude of the surface of the lenticule. The XY and Z scanners then move the scan line in a slow sweep trajectory along a meridian of longitude of the surface of the lenticule in one sweep. Multiple sweeps are performed along different meridians to form the entire lenticule surface, and a prism is used to change the orientation of the scan line of the high frequency scanner between successive sweeps. In each sweep, the sweeping speed along the meridian is variable, being the slowest at the edge of the lenticule and the fastest near the apex.

A lithotripsy or other medical laser treatment system can include a lateral actuator to laterally displace a distal portion of a laser fiber, such as can be scanned or otherwise controlled to generate a spatial or spatiotemporal sub-targeting pattern without requiring laterally moving an endoscope carrying the laser fiber in a longitudinal passage such as a working channel. A targeted stone can be selectively weakened along the pattern, such as using lower energy pulses, before being fragmented, such as by a higher energy shock pulse.

The present invention relates to a medical skin wrinkle improvement device using a peak of a laser pulse wave, and more specifically, to a medical skin wrinkle improvement device using a peak of a laser pulse wave, thereby lowering the degree of carbonization of a skin tissue having the laser irradiated thereon, thus enhancing a skin generation effect and shortening recovery time. The present invention comprises: a main body (100) which has formed on the upper part thereof a holding groove (110) having a tablet computer (200) attached/detached thereto, and which has mounted therein a controller (120) for controlling a hand piece (300) and the tablet computer (200); the hand piece (300) which comprises a laser oscillation unit (320), an optical unit (330) and a laser scanner, the laser oscillation unit (320) generating a laser to be irradiated for skin treatment, the optical unit (330) irradiating, as a parallel light, the laser generated by the laser oscillation unit (320), and the laser scanner adjusting the irradiation location of the laser transferred from the optical unit (330); and the tablet computer (200) which is provided with data input and screen display functions by means of a touch screen method, and which remotely controls the main body (100) through the transmission/reception of a bi-directional wireless signal.

Provided herein is a multifunctional aesthetic system including a housing, an electromagnetic array situated in the housing and having one or more electromagnetic radiation (EMR) sources, a controller in electronic communication with the array to operate the one or more of the EMR sources to direct the EMR beam to a treatment area, and one or more sensors in electronic communication with the controller for providing feedback to the controller based on defined parameters to allow the controller to adjust at least one operating condition of the multifunctional system in response to the feedback.

Methods are disclosed comprising measuring, with a first scanner, a central part of the visual image, measuring, with a second scanner, a peripheral part of the visual image, calculating, by a processor, a pan-retinal measure of image contrast for an extended area of the retina, and optimizing a pan-retinal visual quality. Methods further comprising optimizing a pan-retinal visual quality are also disclosed. Systems are also disclosed comprising either a scanner or a laser, a non-transitory memory having instructions that, in response to an execution by a processor, the processor receives a first measurement of the central part of the visual image, receives a second measurement of the peripheral part of the visual image, and calculates a pan-retinal measure of image contrast for an extended area of the retina. Methods of manufacturing lenses, including contact lenses are disclosed.

An ophthalmic surgical laser system and method for forming a lenticule in a subject's eye using fast-scan-slow-sweep scanning scheme. A high frequency scanner forms a fast scan line, which is placed by the XY and Z scanners at a location tangential to a parallel of latitude of the surface of the lenticule. The XY and Z scanners then move the scan line in a slow sweep trajectory along a meridian of longitude of the surface of the lenticule in one sweep. Multiple sweeps are performed along different meridians to form the entire lenticule surface, and a prism is used to change the orientation of the scan line of the high frequency scanner between successive sweeps. In each sweep, the sweeping speed along the meridian is variable, being the slowest at the edge of the lenticule and the fastest near the apex.