The present invention relates to a medical instrument comprising a free distal end, intended to penetrate tissue, and a proximal end connectable to a light source, the instrument comprising a tubular support in which there is mounted at least one light guide for substantially frontal emission of the light by the guide via the first optical outlet, the instrument being characterized in that it comprises at least one means of optical deviation of the light, forming a second optical outlet, for deviated emission of light, comprising at least one machining operation on a distal portion of the instrument, with at least one reflective and/or concave polishing configured for a convergence of the light and a reflective and/or convex polishing configured for a divergence of the light, the polishing operations being carried out on the light guide and/or on the support.

A probe of a target identification system can be extended via a first lumen of a viewing instrument, such as for illuminating an area beyond a distal end of the viewing instrument via an optical path of the viewing instrument. An optical response to the illumination of the area can be received via an optical path of the probe and can be split from other optical signals of the optical path. The optical response information can be used to identify characteristics of a target and to adjust parameters of a working instrument such as a working instrument contemporaneously using the probe.

Provided and described herein are exemplary embodiments of apparatus, system, computer-accessible medium, procedure and method according to the present disclosure which can be used for providing laser steering and focusing for e.g., incision, excision and/or ablation of tissue in minimally-invasive surgery. For example, an exemplary apparatus is provided that can include at least one optical element which can be configured to refract and/or diffract light provided in a structure which can be configured to be inserted into a body, where at least one of the optical element(s) is structured to receive the light at a first angle and generate a refracted and/or diffracted light at a second angle which can be different from the first angle relative to an optical axis. According to a particular exemplary embodiment of the present disclosure an exemplary actuating arrangement can be provided, which can be configured to control the optical element(s), can be provided and seated at least partially within the at least one structure.

This invention relates to an advance in the delivery of laser beams to internal surgical sites using optical fibers with a novel distal tip design made using a fusion assembly procedure suitable for directing laser beams out of the side of an optical fiber. This side-fire fiber delivery tip assembly is fabricated by fusing a transparent tube onto the distal ends of a laser beam delivery fiber and an associated coaxial stub fiber that have beveled and parallel end faces that meet inside of the transparent tube. The result is a rugged fiber delivery tip assembly that is almost entirely solid, except for a very narrow gap between the beveled end surfaces of the two fibers. A loose fitting transparent capsule may be placed over this fiber tip to contain a refractive index matching fluid that may also serve as a cooling agent for the fiber tip assembly.

Apparatus for the treatment of a target tissue with a laser beam in which the target tissue is immersed in a liquid medium within a body lumen. The laser device is configured to provide one or more laser pulses which are configured by a controller to have an energy sufficient to form one or more vapor bubbles in the liquid medium at the distal delivery end of the fiber. The one or more pulses are configured by the controller to: first, cause a vapor bubble to be formed distally of the distal end portion of the endoscope and around the distal delivery end of the optical fiber; second, cause a second bubble to be formed distally of the first bubble; and, third, inflate the second bubble as the first bubble has begun to collapse to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the distal delivery end of the fiber and the target tissue.

A vascular lesion crossing device (10) includes a single optical fiber or optical fiber bundle (12) configured for insertion through a lesion in a blood vessel, the single optical fiber or optical fiber bundle being couplable to an associated laser generator (18). The single optical fiber or optical fiber bundle has a diameter of 1.5 mm or less.

A probe of a target identification system can be extended via a first lumen of a viewing instrument, such as for illuminating an area beyond a distal end of the viewing instrument via an optical path of the viewing instrument. An optical response to the illumination of the area can be received via an optical path of the probe and can be split from other optical signals of the optical path. The optical response information can be used to identify characteristics of a target and to adjust parameters of a working instrument such as a working instrument contemporaneously using the probe.

A laser therapeutic device for a laser endoscope capable of relatively reducing the diameter of the endoscope while being capable of emitting a laser beam of a uniform intensity over a wide area is provided. An optical guide element (a square-shaped rod lens 15, a guide tube 2b) having a quadrangular cross section and guiding a therapeutic laser beam emitted from the tip of an optical fiber toward the tip side of a probe is used. On the tip side of a probe tube 2 being a barrel, using clearances C1 to C4 formed between the optical guide element and the inner circumferential surface of the probe tube, a camera unit 11 as imaging means and white-color LED units 12 and an ultraviolet LED unit 13 as illumination means are arranged.

Provided are an apparatus and method for hair removal. The apparatus includes a light source, a coherent imaging fiber, a plurality of multimode optical fibers that transmit energy from the light source, and an applicator housing each proximal end of each optical fiber of the plurality of multimode optical fibers, with the coherent imaging fiber transmitting an image of a hair follicle from among a plurality of hair follicles, for viewing on a display.

Exemplary embodiments of apparatus, system, computer-accessible medium, procedure and method are provided which can be used for providing laser steering and focusing for, e.g., incision, excision and/or ablation of tissue in minimally-invasive surgery. For example, the exemplary apparatus can include at least one optical element which can be configured to refract and/or diffract light provided in a structure which can be configured to be inserted into a body, where at least one of the optical element(s) is structured to receive the light at a first angle and generate a refracted and/or diffracted light at a second angle which can be different from the first angle relative to an optical axis. For example, an actuating arrangement can be provided, which can be configured to control the optical element(s), can be provided and situated at least partially within the at least one structure.