A fiber optic probe that eliminates extreme tip temperatures by radiating laser energy in a radial, 360 pattern from the surface of an exposed fiber optic tip is disclosed. In an embodiment, a fiber optic core is configured to operatively engage with a source of laser energy at a proximal end of the fiber optic tip, and, at a distal end of the fiber optic tip, includes a plurality of refracting surfaces configured to disperse laser energy in a radial pattern. In one embodiment, the refracting surfaces may be arranged as a plurality of annular prisms defined around the fiber core. In another embodiment, the refracting surfaces may be arranged as a plurality of concave lenses defined in the fiber optic tip. The temperature distribution of the disclosed probes is controlled and uniform, and may be tailored to radiate laser energy in any desired pattern which may be suitable to achieve an intended objective.

Embodiments of an apparatus and method for sealing and cutting of tissue during surgeries, especially in general, endoscopic, laparoscopic and robotic, are described. In one aspect, an apparatus comprises a laser system and a laser beam delivery unit. The laser unit is configured to emit a laser beam suitable for tissue sealing and cutting. The laser beam delivery unit is detachably coupled to the laser unit, and is configured to guide and direct the laser beam to seal and cut tissue. Use of optical fiber guided sensors described herein further enhances the safety and efficacy of the apparatus.

A catheter device provides a balloon structure and a side-firing laser lumen within the balloon to create lesions in the pulmonary vein (PV) in the treatment of atrial fibrillation. Mounted on the balloon so as to contact the PV when the balloon is inflated are one or more electrodes which may be used in a measurement mode, a treatment mode, or both.

Articles of manufacture, including terminations of or attachments to optical fibers are configured to substantially prevent axial emission and redirect radially most if not all light emanating from optical fibers. In that, a termination may include a fiber cap of a unitary construction of a tube and an optical element disposed to face a sealed end of the tube and dividing a hollow of the tube and having a conical surface, or an optical element dividing the hollow and complemented by a cone. An example of termination includes an optical fiber element having an up-tapered end with a maximum taper-diameter exceeding the core-diameter and ending at a conical element with an apex angle from about 700 to about 100. Articles of manufacture additionally including mounting contraptions cooperating such terminations with cannulae to form an attachment to a laser system. Methods for transmitting light through such articles of manufacture.

A tubular optically-transparent device structured as a terminating cap for an optical fiber is configured to deliver laser radiation from the optical fiber substantially radially (generallytransversely to the axis of the cap) while at the same time spatially-redistributing the radiant intensity at a point of interaction of laser radiation with a wall of the cap to reduce material damage of the material of the cap thereby reducing tissue adhesion during surgery performed with the use of the device including such optical fiber and cap. A method for operating the same.

A medical device may include an elongated body having a distal elongated body portion and a central longitudinal axis. The medical device may include a balloon positioned along the distal elongated body portion. The balloon may be configured to receive a fluid to inflate the balloon such that an exterior balloon surface contacts a calcified lesion within a patient's vasculature. The medical device may include one or more pressure wave emitters positioned along the central longitudinal axis of the elongated body. The one or more pressure wave emitters may be configured to propagate at least one pressure wave through the fluid to fragment the calcified lesion. At least one pressure wave emitter may include an optical fiber configured to transmit laser energy into the balloon. The laser energy may be configured to create a cavitation bubble in the fluid.

An optical fiber assembly includes a central optical fiber core having a longitudinal axis surrounded by a cladding layer along the longitudinal axis, a distal end portion and a proximal end portion; it further comprises a layer of a material at least partially surrounding the cladding layer; the layer of material may be light-sensitive; and, at least two electrodes may be embedded at least partially along the longitudinal axis within the layer of light-sensitive material. The light-sensitive material may be a photoresist material, and the photoresist material characteristics change proportional to the amount of light impinging on the photoresist material. These characteristics may include one or more of electrical resistance changes or voltage changes.

An apparatus and a system for performing thermotherapy on at least a portion of a tissue site is described. The apparatus and system comprise a heating probe comprising an emitting area. The heating probe is connectable to an energy source for heating the tissue by the emitting area. The apparatus and system comprise a sleeve. The heating probe is arrangable in the sleeve, and the sleeve is configured to be slid along the heating probe in a distal and/or proximal direction for positioning of the emitting area in said portion of tissue for controlling the thermotherapy.

Catheter devices for ablation and removal of occlusions from blood vessels and methods of using the same are provided. Catheter devices are useful to ablate, cut, dislodge, and otherwise remove occlusions within a blood vessel that may limit or prevent proper circulation. Distal features of the catheter devices comprise arrangements of laser ablative or mechanical cutting features that generally provide enhanced surface areas and cutting functions. Spiral or helical arrangements are provided to aid in cutting operations.

In one aspect of the present disclosure, a laser fiber may include an optical fiber. The optical fiber may include a proximal portion. The optical fiber also may include a distal portion having a distal end. The optical fiber may be configured to transmit laser energy from the proximal portion to the distal portion for emission of the laser energy from the distal end. The optical fiber also may include a distal tip surrounding the distal portion to protect the distal portion. The distal tip may include a sheet glass material having a laser energy emitting surface. The laser energy emitting surface may be defined by a chemically-strengthened surface layer.