The present disclosure relates to a fiber and a laser probe assembly with a probe tip that houses the fiber. In certain aspects, the fiber includes a core, an outer cladding surrounding the core, and an end face at a proximal and/or distal end of the fiber. The core is configured to transmit a laser light beam while the core and the outer cladding are both configured to transmit an illumination light. In certain aspects, a surface area of the end face corresponding to a cross-section of at least the outer cladding is treated with a roughening or polishing process to modulate an illumination light output angle of the fiber. Using a fiber that is configured to transmit a laser light beam as well as a wide-angle illumination light allows for a more compact fiber and probe tip, allowing for medical procedures that require a narrower probe.

A steerable laser probe may include a handle having a handle distal end and a handle proximal end, an auto-fixing actuation control, a housing tube having a housing tube distal end and a housing tube proximal end, a first housing tube portion having a first stiffness, a second housing tube portion having a second stiffness, and an optic fiber disposed within an inner bore of the handle and the housing tube. An actuation of the auto-fixing actuation control may gradually curve the housing tube. A gradual curving of the housing tube may gradually curve the optic fiber.

A housing, a UVC emitting light source combined to the housing for emitting UVC light outside the housing onto the area of interest, and a controller combined to the UVC light source for controlling the intensity of the UVC light emitted onto the area of interest.

A tool has a handle and an elongate shaft that extends distally from the handle. A distal portion of the shaft is inserted into a subject during a surgical procedure. An optical fiber delivers laser energy to a tip at the distal portion of the shaft. The tip includes a mechanical cutting mechanism including a moving part that absorbs the laser energy, thermally conducts the absorbed energy to tissue that is disposed between the moving part and another part, and moves with respect to the other part in order to cut tissue that is disposed between the parts using a mechanical force that is lower than a mechanical force that would be required to cut the tissue in the absence of the laser energy. Other embodiments are also described.

Various examples disclosed relate to temperature monitoring of medical probes. The present disclosure includes a medical device including a medical probe and one or more luminescent marks. The medical probe can include a distal portion configured for at least partial insertion into a patient. The one or more luminescent marks can be located on the distal portion of the probe and have a luminescent characteristic correlative to temperature, when illuminated. The luminescent characteristic can provide an indication of the temperature at an internal site of the patient.

The present disclosure generally relates to the field of laser based medical devices. Particularly, but not exclusively, the present disclosure relates to an apparatus and method for enhancing laser beam efficacy in a liquid medium. In many embodiments, laser pulses are modulated based on bubble dynamics to improve energy delivery to a target. A variety of exemplary pulse modulation scheme are described including modulating pulse power down during expansion of an index bubble and modulating pulse power up during collapse of the index bubble.

A laser device for dermocosmetic, medical, or aesthetic treatments, comprising: A) a laser system comprising a lamp-pumped source; B) an optical fibre transporting the laser beam produced by said source; C) a handpiece or a scanner connected to said optical fibre, comprising a lens and mirror system projecting the image of the laser beam onto the area to be treated; characterized in that said optical fibre has a rectangular section and said image is rectangular. A method of dermocosmetic laser treatment characterized by rectangular laser spots is also claimed. It is a further object of the present invention a tracing kit, which allows the marking of a surface area, preferably of biological tissue, with a fluorescent or photosensitive substance invisible to light. Such an invisible and fluorescent or photosensitive substance absorbs the electromagnetic radiation with the proper wavelength emitted by the illuminator and reflects it in the visible spectrum.

One described aspect is an optical fiber comprising: a fiber core that extends along a fiber axis, is configured to transmit a laser energy along the fiber axis, and terminates at a distal end; a first cladding that extends along the fiber axis, is adjacent to the fiber core, and terminates at a distal end; a coating that extends along the fiber axis and terminates at a distal end, wherein the coating is a gold coating; a second cladding that surrounds a portion of the gold coating along the fiber axis, and terminates at a distal end; an outer jacket that extends along the fiber axis and terminates at a distal end; and a fiber tip. Associated laser systems are also disclosed.

An apparatus is provided for irradiating at least a portion of a patient's brain with electromagnetic radiation to treat stroke, Parkinson's Disease, Alzheimer's Disease, or depression. The apparatus includes a source of the electromagnetic radiation. The apparatus further includes an output optical element including a rigid and substantially thermally conductive material and a surface configured to be in thermal communication with the patient's body. The apparatus further includes a cooler thermally coupled to the output optical element to remove heat from the output optical element. The apparatus further includes a heat sink thermally coupled to the cooler, wherein the heat sink is positioned so that the electromagnetic radiation from the source propagates through the heat sink and through the output optical element.

A side fire optical fiber tip is provided for use in high power laser applications having outputs of greater than or equal to 50 Watts. A predetermined length of an output tip on the distal end of the optical fiber is formed with an optical fiber core and cladding layer of preselected thickness wherein the cladding to core diameter ratio is at least as great as 1.2. A side fire surface is formed on the distal end of the core/clad output end. Over this optical fiber output end, a pure silica capillary tube is fused to the predetermined length of exposed cladding where the outermost cladding is also pure silica to reduce thermal mismatch during the fusion process. By having the refractive index at the fusing interface matched, and bubbles or gaps eliminated or prevented, it is possible to substantially eliminate Fresnel reflection losses at this interface.