An apparatus may include an optical fiber having an angled grating aligned along a plane non-normal to a longitudinal axis of a distal end portion of the optical fiber. The angled grating may be configured to redirect a first laser energy propagated within the optical fiber and incident on the angled grating to a direction offset from the longitudinal axis. The apparatus may also include a metallic cap coupled to the optical fiber. The metallic cap may have an inner surface configured to redirect a second laser energy incident on the inner surface along the direction offset from the longitudinal axis. The second laser energy being different than the first laser energy.

An apparatus for delivering energy, and in particular laser energy, to a tissue is adapted to minimize or eliminate burn back caused by contact between the energy delivery apparatus and bodily fluids by (i) preventing the energy delivery apparatus from contacting bodily fluids or tissues that might burn or cause the apparatus to burn; and/or (ii) monitoring the apparatus to detect overheating in order to withdraw the apparatus or control the energy supply in case overheating is detected. The apparatus is applicable, by way of example, to treatment of blood vessels using endovascular techniques.

A coupling device for an optical waveguide includes an optical waveguide connection for a first optical waveguide. The coupling device includes an optical filter arranged in a beam path between a laser light source and the optical waveguide connection which reflects light of a first wavelength range or a first polarization direction and transmits light of a second wavelength range or a second polarization direction.

A method for treating a treatment site within a body of a patient with a catheter system includes generating energy with an energy source; positioning an inflatable balloon substantially adjacent to the treatment site, the inflatable balloon having a balloon wall that defines a balloon interior that receives a balloon fluid; receiving energy from the energy source with an energy guide; guiding the energy with the energy guide into the balloon interior; sensing acoustic sound waves generated in the balloon fluid with an acoustic sensor that is positioned outside of the body of the patient; generating a sensor signal with the acoustic sensor based at least in part on the sensed acoustic sound waves; electrically coupling a system controller to the acoustic sensor; receiving the sensor signal from the acoustic sensor with the system controller; and controlling operation of the catheter system with the system controller based at least in part on the sensor signal, the system controller being configured to recognize one of: (i) normal operation of the catheter system, and (ii) potential damage to the energy guide.

Systems, devices, and methods for determining advancement of a surgical laser fiber in an endoscope and providing interlocking feedback for the surgical laser are disclosed. An exemplary method includes directing light from a distal end of an endoscope to a target, optically detecting an amount of the light reflected from the target, transmitting the optically detected amount of light through a laser fiber extending through a working channel of the endoscope, determining, based on the optically detected amount of light, a position of a distal end of the laser fiber relative to the distal end of the endoscope, and generating a control signal to the surgical laser system to adjust laser emission through the laser fiber.

A catheter system for treating a treatment site within or adjacent to a vessel wall or a heart valve, includes a light source, a balloon, a light guide and an optical analyzer assembly. The light source generates first light energy. The balloon is positionable substantially adjacent to the treatment site. The balloon has a balloon wall that defines a balloon interior that receives a balloon fluid. The light guide receives the first light energy and guides the first light energy in a first direction from a guide proximal end toward a guide distal end positioned within the balloon interior. The optical analyzer assembly optically analyzes a second light energy from the light guide that moves in a second direction that is opposite the first direction. The optical analyzer assembly includes a safety shutdown system to inhibit the first light energy from being received by the guide proximal end of the light guide.

Systems for enabling delivery of very high peak power laser pulses through optical fibers for use in ablation procedures preferably in contact mode. Such lasers advantageously emit at 355 nm wavelength. Other systems enable selective removal of undesired tissue within a blood vessel, while minimizing the risk of damaging the blood vessel itself, based on the use of the ablative properties of short laser pulses of 320 to 400 nm laser wavelength, with selected parameters of the mechanical walls of the tubes constituting the catheter, of the laser fluence and of the force that is applied by the catheter on the tissues. Additionally, a novel method of calibrating such catheters is disclosed, which also enables real time monitoring of the ablation process. Additionally, novel methods of protecting the fibers exit facets are disclosed.

An optical fiber state detection system includes: a first light source that outputs a monitor-related light for monitoring a state of an optical fiber; a reflection mechanism that reflects the monitor-related light propagated through the optical fiber; a light receiving part that receives a reflected light reflected by the reflection mechanism; a tap coupler provided between the reflection mechanism and both the first light source and the light receiving part such that the first light source and the light receiving part are connected the tap coupler; and a control part. Further, when the control part detects that a received optical power of the reflected light is greater than 0 and lower than a predetermined threshold value, the control part outputs information on a decrease in the received optical power to outside.

The present disclosure is related to field of Fiber Feedback (FFB) technology and provides a method and system for estimating the distance between a fiber end and a target. The method includes illuminating, by a Light Emitting, Transmitting and Detecting (LETD) system, the target with laser light of different wavelengths having low and high-water absorption coefficients, using different laser light sources, as well as receiving a returned signal corresponding to the incident laser light of different wavelengths, and detecting the returned signal to measure intensity values of the returned signal of a specific wavelength. Using the measured intensity values, a processing unit may estimate distance between the fiber end and the target. The present disclosure enables accurate estimation of distance between a fiber end and the target. The present disclosure also provides a robust distance estimation technique which is compatible with different types of targets.

A catheter system for treating a treatment site within or adjacent to a vessel wall or a heart valve, includes a light source, a balloon, a light guide and an optical analyzer assembly. The light source generates first light energy. The balloon is positionable substantially adjacent to the treatment site. The balloon has a balloon wall that defines a balloon interior that receives a balloon fluid. The light guide receives the first light energy and guides the first light energy in a first direction from a guide proximal end toward a guide distal end positioned within the balloon interior. The optical analyzer assembly optically analyzes a second light energy from the light guide that moves in a second direction that is opposite the first direction. The optical analyzer assembly includes a safety shutdown system to inhibit the first light energy from being received by the guide proximal end of the light guide.