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.

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 microsurgical probe employs an optional probe support structure; an optical fiber for providing a feed path for an emission wavelength; a chemical feed path for delivering a chemical; a resonator motor; and a probe accessory tool. A microsurgical system additionally employs a sensor and an artificial intelligence (AI) system to assess conditions based on data provided by the sensor. The system can be employed to remove tumor tissue that is interwoven with healthy tissue. This system can also be employed to fertilize old, inflexible ova.

A device for implanting heat deformable fixation elements of different sizes in a bone, comprises a hand piece extending from a proximal end to a distal end and including an internal optical waveguide connected to a laser source and open to the distal end of the hand piece and a light guiding tip extending from a proximal end to a distal end, the proximal end of the light guiding tip being removably mechanically and optically connectable to the distal end of the hand piece and the distal end of the light guiding tip being configured to permit removable attachment of a bone fixation element, the light guiding tip including an optical waveguide, wherein the light guiding tip is configured to control a total radiant energy Q transmitted from the laser source to the bone fixation element

An apparatus includes an optical fiber extending from a proximal end to a distal end. The optical fiber may include a cladding layer circumferentially disposed about a core layer and a substantially spherically shaped portion at the distal end. The apparatus may also include a first coating circumferentially disposed on a first length of the cladding layer, and a second coating circumferentially disposed on a second length of the cladding layer. The second length may extend distally from a region proximate the distal end of the first coating.

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.

The coated optical fiber (10) includes: an optical fiber (11) including a core (111) and a cladding (112); a first buffer layer (121) covering the optical fiber (11), and having a refractive index lower than that of the cladding (112) and a Shore D hardness of D/20.0/1 or higher; a second buffer layer (122) covering the first buffer layer (121), and having a higher Shore D hardness than the first buffer layer (121); and a jacket (13) covering the second buffer layer (122).

A laser fiber, is modified to have a tip that has a length that is predetermined to ensure that the tip remains viable throughout a given procedure type, despite the presence of burn-back. The extended tip is defined by stripping back the jacket of the laser fiber over the pre-determined length starting at the distal end of the fiber. The stripped portion of the fiber is then dip-coated with a layer of polymeric coating such as an acrylate. A visual indicator can be printed onto the extended tip to aid in the use of the extended fiber. A self-aligning stability sheath is provided to make insertion easier in certain types of endoscopes. The laser fiber with extended tip can be pre-inserted into the sheath and sold as a pre-prepared kit for ease of use and protection of the fiber.

A surgical method and tool for establishing a steam bubble between a fiber tip and a surgical target. The device and process capable of maintaining the steam bubble by providing a low-power, continuous-wave laser emission. Furthermore, the method and tool capable of delivering to the surgical target through the steam bubble a therapeutic laser emission providing ablation of the surgical target.

Devices and methods are discussed directed to the use of a low profile laser ablation catheter for use in laser ablation removal of arterial plaque blockages to restore blood flow in the treatment of arteriovenous fistulas. Also discussed are devices and methods directed to packaging, long term storage and sterilization of liquid core ablation catheters.