A cooling element includes a frame including one or more datums. The cooling element also includes a first window including a first proximal surface and a first distal surface. The first window is sealed to the frame. The cooling element further includes a second window sealed to the frame. The second window includes a second proximal surface and a second distal surface. The second window is configured to contact a target tissue or a tissue adjacent to the target tissue via the second distal surface. The cooing element also includes a coolant chamber located between the first distal surface of the first window and the second proximal surface of the second window and configured to receive a coolant. The first window, the second window and the coolant chamber are configured to receive and electromagnetic radiation (EMR), and transmit a portion of the received EMR to the target tissue.

The present disclosure provides a method and system for distinguishing between a stone and a tissue based on reflected light from the stone or the tissue. It is to be appreciated that the efficiency of treatments using lasers often depend upon the relative position and orientation of the optical fiber tip with respect to the target. Further, the safety of the patient often depends on accurate aiming of the distal end of the fiber optic cable at the intended target. For example, where a stone is the intended target, unintentionally activating the laser while aimed at tissue could damage the tissue. This may lead to unnecessary complications, and in some cases, it can also lead to permanent damage to the tissue, which could make portions of the body of the subject dysfunctional.

An optical fibre assembly (10) disposed within a catheter (12) for ablating mammalian, such as heart tissue. The optical fibre assembly has a plurality of optical cores (16A-16C), each core defining a leading end and a trailing end and being adapted to carry an optical imaging beam. An optical lens arrangement (25) is operatively connected to the leading end of the plurality of optical cores for causing divergence of the light beams emitted therefrom. The optical fibre assembly (10) creates a field of view by directing a plurality of said optical imaging beams onto a tissue portion and capturing a reflected portion of said beams. The divergence of the beams provides a greater field of view than may otherwise be provided.

A dental procedure performed on target tissue without anesthetic or anesthesia including preconditioning the target tissue using a laser device constructed to produce light in a wavelength range of 2750 nm to 11500 nm, to provide an energy fluence in a range of 50 J/cm.sup.2 to 100 J/cm.sup.2, and to operate in a free running pulsed mode providing 60 ?m bursts at a frequency of at least 50 Hz. Preconditioning includes selecting a combination of average optical output power and preconditioning time to administer low level laser therapy. The laser device is adjusted to deliver light through the light guide of the laser device at the selected average optical output power. Light delivered through the light guide of the adjusted laser device is directed toward the target tissue for the selected preconditioning time providing analgesia to the target tissue. Oral tissue is removed from the preconditioned target tissue during analgesia.

A photocoagulation system is described herein that facilitates multi-spot laser treatment procedures inside the eye and close to the patient's retina. In one example embodiment, a modified endocular probe operates with a laser system to move the probe or a probe needle so as to project a multi-spot pattern on a patient's retina by controlling the rotation movement of the needle (and needle tip). In addition, the system facilitates maneuverability and angular deviation of the needle tip and synchronizes these different movements with the laser photocoagulator system so as to project the aiming beam and thereafter the laser treatment beam in the desired pattern location with the desired exposure time and power.

The laser lancing device in accordance with an exemplary embodiment includes: a main body; a laser resonator located within the main body and configured to generate a laser and output the laser forwards; a beam barrel located in front of the laser resonator and including at least one lens unit fixed therein; a window barrel located in front of the beam barrel and connected to the main body; a cap part connected to the front of the window barrel and brought into contact with an irradiation target area; a fan unit communicating with the cap part and induce flow of air; and a communication pipe of which one end is connected to the fan unit and the other end is connected to the cap part.

A forceps includes an end effector assembly having first and second jaw members movable relative to one another between a spaced-apart position, a first approximated position, and a second approximated position. One or both of the jaw members including a first stop member coupled thereto and disposed between the jaw members. The first stop member is longitudinally translatable along a surface of the at least one jaw member from a first position, wherein the first stop member inhibits approximation of the jaw members beyond the first approximated position, and a second position, wherein the first stop member inhibits approximation of the jaw members beyond the second approximated position.

A nozzle assembly for cooling a treatment area with a fluid comprises a first fluid outlet and a second fluid outlet operable individually as well as simultaneously and arranged apart such that the fluid covers a first portion of the treatment area if only the first fluid outlet is operated, a second portion of the treatment area if only the second fluid outlet is operated (wherein the second portion is not fully contained in the first portion), and a third portion of the treatment area if both the first fluid outlet and the second fluid outlet are operated (wherein the third portion is not fully contained in the first portion and/or the second portion).

Various methods, systems, and devices for treating tissue ablation are disclosed. Several embodiments disclosed herein pertain to methods of treating tumors, systems used for irradiating tissue and tumors with electromagnetic radiation, components and devices of that system, and kits for providing systems used for irradiating tissue and tumors with electromagnetic radiation. In several embodiments, the system can provide sub-ablative infrared radiation that can be absorbed by nanoparticles. In several embodiments, the nanoparticles absorb the radiation converting it into heat energy. In several embodiments, though the infrared radiation itself may be sub-ablative, the heat energy generated by the nanoparticles can be sufficient to cause thermal coagulation, hyperthermia, and/or tissue ablation.

Medical devices, systems, and related methods of use are disclosed. The systems may comprise a sheath for insertion into a body lumen and an extraction tool for passage through the sheath, wherein the extraction tool may include a handle, an end effector, and an optical device. Methods disclosed herein include introducing an extraction tool into a urethra for retrieving and removing tissue from the body, e.g., with an end effector, without morcellating the excised tissue.