A61B2018/2272

Wireless optogenetic device and associated radiation system
11103725 · 2021-08-31 · ·

A wireless optogenetic device in proximity to a neural cell of a subject includes a body configured to hold light transducing materials arranged to up-convert electromagnetic radiation in infrared or near-infrared spectrum into light in the visible spectrum to affect activity of the neural cell. The body allows electromagnetic radiation in infrared or near-infrared to reach the light transducing materials. A radiation system includes a radiation probe for irradiating a wireless optogenetic device with electromagnetic radiation in infrared or near-infrared spectrum from a radiation source. The system further includes a movement mechanism for moving the radiation probe, a detector for detecting a location of the wireless optogenetic device, and a controller for controlling the movement mechanism based on the detected location of the wireless optogenetic device such that the radiation probe is arranged to irradiate the wireless optogenetic device at the detected location with the electromagnetic radiation.

OPTICAL PROBE

To provide an optical probe capable of changing a traveling direction of an output beam to a sideward direction. The optical probe includes an optical fiber that outputs a beam from a distal end thereof, and a traveling direction changing unit that changes a traveling direction of the output beam to a sideward direction with respect to the optical fiber. The optical probe includes a holder member that is mounted on a distal end side of the optical fiber and holds the optical fiber, and the traveling direction changing unit may be a reflector that is arranged on the holder member and that reflects output beam.

METHODS, DEVICES, AND SUPPORT STRUCTURES FOR ASSEMBLING OPTICAL FIBERS IN CATHETER TIPS

Described herein are methods, devices, and support structures for assembling optical fibers in catheter tips and facilitating alignment and structural support. A method for assembling a plurality of optical fibers and lenses in a support structure for an ablation catheter includes providing a support structure with a proximal end, a body, and a distal end, wherein the distal end includes a plurality of alignment orifices or slits. A plurality of optical fibers are threaded through the alignment orifices or slits, such that each optical fiber is threaded through a corresponding alignment orifice or slit. An adhesive material is applied at each alignment orifice or slit to secure the optical fibers, and the plurality of optical fibers are then cleaved at the distal end to remove portions of the fibers extending out of the distal end. Finally, a lens is attached to each of the ends of the plurality of optical fibers.

ACOUSTIC PERFORMANCE MONITORING SYSTEM AND METHOD WITHIN INTRAVASCULAR LITHOTRIPSY DEVICE
20210275247 · 2021-09-09 ·

A catheter system for treating a treatment site within or adjacent to a vessel wall or a heart valve within a body of a patient includes an energy source, an inflatable balloon, an energy guide, and an acoustic sensor. The energy source generates energy. The inflatable balloon is positionable substantially adjacent to the treatment site. The inflatable balloon has a balloon wall that defines a balloon interior that receives a balloon fluid. The energy guide receives energy from the energy source and guides the energy into the balloon interior. The acoustic sensor is positioned outside the body of the patient. The acoustic sensor senses acoustic sound waves generated in the balloon fluid within the balloon interior. The acoustic sensor generates a sensor signal based at least in part on the sensed acoustic sound waves. A system controller receives the sensor signal from the acoustic sensor and controls operation of the catheter system based at least in part on the sensor signal.

MULTIPLEXER FOR LASER-DRIVEN INTRAVASCULAR LITHOTRIPSY DEVICE

A catheter system for treating a vascular lesion within or adjacent to a vessel wall within a body of a patient includes a single light source that generates light energy, a first light guide and a second light guide, and a multiplexer. The first light guide and the second light guide are each configured to selectively receive light energy from the light source. The multiplexer receives the light energy from the light source in the form of a source beam and selectively directs the light energy from the light source in the form of individual guide beams to each of the first light guide and the second light guide.

AUTOMATED IMAGE-GUIDED TISSUE RESECTION AND TREATMENT

A system to treat a patient comprises a user interface that allows a physician to view an image of tissue to be treated in order to develop a treatment plan to resect tissue with a predefined removal profile. The image may comprise a plurality of images, and the planned treatment is shown on the images. The treatment probe may comprise an anchor, and the image shown on the screen may have a reference image marker shown on the screen corresponding to the anchor. The planned tissue removal profile can be displayed and scaled to the image of the target tissue of an organ such as the prostate, and the physician can adjust the treatment profile based on the scaled images to provide a treatment profile in three dimensions. The images shown on the display may comprise segmented images of the patient with treatment plan overlaid on the images.

MEDICAL DEVICES AND METHODS INCORPORATING FRUSTRATED TOTAL INTERNAL REFLECTION FOR ENERGY-EFFICIENT SEALING AND CUTTING OF TISSUE USING LIGHT ENERGY
20210128239 · 2021-05-06 ·

A medical instrument includes two jaw members, at least one of which creates conditions of frustrated total internal reflection at a tissue-contacting surface when tissue is grasped between the two jaw members. The first jaw member may include an optical element having a tissue-contacting surface. The medical instrument also includes a light source that provides a light beam for sealing tissue. The light source is positioned so that the light beam is totally internally reflected from an interface between the tissue-contacting surface and air when tissue is not grasped by the jaw members. When tissue is grasped by the jaw members, at least a portion of the light beam is transmitted through that portion of the tissue-contacting surface that is in contact with the tissue. The light source may be movably coupled to a jaw member to scan the light beam and/or to change the incident angle based on optical properties of the tissue.

PATIENT INTERFACE DEVICE FOR LASER EYE SURGERY
20210093481 · 2021-04-01 ·

A patient interface device includes: a first interface port configured to be interfaced with a laser surgery apparatus; a second interface port configured to be interfaced with a patient's eye, the second interface port including an applanating lens for application to a patient's eye during a laser surgery procedure; a chamber extending between the first interface port and the second interface port and defining a chamber therein, wherein air may be evacuated from the chamber by the laser surgery apparatus via the first interface port. The second interface port also includes a retaining ring on which the applanating lens is provided, the retaining ring having through channels extending through the retaining ring from the chamber above the applanating lens to a space below the applanating lens.

Radial emissions from optical fibers

Radial emission optical fiber terminations that include conical elements can prevent axial emission and redirect all incident light to radial positions. One termination includes an optical fiber having an up-tapered terminus, the up-tapered terminus having a maximum taper diameter of at least 1.5 times the core diameter and ending at a cone-tip which has an apex angle in a range of about 70° to about 100°. Another termination includes a fiber cap that is a unitary construction of a glass tube and an optical element that bisects the glass tube. The glass tube includes an open end adapted to receive an optical fiber and a closed end. The optical element, consisting of fused quartz or fused silica, has an input face proximal to the open end of the glass tube and a conical face proximal to the closed end of the glass tube.

SHOCK WAVE GENERATING DEVICE, AND SHOCK WAVE ABLATION SYSTEM
20210100615 · 2021-04-08 ·

A shock wave generating device includes an optical fiber and a reflective part, and is configured to reflect and converge the shock wave generated inside the reflective part to an outside of the reflective part. The reflective part includes: a reflector having a concave surface having a cut surface-of-revolution shape, and a through hole, which is formed coaxially with a rotating axis of the concave surface, and into which the optical fiber is to be inserted; a sealing body configured to seal an opening portion of the concave surface; and a liquid to be charged between the concave surface and the sealing body. The optical fiber has a distal end arranged at a position on a rear side of a focal point of the concave surface, at which the shock wave reflected by the concave surface is convergeable outside the reflective part.