A system for surgical treatment, in particular endovenous laser treatment, includes a laser device and an application module, wherein the laser device comprises a laser light source having at least one first laser diode element and the application module is optically connectable or connected to the laser light source. The application module is designed as a flexurally flexible catheter having an optical waveguide which comprises an RFID chip with a parameter and/or release coding, wherein the laser device comprises a controlling means with an RFID transmitter and receiver unit for reading from and writing to the RFID chip. The controlling means is configured such that an activation of the laser light source ensues in response to the RFID receiver unit detecting a predetermined parameter and/or release coding, and a timestamp is stored on the RFID chip for the invalidating of the catheter.

Optical energy-based methods and apparatus for sealing vascular tissue involves deforming vascular tissue to bring different layers of the vascular tissue into contact each other and illuminating the vascular tissue with a light beam having at least one portion of its spectrum overlapping with the absorption spectrum of the vascular tissue. The apparatus may include two deforming members configured to deform the vascular tissue placed between the deforming members. The apparatus may also include an optical system that has a light source configured to generate light, a light distribution element configured to distribute the light across the vascular tissue, and a light guide configured to guide the light from the light source to the light distribution element. The apparatus may further include a cutting member configured to cut the vascular tissue and to illuminate the vascular tissue with light to seal at least one cut surface of the vascular tissue.

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.

The present disclosure provides, according to some embodiments, methods and systems for selectively reducing, blocking or inhibiting at least part of the neural activity in an organ of a subject. In preferred embodiments, the method and system are used for selectively blocking at least part of the neural activity in a duodenum of a subject in need thereof. According to some embodiments, the selective blocking occurs through use of laser radiation. According to some embodiments, the selective blocking comprises causing damage to at least part of sensory nerves located within a target area while maintaining functional activity of tissue surrounding the sensory nerves. According to some embodiments, the sensory nerves include neurons configured to transmit signals triggered by food passing through the duodenum, such as, but not limited to, neurohormonal signals.

An end effector assembly for an optical surgical instrument includes a jaw member and a plurality of optical elements positioned within a cavity of the jaw member. The jaw member has a tissue contacting surface. The jaw member has a proximal portion that is configured to secure a fiber optic cable thereto such that a distal end of the fiber optical cable extends into the cavity. The plurality of optical elements are arranged in a staircase-like manner that rises towards the tissue contacting surface as the plurality of optical elements extends distally within the cavity. The plurality of optical elements is configured to direct a beam of light exiting the fiber optic cable towards the tissue contacting surface.

[Object] To provide an ablation system capable of suppressing heat damages to the lumen intima. [Solution] An ablation system 10 has an ablation device 11 in which a balloon 21 is provided on the distal end side of a shaft 22 and an in-side tube 27 causing a fluid to flow into the balloon 21, the internal space of the shaft 22 causing a fluid to flow out of the balloon 21, and an optical fiber 29 guiding laser light into the balloon 21 are individually provided along the shaft 22, a laser light generating unit 12 emitting laser light to the optical fiber 29, and a fluid returning unit 13 returning a fluid into the internal space of the balloon 21. The ablation device 11 has a reflector 33 reflecting laser light emitted from the optical fiber 29 in the balloon 21, in which the reflector 33 is movable along the axial direction 191 in the balloon 21 and is rotatable in the axial direction 101 as the axis line.

This invention relates to enhancement of the delivery of laser beams to internal surgical sites by employing, where practical, heavy water rather than normal water as both the irrigation fluid and the laser beam transmission medium that fills some or all of the space between the distal tip of the optical fiber to the surgical site. The use of heavy water is advantageous for surgical procedures employing lasers operating in the wavelength range of 1.0 microns to 2.5 microns where heavy water is substantially more transparent than normal water. This range includes the commercially important semiconductor diode laser operating at 1.47 microns where the optical attenuation coefficient in heavy water is less than one hundredth of that in normal water. Due to the rather high cost of heavy water, methods are described for collecting and re-cycling heavy water used during laser surgery to mitigate this cost.

For the purpose of efficiently converting a beam profile of laser light with a simple configuration, provided is a beam profile converter including: a first optical fiber that outputs guided light from a first end surface; and a second optical fiber being a multi-mode optical fiber to which the light is input to a second end surface and configured to guide the light, in which a core diameter of the second optical fiber is larger than a core diameter of the first optical fiber at the first end surface, and the light output from the first end surface is input to a core portion of the second end surface at a position separated from an optical axis of the second optical fiber in a direction inclined with respect to the second end surface.

A medical system includes an insertion device including a handle and a delivery portion, a laser fiber, a conductive wire, and a lock. The laser fiber extends through the insertion device and is coupled to a laser slider to control a position of the laser fiber relative to a distal end of the delivery portion. The conductive wire extends through the insertion device and is coupled to a wire slider to control a position of the laser fiber relative to a distal end of the delivery portion. The lock is positioned within the handle and is movable in order to selectively lock either the movement of the laser slider or lock the movement of the wire slider.

The invention provides a tip that permits therapeutic electromagnetic energy systems to deliver multiple beams of overlapping, partially overlapping, and non-overlapping electromagnetic energy in the treatment of tissue disorders and conditions. The tip finds use with laser systems, intense pulsed light systems, LED systems, radiofrequency systems, and microwave systems.