End fire fiber arrangements with improved erosion resistance

Abstract

A protective ferrule for an end-firing optical fiber arrangement combines a spherical or rounded shape with a planar end. The combination of the spherical or rounded shape and planar end provides protection for the working channel of an endoscope or catheter through which the fiber is inserted while confining and minimizing erosion of the active surface area of the fiber. The protective ferrule of may be fitted to the end of the optical fiber by the steps of heating the ferrule to expand an inside diameter so that it fits over the end of the fiber, with subsequent cooling of the ferrule causing it to contract and create a compression fit.

Claims

1. An end-firing surgical laser arrangement, comprising: an optical fiber configured to be inserted through a working channel of an endoscope or catheter, the optical fiber having a planar end face through which laser energy exits the optical fiber; and a protective ferrule fitted over an end of the optical fiber and having a spherical or rounded end, wherein the protective ferrule is configured to be inserted together with the optical fiber through the working channel of the endoscope, and surrounds the optical fiber while leaving exposed the planar end face of the optical fiber, wherein the planar end face of the optical fiber extends to and is flush with the spherical or rounded end of the protective ferrule, and whereby the spherical or rounded shape of the protective ferrule provides protection for the working channel of the endoscope or catheter through which the optical fiber is inserted while the planar end face of the optical fiber confines and minimizes erosion of an active surface area of the planar end face of the fiber.

2. The laser arrangement of claim 1, wherein the protective ferrule is compression fit to the end of the optical fiber.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) FIGS. 1A and 1B are side views of a conventional end-firing optical fiber, respectively taken before and after laser interaction with a stone or tissue during a surgical procedure.

(2) FIGS. 2A and 2B are side views of the ferrule-protected end-firing optical fiber assembly disclosed in U.S. patent application Ser. No. 13/692,512, respectively taken before and after laser interaction with a stone or tissue.

(3) FIGS. 3A and 3B are side views of a conventional ball tip fiber arrangement, respectively taken before and after laser interaction with a stone or tissue.

(4) FIGS. 4A and 4B are side views of the end-firing optical fiber arrangement of a preferred embodiment of the invention, respectively taken before and after interaction with a stone or tissue.

(5) FIGS. 5 and 5B are side views illustrating two steps of a preferred method of assembling a protective ferrule to an optical fiber without welding.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

(6) FIGS. 4A and 4B show a preferred embodiment of the present invention that includes an end-firing optical fiber 50 and a ferrule 51 secured to the cladding at a distal end of the fiber.

(7) As illustrated in FIG. 4A, the ferrule 51 has a generally spherical or rounded shape, but the end surface 55 is a generally flat or planar polished rather than a spherical surface. In addition, the fiber core and cladding have not been tapered or expanded in a radially outward direction, in contrast to the fibers shown in FIGS. 3A, 3B, 4A, and 4B. Instead, the diameter 11 of the core and cladding remains constant over the length of the fiber, including at the tip of the fiber. As in U.S. patent application Ser. No. 13/693,592, the ferrule 51 may be a quartz ferrule having an index of refraction matched to that of the fiber 10, so that laser energy disperses to increase the firing angle of the laser. Alternatively, the ferrule may be made of sapphire or another suitable material.

(8) As illustrated in FIG. 4B, in contrast to the situations shown in FIGS. 2B and 3B, the erosion is substantially limited to the active surface area 56 of the fiber end surface, while still leaving rounded edges to protect the endoscope. Furthermore, the rate of erosion will actually decrease with continued usage since the surface 56 stops making contact with the target stone or tissue, contact with the stone or tissue.

(9) The method illustrated in FIGS. 5A and 5B begins with the step, shown in FIG. 5A, of heating the ferrule 70 so that it expands and the inner diameter 75 of the ferrule is larger than an outer diameter of the fiber 15. The ferrule 70 is then positioned relative to the fiber 15, so that fiber tip 26 is flush or slightly recessed with respect to the polished front surface 72 of the ferrule 70. At this time, the ferrule 70 is permitted to cool sufficiently to shrink and grip the fiber, creating a compression fit. As a result, there is no need to weld the ferrule to the fiber. A material for the ferrule that has appropriate thermal expansion properties is sapphire.

(10) FIG. 3 shows variations of an end-firing fiber arrangement in accordance with a second preferred embodiment of the invention. In the arrangement indicated by reference numeral 20 of FIG. 3, a small, flexible, end-firing optical fiber 1 without an angled tip is fused to a quartz ferrule 6, and the fiber 1 and ferrule 6 are mounted in a pre-formed flexible cannula 2 whose unstressed shape is a curvature that causes the fiber end to point laterally and enable treatment radiation to be directed to tissues situated at the side of the fiber insertion axis. The flexible cannula 2 is preferably made of a shape memory material with sufficient flexibility to cause the cannula to straighten, as indicated by reference numeral 22, upon withdrawal or insertion into the straight working channel of a cystoscope or other scope or introducer (not shown), but that returns to the curved shape when extended out of the scope.

(11) As a result of this arrangement, the material of the ferrule situated between the end of the fiber and the tissue, at which treatment radiation is directed, can be made as thick as desired while still permitting the treatment radiation to be directed at lateral tissues, and without affecting the ability of the fiber and ferrule to fit within the working channel of a standard cystoscope or other scope having a limited working channel diameter.

(12) Reference numeral 24 indicates a close-up of the ferrule 5 in the arrangement indicated by reference numerals 20 and 22. As illustrated, the fuse length 6 can be adjusted along the ferrule length 15 to 6 mm or more, giving at least three times more erosion before a hole is formed, as compared to the 1.8 mm thickness limitation to which the side firing fiber and cap of the prior art is subject, as discussed above. The tip 15 of this example is flat polished, although a rounded tip may also be provided, as indicated by reference numeral 25.

(13) As an alternative to the fused ferrule 5 of the arrangements indicated by reference numerals 20, 22, 24, and 25, a non-fused fiber and ferrule arrangement may be provided, as indicated by reference numeral 26. In this arrangement, the tip 12 of the non-fused ferrule 5 may be recessed to keep the tip from being sunk into prostate or other tissue being treated. Since the fiber 1 is not fused to the ferrule 5 in this example, the fiber can be extended into the ferrule as it is eroded, in a manner analogous to extension of the lead in a mechanical pencil, giving more life to the fiber over a given procedure.

(14) FIG. 4 shows a variation of the non-fused arrangement of FIG. 1, in which a quartz ferrule 42 corresponding to ferrule 5 of FIG. 1 is secured to the cannula 2 and the fiber is free to be positioned within the ferrule, as indicated by arrow 40. In this variation, irrigation fluid 35, such as water, saline, or air, is permitted to enter the ferrule 42, and the fiber is capable of being moved forward or backwards to increase or decrease a power density of radiation incident on a tissue 50 positioned directly in front of the ferrule 42.

(15) Having thus described preferred embodiments of the invention in connection with the accompanying drawings, it will be appreciated that the invention is not to be limited to the specific embodiments or variations disclosed.