FLUID COOLED OPTICAL FIBER

Abstract

Fluid cooled optical fibers are disclosed. An exemplary fiber comprises a fiber body including a distal end, an inner cap surrounding said distal end, an outer cap surrounding said inner cap, and a tube attached to said outer cap. The tube and outer cap may define a first flow channel, the outer and inner caps may define a second flow channel, and the outer cap may including one or openings for placing the first flow channel in communication with the second flow channel. Associated systems also are disclosed.

Claims

1-20. (canceled)

21. A method of delivering medical treatment comprising: inserting a medical device to a treatment area in a patient, wherein the medical device includes an optical fiber with a fiber body, an inner cap surrounding a distal end of the fiber body, an outer cap surrounding the inner cap, and a tube surrounding at least a portion of the fiber body and attached to the outer cap; delivering laser energy through the optical fiber, through a portion of at least the inner cap, and through an opening in the outer cap; and cooling at least a portion of the optical fiber by delivering a fluid through a first flow channel between the optical fiber and the tube and through one or more openings in the outer cap such that the fluid at least partially surrounds a distal portion of the inner cap.

22. The method of claim 21, wherein the tube is coupled to the outer cap to define the first flow channel, and wherein the inner cap and the outer caps define the second flow channel.

23. The method of claim 21, wherein the step of delivering laser energy includes delivering laser energy via a distal end of the optical fiber that includes a reflective surface angled to direct laser energy out of the medical device along a laser axis.

24. The method of claim 23, wherein the inner cap includes a transmission portion aligned with the laser axis, and wherein the outer cap includes an exit port aligned with the laser axis.

25. The method of claim 24, wherein the step of cooling at least a portion of the optical fiber includes delivering the fluid distally such that at least a portion of the fluid passes through the exit port in the outer cap.

26. The method of claim 25, wherein at least a portion of the fluid that passes through the exit port in the outer cap passes through a portion of the second flow channel distally beyond the inner cap.

27. The method of claim 21, wherein a proximal end of the inner cap is attached to the fiber body by a first epoxy.

28. The method of claim 27, wherein the outer cap surrounds a distal end of the inner cap, and wherein a proximal end of the outer cap is attached to the inner cap and the fiber body by a second epoxy that includes a thermal resistance or elastic modulus different from that of the first epoxy.

29. The method of claim 21, wherein the fluid passes through the one or more openings proximal of a distal end of the tube.

30. The method of claim 21, wherein the medical device further includes a laser source, a fluid source, and a controller, and wherein the method further includes the controller controlling the delivery of the laser energy and the fluid.

31. A method of cooling a medical device comprising: coupling a medical device to a laser energy source and to a fluid source, wherein the medical device includes an optical fiber with a fiber body, an inner cap surrounding a distal end of the fiber body, an outer cap surrounding the inner cap, and a tube surrounding at least a portion of the fiber body and attached to the outer cap; delivering laser energy from the laser energy source through the optical fiber; and delivering a fluid from the fluid source through a first flow channel between the optical fiber and the tube, through one or more openings in the outer cap such that the fluid flows through a second flow channel between the outer cap and the inner cap.

32. The method of claim 31, wherein the delivered fluid at least partially surrounds a distal portion of the inner cap.

33. The method of claim 31, wherein the fluid passes through the one or more openings proximal of a distal end of the tube.

34. The method of claim 31, wherein at least a portion of the fluid passes through an exit port in the outer cap, and wherein at least a portion of the fluid that passes through the exit port in the outer cap passes through a portion of the second flow channel distally beyond the inner cap.

35. The method of claim 31, wherein the laser energy is delivered through the optical fiber at the same time as the fluid is delivered through the first and second flow channels.

36. A method of delivering medical treatment comprising: inserting a medical device to a treatment area in a patient, wherein the medical device includes an optical fiber with a fiber body, an inner cap surrounding a distal end of the fiber body, an outer cap surrounding the inner cap, and a tube surrounding at least a portion of the fiber body and attached to the outer cap; delivering laser energy through the optical fiber and through portions of at least the inner cap and the outer cap such that the laser energy is delivered through an exit port in the outer cap; and delivering a fluid through a first flow channel between the optical fiber and the tube and through one or more openings in the outer cap such that the fluid at least partially surrounds a distal portion of the inner cap, wherein the one or more openings are positioned proximal to the distal end of the tube.

37. The method of claim 36, wherein the laser energy and the fluid are delivered at the same time.

38. The method of claim 36, wherein the laser energy and the fluid are delivered at different times.

39. The method of claim 36, wherein the inner cap includes at least a portion formed of a transmission material.

40. The method of claim 39, wherein the inner cap is formed entirely of glass, and wherein the outer cap is formed of a metal.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0012] The accompanying drawings are incorporated in and constitute a part of this specification. These drawings illustrate aspects of the present disclosure that, together with the written descriptions herein, serve to explain this disclosure as follows:

[0013] FIG. 1 depicts an optical fiber coupled to a fluid source and a laser source according to aspects of this disclosure; and

[0014] FIG. 2 depicts an optical fiber according to aspects of this disclosure.

DETAILED DESCRIPTION

[0015] Aspects of the present disclosure are now described with reference to a fluid cooled optical fiber. Some aspects are described with reference to medical procedures where laser energy is used to treat a kidney stone. References to a particular type of procedure, laser energy, stone object, and/or bodily organ are provided for convenience and not intended to limit the present disclosure unless claimed. Accordingly, the concepts described herein may be utilized for any analogous fibermedical or otherwise, kidney-specific or not.

[0016] Numerous axes and directions are described. Each axis may be transverse, or even perpendicular, with the next so as to establish a Cartesian coordinate system with an origin point O. One axis may extend along a longitudinal axis of an element. Directions may be indicated by the terms proximal and distal, and their respective initials P and D, either of which may be used to describe relative components and features in relation to any axis described herein. Proximal refers to a position closer to the exterior of the body or a user, whereas distal refers to a position closer to the interior of the body or further away from the user. Appending the initials P or D to an element number signifies a proximal or distal location, and appending P or D to an arrow in a figure signifies a proximal or distal direction along one or more axes. Unless claimed, these terms are provided for convenience and not intended to limit the present disclosure to a particular location, direction, or orientation.

[0017] The term generally is used to indicate a range of possible values. For example, a laser axis L-L is described as being generally transverse with a fiber axis F-F, meaning that axis L-L may be transverse with or perpendicular to axis F-F. The term generally also may be synonymous with other descriptive terms, such as about, substantially, and/or approximately, any of which may indicate a range of possible values that are within +/5% of a stated value.

[0018] As used herein, the terms comprises, comprising, or like variation, are intended to cover a non-exclusive inclusion, such that a device or method that comprises a list of elements does not include only those elements, but may include other elements not expressly listed or inherent thereto. Unless stated otherwise, the term exemplary is used in the sense of example rather than ideal. Conversely, the terms consists of and consisting of are intended to cover an exclusive inclusion, such that a device or method that consists of a list of elements includes only those elements.

[0019] One aspect of the present disclosure is depicted in FIG. 1 as a system 10. As shown, system 10 may comprise: a fluid cooled optical fiber 12; a laser source 14; a fluid source 16; and a controller 18. Optical fiber 12 includes a proximal end 12P coupled with laser source 14 and a fluid source 16, and a distal end 12D configured to discharge a laser energy 2 from laser source 14 and/or a fluid 4 from fluid source 16. Laser source 12 and/or fluid source 14 of FIG. 1 may, for example, be configured to discharge laser energy 2 and/or fluid 4 at the same or different times responsive to a control signal from controller 18.

[0020] An exemplary distal end 12D of optical fiber 12 is depicted in FIGS. 1 and 2. As shown, optical fiber 12 may comprise a fiber body 20 including a distal end 20D; an inner cap 30 surrounding distal end 20D; an outer cap 40 surrounding inner cap 30; and a tube 50 extending proximally from outer cap 40. According to this aspect, tube 50 and outer cap 40 may define a proximal or first flow channel 60; outer cap 40 and inner cap 30 may define a distal or second flow channel 70; and outer cap 40 may be configured to place proximal channel 60 in communication with distal channel 70. Within system 10, fluid 4 (e.g., carbon dioxide or saline) may be circulated through the proximal and distal channels 60 and 70 by fluid source 16.

[0021] As shown in FIGS. 1 and 2, fiber body 20 extends along a fiber axis F-F between distal end 20D and a proximal end 20P that is optically coupled to laser source 14. Distal end 20D of FIG. 2 has a side-fire configuration including a reflective surface 22 angled to direct laser energy 2 out of fiber body 20 along a laser axis L-L that is generally transverse with fiber axis F-F. Distal end 20D may alternatively have an end-fire configuration, wherein surface 22 is either omitted or further modified do direct laser energy 2 out distal end 20D so that laser axis L-L is generally parallel with fiber axis F-F. In FIG. 2, a proximal portion of fiber 20 of FIG. 2 includes a cladding 24, whereas a distal portion of fiber 20 does not. Cladding 24 may, for example, have a lower index of refraction than fiber body 20, retaining more of laser energy 2 in fiber body 20. Proximal end 20P may be optically coupled to laser source 14 by any conventional means.

[0022] In FIG. 2, inner cap 30 surrounds distal end 20D of fiber body 20. As shown, inner cap 30 may comprise: a proximal end 30P attached to fiber body 20; a central portion 30C including at least one transmission portion 32 aligned with the laser axis L-L; a distal end 30D; and an interior cavity 34 extending between distal end 30D and proximal end 30P. Each element of inner cap 30 is now described.

[0023] Proximal end 30P of inner cap 30 may be attached to fiber body 20 by a first epoxy 80. In FIG. 2, first epoxy 80 is configured to fix the position of inner cap 30 relative to fiber body 20, and/or seal interior cavity 34. For example, first epoxy 80 may be a first epoxy (e.g., a UV cured epoxy). In FIG. 2, first epoxy 80 covers proximal end 30P of inner cap 30 and a distal portion of cladding 24, providing a gradual transition between cap 30 and body 20. One or more surface features may be provided on fiber body 20, cladding 24, and/or cap 30 to promote adhesion with first epoxy 80. For example, the exterior or interior surfaces of the proximal end 30P of inner cap 30 may include surface features configured to promote adhesion with first epoxy 80. Exemplary surface features may include ridges, indentations, protrusions, threads, or like elements configured to provide an expanded surface area engageable with epoxy 80. The exterior surface of fiber body 20 may have complimentary surface features.

[0024] Central portion 30C includes at least one transmission portion 32 configured to pass laser energy 2 therethrough. Interior cavity 34 is sized to receive fiber body 20 so that laser axis L-L is aligned with transmission portion 32. For example, as shown in FIG. 2, inner cap 30 may be composed entirely of a transmission material (e.g., glass) having a constant diameter along fiber axis F-F. In this configuration, laser axis L-L may be aligned with transmission portion 32 in any position where laser energy 2 may be directed through portion 32 from reflective surface 22. According to other aspects, inner cap 30 may be composed of a non-transmission element (e.g., metal) with a variable diameter, and the at least one transmission portion 32 may include a separate transmission material attached to cap 30. In this configuration, laser axis L-L may be aligned with transmission portion 32 in any position where laser energy 2 may be directed through said transmission material from reflective surface 22. However formed, inner cap 30 and at least one transmission portion 32 may provide a continuous exterior surface of cap 30, allowing interior cavity 34 to be sealed off from channels 60 and 70.

[0025] First epoxy 80 may be configured to maintain a separation between the interior surface of inner cap 30 and the exterior surface of fiber body 20. First epoxy 80 may seal interior cavity 34. Once sealed, an insulative element (e.g., an insulating gas) may be placed inside of cavity 34. As shown in FIG. 2, for example, an attachment point 36 may be positioned inside cavity 34 and shaped to surround and/or support at least a portion of distal end 20D of fiber body 20. The attachment point 36 may be formed with a laser energy. For example, inner cap 30 may be made of a first material, and outer cap 40 may formed of a second material, such that a portion of caps 30 and 40 may be fused together with the laser energy (e.g., from a CO.sub.2 laser) to define attachment point 36. Laser energy 2 may pass through attachment point 36 or an opening formed therein along laser axis L-L. According to some aspects, attachment point 36 may divide interior cavity 34 into a proximal sealed portion and a distal sealed portion, allowing different insulative elements to be provided in each sealed portion; or the same element to flow therebetween under direction of heat. Additional attachment points 36 may be formed between cap 30 and 40. Similar points 36 may be formed with first epoxy 80.

[0026] In FIG. 2, the interior and exterior surfaces of distal end 30D have semi-spherical surfaces that are coaxial with fiber axis F-F. The interior semi-spherical surface of distal end 30D may include a coating that directs laser energy 2 back towards fiber body 20, while the exterior semi-spherical surface of distal end 30D may be configured to direct fluid 4 back into distal cavity 70, as described below.

[0027] Outer cap 40 of FIG. 2 surrounds inner cap 30. Cap 40 may comprise: a proximal end 40P attached to inner cap 30; a transfer portion 40T including one or more openings 43; a central portion 40C including an exit port 42 aligned with laser axis L-L; a distal end 40D; and an interior cavity 44 extending between ends 40D and 40P. The elements of cap 60 are now described.

[0028] Proximal end 40P may be attached inner cap 30 by a second epoxy 82. In FIG. 2, second epoxy 82 is configured to fix the position of outer cap 40 relative to inner cap 30, and/or further seal interior cavity 34. The interior diameter of proximal end 40P of cap 40 may be sized relative to the outer diameter of proximal end 30P of cap 30. Second epoxy 82 may have at least one property that is the same or different than that of first epoxy 80. For example, first epoxy 80 may have a thermal resistance and/or elastic modulus greater than that of second epoxy 82. In some aspects, second epoxy 82 may be UV cured epoxy. First and second epoxies 80 and 82 may be cured by any other means, or be the same material.

[0029] In FIG. 2, second epoxy 82 covers proximal end 30P of inner cap 30 and the entirety of first epoxy 80, such that only epoxy 82 is exposed to fluid 4. One or more surface features may be provided on inner cap 30 and/or outer cap 40 to promote adhesion with second epoxy 82. For example, the interior surfaces of the proximal end 30P of inner cap 30 may include surface features (e.g., ridges) configured to promote adhesion with second epoxy 82. The interior surfaces of outer cap 40 and/or the exterior surfaces of first epoxy 80 may include similar surface features. Much like first epoxy 80, second epoxy 82 may be configured to maintain a separation between the interior surface of outer cap 40 and the exterior surface of inner cap 30. First epoxy 80 may be chemically or physically bonded with second epoxy 82 to further maintain this separation. For example, first epoxy 80 may be formulated to meld with second epoxy 82 under application of heat.

[0030] Transfer portion 40T includes one or more openings 43 extending through outer cap 40. The inner and outer diameters of transfer portion 40T are sized to direct fluid 4 into openings 43. Each opening 43 is, for example, located distal of proximal end 40P of outer cap 40, and proximal of a distal end 50D of tube 50. Openings 43 may be any shape (e.g., circles, ovals, and the like); and size (e.g., the same or different sizes). In FIG. 2, outer cap 40 includes at least two openings 43 configured to direct fluid 4 from proximal channel 60 into distal channel 70. Any number of openings 43 may be provided. These at least two openings 43 may, as in FIG. 2, be arranged oppositely along an opening axis O-O that is transverse or perpendicular with fiber axis F-F.

[0031] Central portion 40C includes exit port 42. Interior cavity 44 is sized to receive inner cap 30 so that both the exit port 42 of outer cap 40 and the at least one transmission portion 32 of inner cap 30 are aligned with laser axis L-L. In FIG. 2, exit port 42 is a through-hole that extends completely through outer cap 40, and is configured to discharge laser energy 2 and/or fluid 4 along laser axis L-L. Said through-hole may, for example, be coaxial with laser axis L-L. The diameter of interior cavity 44 at central portion 40C is expanded so as to permit attachment with tube 50, and concentrate a greater amount of fluid 4 adjacent exit port 42, where a majority of the heat may be generated. Exit port 42 may be configured to focus or dissipate fluid 4.

[0032] In FIG. 2, the interior and exterior surfaces of distal end 40D have semi-spherical surfaces coaxial with fiber axis F-F. Distal end 40D may be sized relative to distal end 30D of cap 30. For example, in FIG. 2, the interior semi-spherical surface of distal end 40D of outer cap 40 may be slightly larger than and spaced apart from the exterior semi-spherical of distal end 30D of inner cap 30, defining a return portion of distal flow channel 70.

[0033] As shown in FIG. 2, tube 50 may surround proximal portions of fiber body 20, inner cap 30, and/or outer cap 40. Any type of tubing be used. A distal 50D of tube 50 may be attached to central portion 40C of outer cap 40 at a location distal of one or more openings 43 by any conventional means. As shown in FIG. 1, a proximal end 50P of tube 50 may be engageable with fluid source 16 and configured to direct fluid 4 through first channel 60. Any type of fluid source may be used.

[0034] Proximal and distal flow channels 60 and 70 may be defined by fiber body 20, inner cap 30, outer cap 40, and/or tube 50. For example, in FIG. 2, an interior surface of tube 50 is spaced apart from an exterior surface of fiber body 20 so that proximal flow channel 60 is defined by tube 50 and body 20 as having an annular cross-section about fiber axis F-F. A distal portion of proximal flow channel 60 is configured to direct fluid 4 through transfer portion 40T. The pressure of fluid 4 may be increased in this configuration. For example, as shown in FIG. 2, the interior diameter of tube 50 may be constant, while the outer diameter of distal end 40D may be less than the outer diameter of transfer portion 40T, defining a funnel configured to increase the pressure of fluid 4 as it passes from channel 60 into channel 70.

[0035] As noted above, central portion 40C is sized to concentrate a greater amount of fluid 4 adjacent exit port 42. The interior surfaces of central portion 40C may be configured to direct fluid 4 out of exit port 42 and/or into the return portion of distal flow channel 70. For example, the interior surfaces of transfer portion 40T may include grooves (or like surface features) configured to direct a first portion of fluid 4 out of exit port 42, and second portion of fluid 4 into said return portion. A first set of grooves may, for example, be spiraled about the interior of central portion 40C to circulate a portion of fluid 4 around port 42, while a second set of grooves may extend along fiber axis F-F to circulate another portion of fluid 4 through the return portion of distal channel 70.

[0036] While principles of the present disclosure are described herein with reference to illustrative aspects for particular applications, the disclosure is not limited thereto. Those having ordinary skill in the art and access to the teachings provided herein will recognize additional modifications, applications, aspects, and substitution of equivalents all fall in the scope of the aspects described herein. Accordingly, the present disclosure is not to be considered as limited by the foregoing description.