309 results about "Laser surgery" patented technology

The present invention provides an energy delivery device for use with a medical treatment system for the more efficacious treatment of patients during laser surgery which limits the number of uses or prevents reuse of the energy delivery device after a certain threshold limit has been reached. The energy delivery device comprises a diffusing optical fiber and a memory device having data programmed therein and being operatively connected to an energy generator the optical fiber includes a temperature sensor for generating a temperature signal in a closed loop manner. The data stored in the memory device includes a multiplicity of use parameters, usage limits, usage counts, and count limits all relating to the properties of the medical treatment system. The use parameters may include an elapsed time, a total treatment time, and a number of treatment sites. A main processor is also included for calculating a temperature from the temperature signal and for updating the use parameters in response to data received by the main processor. The main processor is also used to compare the use parameters to their corresponding usage limits. The main processor can create and increment a usage count when at least one of the use parameters exceeds its corresponding usage limit. Thereafter, the main processor compares the usage count to the count limit and disables the energy delivery device when the usage count exceeds a predetermined count limit.

Failure events detected by a laser surgery monitoring feedback circuit are analyzed in order to distinguish between events that result from fiber breakdown and those arising from other sources, such as burning of tissues. If the number of failure events within a predetermined time exceeds a predetermined count, then it is determined that the radiation is the result of fiber breakdown. If the number of failure events within the predetermined time is less than the predetermined count, then it is determined that the failure events result from other causes, such as heating of tissues by the laser. Based on the analysis, an override switch or alarm may be initiated.

A laser-based method and apparatus for corneal surgery. The present invention is intended to be applied primarily to ablate organic materials, and human cornea in particular. The invention uses a laser source which has the characteristics of providing a shallow ablation depth (0.2 microns or less per laser pulse), and a low ablation energy density threshold (less than or equal to about 10 mJ / cm2), to achieve optically smooth ablated corneal surfaces. The preferred laser includes a laser emitting approximately 100–50,000 laser pulses per second, with a wavelength of about 198–300 nm and a pulse duration of about 1–5,000 picoseconds. Each laser pulse is directed by a highly controllable laser scanning system. Described is a method of distributing laser pulses and the energy deposited on a target surface such that surface roughness is controlled within a specific range. Included is a laser beam intensity monitor and a beam intensity adjustment means, such that constant energy level is maintained throughout an operation. Eye movement during an operation is corrected for by a corresponding compensation in the location of the surgical beam. Beam operation is terminated if the laser parameters or the eye positioning is outside of a predetermined tolerable range. The surgical system can be used to perform surgical procedures including removal of corneal scar, making incisions, cornea transplants, and to correct myopia, hyperopia, astigmatism, and other corneal surface profile defects.

A universal gonioscope-contact lens system suitable for both diagnostics and / or intraocular laser surgery that consists of a conical gonioscope body with a plurality of mirrors on the inner side of the body and a contact lens that consists of a contact lens portion intended for contact with the patient's eye cornea and a rear main optical portion that may have any arbitrary shape, provided that it has beveled flat surfaces arranged perpendicular to the beams reflected from the gonioscope mirrors. The aforementioned rear main optical portion can be conveniently used for manipulating the contact lens and for arranging optical lens components such as a concave lens and convex lens. The convex lens component may be used for focusing a laser beam, while the flat areas and the concave lens can be used respectively for delivery and diverging of the illumination light. The contact lens portion can be made from a material softer than the main optical portion. The entire assembly can be disposable as a whole or the contact lens portion may have disposable soft inserts attachable to the front end of the contact lens and selectively used to match the curvature of the patient's eye cornea.