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公开(公告)号:US20210038300A1
公开(公告)日:2021-02-11
申请号:US16984447
申请日:2020-08-04
Inventor: Sergey A. Bukesov , Kurt G. Shelton , Brian M. Talbot
Abstract: A probe of a target identification system can be extended via a first lumen of a viewing instrument, such as for illuminating an area beyond a distal end of the viewing instrument via an optical path of the viewing instrument. An optical response to the illumination of the area can be received via an optical path of the probe and can be split from other optical signals of the optical path. The optical response information can be used to identify characteristics of a target and to adjust parameters of a working instrument such as a working instrument contemporaneously using the probe.
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公开(公告)号:US20240245289A1
公开(公告)日:2024-07-25
申请号:US18624347
申请日:2024-04-02
Inventor: Kurt G. Shelton , Masayasu Chida , Sergey A. Bukesov , Rachel D. Schnakenberg , Brian M. Talbot
IPC: A61B1/07 , A61B1/05 , A61B1/06 , A61B5/00 , A61B18/00 , A61B18/22 , A61B18/26 , H01S3/10 , H01S3/13
CPC classification number: A61B1/07 , A61B1/05 , A61B1/0638 , A61B1/0669 , A61B1/0684 , A61B5/0071 , A61B5/0084 , A61B5/7257 , A61B18/22 , H01S3/10069 , H01S3/1305 , A61B5/0075 , A61B2018/00482 , A61B2018/00511 , A61B2018/00577 , A61B2018/00589 , A61B2018/00625 , A61B2018/00642 , A61B18/26
Abstract: Systems, devices, and methods for identifying a target during an endoscopic procedure are disclosed. An endoscopic target identification system includes an endoscope having an endoscopic illumination source, an optical fiber insertable through a working channel of the endoscope and coupled to a non-endoscopic illumination source different from the endoscopic illumination source, and a controller. The controller can send a control signal to the non-endoscopic illumination source to emit a diagnostic beam through the optical fiber when the at least one endoscopic illumination source changes from a first mode to a second mode. The second mode has a lower amount of illumination than the first mode. The controller can determine a composition of a target based on the diagnostic beam incident on the target and light from the diagnostic beam being reflected from the target.
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公开(公告)号:US20220079423A1
公开(公告)日:2022-03-17
申请号:US17447017
申请日:2021-09-07
Inventor: Kurt G. Shelton , Jane Bareau , Dennis G. Lamser , Mayur K. Patel , Ann G. McLoughlin , Brian M. Talbot
IPC: A61B1/00 , A61B17/221 , A61B1/307
Abstract: An endoscopic medical apparatus can include an endoscope tip extender such as can be configured to extend longitudinally axially from a distal portion of an endoscope in a tapered arrangement. The tip extender can define a bore such as extending longitudinally axially within the tip extender. The tip extender can include a material that can be at least one of softer or more flexible than a material of the distal portion of the endoscope.
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公开(公告)号:US20210038311A1
公开(公告)日:2021-02-11
申请号:US16984466
申请日:2020-08-04
Inventor: Kurt G. Shelton , Sergey A. Bukesov , Brian M. Talbot
Abstract: Systems, devices, and methods for delivering laser energy to a target in an endoscopic procedure are disclosed. An exemplary method comprises providing a first laser pulse train and a different second laser pulse train emitting from a distal end of an endoscope and incident on a target. The first laser pulse train has a first laser energy level, and the second laser pulse train has a second laser energy level higher than the first laser energy level. In an example, the first laser pulse train is used to form cracks on a surface of a calculi structure, and the second laser pulse train causes fragmentation of the calculi structure after the cracks are formed.
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公开(公告)号:US20210038309A1
公开(公告)日:2021-02-11
申请号:US16947487
申请日:2020-08-04
Inventor: Brian M. Talbot , Sergey A. Bukesov , Kurt G. Shelton , Rachel D. Schnakenberg , Mario Rao
Abstract: Systems, devices, and methods for determining advancement of a surgical laser fiber in an endoscope and providing interlocking feedback for the surgical laser are disclosed. An exemplary method includes directing light from a distal end of an endoscope to a target, optically detecting an amount of the light reflected from the target, transmitting the optically detected amount of light through a laser fiber extending through a working channel of the endoscope, determining, based on the optically detected amount of light, a position of a distal end of the laser fiber relative to the distal end of the endoscope, and generating a control signal to the surgical laser system to adjust laser emission through the laser fiber.
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公开(公告)号:US20210038306A1
公开(公告)日:2021-02-11
申请号:US16947485
申请日:2020-08-04
Inventor: Anne G. McLoughlin , Sergey A. Bukesov , Kurt G. Shelton , Brian M. Talbot , Rachel D. Schnakenberg
Abstract: Systems, devices, and methods for identifying a target in a body using a spectroscopic feedback from the target are disclosed. An exemplary surgical feedback control system comprises a feedback analyzer configured to receive a reflected signal from a target in response to electromagnetic radiation directed at a target, and a controller in operative communication with the feedback analyzer. The controller can generate a control signal to a surgical system to perform a predetermined operation based upon the received reflected signal, including determining a composition of the target, or programming a laser setting to direct laser energy to the target.
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公开(公告)号:US20210038064A1
公开(公告)日:2021-02-11
申请号:US16984456
申请日:2020-08-04
Inventor: Kurt G. Shelton , Masayasu Chida , Sergey A. Bukesov , Rachel D. Schnakenberg , Brian M. Talbot
Abstract: Systems, devices, and methods for identifying a target during an endoscopic procedure are disclosed. An endoscopic target identification system includes an endoscope having an endoscopic illumination source, an optical fiber insertable through a working channel of the endoscope and coupled to a non-endoscopic illumination source different from the endoscopic illumination source, and a controller. The controller can send a control signal to the non-endoscopic illumination source to emit a diagnostic beam through the optical fiber when the at least one endoscopic illumination source changes from a first mode to a second mode. The second mode has a lower amount of illumination than the first mode. The controller can determine a composition of a target based on the diagnostic beam incident on the target and light from the diagnostic beam being reflected from the target.
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公开(公告)号:US20250032186A1
公开(公告)日:2025-01-30
申请号:US18911127
申请日:2024-10-09
Inventor: Kurt G. Shelton , Sergey A. Bukesov , Brian M. Talbot
Abstract: Systems, devices, and methods for delivering laser energy to a target in an endoscopic procedure are disclosed. An exemplary method comprises providing a first laser pulse train and a different second laser pulse train emitting from a distal end of an endoscope and incident on a target. The first laser pulse train has a first laser energy level, and the second laser pulse train has a second laser energy level higher than the first laser energy level. In an example, the first laser pulse train is used to form cracks on a surface of a calculi structure, and the second laser pulse train causes fragmentation of the calculi structure after the cracks are formed.
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公开(公告)号:US20250017453A1
公开(公告)日:2025-01-16
申请号:US18897933
申请日:2024-09-26
Inventor: Brian M. Talbot , Sergey A. Bukesov , Kurt G. Shelton , Anne G. McLoughlin , Rachel D. Schnakenberg
Abstract: A multifiber assembly and methods of using the same in an endoscopic procedure for transmitting illumination light to, and a response signal reflected from, a target is disclosed. An exemplary device comprises a proximal end, and distal end, and a transition section between the proximal and distal ends. The proximal end includes a first connector to be connected to a light source and a second connector configured to be connected to a spectrometer. The distal end includes a shaft including at least two first optical fibers to transmit light and at least one second optical fiber to transmit a spectroscopic signal. The transition section can couple the first connector to the at least two first optical fibers, and to couple the second connector to the at least one second optical fiber.
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公开(公告)号:US20240156527A1
公开(公告)日:2024-05-16
申请号:US18423915
申请日:2024-01-26
Inventor: Sergey A. Bukesov , Kurt G. Shelton , Hiroyuki Kojo , Brian M. Talbot , Vladimir Polejaev
IPC: A61B18/24 , A61B1/00 , A61B1/018 , A61B1/06 , A61B5/107 , A61B18/26 , G01S7/481 , G01S17/08 , H01S5/02251 , H01S5/0683
CPC classification number: A61B18/24 , A61B1/000094 , A61B1/000096 , A61B1/00165 , A61B1/018 , A61B1/0655 , A61B5/1076 , A61B18/26 , G01S7/4813 , G01S17/08 , H01S5/02251 , H01S5/0683 , A61B2018/00642
Abstract: Systems, devices, and methods for determining a distance between a distal end of an endoscope and a target during an endoscopic procedure are disclosed. A surgical laser feedback control system comprises a feedback analyzer and a controller. The feedback analyzer can receive at least two reflected signals from a target in response to electromagnetic radiation directed at the target. The at least two reflected signals correspond to respective different distances between a distal end of a device of a surgical laser system and the target. The feedback analyzer can determine a distance between the distal end of the device of the surgical laser system and the target based on the at least two reflected signals. The controller can generate a control signal to the surgical laser system to perform a predetermined operation based on the determined distance.
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