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公开(公告)号:US11622808B2
公开(公告)日:2023-04-11
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:US20230081712A1
公开(公告)日:2023-03-16
申请号:US18057306
申请日:2022-11-21
Inventor: Kurt G. Shelton , Tailin Fan
Abstract: Systems and methods for controlling an irrigation flow rate during a lithotripsy procedure are provided. The system includes a laser configured for lithotripsy procedure, a lithotripsy irrigation system, and a temperature sensor configured to provide input to enable control of a flow of the lithotripsy irrigation system in response to a change in temperature from the operation of the laser.
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公开(公告)号:US20220028078A1
公开(公告)日:2022-01-27
申请号:US17378436
申请日:2021-07-16
Inventor: Kurt G. Shelton , Sergey A. Bukesov
Abstract: Systems, devices, and methods for endoscopic mapping of a target and tracking of endoscope locations inside a subject's body during a procedure are disclosed. An exemplary system comprises an imaging system configured to capture an endoscopic image of the target that includes a footprint of an aiming beam directed at the target, and a video processor configured to identifying one or more landmarks from the captured endoscopic image and determine their respective locations relative to the aiming beam footprint, and generate a target map by integrating a plurality of endoscopic images based on landmarks identified from one or more of the plurality of endoscopic images. The target map can be used to track endoscope location during an endoscopic procedure.
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公开(公告)号:US20210338325A1
公开(公告)日:2021-11-04
申请号:US17376958
申请日:2021-07-15
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:US20210338045A1
公开(公告)日:2021-11-04
申请号:US17241212
申请日:2021-04-27
Inventor: Peter J. Crowley , Kurt G. Shelton , Thomas J. Holman
IPC: A61B1/00 , A61B1/05 , A61B1/06 , A61B1/005 , A61B17/32 , A61B18/02 , A61B10/02 , A61M13/00 , A61B18/14 , A61B1/012
Abstract: A modular endoscope system comprises an exoskeleton, a camera unit couplable to the exoskeleton, a therapeutic unit couplable to the exoskeleton, a steering unit couplable to the exoskeleton, and a control unit couplable to the exoskeleton. A method for building a modular endoscope comprises determining camera and therapeutic capabilities of the endoscope, selecting an exoskeleton for the endoscope, attaching a camera unit and therapeutic unit, if such capabilities are determined, to the selected exoskeleton to satisfy the determined capabilities, and attaching a control unit to the exoskeleton to control any camera unit and therapeutic unit attached to the exoskeleton. A method of processing modular endoscope components for performing a surgical procedure comprises identifying a patient to receive a treatment, selecting components of the endoscope to perform the treatment, treating the patient with the endoscope, and deconstructing the components of the endoscope into reusable and disposable components.
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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:US12222549B2
公开(公告)日:2025-02-11
申请号:US17934636
申请日:2022-09-23
Inventor: Kurt G. Shelton
IPC: G02B6/26 , A61B1/00 , A61B1/06 , A61B1/07 , G01D5/353 , G02B6/02 , G02B6/24 , G02B23/24 , G02B27/42
Abstract: An endoscope can include an elongated endoscope body. An optical fiber can extend along the endoscope body. The optical fiber can direct therapeutic light and illumination light longitudinally along the optical fiber to a distal portion of the endoscope body. The therapeutic light and the illumination light can have different wavelengths. A wavelength-sensitive light separator, disposed at a distal portion of the optical fiber, can direct the illumination light to exit the optical fiber laterally through a lateral side of the optical fiber at the distal portion of the optical fiber and permit the therapeutic light to exit the optical fiber longitudinally through a distal end of the optical fiber. Examples of suitable wavelength-sensitive light separators can include one or more fiber Bragg gratings that can be obliquely angled, or a diffraction grating disposed on a lateral edge of a length of coreless fiber.
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公开(公告)号:US20240261025A1
公开(公告)日:2024-08-08
申请号:US18625166
申请日:2024-04-02
Inventor: Anne G. McLoughlin , Sergey A. Bukesov , Kurt G. Shelton , Brian M. Talbot , Rachel D. Schnakenberg , Kimbolt Young
CPC classification number: A61B18/22 , A61B5/0022 , A61B5/0075 , A61B5/0084 , A61B5/4869 , A61B2018/00482 , A61B2018/00511 , A61B2018/00577 , A61B2018/00589 , A61B2018/00625 , A61B2018/00642 , A61B18/26
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:US20240252244A1
公开(公告)日:2024-08-01
申请号:US18610919
申请日:2024-03-20
Inventor: Sergey A. Bukesov , Rachel D. Schnakenberg , Kurt G. Shelton , Brian M. Talbot
CPC classification number: A61B18/26 , A61B1/000094 , A61B1/0655 , A61B18/20 , A61B2018/00696 , A61B2018/00982 , A61B2018/2015 , A61B2018/2065 , A61B2018/2272
Abstract: Systems, devices, and methods for identifying different structure types with distinct composition in vivo and adjusting surgical laser output accordingly in a medical procedure are disclosed. An exemplary laser treatment system comprises a laser system configured to generate a laser beam for delivery to a target in a body, and a controller circuit configured to receive a signal reflected from the target in response to electromagnetic radiation produced by a light source, and generate one or more spectroscopic properties from the reflected signal. The controller circuit can identify the target as one of a plurality of structure types, such as tissue types or calculi types with respective compositions, using the one or more spectroscopic properties. The laser system can be controlled to operate in an operating mode based on the target identification.
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公开(公告)号:US20240081613A1
公开(公告)日:2024-03-14
申请号:US18516232
申请日:2023-11-21
Inventor: Kurt G. Shelton , Sergey A. Bukesov
CPC classification number: A61B1/000094 , A61B1/0005 , A61B1/00147 , A61B5/0075 , A61B5/06 , G06T3/20 , G06T3/4084 , G06T3/60 , G06T7/0014 , G06T2207/10016 , G06T2207/10068 , G06T2207/20101 , G06T2207/30004
Abstract: Systems, devices, and methods for endoscopic mapping of a target and tracking of endoscope locations inside a subject's body during a procedure are disclosed. An exemplary system comprises an imaging system configured to capture an endoscopic image of the target that includes a footprint of an aiming beam directed at the target, and a video processor configured to identifying one or more landmarks from the captured endoscopic image and determine their respective locations relative to the aiming beam footprint, and generate a target map by integrating a plurality of endoscopic images based on landmarks identified from one or more of the plurality of endoscopic images. The target map can be used to track endoscope location during an endoscopic procedure.
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