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公开(公告)号：US5257989A
公开(公告)日：1993-11-02
申请号：US820303
申请日：1992-01-13
Applicant: Enrique M. Celaya , Gerald M. Mitchell , Richard G. Caro , Nubar Manoukian
Inventor： Enrique M. Celaya , Gerald M. Mitchell , Richard G. Caro , Nubar Manoukian
CPC classification number: A61B18/24
Abstract: A method and apparatus for minimizing damage to an optical fiber used as part of a laser radiation delivery system are disclosed. The apparatus includes the use of a spacer positioned adjacent the tip of the fiber to minimize the impact on the fiber tip of debris and vapor generated by exposure of a tissue target to high energy radiation. The end of the apparatus is configured to vent debris and vapor from the end of the tip to reduce damage. The fiber tip may also be annealed to enhance its resistance to damage. The method includes the step of spacing the fiber tip at a predetermined distance from the tissue target during exposure of the tissue target to laser radiation, and may include venting the debris created away from the fiber end. The method may further include the step of providing an annealed fiber tip.
Abstract translation: 公开了一种使用作激光辐射传送系统的一部分的光纤的损伤最小化的方法和装置。 该装置包括使用邻近纤维末端定位的间隔件，以最小化通过将组织靶暴露于高能量辐射而产生的碎屑和蒸气对纤维尖端的影响。 设备的末端被配置为从尖端的端部排出碎屑和蒸汽以减少损坏。 纤维尖端也可以退火以增强其对损伤的抵抗力。 该方法包括在将组织靶标暴露于激光辐射期间将纤维尖端与组织靶标隔开预定距离的步骤，并且可以包括排出远离纤维端的碎片。 该方法还可以包括提供退火的纤维尖端的步骤。
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公开(公告)号：US4711526A
公开(公告)日：1987-12-08
申请号：US882485
申请日：1986-07-07
Applicant: David Hennings , Nubar Manoukian
Inventor： David Hennings , Nubar Manoukian
CPC classification number: H01S3/005 , A61F9/008 , A61F9/00821 , A61F9/00823 , B23K26/06 , B23K26/0604 , B23K26/064 , B23K26/0643 , B23K26/0652 , A61B2018/204
Abstract: An apparatus is disclosed for attenuating the beam of a laser. The apparatus is particularly suited for situations where a low powered aiming beam is necessary to be coaxially aligned with a full power working beam. The apparatus includes a refractive element having a pair of spaced-apart, parallel faces. A mounting arrangement is provided for selectively moving the refractive element into and out of the path of the full power laser beam. The refractive element is mounted such that when it is moved into the path of the laser beam, the beam will be split into primary and secondary beams. The primary beam will exit the refractive element along a path displaced from the incoming beam. The power of this exiting primary beam can be captured through a beam dump. The secondary beam is a product of at least two internal reflections within the refractive element. The secondary beam is highly attenuated and travels along the same path as the incoming beam. The secondary beam may be used for aiming since the full power beam will travel along the same path as the attenuated beam after the refractive element is moved out of its path.
Abstract translation: 公开了用于衰减激光束的装置。 该装置特别适用于低功率瞄准光束与全功率工作光束同轴对准的情况。 该装置包括具有一对间隔开的平行面的折射元件。 提供了用于选择性地将折射元件移入和移出全功率激光束的路径的安装布置。 折射元件被安装成使得当其移动到激光束的路径中时，光束将被分裂成主光束和次光束。 主光束将沿着从入射光束移位的路径离开折射元件。 这个退出的主光束的能量可以通过光束转储来捕获。 次级光束是折射元件内的至少两个内部反射的乘积。 次级光束被高度衰减并沿与入射光束相同的路径传播。 次光束可以用于瞄准，因为在折射元件移出其路径之后，全功率光束将沿着与衰减光束相同的路径行进。
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公开(公告)号：US4732460A
公开(公告)日：1988-03-22
申请号：US881135
申请日：1986-07-01
Applicant: Kalman Kele , Nubar Manoukian
Inventor： Kalman Kele , Nubar Manoukian
CPC classification number: A61B18/20 , B23K26/035 , B23K26/067
Abstract: The subject invention relates to an apparatus for selectively intercepting and redirecting a beam from a laser. The apparatus is particularly suited for use in a photocoagulator having an argon laser and a dye laser which are rigidly mounted to a housing. A set of fixed optical elements are provided for directing the beam of the argon laser to the cavity of the dye laser to pump the dye laser. The subject apparatus selectively intercepts and redirects the argon laser beam from its initial path to the dye laser to an alternative path out of the photocoagulator. In this manner, the wavelengths available from the argon laser can also be utilized to perform surgery. The apparatus for selecting the argon beam includes a pivotally mounted frame which is easily aligned and can reliably maintain that alignment.
Abstract translation: 本发明涉及用于选择性地拦截和重定向来自激光束的光束的装置。 该装置特别适用于具有刚性地安装到壳体的氩激光器和染料激光器的光凝器。 提供了一组固定光学元件，用于将氩激光束引导到染料激光器的腔体以泵送染料激光器。 主题装置选择性地拦截并将氩激光束从其初始路径重定向到染料激光器到光凝器之外的替代路径。 以这种方式，也可以使用从氩激光器获得的波长进行手术。 用于选择氩气束的设备包括可枢转地安装的框架，其容易对准并且可以可靠地保持该对准。
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公开(公告)号：US5304172A
公开(公告)日：1994-04-19
申请号：US16768
申请日：1993-02-11
Applicant: Nubar Manoukian , Kalman Kele , James R. Kermode
Inventor： Nubar Manoukian , Kalman Kele , James R. Kermode
IPC: A61B17/00 , A61B17/32 , A61B18/24 , A61B19/00 , A61B5/0215
CPC classification number: A61B18/24 , A61B17/320016 , A61B2017/0046 , A61B2090/0813
Abstract: A fiber optic probe is disclosed for delivering laser radiation from a medical laser system to a treatment site. The probe includes a handpiece having an axial channel. The axial channel includes an intermediate mating region of reduced diameter. A tip piece having a fiber located therein is mounted on the front end of the handpiece. The input end of the fiber is mounted in a ferrule which is received in the reduced diameter mating region of the handpiece. A tail piece which includes an optical fiber is mounted at the rear end of the handpiece. The delivery end of the fiber in the tail piece is mounted in a ferrule and is also received in the mating region of the handpiece. The two ferrules are spring biased together to maximize coupling efficiency. The mating region is spaced from the front end of the handpiece so that the force on the mating region, caused by the torque imparted to the tip piece during use, is less than it would be if the mating region were located at the front end whereby the coupling efficiency is maintained. The handpiece is designed to be reused after sterilization in an autoclave.
Abstract translation: 公开了一种用于将激光辐射从医疗激光系统传送到治疗部位的光纤探针。 探头包括具有轴向通道的手柄。 轴向通道包括直径减小的中间配合区域。 具有位于其中的纤维的尖端件安装在手持件的前端上。 纤维的输入端安装在套筒中，套圈被容纳在手持件的直径缩小的配合区域中。 包括光纤的尾片安装在手持件的后端。 尾片中的纤维的输送端安装在套圈中，并且还被容纳在手持件的配合区域中。 两个套圈弹簧偏置在一起以最大化耦合效率。 配合区域与手持件的前端间隔开，使得在使用期间由施加到尖端件的扭矩引起的配合区域上的力小于如果配合区域位于前端处的那样，由此 保持耦合效率。 手机设计为在高压灭菌器中灭菌后重新使用。
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Patent Agency Ranking
公开(公告)号：US5171242A
公开(公告)日：1992-12-15
申请号：US604585
申请日：1990-10-26
Applicant: David A. Dewey , Nubar Manoukian
Inventor： David A. Dewey , Nubar Manoukian
CPC classification number: A61F9/00823 , A61F9/008 , A61F9/00821 , A61F2009/00863 , A61F9/009
Abstract: A novel retinal photocoagulator is described, having a laser for generating a beam of laser radiation and a beam delivery system for delivering the laser beam to the surface of the retina. The delivery system includes a lens system for varying the spot size of the beam at the surface of the retina which is operable in two alternate modes over a given range of spot sizes, wherein one of the modes varies the size of the spot while maintaining the beam in a focused condition at the retina, and wherein the other mode varies the size of the spot at the retina by altering it focal point.
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公开(公告)号：US20080108945A1
公开(公告)日：2008-05-08
申请号：US11873228
申请日：2007-10-16
Applicant: Aaron Kaplan , Jordan Bajor , Nubar Manoukian
Inventor： Aaron Kaplan , Jordan Bajor , Nubar Manoukian
IPC: A61M25/088 , A61M25/09
CPC classification number: A61M25/0662 , A61B17/3421 , A61B17/3478 , A61B2017/00243 , A61B2017/3484 , A61B2017/3488 , A61M25/0606 , A61M25/065 , A61M2025/0233 , A61M2025/0286 , A61M2210/122
Abstract: An access tube is used for accessing an anatomic space, such as a pericardial space between the parietal and visceral pericardia. The access tube is advanced against the parietal pericardium and an anchor structure thereon embedded into the parietal pericardium. The access tube can then be used to separate the parietal and visceral pericardia and enlarge the pericardial space. After such enlargement, a needle or other access device can be introduced through the access tube into the pericardial space to provide access for a wide variety of purposes, including aspiration, infusion, and guidewire placement.
Abstract translation: 进入管用于接近解剖空间，例如顶叶和内脏心包之间的心包空间。 进入管相对于顶叶心包前进，其上锚固结构嵌入顶叶心包中。 然后可以使用进入管分离顶叶和内脏心包并扩大心包空间。 在这样的放大之后，可以通过入口管将针或其他进入装置引入心包空间，以提供用于各种目的的通路，包括抽吸，输液和导丝放置。
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公开(公告)号：US5772657A
公开(公告)日：1998-06-30
申请号：US781933
申请日：1997-01-08
Applicant: Michael Hmelar , Nubar Manoukian
Inventor： Michael Hmelar , Nubar Manoukian
CPC classification number: A61B18/22 , A61B2018/2272
Abstract: A side firing fiber optic probe is disclosed. The delivery end of the probe is provided with an angled face oriented to totally internally reflect the treatment beam out of the side surface of the fiber in a direction transverse to the longitudinal axis thereof. The delivery end of the probe is further configured to reduce secondary reflections which occur as the light strikes the side surface of the fiber. This result can be achieved by modifying the shape of the cladding material which surrounds the fiber core. In one approach, the ratio of the diameters of the clad to the core is increased. Other specific cladding configurations for reducing reflections can be used. In a further alternative, the surface of a glass capillary which surrounds the fiber can be optically coupled to the fiber. Each of these approaches functions to reduce unwanted light leakage from the fiber. In another aspect of the probe design, a stainless steel shield is provided which functions to protect the capillary and the fiber against cavitation effects which occur during use.
Abstract translation: 公开了一种侧面发射光纤探针。 探针的输送端设置有倾斜面，其定向成在与其纵向轴线横切的方向上将处理束全部内反射出纤维的侧表面。 探针的输送端进一步构造成减少当光照射到纤维的侧表面时发生的次级反射。 该结果可以通过改变围绕纤维芯的包层材料的形状来实现。 在一种方法中，包层与芯的直径的比率增加。 可以使用用于减少反射的其它具体的包层结构。 在另一替代方案中，围绕纤维的玻璃毛细管的表面可以光学耦合到纤维。 这些方法中的每一个都起到减少来自光纤的不必要的光泄漏的作用。 在探针设计的另一方面，提供了不锈钢护罩，其用于保护毛细管和纤维免于使用期间发生的气蚀效应。
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公开(公告)号：US5395360A
公开(公告)日：1995-03-07
申请号：US200223
申请日：1994-02-23
Applicant: Nubar Manoukian
Inventor： Nubar Manoukian
CPC classification number: G02B6/3849 , A61B18/22 , A61B2090/0813
Abstract: An approach for sterilizing and reusing a fiber optic probe is disclosed. The fiber optic probe includes an input end having an axially projecting stem containing the input face of the fiber. Prior to sterilization, a cap member is mounted on the stem to prevent damage by the pressurized steam encountered in an autoclave. After being sterilized, the probe is brought to the operating theater. The sterilized probe is transferred to the sterile field while the stem and cap member are extended beyond the sterile field. The cap member is then removed and the input end of the probe is connected to the source of laser radiation. Using this approach, the probe can be sterilized without damage and reused without contaminating the sterile field.
Abstract translation: 公开了一种灭菌和再利用光纤探头的方法。 光纤探头包括具有包含光纤的输入面的轴向突出的杆的输入端。 在灭菌之前，帽部件安装在杆上以防止在高压釜中遇到的加压蒸汽的损坏。 灭菌后，将探头带到手术室。 将灭菌的探针转移到无菌区域，同时将茎和盖构件延伸超出无菌区域。 然后去除盖构件，并且探头的输入端连接到激光辐射源。 使用这种方法，探针可以灭菌而不会损坏和重复使用，而不会污染无菌区域。
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公开(公告)号：US5300066A
公开(公告)日：1994-04-05
申请号：US905125
申请日：1992-06-23
Applicant: Nubar Manoukian , James L. Hobart , Kenneth Witte
Inventor： Nubar Manoukian , James L. Hobart , Kenneth Witte
CPC classification number: A61B18/24
Abstract: A method and apparatus for minimizing damage to an optical fiber used as part of a laser radiation delivery system are disclosed. The apparatus includes the use of a spacer positioned adjacent the tip of the fiber to minimize the impact on the fiber tip of debris and vapor generated by exposure of a tissue target to high energy radiation. The end of the apparatus is configured to vent debris and vapor from the end of the tip to reduce damage. The fiber tip may also be annealed to enhance its resistance to damage. The buffer material may also be stripped from the delivery end of the fiber so that the inner diameter of the outer support can be narrowed. An epoxy resin is injected into the space between the uncoated fiber and the support to stabilize the fiber and prevent it from bending. The delivery end of the fiber can also be enlarged to shield the remainder of the fiber from debris and vapor.
Abstract translation: 公开了一种使用作激光辐射传送系统的一部分的光纤的损伤最小化的方法和装置。 该装置包括使用邻近纤维末端定位的间隔件，以最小化通过将组织靶暴露于高能量辐射而产生的碎屑和蒸气对纤维尖端的影响。 设备的末端被配置为从尖端的端部排出碎屑和蒸汽以减少损坏。 纤维尖端也可以退火以增强其对损伤的抵抗力。 缓冲材料也可以从纤维的输送端剥离，使得外支撑体的内径可以变窄。 将环氧树脂注入到未涂覆的纤维和载体之间的空间中，以稳定纤维并防止其弯曲。 纤维的输送端也可以被扩大以屏蔽纤维的其余部分不被碎屑和蒸气。
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