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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:US20230190374A1
公开(公告)日:2023-06-22
申请号:US18168937
申请日:2023-02-14
Inventor: Kurt G. Shelton , Sergey A. Bukesov , Brian M. Talbot
CPC classification number: A61B18/26 , A61B17/00234 , A61B18/22
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:US20210038310A1
公开(公告)日:2021-02-11
申请号:US16947488
申请日:2020-08-04
Inventor: Sergey A. Bukesov , Kurt G. Shelton , Hiroyuki Kojo , Brian M. Talbot
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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公开(公告)号:US20210038307A1
公开(公告)日:2021-02-11
申请号:US16984440
申请日:2020-08-04
Inventor: Kurt G. Shelton , Masayasu Chida , Sergey A. Bukesov , Brian M. Talbot , Vladimir Polejaev
IPC: A61B18/22
Abstract: A lithotripsy or other medical laser treatment system can include a lateral actuator to laterally displace a distal portion of a laser fiber, such as can be scanned or otherwise controlled to generate a spatial or spatiotemporal sub-targeting pattern without requiring laterally moving an endoscope carrying the laser fiber in a longitudinal passage such as a working channel. A targeted stone can be selectively weakened along the pattern, such as using lower energy pulses, before being fragmented, such as by a higher energy shock pulse.
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公开(公告)号:US20250072964A1
公开(公告)日:2025-03-06
申请号:US18951619
申请日:2024-11-18
Inventor: Sergey A. Bukesov , Kurt G. Shelton , Brian M. Talbot
IPC: A61B18/18 , A61B18/00 , A61B18/20 , A61B18/22 , A61B18/26 , G02B27/12 , G02B27/14 , H04B10/25 , H04B10/50 , H04B10/60
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:US20230310076A1
公开(公告)日:2023-10-05
申请号:US18332072
申请日:2023-06-09
Inventor: Sergey A. Bukesov , Kurt G. Shelton , Brian M. Talbot
CPC classification number: A61B18/18 , G02B27/123 , G02B27/141 , H04B10/25 , H04B10/503 , H04B10/60 , A61B2018/20355
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:US20230248432A1
公开(公告)日:2023-08-10
申请号:US18305605
申请日:2023-04-24
Inventor: Anne G. McLoughlin , Sergey A. Bukesov , Kurt G. Shelton , Brian M. Talbot , Rachel D. Schnakenberg
CPC classification number: A61B18/22 , A61B5/0075 , A61B5/0084 , A61B5/4869 , A61B5/0022 , A61B2018/00642
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: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: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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