Optical energy-based methods and apparatus for tissue sealing
Optical energy-based methods and apparatus for sealing vascular tissue involves deforming vascular tissue to bring different layers of the vascular tissue into contact each other and illuminating the vascular tissue with a light beam having at least one portion of its spectrum overlapping with the absorption spectrum of the vascular tissue. The apparatus may include two deforming members configured to deform the vascular tissue placed between the deforming members. The apparatus may also include an optical system that has a light source configured to generate light, a light distribution element configured to distribute the light across the vascular tissue, and a light guide configured to guide the light from the light source to the light distribution element. The apparatus may further include a cutting member configured to cut the vascular tissue and to illuminate the vascular tissue with light to seal at least one cut surface of the vascular tissue.
1. An energy-based instrument for sealing tissue, comprising: an end effector assembly including first and second jaw members pivotably coupled about a pivot, at least one of the first and second jaw members being pivotable relative to the other about the pivot from a first position wherein the first and second jaw members are disposed in spaced relation relative to one another to a second position wherein the first and second jaw members cooperate to deform tissue; and
an optical system configured to illuminate a portion of the deformed tissue with light to seal the illuminated portion of the deformed tissue, the optical system comprising:
a light source configured to generate light;
a light distribution element configured to distribute the light over the portion of the deformed tissue; and
a light guide configured to guide the light from the light source to the light distribution element,
wherein the light distribution element is disposed in the first jaw member,
wherein the light distribution element is further configured to adjust an incident angle of the light with respect to the portion of the deformed tissue,
wherein the first jaw member has an aperture,
wherein the second jaw member includes two sides that define a cavity, to which a light from the light distribution element passes, when the at least one of the first and second jaw members is positioned at the second position, and the cavity is configured such that the light distribution element and the first and second jaw members do not touch the illuminated portion of the deformed tissue when the first and second jaw members are disposed at the second position to deform the tissue.
2. The energy-based instrument of claim 1 , wherein the light distribution element adjusts the incident angle with respect to an axis perpendicular to a surface of the deformed tissue.
3. The energy-based instrument of claim 1 , wherein the light distribution element adjusts the incident angle to create total internal reflection before the tissue is deformed.
4. The energy-based instrument of claim 3 , wherein the light distribution element adjusts the incident angle to create frustrated total internal reflection when the tissue is deformed.
5. The energy-based instrument of claim 1 , wherein the light includes at least one spectral component that is within a range of absorption spectra of the tissue.
6. The energy-based instrument of claim 1 , wherein the light distribution element adjusts the incident angle to control a light penetration depth.
7. The energy-based instrument of claim 1 , further comprising a sensor configured to sense at least one parameter of the light.
8. The energy-based instrument of claim 7 , wherein the at least one parameter of the light is one or more of intensity, frequency, polarization, phase, pulse width, pulse frequency, duty cycle, repetition rate, wave shape, duration of illumination, total exposure of the tissue to the light, or spectra of the light.
9. The energy-based instrument of claim 1 , wherein the light source includes at least one laser.
10. The energy-based instrument of claim 9 , wherein the at least one laser generates light having different wavelengths.
11. The energy-based instrument of claim 9 , wherein the at least one laser is a tunable laser that is tuned to generate light of a desired wavelength.
12. The energy-based instrument of claim 1 , wherein the light distribution element includes at least one lens.
13. The energy-based instrument of claim 1 , wherein the light distribution element includes at least one periodic optical structure.
14. The energy-based instrument of claim 13 , wherein the at least one periodic optical structure is a diffraction grating.
15. The energy-based instrument of claim 14 , wherein the diffraction grating is a Bragg diffraction grating.
16. The energy-based instrument of claim 1 , wherein the light distribution element includes at least one waveguide structure.
17. The energy-based instrument of claim 1 , wherein at least one of the first and second jaw members is coated with an optically-transparent coating with low adhesion to the tissue.
18. The energy-based instrument of claim 17 , wherein the optically-transparent coating is optically-transparent collagen.
19. The energy-based instrument of claim 1 , wherein the second jaw member includes a rounded upper portion.
20. The energy-based instrument of claim 19 , wherein the first jaw member includes a concave lower portion to be mated with the rounded upper portion of the first jaw member.