IP Library Granted Patent US 10,039,604
Granted Patent B2
US 10,039,604 · App. 15/664,515 · Granted Aug 7, 2018

Surgical laser systems and laser lithotripsy techniques

Inventors: Wen-Jui Ray Chia (Sunnyvale, CA); Rongwei Jason Xuan (Fremont, CA); Thomas C. Hasenberg (Campbell, CA); Jian James Zhang (Santa Clara, CA); Steven Yihlih Peng (Fremont, CA); Danop Rajabhandharaks (Santa Clara, CA)
Assignee: Boston Scientific Scimed, Inc.
A61B18/26A61B1/00009A61B1/307A61B5/0084A61B5/20A61B5/0051A61B5/0075A61B2017/00061A61B2017/00172A61B2018/0088A61B2018/00511A61B2018/00517A61B2018/00642A61B2018/00732A61B2018/00982A61B2018/207A61B2505/05A61B2562/223
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Quick Facts
Patent No.
US 10,039,604
App. No.
15/664,515
Granted
Aug 7, 2018
Kind
B2
Abstract

A system may include a stone analyzer, a controller, a laser generator, and a beam combiner. The stone analyzer may be configured to generate an output relating to a natural or resonance frequency of a kidney or bladder stone. The controller may be configured to determine the natural or resonance frequency of the stone based on the output from the stone analyzer, and match a resultant pulse repetition rate with the natural or resonance frequency. The laser generator may be configured to generate at least two laser pulse trains, with each laser pulse train including laser pulses at a pulse repetition rate. The beam combiner may be configured to combine the at least two laser pulse trains into a combined laser pulse train including laser pulses at the resultant pulse repetition rate.

Claims (37)

1. A system comprising:

a first laser generator configured to generate a first laser pulse train;

a second laser generator configured to generate a second laser pulse train;

a beam combiner configured to combine the first and second laser pulse trains into a combined laser pulse train including laser pulses at a resultant pulse repetition rate;

an analyzer configured to receive a portion of the combined laser pulse train reflected from a kidney or bladder stone, and generate an output relating to a natural or resonance frequency of the kidney or bladder stone; and

a controller configured to determine the natural or resonance frequency of the kidney or bladder stone based on the output from the analyzer, and match the resultant pulse repetition rate with the natural or resonance frequency.

2. The system of claim 1 , further comprising a laser probe configured to discharge the combined laser pulse train towards the kidney or bladder stone.

3. The system of claim 1 , wherein each of the first and second laser pulse trains includes laser energy at a different wavelength.

4. The system of claim 1 , wherein each of the first and second laser pulse trains includes laser energy at a different power level.

5. The system of claim 1 , wherein a pulse repetition rate of each of the first and second laser pulse trains is different.

6. The system of claim 1 , wherein each laser pulse in the combined laser pulse train is temporally offset from another laser pulse in the combined laser pulse train.

7. The system of claim 1 , wherein each laser pulse in each of the first and second laser pulse trains includes a pulse width less than 1 millisecond.

8. The system of claim 7 , wherein a pulse repetition rate of each of the first and second laser pulse trains covers the lifespan of a plasma cloud.

9. The system of claim 7 , wherein a pulse repetition rate of each of the first and second laser pulse trains is greater than 1 gigahertz.

10. The system of claim 1 , wherein the output includes at least a size of the kidney or bladder stone, a length of the kidney or bladder stone, a composition of the kidney or bladder stone, or a vibration frequency of the kidney or bladder stone.

11. A system comprising:

a controller configured to:

instruct a first laser generator to generate a first laser pulse train;

instruct a second laser generator to generate a second laser pulse train;

instruct a beam combiner to combine the first and second pulse trains into a combined laser pulse train including laser pulses at a resultant pulse repetition rate;

receive an output from an analyzer, wherein the analyzer receives a portion of the combined laser pulse train reflected from a kidney or bladder stone;

determine a natural or resonance frequency of the kidney or bladder stone based on the output from the analyzer; and

match the resultant pulse repetition rate with the natural or resonance frequency.

12. The system of claim 11 , wherein the first and second laser pulse trains each has a wavelength from 300 nanometers to 20,000 nanometers.

13. The system of claim 12 , wherein the first and second laser pulse trains each has a power level from 1 millijoule to 10,000 millijoules.

14. The system of claim 13 , wherein each laser pulse in each of the first and second laser pulse trains has a pulse width from 1 picosecond to 10 milliseconds.

15. The system of claim 14 , wherein a pulse repetition rate of each of the first and second laser pulse trains is from 0.1 hertz to 10 gigahertz.

16. A method comprising:

generating, with first and second laser generators, first and second laser pulse trains, respectively; and

combining, with a beam combiner, the first and second laser pulse trains into a combined laser pulse train including laser pulses at a resultant pulse repetition rate;

receiving, at an analyzer, a portion of the combined laser pulse train reflected from a kidney or bladder stone;

generating, with the analyzer, an output relating to a measured natural or resonance frequency of the kidney or bladder stone;

receiving, at a controller, the output relating to a natural or resonance frequency of the kidney or bladder stone from the analyzer;

determining, with the controller, the natural or resonance frequency of the kidney or bladder stone based on the output; and

matching, with the controller, the resultant pulse repetition rate with the natural or resonance frequency of the kidney or bladder stone.

17. The method of claim 16 , further comprising:

discharging, with a laser probe, the combined laser pulse train towards the kidney or bladder stone.

Continuity (4)
Continuation 14387310
Provisional Application 61623256 · Apr 12, 2012
Provisional Application 61726713 · Nov 15, 2012
Related Publication 20170325890A1 · Nov 16, 2017
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