Abstract An improved configuration for a surgical laser instrument to provide the alternate contact cutting and no-contact coagulating of biological tissues by means of a fiber-optically guided irradiation of a laser is disclosed. This configuration includes instrumentation to enable discrimination between background illumination (i.e. xenon illumination scopes, room lights) and white light produced by the burning of tissue residue at the distal fiber tip. White light is described as a light having a wavelength between 0.3 to 0.9 mm. This improvement has the advantages of preventing background illumination from interfering with operation of a laser equipped with a white light feedback control device. Ultimately, this provides the surgeon with a more predictable laser delivery device which subsequently makes the laser safer to use.
A method of controlling a surgical laser instrument comprising the steps of: generating a laser beam; guiding said laser beam onto biological tissue; detecting radiation emitted by pyrolytic glowing of at least partially carbonized biological tissue and by background illumination wherein said background illumination is intentionally created so as to be only within a very narrow spectral band relative to the spectral band radiation emitted by pyrolytic glowing of biological tissue; separating radiation emitted by pyrolytic glowing from radiation emitted by background illumination; and, controlling the intensity of said laser beam in response to the intensity of radiation detected from the pyrolytic glowing of said biological tissue while excluding radiation detected from background illumination.
Claim 2
Independent Claim
114 words
A method of controlling a surgical laser instrument comprising the steps of: generating a laser beam; guiding said laser beam onto biological tissue; detecting radiation emitted by pyrolytic glowing of at least partially carbonized biological tissue and by background illumination wherein said background illumination is intentionally created so as to be only within a very narrow spectral band relative to the spectral band radiation emitted by pyrolytic glowing of biological tissue; separating radiation emitted by pyrolytic glowing from radiation emitted by background illumination; and, controlling the intensity of said laser beam in response to the intensity of radiation detected from the pyrolytic glowing of said biological tissue while excluding radiation detected from background illumination.
Claim 3
Dependent Claim
24 words
The method according to claim 1 wherein said step of guiding laser beam onto biological tissue is performed by means of a light guide.
Claim 4
Dependent Claim
47 words
The method according to claim 2 wherein in said controlling step the intensity of said laser beam is controlled such that the intensity of the radiation detected in said detecting step does not exceed a level that corresponds to a predetermined destruction threshold of the light guide.
Claim 5
Dependent Claim
21 words
The method according to claim 1 wherein said pyrolytic glowing radiation is within the spectral region between 0.3 and 0.9 μm.