Xintec Corporation

Garrett Lee

John L Rink

Dan L Rink

A laser heated cautery cap assembly includes a catheter assembly adapted to be introduced into a lumen, such as an arterial opening. The catheter assembly includes at least one optical fiber connected to a laser light source adapted to produce short output bursts. A cautery cap at the catheter distal end includes a transparent substrate member disposed to receive the laser energy from the optical fiber(s). The substrate member preferably is formed of a crystalline solid having a smooth, curved outer surface, with a central guidewire bore extending therethrough. One end of the bore is provided with a tapering counterbore, and the opposite end of the substrate member is an input surface disposed to receive laser energy from the optical fiber. A nose piece includes a central guidewire bore coaxial with the substrate member bore, the nose piece including a tapered proximal end dimensioned to fit within the counterbore of the substrate. The substrate counterbore and bore surfaces, and major portions of the curved outer surface are coated with a highly reflective material, and another portion of the outer surface is coated with a material which absorbs the laser energy and is heated thereby. The input surface of the substrate receives laser illumination from the optical fiber(s) and conducts it to the counterbore surface, which reflects the light internally to the absorptive coating portion. Thus a portion of the cap structure is heated, while the nose piece and the remainder of the substrate surface remains relatively cool.

Laser heated cautery cap with transparent substrate

An apparatus for selectively directing a laser beam into a plurality of optical fibers and for selectively shifting the laser beam among the fibers includes a connector member having a plurality of passages extending longitudinally therethrough, the passages being disposed in a nominal common plane. The input end of each optical fiber extends through a respective passage, with the axes of the input ends spaced closely together and oriented parallel to the axis of a laser beam directed toward the input ends. The laser beam passes through a positive lens having a focal plane coincident with the input ends of the optical fibers. An axially translatable shaft extends generally perpendicular to the nominal plane and to the beam axis, and is coupled to drive means to shift the axial position of the shaft selectively, rapidly, and reiteratively. A plurality of transparent, planar refracting panels are secured to the shaft in close axial spacing, the refracting panels oriented at differing tangential angles with respect to the shaft and disposed to be translated through the beam axis as the shaft translates to refract the laser beam parallel to the beam axis and offset therefrom sufficiently to direct the beam into an input end of a selected optical fiber.

Apparatus for directing a laser beam into optical fibers

An improved laser heated intravascular cautery cap construction includes a generally cylindrical outersidewall, and a tappered, annular, distal end wall joining the two sidewalls and defining a closed annular space therebetween. A bore extending axially through the inner sidewall is dimentioned to receive in freely sliding fashion an arterial guidewire or other device such as a doppler flow sensor or an optical bundle for viewing. A unitary or multi-segment annular target element is received within the distal portion of the annular space, and is secured to the outer sidewall adjacent to the end wall with a gap defined between the target element and the inner sidewall. A plurality of holes extend through a connector member parallel to the axis of the sidewalls, each hole receiving therethrough one of a plurality of optical fibers extending through the arterial catheter to a laser light source. Each fiber is aimed at one segment or portion of the target element, so that the fibers may be illuminated selectively to heat the respective portion or segment and the adjacent outer sidewall and distal end wall portions. The air gap defined between the target disc segments and the inner sidewall prevents conduction to the inner sidewall. In a further embodiment, the inner sidewall is lined with a sleeve to further limit heating of the arterial guidewire extending therethrough.

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Piedmont, CA, United States of America

Garrett Lee