Refractive Laser Research & Development Program, Ltd.

Refractive Laser Research and Development, Inc.

Robert H Poirier

John Martin Taboada

Apparatus is provided for effecting medical or dental surgery, and to a related method. A subject body on which surgery is to be performed has a reference thereon or therein identified, such as a layer in the cornea, or a surface of a tooth. A handpiece contains a variable focus lens, and a fiberoptic bundle is connected axially to the proximal end of the handpiece to illuminate the site. The image of the site is passed to a control apparatus for adjusting the variable focus lens so as to provide for focussing of the treatment laser beam at a predetermined distance from the reference. A method of performing surgery comprising determining by focus condition measuring equipment the distance of a reference in a subject body, adjusting a variable focus lens by control signals proportional to the focus condition measured, and passing a laser beam through the variable focus lens in the adjusted position. to provide a focus spot of the laser beam at a predetermined distance from the reference.

Handpiece and related apparatus for laser surgery and dentistry

Apparatus and method for laser surgery in which laser energy, pulsed or continuous, is focussed to a focus spot of ten to thirty microns which is located within tissue, or the like to cause highly localized heating. The pulsed radiation is in the TEM(oo) mode, has a wavelength of approximately 1064 nanometer, the pulses being not in excess of 100 nanoseconds and the pulse rate being approximately 2000 per second. Where the laser beam is continuous or pulsed, it has a wavelength of approximately 1400 to 1800 nanometer, or in photoablative modes, having a wavelength of 190 to about 300 nanometers. The focus spot may be caused to move relative to the axis of a handpiece; and to liquid may flow across the exposure site to remove debris. A handpiece may have an endoscope including a glass contact tip at its distal end to receive light and to acquire an image of the exposure site probes for eye surgery include a quartz rod in a sheath, the quartz rod having a beveled distal end surface through which the laser radiation is emitted and may have infusion and aspiration passages with ends coplanar with the beveled end surface of the quartz rod.

Method and apparatus for laser surgery

A laser delivery system comprises a light weight hollow boom having a bearing intermediate its ends which permits the distal end of the boom to move longitudinally and rotationally relative to the proximal end of the boom. The bearing supports the distal end without supporting physical contact, e.g. by a layer of fluid. The proximal end of the boom is carried by a boom support for movement about two axes, and includes a fork journalled in a base. In one embodiment, the shaft has a portion offset from the axis thereof, and a beam direction changer, such as a prism, is located along the shaft axis between spaced bearings journalling the shaft and carried by the base. In a second embodiment, a light conducting passage extends completely through the shaft. A handpiece is connected to the distal end of the boom for rotation about the boom axis. The boom is counterbalanced by a first counterweight in offset relation to the boom axis relative to the shaft axis, and on the opposite side from the boom of the pivotal axis transverse to the boom. A second smaller counterweight is between the boom support and the boom bearing, with its center of gravity on the boom axis, and a third counterweight smaller than the second is between the boom bearing and the handpiece, on the opposite side of the boom axis from the handpiece.

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San Antonio, TX, United States of America

Robert H Poirier