Aspects of the present disclosure generally relate to laser systems and methods of using laser systems for medical applications.
In medical applications, laser energy is used in many procedures. Non-limiting examples of such procedures include incision, excision, resection, vaporization, ablation, fragmentation, coagulation, hemostasis, denaturation, etc., of various body tissues. In some medical procedures, lasers having, for example, a wavelength of about 2100 nanometers (nm) (or 2.1 micrometers (μm)) may be used since the energy of this wavelength is highly absorbed by water, a constituent of virtually all tissues. In ureteroscopic laser lithotripsy (URS), laser energy is used to disintegrate stones in the urinary tract of a subject (patient, etc.). In some applications, laser lithotripsy may be performed using a number of different types of lasers, such as, for example, a Holmium YAG (Ho:YAG) laser, a Thulium YAG (Tm:YAG) laser, or a Chromium (Cr) Thulium (Tm) Holmium (Ho) YAG (CTH:YAG) laser. Such lasers provide a relatively high fragmentation efficiency for different types of stones.
Although the CTH:YAG laser has been the benchmark laser system for URS since its introduction more than twenty years ago, optical coating damage of the cavity mirrors is still one of the dominant laser failure modes. The damaged optical coating can significantly reduce the laser output, and the constant energy control system's feedback loop can speed up the degradation till the system is out of normal operational range.
The systems and methods of the current disclosure may rectify some of these or other deficiencies in known laser systems. The scope of the current disclosure, however, is defined by the attached claims, and not by the ability to solve any specific problem.
This Summary is provided to introduce a selection of concepts in a simplified form that are further described below in the Detailed Description. This Summary is not intended to necessarily identify key features or essential features of the claimed subject matter, nor is it intended as an aid in determining the scope of the claimed subject matter.
The disclosure can be implemented as a method for a laser system controller. The method can comprise generating a pulse-width modulated control signal, the pulse-width modulated control signal comprising a plurality of electrical pulses separated by a temporal delay; and communicating the pulse width modulated control signal to an optical pump, wherein the optical pump, responsive to the pulse width modulated control signal, generates optical pump light and wherein a lasing medium, when exposed to the optical pump light, generates a laser beam.
In further embodiments of the method, the temporal delay between a first electrical pulse and a second electrical pulse of the plurality of electrical pulses is less than the temporal delay between the second electrical pulse and a third electrical pulse of the plurality of electrical pulses.
In further embodiments of the method, a magnitude of a first electrical pulse is less than a magnitude of a subsequent electrical pulse of the plurality of electrical pulses.
In further embodiments of the method, the temporal delay between a first electrical pulse and a second electrical pulse of the plurality of electrical pulses is less than the temporal delay between the second electrical pulse and a third electrical pulse of the plurality of electrical pulses, and wherein a magnitude of the first electrical pulse is less than a magnitude of the second electrical pulse of the plurality of electrical pulses.
In further embodiments of the method, a frequency of the pulse width modulated control signal is between 4 and 25 kilohertz.
In further embodiments of the method, the pulse width modulated control signal comprises a plurality of sets of electrical pulses, each set of electrical pulses of the plurality of sets of electrical pulses comprising a plurality of temporally spaced apart electrical pulses.
The disclosure can be implemented as a laser system. The laser system can comprise a controller configured to send a pulse width modulated control signal to one or more optical pumps to cause the optical pumps to generate optical pump light; a lasing medium arranged to output a laser beam in response to the optical pump light; and a pump chamber configured to direct the optical pump light to the lasing medium, wherein the pulse width modulated control signal comprises a plurality of temporally spaced apart electrical pulse components configured to dampen a relaxation oscillation of the laser beam.
In further embodiments of the laser system, the temporal delay between a first electrical pulse and a second electrical pulse of the plurality of electrical pulses is less than the temporal delay between the second electrical pulse and a third electrical pulse of the plurality of electrical pulses.
In further embodiments of the laser system, a magnitude of a first electrical pulse is less than a magnitude of a subsequent electrical pulse of the plurality of electrical pulses.
In further embodiments of the laser system, the temporal delay between a first electrical pulse and a second electrical pulse of the plurality of electrical pulses is less than the temporal delay between the second electrical pulse and a third electrical pulse of the plurality of electrical pulses, and wherein a magnitude of the first electrical pulse is less than a magnitude of the second electrical pulse of the plurality of electrical pulses.
In further embodiments of the laser system, the frequency of the pulse width modulated control signal is between 4 and 25 kilohertz.
In further embodiments of the laser system, the pulse width modulated control signal comprises a plurality of sets of electrical pulses, each set of electrical pulses of the plurality of sets of electrical pulses comprising a plurality of temporally spaced apart electrical pulses.
In further embodiments, the laser system can comprise a saturable absorber disposed of in an optical path of the laser beam.
In further embodiments of the laser system, the lasing medium includes one of Ho:YAG, Tm:YAG, Tm:Ho:YAG, Er:YAG, Er:YLF, Nd:YAG, Thulium fiber laser, and CTH:YAG.
The disclosure can be implemented as a non-transitory computer-readable storage medium. The computer-readable storage medium can include instructions that, when executed by a computer or a controller for a laser system, cause the computer or the controller to generate a pulse-width modulated control signal, the pulse-width modulated control signal comprising a plurality of electrical pulses separated by a temporal delay; and communicate the pulse width modulated control signal to an optical pump, wherein the optical pump, responsive to the pulse width modulated control signal, generates optical pump light and wherein a lasing medium, when exposed to the optical pump light, generates a laser beam.
In further embodiments of the computer-readable storage medium, the temporal delay between a first electrical pulse and a second electrical pulse of the plurality of electrical pulses is less than the temporal delay between the second electrical pulse and a third electrical pulse of the plurality of electrical pulses.
In further embodiments of the computer-readable storage medium, a magnitude of a first electrical pulse is less than that of a subsequent electrical pulse of the plurality of electrical pulses.
In further embodiments of the computer-readable storage medium, the temporal delay between a first electrical pulse and a second electrical pulse of the plurality of electrical pulses is less than the temporal delay between the second electrical pulse and a third electrical pulse of the plurality of electrical pulses, and wherein a magnitude of the first electrical pulse is less than a magnitude of the second electrical pulse of the plurality of electrical pulses.
In further embodiments of the computer-readable storage medium, the frequency of the pulse width modulated control signal is between 4 and 25 kilohertz.
In further embodiments of the computer-readable storage medium, the pulse width modulated control signal comprises a plurality of sets of electrical pulses, each set of electrical pulses of the plurality of sets of electrical pulses comprising a plurality of temporally spaced apart electrical pulses.
To easily identify the discussion of any element or act, the most significant digit or digits in a reference number refer to the figure number in which that element is first introduced.
The oscillator 108 may include an optical pump 110 for optically exciting the lasing medium 114 to produce laser beam 102. The optical pump 110 may include any known type of device (e.g., flashlamp, arc lamp, electrically pumped LED, laser diode, diode-pumped laser, solid state crystal or fiber laser, etc.) used to excite the lasing medium 114 optically. The optical pump 110 may be powered by a power supply 112 that includes components to operate the optical pump 110. These components may include, among others, a capacitor for energy storage and discharge, an inductor for pulse shaping, and a trigger circuit for ionizing the optical pump 110.
The power supply 112 may be configured to deliver electrical pulses from the capacitor to operate the optical pump 110. A pump chamber 116 may house both the lasing medium 114 and the optical pump 110 and allow optical radiation to transfer from the optical pump 110 to the lasing medium 114. The pump chamber 116 may also allow for the efficient cooling of both the lasing medium 114 and the optical pump 110. The laser oscillator 108 may include a housing, upon which is mounted the pump chamber 116, a fully (or substantially fully) reflective optic 118, and a partially reflective optic 120. Both the fully reflective optic 118 and the partially reflective optic 120 may include one or more optical components (lens, mirrors, etc.) of various physical shapes and may be coated for reflection and/or transmittance of various wavelength(s) of radiation. In some embodiments, these reflective optics 118 and 120 may be positioned in adjustable mounts that allow these components to be centered on the path of a laser beam traversing the solid-state lasing medium 114.
A cooling system 122 may supply a coolant to cool heat-producing components of the laser system 100. The liquid or gaseous coolant may be recirculated through the pump chamber 116 in a closed loop to cool the heat-producing components of the oscillator 108. In some embodiments, the cooling system 122 may be cooled by air. In some embodiments, other components of the laser system 100 (e.g., power supply 112) may also be cooled by the coolant of the cooling system 122. It is also contemplated that, in some embodiments, the cooling system 122 may be used to heat the components of the oscillator 108.
The operation of the laser system 100 may be controlled by a controller 124. As known in the art, the controller 124 may include a central processing unit (CPU) and other components that facilitate control of the laser system 100 (e.g., power supply 112, cooling system 122, oscillator 108, etc.) based on user input and/or feedback from sensors/detectors that monitor the performance of the laser system 100. For example, based on user input, controller 124 may control the power supply 112 to generate electrical pulses of desired characteristics (amplitude, frequency, pulse duration, etc.) to operate the optical pump 110. And based on the measured temperature of the oscillator 108, controller 124 may control the operation of the cooling system 122. Since the functions of a controller 124 of a laser system are well known in the art, they are not discussed extensively herein.
During the operation of the laser system 100, controller 124 controls the power supply 112 to direct a current/voltage waveform or an electrical pulse having desired characteristics (amplitude, duration, magnitude, etc.) to the optical pump 110. The optical energy generated by the optical pump 110, as a result, is coupled to the lasing medium 114. For optimal coupling, the optical pump 110 may be arranged around and positioned in close contact with the lasing medium 114. In some embodiments, coupling of optical energy into the lasing medium 114 may be improved through reflections off the interior surfaces of pump chamber 116. The optical energy from the optical pump 110 raises the energy level of the electrons in the lasing medium 114 to achieve population inversion. Population inversion occurs when more of the electrons of the lasing medium 114 exist in their excited state (i.e., higher energy state) than their ground state (i.e., normal, or low energy state). As population inversion is achieved, one or more wavelengths of optical radiation pass multiple times through the lasing medium 114 and are reflected off both the fully reflective optic 118 and the partially reflective optic 120. When the excitation level of the electrons reaches a threshold value (referred to in laser physics as the lasing threshold or laser threshold), laser pulses forming laser beam 102 are generated and emitted along the longitudinal axis of the oscillator 108.
A portion of the emitted laser pulses of laser beam 102 may be sampled by an optical detector 126 to facilitate monitoring and control of the laser system 100. For example, the controller 124 may use signals from the optical detector 126 (that are indicative of the emitted laser beam) to monitor and control the operation of the oscillator 108, the power supply 112, the cooling system 122, and other components of the laser system 100. The emitted laser beam 102 may then be directed through one or more optical coupling elements 128 to condition the subsequent outgoing pulses to enter the proximal end of the optical fiber 104. The laser beam 102 is then transmitted through the optical fiber 104 to its distal end that may be placed in contact with (or in close proximity to) a stone (not shown) at the target site 106. At target site 106, the impinging laser beam 102 may fragment the stone.
The laser system 100 of
The characteristics (energy, pulse width, power, frequency, etc.) of the emitted laser beam 102 may depend on the characteristics of the optical pulses generated by the optical pump 110. The characteristics of these optical pulses may depend on the electrical pulses directed to the optical pump 110 from the power supply 112.
Although the electrical pulses in both
Further, as can be seen in both
Conventionally, to increase the energy of the laser pulse, the power (or magnitude) of the electrical pulse (or pumping energy) is increased. Increasing the power of the electrical pulse (and thereby the optical pumping energy) increases the magnitude of the initial peak of the corresponding laser pulse. Further, it is well known that the fluorescence lifetime of a lasing medium may strongly depend on the optical pumping energy.
Additionally, the higher magnitude initial peak resulting from a high-power electrical pulse may cause the energy of the laser beam 102 to, at least momentarily, exceed a desired value. This momentary increase in laser energy may damage the optical components of the laser system 100 and cause undesirable effects such as retropulsion and large stone fragments (which may have to be removed using additional medical devices such as, e.g., retrieval baskets).
Additionally, relaxation-oscillation-related laser power spikes at the beginning of each laser pulse could have much higher peak power than the average peak power calculated as the laser pulse energy over the pulse width.
These spikes in output power can exceed the laser-induced damage threshold (LIDT) of the cavity optics (e.g., pump chamber 116, reflective optic 118, partially reflective optic 120, etc.) and contribute to the coating damage.
In general, the shape of the pulse of laser beam 102 depends on the characteristics of the laser system 100 (e.g., power, spacing, duration, etc. of the electrical pulses, the material of the lasing medium, etc.). In some embodiments, the duty cycle of the PWM electrical pulses A, B, C, and D is dynamically manipulated to form a pulse of partially reflective optic 120 having reduced or damped relaxation oscillations, as depicted in
In some embodiments, the electrical pulse of the set of spaced-apart electrical pulses may be formed using a pulse width modulation (PWM) formula such that the laser beam 102 resulting from the individual laser pulses generated by the electrical pulses has a smoother turn-on profile, or rather, exhibits damped relaxation oscillations. For example, pulses A, B, C, and D can be formed to have a PWM between 4 and 25 kilohertz (kHz). As a specific example, earlier pulses can have a larger delay between the pulses than later pulses such that the laser beam 102 exhibits reduced relaxation oscillations. As another example, earlier pulses (e.g., pulse B) can have lower power than later pulses such that the laser beam 102 exhibits reduced relaxation oscillations.
With some embodiments, a pulse width modulated control signal can be generated comprising electrical pulses having characteristics like both electrical pulses 602a through 602e and electrical pulses 606a through 606e. That is, the electrical pulses can both have different temporal delays and magnitudes as depicted and described.
Continuing to block 804, routine 800 communicates the pulse width modulated control signal to an optical pump, wherein the optical pump, responsive to the pulse width modulated control signal, generates optical pump light and wherein a lasing medium, when exposed to the optical pump light, generates a laser beam. For example, controller 124 can send the pulse width modulated control signal to an optical pump 110 to cause the optical pump to generate optical pump light to excite lasing medium 114.
As can be seen, graph 1000 depicts several plots 1002a, 1002b, 1002c, 1002d, 1002e, 1002f, 1002g, 1002h, 1002i, 1002j, 1002k, 1002l, and 1002m. Each of the plots 1002a to 1002m depicts the duty cycle (y-axis) vs. working beam packet energy (x-axis) created during open loop calibration of a cavity. During open loop calibration, the duty cycle is manually adjusted until the desired working beam packet energy is measured using an Ophir meter. The highest values of the duty cycle are used to generate working beam packets at a frequency of 5 Hz. The relationship between packet energy remains linear at other packet repetition frequencies.
Similarly,
Finally,
This application claims the benefit of U.S. Provisional Patent Application Ser. No. 63/448,869 filed Mar. 7, 2023, the disclosure of which is incorporated herein by reference.
Number | Date | Country | |
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63448869 | Feb 2023 | US |